Live and recent posts from across the Fediverse tagged #emergency-department, aggregated by home.social.
Bayhealth announces ‘Next Wave’ expansion projects across Kent and Sussex counties | Latest News
DOVER, Del. – Bayhealth is plannin…
#NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Healthcare #accessiblehealthcare #Bayhealth #bluehenmall #Dover #emergencydepartment #emergencyroom #er #Health #healthcareprofessionals #Imaging #kentcampus #medicaleducation #medicalneighborhood #Milton #nextwave #outpatientservices #patienttower #Smyrna #totalcare
https://www.newsbeep.com/us/882764/
Death being investigated after ambulance not available for medical emergency in Hobart
An investigation has been launched after a man died shortly after his family was forced to drive him…
#Australia #ambulanceramping #ambulancetasmania #AU #Austrlia #bridgetarcher #death #emergency #emergencydepartment #rockliffgovernment #royalhobarthospital #tas #tasmania #tasmaniahealthservice #THS
https://www.europesays.com/australia/120374/
https://www.europesays.com/uk/1252239/ Longer waiting time at emergency departments marks worrying trend #aecm #AgedCareSystem #AustralasianCollegeForEmergencyMedicine #BedBlock #EmergencyDepartment #Health #Healthcare #StateOfEmergency #UK #UnitedKingdom
Longer waiting time at emergency departments marks worrying trend
Hospital corridors filled with patients in pain and lengthy emergency department waits are becoming common as Australia struggles…
#NewsBeep #News #Healthcare #aecm #agedcaresystem #AustralasianCollegeforEmergencyMedicine #bedblock #emergencydepartment #Health #healthcare #StateofEmergency #UK #UnitedKingdom
https://www.newsbeep.com/uk/801111/
Longer waiting time at emergency departments marks worrying trend
Hospital corridors filled with patients in pain and lengthy emergency department waits are becoming common as Australia struggles…
#NewsBeep #News #Healthcare #aecm #agedcaresystem #AustralasianCollegeforEmergencyMedicine #bedblock #CA #Canada #emergencydepartment #Health #StateofEmergency
https://www.newsbeep.com/ca/931148/
Longer waiting time at emergency departments marks worrying trend
Hospital corridors filled with patients in pain and lengthy emergency department waits are becoming common as Australia struggles…
#Australia #aecm #agedcaresystem #AU #AustralasianCollegeforEmergencyMedicine #Austrlia #bedblock #emergencydepartment #StateofEmergency
https://www.europesays.com/australia/119334/
https://www.europesays.com/ie/732036/ Longer waiting time at emergency departments marks worrying trend #aecm #AgedCareSystem #AustralasianCollegeForEmergencyMedicine #BedBlock #Éire #EmergencyDepartment #Health #HealthCare #Healthcare #IE #Ireland #StateOfEmergency
Victorian Coalition pledges youth mental health focus if elected in November
The Coalition has promised to boost investment in youth mental health if elected to government in Victoria, in…
#NewsBeep #News #Mentalhealth #ambulanceramping #CA #Canada #coalition #electionpledge #electionpromise #emergencydepartment #Health #hospitalbeds #hospitals #MentalHealth #Patienttransitlounge #Victorianelection #waittimes
https://www.newsbeep.com/ca/922516/
https://www.europesays.com/uk/1239313/ Victorian Coalition pledges youth mental health focus if elected in November #AmbulanceRamping #Coalition #ElectionPledge #ElectionPromise #EmergencyDepartment #Health #HospitalBeds #Hospitals #MentalHealth #PatientTransitLounge #UK #UnitedKingdom #VictorianElection #WaitTimes
Victorian Coalition pledges youth mental health focus if elected in November
The Coalition has promised to boost investment in youth mental health if elected to government in Victoria, in…
#NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Mentalhealth #ambulanceramping #coalition #electionpledge #electionpromise #emergencydepartment #Health #Hospitalbeds #hospitals #MentalHealth #Patienttransitlounge #Victorianelection #WaitTimes
https://www.newsbeep.com/us/872489/
https://www.europesays.com/ie/721843/ Victorian Coalition pledges youth mental health focus if elected in November #AmbulanceRamping #coalition #Éire #ElectionPledge #ElectionPromise #EmergencyDepartment #Health #HospitalBeds #hospitals #IE #Ireland #MentalHealth #MentalHealth #PatientTransitLounge #VictorianElection #WaitTimes
