Jason Horan
@jasonhoran
Emergency Medicine consultant in the West of Ireland. Interested in ICT / cryptography. https://mastodon.ie/@jasonhoran https://bsky.app/profile/jasonhoran.net
More good news! Another government is freeing itself from tech giants and vendor lock-in. The Danish Ministry of Digitalisation is dropping Microsoft Office/365 and moving to #LibreOffice, to get back control: blog.documentfoundation.org/blog/2025/07/0…
Another indictment of disability services in Ireland. Specifically for speech and language therapists, only 25% of time spent delivering therapy to children. It seems that the purpose of the CDNT is to avoid delivering therapies to disabled children. rcsi.com/dublin/news-an…
Drug-induced hyperthermia is a emergency. Learn how early sedation and rapid cooling can save lives in this EM/PHEM-focused clinical review. #FOAMed stemlynsblog.org/jc-illicit-dru…
When I woke up this morning to read a headline on @rtenews like this, it made it clearer to me why there is so little problem solving taking place in the @HSELive. It is a good thing that this information is publicly available, the website is here: transferofvalue.ie It…
Drug firm payments to professionals widespread - review via @RTENews rte.ie/news/health/20…
Another one out yesterday. In fairness being able to unsubscribe to these mindless mailing lists would be excellent. @MetaCompliance @HSELive #OoCIO. @CianSOBrien #FakePhishing @KavanaghMick
Pain doesn't last forever Renal failure does NSAIDs tablets like voltarol when running marathons can cause renal failure.
An increase in children requiring mental health treatment leads to longer CAMHS waiting lists when the Minister responsible fails in their duty to increase capacity. When will these clowns realise that the buck stops with them? rte.ie/news/politics/…
Long thread I actually hate World Autism Awareness Day I used to love it I was so proactive They told us ‘super parenting’ was the way to go Be the psych, the slt, the OT advocate for your kid, protest, write, ring I did it all I was involved in a support group,set up another
How we use the internet is largely shaped by a handful of US-based tech giants. US gov't surveillance laws allow them to demand access to your data without your knowledge or a warrant. Read the thread below for the list of European alternatives that put your privacy 1st. 1/16
"The State has spent almost €8m in five years on legal cases taken by parents fighting for an assessment of needs for their children." Ireland spends a fortune to NOT provide services to Irish kids with disabilities. independent.ie/irish-news/hea…
I wonder what I can get for being given this 'view.' BTW, yes, there are coat hooks on the exterior wall immediately outside my window. Zero natural light or the ability to open the window to ventilate. theguardian.com/money/2025/mar…
Are you using oral ketamine and midazolam for pediatric sedation? I've been doing this for years without much data. I'm glad to see more data coming out on this method. Their protocol: PO ketamine 6mg/kg, max 200 PO midaz 0.5mg/kg, max 15 This works great because it safely…
Listen to this termination of resuscitation… which is how it should happen. There are several things to note that Dr. Robby from The Pitt did here that are spot-on. 1. He, in no uncertain terms, told her parents that her cardiac arrest was non-survivable. This is not the time…
When did Carter start cursing. And what would his Gamma think??? #typecast Very valid points raised in the post though, which equally apply to practice in Ireland.
ED boarding is when a patient is admitted but physically remains in the ED. Unlike the floors or ICUs, there is no "capacity" in the ED. While nursing ratio recommendations exist, there is no method to enforce it given the nature of EM workflow. Is ED boarding really as big of…
Should we be routinely ordering screening laboratory studies before admission to psychiatry? The good news is there is a fair bit of data on this topic, including multiple systematic reviews. The short answer is: no. The several studies that have evaluated this topic have…
Colleague from @MayoVacCentre #EmergencyDepartment and @Full_Health Ann Shortt speaking at the @Arab_Health conference in #Dubai on Monday about harnessing actionable data in healthcare to improve longevity and prevent development of disease.
🎉EDEL:2 ! PUBLISHED! @jamesfoley273 @timburgD @drconordeasy @saemasaeed @marymountcork Does it again! our study on emergency clinician perceptions of end-of-life care in Irish EDs is now in @emj_bmj! 📚✨Check it out: emj.bmj.com/content/early/… Huge thanks to ALL Site leads!
One of the best strategic administrative maneuvers is requiring frontline staff to submit incident reports through a cumbersome online portal. This is a great example of designing in complexity thereby discouraging staff to report issues...hence less issues to deal with...
Two suggestions to improve productivity @HSELive: 1. When the HSE appoints a consultant, also consider appointing enough staff, and providing enough space, to enable the consultant to actually work. e.g. secretarial support, clinical nurse specialist support, outpatient clinic…
New HSE unit charged with assuring ‘productivity’ @IRLDeptPER @HSELive @roinnslainte @Slaintecare @IMO_IRL @Slaintecare #hse #slaintecare medicalindependent.ie/in-the-news/ne…
As we winter deepens some advice from an aging Emergency Doctor about how to keep going, sometimes smiling and very occasionally thriving 1, Control the controllable—health policy and funding are not your responsibility, and you do not need to feel guilty or responsible for them
The Government’s ‘Plan for Change’ has failed to deliver a plan and significant change to future-proof Emergency Medicine which is facing one of the most difficult winters yet. It comes as new NHS England data reveals the healthcare system is going into winter under more…