Francesco Daminelli

Contemporary management of traumatic cardiac arrest and peri-arrest states: the most up-to-date narrative review. Written with @ewoudterAvest @ZBPerkins @LorenzoGamberi6 @ResusOne Marius Rehn Giulio Calgaro. Available for free on @jaacc_online: rdcu.be/dVeGP

WOWWWWWWWWWW BRAVO ATALANTA first European trophy win in their 116 year history! Grats to the Percassi & Pagliuca families, Mister Gasp, Lookman,and all the players & staff!!!! E tutti a Bergamooooooooo Bravo a tutti!!!!! 🖤💙

One Pride!

DETROIT CAN FEEL IT. #NFLPlayoffs

Did you know that the infusion set plays a key role in the heat dispersion of warmer fluids? Very interesting thermodynamic session by Mauro Del Romano at the Italian #HEMS association congress today in Bergamo. @Dami_F75

From @ResusJournal resuscitationjournal.com/article/S0300-… #cpr #cardiacarrest #resus

@smcbt La lingua ufficiale sarà l’italiano tuttavia saranno presenti ospiti internazionali che presenteranno in lingua inglese. Per le sessioni che vedranno coinvolti gli ospiti internazionali è previsto un servizio di traduzione simultanea. Spero di avere risposto adeguatamente.

@Dami_F75 Tutto in Italiano?

The next Italian HEMS Conference will be held in Bergamo on the 16th and 17th of November. The conference hall is conveniently located at “Fiera di Bergamo” which is 2 minutes driving from Milan Bergamo Airport. The scientific agenda will include the following topics 👇

This is our working hypothesis, and obvs needs more study. For now we think this means we have to stop blind administration of concentrated products, and move to individualised care based on point of care diagnostics and rapid delivery of fibrinogen. c4ts.qmul.ac.uk/research-progr…

- Physicians 100€ - Nurses 80€ - Students and registrars 60€ - Lay rescuers 60€ In order to submit your registration please follow the link 👉 fondazionealessandrovolta.org/convegno_eliso…

Even more important this year Bergamo is the Italian Capital of Culture, come and have a walk through the streets and up the hills of our beautiful town enjoying the blissful autumnal colours and atmosphere of northern Italy 🇮🇹 Affordable registration fees are applied 👇

@DrNickCrombie @theTHORnetwork Congratulations! I would have been interested to attend your presentation and session and following discussion. Hope to see something posted here or elsewhere!

Well, what a complete honour! I overcame massive imposter syndrome to present to what is without doubt the most impressive and relevant trauma resus conference in the world. The attendees list is the roll call of the greatest innovators and I’m thrilled to be here @theTHORnetwork

🔓Very important clinical and statistical paper! Clinical tests/signs lack the discriminatory power to exclude oesophageal intubation. Do not use them. Author interview at 1100! @VirtueOfNothing @jadamlaw @NicholasChrimes @AndyHiggsGAA @doctimcook 🔗…-publications.onlinelibrary.wiley.com/doi/full/10.11…

#CRYOSTAT2trial #CCR23 @CRYOSTAT_2 "in conclusion early, empiric, administration of high-dose cryoprecipitate did not improve 28 day mortality in severe trauma haemorrhage"

The results from our DEVICE trial are out in the @NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success. In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL. This is the 🔨 nail in the ⚰️ for DL. While it's an important skill, VL should be the standard when it's available. If it's not available, we need to make it available. nejm.org/doi/full/10.10… #emergency #emergencymedicine #icu #criticalcare #airway #military #war #trauma #data #science #research #armyemdoc #medtwitter #foamcc #foamed

@karimbrohi When you say “anything” you mean any factor concentrate or ANYTHING included whole blood or a combination of blood components resembling whole blood? Thank you.

...may have masked signals of benefit if given later and to blunt patients. My take home (for now): This is the end of thinking we can empirically give anything to any patient... ...and must signal a drive to more precision approaches to coagulopathy diagnosis and treatment...

CRYOSTAT2 results #ccr23: - Early *empiric* administration of high-dose cryoprecipitate to trauma patients activating the major haemorrhage protocol did not improve 28-day mortality. - possible evidence of harm if given very early or in penetrating trauma patients...

The @PATCHTrial, led by @RussellGruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in @NEJM. #CCR23 Here’s a summary of what we did... nejm.org/doi/full/10.10…

@DogICUma In advanced trauma systems, an inexpensive drug helps severely injured patients to make it to the ER and OR. So yes, I think we must implement it.

So, based on all of that, you tell me, should we implement (or continue to use) pre-hospital TXA in advanced trauma systems for adults at risk of acute traumatic coagulopathy?

“With new advances in early care, we create new survivors, we need to learn from these survivors and how to improve their survival” @karimbrohi on #patch #ccr23 #anzics