Live and recent posts from across the Fediverse tagged #emergencydepartment, aggregated by home.social.
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
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)
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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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 🩺