NSW government ramps up illegal e-bike crackdown under new seizure laws
Authorities are ramping up the crackdown on illegal e-bikes by sending them straight to the crusher, as concerns…
#Australia #Sydney #crushing #e-bikeinjuries #e-bikes #emergencydepartment #headinjuries #illegale-bikes #nsw #nswe-bikecrackdown #nswpolice #seizeanddestroy #StVincent’sHospital
https://www.europesays.com/australia/110610/
https://www.europesays.com/uk/1225178/ Westmead Hospital has the longest emergency wait times in Western Sydney #AustralianMedicalAssociation #DepartmentOfHealth #EmergencyWaitTimes #EmergencyDepartment #Health #Healthcare #NswHealthFigures #NSWHealthMinisterRyanPark #NSWPresidentDrFredBetros #OppositionLeaderKellieSloane #UK #UnitedKingdom #WesternSydneyHospital #WesternSydneyLocalHealthDistrict #WestmeadHospital #WestmeadHospitalBeds #WestmeadHospitalWaitTimes
Westmead Hospital has the longest emergency wait times in Western Sydney
At work one afternoon …
#NewsBeep #News #Healthcare #AU #Australia #AustralianMedicalAssociation #DepartmentofHealth #emergencydepartment #emergencywaittimes #Health #nswhealthfigures #NSWHealthMinisterRyanPark #NSWpresidentDrFredBetros #OppositionLeaderKellieSloane #westernsydneyhospital #westernsydneylocalhealthdistrict #westmeadhospital #westmeadhospitalbeds #westmeadhospitalwaittimes
https://www.newsbeep.com/au/907946/
Measles Has Returned To America. We’re No Longer In Containment Mode
On September 13, a traveler with measles passed through Philadelphia International Airport, moving between terminals over hearly five…
#NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Health #emergencydepartment #Ferrari #GeisingerMedicalCenter #GettyImages #HospitalforAdvancedMedicine #measles #measlesoutbreak #philadelphiainternationalairport #PublicHealth
https://www.newsbeep.com/us/862265/
https://www.europesays.com/uk/1222374/ ‘Makeshift’ treatment areas and long waits reported at Lyell McEwin Hospital ED, union says #Adelaide #BernadetteMulholland #BlairBoyer #doctors #ElizabethVale #EmergencyDepartment #Health #Healthcare #Hospital #JoshTeague #LyellMcEwin #NorthernSuburbs #ramping #Samoa #SouthAustralia #UK #UnitedKingdom
‘Makeshift’ treatment areas and long waits reported at Lyell McEwin Hospital ED, union says
Patients waited more than 13 hours to be treated at the biggest emergency department in Adelaide’s northern suburbs,…
#NewsBeep #News #Healthcare #Adelaide #AU #Australia #bernadettemulholland #blairboyer #doctors #elizabethvale #emergencydepartment #Health #Hospital #JoshTeague #LyellMcEwin #northernsuburbs #ramping #Samoa #SouthAustralia
https://www.newsbeep.com/au/904936/
Royal Children’s Hospital beds to go unused with no funding to staff them
Tell us about your experience. Victoria’s major children’s hospital will not be able to use 20 new beds…
#Australia #AU #Austrlia #emergencydepartment #funding #RoyalChildrensHospital #staffshortages #victoriangovernment
https://www.europesays.com/australia/103080/
Hospital project milestone ‘a long time coming’
The construction of a £247m emergency department has reached its highest point in an “important milestone” for the…
#Canada #DerrifordHospital #emergencydepartment
https://www.europesays.com/canada/204811/
Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department
A 73-year-old woman suffered serious injuries when she was allegedly bashed by another patient in a random attack…
#NewsBeep #News #Healthcare #attack #AustralasianCollegeforEmergencyMedicine #bashing #Ed #elderlywoman #emergencydepartment #Health #healthcare #PrincessAlexandraHospital #punched #UK #UnitedKingdom
https://www.newsbeep.com/uk/764540/
Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department
A 73-year-old woman suffered serious injuries when she was allegedly bashed by another patient in a random attack…
#NewsBeep #News #Healthcare #attack #AU #AustralasianCollegeforEmergencyMedicine #Australia #bashing #ED #elderlywoman #emergencydepartment #Health #PrincessAlexandraHospital #punched
