Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
@codingbrown.bsky.social
PhD, UK A&E consultant (CESR), AfJEM past chief editor, NHSE South West & CQC UEC clinical advisor.
Strong views on: autonomy, mastery & belonging.
Views in posts are my own.
Strong views on: autonomy, mastery & belonging.
Views in posts are my own.
Pinned
𝗕𝗲 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳
by Seth Godin
Which self?
The self you were when you were two years old, almost out of diapers?
The self you were when you were screaming with the fans at the big game?
The self you were after a long night?
(1/2)
by Seth Godin
Which self?
The self you were when you were two years old, almost out of diapers?
The self you were when you were screaming with the fans at the big game?
The self you were after a long night?
(1/2)
March 31, 2025 at 10:32 AM
𝗕𝗲 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳
by Seth Godin
Which self?
The self you were when you were two years old, almost out of diapers?
The self you were when you were screaming with the fans at the big game?
The self you were after a long night?
(1/2)
by Seth Godin
Which self?
The self you were when you were two years old, almost out of diapers?
The self you were when you were screaming with the fans at the big game?
The self you were after a long night?
(1/2)
Do you ever debrief yourself with an AI agent (such as ChatGPT)?
Do you ever discuss your mental health with an AI agent?
After a tough shift. Or when things get tough. And you just need to talk.
I do.
🗣️🤖
#EMedsky #EMsky #Medsky
ai.nejm.org/doi/full/10....
Do you ever discuss your mental health with an AI agent?
After a tough shift. Or when things get tough. And you just need to talk.
I do.
🗣️🤖
#EMedsky #EMsky #Medsky
ai.nejm.org/doi/full/10....
Randomized Trial of a Generative AI Chatbot for Mental Health Treatment
Generative artificial intelligence (Gen-AI) chatbots hold promise for building highly
personalized, effective mental health treatments at scale, while also addressing user
engagement and retention ...
ai.nejm.org
March 29, 2025 at 7:16 AM
Do you ever debrief yourself with an AI agent (such as ChatGPT)?
Do you ever discuss your mental health with an AI agent?
After a tough shift. Or when things get tough. And you just need to talk.
I do.
🗣️🤖
#EMedsky #EMsky #Medsky
ai.nejm.org/doi/full/10....
Do you ever discuss your mental health with an AI agent?
After a tough shift. Or when things get tough. And you just need to talk.
I do.
🗣️🤖
#EMedsky #EMsky #Medsky
ai.nejm.org/doi/full/10....
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
🚨 AfJEM Webinar Alert! 🚨
📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨
🔗 Click to register https://researcheracademy.elsevier.com/workshop/b6416c1f-085b-4794-b881-5efc54b08548
#AfJEM #GettingPublished
📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨
🔗 Click to register https://researcheracademy.elsevier.com/workshop/b6416c1f-085b-4794-b881-5efc54b08548
#AfJEM #GettingPublished
March 22, 2025 at 4:43 AM
🚨 AfJEM Webinar Alert! 🚨
📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨
🔗 Click to register https://researcheracademy.elsevier.com/workshop/b6416c1f-085b-4794-b881-5efc54b08548
#AfJEM #GettingPublished
📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨
🔗 Click to register https://researcheracademy.elsevier.com/workshop/b6416c1f-085b-4794-b881-5efc54b08548
#AfJEM #GettingPublished
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
People who can’t handle criticism are unfit to lead.
Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos.
Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics.
Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos.
Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics.
March 9, 2025 at 2:49 PM
People who can’t handle criticism are unfit to lead.
Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos.
Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics.
Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos.
Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics.
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
The hallmark of expertise is no longer how much you know. It's how well you synthesize.
Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition.
It's not enough to collect facts. The future belongs to those who connect dots.
Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition.
It's not enough to collect facts. The future belongs to those who connect dots.
March 7, 2025 at 4:46 PM
The hallmark of expertise is no longer how much you know. It's how well you synthesize.
Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition.
It's not enough to collect facts. The future belongs to those who connect dots.
Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition.
It's not enough to collect facts. The future belongs to those who connect dots.
No one envisions a future that’s defined by instability, declining opportunities, and a world where "least-worst" is the best we can hope for.
But here we are.
🌍 🌏 🌎 🎯
But here we are.
🌍 🌏 🌎 🎯
March 1, 2025 at 3:35 PM
No one envisions a future that’s defined by instability, declining opportunities, and a world where "least-worst" is the best we can hope for.
But here we are.
