Ian Higginson 🌈 @RCEM_VP Twitter profile

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@NotablePepes

Ian Higginson 🌈

@RCEM_VP

1 year

I also invited politicians to spend a shift with a paramedic in a car park, nurse 3-4 times more patients than is safe in an ED corridor, or stand with us as we make those dreaded waiting room announcements to our worried patients. Prepare for the rush.

'We cannot treat people in car parks,' says vice president of Royal College of Emergency Medicine

'We cannot treat people in car parks'

apple.news

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Ian Higginson 🌈

@RCEM_VP

4 years

Excellent idea from a patient fed up with bringing all his boxes in ...

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Ian Higginson 🌈

@RCEM_VP

4 years

EDs are still open for serious illness and injury as well as COVID. Don’t be frightened to come in. We’ve got this. #EDhereforyou @RCEMpresident @RCollEM @RCEMPolicyVP @VP_Scot_RCEM @VP_NI_RCEM @UHP_NHS

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Ian Higginson 🌈

@RCEM_VP

3 years

Cliff Mann was an inspiration, role model and mentor. My thoughts and prayers with his family, friends and colleagues at Taunton. We will miss him terribly in our speciality and the world is a lesser place without him. RIP Cliff @RCollEM

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Ian Higginson 🌈

@RCEM_VP

3 years

As a middle aged person I often find images of young people hopping effortlessly in and out of helicopters don’t reflect my reality. Here are a few tips from today’s exploits for others in my position. Would welcome any additions

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Ian Higginson 🌈

@RCEM_VP

1 year

So many NHS failures have come about when staff weren’t listened to, and when action wasn’t rooted in reality. It should be impossible to ignore the consistent stories and evidence from so many professionals and their representative bodies, including @RCEMpresident @RCollEM

Times Radio

@TimesRadio

1 year

“There seems to be almost a battle of machismo and denial going on.” Dr Ian Higginson, VP of the Royal College of Emergency Medicine, asks NHS and political leaders if there’s “an acceptable number” of patients dying as a result of delays and crisis in the NHS. @RCEM_VP

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Ian Higginson 🌈

@RCEM_VP

1 year

Meanwhile in the real world away from the bubbles ED nurses, HCAs and doctors have been working in freezing cold car parks, supporting paramedics who should be on the road, looking after patients in ambulances who should be in our EDs @RCollEM @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

2 years

So I don't get this. Here are the crutches outside our local recycling centre being sold on. They told me the NHS doesn't want them back. Most looked fine to me. Costly, and environmentally bonkers. Thoughts from @GreenED_uk ?

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Ian Higginson 🌈

@RCEM_VP

1 year

Once again short term funding in answer to a predicted long term problem. And are we really back to tent-equivalents in car parks? They don’t work and don’t solve anything. Time for long-term investment in social care, permanent beds, primary care, and the NHS workforce.

Steve Barclay

@SteveBarclay

1 year

We need to do more right now as Covid and flu rates have added to winter pressures on the NHS. Today I announced a further £250 million of funding to free up hospital beds, reduce A&E congestion and speed up ambulance handovers.

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Ian Higginson 🌈

@RCEM_VP

4 years

One of our nurses concerned that patients couldn’t see her smiling at them ... aren’t NHS staff amazing! ⁦ @UHP_NHS ⁩ ⁦ @RCollEM ⁩

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Ian Higginson 🌈

@RCEM_VP

6 months

Ambulances queuing outside an ED this week. Patients inside. New figures from England & Scotlan awful. Expect similar from Wales & N.Ireland. Underwhelming plans, poorly implemented, and sense of denial / normalisation of harm to patients and staff. Both deserve better. @RCollEM

Royal College of Emergency Medicine

@RCollEM

6 months

📢RCEM: ‘This is the start of another extremely difficult winter, and we don’t have the beds that we desperately need’ @RCEMpresident Our response to today's A&E performance figures, which show some appalling trends. Read our full statement here:

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Ian Higginson 🌈

@RCEM_VP

4 years

So as numbers of patients attending EDs rise it will become apparent how broken parts of the urgent/emergency care system were, and how we urgently need change. Capacity now further reduced and it is unthinkable to pack patients into crowded EDs. @RCollEM

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Ian Higginson 🌈

@RCEM_VP

1 year

Are we seeing attempts to shift debate away from undeniable truths? Patients are dying unnecessarily or may not get timely/dignified treatment. Ambulance and ED staff can only do so much.