https://www.newsbeep.com/au/884942/
Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department
A 73-year-old woman suffered serious injuries when she was allegedly bashed by another patient in a random attack…
#Australia #attack #AU #AustralasianCollegeforEmergencyMedicine #Austrlia #bashing #ED #Elderlywoman #emergencydepartment #PrincessAlexandraHospital #punched
https://www.europesays.com/australia/91307/
Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department
A 73-year-old woman suffered serious injuries when she was allegedly bashed by another patient in a random attack…
#NewsBeep #News #Healthcare #Attack #AustralasianCollegeforEmergencyMedicine #bashing #CA #Canada #ed #elderlywoman #emergencydepartment #Health #PrincessAlexandraHospital #punched
https://www.newsbeep.com/ca/888418/
https://www.europesays.com/uk/1193904/ Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department #attack #AustralasianCollegeForEmergencyMedicine #bashing #ED #ElderlyWoman #EmergencyDepartment #Health #Healthcare #PrincessAlexandraHospital #punched #UK #UnitedKingdom
https://www.europesays.com/ie/679192/ Woman badly injured in alleged attack at Princess Alexandra Hospital emergency department #attack #AustralasianCollegeForEmergencyMedicine #bashing #Ed #Éire #ElderlyWoman #EmergencyDepartment #Health #HealthCare #Healthcare #IE #Ireland #PrincessAlexandraHospital #punched
https://www.europesays.com/videos/84500/ Fears grow for Kent nurse missing in Nepal after flooding | ITV Meridian (East) #EmergencyDepartment #flooding #itv #ItvNews #ITVNewsInFull #kent #MarcusCollie #Margate #Nepal #pilgrimage #QEQM #Reverend #Rye
Batemans Bay hospital and emergency department to close next year despite lingering fears
When Christine Hayes suffered a stroke at her Surfside home on the New South Wales South Coast every…
#Australia #ACT #andrewconstance #AU #Austrlia #BatemansBay #canberra #christinehayes #Community #don'tclosethebatemanstbayed #drandrewgibson #emergencydepartment #eurobodalla #eurobodallaregionalhospital #hospital #michaelholland #peterryan #ryanpark #southcoast
https://www.europesays.com/australia/73288/
They've been running other tests on me in the ED too. This is what they found when they checked my heart when I arrived at hospital😉
"Months after congressional #Republicans refused to extend enhanced subsidies for Americans who receive their health insurance through the Affordable Care Act, hospitals across the US are seeing a surge in uninsured patients seeking emergency medical care." This is classic Republican false economy. The #EmergencyDepartment is the most expensive way to deliver care --and patients suffer needlessly from delaying care.
https://www.commondreams.org/news/uninsured-emergency-room-surge
#Healthcare #ACA
Wimbledon heatstroke alert: Tennis fans in A&E surge at major London hospital https://www.rawchili.com/5041185/ #A&E #AllEnglandLawnTennisClub #EmergencyDepartment #HospitalTreatment #london #SouthWestLondon #StGeorge’sHospital #tennis #VulnerablePatients #Wimbledon
MORRISTON: Hospital A&E ditches bottled water for jugs — saving more than £13,500 a year
Patients in the emergency department at Morriston Hospital are now being offered water in jugs rather than single-use plastic bottles, in a change the health board says will save more than £13,500 a year.
Bottled water is now kept for special circumstances only, such as barrier nursing or cases involving high-consequence infectious diseases.
A new tap supplying chilled water has been installed so patients can be given fresh, cold water in the jugs provided.
Those who would still prefer a bottle can buy one from vending machines in the waiting area, where jugs with lids have also been placed so visitors can help themselves.
Health care support worker Ian Booth, one of the staff who led the change, said patients had noticed the difference.
“This has been a really positive change within ED, because it’s not only helping our patients but staff too,” he said.
“Patients have told us that they felt better looked after, and of course there’s major benefits to us in terms of cutting down our waste.”
