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Dr Thomas Shanahan MRCEM

@tshanahan0584.bsky.social

840 followers 1.4K following 190 posts

ED Research Registrar (PGY8) at Royal Perth Hospital | Affiliate Researcher at Monash University | Major trauma & EM research. Husband🏳️‍🌈🇮🇪🇬🇧 views mine

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Aug 11

Really happy with outcome of ROPL application for U.K. EM training towards FACEM training.

TS1 complete, primary exam complete; 3 months TS2; half paediatrics requirement; major referral requirement for core ED; 6 months non-ED.

19 Aug I’ll hear if I got into training

Reposted by Dr Thomas Shanahan MRCEM

Sam Freedman @samfr.bsky.social · 15d

"We have a debt crisis so I've joined the party that was in power for 14 years and under whom debt massively grew."

"Commentator of the Year"

JWexTheSpa @jwsidders.bsky.social · 15d

No-one is surprised, Matthew. Absolutely no-one.

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Reposted by Dr Thomas Shanahan MRCEM

Stephen Bush @stephenkb.bsky.social · 17d

I do think this has been a week in which new levels of 'why don't senior Labour politicians understand we can ALL hear them' have been reached. Why would Andy Burnham do a 'I'm gonna hike taxes on London and the south, you're all rich!' Why would Steve Reed use 'regional politician' as a putdown?

Stephen Bush @stephenkb.bsky.social · 17d

Talking Starmer vs Burnham, Liberal Democrat conference and all that on this week's FT Political Fix podcast:

Does Starmer have a northern problem?

A look-ahead to the Labour party conference in Liverpool

www.ft.com

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Reposted by Dr Thomas Shanahan MRCEM

Adam Gordon MBE @adamgordon1978.bsky.social · 17d

New paper out in @age-and-ageing.bsky.social: Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia. Read it here: academic.oup.com/ageing/artic...

Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia

AbstractBackground. People with dementia who have a fall can experience both physical and psychological effects, often leading to diminished independence.

academic.oup.com

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 21d

Happy to have my TS2 rotations confirmed for next year - 9 months MMC Clayton ED and 3 months Casey anaesthetics. Now need to just find a place to live.

Reposted by Dr Thomas Shanahan MRCEM

Ryan Radecki MD MS @www.evidencetriage.com · 23d

Nau mai, haere mai.

www.govt.nz/browse/immig...

Work that leads to residence

If you’re 55 or younger and want to live in New Zealand (NZ) permanently, you can apply for a resident visa, or a work visa that leads to residence after working here for 2 years.

www.govt.nz

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Reposted by Dr Thomas Shanahan MRCEM

LKS for NHS Ambulance Services in England @lksase.bsky.social · Sep 1

What Factors Could Create a More Comfortable Waiting Experience for Patients on Emergency Department Ramps? A Scoping Review - Binnie - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library

Ambulance ramping is the situation where patients who arrive by ambulance are forced to queue for access to an emergency department (ED) cubicle. Despite efforts to address the problem of ambulance r...

onlinelibrary.wiley.com

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Sep 6

An interim care plan model of care for direct inpatient admissions

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Sep 12

Empiric antibiotics for acute pyelonephritis

doi.org/10.1111/1742...

#OpenAccess

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · 29d

The relationship between the duration of transfer and the risk of in-flight deterioration in aeromedical trauma patients

#OpenAccess

doi.org/10.1111/1742...

@wiley.com @emfoundation.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · 24d

ED headache patients without neurological features who are diagnosed with a serious secondary headache cause

#OpenAccess

doi.org/10.1111/1742...

@wiley.com @gkeijzers.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · 23d

The Gendered Double Burden in Emergency Medicine

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

Stephen Bush @stephenkb.bsky.social · Sep 10

A debate Labour badly needs to have:

Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful

Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform

www.theguardian.com

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Reposted by Dr Thomas Shanahan MRCEM

Ian Dunt @iandunt.bsky.social · Sep 10

It's possible that something good has come of the Rayner affair. There is such an urgent need for this conversation in Labour right now, for some kind of beating heart to the project - a memory that it does actually have values it is prepared to fight for www.theguardian.com/politics/202...

Labour must champion inclusivity to tackle advance of far right, says deputy leadership hopeful

Exclusive: Alison McGovern says party needs emotive storyteller to fight against division promoted by Reform

www.theguardian.com

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Reposted by Dr Thomas Shanahan MRCEM

Norm Ornstein @normornstein.bsky.social · Sep 8

Read @jilldlawrence.bsky.social!

www.thebulwark.com/p/shocking-i...

Here’s a Shocking Idea: Democrats Don’t All Have to Sound Alike

Four candidates in wildly different races show the value of being yourself.

www.thebulwark.com

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Sep 8

Cost of training is one thing to factor in with any move of country.

U.K. was pretty high. But wildly high in Australia and only going up and up.

I guess you can get some back on tax in a year 🧐 🤔

Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Sep 6

Patients who leave without being seen

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Sep 6

www.abc.net.au/news/2025-09...

Tough winter in WA, not helped by poor IT and infrastructure

Senior doctor warns WA emergency departments run like 'disaster situation'

A senior WA emergency department doctor describes his workplace as running in a "disaster situation", struggling within a health system which has an "unhealthy fixation" on ambulance ramping.

www.abc.net.au

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Sep 5

Voluntary erasure from the GMC medical register granted ✅

Pretty painless TBF and no only money to one regulator as it should be

Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Sep 3

Oh my goodness Rick, this is terrible. Violence and aggression in ED against staff is endemic.

Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Aug 29

Very pleased to have two abstracts accepted for poster presentations at ACEM annual scientific meeting on the Gold Coast in November.

One is on high vs low energy major trauma in the U.K. The other is on resuscitative hysterotomy in ED in pregnant trauma patients at RMH

#ASM2025

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Reposted by Dr Thomas Shanahan MRCEM

LKS for NHS Ambulance Services in England @lksase.bsky.social · Aug 22

Evaluating the Introduction of Humidified High‐Flow Nasal Cannula Therapy Into an Australian Aeromedical Service Within a Paediatric Population: A Retrospective Cohort Study - Yap - 2025 - Emergency Medicine Australasia - Wiley Online Library onlinelibrary.wiley.com/doi/abs/10.1...

<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online Library

Introduction Humidified high flow (HHF) oxygen is increasingly used to treat acute respiratory illnesses in children; however, use during aeromedical transfer is not well described. Methods This w...

onlinelibrary.wiley.com

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Aug 23

Low Back Pain ED presentations by Remoteness and Socioeconomic Status
doi.org/10.1111/1742...

#OpenAccess

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Aug 23

Using the PREDICT Guideline Algorithm for Risk Stratification of Head Injuries in children

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Reposted by Dr Thomas Shanahan MRCEM

EMA Journal @emajournal.bsky.social · Aug 23

Emergency management of the trauma patient
#TraineeFocus

doi.org/10.1111/1742...

doi.org/10.1111/1742...

doi.org/10.1111/1742...

doi.org/10.1111/1742...

@wiley.com
#MedSky #EMSky #EMedSky #emimcc #ACEM

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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · Aug 19

Very happy to receive notification of my selection into the #FACEM training program starting in Feb 26.

With ROPL I will be starting as a TS2 trainee with 39 months of training remaining.

Can’t wait to get back on the #emergencymedicine training journey at Monash Health ED.