A&E crisis a 'national scandal' and 'matter of life and death' for hundreds | ITV News

Last week, one in five ambulance patients in England waited more than an hour to be handed over to A&E teams. | ITV National News

www.itv.com

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Ian Higginson 🌈

@RCEM_VP

2 years

2020/2021 have been two of the most difficult years many in EM will remember. EM docs, nurses and other team members have given their all and responded with kindness and compassion for our patients and each other. Wishing our teams a safe 2022, whatever it holds for us all.

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Ian Higginson 🌈

@RCEM_VP

3 years

Happy #EmergencyMedicineDay . An extraordinary international community of wonderful people who are there all day, every day, making a difference to patients’ lives

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Ian Higginson 🌈

@RCEM_VP

3 years

1/2 Found this in my inbox from a colleague writing to the team after her (fairly typical) shift. I think it says a lot about our speciality, the truly daunting challenges we face, but also how kindness and compassion for our patients and ourselves can still make a difference

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Ian Higginson 🌈

@RCEM_VP

1 year

Predictable. Predicted. National. Hospitals already full going into long weekends, supporting services reduced as per usual. Lots of flu and covid but cope less well when on our knees to start with. Cavalry has retired or left NHS. Empty rhetoric and vacuous winter plans exposed.

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Ian Higginson 🌈

@RCEM_VP

2 years

There have been some articles in the press recently about hospitals declaring critical incidents as a result of the effects of COVID on staffing and capacity. And yet many of us in Emergency Medicine recognise that this is not a new phenomenon. 1/21 (trying a Hopson-esque tweet)

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Ian Higginson 🌈

@RCEM_VP

3 years

Looking for support considering options around delayed ambulance handovers when your ED is also crowded. New joint RCEM and College of Paramedics guidance here @RCEMPolicyVP @tracyniks @Richardwebber99

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Ian Higginson 🌈

@RCEM_VP

4 years

First meeting of the RCEM Prehospital Emergency Medicine group. Loads of expertise and a desire to highlight prehospital care as a fundamental and diverse part of EM practice @RCollEM @RCEMpresident @LeechCaroline @EMManchester @EmilyBeet1 @BASICS_HQ @ParamedicsUK @PHEM_cast

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Ian Higginson 🌈

@RCEM_VP

7 months

These figures are shocking and show what our patients and staff already know. Attempts to dismiss this as old news, rather than face reality, are concerning. This is real, is happening now, and is unacceptable. ⁦ @RCollEM ⁩ ⁦ @RCEMpresident ⁩

'A matter of national shame’: 400,000 people wait more than a day in A&E new figures show

Twenty-four hours in A&E is “no longer just a documentary”, leading medics have warned as figures show that almost 400,000 patients spent 24 hours or more in an emergency department in England last...

apple.news

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Ian Higginson 🌈

@RCEM_VP

7 months

Many EDs were overcrowded and understaffed last week, and will be next week. The real problems in urgent and emergency care are longstanding, structural, and the result of policy choices. Attempts to distract from this fact are unhelpful in the long run. #ResuscitateEmergencyCare

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Ian Higginson 🌈

@RCEM_VP

2 years

The evidence keeps mounting. If this level of harm was happening in any other sector, the level of scrutiny and investment in evidence-based improvement would be spectacular. Think of it: One extra death associated with every 82 patients delayed in ED. ⁦

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Ian Higginson 🌈

@RCEM_VP

7 months

When you keep your motorbike boots and prehospital boots together, and leave home in a slightly tired state at 0530. Always happy to offer yet another opportunity for a doctor joke at my expense, from the CCPs …

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Ian Higginson 🌈

@RCEM_VP

2 years

30 years ago during my first A&E job we used to go for a bacon butty breakfast near Smithfield’s Market after a night shift. Some things can still not be beaten (except I’m sure I don’t remember earning it by doing triage rounds of patients in ambulances at 4 in the morning)

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Ian Higginson 🌈

@RCEM_VP

2 years

Newest student on our MSc program. Thinking about it this is the first time I’ve taught with a mother/father-baby combination in the room: needs to be more normalised … (image used with permission) #hmli2022

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Ian Higginson 🌈

@RCEM_VP

4 months

HNY! Just a reminder to our policy makers and health service leaders that it’s quite hard to do a good job practising out in the ambulances, so meaningful plans to invest in our workforce, beds, and social care would be welcome in 2024. That or windscreen wipers for my glasses.

