A new condition called ‘Exit Block’ is harming patients: they are put at risk when ‘Exit Block’ occurs. This happens where you can’t get patients from A&E into a hospital inpatient bed. Over 500,000 patients a year are affected. The Royal College of Emergency Medicine says that this is unacceptable. The Royal College of Emergency Medicine is currently campaigning to eradicate Exit Block from Emergency Departments.
This video highlights the work underway in Leicester Hospitals to tackle Exit Block.
Congratulations to my colleague Dr Adeel Chaudhary for publishing a BestBET on this topic in this month’s EMJ.
In (adults with recent-onset atrial fibrillation who are stable after successful cardioversion) is (immediate discharge) as safe as (admission for a period of further observation)?
Clinical Bottom Line
Stable patients with recent onset of atrial fibrillation after cardioversion and stroke risk stratification can be discharged home with adequate follow-up after a period of observation. Level 2 evidence, grade B recommendation.
The day involved 20 ST6+ senior trainees in Emergency Medicine, 17 actors & helpers, 15 faculty members and 1 corporate sponsor. We covered 37 FCEM OSCE stations spread over 4 OSCE circuits. The OSCE Day is designed to give candidates for the FCEM OSCE exam a day of intense exam practice and preparation. A big thanks to all the actors, helpers, faculty and candidates who participated!
The Viva Day of the Course will be held on Saturday 3rd November in Rotherham Hospital.
At University Hospitals of Leicester NHS Trust‘s annual "Caring at its Best" Award ceremony on 12 September 2012, my colleague Dr Martin Wiese was chosen as the overall winner in the "We Are Passionate & Creative In Our Work" category for his pioneering work in developing our Emergency Department’s Non-ST Elevation Myocardial Infarction (NSTEMI) / Chest Pain Pathway.
Martin had already won the Quarter 3 award for this work back in June 2012. At the awards ceremony last night Martin fought off stiff competition from other quarterly award winners to win the overall award for this category.
Over 500 staff, volunteers and supporters of Leicester’s Hospitals gathered at The Athena for the glittering & high-profile awards ceremony. Martin was presented with a plaque and certificate by Simon Cole, the Chief Constable of Leicestershire Police.
Martin has helped keep our Emergency Department at the leading edge of Emergency Medicine by producing and implementing a Chest Pain / NSTEMI pathway that not only incorporates the latest ultra-high sensitive Troponin assays (allowing NSTEMI biochemical rule-out at 3 hours, which is great for both patients and the hospital), but also incorporating a whole package of investigations and treatments including GRACE scoring and the latest coronary artery calcium CT scoring techniques.
Please watch the video above, or read this press release for more information.
"Martin has substantially re-organised the way emergency patients with chest pain are managed, making sure they see the right people at the right time during their visit to the Emergency Department. This newly developed system is successful thanks to doctors, nurses and clinicians who have put in both time and dedication and work together to provide high quality patient care."
The full document is 83 pages long and gives a comprehensive analysis of the state of play in Emergency Medicine in the UK – current practices, service configurations, workforce considerations and key challenges.
It lays down the blueprint of what Emergency Medicine in the UK is, and the direction of travel over the foreseeable future. It is an impressive policy document which is essential reading for anyone with an interest in UK Emergency Medicine.
"This guidance is for clinicians, managers and commissioners involved in the delivery of Emergency Medicine in the UK and the Republic of Ireland. The public may also find the document of interest. It replaces the previous guidance we issued known as ‘The Way Ahead’ in December 2008."