Wonderfully lucky wife and mum to 3 angels. Love being an acute physician AKA Dr Price at LUFT! Proud to be President for SAM (society for acute medicine)
Liverpool, England
Joined April 2013
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Vicky Komrower/Price. now [email protected] retweeted
CPD Whilst you Wee this month on Learning Disability
Excellent thread. More evidence of harm of long ED stays. I’m really concerned that efforts to reduce corridor care will actually make this worse if not implemented properly. We need to keep reviewing 12 hour waits and a cupboard in ED is not “off the clock”!
The association between long emergency department stays and inpatient length of stay: a retrospective cohort study | BMC Emergency Medicine | Springer Nature Link. Published today by my residents. Another harm of long ED stays… 1/n link.springer.com/article/10…
Vicky Komrower/Price. now [email protected] retweeted
Are you an Acute Medic & Do you want to help End Corridor Care?
Acute Medics as Improvers is a Quality Improvement course designed to help acute clinicians enhance their QI skills and deliver impactful changes.
Be part of the solution - Register here
acutemedicine.org.uk/sam-eve…
Vicky Komrower/Price. now [email protected] retweeted
“It’s basically impossible to provide decent care in a corridor… There's no privacy. We're unable to examine patients properly. We're unable to treat them properly.”
@RCEMPresident talked to @GMB about the now 'normalised' but unnacceptable practice of corridor care.
Excellent points from Ian here. It is not inevitable and we need to push very hard to stop this undignified and dangerous situation.
Vicky Komrower/Price. now [email protected] retweeted
Twenty failing trusts need new ‘intervention’ approach, says Mackey ift.tt/lGeJY9I
Vicky Komrower/Price. now [email protected] retweeted
The Society for Acute Medicine and the Royal College of Occupational Therapists came together to explore the unique role of the Acute OT.
An exciting project to highlight the essential role that OT's play in our Acute Hospitals; how we can best utilise & support this workforce
Vicky Komrower/Price. now [email protected] retweeted
SAM in the News
tinyurl.com/vkpesytm
BBC
tinyurl.com/2tshemnt
Guardian
shorturl.at/aVPIC
Standard
shorturl.at/Ewhbr
Independent
shorturl.at/0Qf1J
Daily Mail
shorturl.at/PGg6T
Daily Mirror
tinyurl.com/ytc6ftnp
Absolutely echo this. This week has been particularly bleak. It is truly horrific to see patients who have been sat in a waiting room whilst unwell, getting no sleep for in excess of 48 hours. This is being reported throughout the four nations.
Thank you for all your work on corridor care. Our @ternfellow corridor study from 165 EDs paints a bleak picture.
-1 in 5 patients in corridors
- 25% of EDs with no resus cubicles
- patients waiting for admission stuck in ED > than those in corridors
doi.org/10.1136/emermed-2025…
Vicky Komrower/Price. now [email protected] retweeted
If you think managing patients with delirium is stressful, think about how it feels for the patient experiencing it. #delirium
I was taught that delirium survivors may develop PTSD from the experience.
"I was so afraid, so afraid, and I cried and shouted…. I was certainly very afraid… I was convinced that they were going to kill me."
#Delirium
Vicky Komrower/Price. now [email protected] retweeted
SAM in the News
tinyurl.com/vkpesytm
BBC
tinyurl.com/2tshemnt
Guardian
shorturl.at/aVPIC
Standard
shorturl.at/Ewhbr
Independent
shorturl.at/0Qf1J
Daily Mail
shorturl.at/PGg6T
Daily Mirror
tinyurl.com/ytc6ftnp
This is so important. We are stuck in reactive and things won’t alter until we move to reflective. ( although I’m less happy about the earworm “star trekking” 🤣
A ‘reflective improvement’ approach to patient flow uses different data: ‘Patients plural’ - instead of ‘patient singular’ - data. Such data (the solid black layer) enables the possibility of *strategic* interventions (the blue layer) whereby clinical teams might identify cohorts of patients whose stays could be shortened or even avoided altogether.
2/2
Vicky Komrower/Price. now [email protected] retweeted
Half of trainee British doctors finishing this summer had no job lined up.
Yet the NHS is poaching foreign doctors. One in six of Nigeria's are now in the UK.
The real scandal isn't pay: it's a broken training pipeline. My column:-
times-comment.com/nhs
Vicky Komrower/Price. now [email protected] retweeted
"NHSE seem adamantine in their refusal to see the problem as one of exit block..."
Wes Streeting has promised to end corridor care in A&E by 2029. That's good.
It is also achievable, though not all the experts agree: independent.co.uk/news/healt…
The key is having the right focus, incentives and policy...
Absolutely not @Channel4News The people who are spending >48 hours in ED as lodged patients do not have minor illnesses. They are unwell and mostly frail and vulnerable with many in last year of life as our study showed. @acutemedicine
a good resource from GIRFT
GIRFT has launched a poster to help ED & AMU teams deliver safe, efficient care for adults with diabetes at the hospital front door.
Includes QR codes for quick access to key pathways.
📥 Download & display: ow.ly/iQ7w50Xt3jY
#Diabetes #DiabetesCare #NHS
Absolutely. This is not a unique hospital. This is the normal in most hospitals across the 4 nations.
"Our staff do an amazing job in very difficult circumstances, but corridor care affects their own mental health and put patients’ lives at risk."
Dr Ian Higginson, RCEM President, speaking following the publication of the @theRCN's 'Bracing for Winter' report, which touches on the important issue of so-called 'Corridor Care'.
Our full response here:
rcem.ac.uk/press-release/rce…
Vicky Komrower/Price. now [email protected] retweeted
SAM's Guideline of the Week
Acute Care Toolkit 15 is your go-to guide for addressing medical issues during pregnancy on the medical take, AMU or SDEC.
rcp.ac.uk/media/pnsglw10/acu…
Vicky Komrower/Price. now [email protected] retweeted
I tried drawing coloured rectangles to show what happened to an AMU between 2019-20 and 2023-24. Admissions reduced; stays lengthened. The blue rectangle had the 'viscosity' of water; the red one had the 'viscosity' of honey!
@dr_allancameron @VickyKomrower @acutemedicine @nickscr1 @DrLKVaughan @jfdwolff @RCEMPolicyVP @whitefleece8127 @fourhourtarget
