Mohan

@iceman_ex Agreed and its not helped by lack of robust regulation for professions/departments. I'll speak for physiology, buts it a profession that should be highly regulated given how easily an echo can be misreported/a CIED van be reprogrammed incorrectly yet our register is voluntary.

Swap “paramedic” with any other allied professional and this post remains accurate

Cardiac arrest isn’t a diagnosis in the same way as headache isn’t a diagnosis, jaundice isn’t a diagnosis, chest pain isn’t a diagnosis, abdo pain isn’t a diagnosis. If we keep trying to find magic bullets that treat the presenting complaint, we’re relying on luck to innovate.

The European Resuscitation Council Guidelines 2025 are out now in Resuscitation! 🔗 Read the Executive Summary: sciencedirect.com/science/articl… 🧵 Explore all the chapters in this thread #Resuscitation #RESUS25 #ERCGuidelines #Guidelines2025

Avoiding unrecognised oesophageal intubation The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’ The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2 This requires 4 elements -CO2 rises & falls with respiration -sustained (non-fading, >7 cycles) -amplitude >1 KPa -clinically appropriate It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate See these two updated webpages Sustained exhaled CO2 rcoa.ac.uk/safety-standar… Prevention of future deaths rcoa.ac.uk/safety-standar… @AAGBI @AndyHiggsGAA @NicholasChrimes

@bumblebeenush @BHRUT_NHS "So why do you want to work at KGH" *shows them this tweet* 😂

The chef at the King George Hospital @BHRUT_NHS canteen deserves an epic shoutout. Your chicken and rice is phenomenal and literally makes my day! #NHS #Food #MedTwitter

@samdharrison @stjohn_wa You'll be missed in London. Thank you Sam for all your wisdom and jokes over the years! You've defo provided me with peace on jobs when I heard/saw you were my allocated backup. Fyi - think they read the ECGs upside down in Australia 😜

…have pushed and helped me along the way. This moment is poignant and filled with a mix of emotions, as I prepare to leave the NHS in October to start the next chapter of my life down under, in Perth with @stjohn_wa.

This month marks 10 years since I first registered as a Paramedic, beginning my career with @EastEnglandAmb, before moving to @Ldn_Ambulance. Both organisations have helped to shape me personally and professionally, not to mention countless mentors, colleagues and friends who…

1/ Shock isn’t “give fluids, then pressors, then inotropes.” That recipe misses the physiology. Here’s how to manage shock properly: 🧵 #MedX #haemodynamics

(0/x) How do I approach the first 2 minutes of meeting a new critically ill pt? My approach has been forged from my learnings as a paramedic. Here's my approach as an ICU doc 🧵

The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position youtu.be/jEc36zZIFbw

Fresh from the edit - our podcast on #SPEAR and advanced resuscitation . @TheResusRoom have done a brilliant job assembling this - concept, delivery & insights from our OHCA programme at @EastAngliAirAmb and beyond… podcasts.apple.com/gb/podcast/the… @BartsIntervGrp @NHSBartsHealth

Many see pre-procedural checklists solely as a tool for checking equipment In EMRS we monitored the heart rate of clinicians during our pre-anaesthetic checklist. 100% of clinicians experienced a fall in heart rate Here's why.... CoreCognition.co.uk

🧵Why does low protein intake cause hyponatraemia? Most people find this confusing. But the underlying physiology is beautifully simple. Let’s walk through it 👇 #Hyponatraemia #FluidBalance #MedTwitter #FOAMed

@rachelgemma90 @ThomasBurton12 Might be one for @PoliceMedics

Myself & @ThomasBurton12 are carrying out research into the short & long term psychological impact on police officers of witnessing prehospital resuscitative thoracotomy. Please re-tweet, share & send to anyone you think it might be relevant to.

Half of the places for the AHP Annual Conference have already been taken! Don’t miss your chance to attend one of the UK’s biggest events for cath lab professionals. 🗓️ 7–8 July | 📍 Park Plaza, Leeds 🎓 Two learning streams – Core & Advanced 🛠️ Hands-on sessions, expert speakers & team-focused learning 💼 Free for BCIS members – bursaries available for accommodation 🔗millbrook-events.co.uk/AHPAnnualConfe… @bcis_ahp

🚨 ACCESS Clinical Development Day is nearly here! 📢 Meet our speaker lineup below 🗓️ 22 May 2025 | 🕙 10AM–4PM | RLH Education Academy 🎓 5 CPD points | In-person only 📩 Register now: eu.jotform.com/form/250915205… 🔍 Topic: Innovation in Action – Cardiac Arrest & Major Incidents 📄 Full agenda dropping this week! #CriticalCare #CPD #ACCTS #CardiacArrest #MajorIncidents #ACCESSCDD #Innovation

@CanadianKayMD @ResusTEEproject @ERC_resus @ResusCouncilUK @AHAScience @cliffreid #f0010" target="_blank" rel="nofollow noopener">resuscitationjournal.com/article/S0300-…

@wmcareteam RIP Charlie, you were an inspiration and welcoming face to so many. So many young people were inspired by you. You were a great clinician and we were so proud of you when you became a Dr! Never forgotten, you'll always be remembered

It breaks our heart to announce the passing of our dear friend and colleague, 𝑫𝒓 𝑪𝒉𝒂𝒓𝒍𝒐𝒕𝒕𝒆 𝑪𝒓𝒐𝒐𝒌. Charlie, you will never be forgotten. Family, friends and colleagues are gathering today to say goodbye to this remarkable young woman. wmcareteam.com/wmct/2025/03/2…

@EMDocJB @YorkshireAirAmb @CorpulsWorld @DrPaulRees @CarlHaentjens @HaldenHB @FilipBrande Brillant device as it allows you to provide targeted and individualised compressions settings

On base training at @YorkshireAirAmb using the @CorpulsWorld CPR device, taking advantage of the opportunity to adjust CPR position and synchronise with the defib for optimal shock delivery with minimal time off the chest @DrPaulRees @CarlHaentjens @HaldenHB @FilipBrande

Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest - Resuscitation resuscitationjournal.com/article/S0300-…

And some supporting papers, for some extra reading! pubmed.ncbi.nlm.nih.gov/38475832/ and #citeas" target="_blank" rel="nofollow noopener">ccforum.biomedcentral.com/articles/10.11… and pubmed.ncbi.nlm.nih.gov/39515601/ @EAAARAID @BartsIntervGrp