Toby Edmunds

Senior Fellow post (12 months) at The Air Ambulance Service @CEairamb. Come join our amazing team! …ambulanceservice.talosats-careers.com/job/833989

@EastAngliAirAmb PHEM Senior Clinical Fellow recruitment: start dates Feb 2027 and Aug 2027. If you’re looking for high-acuity prehospital practice with a strong clinical governance, education, and research culture, do have a look - and pls share :) tinyurl.com/EAAASCF

@EMManchester Hugely important work !

Fantastic work on a really topical issue in cardiac resuscitation. Coronary Perfusion Pressure (and DBP) appear to be a factor in ROSC.

🔴 Resuscitation - Redefined. 🔴 Designed for specialist clinicians who demand more, ATACC SPEAR takes cardiac arrest care far beyond ALS, and to the very edge of current knowledge and techniques.  This immersive, three-day programme focuses on individualised, physiologically targeted resuscitation, equipping you with the skills, insight, and confidence to optimise ROSC and survival in the most challenging cases. 🔹 Highly practical, hands-on learning 🔹 Endovascular monitoring & therapies during cardiac arrest 🔹 Advanced high-fidelity simulation 🔹 Leadership & team dynamics for high-performance resuscitation 🔹 Mechanical CPR, modern defibrillation & ventilation strategies 🔹 Introduction to ECPR 🔹 Latest equipment, technology, and evidence Delivered by a world-leading faculty, ATACC SPEAR integrates international guidelines, cutting-edge research, advanced arrest physiology, and critical care expertise into what we intend to be regarded the most advanced cardiac arrest resuscitation course ever available. The course progresses from gold-standard conventional resuscitation to complex, real-world scenarios that challenge decision-making at the limits of care. Proudly supported by the EVTM Society (Sweden). ⚠️ SPEAR is not for beginners. It is for specialist clinicians ready to redefine what is possible in cardiac arrest resuscitation. 👉 Limited places available. Secure your place now! 🔗 f.mtr.cool/refblzfifp

RCEM is seeking a new Chair or Co-Chair for the Pre-hospital Emergency Medicine Sub-Committee! Lead, inspire, and shape PHEM standards across EM. Apply by 31 Jan 2026: tinyurl.com/PHEMCoChair More opportunities: tinyurl.com/RCEMJoinUs

@theortusgroup @ArcheonMedical Really interesting

New real-world study (Louis-Pasteur Uni, France) shows EOlife ventilation triples 30-day survival with good neurological outcomes (CPC1: 10.4% vs 3.4%) in out-of-hospital cardiac arrest. 🔗 Full analysis: bit.ly/44x2Bse @ArcheonMedical #Resuscitation #Ventilation

@btinleicester @PemburyDoc @RCEMPolicyVP @sib313 @nervecentrehq EPR delivery is fascinating as the system is less important than clinical engagement. Engagement with change across a whole organisational spectrum is the key. Sounds like it’s working amazing at UHL.

@PemburyDoc @RCEMPolicyVP @sib313 @nervecentrehq Paperless medical and nursing notes now for last 18 months - now faster and safer since your last visit. Dental abscess presenting at walk in - under 3 min for clinical photography, ereferral to max fax, eMeds, order comms bloods + opg and clinical noting + nursing tasks

I suspect that this translates to "our internal systems have broken because we fucked up the new EPR implementation" not that too many patients turned up.

@casualtysrus @EMManchester @ICUltrasonica @NHSmallwood Same this was an amazing group of experts to work with !

It was a privilege to be involved and to share the space and conversations with @emccdoc @EMManchester @ICUltrasonica @NHSmallwood etc. A true multi-disciplinary approach to PoCUS. James Sen led & marshalled us so well. Hoping for future collabs & a unified POCUS group in the UK!

"I know many of my colleagues are dreading what winter will bring for us and for our patients" @RCEMpresident Dr Ian Higginson responds to the latest Emergency Department performance data from @NHSEngland for September. It revealed 133,682 people waited 12 hours or more in that month alone. That's 11,125 more patients who experienced this wait when compared to July.

