Mark Forrest

This has got to be one of the greatest spontaneous air ambulance promo videos, thanks to the #redarrows as our team @LNAACT lift for an emergency call #H29

🔴SPEAR - DAY 1🔴 Today marked the launch of our brand new 3-day ATACC SPEAR course 🚀 This programme goes beyond current ALS - diving deep into physiologically guided resuscitation and pushing clinical thinking to the next level. Day 1 set the foundation: From understanding the physiology of cardiac arrest to optimising ventilation, chest compressions, and defibrillation. Plus a deep dive into the 2025 Resuscitation Guidelines and the evidence behind them. Our teams hit the ground running with the ‘Repeat’ scenario - building teamwork, confidence, and kit familiarisation - before progressing through a series of scenarios reinforcing the morning’s theory. The afternoon introduces the anatomy and practical aspects of endovascular access for arterial monitoring and resuscitation. Followed by more immersive scenarios integrating advanced physiological monitoring with ALS skills. A packed first day laying the groundwork for two more days of increasingly complex and challenging scenarios. #ATACC #SPEAR #Resuscitation #CriticalCare #MedicalTraining #ALS #HealthcareEducation #SimulationTraining #Teamwork #ClinicalExcellence

🔴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

Well that’s a wrap and what a fantastic 3 days of advanced cardiac resuscitation with some amazing people from around the world! We started this morning with a summary version of ‘Resuscitator’ to see what our delegates would do, after several days of cutting edge research, evidence and practice, together with a paired final practice of ultrasound guided needle techniques. Then we were back onto more scenarios with challenging clinical cases such as complex overdose and unstable post-ROSC critical care, while outside the situations and scenarios became even more challenging but every step of the way the candidates upped their game and delivered. Today was about fine tuning and mastery of skills before the final afternoon of practical REBOA scenarios and the essentials of ECPR. It has been a truly whirlwind 3 days, but for anyone who wants to take their resuscitation to the next level and to mix with like minded people to discuss the latest principles, research and practice then SPEAR is for you. If this sounds like a step too far ‘Beyond ALS’ then join us on an ARREST course, optimising your ALS as a stepping stone to SPEAR. ataccgroup.com/resuscitator-s… Huge thanks to the whole team at The ATACC group and all the expert Faculty members - Mark, Halden, John, Adam, Anders & Jonny 👏 Last but not least - a special thanks to @OrtusTechUK - we couldn't have done this without your incredible support and kit! #Resuscitation #CriticalCare #EmergencyMedicine #PrehospitalCare #AdvancedLifeSupport #CardiacArrest #ECPR #REBOA #UltrasoundGuided #MedicalEducation #SimulationTraining #ClinicalExcellence #HealthcareProfessionals #ATACC #SPEARCourse #ARRESTCourse #BeyondALS #ResusTraining

🚨 Civilian Tactical Medicine Programme – Last Few Spaces Remaining 🚨 The response to our Civilian Tactical Medicine Programme has been exceptional - highlighting the growing demand for training built around real-world threat environments, decision-making under pressure, and operational performance. If you’ve been considering attending, now is the time. Only a handful of spaces remain. 📍 ATACC Group Centre of Excellence – L40 2RL 📅 11–12 June – Tactical Emergency Casualty Care (TECC) 🔗 Secure your place now via the booking link below: f.mtr.cool/xxsqmienlm Delivered by The ATACC Group. Built for reality. #TacticalMedicine #TECC #PrehospitalCare #EmergencyTraining #CriticalCare #EmergencyResponse #HighThreatMedicine #OperationalMedicine #TraumaCare

@lufthansa outstanding effort by your team in #Frankfurt last night to get passengers through immigration and to their gate after unforeseen delays due to bird strike on previous flight. #Thankyou

@FLTDOC1 @UWMedFlight Congratulations Mike. #TotalLegend

I am officially retired from @UWMedFlight . My final flight as a HEMS physician was today 4/11/26 It started in 1989. Over the last 36 years I have transported 4000+ patients with 3 HEMS programs: Univ of Chicago 1989-92 OSF St Anthonys 1995-200 Univ of Wisconsin Med Flight 1992-2026 I have worked in 10 helicopter models: SA 365 Dauphin N, N1, N2 AS 355 Twinstar Bell 222 Agusta 109 Power Agusta 109 Mk2 BK 117 EC 135 EC 145 What a long, strange trip its been!

