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@drdebhoury.bsky.social EM as leadership Colin C. Rorrie, Jr. Lecture at #ACEP26

7 leadership habits for EM or anything from @drdebhoury.bsky.social at #ACEP26

Decisions cannot wait for perfect information do the best we can with the data we have and adapt to new evidence @drdebhoury.bsky.social #ACEP26

we shouldn’t be the smartest people in the room, we should work with experts and apply the best expertise #ACEP26

clear, simple communication without jargon, and data *with a story* refocus on what matters — work together to achieve shared priorities @drdebhoury.bsky.social #ACEP26

ER docs advocate *constantly* because we see things first because we have to @drdebhoury.bsky.social #ACEP26

“if I do/don’t do this, will I be able to sleep at night?” @drdebhoury.bsky.social #ACEP26

“know when to call the code” @drdebhoury.bsky.social #ACEP26

we need federal public health, we need leadership from physicians & institutions @drdebhoury.bsky.social #ACEP26

we can’t just restore, we need to rebuild stronger & better @drdebhoury.bsky.social #ACEP26

inspiring talk from @drdebhoury.bsky.social at #ACEP26

audience member asks about potential hope in partnering with MAHA to advance public health: @drdebhoury.bsky.social : the MAHA *people* are generally reasonable (<10% are antivax) but the MAHA leaders are conflicted (selling supplements etc) or lying about data (RFKjr) [para] #ACEP26

@arjunvenkatesh.bsky.social on all things boarding- why the ED is busy it’s hospital capacity (also related to nursing home & hospital nursing staffing) #ACEP26

ED crowding / boarding results from hospital o & health system dysfunction and lack of capacity (flow) it is NOT low acuity patients ED wait times have functionally replaced the Ottawa ankle rule @arjunvenkatesh.bsky.social #ACEP26

all sorts of factors in ED boarding and outcomes @arjunvenkatesh.bsky.social #ACEP26

ambulance diversion doesn’t help ED boarding, hurts patients physician in triage: some minor improvements with low acuity patients, LWBS but *worse* boarding @arjunvenkatesh.bsky.social #ACEP26

split flow helps patients get seen but doesn’t help boarding hallway care gets patients seen but with worse care, worse boarding @arjunvenkatesh.bsky.social #ACEP26

building more ED spaces doesn’t help ED LOS flow smoothly, ie surgical schedule smoothing, is great if you can convince surgeons to operate on Fridays / weekends, and the infrastructure for it (eg more transporters on weekends) @arjunvenkatesh.bsky.social #ACEP26

if you use ED obs really well (avoiding inpatient admissions) they can help boarding in practice it can be a lot of hospital-based outpatient care (eg specialty consults, imaging) that could be outpatient if the outpatient system worked @arjunvenkatesh.bsky.social #ACEP26

inpatient discharge lounges have face validity and should work but are understudied @arjunvenkatesh.bsky.social #ACEP26