Median time from injury to TCA (tamponade) 11 mins, but there is a window to intervene in this system (on scene 20 mins post injury). Survival 52% (tamponade) if RT at point of TCA or within 1 minute!… not a treatment for exsanguination in this cohort jamanetwork.com/journals/jamas…

Resus Rethink Halden Hutchinson-Bazely's thought-provoking talk on the physiology of resuscitation from TBS25 in Zermatt. youtu.be/cL6_ah-yNN4?si… via YouTube #JEVTM #REBOA Please share.

The #PhysicianResponseUnit End of Life Care pathway helps support this cohort of patients and answers many of the suggestions in this article #CommunityEmergencyMedicine ⁦Barts Health⁩ ⁦London Ambulance Service⁩ ⁦London's Air Ambulance Charity⁩ bbc.co.uk/news/articles/…

🙌🏽🙌🏽You are cool Ken Milne MD #incrementum2025

Very excited to have been published huge thank you to the coauthors for their input and Ahil Dushianthan for his expertise. doi.org/10.3390/diagno…

🚨 New: Best Practice Guidelines with the National Poisons Information Service (NPIS) - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department. ⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: rcem.ac.uk/clinical-guide…

Launch Day! Endovascular Cardiac Arrest Team (ECAT) London's Air Ambulance Charity in collaboration with Barts Health & London Ambulance Service - #ECMO-CPR #Resuscitation

Very sad to hear of the passing of Professor Douglas Chamberlain. He was the founder of the paramedic profession, changed cardiac arrest management with defibs and founded the Resus Council UK. How the Emergency services work currently is down to his work and implementation. RIP

Can emergency thoracotomy save lives in resource-limited hospitals? A Cape Town study shows promising survival outcomes, 24% to hospital discharge! Saint Emlyn's stemlynsblog.org/emergency-cent…

Great to see this published in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 TLDR - Stylets best for hyperangulated VL intubation Dynamic bougies next best Standard bougies worst Effects more marked when difficulty increases Manikin studies are often criticised, but may in some cases be the optimal design.

Excited to share our new publication on pre-hospital life-saving intervention timings in mass casualty incidents, now out in SJTREM. Thanks to my supervisors Karim Brohi & Elaine Cole, and to London's Air Ambulance Charity & ehaatClinical for supporting the simulation work sjtrem.biomedcentral.com/articles/10.11…

NephroPOCUS The true skill of medicine is knowing the trial results (which are correct for the average patient fitting the trial inclusion criteria) and deciding how to apply this information to the individual in the bed- who may not be average or fit the trial inclusion criteria.

armyemdoc This study is interesting.. But I must admit one thing, Even before this study.. I go for 12 mg as initial dose if: 🚨Caffeine use in 4 hrs 🚨Obese patients (>90 kg) I changed practice after this beautiful blog / from ALiEM👇 ( since 2012 !!!) aliem.com/is-6-12-12-ade…

Essential cardiac arrest listening - HEMS Debrief podcast from SydneyHEMS where Natalie Kruit and Paul Rees discuss diastolic blood pressure targets amongst other physiological principles podcasts.apple.com/au/podcast/pod… sydneyhems.com/2025/06/10/hem…

Pleased to say we’ve done over 100 thrombectomies since starting 24/7 3 months ago with 40% done outside normal working hours. We’re on course for 350-400 cases by the end of the year. The next steps are improving transfer times and improving TIA and community rehabilitation.

🚨🚨🚨 Just published journals.lww.com/jtrauma/abstra… Journal of Trauma and Acute Care Surgery Review of REBOA in combat casualties on behalf of NATO

The Defence Medical  Services today announced the establishment of the Paramedic Cadre, which for the first time recognises a formal paramedic profession within the Armed Forces. Read more below 👉 bit.ly/40JLO3h

📢 New National Pre-Alert Guideline RCEM and The Association of Ambulance Chief Executives have released a new national guideline to standardise pre-alert calls between ambulance services and EDs. 📄 Full guideline available now: tinyurl.com/rcemAACE ✅ Updated criteria for pre-alerts ✅ Use of ATMIST

heidi edmundson GMC Royal College of Emergency Medicine EMTA We have failed to define the specialty and in doing so protect us and our patients from ever expanding expectations imposed by others that are tangibly growing further from the achievable. That is a fire startlingly recipe for exhaustion and burnout.

Exsanguinating🩸haemorrhagic🩸shock due to major trauma causes 1.5 million deaths globally every year. Samy at TBS Zermatt shared tools to fight against exsanguination!🚁 📺 Watch here: youtu.be/4u6R6wiW1HQ?si… 🧠 Let’s discuss the latest evidence together!!