@manairport credit when it’s due, T2 looked and was amazing this morning. Modern, efficient and spotless #thankyou

🚨 National Update in Police Medical Guidance🚨 The NPCC National Guidance which defines the minimum learning content and delivery standards for Planning for First Aid and Pre-Hospital Care in Policing has been released. This marks a significant step forward in standardising and strengthening medical provision across UK policing. At The ATACC Group, we are delighted to announce that our Tactical Medicine Pathway - comprising: ▪️ Tactical Medical Planning ▪️ Tactical Emergency Casualty Care (TECC) …not only meets the national guidance but EXCEEDS it. ✅ This provides assurance that our training is aligned with - and goes beyond - NPCC expectations ✅ It reinforces our commitment to delivering high-quality, operationally relevant education ✅ It ensures officers are equipped with the knowledge and decision-making skills required in high-risk environments 💡 What this means for Police Forces: Forces can now confidently enrol officers onto the Tactical Medicine Pathway, knowing it is fully compliant with NPCC standards and supports best practice in operational medical planning and care. 📩 For further information or to discuss implementation: training@ataccgroup.com #TacticalMedicine #NPCC #Policing #TECC #ATACC #CTM #MedPlanning

@Obidoc @stemlyns @ATACCGroup It was a pleasure meeting so many like-minded passionate people. Great group, best people.

@LarcombePeter @tomhfh @Dr_XYZ Liking the pink scrubs Pete! We nearly got them but ended up with black!

@tomhfh @Dr_XYZ Thanks for nothing

Crashed his way through the tube barriers in front of me this morning without paying. If someone is hiding their face behind a mask you can almost guarantee they are up to no good.

Another outstanding week of training at ATACC Group. We’ve just completed our Tactical Medical Planning Course, followed immediately by our CBRNE Medical Response Course - a powerful combination that bridges strategy, planning, and operational delivery. Our Tactical Medical Planning framework continues to prove its value. It provides a structured, practical approach to developing medical support plans that are adaptable, threat-informed, and operationally grounded. Delegates leave with a clear methodology they can take back to their organisations - enhancing capability, governance, and real-world readiness. Taking that foundation straight into our CBRNE Medical Response Course allows participants to apply planning principles in high-fidelity, immersive simulation. This course is specifically designed to complement existing organisational CBRNE training by introducing complex, realistic scenarios rooted in criminality and terrorism within the civilian environment. This is training for reality. Beyond the core foundations of CBRNE response, we focus heavily on: • Decision making under pressure • Critical thinking in dynamic environments • Tactical awareness and threat-informed practice • Multi-agency interoperability • Leadership in uncertainty Our approach ensures clinicians and operational teams are not just technically competent - but operationally capable. Thank you to all the professionals who trained with us this week. The standard was exceptional. #ATACCGroup #TacticalMedicine #MedicalPlanning #CBRNE #CBRNEMedical #TrainingForReality #OperationalMedicine #DecisionMaking #CriticalThinking #TacticalAwareness #Interoperability #EmergencyPreparedness #CounterTerrorism #PrehospitalCare

One of my favorite @ATACCGroup scenarios of all time. The 800 lb gorilla in the room ( that no one is talking about)

@FLTDOC1 @HawkmoonHEMS @TBS_Zermatt We have indeed made some great friendships across the globe!

Meeting of the Minds in Zermatt . @HawkmoonHEMS & I. We have done this every year or two since 2013. Through social media and conferences such as SMACC, ATACC and @TBS_Zermatt .. the world has become incredibly smaller

@padoscan Completely agree. We need a far simpler surrogate. However, the bigger message from the trial is that our routine practice may well be significantly ‘off the mark’ and we should be prepared to adapt our Resus, even if just based on EtCO2 rise.

@Obidoc Transoesophageal echo is not without its complications

Latest from #Precare group in Australia have confirmed the importance of accurate chest compressions & patient centred resuscitation: 89% of compressions were missing LV and 76% were better placed with TOE guidance #resuscitation #Resuscitator #ARREST #SPEAR

@StuLittle1972 ETCO2 is a good start 😉

@Obidoc Interesting, however getting even pocus to an oohca in the early stages is a rare event. We need a simple and effective way to measure flow in those first few vital minutes

An update: linkedin.com/posts/uk-tacti…

@ATACCGroup This was a first for #ATACC and #TBS and we were delighted that both the delegates and the world leading resuscitationists all embraced the concept to make it such a huge success! #cardiacarrest #beyondALS ##ECMO

🏔️ TBS 2026 🏔️ The resuscitate tour brought together like-minded clinicians in an incredible setting, visiting locations across the region while hearing from world-leading experts in resuscitation 🖤 From key challenges and favourite subjects to honest reflections on frustrations in practice, the conversations were thought-provoking, inspiring, and refreshingly real. The event truly captured everything we love about TBS - cutting-edge medicine, brilliant minds, and meaningful discussion in a relaxed, social environment. Few experiences compare to learning and being inspired in such outstanding company, in a place as remarkable as Zermatt ❄️ To learn more about our Resuscitation Series - Please click the below link 👇 f.mtr.cool/oppapbfeuo #TBS #Resuscitation #MedicalEducation #EmergencyMedicine #CriticalCare #LifelongLearning #HealthcareProfessionals #ClinicalExcellence #Zermatt TBS26