Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/03/2025𝗕𝗲 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳 by Seth Godin Which self? The self you were when you were two years old, almost out of diapers? The self you were when you were screaming with the fans at the big game? The self you were after a long night? (1/2) 120
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 29/03/2025Do you ever debrief yourself with an AI agent (such as ChatGPT)? Do you ever discuss your mental health with an AI agent? After a tough shift. Or when things get tough. And you just need to talk. I do. 🗣️🤖 #EMedsky #EMsky #Medsky ai.nejm.org/doi/full/10....ai.nejm.orgRandomized Trial of a Generative AI Chatbot for Mental Health TreatmentGenerative artificial intelligence (Gen-AI) chatbots hold promise for building highly personalized, effective mental health treatments at scale, while also addressing user engagement and retention ... 130
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈African Journal of Emergency Medicine @afjem.bsky.social · 22/03/2025🚨 AfJEM Webinar Alert! 🚨 📖 Want to get published? Join us on March 26, 2025, at 1 PM CAT (GMT+2) for expert tips on mastering article writing! 📝✨ 🔗 Click to register researcheracademy.elsevier.com/work… #AfJEM #GettingPublished 021
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Adam Grant @adamgrant.bsky.social · 09/03/2025People who can’t handle criticism are unfit to lead. Weak leaders fear dissent as a threat to their power. They silence their critics to shield their egos. Strong leaders welcome dissent as an opportunity for growth. They silence their egos to learn from their critics. 1348390
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Adam Grant @adamgrant.bsky.social · 07/03/2025The hallmark of expertise is no longer how much you know. It's how well you synthesize. Information scarcity rewarded knowledge acquisition. Information abundance requires pattern recognition. It's not enough to collect facts. The future belongs to those who connect dots. 825842
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 01/03/2025No one envisions a future that’s defined by instability, declining opportunities, and a world where "least-worst" is the best we can hope for. But here we are. 🌍 🌏 🌎 🎯 010
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 28/02/2025▶️ playlist for: 𝗧𝗵𝗲 𝗙𝗼𝗿𝗲𝗶𝗴𝗻 𝗚𝗮𝘇𝗲 open.spotify.com/playlist/5K5... 041
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 28/02/2025𝗧𝗵𝗲 𝗹𝗼𝗻𝗲𝗹𝘆 𝘂𝗻𝗶𝗰𝗼𝗿𝗻 ... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯 If there’s at least one unicorn in the world, it’s likely not the only one. And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found. 1/3 100
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈African Journal of Emergency Medicine @afjem.bsky.social · 28/02/2025𝗔𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝘀𝗽𝗶𝗿𝗶𝗻𝗴 𝗮𝘂𝘁𝗵𝗼𝗿𝘀 Aspirant African EM authors who either have a dissertation to publish, or a first time research publication An hour long webinar, with pointers and pearls, key resources and Q&A Register here: researcheracademy.elsevier.com/workshop/b64... #Medsky #EMedsky #EMsky 🌍📝🤓 022
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 27/02/2025I sat in the audience at Africa's first emergency medicine conference in South Africa in 2011 when Joe O'Neil related in a keynote how PEPFAR came about. Joe wrote this editorial for @afjem.bsky.social, a journal I edited at the time. Well worth a read. 😢 www.sciencedirect.com/science/arti...sciencedirect.comTaking Acute Care Worldwide: Pragmatic lessons from the HIV pandemic 020
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Adam Grant @adamgrant.bsky.social · 21/02/2025The loudest voices rarely represent the majority. They're usually speaking for the extremes. You won't understand the views of a group until you've invited the quieter voices into the discussion. Don't mistake silence for disengagement. It's often a sign of deep reflection. 435754
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Adam Grant @adamgrant.bsky.social · 13/02/2025Productivity is overrated. What counts most is the quality of output, not the quantity. People may be impressed by the volume you produce, but impact depends on the value you create. Success is not about getting more things done. It's about doing more worthwhile things well. 1029940