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Ian Higginson 🌈

@RCEM_VP

3 years

The first stage of dealing with a problem, is accepting that you have one and being honest about it. Emergency Medicine specialists are worried … and we’re not the only ones. Time to listen to the experts …

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Ian Higginson 🌈

@RCEM_VP

4 years

Plymouth ED celebrating Christmas #neverasilentnightinED #rcemxmas @RCollEM @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

4 years

This Christmas Emergency Department teams will be working to help those who need our care. This is them. They are amazing. @RCollEM @RCEMpresident #neverasilentnightinED

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Ian Higginson 🌈

@RCEM_VP

1 year

Some clips of the advocacy we’ve been doing today in between the diploma ceremonies. We’re not holding back, but will the message get through? and . Hotel lighting had a sinister effect mind … @RCollEM @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

4 years

Coronavirus Covid-19 webpage now up and running to draw together links to national advice, college news around CPD and exams, and whatever else might be useful in the future in these uncertain times. We hope it’s useful

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Ian Higginson 🌈

@RCEM_VP

3 years

3.If you feel even a slight inkling to pee whilst on base, respond immediately. The combination of diminishing bladder capacity, increasing prostate size, the pilot’s efforts with the seatbelts and jobs on the bounce can make for uncomfortable moments

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Ian Higginson 🌈

@RCEM_VP

4 years

Health service leaders take note. EM staff and patients have recently experienced what it feels like when EDs can actually do their job properly. It felt safer. It is not OK for our patients and staff to be put at risk through a return to crowding

Emergency Physician

@johnubonn

4 years

ED crowding and access block is back with a vengeance. Allowing this to continue is unethical and risks lives. Governments, systems and hospitals must act together to fix this @acemonline

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Ian Higginson 🌈

@RCEM_VP

3 years

1.Have a back-up plan for when the number of pockets on your flight suit is greater than the number of obvious options for where you put your glasses

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Ian Higginson 🌈

@RCEM_VP

4 years

What it's really like working in A&E. This report captures some of the essence and shows how much ED staff care as they work often in intolerable conditions. Thank you for representing our professions so well! ⁦ @RCollEM ⁩ ⁦⁩

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Ian Higginson 🌈

@RCEM_VP

4 years

So attendances on the increase. Now we’ve got to start talking about how we never return to crowding: it would be indefensible on so many levels ... not least so we can keep reassuring our patients that hospitals will keep them safe @RCEMpresident @DrCJM @RCEMPolicyVP

Royal College of Emergency Medicine

@RCollEM

4 years

Dr Ian Higginson @RCEM_VP speaking on Sky News about lack of attendance at Emergency Deparments due to COVID-19 Watch now 👉

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Ian Higginson 🌈

@RCEM_VP

3 years

2.Pilots setting the seatbelts up for the day often underestimate the effect of a few decades of calorie mismatch. If you don’t want to hamper rapid departure by embarrassing fiddling with straps, pre-loosen to ensure a more realistic starting point

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Ian Higginson 🌈

@RCEM_VP

3 years

4.Ensure you can still pass the basic tests of flexibility: spinal flexion (tying bootlaces), internal shoulder rotation (back pack donning), neck rotation (staying alive), and putting on a Tyvek suit (general wrigglinesss)

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Ian Higginson 🌈

@RCEM_VP

5 years

The EM community rocks. At bus crash today in Devon @swasFT @BASICSdevon @DevonAirAmb @dsairambulance and @cornwallairamb , incl. ED docs, worked on scene with fire and police, then took patients to local EDs and hospitals full of staff who came in on their weekend off to help

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Ian Higginson 🌈

@RCEM_VP

1 year

With everything that’s going on it’s easy for things to slip off the radar. The problems in urgent and emergency care haven’t gone away, and won’t be fixed until they are accepted, and there’s meaningful action, rather than words on paper.

