A bit of discussion recently about the role of metaraminol as a vasopressor in the critically Ill. Many have correctly pointed out a lack of evidence. If you’re interested in learning more I direct you to this absolute work of art by Deranged Physiology: derangedphysiology.com/main/cicm-prim…

If only I could get the company to invest this money elsewhere 🤭 🦕🦕

Horrendous events in Seoul overnight. Across London Trauma System we have many friends and colleagues in Seoul and the Korean Trauma system. Hard to comprehend what it was like/is like. How do you do triage when everyone is in cardiac arrest?? bbc.co.uk/news/live/worl…

Lots of discussions regarding CPR in multiple casualties scenarios Crush = Hypoxia CPR and ventilation are the life saving intervention to these preventable deaths - those on the ground were doing the right thing Rapid distribution of ‘dead’ tags helps no one in this situation

Empathy following a disaster - a short 🧵 1/ I’m sure, like me, many of you have seen the news from Seoul and struggled to comprehend how hard it must be for families, survivors and first responders such as paramedics, police and trained bystanders.

This is absolutely one of the reasons for the ‘CPR if resources allow’ in our new ten second triage tool. Preventable causes of death such as compression / crush / traumatic asphyxia eg at hillsborough which could be amenable to CPR if performed rapidly (and safe to do so)

The beginning...? bbc.co.uk/news/health-63…

In the latest ep of #TheDebrief host Stuart Cook is joined by Chief Allied Health Professions Officer Dr Martin Chadwick. The pair discuss Martin’s views on Paramedicine and how he can support paramedics within Aotearoa from his role within Ministry of Health - Manatū Hauora paramedics.org/podcasts/

Care to learn about other services and the global critical care community? This is a great opportunity to hear from some truely legendary speakers! AUT Paramedicine Hato Hone St John

Read our media release in response to Sunday's Grattan Institute report at paramedics.org/news/paramedic…

Less than 2 weeks till the first International Critical Care Symposium. Paramedics leaders from Australia, New Zealand, S Africa, Canada and the UK describing paramedic practice, challenges, scope and education in their region! Genuinely inspirational speakers!

Hans Huitink Paramedics used to be proud of intubating in the car, narrow hallway, on the garage floor, etc. We are now proud of mastering the skill of creating the optimal environment/position despite some challenges.

Group discounts are available for @theresusroom courses theresusroom.co.uk/courses-events/

Excellent share ParamedProf is at paramedprof.bsky.social Tim Harrison I wonder if you ever had polar bears in your helicopter? Jørgen Melau 🐻‍❄️ Fascinating to learn that an anaesthetic doesn't only affect human thermo regulation

I think I might need a trip to Spain to update my simulation skills 🤔

Worth a look if you’re wanting to move to a cool country and work in a whirly bird 😁 I hear their new clinical directorate team ain’t half bad either 🤔

A "rate-and-wait" strategy with next-day follow-up instead of ED cardioversion is safe, and reduces ED/hospital LOS and admission rate for patients presenting to ED with uncomplicated atrial fibrillation EMA Journal Dept Surgery & Critical Care University of Otago OtagoCHCH onlinelibrary.wiley.com/share/6SNQQKRE…

I'm excited to share that Fractures.app is available today free for iOS and Android devices! Just tap the bone and fracture pattern and get instant recommendations on immobilization options, instructions for splint application and important management pearls.