He said the new tap meant patients had easy access to fresh, cold water, while staff benefited too.
The project was also driven by emergency department consultant Dr Sue West-Jones, one of three sustainable clinical leads within Swansea Bay and someone who has long combined her job with a passion for greener healthcare.
“This has been a really beneficial project as it means we are now supplying fresh water for our patients and staff, while at the same time looking after our environment and finances,” she said.
“In ED we are passionate about looking after our patients, planet and health board purse, and positive changes like this highlight the efforts that staff and the service are making.”
The health board thanked the British Red Cross and its hospital voluntary team for helping to make the change happen.
Part of a wider green drive
The switch is the latest in a string of money-saving environmental changes at the hospital.
The emergency department has form here: two years ago the same service was highlighted for its efforts to cut waste and work more sustainably alongside its day job of saving lives.
The biggest savings have come from energy. Last year the health board reported that Morriston’s pioneering solar farm had saved more than £4m in energy costs, as ministers launched a plan to cut the carbon footprint of the Welsh NHS.
Elsewhere across the health board, staff have found inventive ways to squeeze value from waste. In May, it emerged that thousands of old X-ray films from the cancer centre at Singleton Hospital were being destroyed — with the silver inside them extracted and sent to the Royal Mint, with the potential to end up in Welsh jewellery.
Taken together, the schemes point to a hospital increasingly mindful of both its environmental footprint and its budget — with even a change as simple as a jug of water adding to the savings.
Related stories from Swansea Bay News
£10m vascular hybrid theatre takes shape at Morriston
The latest milestone in a quiet decade-long transformation of the hospital.
Morriston solar farm saves more than £4m
The hospital’s pioneering solar farm has cut millions from its energy bills.
Plans lodged for new Morriston access road and campus expansion
A new M4 link and a major health campus are proposed north of the hospital.
Old cancer centre X-rays destroyed — their silver heads to the Royal Mint
Silver from thousands of Singleton X-ray films could end up in Welsh jewellery.
I think we all do the same mental calculation when something disturbing ails us: Is a visit to the emergency room really necessary? Because we all know what that entails. Many hours of waiting, only to find out (maybe) at the end that we didn't really need to be there.
I spent 11 hours in the emergency room of a Moncton hospital this past Saturday. It was probably good that I went.
But did it really have to take 11 hours? (Link in comments)
‘I told them she was nine months pregnant and she might die’ — Swansea mum gives birth in A&E during cardiac emergency
Alanna Rooke was almost 40 weeks pregnant when she suffered a seizure at her home in Mount Pleasant, Swansea. Her husband Simon called 999 but, fearing she couldn’t wait for an ambulance, drove her straight to Morriston himself.
When she arrived at the emergency department, Alanna was found to be experiencing supraventricular tachycardia — a condition that causes the heart to beat dangerously fast. Her heart was beating at over 200 times a minute, more than twice the normal rate, while her oxygen levels had plummeted to just 80%, well below the safe threshold.
Simon described the terrifying journey to hospital. “I called 999 and probably lost my cool a little bit. I was asked if I could take her pulse but she was shaking so much I couldn’t,” he said. “I told them she was nine months pregnant and she might die. She was on the floor being sick. I was thinking ‘this can’t be happening?’”
Two midwives were urgently summoned from Neath Port Talbot Hospital to assist the ED team. It quickly became clear that Alanna was not only critically ill — she was also in labour.
Midwives Amanda Morgan and Claire Itzstein, and registrar Tom Protheroe, with Alanna, Simon and Franklyn BrookeCommunity midwife Amanda Morgan described the moment they realised the full scale of what they were dealing with. “She was very clammy and disorientated and she was acutely unwell,” she said. “We were concerned she would arrest because the heart is under the most strain when the mother is in labour.”
Despite the extraordinary circumstances, baby Franklyn arrived safely, weighing a healthy 8lb 2oz. Community midwife manager Claire Itzstein, who helped deliver him, said it was one of the most challenging situations she had encountered in years of practice. “It was very surreal to be delivering a baby next to a defibrillator,” she said. “We were definitely out of our comfort zone.”