Sky News

@SkyNews

1 year

"We would be moving heaven and earth to fix the problem" if there were thousands of excess road crash deaths, Ian Higginson Vice President of the Royal College of Emergency Medicine tells Sky News 📺 Sky 501

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Ian Higginson 🌈

@RCEM_VP

1 year

Oh the irony: senior doctors are retiring in droves just when we need to retain them in EM. One reason: tax traps. The fix: available to the chancellor. The option to do so: not taken. If only a previous health select committee chair had suggested it …

Workers over 50 encouraged to end early retirement

Older people who have given up work could be offered a "midlife MoT" to entice them back into employment.

www.bbc.co.uk

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Ian Higginson 🌈

@RCEM_VP

4 years

A return to crowding would be disastrous and immoral, given what we knew before, and where we are now. It’s time to keep our promise to ED patients and staff, and keep them safe @RCEMPolicyVP ⁩ ⁦ @RCollEM ⁩ ⁦ @RCEMpresident ⁩

Emergency departments must not return to pre-covid days of overcrowding and lack of safety, says...

UK emergency departments must never return to their previous state of being overcrowded, as well as being sources of hospital acquired infection and unsafe for staff to work in, experts have said....

www.bmj.com

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Ian Higginson 🌈

@RCEM_VP

4 years

The RCEM scientific conference has showcased our speciality, and inspired us around the value of research in EM. It has brought us together despite Covid. Well done #RCEMvsc @EMManchester @DefProfEM and team. @RCollEM

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Ian Higginson 🌈

@RCEM_VP

4 months

Merry Christmas to all those ED staff celebrating, and especially those working today. Take care of yourselves. @RCollEM @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

9 months

Plain and simple analysis right here:

NHS England’s plan is not enough to avert disaster this winter | Adrian Boyle

The UK’s healthcare system is heading for an iceberg, writes Adrian Boyle – but there is still time to change course

www.independent.co.uk

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Ian Higginson 🌈

@RCEM_VP

1 year

Prepping for the crisis summit at the House of Lords. RCEM advocacy in action. ⁦ @RCEMpresident ⁩ ⁦ @consultantpara ⁩ ⁦ @ParamedicsUK ⁩ ⁦ @RCollEM ⁩

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Ian Higginson 🌈

@RCEM_VP

2 years

Unspecified offspring to my wife: “I’m thinking of standing for team captain.” Wife: “Great!” Offspring: “But what if I don’t win?.” Wife: “Well you can talk to your father about that!” Savage.

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Ian Higginson 🌈

@RCEM_VP

1 year

These figures are shocking, although sadly not surprising to those of us who work in Emergency Departments. It's also important not to confuse this with deaths associated with delays to care. This represents a different (related) problem: read on ... 1/6 @RCollEM @RCEMpresident

The Guardian

@guardian

1 year

More than 23,000 people died in A&E in England last year, Labour estimates

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Ian Higginson 🌈

@RCEM_VP

1 year

Congratulations to the RCEM graduands. It’s great to be here with you

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Ian Higginson 🌈

@RCEM_VP

2 years

Got used to the wonderful @DevonRescue crews offering to carry my bags and help me over obstacles. This morning life took a new and glamorous turn when I had to ask them to get my specs from my car so I could cannulate a patient. Next it will be my walking stick. @BASICSdevon

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Ian Higginson 🌈

@RCEM_VP

5 years

ED nurses are the glue that holds emergency care together. Lucky to have you all

Ashleigh Lowther

@ashleighlowther

5 years

An ED nurse is not a job- it’s a career, a skill, a passion. It’s not turning up for 11.75 hours and completing tasks, it’s looking after patients. This job is not for anyone! Please care about your patients always! Empathy is hard in crowded depts but not impossible! #TeamED

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Ian Higginson 🌈

@RCEM_VP

2 years

Brilliant improvised FIB models at @BASICSdevon training today …

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Ian Higginson 🌈

@RCEM_VP

3 years

Reassuringly your underpants are now likely to be of sufficient size to wear outside your trousers ….

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Ian Higginson 🌈

@RCEM_VP

1 year

It’s insane. We are working out how to feed, warm, treat and care for patients in trucks … coming up with ever more unacceptable ways to manage the unfolding catastrophe. This letter suggests a disconnect with current reality. If it can done: why hasn’t it been done already?

