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

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.

TJCoats's tweet image. 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 · Jul 4

Reasons to keep taking a history: 1) Anchoring bias is the commonest cause of error in acute care. 2) It’s not what the patient says, but the way that they say it. 3) Conversations build empathy, trust and understanding. 4) Info often incorrect / incomplete.

LLouella Vaughan@DrLKVaughan · Jul 3

I absolutely get the frustration many pts feel about having to repeat their 'story'. What initiatives like this ignore is that The Story is THE cornerstone of any clinical encounter. Before I see any pt I have formed a preliminary opinion based on the EPR 1/

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Tim Coats@TJCoats · Jul 14

Campaign from the South Wales Trauma Network which I totally support. bbc.co.uk/news/articles/…

TJCoats's tweet card. As Eve's father was being treated at the scene of a crash, those around her were taking photos.

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Tim Coats@TJCoats · Jul 9

Have just been talking to colleagues in South Korea about the difficulties in arranging a time to meet given their resident doctors strike, which has now been ongoing for well over a year. Issues - pay and long hours. I hope for a speedier resolution here! en.m.wikipedia.org/wiki/2024%E2%8…

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Tim Coats@TJCoats · Jul 8

Lots of talk on ‘AI in trauma outcome prediction’. Old papers worth reading. 25y ago we showed that the strongest predictors (eg head injury severity) are linear with mortality and ‘dominate’ any non-linearity in weaker predictors. So little AI advantage. journals.lww.com/jtrauma/abstra…

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Tim Coats@TJCoats · Jun 29

40y reunion ‘class of ‘85’ reflections. Good stuff: Rid of 1 in 2 rotas. No more ‘prospective cover’. Hours > 40 paid at more than 1/3. Senior bullying no longer normal. Bad stuff: Loss of the ‘firm’ structure 5x as many students. Targets Misused guidelines. Managers ‘control’

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