Everyone’s maternal and paternal circuitry activated in this burns scenario involving a crying child at the ehaatClinical #PrehospitalCareCourse2024 everyone including observers clearly immersed Beds & Herts Emergency Critical Care Scheme EEAST Ambulance Service ehaat_

Thank you very very much to everyone who contributed to our prehospital care course last week. What a team! Quite a few tired people for whom we are very very grateful indeed. 🧡

Looking for a version of the MoCA that can be administered over the phone and was reminded of the Impossible MoCA, which is always fun to give to anxious colleagues. "Just a standard test I give to all my patients".

🚨Join us as an Emergency Responder 🚑 ERs are professionals who give up their spare time to respond to life-threatening emergencies in blue light cars alongside EEAST Ambulance Service We’re expanding our team in #HemelHempstead and starting a brand new team in #WelwynGardenCity

One NHS, many nationalities. Huge thanks to every single person who helps keep the NHS going 💙

Amazing systematic review study by Dr. Mike Christian and colleagues suggesting outcome benefit of mixed paramedic/physician prehospital crews. Article: doi.org/10.1186/s13049… Video describing results: youtu.be/mXvwZ1WKxCU

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta…

✨The Tale of the Equitable Resuscitation✨ Once, there was a man who had a cardiac arrest. 🚑 Unfortunately, he lived 20 minutes from the hospital—just too far to be a candidate for ECPR. The end. Already heard it? Let’s talk about ECPR & equity.

🎬 🧵... This is my third and final thread about sodium bicarbonate in critical care 🧂 ☝🏻If you missed the first and second part about 8.4% and 1.3% bicarb, I strongly recommend you to read them before moving on 🏃🏻. x.com/jackdeliuc/sta… x.com/jackdeliuc/sta…

Anecdotally, I think this is a relatively common issue in cardiac arrest care. Take time to perfect the essentials when managing an arrest. Don’t accept anything less. If you’re a team leader, or team member, take time to notice these little things that make the big difference

We’re recruiting! 🚨 Check if you’re eligible to be a trustee here: gov.uk/government/pub… Interested parties please send expressions of interest to [email protected] #BHECCS #Charity #Trustee #Bedfordshire #Hertfordshire

Happy National Doctors’ Day! Our pre-hospital doctors bring the A&E department to the roadside by providing advanced skills & expertise to the most critically ill and injured patients across the region. Thank you for everything that you do! #NationalDoctorsDay #Beds #Herts

are bigger NHS Trusts better than smaller ones? Do mergers improve performance? Nope: strasys.uk/the-value-of-f…

We tend to assume that the reason why it takes so long to treat patients in A&E is to do with the number of A&E attendances. 1/12

Key output from my PhD fellowship has been published in Resuscitation TLDR: 🚨 Prehospital critical care teams were less likely to attend cardiac arrest patients in more deprived neighbourhoods. 🚨 No association with neighbourhood ethnicity 🧵... resuscitationjournal.com/article/S0300-…

🚨 Meet the team: Dr Miles Gandolfi “I get a great deal of satisfaction from volunteering as a doctor for BHECCS, where we provide advanced treatment for critically unwell patients. My favourite part of the job is the fantastic people I get to work with” #VolunteersWeek

Yesterday, we were joined by EEAST Ambulance Service & Herts Fire & Rescue crews for a day of training. The day was a great opportunity to sharpen our clinical skills, improve team dynamics & enhance patient care under pressure Thanks to all that attended & to Zoll for their sponsorship of the day

Mannekin pictures of a cardiac arrest with the pathology as a dilated cardiomyopathy. What is the definitive treatment…? Where should refractory / recurrent VF in this context go for hospital interventions? What novel therapies are available on scene? 🤨

I think I might've found a metric that explains ED exit block a bit better than my previous attempts. The orange scatterplot compares - for each day in the year - ED length of stay (measured in minutes, on the vertical axis) with mean AMU 'movement-adjusted' fullness (arrivals