#SJTREM #12days On the 3rd day of Christmas we have this paper on #intubation success by paramedics after a multifacitated #QIP > FPS significantly improved! buff.ly/3RDEm4l #CriticalCare #transfer #PHEM

This week London Trauma System System is publishing our Palliative and End of Life Care in Older Trauma Patients best practice guidance. Please share widely! c4ts.qmul.ac.uk/downloads/lmts… Key Principles: All healthcare professionals involved in the care of older trauma patients have a

#SJTREM #12days On the final day of Christmas Richard Lyon Air Ambulance Charity Kent Surrey Sussex & the team created a data-driven algorithm to support the clinical decision-making of patient #extrication following a road traffic collision. Read the piece via- buff.ly/3TeKp1T

Here are some of my favorite hyperkalemia pearls that will help take your understanding of the disease process to the "201" level! And, yes, this ominous banana is meant to be an abstract visualization of the serious consequences of hyperkalemia. Read on! - Thread - 1/18

1/ Today's 🧵 is about the #Sgarbossa Criteria and #Concordance vs #Discordance in simple words. The objective of this post is to clarify any doubts in a simple, graphic and didactic way. #CardioTwitter EKGDX

E-scooter riders leaving the Aus Open will have to take a cognitive test before jumping on in a bid to stop intoxicated patrons. It comes as an RMH study showed 247 riders and nine pedestrians were treated at the hospital in 2022. 34% had been drinking. theage.com.au/national/victo…

Great work from ehaatClinical looking at the cardiorespiratory consequences of our new standard PHEA regime 1:2:2 versus historical 3:2:1. No significant difference across entire mixed PHEA cohort but interesting potential benefit in the trauma subpopulation.

Great to work with Biswadev Mitra Dr. Alexander Olaussen David Anderson & Carly Talarico to bring you a new study looking more closely at whether blood lactate sampling can guide prehospital blood transfusion. Paramedicine Monash University Ambulance Victoria Research Free full text: onlinelibrary.wiley.com/doi/full/10.11…

This has got to be one of the greatest spontaneous air ambulance promo videos, thanks to the #redarrows as our team Lincs & Notts Air Ambulance lift for an emergency call #H29

STEROIDS: 👉Prednisone = Cortisone = Dexamethasone = Hydrocortisone Acetate. 👉5mg = 25mg = 0.75mg = 20mg. 👉Hydrocortisone. * Synthetic version of cortisol. * Short acting, active form of glucocorticoid. 👉Prednisolone/prednisone. * Intermediate acting. * Four times more

This is a MASTERPIECE in digital education. The great Jeff Gadsden takes us through subclavian line placement. A must watch for #medtwitter:

Insightful research from Australia has discovered that patients receiving care through the Police, Ambulance, Clinician Early Response (PACER) model experienced more positive outcomes than those cared for by police or ambulance alone. This study has important implications for

This is excellent news for the paramedic profession and, most importantly, our community

Quick, basic primer🧵- Decompressing a tension pneumothorax A tension pneumothorax is a life-threatening emergency which will lead to death without immediate intervention. Understanding and recognizing one is vital to time dependent intervention. (1/n)

🚨 Are you an experienced, respected paramedic? The Director of Paramedicine is a new role at Ambulance Victoria. You will be the clinical leader for all of our paramedics and will help shape AV’s future as a world leading ambulance service. 🚑 🚁 careers.ambulance.vic.gov.au/jobs/AV-1795826

Ben Meadley Marty Nichols Gary Berkowitz Sam Ainslie @

Letter to the Editor: Outcomes of a ‘de-emphasised’ adrenaline strategy for refractory ventricular fibrillation 🔗 sciencedirect.com/science/articl… #ResuscitationPlus

"Non-invasive blood pressure measurements are often inaccurate in the #prehospital #criticalcare setting" Physiological extremes & transport conditions (e.g. vibration) can affect oscillometric cuff devices. But by how much? Read now on #SJTREM: sjtrem.biomedcentral.com/articles/10.11… #EMS

We just published a pediatric distal femur IO study in #PrehospitalEmergencyCareJournal. This is the first publication demonstrating the success of this site in the pediatric population. A huge thanks to my team at PBC Fire Rescue for promoting and encouraging high quality EMS

Does first-pass success matter as an intubation outcome metric? This study by April et al says yes. Summary: When compared to FPS, every additional intubation attempt confers increased odds of a major adverse event. 2 attempts = aOR 4.3 3 attempts = aOR 7.4 4 attempts = aOR