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 08/02/2025On misaligned incentives and consequences in urgent and emergency care (UEC) 🏥🚑🚑🚑 🚑... 🚑... .../thread #Medsky #EMedsky #EMsky 262
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 06/02/2025On what is not a service productivity improvement... ⚙️ 🏥🚑🚑🚑 🚑... /Thread... #Medsky #EMedsky #EMsky 162
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Adam Grant @adamgrant.bsky.social · 31/01/2025It takes curiosity to learn. It takes courage to unlearn. Learning requires the humility to admit what you don't know today. Unlearning requires the integrity to admit that you were wrong yesterday. Learning is how you evolve. Unlearning is how you keep up as the world evolves. 16744174
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Anthony Lau, PharmD BCPS @alaurx.bsky.social · 31/01/2025Patient self-directed sliding scale furosemide is an underutilized tool in CHF management Can a simple weight-based dosing strategy empower patients to manage CHF, prevent exacerbations, and reduce ED visits? Let's dive in! 👇 #medsky #pharmsky #cardiosky #EMsky #GPsky #MedEd 1/media.tenor.coma person is measuring their weight on a scale that goes up to 40ALT: a person is measuring their weight on a scale that goes up to 40 5207
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/01/2025⭐NHSE planning guidance published 30 January⭐ Much of investment to improve flow through ED to be targeted outside ED. Have a read and post your thoughts. 🏥🚑🚑🚑 🚑... #Medsky #EMedsky #EMsky 🔗https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/ 010
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈steve the skeptic @policyskeptic.bsky.social · 27/01/2025Long waits in A&E kill patients. Maybe a thousand every month. The recent ONS analysis has issues but makes the problem look worse than previous analyses: www.hsj.co.uk/daily-insigh...hsj.co.ukThe mythbuster: Do not ignore this second warning of the deadly impact of long A&E waitsSteve Black examines the ONS' new analysis linking long A&E waits to rising patient mortality, highlighting the urgent need for NHS action to tackle the crisis of excessive delays and their fatal ... 21711
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Prof. Damian Roland @damianroland.bsky.social · 03/01/2025Observation is an investigation My #DFTB23 Keynote talk. Spoiler: The decision to observe needs to be an active one, not just a process to avoid making a decision. www.youtube.com/watch?v=wtIw... 152
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈steve the skeptic @policyskeptic.bsky.social · 22/01/2025When the ONS analysis of relative mortality vs waiting times in A&E departments was published last week they omitted some critical information. But the pattern of higher mortality with longer waits was very clear... 2107
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈steve the skeptic @policyskeptic.bsky.social · 23/01/2025Sometimes senior NHSE leaders say things that accidentally reveal the biggest reasons why they can't fix major NHS problems. This speech from Steve Powis is an example: www.independent.co.uk/news/uk/step... ...independent.co.uk‘A&Es will treat equivalent of half the population each year without reform’Sir Stephen Powis has urged people to engage with the national conversation about the future of the health service. 1136
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 24/01/2025Solving crowding in A&E: Reduce attendances or improve flow though hospital beds? 🧵👇 #EMedsky 130
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Seth Godin @sethgodin.bsky.social · 21/01/2025Kinds of incompetence The second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of…seths.blogKinds of incompetenceThe second worst is the unaware sort. The work doesn't meet spec, and we don't even realize it. The worst is uncaring. We know the work doesn't meet spec, but we don't bother to fix it. But there are other varieties, and some are worth seeking out: There's the incompetence of creativity and art, where the spec isn't the point. … 0192
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈African Journal of Emergency Medicine @afjem.bsky.social · 19/01/2025🔥 Hot off the press: Empowering emergency nursing in Africa through research buff.ly/3DY4cx5 #Medsky #EMedskybuff.ly 031
