Well done to all our MMUH doctors who presented at @RCollEM @RCEMevents @RCEM_VP
Wide range of topics covered showing the range of projects undertaken MMUH / SWBH ED
So proud ๐ ๐๐
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Wild considering the largest and most recent data sets suggest no benefit. What was the LOE?
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I have been doing empirical Tx for a while now, didnโt see that much of downside to it.
If severe, I would give 2 units of FFP too
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Definition of trauma cardiac arrest. Zane Perkins @RCEMevents Conference 2026.
Define by lack of coronary perfusion. So you can tell time since arrest by changes in cardiac rhythm.
At 1 minute heart slows.
At 5 minutes bradycardia established.
At 10 minutes PEA.
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Wes Streeting at @RCEMevents Conference 2026.
Showing a great understanding of the system nature of NHS recovery, and the need for system change.
But also a good illustration that even the most senior politicians donโt have a magic wand!
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A great Maurice Ellis lecture from Ali Saunders. @RCEMevents Conference.
New concept for me was โflash teamsโ - which we often have in EM. Groups of individuals who are not trained as team, but who have to come together and operate as a high functioning team.
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HRH Princess Royal hitting the nail on the head โevery patient you see is differentโ.
Follows on so well from Steve Goodacreโs lecture arguing that clinical judgement should come first rather than a guideline.
@RCEMevents RCEM Conference 2026
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Great David Williams lecture from Prof Steve Goodacre @RCEMevents Conference 2026.
Clinical prediction scores predict outcome WITH treatment, but often used to identify who NEEDS treatment, which is NOT what they are predicting!
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New angioedema guidance @RCEMevents 2026 conference:
TXA recommended as primary treatment for isolated angioedema.
Immediate escalation to ENT & anaesthetics if any swelling behind the teeth.
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Apr 28
Someone in our hospital has been paid to go around and reduce screen brightness and LOCK IT on every computer.
I have massively fussed about the office computer I regularly use. It is now Max brightness. And I can do work.
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Apr 28
Interesting but monitor luminance is important for plain XR interpretation inparticular. I'd be very wary of implementing this where monitors are used for image interpretation, especially where there is a delay in radiologist reporting.
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I don't want to diminish the importance of this observation. But it has been well known for well over a decade. The mystery is why the observation has had absolutely no attention in NHSE policy.
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Given all the problems in acute care, the fact this even gets discussed is a nonsense. Thereโs probably much more to be gained by dealing with the permanently switched on, but permanently not working, computers found in every department.
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Apr 28
Hmm. As someone who suffers from interesting problems with their sight, I find my Trust's policy of turning the screens down to min VERY distressing.
Can't actually read the screen. Which is a safety issue. Migranous by the end of a round.
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Reducing computer screen brightness in ED to 40% did not affect ability to interpret scans or read EPR.
2000 kg CO2 equivalent saved per year, saving about ยฃ2000 a year.
Scalable and would be easy to implement in the NHS.
@RCEMevents
RCEM Conference 2026
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Entonox produced 98.9 kg CO2 equivalent per use compared to Penthrox at 0.84 kg.
Important part of moving to the green ED.
@RCEMevents RCEM 2026 Conference.
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