Norwegian HEMS clinical study with REBOA in medical cardiac arrest, to increase coronary perfusion pressure and get higher rates of ROSC. Good results, but not published or analysed yet. Jostein Brede #TBS19 #BigSick19

Listen to our hardworking researcher talking about REBOA in OHCA. Jostein Brede ED ECMO Project edecmo.org/51-proximal-ba… @Luftambulansen

I (fortunately) learned that in early anaesthetics training when having urgent really sick patients in theatre and then I learned it again in ICU training many years ago and have used it ever since. #protectyourpatientsfromhypoxia

Why ign is it so hard to get acceptance for specialist care for the sickest most acute patients? Why? #HQCC #HQPHCC #resusspecialist #resusisnotforeveryone #resusisnotacrisis

and if you're really unlucky some goodhearted soul sells you a "crisis manual" and before you know it, you (& your patient) is in it deeper than you can imagine..

Timing of Advanced Airway Placement after Witnessed Out-of-Hospital Cardiac Arrest: Prehospital Emergency Care: Vol 0, No ja tandfonline.com/doi/abs/10.108…

Intubation success rate in cardiac arrest should be >90% first attempt. If can’t achieve that in a particular system, use SGA. #smacc Sara Gray

Chris Poynter Tanya Yes, all people placed on ECMO during CPR are dead, but some don't stay dead. Some go home. Indications are limited and finite. Each jurisdiction should decide if it's willing to spend on this or divert $ to other areas. Here's a local cost analysis: resuscitationjournal.com/article/S0300-…

Sjukvårdens larmcentral: SOS larmar ut många ambulanser i onödan - P4 Västmanland sverigesradio.se/sida/artikel.a… via @p4vastmanland

This is insanely important: medicalbrief.co.za/archives/forge…

After 30 years of cardiac arrest resuscitation research, a few reflection. I think we're on the threshold of substantially increasing survival from cardiac arrest.

Great to be back at Joacim Linde s impressive #prehospitalkurs I get to teach how to make your own simulations. Right now though listening w/ great interest to Per P. Bredmose who with loads of experience, humor (and biased as hell as he disclaimed😊) is talking about resc thoracotomy

Perhaps some of us would benefit by a slightly more moderate approach in our tweets?

NEVER to sick to be retreived.. a matter of skills, experience, tools, platforms and the TEAM. #oslohems

Jumbox Caroline Leech Preload resuscitation with products then safe dose adjusted RSI.

Yet another reason to put the quality of care we deliver under scrutiny?

And then go fast to theatre with the sickest ones.. rebleed is a real danger for the sickest... and triples mortality... Also implications for retrieval.... competent retrieval’s !!!!!!!!!!!

Unfortunately, we see a lot of this in SWE as well. Triage & prority is a resposibility for healthcare services, not prmrly the patient

Motivated pilots do the trick: "Mate, we´ve been here for 15 minutes by now, anything that prevents us from getting out of here?"

Anyone out there have data on how Bergamo is doin with C-19 now? Cnsdrng their hi serology numbers one would hope they have low counts now?