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Royal College of Emergency Medicine @rcem.ac.uk · 17/01/2025“There must be a point where we go beyond analysis and accept that this is a serious problem that needs urgent political action.” RCEM's President responds to ONS research concluding patients who wait in A&E for more than two hours are exposed to an increasing risk of death - tinyurl.com/5fkpp4b6 12923
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 17/01/2025Relationship between ⌚ spent in A&E & odds of 30-day, post-discharge, all-cause mortality: Compared with patients who spent 2h in A&E, the odds of post-discharge death were: 🕒 1.1 x ☝️ if spent 3h 🕕 1.6 x ☝️ if spent 6h 🕘 1.9 x ☝️ if spent 9h & 🕛 2.1 x ☝️ if spent 12h #EMedsky 🔗 shorturl.at/Tvw9eshorturl.atAssociation between time spent in emergency care and 30-day post-discharge mortality, England - Office for National StatisticsRelationship between time spent in A&E and the odds of 30-day, post-discharge, all-cause mortality, controlling for other factors. 032
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈tjcoats.bsky.social @tjcoats.bsky.social · 07/01/2025We are not documenting crowding in individual patient notes. Makes it difficult to give context around delayed care for coroner, solicitor etc Do you document crowding in clinical notes? If so what phrases do you use? 243
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 07/01/2025🙌 Essential Leadership Tips for 2025 Are challenges like communication and culture puzzling you? Start the new year strong with leadership advice from MIT SMR experts. sloanreview.mit.edu/article/10-e...sloanreview.mit.edu10 Essential Leadership Tips for 2025Use these strategies to build your leadership skill set and solve tough challenges in the new year. 000
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/12/2024With an important annual midnight looming, it's worth reflecting how our UEC systems (including A&E) are resourced at this hour. 🕛🌃 🎉🥳🪅 🚑... A thread .../1 #Medsky #EMedsky 142
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/12/2024With an important annual midnight looming, it's worth reflecting how our UEC systems (including A&E) are resourced at this hour. 🕛🌃 🎉🥳🪅 🚑... A thread .../1 #Medsky #EMedsky 142
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Natalie May @nmay.bsky.social · 27/12/2024Review of the ELECT2 Trial (EarLy Exercise in blunt Chest wall Trauma) by @emmanchester.bsky.social for @stemlyns.bsky.social #FOAMed #MedSky #EMedSky www.stemlynsblog.org/early-exerci...stemlynsblog.orgEarLy Exercise in blunt Chest wall Trauma: A multi-centre, parallel randomised controlled trial (ELECT2 Trial)Does early exercise after blunt chest trauma make a difference? Find out when we review the ELECT trial. #FOAMed @stemlyns 063
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 22/12/2024Lots of pressure for the 🎄meal. 🤯 Testing South African malva pudding with adaption for gluten and diary intolerance. 😋/😯 Using this recipe: www.biggerbolderbaking.com/south-africa... Swapping flour for doves farm GF flour/almond flour, and milk and cream for almond and coconut alternative. 🥛🥥biggerbolderbaking.comSouth African Malva Pudding - Gemma’s Bigger Bolder BakingThis Malva Pudding recipe is a sweet and moist cake recipe straight from South Africa made with incredible apricot jam and heavy cream. 040
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈African Journal of Emergency Medicine @afjem.bsky.social · 20/12/2024🔥 Hot off the press: Framework first: Key insights on developing emergency medical care policy in low- and middle-income countries buff.ly/4gM9gT4 #Medsky #EMedskybuff.ly 021
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Sarah Edwards @drsarahedwards.bsky.social · 20/12/2024Thank you so far for those who have completed this. I’m looking for more responses from the south west, south, London and Northern Ireland especially. But we have lots of hospitals we’ve not managed to reach yet. Thank you buff.ly/3Brlh1d #PublicHealth #emergencymedicine 036
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Anthony Lau, PharmD BCPS @alaurx.bsky.social · 20/12/20243/ See EMCrit's amazing IBCC chapter on angioedema: 👉 emcrit.org/ibcc/angioed... (there's a nice diagram from @pulmcrit.bsky.social showing the pathways & vicious spiraling cycle!)emcrit.orgAngioedemaCONTENTS Rapid reference 🚀 Overview Diagnosis of angioedema Histamine-mediated vs bradykinin-mediated angioedema Airway management Histamine-mediated angioedema Bradykinin-mediated angioedema Pathophy... 121