Alanna was treated for the SVT during and after the birth. She says she has no doubt she owes her life to the staff who cared for her. “I didn’t realise how bad I was until I was seen by the doctors,” she said. “I don’t think I would be here without them or the midwives. They were all so professional.”
Babies have not been routinely born at Morriston Hospital for more than 30 years — maternity services moved to Singleton Hospital in 1991. Since then there have been just two unexpected births at Morriston since 2014, with the last one also taking place in the ED eight years ago.
Franklyn was later transferred to the neonatal intensive care unit at Singleton Hospital, where he spent six days before being allowed home with his relieved family.
Director of Midwifery Kathryn Greaves said the birth was a testament to the teamwork between ED and maternity staff. “I will be forever grateful of how the ED staff allowed us to take over and support this wonderful family,” she said. “It made my day to be beside Claire and Amanda who were incredible.”
Alanna has said she had no history of serious heart problems before the episode. “I’d never had any issues with my heart before, apart from the odd palpitation I put down to exercise,” she said. “I blacked out in the car so I don’t remember much, but I was sick and in pain in the house, and my chest was tight.”
More from Swansea Bay News
More health and care news
The latest stories from across the Swansea Bay health board area.
A&E crisis: Nearly 1,000 deaths in Wales linked to 12-hour waits as calls grow for urgent action
New figures from the Royal College of Emergency Medicine reveal 965 deaths in 2025 were associated with long emergency department waits — an average of 18 people every week.
The total is up on the previous year, with doctors warning the scale of the crisis should send “shockwaves” through the political system.
“A matter of life and death”
Emergency medicine experts say the situation inside A&E departments has become critical.
Dr Rob Perry said many of those affected were among the most vulnerable patients — people already in need of urgent hospital care.
“Any number of avoidable deaths is a tragedy — that there were almost a thousand last year should send shockwaves,” he said.
“This is a matter of life and death.”
The report points to overcrowded hospitals, high bed occupancy and delays discharging patients as key drivers — leaving emergency departments gridlocked.t door” of emergency departments, but at the “back door” — where patients cannot be moved into wards quickly enough.
How delays are linked to deaths
The analysis suggests one death occurs for every 72 patients forced to wait 12 hours or more before being admitted.
Experts say tackling patient flow through hospitals — not just demand at the front door — is key to preventing further loss of life.
The College is now calling on all parties to commit to ending deaths associated with long waits by 2030.
Government: “Real progress” on waiting lists
The stark findings come just days after the Welsh Government published its latest NHS performance figures — highlighting improvements elsewhere in the system.
According to ministers:
Health Secretary Jeremy Miles said the figures showed “real, tangible progress”.
“Health boards are delivering more appointments and more operations… making sure people are seen and treated faster,” he said.
How delays are costing lives
The analysis uses a recognised measure suggesting one death occurs for every 72 patients forced to wait 12 hours or more.
That equates to hundreds of potentially avoidable deaths each year.
The College is now calling on all political parties to commit to ending deaths linked to long A&E waits by 2030, warning that failure to act will lead to more lives lost.
More operations — but pressure remains
The Welsh Government says the improvements have been driven by:
There have also been improvements in ambulance response times and hospital handovers.
But ministers acknowledge winter pressures remain high, with A&E departments recording one of their busiest periods on record.
Political pressure ramps up
The figures have prompted renewed criticism from the Welsh Conservatives.
Shadow Health Secretary Peter Fox said urgent action is needed.
“Every patient deserves timely care and no one should have to wait 12 hours or more,” he said.
“This data underlines the urgent need for strong, effective action.”
He reiterated calls to declare a health emergency to bring down waiting times and end corridor care.
Welsh Liberal Democrat Leader Jane Dodds MS put the blame firmly at an overstretched social care system.
“These figures are a national scandal. Nearly a thousand people dying after waiting over 12 hours in A&E reflects a system that is fundamentally broken and causing avoidable deaths.
“For too long, the focus has been on the front door of hospitals, when the real crisis is at the back door. Patients cannot be discharged because social care is overstretched, beds remain blocked, and A&E departments become dangerously overcrowded.
“If we are serious about ending these avoidable deaths, the next Welsh Government must properly fund social care and take a whole-system approach to fixing patient flow and funding social care properly will be a red line in any negotiations we hold with other parties.”
