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Dr Thomas Shanahan MRCEM

@tshanahan0584.bsky.social
860 followers 1.4K following 200 posts

ED Research Registrar (PGY8) at Royal Perth Hospital | Affiliate Researcher at Monash University | Major trauma & EM research. Husband🏳️‍🌈🇮🇪🇬🇧 views mine

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Reposted by Dr Thomas Shanahan MRCEM
The Guardian @theguardian.com · 30/12/2025
A&Es in ‘big trouble’ because of ‘normalised’ corridor care, says leading UK medic
theguardian.com
A&Es in ‘big trouble’ because of ‘normalised’ corridor care, says leading UK medic
Emergency medicine specialist says improved social care and efficiency would help crisis in NHS Emergency departments across the UK are “in big trouble” owing to the way corridor care has been “normalised”, a leading medic has warned. Dr Ian Higginson, the president of the Royal College of Emergency Medicine (RCEM), said there should be “howls of outrage” over deaths linked to long emergency department waits, with just a few hospitals around the UK managing to avoid caring for patients on trolleys in corridors. Continue reading...
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 28/12/2025
It really doesn’t!
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 28/12/2025
The waiting room has to be the scariest place in the emergency department for registrars (in charge overnight) and consultants. So much unknown and unseen and changeable! #EDOvercrowdingKills
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 27/12/2025
#AnkleFracture Classification doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 27/12/2025
#PreHospital #ResuscitativeThoracotomy doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 27/12/2025
The effects of nudge-based clinical decision support interventions on test ordering doi.org/10.1111/1742... @drsimoncraig.bsky.social @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 30/11/2025
Patients with prolonged inpatient length of stay doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 05/12/2025
Decision Making in Emergency Medicine #Opinion doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 12/12/2025
Ordering practices of urine Microscopy Culture and Sensitivity tests in a regional NSW emergency department doi.org/10.1111/1742... @katecurtis.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 12/12/2025
The timeliness of #prehospital response by single role versus multirole physician-staffed prehospital models doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM #PHEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 18/12/2025
Feasibility of discharging patients with #AtrialFibrillation with a portable single-lead ECG device to monitor their rhythm remotely at home doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 18/12/2025
An integrated #GeriatricEmergencyMedicine short stay unit doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 19/12/2025
Patterns and characteristics of ED visits initiated by frequent presenters and other ED attenders doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
Jo Morrison @jomorrison.medsky.social · 22/12/2025
This article very clearly outlines why medical practitioners are struggling worldwide (also, I suspect, not just residents and not just the UK)
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 19/12/2025
Welcome to the team and congratulations @tshanahan0584.bsky.social !
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 19/12/2025
I’m happy to share that I’m starting a new position as Section Editor - Trainee Focus at Emergency Medicine Australasia! @emajournal.bsky.social
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 14/12/2025
Horrific scenes at Bondi beach. It has a special place in my heart as we stayed there over 13 years ago during our civil partnership. My thoughts go out to my adopted country, the local community, Jewish people & all those at Bondi beach & 2 the emergency services, responding to the violence.
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Reposted by Dr Thomas Shanahan MRCEM
The Washington Post @washingtonpost.com · 03/12/2025
Column: Tuesday’s surprisingly competitive special election in Tennessee, after President Trump won the district by 22 percentage points last year, shows that Republicans may be in trouble with their base for midterm elections.
washingtonpost.com
Column | Surprisingly tough Tennessee election reveals House GOP has base problem
A hard-fought victory in once-safe Republican territory came as polls show conservative support on the wane for GOP congressional majorities.
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Reposted by Dr Thomas Shanahan MRCEM
steve the skeptic @policyskeptic.bsky.social · 03/12/2025
The Grauniad headline vastly exacerbated the slightly confused report by claiming "soaring demand" as the cause. This, as you say, distracts from the key actions that would fix the problem.
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
Media reporting (and parts of the RCN report) seem to conflate "increased demand for urgent care" with "increased pressures on hospitals". In doing so - they're obscuring the drivers of the problem and leading readers towards ineffective solutions (i.e. more staff, more funding).
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
But it draws the wrong conclusions on workforce: worsening A&E performance has happened despite 30%+ increases in the number of nurses working in hospitals since 2019. RCN implies these increases are insufficient due to "increased demand". But, as we've seen, this is just incorrect!
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
The full RCN report is mixed. It's reasonable to highlight high bed occupancy rates as a driver of A&E problems. If there's nowhere to admit patients to, they're either stuck waiting for hours, receive (unsafe) corridor care, or are forced to leave before receiving treatment.
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
The data *in the report cited* is enough to disprove the hypothesis that poor performance is driven by increased demand. (See +3% attendances vs +8,033% in 12 hr waits) The real cause of long waits in A&E is poor patient flow, driven by operational dysfunction in other parts of hospitals.