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Ian Higginson 🌈

@RCEM_VP

4 years

This makes me so proud of my colleagues in Plymouth, and represents how health workers in the NHS are responding to this crisis. In our speciality the support we’ve had from the public has really been appreciated

Clare Bosanko

@ClareBosanko

4 years

Team ED @UHP_NHS ready!

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Ian Higginson 🌈

@RCEM_VP

3 years

This was in another thread but I really like it. Explains why the retrospectoscope is so powerful and irritating when applied to decision making in ED, and why emergency physicians think in terms of probability and risk, rather than certainty

james gagg

@jamesgagg

3 years

@stephanilbell I’d show and explain this before he gets into some trouble! Ref @EMManchester

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Ian Higginson 🌈

@RCEM_VP

1 year

Wrapping up. At our summit we’ve heard from some heavy weight speakers, and we agree that there are solutions to the crisis in emergency care. First step: recognise there is a crisis. Next step: credible, evidence based policy and plans. ⁦ @RCollEM ⁩ ⁦ @RCEMpresident ⁩

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Ian Higginson 🌈

@RCEM_VP

4 years

1/5 So we have another problem. Kids with fevers and coughs appearing. No surprise there they are back to school and sharing viruses. @Nhsproviders @ChrisCEOHopson @RCollEM @rcgp @aomrc @theRCN

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Ian Higginson 🌈

@RCEM_VP

5 years

One of the best things about our speciality: it does open up unusual opportunities. Worked with Festival Medical Services for my 5th Glastonbury this year. No mud, interesting medicine, and great music. EM rocks sometimes ...

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Ian Higginson 🌈

@RCEM_VP

1 year

Retention of staff is about more than just money. Here are a few thoughts on the issues surrounding one group: those of us who are getting older. @rcollem @RCEMpresident @EuropSocEM @ACEMPresident

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Ian Higginson 🌈

@RCEM_VP

5 years

The Cornish SIM team flying the U.K. flag (and Cornish) flag at the SIM cup at #EUSEM19 . Fantastic to see their enthusiasm and pride to be here @RCollEM

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Ian Higginson 🌈

@RCEM_VP

4 years

The reaction you don’t want when you turn up for work. “Oh Higgi we didn’t know you were with us today. We’re gonna need a bigger helicopter.” Fortunately we’ve got one coming ⁦ @cornwallairamb ⁩

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Ian Higginson 🌈

@RCEM_VP

5 months

Chain of survival runs deep. Mike gave CPR to a chlid. Used a community defibrillator just installed by fundraisers. Attended by @swasFT and @cornwallairamb . Brought to @UHP_NHS (me and my team’s bit) and then @uhbwNHS by @WATChTransport . Many cogs, each vital. Good to meet.

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Ian Higginson 🌈

@RCEM_VP

3 years

6. Pick a service flying comfortable aircraft with steps, handholds and other mobility aids … it’s worth shopping around

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Ian Higginson 🌈

@RCEM_VP

5 months

Check out the report from Nottingham ED (bottom of thread), and have a listen through the full interview. It was hard on the hoof to fully describe the emotions I was feeling when talking about corridor / ambulance care. What do other colleagues feel doing it, or describing it?

Royal College of Emergency Medicine

@RCollEM

5 months

🚨🧵Here is the clip (1/3) of @RCEM_VP on @BBCBreakfast discussing 'corridor care'. Dr Higginson discusses the distressing and uncomfortable waits that patients experience and the extremely challenging conditions staff are working under. Both patients & staff deserve better.

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Ian Higginson 🌈

@RCEM_VP

4 years

My incomparable colleague Dr Suzy Connor organised this message from Derriford ED with the help of Plymouth University musicians and students. Enjoy!

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Ian Higginson 🌈

@RCEM_VP

5 months

My better half bossing the family chat. Seriously though (a) BASICS docs/CFRs/volunteers & emergency workers rely on support from our families when we suddenly disappear off: a point well made by @Will_SWASFT (b) She does deserve an award for surviving me! @BASICS_HQ @swasFT

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Ian Higginson 🌈

@RCEM_VP

4 years

This is vitally important. Would be disastrous to see a return of crowded EDs. It was awful before but the risks for both patients and staff are multiplied in the era of communicable diseases such as COVID. There must be a whole system approach to this

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Ian Higginson 🌈

@RCEM_VP

1 year

Well written article, captures the essence of how emergency medicine teams feel, and demonstrates once more why it’s so important to listen to NHS staff if we are to keep their experience and skills where they are needed.