Two pictures of the NHS
Together, the figures paint a complex picture of the Welsh NHS.
On one hand, waiting lists are falling and more patients are being treated.
On the other, emergency departments remain under severe pressure, with long waits continuing to be linked to hundreds of deaths each year.
With a Senedd election approaching, the challenge for politicians is clear — turning progress on paper into safer care on the frontline.
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Parents urged to stay alert as health officials respond to rising cases.
Swansea parents’ long fight for answers over son’s hidden ADHD and autism
Family speaks out after years of struggle navigating the system.
Llanelli teen invited to Parliament after years of agony
Young campaigner recognised after battling an invisible illness.
Allegheny General Hospital conducts ER drill ahead of NFL draft
Allegheny General Hospital in Pittsburgh conducted a mass casualty drill on Thursday to ensure its emergency department is…
#nfl #nfldraft #NFLDraft #AlleghenyCounty #AlleghenyGeneralHospital #area #detroit #emergencydepartment #emergencyroom #er #erdrill #Football #friday #Improvement #masscasualtydrill #medicaldirector #NFL #Pittsburgh #previoushostcity #rau #realmasscasualtyevent #success
https://www.rawchili.com/nfl/794877/
Allegheny General Hospital conducts ER drill ahead of NFL draft https://www.rawchili.com/nfl/794877/ #AlleghenyCounty #AlleghenyGeneralHospital #area #detroit #EmergencyDepartment #EmergencyRoom #er #ErDrill #Football #friday #Improvement #MassCasualtyDrill #MedicalDirector #NFL #NflDraft #Pittsburgh #PreviousHostCity #rau #RealMassCasualtyEvent #success
My New Year’s Eve – 2025
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31st December 2025. I was NOT oncall.
It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.
The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.
At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.
Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.
I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.
She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.
I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.
I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.
Just how in the world is he still awake? The poor child was crying out in pain…
Judging by the state of his and my patient’s injuries, it was definitely high impact.
The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.
The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.
It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.
We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.
Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.
Oh, here we go again… Another Red Zone referral…
We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.
Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.
By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.
Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.
It’s still the beginning of 2026, so if I’m not too late, Happy New Year!
If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.
Stay safe always!
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A short article during my 6th and final rotation of my Housemanship period where we were required to complete a 12-hour shift every day.
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#medical #emergencydepartment #healthcare #housemanship #doctor #malaysia #blogging
http://theoreticaldoctor.com/2026/01/14/12-hours-shift-counting-down-my-hours-each-time-at-work/
12 Hours Shift – Counting Down My Hours Each Time At Work
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How do you waste the most time every day?
At the time of writing this article, which was back in June 2025, I was going through my 6th Rotation of my Housemanship which is in the Department of Emergency and Trauma. As a House Officer in the Emergency Department, we go by the 12-hours shift.
This meant, our shift is from:
In this department, they are strict in regards to adhering to a minimum of 60 hours per week in total. Thus, in a week, our schedule is as follows;
That is provided one has off-tagged of course.
Perhaps, it is the “last paper syndrome” that I was experiencing being in the 6th and final rotation, I would be counting down my hours each day at work. Thus, upon arrival at work, I would start my “12-hours countdown“ on my phone.
On slow days, I made it a point to go to toilet every hour, technically my so-called “hourly break” whereas on busy days, the toilet break is the only time I could take a break. This is followed by ensuring I have at least one meal per day during my shift.
Otherwise, the schedule in the emergency department is relatively better as compared to my previous rotations. Nevertheless, the tiredness is still there.
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2026 – The Beginning
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First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…
If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.
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Plans lodged for new Morriston Hospital access road and major campus expansion
The proposals include a full application for a 1.57km access road from junction 46 of the M4 and outline plans for a major expansion of Morriston Hospital’s clinical and research facilities.
The health board says the scheme is designed to meet rising demand for acute and specialist care, tackle waiting lists, and modernise facilities. It follows the 2021 City Deal‑backed vision for a life sciences and innovation campus at Morriston.
New access road from Felindre
The proposed single‑carriageway road would run north of Pant‑lasau Road to a new roundabout at the hospital’s northern edge. It includes a shared active‑travel path, sustainable drainage features, and new planting to reduce visual impact.
