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It was an absolute pleasure to chair the #EMattheDeepEnd meeting on Thursday. Such an inspiring bunch of people. Recognising that all EDs are at the ‘Deep End’ and considering how we can support our patients *and* staff better. Ryan McHenry Emergency Medicine at the Deep End JP Loughrey David Chung 🦀

Extremely long waits for admission exacerbate health inequalities, impacting vulnerable groups the most. Older people bear the burden, and also those living in the areas of highest deprivation who are ~20% more likely to suffer a >12h delay to admission journals.lww.com/euro-emergency…

This is an excellent analogy, a lot of my patients "boats" have spent a fair amount of time weathering the storms of inequalities and deprivation too Emergency Medicine at the Deep End , Deep End GP Scotland

🏥A&E can be challenging for people facing homelessness and staff may not always understand or respond to their needs. 🔊Our new Going Beyond podcast with Pathway discusses the issues at play and the positive actions support workers can take. homeless.org.uk/knowledge-hub/…

Emergency Department use is socially patterned, and here, more evidence that social support reduces admission to emergency care. The benefits to patients and healthcare systems are clear, we just need policy to catch up.

#ICYMI: Free online learning: 'Supporting people experiencing homelessness in an A&E setting' brought RCEM & Pathway together to connect homelessness workers + A&E staff. Reduce the impact that social depravation has on fast & effective care: rcem.ac.uk/rcem-highlight…

Familiar issues for emergency medicine - services in more deprived areas face greater needs across the spectrum of illness. Echos a key point from David Chung 🦀 at our last meeting - age-based services poorly serve deprived areas, where early and multimorbidity frailty is common

Emergency Medicine at the Deep End David Chung 🦀 This is so true. Spent my early career working in an ED which serves some of Europe's most deprived communities. Moved 40 miles to another ED & when they told me "ageing & health" beds were for 》75yo I laughed: that was 10y higher than life expectancy for ppl from previous area

Discouraging Emergency Department attendance doesn't work, and likely causes unintended harm. In a crisis in emergency care, these messages are the wrong response - particularly when better solutions exist rcem.ac.uk/emergency-depa…

100%: Oversimplified guff. Here's the maths about why it doesn't work even if you don't send the wrong patient away, and alternatives actually exist in real world. emergencyblether.blogspot.com/2024/

Drug-related deaths surge again in Scotland. Disproportionately impacting the most deprived, emergency care has a key role identifying those at risk and mitigating the harms. Brief intervention in the ED are feasible, and may be effective. sciencedirect.com/science/articl…

All of our Navigator Scotland are trained in the provision of take home naloxone. While not a definitive answer to deeply ingrained trauma it can buy time & save lives. If you work in the ED or are there & are worried about yourself or someone else look for the bright pink scrubs.

The burden of major injury is not borne evenly across society. Emergency care has a key role addressing these inequalities, and the potential of joined-up care clearly demonstrated in the Public Health Scotland STAG Annual Report publichealthscotland.scot/publications/a…

The revolving door of the ED… Further evidence of it’s links to deprivation, psychiatric and substance use in the young, conveyance by emergency means and the need for practice and policy to evolve. NHS Lothian Emergency Medicine at the Deep End

Stark effects of multimorbidity on use of, and outcomes from, emergency care. But a glimmer of hope and utility here, with appropriate links & support on discharge, it's possible we could break the cycle.

The next meeting of EM at the Deep End takes the theme of Violence and Reducing the Harm. Huge inequalities, but potential in EM to host intervention Join us online (or in-person in Glasgow) 1.30-4.30pm Friday 4th October. Invites go out soon to our mailing list or DM for a link

The report of the second meeting of Emergency Medicine at the Deep End now published online. Defining the challenge of health inequalities in emergency care. We meet again October 4th, discussing Violence and Mitigating the Harm. As ever, DM for an invite. ematthedeepend.com/2024/09/04/def…