12 hours in A&E: Blood, sweat and tears in the NHS crisis

It is 8am and Ana Magalhaes is about to begin a 12-hour shift in charge of one of the busiest Accident and Emergency departments in London. She listens intently as the night team rattles through the...

apple.news

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Ian Higginson 🌈

@RCEM_VP

1 year

RCEM are part of the international community of professional bodies representing emergency medicine clinicians around the world. We are united in our refusal to accept that ED overcrowding is inevitable, acceptable, or excusable. #NoMoreLivesLostWaiting . @IFEM2 @IFEMPresident

International Federation for Emergency Medicine

@IFEM2

1 year

Hospital Emergency Department over-crowding experienced in many nations globally is an unacceptable and preventable threat to patient safety which must be addressed. Today we launch a Global Campaign Against ED Over-Crowding ➜ #NoMoreLivesLostWaiting

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Ian Higginson 🌈

@RCEM_VP

1 year

@RCEMpresident demonstrating the value of expert clinical leadership within the NHS, whilst discussing deaths associated with long waits in ED. Some political and NHS leaders have tried to discredit / ignore this, but @RCollEM continues to advocate for our patients and staff.

Health and Social Care Committee

@CommonsHealth

1 year

Earlier this week, we discussed excess deaths and pressures in A&Es with Dr Adrian Boyle, @RCEMpresident , and NHS England. RCEM estimates that there are at least 300-500 excess deaths associated with A&E pressures. Watch below as Dr Boyle explains how they reached this estimate:

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Ian Higginson 🌈

@RCEM_VP

5 months

This is cool. Look at all the donations for kids who end up in @UHP_NHS paeds ED this Xmas. We had to stop collecting. Thanks people of Plymouth, @waitrose Saltash, @Tesco Callington. Now we’ve just gotta work out how to gift them but be environmentally aware with wrapping.

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Ian Higginson 🌈

@RCEM_VP

11 months

My colleague Henry Guly used to say “we are the jacks of all trades, and masters of most.” @RCEMpresident president has us as the “swiss army knives of medicine.” Basically we are a pretty useful speciality and our teams / services are worth investing in. #EmergencyMedicineDay

Royal College of Emergency Medicine

@RCollEM

11 months

👏As we celebrate #EmergencyMedicineDay @EmergencyDay @EuropSocEM and the amazing work our members & their colleagues do every day, our @RCEMpresident & @RCEM_VP capture the value of #EmergencyMedicine trainees & physicians in our latest blog post here:

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Ian Higginson 🌈

@RCEM_VP

2 years

We are often asked what is needed NOW to fix the current crisis. It’s a tricky question to answer when the honest answer is that there have been missed opportunities to make long term improvements whilst the cracks were being papered over or ignored 1/?

Royal College of Emergency Medicine

@RCollEM

2 years

Emergency care crisis putting patients at risk as they face longest waits on record “Once again EDs have recorded the worst performance on record, the worst four-hour performance and the highest number of 12-hour waits." @RCEM_VP Full statement here:

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Ian Higginson 🌈

@RCEM_VP

7 months

Pre-ED cohorting, usually in corridors, is a poor choice. Pressure to do so reportedly increasing. RCEM don’t support it. Whether it’s to get ambulances off the road, stop embarrassing images on the news, or massage figures … there are better options :

Dr Stevan Bruijns 🏥🚑🤕🌍✌️🏳️‍🌈

@codingbrown

7 months

Re: cohorting If trusts can make space for pre-ED cohorting to enable ambulance handover, they can make space for post-ED cohorting. Often the reason this doesn't happen is it's easier to ask EM to carry the can than specialties. This approach ignores the root causes of crowding.

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Ian Higginson 🌈

@RCEM_VP

4 years

On way to run the RCEM Really Useful Guide to ED crowding thinking about the reality colleagues and patients face in their EDs this am. RCEM CARES about crowding. Local and national leadership critical ⁦ @RCollEM ⁩ ⁦ @RCEMpresident ⁩ ⁦ @DrCJM ⁩ ⁦ @RCEMPolicyVP ⁩

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Ian Higginson 🌈

@RCEM_VP

3 years

Behind every great woman is a bloke trying to keep up ...

