Catherine Williams
@cathjw.bsky.social
NW EM/PEM physician. ACCS TPD.
Chronically opinionated.
Chronically opinionated.
Reposted by Catherine Williams
This is a deeply depressing article. Change and innovation thrive in a culture which gives people the tools they need to do the job & supports positive risk-taking. If your hospital is inefficient because the ceiling is falling in or the IT is ancient, cutting the tariff won't drive improvements.
March 26, 2025 at 12:14 PM
This is a deeply depressing article. Change and innovation thrive in a culture which gives people the tools they need to do the job & supports positive risk-taking. If your hospital is inefficient because the ceiling is falling in or the IT is ancient, cutting the tariff won't drive improvements.
Reposted by Catherine Williams
#ICYMI: In the morning, RCEM expressed concerns about the unintended risks of incentivising ED waiting time targets, highlighting that it might leave some of the most vulnerable patients waiting the longest.
That afternoon, the Health Secretary replied. Watch below.
youtu.be/osz6QaPkLwQ
That afternoon, the Health Secretary replied. Watch below.
youtu.be/osz6QaPkLwQ
Risk of incentivising ED waiting time targets - RCEM President Dr Adrian Boyle
We’re keeping the focus on the pressures facing our EDs today. Speaking to Nick Triggle, BBC health correspondent, RCEM President expressed the College’s concerns about the unintended risk related to incentivising ED waiting time targets which may lead to some of the most vulnerable patients waiting
youtu.be
March 15, 2025 at 10:34 AM
#ICYMI: In the morning, RCEM expressed concerns about the unintended risks of incentivising ED waiting time targets, highlighting that it might leave some of the most vulnerable patients waiting the longest.
That afternoon, the Health Secretary replied. Watch below.
youtu.be/osz6QaPkLwQ
That afternoon, the Health Secretary replied. Watch below.
youtu.be/osz6QaPkLwQ
Reposted by Catherine Williams
💥 DOCTORS!💥
Please share.
The #LengReview is running 2 engagement webinars for doctors:
🩺 Resident doctors: 6pm, 3 April
🩺 Other doctors: 1pm, 1 April
You can sign up for both here with your NHS email:
forms.office.com/Pages/Respon...
Please share.
The #LengReview is running 2 engagement webinars for doctors:
🩺 Resident doctors: 6pm, 3 April
🩺 Other doctors: 1pm, 1 April
You can sign up for both here with your NHS email:
forms.office.com/Pages/Respon...
March 14, 2025 at 11:45 AM
💥 DOCTORS!💥
Please share.
The #LengReview is running 2 engagement webinars for doctors:
🩺 Resident doctors: 6pm, 3 April
🩺 Other doctors: 1pm, 1 April
You can sign up for both here with your NHS email:
forms.office.com/Pages/Respon...
Please share.
The #LengReview is running 2 engagement webinars for doctors:
🩺 Resident doctors: 6pm, 3 April
🩺 Other doctors: 1pm, 1 April
You can sign up for both here with your NHS email:
forms.office.com/Pages/Respon...
Reposted by Catherine Williams
Fundamentally, this document encapsulates deep misunderstanding about Medicine.
We TEACH medical knowledge in a sliced and diced up way, because the subject is vast and one has to arrange knowledge somehow.
The PRACTICE of Medicine is essentially COGNITIVE. How we think
9/
We TEACH medical knowledge in a sliced and diced up way, because the subject is vast and one has to arrange knowledge somehow.
The PRACTICE of Medicine is essentially COGNITIVE. How we think
9/
March 12, 2025 at 11:56 AM
Fundamentally, this document encapsulates deep misunderstanding about Medicine.
We TEACH medical knowledge in a sliced and diced up way, because the subject is vast and one has to arrange knowledge somehow.
The PRACTICE of Medicine is essentially COGNITIVE. How we think
9/
We TEACH medical knowledge in a sliced and diced up way, because the subject is vast and one has to arrange knowledge somehow.
The PRACTICE of Medicine is essentially COGNITIVE. How we think
9/
Reposted by Catherine Williams
I’ve missed the clashes of US vs UK medicine that used to happen on twitter. Someone sent me this one today and oh boy does it demonstrate one of the many reasons I’m glad I won’t need to rely on American healthcare when sick. A “wild” cardiac arrest being posted online
March 3, 2025 at 10:12 PM
I’ve missed the clashes of US vs UK medicine that used to happen on twitter. Someone sent me this one today and oh boy does it demonstrate one of the many reasons I’m glad I won’t need to rely on American healthcare when sick. A “wild” cardiac arrest being posted online
Reposted by Catherine Williams
Think this might be the word for a lot of days to come……🙄😱
Word of day is ‘unasinous’ (17th century): united in stupidity.