🌍 🌏 🌎 🎯
But here we are.
🌍 🌏 🌎 🎯
February 28, 2025 at 10:44 AM
𝗧𝗵𝗲 𝗹𝗼𝗻𝗲𝗹𝘆 𝘂𝗻𝗶𝗰𝗼𝗿𝗻
... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯
If there’s at least one unicorn in the world, it’s likely not the only one.
And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found.
1/3
... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯
If there’s at least one unicorn in the world, it’s likely not the only one.
And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found.
1/3
February 28, 2025 at 10:37 AM
𝗧𝗵𝗲 𝗹𝗼𝗻𝗲𝗹𝘆 𝘂𝗻𝗶𝗰𝗼𝗿𝗻
... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯
If there’s at least one unicorn in the world, it’s likely not the only one.
And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found.
1/3
... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯
If there’s at least one unicorn in the world, it’s likely not the only one.
And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found.
1/3
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
𝗔𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝘀𝗽𝗶𝗿𝗶𝗻𝗴 𝗮𝘂𝘁𝗵𝗼𝗿𝘀
Aspirant African EM authors who either have a dissertation to publish, or a first time research publication
An hour long webinar, with pointers and pearls, key resources and Q&A
Register here: researcheracademy.elsevier.com/workshop/b64...
#Medsky #EMedsky #EMsky
🌍📝🤓
Aspirant African EM authors who either have a dissertation to publish, or a first time research publication
An hour long webinar, with pointers and pearls, key resources and Q&A
Register here: researcheracademy.elsevier.com/workshop/b64...
#Medsky #EMedsky #EMsky
🌍📝🤓
February 28, 2025 at 8:50 AM
𝗔𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝘀𝗽𝗶𝗿𝗶𝗻𝗴 𝗮𝘂𝘁𝗵𝗼𝗿𝘀
Aspirant African EM authors who either have a dissertation to publish, or a first time research publication
An hour long webinar, with pointers and pearls, key resources and Q&A
Register here: researcheracademy.elsevier.com/workshop/b64...
#Medsky #EMedsky #EMsky
🌍📝🤓
Aspirant African EM authors who either have a dissertation to publish, or a first time research publication
An hour long webinar, with pointers and pearls, key resources and Q&A
Register here: researcheracademy.elsevier.com/workshop/b64...
#Medsky #EMedsky #EMsky
🌍📝🤓
I sat in the audience at Africa's first emergency medicine conference in South Africa in 2011 when Joe O'Neil related in a keynote how PEPFAR came about.
Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time.
Well worth a read.
😢
www.sciencedirect.com/science/arti...
Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time.
Well worth a read.
😢
www.sciencedirect.com/science/arti...
Taking Acute Care Worldwide: Pragmatic lessons from the HIV pandemic
www.sciencedirect.com
February 27, 2025 at 3:13 PM
I sat in the audience at Africa's first emergency medicine conference in South Africa in 2011 when Joe O'Neil related in a keynote how PEPFAR came about.
Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time.
Well worth a read.
😢
www.sciencedirect.com/science/arti...
Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time.
Well worth a read.
😢
www.sciencedirect.com/science/arti...
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
The loudest voices rarely represent the majority. They're usually speaking for the extremes.
You won't understand the views of a group until you've invited the quieter voices into the discussion.
Don't mistake silence for disengagement. It's often a sign of deep reflection.
You won't understand the views of a group until you've invited the quieter voices into the discussion.
Don't mistake silence for disengagement. It's often a sign of deep reflection.
February 21, 2025 at 5:43 PM
The loudest voices rarely represent the majority. They're usually speaking for the extremes.
You won't understand the views of a group until you've invited the quieter voices into the discussion.
Don't mistake silence for disengagement. It's often a sign of deep reflection.
You won't understand the views of a group until you've invited the quieter voices into the discussion.
Don't mistake silence for disengagement. It's often a sign of deep reflection.
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Productivity is overrated. What counts most is the quality of output, not the quantity.
People may be impressed by the volume you produce, but impact depends on the value you create.
Success is not about getting more things done. It's about doing more worthwhile things well.
People may be impressed by the volume you produce, but impact depends on the value you create.
Success is not about getting more things done. It's about doing more worthwhile things well.
February 13, 2025 at 7:16 PM
Productivity is overrated. What counts most is the quality of output, not the quantity.
People may be impressed by the volume you produce, but impact depends on the value you create.
Success is not about getting more things done. It's about doing more worthwhile things well.
