Agree not an isolated case. The intersection of violent personality, drugs and mental health is hard to mitigate.
Most on the emergency front line know people who are highly likely to seriously harm someone (or, more commonly, themselves).

Hey guys. I’ve got a great new test. It has 60% false positives. Can I sell it to you?

It’s such a nice day. Lots of smiles, enthusiasm, families and children.
With great organisation from the @rcemevents.bsky.social team.

Hmmm. The usual admission rate is just above 20% so I suspect that a 66% admission rate is screwy data.
Maybe 66% of ambulance arrivals rather than all patients?

No. People with minor conditions are pretty simple to see, treat and send. Doesn’t take much time.
It’s people who have to wait hours or days for a ward bed that are the cause of crowding.

(PS: I know data systems can reconstruct this info. That’s just so much less powerful than an individual comment. A general picture feels more like an excuse than individual patient evidence).

Feels like personal risk to the clinician for slightly better (but still awful) care for the patient.
Do you have any ‘stock’ phrases to write in the notes to provide your defence?

I remember many years of arguments that we should put more staff in ED at night when in fact the data says we should focus resources in the evening.

1) Good proof of concept, but no practical implications yet.
2) Sound basis for grant application for next stage development.
3) Outcomes should not just be falls (mobilisers may have better quality of life despite falls).
4) Maybe needs a wearable sensor rather than iPhone

Seems like usual Xmas in ED. Lots of elective beds become available on Christmas Eve. Means flow problems ease over holiday period.
These beds have to be released when elective activity starts.
So I predicted bad times week beginning 6th Jan.