A riff on ‘unanimous’: which comes from the Latin for ‘one mind’. ‘Unasinous’ means ‘one ass’.
A riff on ‘unanimous’: which comes from the Latin for ‘one mind’. ‘Unasinous’ means ‘one ass’.
January 22, 2025 at 11:42 AM
Think this might be the word for a lot of days to come……🙄😱
EM hive mind. Given there are no cavalry coming over the horizon, and the patient experience in our departments is dreadful for many, do any departments have patient experience initiatives/mitigations that improve this at all in your departments?
January 22, 2025 at 10:06 AM
EM hive mind. Given there are no cavalry coming over the horizon, and the patient experience in our departments is dreadful for many, do any departments have patient experience initiatives/mitigations that improve this at all in your departments?
Reposted by Catherine Williams
Didn't realise the "critical" part of 'critical incident' was criticising the clinical decisions of staff to safely admit and discharge the sick.
January 8, 2025 at 9:10 PM
Didn't realise the "critical" part of 'critical incident' was criticising the clinical decisions of staff to safely admit and discharge the sick.
Reposted by Catherine Williams
🚨 University Hospitals Birmingham declares critical incident & tells staff it will need to run "at increased levels of risk" with higher thresholds for admission and lower thresholds for discharging patients. It also brings back mask wearing in all clinical areas for 2 weeks:
January 7, 2025 at 2:49 PM
🚨 University Hospitals Birmingham declares critical incident & tells staff it will need to run "at increased levels of risk" with higher thresholds for admission and lower thresholds for discharging patients. It also brings back mask wearing in all clinical areas for 2 weeks:
Reposted by Catherine Williams
New Christmas lights just went up in Clacton.
(Farage is still the MP who makes most money from second jobs. By a long way.)
(Farage is still the MP who makes most money from second jobs. By a long way.)
December 17, 2024 at 5:05 PM
New Christmas lights just went up in Clacton.
(Farage is still the MP who makes most money from second jobs. By a long way.)
(Farage is still the MP who makes most money from second jobs. By a long way.)
Reposted by Catherine Williams
We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation".
RCEM Position Statement: tinyurl.com/rcemTES
RCEM News: tinyurl.com/rcemNews1612
RCEM Position Statement: tinyurl.com/rcemTES
RCEM News: tinyurl.com/rcemNews1612
December 16, 2024 at 1:08 PM
We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation".
RCEM Position Statement: tinyurl.com/rcemTES
RCEM News: tinyurl.com/rcemNews1612
RCEM Position Statement: tinyurl.com/rcemTES
RCEM News: tinyurl.com/rcemNews1612
Reposted by Catherine Williams
"We have been left waiting for more detail on whether any of this money will go towards tackling the longest and most dangerous waits in EDs which we know are associated with excess deaths."
Read RCEM's Vice President for Wales response to the Welsh government's Draft Budget - tinyurl.com/yna6hs8m
Read RCEM's Vice President for Wales response to the Welsh government's Draft Budget - tinyurl.com/yna6hs8m
Budget boost for NHS to tackle wait times welcome but EDs left 'waiting' on more details
While a boost in funding to improve healthcare in Wales is a move in the right direction, the Draft Budget released this week lacks significant detail and leaves Emergency Departments out in the cold ...
tinyurl.com
December 11, 2024 at 12:44 PM
"We have been left waiting for more detail on whether any of this money will go towards tackling the longest and most dangerous waits in EDs which we know are associated with excess deaths."
Read RCEM's Vice President for Wales response to the Welsh government's Draft Budget - tinyurl.com/yna6hs8m
Read RCEM's Vice President for Wales response to the Welsh government's Draft Budget - tinyurl.com/yna6hs8m
Reposted by Catherine Williams
Very conscious that Eng language wasn’t my strongest a GCSE but…
It can’t be ‘unprecedented’ if every winter the often siege state of working in the NHS is worse than last year…
Surely that is a precedent by now?
And it is grinding us and the patients down 😔
It can’t be ‘unprecedented’ if every winter the often siege state of working in the NHS is worse than last year…
Surely that is a precedent by now?
