Tom Bircher
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tombircher.bsky.social
Tom Bircher
@tombircher.bsky.social
EM Doctor, Corridor Medic, Medical Rotas and workforce, data and clinical ops #FOAMed
People with hip fractures, they need to be assessed immediately have a block and go directly to the ward.
March 17, 2025 at 3:01 PM
People under arrest brought in by police.
March 17, 2025 at 3:01 PM
People with open fractures.
March 17, 2025 at 3:01 PM
People who might be having a heart attack.
March 17, 2025 at 3:01 PM
People who might be having a stroke. We need to act FAST.
March 17, 2025 at 3:01 PM
People with an acute visual disturbance.
March 17, 2025 at 3:01 PM
Back pain with red-flags for cauda equina, as this is a surgical emergency.
March 17, 2025 at 3:01 PM
People who trigger red-flag sepsis. Obviously they need seeing first.
March 17, 2025 at 3:01 PM
People who are receiving chemotherapy, they could have neutropenic sepsis.
March 17, 2025 at 3:01 PM
People with autism. The ED environment is particularly unpleasant for them.
March 17, 2025 at 3:01 PM
Patients with a known bleeding disorder. They need to be prioritized.
March 17, 2025 at 3:01 PM
Obviously pregnant women. They need to be seen quickly.
March 17, 2025 at 3:01 PM
Neonates. Feverish neonates especially.
March 17, 2025 at 3:01 PM
Staff
March 17, 2025 at 3:01 PM
People in mental health crisis brought in by mental health staff.
March 17, 2025 at 3:01 PM
People in mental health crisis brought in by police.
March 17, 2025 at 3:01 PM
People who are having end of life care.
March 17, 2025 at 3:01 PM
Individuals with severe frailty.
March 17, 2025 at 3:01 PM
Trauma patients.

But elderly trauma patients more.
Also children.
March 17, 2025 at 3:01 PM
Do you know how many PAs is in their job plan for this?

How do you select topics? What about training for higher speciality docs?

Different day? How’s that work?
March 9, 2025 at 2:16 PM
Who coordinates it?

How much of someone’s job plan should be devoted to planning and delivery?
March 9, 2025 at 1:45 PM
How long should it be?
Who runs it?
What happens if a resident gets a repeated session?
March 9, 2025 at 12:51 PM