The health board says the route will ease congestion on existing approaches, improve blue‑light access to the Emergency Department, and support future public transport links from Felindre.
illustrative masterplan of the Morriston Hospital development and new link roadCampus‑style hospital expansion
The outline masterplan sets out a phased redevelopment to create an integrated “Morriston Health Campus” with new clinical, research and support buildings arranged around landscaped public spaces.
Key elements include:
The design aims to connect the hospital more closely with its landscape, retain existing trees and hedgerows, and improve pedestrian and cycle links across the site.
Sustainability and access
The plans include renewable energy measures such as roof‑mounted solar panels and heat pumps, plus sustainable drainage systems designed for future climate conditions.
A relocated helipad on the roof of the Critical Care Centre is proposed to speed transfers from air ambulance to the Emergency Department.
Next steps
The application will be considered by Swansea Council. If approved, the access road would be built first, with hospital expansion phases following.
The health board says the development will “significantly enhance the hospital’s functionality, aesthetic appeal, and sustainability, making it a valuable asset to the community.”
#AccidentAndEmergency #biophilicPark #EmergencyDepartment #featured #Felindre #helipad #Junction46 #LifeSciences #M4 #MorristonHealthCampus #MorristonHospital #PantlassauRoad #PlanningPermission #SwanseaBayCityDeal #SwanseaBayNHS #SwanseaCouncil #SwanseaUniversity #ThoracicSurgery
Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
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Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.
Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.
The working shift for a Medical House Officer is as such:
The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:
Usually a House Officer is allocated to take care of more than one zones.
For example:
When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.
However, in days where we are stretched thin it is rather difficult.
The Day Shift
Photo by Laura James on Pexels.comSince I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.
I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.
If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.
After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.
The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.
Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.
After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.
Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.
On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.
The Night Shift
Photo by Photo By: Kaboompics.com on Pexels.comThe night shift begins at 8pm till 9am the following day or until we are done with our “summons”.
I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.
As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.
In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.
This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.
The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.
Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.
The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.
In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.
Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.
In fact, I enjoyed life as a perimedical house officer a lot.
If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.
On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.
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NHS Greater Glasgow & Clyde Emergency Department Review: March 2025
https://www.healthcareimprovementscotland.scot/publications/nhs-greater-glasgow-amp-clyde-emergency-department-review-may-2024/
Health workers brace for the worst as psychiatrists across NSW resign: With more than half of the state's staff specialist psychiatrists set to resign by the end of the week, health workers say the impacts will reverberate throughout the healthcare system, including already-stressed emergency departments. https://www.abc.net.au/news/2025-01-29/emergency-departments-nsw-fallout-psychiatrist-resignations/104844112?utm_source=dlvr.it&utm_medium=mastodon #NSW #emergencydepartment #psychiatristresignation
Emergency wait times blow out as hospitals struggle to discharge patients: The amount of time Australians are waiting in hospital emergency departments is increasing with the average wait time for admission now between 12 and 16 hours, according to a new report. https://www.abc.net.au/news/2025-01-17/emergency-department-wait-times-blowout-hospital-health/104815792?utm_source=dlvr.it&utm_medium=mastodon #emergencyroom #emergencydepartment #ED
#VideoLaryngoscopy Improves Success Rate of Emergency Tracheal Intubation https://www.medscape.com/viewarticle/video-laryngoscopy-improves-success-rate-emergency-tracheal-2024a1000j95
#EmergencyIntubation #AirwayManagement #CriticalCare #EmergencyMedicine #PatientSafety #IntubationTechniques #MedicalTechnology #AnesthesiologyAdvances #EmergencyAirway #IntubationSuccess #ClinicalTrials #MedicalResearch #EmergencyDepartment
Recent Interventions for Acute Suicidality Delivered in the Emergency Department: A Scoping Review (Hood, et al, 2024) https://pubmed.ncbi.nlm.nih.gov/39625755/ #ketamine #psychedelic #psychedelics #suicidality #emergencydepartment
https://pubmed.ncbi.nlm.nih.gov/39564631/ Acute severe pain in emergency department: Morphine or low-dose ketamine? #ketamine #pain #EmergencyDepartment Fun fact: Low dose ketamine may have psychedelic effects as profound as other psychedelic medicines, compounds and plants, also being studied for pain. #psychedelic #psychedelics #psychedelicassistedtherapy #ketamineassistedtherapy #ketaminetherapy A psychedelic therapist can prepare and debrief someone being treated in this approach. #mentalhealth #mindbody
Been waiting at the 2nd emergency department for 2.5 hours.