And it is grinding us and the patients down 😔
There will be "unprecedented demand" on the NHS this winter, boss Amanda Pritchard has warned
Speaking to PolHome, she urged people to get vaccinated after the "busiest October ever"
Spikes in flu, norovirus, RSV and Covid mean it'll be "extremely challenging," she told @zoecrowther.bsky.social
Speaking to PolHome, she urged people to get vaccinated after the "busiest October ever"
Spikes in flu, norovirus, RSV and Covid mean it'll be "extremely challenging," she told @zoecrowther.bsky.social
NHS Boss Amanda Pritchard: There Will Be “Unprecedented Demand” This Winter
Amanda Pritchard, NHS England’s chief executive, tells Zoe Crowther that the NHS has ‘unstoppable momentum’ on improving waiting times and producti...
www.politicshome.com
December 9, 2024 at 11:06 AM
Very conscious that Eng language wasn’t my strongest a GCSE but…
It can’t be ‘unprecedented’ if every winter the often siege state of working in the NHS is worse than last year…
Surely that is a precedent by now?
And it is grinding us and the patients down 😔
It can’t be ‘unprecedented’ if every winter the often siege state of working in the NHS is worse than last year…
Surely that is a precedent by now?
And it is grinding us and the patients down 😔
Reposted by Catherine Williams
"A lot of the feedback we received [about PAs], particularly from those who disagreed with our proposals,
covered issues that were outside the scope of our consultation."
Buckle up for 239 pages on PAs from the GMC
tinyurl.com/yc5m9yrz
covered issues that were outside the scope of our consultation."
Buckle up for 239 pages on PAs from the GMC
tinyurl.com/yc5m9yrz
tinyurl.com
December 5, 2024 at 2:54 PM
"A lot of the feedback we received [about PAs], particularly from those who disagreed with our proposals,
covered issues that were outside the scope of our consultation."
Buckle up for 239 pages on PAs from the GMC
tinyurl.com/yc5m9yrz
covered issues that were outside the scope of our consultation."
Buckle up for 239 pages on PAs from the GMC
tinyurl.com/yc5m9yrz
Reposted by Catherine Williams
I was reminded today that you can't just 'create safety' with a clever technique, or just declare "all views are welcome". The key thing is WHAT ACTUALLY HAPPENS when people speak up with honest views. Is there genuine openness & welcoming of diverse views? This will tell you something about safety.
December 2, 2024 at 8:42 PM
I was reminded today that you can't just 'create safety' with a clever technique, or just declare "all views are welcome". The key thing is WHAT ACTUALLY HAPPENS when people speak up with honest views. Is there genuine openness & welcoming of diverse views? This will tell you something about safety.
Reposted by Catherine Williams
Beautifully articulated as always
It's not just about rate of patients seen. *Emergency* Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever
It's not just about rate of patients seen. *Emergency* Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever
December 1, 2024 at 10:35 AM
Beautifully articulated as always
It's not just about rate of patients seen. *Emergency* Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever
It's not just about rate of patients seen. *Emergency* Medicine needs time and space to train, reflect, innovate, discuss and enjoy the unique challenges it faces. These aspects are still work and service. They've been devalued but they're more important than ever
Reposted by Catherine Williams
Definition of a woman of ‘a certain age’:
- Too old to be bullied & intimidated.
- Too young to be patronised & ignored.
Terrifying to men of a certain type.
- Too old to be bullied & intimidated.
- Too young to be patronised & ignored.
Terrifying to men of a certain type.
December 1, 2024 at 8:18 PM
Definition of a woman of ‘a certain age’:
- Too old to be bullied & intimidated.
- Too young to be patronised & ignored.
Terrifying to men of a certain type.
- Too old to be bullied & intimidated.
- Too young to be patronised & ignored.
Terrifying to men of a certain type.
Reposted by Catherine Williams
Perpetually firefighting in the ED leaves no time for quality training and negatively affects the quality of care delivered. Firefighters are given room to rest & train in order to respond effectively to complex emergencies. EM staff deserve the same
November 30, 2024 at 9:43 PM
Perpetually firefighting in the ED leaves no time for quality training and negatively affects the quality of care delivered. Firefighters are given room to rest & train in order to respond effectively to complex emergencies. EM staff deserve the same
Reposted by Catherine Williams
Word of the day. Or week. Or next four years.
November 20, 2024 at 1:57 PM
Word of the day. Or week. Or next four years.
