Ben

UK multisociety consensus statement on the emergency management and resuscitation of patients with left-sided Impella support 🫀Recognition of cardiac arrest 🏥 Team structure 🕵️ Early troubleshooting heart.bmj.com/content/early/…

#ECMO following acute type A aortic dissection repair? 🔍 SR/MA 🪦 successful weaning 48.3%, but high in-hospital mortality = 72.4%; late mortality 5.8% per 100 pt/y 🫘 AKI requiring CRRT 60.5% 🧠 neuro complications due to stroke 24.4% 🦵🏻 limb ischemia 7.6% 🩸 bleeding requiring reoperation 29.2% #ECLS may be reasonable. Despite high morbidity and mortality (comparable with other PC-ECLS), myocardial recovery may be achieved with careful patient selection: young patients better candidates; pre-ECMO lactate peak appears strong predictor for mortality. @asaiojournal 🔗 bit.ly/4osNa

The @ERC_resus 2025 Guidelines are here! These guidelines have helped inform the RCUK 2025 Guidelines which will be published on Monday 27 October at midday.

British societies guideline on management of emergencies in patients on ECMO 🫀Recognition of cardiac arrest 🏥 Team structure 🕵️ Early troubleshooting @BritishCardioSo @FICMNews @ICS_updates @BACCNUK @SCTSUK @BSHeartFailure @ResusCouncilUK @ACTACCUK link.springer.com/article/10.100…

The @ELSOOrg ECMO Bedside Guide is now available globally FREE open access for everyone interested in #ECLS! Honoured being among leads for 📋 Checklists & ⚠️ Panic button sections Other topics ⚖️ assess candidacy 📦 equipment 🧮 calculators 💉 medications 📚 resources 📱 bit.ly/ELSOBedsideGui…

In Organ Donation Week, confirm your decision on the NHS Organ Donor Register, and share your wishes with your family and friends. You could save a life. Go to organdonation.nhs.uk #OrganDonationWeek

Sharing this fab myth-busting infographic from @THINK__AORTA in the last ten mins of this year’s #AorticDissection Awareness Day! 🫀🚑 @ThinkAorta @AorticDissectUK @AorticDissectCT

Coronary, renal & cerebral perfusion of VA #ECMO + #IABP in refractory cardiogenic shock 🔬in vitro study 🫀hemodynamic effects depend on CO, HR, site of #ECLS arterial cannulation If severe low CO, axillary artery (vs femoral) cannulation + IABP showed greatest benefit in terms of coronary/cerebral flow but renal perfusion negatively affected. #FOAMcc #FOAMecmo @asaiojournal 🔓 bit.ly/4jnn7jQ

🎥 Recording of the webinar: Hot topics in NRP, perfusionist’s perspective, a joint @The_EBCP & @EuroELSO event, is now available, open access #FOAMcc at 🎥 youtube.com/watch?v=RPd5nu… We discussed about: 🔥 Who should manage NRP 🔥 The circuit: #ECMO, #CPB or hybrid? 🔥 What the ideal perfusion targets? How to monitor perfusion? 🔥 Education & training #EuroELSOwebinar

@ross_prager @khaycock2 @ThinkingCC @john_basmaji @MaratSlessarev @Bram_Rochwerg @JulianOwenEM_CC @emcrit @EmCritDr @PulmCrit @pulmtoilet @katiewiskar One important point about differential hypoxemia: People often think the R radial sat will be the first site to show drop. This isn’t true. The first vessel to experience hypoxemia It’s the coronary arteries. Watch for cardiac ischemia as a sign of differential hypoxemia!

2024 @EACTS @EACTAIC @The_EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery: 🎓 training, education & service delivery 🛠️ heart-lung machine hardware 📦 CPB disposables 🖥️ monitoring 🫀🧠🫘🫁 organ protection ⚙️ preparation for CPB 🩸procedures during CPB 🔍 CPB for specific techniques & specific situations during #CPB ✂️ separation from CPB 🚧 gaps in knowledge 🔑 key messages Open access 🔓 bit.ly/3X06hz0

You all know Harlequin, now meet RIDDLER, ECMO’s newly named syndrome of differential decarboxylation in spontaneously breathing patients. ahajournals.org/eprint/ZTN6HPH… @FOAMecmo @iceman_ex @EchoSoliman @EduardArgudo @DYannopoulos @ECMOdaily @GomorraDoc @EuroELSO

Out now! Ep3 of the #THINKAORTA podcast re-unites survivor Anne Cotton with Dr. Martyn Bell, who diagnosed her acute #AorticDissection in @RoyalDevonNHS Barnstaple Hospital Emergency Department 9 years ago. Watch the full story here: youtu.be/MvHB_T34N9Q?fe…

Blood cell salvage & transfusion requirements after decannulation from VV #ECMO 🔎 841 pts, 2 🇬🇧 centers 🩸BCS decreased PRBC transfusion, no changes in inflammatory & coagulation markers, nor in transfusion of other blood products in 2 days 🔓 rdcu.be/d2DRy

@SimonRStones Thank you!

@BenJBW @Ed_CritCare_On @RCPEdin Congratulations!

Critical Care? Mastered it. ✅🎓🏴󠁧󠁢󠁳󠁣󠁴󠁿🥂 Endless thanks to the @Ed_CritCare_On & @RCPEdin teams for three wonderful years culminating in a fabulous graduation at McEwan Hall today.

@GillyFleming Thanks Gilly! The snow made for some awesome shots!! (Even if I did manage to take a wee tumble on the coffee shop steps in the robes…!)

@BenJBW @Ed_CritCare_On @RCPEdin Big Congratulations Ben! I'm sorry about the very Scottish weather for your graduation but they are some magical photos!

@Duncan281013 Thanks, Duncan!

@BenJBW @RCPEdin @Ed_CritCare_On Congratulations, Ben

Many thanks to the @RCPEdin for a wonderful MSc Critical Care Graduates’ Reception this evening 🥂@Ed_CritCare_On

Pristine views en route to Edinburgh for the @Ed_CritCare_On @RCPEdin MSc Critical Care graduation this weekend! 🎓