BASICS Devon

@BASICSdevon

3 years

Dr Ian Higginson's inspiration for #IWD2021 , his wife. "Karen continued to teach & adapt during the pandemic, looking after key worker children or teaching classes in person & remotely, despite all the anxieties in the education sector over risks to the health of teachers."

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Ian Higginson 🌈

@RCEM_VP

1 year

Long waits and the associated consequences haven’t gone away. What’s needed? Transparency. Capacity (beds, infrastructure, alternatives to admission), a social care system to be proud of, investment in primary care. To make that happen: workforce … retain us, and train us.

Royal College of Emergency Medicine

@RCollEM

1 year

Data show 1.65 million patients in England faced 12-hour waits from time of arrival in A&Es in 2022 @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

3 years

@DrPamChrispin I’m finding a stark difference between my BASICS and HEMS work. With BASICS I turn up, the firemen take one look at me, and they won’t let me carry anything. With HEMS we turn up, the paramedics take one look at me, and then give me all the bags to carry ...

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Ian Higginson 🌈

@RCEM_VP

3 years

Our speciality offers a chance to help people when they most need it, and at their most vulnerable. We need to get to a place where EDs are a safe place to work all year round, whether that is physically or emotionally. #rcemcares

Damian Roland

@Damian_Roland

3 years

During winter in Emergency Departments staff are briefly in orange but recognise it’s not a great place to be & things will get better #COVID19 uncertainty has normalised these stresses. This chart useful to highlight if that’s occurred to you. HT @LeylsTurk via @andrewjtagg

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Ian Higginson 🌈

@RCEM_VP

2 years

And we need to ensure that the emergency care system can stand alone and work effectively 24/7, so that we can provide the right care for our patients, and allow our other colleagues to provide the right care for theirs. 21/21

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Ian Higginson 🌈

@RCEM_VP

4 years

'We try our best as nurses, but it's not enough' Speaking from the heart. ED nurses are the bedrock of emergency care (and all other care!). Politicians from all sides need to offer meaningful solutions @theRCN ⁩ ⁦ @RCollEM ⁩

'We try our best as nurses, but it's not enough'

As figures show one in eight posts is vacant, one A&E nurse explains the impact of staff shortages.

www.bbc.co.uk

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Ian Higginson 🌈

@RCEM_VP

2 years

What a legend @DrChrisMoulton is. Totally dedicated to EM, our patients and our teams. Totally deserved award: well done Chris. @RCollEM @gordonm1les

Gordon Miles

@gordonm1les

2 years

Here’s ⁦ @DrChrisMoulton ⁩ receiving the coveted Maurice Ellis Lecture award from ⁦ @RCEMpresident ⁩ following his excellent lecture! #RCEMcpd ⁦ @RCEMevents ⁩ ⁦ @RCollEM ⁩

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Ian Higginson 🌈

@RCEM_VP

2 years

We can only use each hospital bed and the related staff once. If a patient is admitted for an urgent or emergency problem, another patient needing a procedure or operation may be delayed. It’s all linked, so the strategies need to be linked too …

Royal College of Emergency Medicine

@RCollEM

2 years

Urgent and Emergency Care recovery plan must be published in tandem with elective care delivery plan, RCEM says Full statement here:

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Ian Higginson 🌈

@RCEM_VP

5 years

The joy of BASICS. Training in a Devon pub. Thanks to the trainers. And the Fountain Okehampton ⁦ @BASICSdevon ⁩ ⁦ @WeekesLauren ⁩ ⁦ @ClareBosanko ⁩ ⁦ @timnutbeam ⁩

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Ian Higginson 🌈

@RCEM_VP

1 year

@docib @RCollEM Thank you. Always an option. We have an excellent team at the @RCollEM press office who have worked hard over the last few years, and last two days, to improve and coordinate our media advocacy efforts. This helps us perform our role as the EM representative body @gordonm1les