Reposted by Catherine Williams
Also relates to:
🛑 ED crowding
🛑 Corridor care
🛑 Ambulance offload delays
Among others...
If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions
#emedsky #emimcc #resussky #EMSsky #paramedicinesky
[😡 & monitor alarms which are not acted upon 🤯]
🛑 ED crowding
🛑 Corridor care
🛑 Ambulance offload delays
Among others...
If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions
#emedsky #emimcc #resussky #EMSsky #paramedicinesky
[😡 & monitor alarms which are not acted upon 🤯]
Picard management tip: If you're on red alert every day, then red alert means nothing.
November 19, 2024 at 10:07 PM
Also relates to:
🛑 ED crowding
🛑 Corridor care
🛑 Ambulance offload delays
Among others...
If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions
#emedsky #emimcc #resussky #EMSsky #paramedicinesky
[😡 & monitor alarms which are not acted upon 🤯]
🛑 ED crowding
🛑 Corridor care
🛑 Ambulance offload delays
Among others...
If it's enough of an issue to hammer front line staff, it's enough of an issue to need systemic solutions
#emedsky #emimcc #resussky #EMSsky #paramedicinesky
[😡 & monitor alarms which are not acted upon 🤯]
Reposted by Catherine Williams
ALPACA - @cliffreid.bsky.social shares his cognitive forcing strategy for patients with refractory shock at @resuscitology.bsky.social #FOAMed #MedSky
November 20, 2024 at 4:47 AM
ALPACA - @cliffreid.bsky.social shares his cognitive forcing strategy for patients with refractory shock at @resuscitology.bsky.social #FOAMed #MedSky
Reposted by Catherine Williams
Reposted by Catherine Williams
The latest from @stemlyns.bsky.social - what dose of TXA in traumatic brain injury? #FOAMed #MedSky #EMedSky
www.stemlynsblog.org/dose-txa-in-...
www.stemlynsblog.org/dose-txa-in-...
2g or 1+1g Tranexamic Acid (TXA) in traumatic brain injury?
Explore the use of TXA in traumatic brain injury and its impact on mortality and long-term neurological outcomes.
www.stemlynsblog.org
November 19, 2024 at 10:13 PM
The latest from @stemlyns.bsky.social - what dose of TXA in traumatic brain injury? #FOAMed #MedSky #EMedSky
www.stemlynsblog.org/dose-txa-in-...
www.stemlynsblog.org/dose-txa-in-...
Reposted by Catherine Williams
TWO DAYS LEFT until applications close to join RCEM's Emergency Medicine Trainees' Association!
Shape the future of EM training! Represent your EM community through RCEM.
Info: Web🔗 emta.co.uk/joinus or📲 App app.emta.co.uk
Start or further your leadership journey with us. All welcome! #MedSky
Shape the future of EM training! Represent your EM community through RCEM.
Info: Web🔗 emta.co.uk/joinus or📲 App app.emta.co.uk
Start or further your leadership journey with us. All welcome! #MedSky
November 19, 2024 at 4:14 PM
TWO DAYS LEFT until applications close to join RCEM's Emergency Medicine Trainees' Association!
Shape the future of EM training! Represent your EM community through RCEM.
Info: Web🔗 emta.co.uk/joinus or📲 App app.emta.co.uk
Start or further your leadership journey with us. All welcome! #MedSky
Shape the future of EM training! Represent your EM community through RCEM.
Info: Web🔗 emta.co.uk/joinus or📲 App app.emta.co.uk
Start or further your leadership journey with us. All welcome! #MedSky
Reposted by Catherine Williams
12 hour waits for a bed in the ED used to be a red line, never to be crossed.
Now it is a just a part of life in ED.
For every 72 patients waiting 8-12 hours in ED there will be one excess death.
This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...
Now it is a just a part of life in ED.
For every 72 patients waiting 8-12 hours in ED there will be one excess death.
This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...
Almost 300 deaths a week in 2023 associated with long A&E waits despite UEC Recovery Plan
New analysis by the Royal College of Emergency Medicine reveals that there were almost 300 deaths a week associated with long A&E waits in 2023
rcem.ac.uk
November 19, 2024 at 9:54 AM
12 hour waits for a bed in the ED used to be a red line, never to be crossed.
Now it is a just a part of life in ED.
For every 72 patients waiting 8-12 hours in ED there will be one excess death.
This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...
Now it is a just a part of life in ED.
For every 72 patients waiting 8-12 hours in ED there will be one excess death.
This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...