Vicky Komrower/Price. now [email protected]
@VickyKomrower
Wonderfully lucky wife and mum to 3 angels. Love being an acute physician AKA Dr Price at LUFT! Proud to be President elect for SAM (society for acute medicine)
Ooh. This looks good! Sadly I’m on a long day. Let me know if there’s an option to watch back. Great idea. 👏👏
Journal Club @acutemedicine THIS WEDNESDAY! I'll look at the evidence for VTE prophylaxis - and what we can learn as our care pathways change I'll present our work from SDEC - looking at VTE risk as a 'Hospital acquired VTE' Then you decide what we do about the results...
Corridor (lack of ) care is degrading and as RCEM have evidenced - associated with an increased mortality. Thanks @RCPhysicians for highlighting. medicalcare.rcp.ac.uk/content-items/…
So much lovely feedback for the immunotherapy podcasts! Agree they are so helpful. If you’ve not yet listened, they are on Spotify, Apple and lots of other media. Or just head to our website acutemedicine.org.uk/blog/learning_…
So proud of the @acutemedicine ecoSAM team for this fabulous piece of work
@acutemedicine’s Hot Weather Health Plan has advice for clinicians to: 🔵work safely during hot weather conditions 🔵know who is at risk and adapt individual care plans 🔵be aware of medication risks 🔵know how to treat heat-related illnesses 🔵share advice with patients from…
It’s hot out there! If you want advice on how to manage patients check out our guidance. Also - register for our upcoming webinar acutemedicine.org.uk/sam-events/sam…
As heat health alerts are issued across many parts of the country today, we welcome timely new guidance from @acutemedicine to support health professionals management of patients during extreme heat - check out the Heat Health Plan here >> acutemedicine.org.uk/blog/2025/06/1…
Brilliant work from EcoSAM 👏
Society for Acute Medicine @acutemedicine has published a clinical climate adaptation plan! Including medicines 💊to review during heatwaves ☀️ acutemedicine.org.uk/wp-content/upl…
Feeling inspired by visiting 2 amazing acute medicine units ( SASH&Frimley). Wonderful teams and real understanding of what acute medicine is. So important as a specialty that we own our identity and our home( AMU). Thanks for the warm welcome and great discussions!
Seriously concerning.
The NHS in England is planning "previously unthinkable" cuts to try to balance the books, health bosses say. Services including diabetes care for young people, rehab centres and talking therapies are in the firing line, according to NHS Providers bbc.co.uk/news/articles/…
I'll admit to being a bit surprised at how closely correlated this back door indicator is with this front door indicator. Like a lightning conductor! @mancunianmedic @nickscr1 @VickyKomrower @WhebleMJ @beans2er @dr_allancameron @DrLKVaughan @acutemed2 @jmwoods87 @fourhourtarget
This is the graph I'd be looking at if I were the Cabinet Secretary for Health and Social Care. It looks as if NHS Scotland can 'cope' with fewer than 1,500 delayed discharges. Any more than that and the system falls over... @neilcgray
Loving #samonthecam Once again a SAM conference that re-inspires and reminds us about the joy of the job. Also love meeting new people who also love acute medicine. 😍
This is so important. We need urgent action on this. There is clear data ( thanks to RCEM) that equates to lives lost for these patients. Some of the 4 hour improvements are made by shifting patients into “off clock” areas which can then worsen 12 hour stays.
The 12 hour stays are ummm 😢 We need the same focus and operational grip on 12 hour stays as we do for 4 hours. Last year 4 hour performace improved, while 12 hour worsened. The greatest harm occurs in the 12 hour stays
A sad but familiar story. Frail patients stuck in corridors and “make shift” areas within ED is the norm. We need truthful data that tells the whole story for all of our patients. The patients lodged in ED are often the most sick and most complex and vulnerable.
news.sky.com/story/hospital…. But don’t worry, we (nearly) achieve a 78% performance against the 4hr standard. 🙄
Acute medicine as a career? Have a read!
For those who got ST4 Acute Medicine offers today and are on the fence whether they should go ahead, give this blog by Zack Ferguson a read ! takeaim.org.uk/2025/04/17/an-…
More fabulous work by @NHSmallwood and POCUS pros!
Pretty chuffed with this work. We show that having POCUS trained clinicians performing and reporting scans as part of acute care leads to a dramatic reduction in departmental radiology requests. We help not hinder! More reasons to embed this in daily practice where possible...
We see this daily on the acute take. Left to a corridor conversation in a time of crisis. Ongoing great work by @AshlingLillis and team 👏
People with cancer who have emergency admissions are are at a very high risk of death - why aren’t we talking to people about this before, during or after an AO admission? @macmillancancer & @UKAOSociety asked oncologists and non oncologists why. sciencedirect.com/science/articl…
A picture says a thousand words. Or one. “Flow”
Last week I did a lot of messing around with line charts and scatterplots to try and show how Acute Medical Unit (AMU) length of stay has changed over the last few years. I think I just needed to draw two boxplots. @VickyKomrower @DrLKVaughan @dr_allancameron #rstats #ggplot2
Not just tips for new docs! All docs need to abide by this!
#TipsForNewDocs Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it. #kittlesonrules
Sub dural, appendicitis, leaking triple A just a few of the things I’ve seen recently erroneously diagnosed as UTI.
A positive urinalysis is not a UTI. Please for the good of society can this be properly taught in all medical training programs?
A positive urinalysis is not a UTI. Please for the good of society can this be properly taught in all medical training programs?