Richard Biram (@RichardBiram) header
Richard Biram (@RichardBiram) profile picture

Geriatrician. Peri-ops. Mainly re-tweeting medical things. BGS England Council Chair

Cambridge, England
Joined September 2011
Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)Photo by Richard Biram (@RichardBiram)
Prof Whitty giving a keynote speech at #BGSConf
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Richard Biram retweeted
Giving intravenous iron to patients with anaemia before heart surgery reduces the need for a red blood transfusion and results in an extra day at home in the first 90 days after surgery, finds a clinical trial published by The BMJ bit.ly/4ijjmyN
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Waking from anaesthesia into blur and silence is disorientation by design. Glasses and hearing aids should travel to theatre with the patient and go back on as they wake. Cheap, kind, protective. #periop #delirium
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Richard Biram retweeted
Andy Burnham, "I've had experience of trying to give care in 15 minute slots because that is what councils say that is all they can afford" "It's fine if the needs are moderate and you can complete the task in that time slot" "But what if they're not?" "What if the needs are moderate or severe and you try and do everything within 15 minutes" "I can tell you from experience, that can be a recipe for chaos" "And it leaves the staff in a difficult position, because they are told if they have a problem and cant complete what they're doing, ring 999" "That can be a really frightening experience. Because it often isn't the case that that person needs hospitalisation. You can say its the worst place they can end up" "But once that process is under way its very difficult to stop the drag of the system into hospital and everything that comes from that" "That's worse for the NHS and the staff who work there as well. It's a lose lose situation" "Because often people spend a long time A&E, a long time in hospital, then fit to be discharged but can't be discharged, it just is a pressure the NHS struggles to meet" "Today 6 million people over 65 are going to A&E every year" "In 2010 it was 3 million" "Last month 13,600 were medically fit to be discharged but couldn't be" "3,000 people every single day receive corridor care" "They used to be in winter pressures, but they're year round now" "And staff in the NHS are trying to deal with those pressures every single day" "And there is talk of burnout with NHS staff"
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Richard Biram retweeted
This photo takes me right back. Working as a home carer for Stockport Council. It was my first proper job. A special job. But one of the toughest I've ever done. I know what it’s like to wash someone, cook for them, and make time to actually listen to them before rushing off to the next call with the clock ticking. I know how it feels to graft hard day and night doing tough, physical shifts for wages I struggled to get by on. That's why I've always fought for a fairer deal for social care. And I'm proud we started laying the foundations for change through the Employment Rights Act with the framework for the first ever fair pay agreement for adult social care workers. But that’s also why the Prime Minister's announcement today matters so much. A National Care Service could be genuinely transformative. For decades, governments have kicked this issue down the road because they have seen it as too risky, too difficult and too complicated. That changes today.
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Richard Biram retweeted
I am doing this for my dad and the millions like him up and down the country.
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Prof Dhesi gives a presidential opening speech at the #BGSconf
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Things do not seem the same as when I first joined this app all those years ago.
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The end of an era as Adrian Boyle hands over the reins and I become RCEM president as of Sept 11th. He’s been immense. Big shoes to fill. Thanks to Adrian for his tireless efforts over the last 3 years.
Today marks the beginning of a new chapter for the Royal College of Emergency Medicine as Dr Ian ‘Higgi’ Higginson officially takes on the role of President, bringing years of experience as VP and a strong track record in tackling crowding, promoting sustainable EM, and improving workplace culture. Welcome, President Higginson! As Dr Adrian Boyle hands over the Presidency of RCEM, we reflect on a tenure defined by advocacy, integrity, and unwavering commitment to the specialty. Adrian’s leadership has spanned a period of immense challenge and transformation in Emergency Medicine. From winter pressures to workforce strain, he has consistently championed the needs of patients and clinicians alike. Thank you, Adrian, for your leadership, your candour, and your tireless work on behalf of RCEM and its members.
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Richard Biram retweeted
Good morning everyone. I’m at the #BGSconf this morning talking about delirium. Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3. Delirium increases length of stay, mortality and all complications.
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72 hours to get people/keep people moving or their outcomes drastically deteriorate
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We published seven pages dedicated to preoperative optimisation proven to reduce surgical complications by up to 50% for patients. The pages provide resources for clinicians to support patients to improve their outcomes. View the 7 interventions here ➡️ow.ly/WMVT50VljwR
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Richard Biram retweeted
The future is bright… The future is purple! Join the BGS @GeriSoc
We've come to the last in our series of key achievements, and it's a good one! In the last 5 years, we have seen a whopping 30% increase in membership. Thinking about becoming a member? Find out more: buff.ly/HCRh6ye
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Replying to @GeriSoc
@GeriSoc have published a statement highlighting concerns about the #AssistedDyingBill
Ahead of the second report stage debate in the @HouseofCommons and the pivotal third reading of the Terminally Ill Adults (End of Life) Bill expected on 20 June, we have published a position statement highlighting our key concerns with the bill. buff.ly/I7No4vt
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