People may be impressed by the volume you produce, but impact depends on the value you create.
Success is not about getting more things done. It's about doing more worthwhile things well.
February 6, 2025 at 6:37 AM
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
It takes curiosity to learn. It takes courage to unlearn.
Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday.
Learning is how you evolve. Unlearning is how you keep up as the world evolves.
Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday.
Learning is how you evolve. Unlearning is how you keep up as the world evolves.
January 31, 2025 at 3:23 PM
It takes curiosity to learn. It takes courage to unlearn.
Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday.
Learning is how you evolve. Unlearning is how you keep up as the world evolves.
Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday.
Learning is how you evolve. Unlearning is how you keep up as the world evolves.
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Patient self-directed sliding scale furosemide is an underutilized tool in CHF management
Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/
Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/
a person is measuring their weight on a scale that goes up to 40
ALT: a person is measuring their weight on a scale that goes up to 40
media.tenor.com
January 31, 2025 at 6:42 AM
⭐NHSE planning guidance published 30 January⭐
Much of investment to improve flow through ED to be targeted outside ED.
Have a read and post your thoughts.
🏥🚑🚑🚑 🚑...
#Medsky #EMedsky #EMsky
🔗https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/
Much of investment to improve flow through ED to be targeted outside ED.
Have a read and post your thoughts.
🏥🚑🚑🚑 🚑...
#Medsky #EMedsky #EMsky
🔗https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/
January 31, 2025 at 7:27 AM
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Long waits in A&E kill patients. Maybe a thousand every month. The recent ONS analysis has issues but makes the problem look worse than previous analyses:
www.hsj.co.uk/daily-insigh...
www.hsj.co.uk/daily-insigh...
The mythbuster: Do not ignore this second warning of the deadly impact of long A&E waits
Steve Black examines the ONS' new analysis linking long A&E waits to rising patient mortality, highlighting the urgent need for NHS action to tackle the crisis of excessive delays and their fatal ...
www.hsj.co.uk
January 27, 2025 at 10:50 AM
Long waits in A&E kill patients. Maybe a thousand every month. The recent ONS analysis has issues but makes the problem look worse than previous analyses:
www.hsj.co.uk/daily-insigh...
www.hsj.co.uk/daily-insigh...
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Observation is an investigation
My #DFTB23 Keynote talk.
Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision.
www.youtube.com/watch?v=wtIw...
My #DFTB23 Keynote talk.
Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision.
www.youtube.com/watch?v=wtIw...
January 3, 2025 at 2:02 PM
Observation is an investigation
My #DFTB23 Keynote talk.
Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision.
www.youtube.com/watch?v=wtIw...
My #DFTB23 Keynote talk.
Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision.
www.youtube.com/watch?v=wtIw...
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
When the ONS analysis of relative mortality vs waiting times in A&E departments was published last week they omitted some critical information. But the pattern of higher mortality with longer waits was very clear...
January 22, 2025 at 11:25 AM
When the ONS analysis of relative mortality vs waiting times in A&E departments was published last week they omitted some critical information. But the pattern of higher mortality with longer waits was very clear...
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Sometimes senior NHSE leaders say things that accidentally reveal the biggest reasons why they can't fix major NHS problems. This speech from Steve Powis is an example:
www.independent.co.uk/news/uk/step... ...
www.independent.co.uk/news/uk/step... ...
‘A&Es will treat equivalent of half the population each year without reform’
Sir Stephen Powis has urged people to engage with the national conversation about the future of the health service.
www.independent.co.uk
January 23, 2025 at 3:53 PM
Sometimes senior NHSE leaders say things that accidentally reveal the biggest reasons why they can't fix major NHS problems. This speech from Steve Powis is an example:
www.independent.co.uk/news/uk/step... ...
www.independent.co.uk/news/uk/step... ...
Sometimes senior NHSE leaders say things that accidentally reveal the biggest reasons why they can't fix major NHS problems. This speech from Steve Powis is an example:
www.independent.co.uk/news/uk/step... ...
www.independent.co.uk/news/uk/step... ...
‘A&Es will treat equivalent of half the population each year without reform’
Sir Stephen Powis has urged people to engage with the national conversation about the future of the health service.
www.independent.co.uk
January 24, 2025 at 7:02 AM
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈
Kinds of incompetence
The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…
The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…
Kinds of incompetence
The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of creativity and art, where the spec isn't the point. …
seths.blog
January 21, 2025 at 9:51 AM
Kinds of incompetence
The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…
The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…