National Organ Donation week - please speak to the team at PCH @NWAngliaFT @NHSOrganDonor #OrganDonationWeek

@EMManchester @RCollEM Awful injuries

HF burns are awful. Greg reviews the evidence for emergency preparations.... (bottom line - don't use them)...... and whilst you're at it check you have all the @rcollem antidotes available in your dept (links in Blog). stemlynsblog.org/hydrofluoric-a…

@salmannaeem217 @cianmcdermott @NWAngliaFT @PeterboroughEM @ButterflyNetInc That’s how we are using them currently as well as their other functionality - some teething issues but works well

@emccdoc @cianmcdermott @NWAngliaFT @PeterboroughEM @ButterflyNetInc Would be great to hear about your experience of them. This maybe a cheaper alternative for bigger machines used for PIVC and bladder scans

Exciting day @NWAngliaFT in the @PeterboroughEM as we start introducing new @ButterflyNetInc devices roll out for use in multiple areas of the department with the aim of improving flow and care for patients as well as training for staff 💪 soon to come to acute med as well!!

@cianmcdermott @NWAngliaFT @PeterboroughEM @ButterflyNetInc This one is from Butterfly direct I haven’t found a cheaper one … yet

@emccdoc @NWAngliaFT @PeterboroughEM @ButterflyNetInc Hi Toby - what stands do you use for the @ButterflyNetInc dispaly devices? Thx

@Islaxmcsherry @DevonAirAmb @ButterflyNetInc Amazing :)

@DevonAirAmb Thankyou for the invitation to talk about Butterfly 🦋 🚁 @ButterflyNetInc fantastic to meet such a fantastic group of clinicians and see #ScanLab for cardiac, #NeedleViz and Biplane in action working on vascular access stations!

@KingsCollegeNHS @OUHospitals @emccdoc @NWAngliaFT @EastAngliAirAmb @GSTTnhs Dr Nadia Al-Chalabi outlining the emerging themes to solutions for non-cardiology echo teams: Acute medical service ✨ #BSEEmergencyEcho

@phemDM @JDF_Keswick @Obidoc @phemDM and others solidly included my mentor list ! Thank you

@emccdoc @JDF_Keswick @Obidoc Am sure all your hard work is appreciated Toby. You’re an excellent mentor and educator and have worked tirelessly to help others achieve their goals.

Makes me feel very proud to see colleagues who have also become excellent friends achieving their goals and dreams having supported their journey on the way - amazing privilege to educate and mentor - nice to pass on the kindness @JDF_Keswick @Obidoc and many others !

🧠 Meet the speakers for our upcoming webinar on #EmergencyEcho! 💚 Ms Bex Parsons-Simmonds, Lead Crit Care Echo Specialist @CV_UHB 💚 @emccdoc, Cons in Emergency Med, Crit Care and Pre-hospital EM @NWAngliaFT and @EastAngliAirAmb Book your place now 👉 ow.ly/PETW50WxbqL

@alistairsteel @Assoc_Anaes Completely agree it’s not the delivery of the intervention in context of skills or knowledge it’s resource pressure that is the major difference. Acute hospitals have lots of complex pathology often undifferentiated via acute presentation.

@Assoc_Anaes (Side note - do we need to call them “DGH’s”? They’re acute hospitals. They may be smaller and may be rural, but “DGH” is a term from the 90’s that is often used to be derogatory.) Biggest challenge is we haven’t the range of specialist resources that big “tertiary centres” have

Managing paediatric anaesthesia in a District General Hospital (DGH) setting presents unique challenges. Poll: What’s the biggest challenge in paediatric anaesthesia at DGHs?

@PBSherren @ChrisKeeliher Love this thread as it’s so similar to my thoughts, the CCSV route in particular is really interesting !

Could US guided primary survey and incorporation of CFA Vmax be helpful for identifying adequate flow with CPR, subphenotype PEA and early ROSC identification. Fixation on intra-arrest iBP without any appreciation of flow maybe too simplistic. Great work by @ChrisKeeliher on this

Brilliant few days exploring complex cardiac arrests/medical critical care @ehaatClinical. Focus on individualised management strategies predicated on more precise pathophysiology. Great to have @theortusgroup along to explore the role of CCSV & CPR arm depth/rate/AMC adjustment