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Tim Coats
@TJCoats
Prof of Emergency Medicine, Leicester, UK. Research interests trauma care; clinical data science; new technology in emergency care. Disclaimer: all views my own
Leicester, UK
www2.le.ac.uk/departments/ca…
Joined July 2013
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    Tim Coats
    @TJCoats
    Jan 7, 2022
    1/14 Seeing this tweet from @LondAirAmb started me thinking about the factors that led to prehospital thoracotomy becoming established in the UK (in a way that has not happened in many other countries). A number of different factors came together.
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    Tim Coats
    @TJCoats
    May 30, 2021
    I have been misled into thinking that a huge backlog of NHS work was created by Covid-19. Looking at this @BBCNews graph - there is a very small Covid effect - but the current record waiting list is in fact simply a long term trend since the bankers took all of our money in 2009.
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    Tim Coats
    @TJCoats
    Jun 9, 2020
    The first time we can see dynamic view of how CPR may affect internal organs. Chest compressions don't seem to compress the left ventricle. ?how does CPR work. New method described in Resuscitation: resuscitationjournal.com/article/S0300-…
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    Tim Coats
    @TJCoats
    May 13, 2020
    Split EDs need more space. Is it time to move minor illness / injury back to the community and adopt the Norwegian system of no ‘walk in’ patients allowed. ED becomes referral only (ambulance, primary care, and 111). We cannot deteriorate back to ‘business as usual’.
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    Tim Coats
    @TJCoats
    Nov 27, 2021
    Hospital complaints team "but why can't the ED staff ring relatives every time a patient is moved to the ward, it only takes a few minutes?". BUT: 160 admission per day, 3 or 4 minutes per patient = 8 to 10.5 hours per day = an extra shift every day = two extra members of staff.
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    Tim Coats
    @TJCoats
    Dec 11, 2024
    I really wish hospitals would stop the “we are very busy so don’t come to A&E unless you have to” public messages. Ineffective. Negative. Gives the illusion of ‘doing something’. Potentially harmful. No evidence.
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    Tim Coats
    @TJCoats
    Apr 20, 2020
    Emergency departments now able to work efficiently. Redirect to primary care happens. Patient needs specialist opinion - it happens. Patient needs a bed - rapidly admitted. Why did the NHS allow so many to suffer in ambulance queues last winter when this was all possible?
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    Tim Coats
    @TJCoats
    Dec 25, 2024
    Choosing which of patient to bring into A&E from ambulance queue is incredibly stressful: First to arrive disadvantages the sickest. Sickest first means some less sick patients wait forever. Sickest first means most reversible delayed. Most reversible first means sickest delayed.
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    Royal College of Emergency Medicine
    @RCollEM
    Dec 24, 2024
    Incredible UK A&E healthcare staff will be under immense pressure over the next few weeks. We are resharing our ED Crowding Guidance. It is necessary due to a lack of action from the Government, policymakers and healthcare leaders. rcem.ac.uk/emergency-depa…
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    Tim Coats
    @TJCoats
    Jan 31, 2019
    CRASH3 trial finishes today - 12,663 patients randomised (maybe more by midnight). Fantastic effort by the team @CTU_LSHTM and collaborators worldwide. Should you give TXA to head injured patients - just a few more months to wait for the answer! @RCollEM crash3.lshtm.ac.uk
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    Tim Coats
    @TJCoats
    Jan 29, 2023
    Replying to @EM_RESUS
    Agree that this has become ‘ritual’ rather than EBM - and we should think. For an ED a ‘clothing bank’ to give patients with soiled/ damaged clothing something to wear is a great idea. Ours started with staff donating clothes. Now funded by local businesses and community groups.
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    Tim Coats
    @TJCoats
    Jan 3, 2021
    Cannot believe it is 30 years ago today I started flying with London HEMS (after 2hrs training!). But slightly depressed at how little has changed in trauma PHEM clinical interventions. @LDNairamb
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    Tim Coats
    @TJCoats
    Dec 5, 2023
    1/2 Patients in the ED are not “waiting for admission” they are “specialist outliers in the ED”. So should be regarded in the same way as specialist ‘outliers’ on any other ward. Our language matters and can change concepts. (This is UK hospital terminology - ignore if not in UK)
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    Tim Coats
    @TJCoats
    Sep 10, 2023
    Replying to @EM_RESUS
    Agree that ALS algorithms often inappropriately applied to trauma cardiac arrest. Treatments aimed at ‘restarting the heart’ are futile. Focus on the 2 or 3 conditions that cause the heart to stop and are reversible before brain death.
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    Tim Coats
    @TJCoats
    Sep 28, 2023
    I did not realise that we have a legal duty to refer to the Local Authority (with patient agreement) all ED attendees who are homeless or at risk of becoming homeless. Fact sheet is at assets.publishing.service.gov.uk/government/upl… #RCEMasc
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