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Avoidable deaths are now ‘simply not disputed’, Lord Darzi review discussions open #RCEMasc day one

Wednesday 09 October 2024

Conference blog

Discussions focused on Lord Darzi’s review began the Annual Scientific Conference (ASC) as the Royal College of Emergency Medicine’s (RCEM) President Dr Adrian Boyle pointed out how the harm caused by very long waits in A&E was now ‘simply not disputed’.

The Glasshouse in Gateshead opened its doors yesterday morning (Tuesday 8 October 2024) to welcome more than 200 ASC delegates to the event organised by RCEM.

Described as a ‘festival of science in Emergency Medicine’, involving national and international speakers, RCEM’s showcase event is firmly embedded in the specialty’s calendar.

Addressing hundreds of seated and virtual delegates on centre stage, Dr Boyle commended the strength of Emergency Medicine physicians and staff  who had continued on despite the relentless pressures of the past year.

He added that the acknowledgment of the “awful state” A&Es are in from Lord Darzi’s review and Prime Minister Sir Kier Starmer subsequently calling out the issue of ‘avoidable deaths’ as ‘chilling’ was a significant moment in his time advocating for change.

The conference’s first discussion then focused on the ‘Future of Emergency Medicine’, with Dr Boyle, Professor Julian Redhead from NHS England, Dr Sarah Scobie from the Nuffield Trust, and Rebecca Thomas from The Independent.

Julian Redhead emphasised the need to split urgent care from emergency care, envisioning a system where patients are filtered through urgent care before reaching emergency care. “I believe now is a great opportunity to get our messages right as a specialty and work with the government to provide the best emergency care for our patients”, he said.

An insight into the narrative of long waits in the media was provided by Rebecca Thomas who also shared how the Independent’s stories were sharing the impact of the healthcare crisis on patients and on those treating them.

Dr Scobie focused on how the complexities of pressures on A&E were growing and that understanding who is spending time in EDs was critical to finding solutions, adding that action was needed by government to improve social care. ‘At the moment it doesn’t look as though social care is particularly high on the political agenda, there’s a complex series of reforms needed’, she said.

After the discussion, a host of sessions ran concurrently throughout the day including:

  • Paediatric EM research:
    • PERUKI update
    • The top 10 research priorities in PEM
    • Is it boom then bust for bronchiolitis?
    • The CRESCENT study: Carbogen for status epilepticus in children trial
  • How to get involved in research
    • Opportunities to get involved with research
    • Six years of TERN: What have we achieved and what’s next?
    • You can be a (better) reviewer
    • Qualitative, mixed method health service research in EM
  • Toxicology
    • Cannabis related hyperemesis
    • Novel synthetic opiates
    • Assessment and management of acute opioid toxicity – joint NPIS/RCEM guideline
    • Novel benzodiazepines: A Scottish perspective
  • Paediatrics
    • Introducing POCUS to the PED: A single centre journey
    • Sepsis spotting in the PED
    • The Beat Anaphylaxis project
  • EMSAS session
    • Trauma, pain and Parkinson’s
    • Deep dive through thoracic trauma
    • Shaping the culture of PoCUS training in the ED
  • Reporting and upcoming studies
    • New NHS major incident triage tools: Potential benefits of Ten Second Triage
    • The DEXACELL trial: Widening research delivery and designing inclusive trials
    • Platform trials in the emergency department
    • AI-REACT trial results
  • How to become a sustainable ED
    • Building a sustainable ED: Our journey at Northumbria

See the conference on X/Twitter with #RCEMasc.

Watch on-demand:

Members who were unable to join us for the conference, or those who want to watch sessions back after it ended, can benefit from our ‘on-demand’ service.

Opportunities to learn more with RCEMLearning

Related to today’s sessions, check out:

PERUKI update

#PEM23 – Blog

November 2023 Podcast

The top 10 research priorities in PEM

Silencing the seizure: Phenytoin vs. Levetiracetam in paediatric status epilepticus

Breaking Evidence: EuSEM top scoring PEM abstracts 4-6

Is it boom then bust for bronchiolitis?

Breaking Evidence: EuSEM top scoring PEM abstracts 1-3

Preparing for a Bronchiolitis Epidemic – Blog

Future-Proofing PEM – Blog

Bronchiolitis – SBA

Coughing, Wheezy and Stridulous Children – Blog

Bronchi Baby – SAQ

The Unhappy Wheezer – Clinical Case

10 second triage and major incidents tool

Triage in Mass Casualty Situations – Reference

EMJ Podcast May 2019 – Major incident triage

An Incidentally Major Event – Memories of a Sleepy Mind – Blog

Session: Toxicology

Clinical Toxicology | Available until 4 June | 5-CPD Points | View Programme | Book now

Session: How to become a sustainable ED

Green ED | Available until 9 April | 6-CPD points | View the programme | Book now

Session: Paediatrics

Paediatrics Pearls and Pitfalls | Available until 1 February | 7- CPD points | View Programme | Book now

Session: EMSAS

EMSAS Conference 2024 | 13-14 November | Hybrid | Scarborough | 10-CPD Points | View Programme | Book now

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