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
The poor outcomes in A&E are obvious to anyone who looks at the numbers or has simply been to an ED in the last few years. But as @policyskeptic.bsky.social has repeatedly argued, incorrect diagnoses of the *drivers* of poor outcomes are obstacles to solutions which will improve performance.
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Reposted by Dr Thomas Shanahan MRCEM
Dan Hall @danhalll.bsky.social · 03/12/2025
Misleading write-up - it's true that there is a crisis in A&E, but this is not because of "soaring demand". The RCN report itself shows that A&E attendances are only 3% higher than in 2019, while 12+ hour waits are 8,033% higher. www.theguardian.com/society/2025...
theguardian.com
Numbers leaving A&E without treatment triples in six years
Soaring demand has led to ‘shocking’ rise in untreated patients leaving NHS emergency departments in England, data shows
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 21/11/2025
Listening to the Aussie former players / commentators absolutely hammering England after the 1st innings. They sd know better - you cant judge until both teams have batted. Eng excellent bowling attack. Batting was at least at a clip.
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Reposted by Dr Thomas Shanahan MRCEM
Russell England @russellengland.bsky.social · 21/11/2025
"Record numbers of overseas-trained doctors are quitting the UK, leaving the NHS at risk of huge gaps in its workforce, with hostility towards migrants blamed for the exodus" Slow clap to the anti-immigrant rhetoric
theguardian.com
Overseas-trained doctors leaving the UK in record numbers
Medical bodies warn that hostility towards migrants is behind a 26% rise in departures last year that imperils NHS
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 21/11/2025
Really happy to find out today the below paper got accepted as meeting the FACEM research requirement!!! Another requirement ticked off before starting in February www.sciencedirect.com/science/arti...
sciencedirect.com
External validation of the Dutch prediction model for prehospital triage of trauma patients in South West region of England, United Kingdom
This paper investigates the use of a major trauma prediction model in the UK setting. We demonstrate that application of this model could reduce the n…
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Reposted by Dr Thomas Shanahan MRCEM
Sam Freedman @samfr.bsky.social · 16/11/2025
New post just out: "The Reality Trap" On Reform's struggles running councils. What it tells us about how they'd fare if they won a general elections. And about how broken our system of local government is. (£/free trial) open.substack.com/pub/samf/p/t...
open.substack.com
The Reality Trap
Reform's struggles in local government
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Reposted by Dr Thomas Shanahan MRCEM
Royal College of Emergency Medicine @rcem.ac.uk · 10/11/2025
The first report of the All-Party Parliamentary Group on Emergency Care has revealed the scale of corridor care in England, and the harrowing impact it has on patients. The report, built on research compiled by RCEM through data, surveys and patient testimony, is here: rcem.ac.uk/press-rel...
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Reposted by Dr Thomas Shanahan MRCEM
Rick Body @richardbody.bsky.social · 05/11/2025
November's EMJ podcast has dropped, featuring... 🐱Garfield the cat (guest appearance) & @drsarahedwards.bsky.social 🫀 Resuscitation manikins & diversity 🧠 Functional neurology 👶 Serious bacterial infection in infants 🚁 Sedation in HEMS 🍎 lnkd.in/ebTjEkSw 🎧 lnkd.in/ekZij7MD 🛜 lnkd.in/esHRsMBz
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 05/11/2025
Great opportunity for a research special skills #ED registrar job at Southern Adelaide Local Health Network - Flinders. There is a great research team in SA and lots of efforts to develop research opportunities for #ACEM trainees. jobs.acem.org.au/job/3106/eme...
jobs.acem.org.au
Emergency Medicine Special Skills Registrar Positions - ACEM Training Year 2026 (Flinders Medical Centre Emergency Department, Flinders Drive, Bedford Park SA, Australia)
Southern Adelaide Local Health Network – Flinders Medical Centre – Emergency Medicine Total Indicative Remuneration Package: $106,225 - $172,348 MDP2 (pro rata) | Full Time, Contract in-line with SMOE...
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Reposted by Dr Thomas Shanahan MRCEM
Royal College of Emergency Medicine @rcem.ac.uk · 28/10/2025
Dean of the Royal College of Emergency Medicine Professor Simon Carley responds to the first phase of the Medical Training Review into postgraduate training of newly qualified medics, published by NHS England last week: rcem.ac.uk/press-releas...
rcem.ac.uk
RCEM responds to NHSE’s Medical Training Review   - RCEM
Tuesday, 28 October 2025 - Dean of the Royal College of Emergency Medicine Professor Simon Carley responds to the first phase of the Medical Training Review (MTR) into postgraduate training of newly q...