Looks like a de facto diagnosis of "nothing urgent happening" has been made. Patient has paid $300 for this privilege.
They're getting tired and hungry and are still breathing, conscious and having the spasms.
Looking suspiciously like large hiccup movements.
Folk argue about #ModernMedicine.
I'm more interested in looking at #CommercialisedMedicine.
Just walked out of one ED without receiving care.
Longest wait time there was 7 hours.
I'm caring for the person seeking care.
1. I'm paying for parking.
2. The seat I was assigned to has a hand sanitiser unit where my head wants to sit.
No problem with me if the #WesternAustralia #MinisterForHealth #JadeSanderson is subjected to these conditions on a daily basis.
In at Emergency, an elderly relative is having spasm/convulsions (not medical term) a bit like a whole torso hiccup.
[12:07] Poor conditions for patients at Drogheda hospital - HIQA
Poor conditions for patients, and long wait times at its Emergency Department have been reported at Our Lady of Lourdes hospital in Drogheda, according to HIQA.
https://www.rte.ie/news/ireland/2024/1023/1476983-hiqa-inspections/
#EmergencyDepartment #Lourdes #Drogheda #HIQA
Current concepts in ketamine therapy in the emergency department (Strayer, 2024) https://pubmed.ncbi.nlm.nih.gov/38639638/ #ketaminetherapy #ketamine #emergencymedicine #er #psychedelicresearch #psychedelics #suicidality #depression #EmergencyDepartment #painmanagement #palliativecare
Hospital prices for the same emergency care vary up to 16X, study finds - Enlarge / Miami Beach, Fire Rescue ambulance at Mt. Sinai Medical Cente... - https://arstechnica.com/?p=2018504 #emergencymedicalcare #emergencydepartment #medicalbills #traumacare #hospitals #science #trauma #jama
Thousands of US kids are overdosing on melatonin gummies, ER study finds - Enlarge / In this photo illustration, melatonin gummies are displayed o... - https://arstechnica.com/?p=2009007 #emergencydepartment #poisoncontrol #supplement #ingestion #melatonin #children #sleepaid #science
Study reveals disparities in emergency department restraint use by race and ethnicity
https://www.msn.com/en-gb/news/other/study-reveals-disparities-in-emergency-department-restraint-use-by-race-and-ethnicity/ar-BB1gYCyr?ocid=winp2fptaskbarhover&cvid=7280165643f34c87f6edb2250cbaa8f9&ei=43
Ontario patient ombudsman sees 33% surge in complaints | CityNews Toronto https://bit.ly/3uhbqr4 #onthealth #PatientOmbudsman #CraigThompson #PrimaryCare #OntarioHospitals #FamilyDoctors #DNR #EmergencyDepartment #compassion #onpoli @ontariogreens @onpoli
Let me start with a classic theme known by every #EmergencyDepartment professional in the world: "Saying the word QUIET is going to mess up the shift".
Geller et Al. conducted an RCT and found out that, no, saying "quiet" is not associated with increased patient volumes.
The Q word influenced the _perception_ of increased patient volume in the staff members who had this particular pre-existing belief.
I always cite this study when working a QUIET shift in my ED!
https://www.sciencedirect.com/science/article/abs/pii/S0735675722001784
🗺 Hello World 🗺
I'm here on #MedMastodon to conduct a study.
POPULATION
Looking for other #nurses as well as #doctors #paramedics and other #healthcare professionals here on Mastodon
Bonus points if you work in the #emergencydepartment or #EMS
INTERVENTION
Following them and exchange ideas, experiences and thoughts about our profession and health services
CONTROL
My other account on #Twitter @[email protected]
OUTCOME
Building a great #nursing and #medical community
Please boost and let's talk 🩺