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Ian Higginson 🌈

@RCEM_VP

4 years

Our fab SW graduates. Well done! @sba97ew @BulloughRichard @sr_rennie

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Ian Higginson 🌈

@RCEM_VP

4 years

Thanks to @HelipadHELP for new dashcams and upgraded blue light. Now I can be seen, and be recorded, as I head out to incidents. @BASICS_HQ responders everywhere depend on support to keep going. @BASICSdevon

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Ian Higginson 🌈

@RCEM_VP

9 months

When cunning plans are examined down the line by ⁦ @RCollEM ⁩ , ⁦ @RCPhysicians ⁩ and ⁦⁦ @acutemedicine ⁩. Time for clarity and accountability. And time to get a wiggle on or it’s just words on paper (again)

Is the NHS’s urgent and emergency care plan delivering what patients need?

England’s urgent and emergency care system is in deep trouble. A lack of strategic thinking and investment—particularly when it comes to the workforce—have resulted in reduced access to primary care,...

www.bmj.com

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Ian Higginson 🌈

@RCEM_VP

1 year

. ⁦ @RCEMpresident ⁩ opening the emergency care crisis summit today. We are in crisis. The solutions lie in health and social care policy. So we’ve come to where policy is made. ⁦ @RCollEM ⁩

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Ian Higginson 🌈

@RCEM_VP

3 years

RCEM have said it all. This distressing story speaks for itself. Our patients and staff deserve better. @RCEMpresident @RCollEM @RCEMPolicyVP @EMManchester

Shaun Lintern

@ShaunLintern

3 years

Exclusive: Covid patients ‘head to toe’ on trolleys in Manchester A&E spark warnings over ‘lethal’ situation

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Ian Higginson 🌈

@RCEM_VP

4 years

Thanks to 4 coops in Plymouth for raising over 8000 for @BASICSdevon we are really chuffed. Donations like this get and keep volunteer doctors on the road. This will help us add one more to our number so we can support swasft better @coopuk @BASICS_HQ @swasFT

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Ian Higginson 🌈

@RCEM_VP

3 years

Doing some recorded chats around clinical leadership during COVID. @jim_crawfurd felt the need to emulate @RCEMPolicyVP ’s interview attire. At least he chose College colours … thanks Jim! @RCEMpresident @RCollEM

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Ian Higginson 🌈

@RCEM_VP

4 years

Good comment about promoting clinical leadership and looking after staff. A little rose tinted though: old habits and behaviours already creeping back and we risk losing some patient and staff centred gains @RCollEM @RCEMpresident @RCEMPolicyVP @DrCJM @LouiseHardyOD

The King's Fund

@TheKingsFund

4 years

'Staff must never again be damaged by being subjected to chronic excessive workloads. Leaders must accept excessive workloads on staff as their priority, not treated as a pattern in the wallpaper they no longer pay attention to.'

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Ian Higginson 🌈

@RCEM_VP

1 year

Truly excellent report. Captures the problem and exposes the failures in policy/leadership leading to the current crisis in emergency care. Proposes ways forward. Reinforces what we’ve been predicting and saying for years. Time to stop the spin. Time to listen. Time to act.

Lords Public Services Committee

@LordsPublicSCom

1 year

📢Today we launch our report: Emergency healthcare: a national emergency. We set out our action plan to respond to this crisis and make sure people can access lifesaving #EmergencyHealthcare . Committee Chair Baroness Armstrong introduces the report:

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Ian Higginson 🌈

@RCEM_VP

5 years

@goldstone_tony @hmtreasury They had better get a move on sorting this out. The loss of clinical capacity is causing significant problems now, but colleagues dropping hours are discovering the joy of seeing their families, and may never increase back up again!

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Ian Higginson 🌈

@RCEM_VP

3 years

This made my day coming home from shift. Lovely touch from @RCEMevents team who have done a brilliant job moving us online this year. Yum yum. @EMManchester @EmilyBeet1 @RCollEM @RCEMpresident

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Ian Higginson 🌈

@RCEM_VP

2 years

RCEM responds to Secretary of State’s comments around the four-hour A&E target | RCEM

RCEM responds to Secretary of State’s comments around the four-hour A&E target

Responding to a comment made by the Health and Social Care Secretary and Deputy Prime Minister Thérèse Coffey in which she stated she has no plans to change the four-hour A&E target, Dr Katherine...

rcem.ac.uk

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