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Reposted by Dr Thomas Shanahan MRCEM
Royal College of Emergency Medicine @rcem.ac.uk · 28/10/2025
A plan which outlines NHS England’s priorities for the next 3 years ‘offers no meaningful roadmap’ to reduce dangerous long waits in Emergency Departments. Our response to NHS England’s Medium Term Planning Framework 2026/27-2028/29: rcem.ac.uk/press-releas...
rcem.ac.uk
NHSE’s three-year healthcare plan ‘offers no meaningful roadmap’ to tackle long waits in EDs  - RCEM
Tuesday, 28 October 2025 - A plan which outlines NHS England’s priorities for the next three years 'offers no meaningful roadmap’ to reduce dangerous long waits in Emergency Departments.
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 23/10/2025
My poster at the ANZ Trauma Society Trauma Conference in Wellington. Great few days learning about cutting edge trauma research and practice. Enjoyed catching up with colleagues, meeting up with the trauma in older people community of practice and thinking about future collaborations. #ANZTS25
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Reposted by Dr Thomas Shanahan MRCEM
Sam Freedman @samfr.bsky.social · 28/09/2025
"We have a debt crisis so I've joined the party that was in power for 14 years and under whom debt massively grew." "Commentator of the Year"
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Reposted by Dr Thomas Shanahan MRCEM
Stephen Bush @stephenkb.bsky.social · 26/09/2025
I do think this has been a week in which new levels of 'why don't senior Labour politicians understand we can ALL hear them' have been reached. Why would Andy Burnham do a 'I'm gonna hike taxes on London and the south, you're all rich!' Why would Steve Reed use 'regional politician' as a putdown?
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Reposted by Dr Thomas Shanahan MRCEM
Adam Gordon MBE @adamgordon1978.bsky.social · 26/09/2025
New paper out in @age-and-ageing.bsky.social: Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia. Read it here: academic.oup.com/ageing/artic...
academic.oup.com
Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia
AbstractBackground. People with dementia who have a fall can experience both physical and psychological effects, often leading to diminished independence.
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 22/09/2025
Happy to have my TS2 rotations confirmed for next year - 9 months MMC Clayton ED and 3 months Casey anaesthetics. Now need to just find a place to live.
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Reposted by Dr Thomas Shanahan MRCEM
Ryan Radecki MD MS @www.evidencetriage.com · 20/09/2025
Nau mai, haere mai. www.govt.nz/browse/immig...
govt.nz
Work that leads to residence
If you’re 55 or younger and want to live in New Zealand (NZ) permanently, you can apply for a resident visa, or a work visa that leads to residence after working here for 2 years.
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Reposted by Dr Thomas Shanahan MRCEM
LKS for NHS Ambulance Services in England @lksase.bsky.social · 01/09/2025
What Factors Could Create a More Comfortable Waiting Experience for Patients on Emergency Department Ramps? A Scoping Review - Binnie - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...
onlinelibrary.wiley.com
<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library
Ambulance ramping is the situation where patients who arrive by ambulance are forced to queue for access to an emergency department (ED) cubicle. Despite efforts to address the problem of ambulance r...
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 06/09/2025
An interim care plan model of care for direct inpatient admissions doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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EMA Journal @emajournal.bsky.social · 12/09/2025
Empiric antibiotics for acute pyelonephritis doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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EMA Journal @emajournal.bsky.social · 14/09/2025
The relationship between the duration of transfer and the risk of in-flight deterioration in aeromedical trauma patients #OpenAccess doi.org/10.1111/1742... @wiley.com @emfoundation.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 19/09/2025
ED headache patients without neurological features who are diagnosed with a serious secondary headache cause #OpenAccess doi.org/10.1111/1742... @wiley.com @gkeijzers.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Dr Thomas Shanahan MRCEM
EMA Journal @emajournal.bsky.social · 19/09/2025
The Gendered Double Burden in Emergency Medicine doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Stephen Bush @stephenkb.bsky.social · 10/09/2025
A debate Labour badly needs to have:
theguardian.com
Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful
Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform
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Reposted by Dr Thomas Shanahan MRCEM
Ian Dunt @iandunt.bsky.social · 10/09/2025
It's possible that something good has come of the Rayner affair. There is such an urgent need for this conversation in Labour right now, for some kind of beating heart to the project - a memory that it does actually have values it is prepared to fight for www.theguardian.com/politics/202...
theguardian.com
Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful
Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform
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Reposted by Dr Thomas Shanahan MRCEM
Norm Ornstein @normornstein.bsky.social · 08/09/2025
Read @jilldlawrence.bsky.social! www.thebulwark.com/p/shocking-i...
thebulwark.com
Here’s a Shocking Idea: Democrats Don’t All Have to Sound Alike
Four candidates in wildly different races show the value of being yourself.
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 08/09/2025
Cost of training is one thing to factor in with any move of country. U.K. was pretty high. But wildly high in Australia and only going up and up. I guess you can get some back on tax in a year 🧐 🤔
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