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New in EMJ - free open access: Endovascular resuscitation: an expert practice review A practical overview of REBOA, SAAP and ECPR for emergency physicians managing the sickest patients in shock or cardiac arrest. Please read / comment / share DOI: 10.1136/emermed-2025-215376

Dear Med & Academic Twitter Need your help in spreading the word about our latest OHCA study This study aims to evaluate prehospital clinicians’ confidence in identifying underlying causes of OHCA, current treatment practices, team composition, and perceived barriers to improving patient outcomes. We are looking for site champions from prehospital services across UK, Australia & New Zealand. If you are interested please DM me

What happens when you remove the hospital as the boundary? Advanced, targeted interventions & diagnostics can be delivered in the field enhancing cardiac arrest care Reframing resuscitation as precision critical care @cliffreid @PrecareSyd @SydneyHEMS sciencedirect.com/science/articl…

🔴SPEAR - DAY 2🔴 The complexity stepped up today with a deep dive into cardiac and cardiovascular physiology - focusing on what truly improves the chances of ROSC and positive neurological outcomes. Morning scenarios pushed immersive simulation further, challenging teams to manage cardiac arrest through physiology-led decision making, monitoring, and targeted interventions. In the afternoon, we made the most of the sunshine in our TAG outdoor space - exploring right heart & pulmonary physiology, plus aortic physiology, comparing full occlusion, partial occlusion, and adrenaline. We wrapped up with four high-intensity scenarios: resus arrests, thrombolysis, REBOA, and prehospital cardiac arrest across varied aetiologies. The day ended with an al fresco EVTM REBOA masterclass from Halden 👏 The progression has been clear - teams are becoming sharper, more coordinated, and increasingly confident from fundamentals through to advanced endovascular techniques. Their CRM and leadership gets better by the hour…but as complexity increases, so does the challenge of managing and positioning kit and equipment in a logical way - there’s still plenty to learn, and tomorrow will bring more cardiac arrests and even more special circumstances. Another incredible day of learning, great weather, and Danny’s elite BBQ skills 🍖 Day 3 - more arrests, more complexity, more learning - lets go!  #SPEAR #Resuscitation #CardiacArrest #CriticalCare #EmergencyMedicine #REBOA #EVTM #MedicalTraining #SimulationTraining #Teamwork #Leadership #PrehospitalCare #Resus

1/8 In cardiac arrest, adrenaline reliably improves ROSC - but has not consistently translated into better long-term neurological survival. Our comment asks whether the problem is not adrenaline itself, but how and where we deliver it.. Open access: tinyurl.com/aortic-epi

1/ New from @EAAARAID in @SJTREM: observational review of Penthrox for prehospital fracture/dislocation manipulation & reduction in HEMS practice. In selected limb trauma, methoxyflurane supported successful M&R without IV procedural sedation in more than half of patients.

Whole blood in trauma has generated enormous interest. Today, @SWiFT_trial in @NEJM provides the clearest randomised evidence so far on whether prehospital whole blood improves outcomes in life-threatening traumatic haemorrhage: tinyurl.com/SWiFTNEJM

🔵ATACC SPEAR🔵 ⚠️ Limited Spaces Remaining | 20–22 April 2026 ⚠️ Cardiac arrest care has evolved - has your practice? ATACC SPEAR (part of The Resuscitator Series) is a three-day immersive programme for specialist clinicians ready to go beyond ALS and into physiologically guided, high-performance resuscitation. What to expect: • Highly practical, hands-on learning • Endovascular monitoring & therapies during cardiac arrest • Advanced high-fidelity simulation • Leadership & team dynamics • Mechanical CPR, modern defibrillation & ventilation strategies • Introduction to ECPR • Latest equipment, technology & evidence Delivered by a world-leading faculty and proudly supported by the EVTM Society (Sweden), SPEAR progresses from gold-standard care to complex, real-world scenarios at the very limits of practice. To learn more and BOOK your place - click the link below 👇 f.mtr.cool/wuphyqfdgd #ATACCSPEAR #Resuscitation #CardiacArrest #CriticalCare #PrehospitalCare #EmergencyMedicine #IntensiveCare #ECPR #MedicalEducation #ResuscitationScience

🚨 New speaker unlocked 🚨 We’re delighted to confirm Dr Ali Sanders as a speaker at the ACCESS Clinical Development Day. 🗓 19 March 2026 🧠 Theme: Time Critical 🎓 5 CPD points 🎟 Free to attend Secure your place here: eu.jotform.com/form/252783838…

Tactical Trauma 26 Nov 2-4 tacticaltrauma.se Fantastic faculty ⬇️ Check out the programme for all things prehospital trauma. With a tactical twist. Follow us on @instagram

February '26 Papers Podcast 🫁🚑 Prehospital intubation location ⚡️❤️ Defibrillator pad position in shockable OHCA 💉🧠 Ketamine vs etomidate for RSI Listen now 👉 itunes.apple.com/gb/podcast/the… open.spotify.com/show/4pGoo1XFn… TheResusRoom.co.uk

@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

Edition 12 of our @AirMedJournal column: Top-5 #prehospitalpapers - this time critiques from @stat_medevac - facilitated by @EAAARAID #FOAMed (until 19 Mar 26) Pls read / share / comment.. -> tinyurl.com/AMJ-STATMedEvac Future editions from: @SurvivalFlight

We’re proud to launch a free, national e-learning resource to support healthcare professionals use the ReSPECT process with confidence. Available now on the NHS Learning Hub: learninghub.nhs.uk/catalogue/resp…

This is excellent! Give it a try and a follow if you are interested in learning! Awesome work @docib ! 👏

Follow us on @instagram Register ASAP if interested in #TacTrauma26 tacticaltrauma.se ➡️ only 6️⃣4️⃣ tickets left !

Latest @stemlyns podcast released today chatting with Hutch about ‘Cognitive HALOs’ and his work on advanced simulation training with @ATACCFaculty. Recorded at the BASICs conference. What do you do when you’re cognitively overloaded? open.spotify.com/episode/1huZLE…

New from the EAAA RAID team with @EastAngliAirAmb, @EHAAT_ and @Magpas_Charity, published open access in @JAMANetworkOpen: post-intubation hypotension after prehospital RSI in severe TBI is strongly associated with higher 30-day mortality. tinyurl.com/RAID-JAMA

Will you join us ? Nov 2-4, 2026 in Sweden. Amazing faculty, unique workshops, State of the Art, networking and ”boutique”. Only 150 tickets! Website up soon ! #TacTrauma26 There will be a 💥 surprise for Nov 2:nd as well !