Dr Stevan Bruijns πŸ₯πŸš‘πŸ˜·

77 Followers
109 Following
20 Posts
A&E consultant, AfJEM chief editor, CareQualityComm specialty advisor, UCTHealthSci hon ass professor.
Interests: systems, leadership, belonging. Views own.

The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine.

Central to this is the EPiC (or emergency physician in charge).

This is my mental model to EPIC-ing πŸ§ πŸ‘Š

https://www.stemlynsblog.org/an-epic-mental-model-st-emlyns/

An EPiC mental model. St Emlyn's

The practice of coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Central to this is the EPiC (or emergency physician in charge) role #FOAMed @stemlyns

St.Emlyn's
EMJ: The view from here
Gaza: providing emergency care under fire
"Words really are not enough to describe what we are witnessing"
πŸ—£οΈ
https://emj.bmj.com/content/early/2024/02/09/emermed-2024-213963?s=09
Gaza: providing emergency care under fire

Dr Mohammed Qandil, an Emergency Medicine and Critical Care consultant and member of the Royal College of Emergency Medicine, is head of the Emergency Department at the Nasser Medical Complex in Khan Younis which is in the south of Gaza. At the time of writing and since the beginning of October 2023 there have been over 24 000 reported Palestinian fatalities with over 61 000 injured. Less than one-third of Gaza’s hospitals are functional, millions are at imminent risk of famine and access to humanitarian assistance is minimal. I have been working in the Emergency Department in Khan Younis continuously since October 2023. Because of the hostilities and the danger surrounding myself and my colleagues, we have not been leaving the site during this time. The hospital has almost become like a closed camp: we sleep in the hospital, we eat in the hospital and essentially we are working 24 hours per day, 7 days per week. The huge escalation in injured patients has meant that we have needed to expand the Emergency Department and critical care capacity. Nevertheless, we are always full. Most injuries we are seeing come as a result of being crushed under the rubble of collapsed buildings following bombardment and the vast majority of those injured are women and children. Often this happens when the patients are sleeping in their homes and subsequently, we see severe head, torso and limb injuries. To effectively deal with such volume and severity requires continuous operating theatre and critical care capacity. This demand for high acuity care frequently outstrips our ability to provide it and therefore we are endlessly having to …

Emergency Medicine Journal
Simplifying urgent care data translation is essential for hospital flow improvement.
Aimed at UEC managers and trust exec teams, this post provides a perspective on how to achieve this.
https://www.stemlynsblog.org/speaking-urgent-care-flow-fluently/
@stemlyns
Speaking urgent care flow fluently

Simplifying urgent care data translation is essential for hospital flow improvement. This post provides a perspective on how to achieve this.

St.Emlyn's

Interesting interview for a number of reasons inc focus on the importance of digital infrastructure #sdoh #regulatedigitalplatforms

RT @[email protected]

Watch NZ Prime Minister Jacinda Ardern pick apart this reporter's question during a joint press conference with Finnish PM Sanna Marin. He asked the pair 'are you two meeting because you're similar in age and got a lot of common stuff there?'
Read more: https://trib.al/HSLyzZQ

Jacinda Ardern asked if meeting Finland's PM because they are 'similar in age', shuts that question down

She asked if that question was ever put to Barack Obama or John Key.

SBS News
For anyone in the UK, If you text β€˜SHOUT’ to 85258 when you are in a dark place or suicidal, a trained crisis volunteer will text you back. This is great If you find talking on the phone challenging. It’s completely free 24/7.
Please RT you never know who might need this support
"In our society, there seems a general rule that, the more obviously one’s work benefits other people, the less one is likely to be paid for it.”
- David Graeber

#CovidIsNotOver and the virus presents the highest risk of transmission in indoor areas with poor ventilation.
@Join_ZOE

UK latest 26 Nov 2022:
πŸ“ˆ2,086,820 currently predicted to have symptomatic Covid-19.
πŸ“ˆ150,926 estimated new daily infections [24/11].
πŸ“ˆWinter wave imminent.

In October, patients waited over an hour for an ambulance for suspected heart attacks and strokes - just shy of 10 minutes for a cat 1 life-threatening call. Almost 10 hours for the least serious calls.

ICYMI: One dogged coroner, four needless deaths, and a stark conclusion: the health and social system is broken.

My read for The Sunday Times:

This was the first image of the #Earth 🌍 taken from the #NASA #Orion spacecraft as it rounded the limb of the #Moon πŸŒ– and was reacquired by the #DSN. Every human is in this photograph. With the population of the planet having just crossed the 8 billion mark, https://www.worldometers.info/world-population/, this is the biggest family photograph ever taken! #Artemis #Artemis1
World Population Clock: 8.3 Billion People (LIVE, 2026) - Worldometer

How many people are there in the world? World population has reached 8 billion on November 15, 2022 according to the United Nations. World population live counter with data sheets, graphs, maps, and census data regarding the current, historical, and future world population figures, estimates, growth rates, densities and demographics

Worldometer