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 20/12/2024Mitigating the harm from delayed initial A&E assessment when ambulances cannot offload... 🏥🫸 🚑🚑🚑 🚑... 🚑... A thread .../1 161
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 15/12/2024Coordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to EM. Central to this is the emergency physician in charge (EPiC) role. Following a busy 🌃 I'm resharing my mental model for the EPiC role. 🏥🚑🚑 🚑... #EMedsky www.stemlynsblog.org/an-epic-ment...stemlynsblog.orgAn EPiC mental model. St Emlyn'sCoordinating, consulting and managing an entire acute clinical service in real-time is fairly unique to emergency medicine. Are you EPIC? 0176
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 12/12/2024A simple trick for a decent meal/ drink choice when out with other clinicians is to blindly order whatever the anaesthetist orders. Never fails. 😷🧆🥘🍷👌 #Medsky 291
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈IMPACT @post-collision.bsky.social · 04/12/2024Key messages from the EXIT project - all in animated form! 5 years work into 2 minutes - please take a look and share! Key studies here: tinyurl.com/48d4jpff tinyurl.com/3kxdeuz3 tinyurl.com/3yeja4us YouTube link here: youtu.be/hquLBLjkhpA #extrication #medblue 097
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 04/12/2024The Arrival by Shaun Tan weaves a beautiful, thought-provoking, human perspective on belonging. It teaches that our personal journeys are big but unseen, and it is how we treat each other that defines us. It is the perfect gift for reflection for this festive season. www.shauntan.net/arrival-book 130
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 19/11/2024With multiple front doors into urgent and emergency care (UEC), why don't we measure performance at each? 🩼 & 🚑 = 👌🕓 / 💺 = 👎 #Medsky #EMedsky .../1 193
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 02/12/2024You cannot staff an A&E like an outpatient clinic, but it's really hard not to. ☀️: 🚑... 🏥🚑 🚑... 🌖: 🏥🚑🚑 🚑... 🚑... A thread #Medsky #EMedsky .../1 2167
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/11/2024You cannot run an A&E like an outpatient clinic, but you can run it like a fire service... 🏥🔥 🚒💨 A thread .../1 #Medsky #EMedsky 12310
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/11/2024An opinion is an idea we are very attached to. 🤔🔗💭 It is not necessarily correct. 🫸💭 The best leaders actively invite challenge to their opinion. 👈✋💭👉 This approach requires psychological safety, a tremendous amount of emotional intelligence, and a nack for avoiding echo chambers. 👍💭 041
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Rana Awdish MD @ranaawdish.bsky.social · 19/11/2024Is sharing our writing a thing here? 😊 Proud of this piece because it represents the work of so many trying to make medicine and communication better for our patients. #MedSky www.mayoclinicproceedings.org/action/showP... 68848229
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Alex Podlaski MD @apodmd.bsky.social · 24/11/2024This WSJ article has been making its way around the internet but it highlights some interesting points on how younger #physicians tend to value work/life balance as critical in their careers as compared to older generations. Some additional thoughts: www.wsj.com/lifestyle/ca... #MedSky #RadSkywsj.comYoung Doctors Want Work-Life Balance. Older Doctors Say That’s Not the Job.Physicians for generations accepted being at the mercy of their pagers. Now, many are questioning medicine’s workaholic culture. 172
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Madhu Pai, MD, PhD @madhupai.bsky.social · 24/11/20242024 has become the deadliest year on record for humanitarians We desperately need a ceasefire! 14914
Reposted by Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈Madhu Pai, MD, PhD @madhupai.bsky.social · 24/11/2024Non-native English speakers need 50% more time to write a paper When they do, they face a 2.5 times higher chance of being rejected because of language journals.plos.org/plosbiology/... 24642290