Elliott Rees 🏴󠁧󠁢󠁷󠁬󠁳󠁿

Happy #internationalparamedicday to all of my fellow registrants in Green / red / scrubs / other. You all rock 🤘🏼

An exciting development opportunity work to on a voluntary basis as a Critical Care Practitioner Fellow will open to applications in 2025! Keep an eye on our social media pages for more information.

@EmrtsWales CCP vacancy for South Wales alongside @air_ambulance! Drop me a message if anyone wants to know more! sbuhb.nhs.wales/work-for-us/jo…

FPHC is pleased to announce the publication of a new consensus statement bit.ly/48QG7Ua Proudly supporting IMPACT! We’re honored to back the incredible work of IMPACT in advancing research and improving patient outcomes. Together, we’re making a difference! #FPHC

Great day speaking at the @ParamedicsUK #prehospmatneo conference! Very well organised and great to see / catch-up with some familiar faces from far and wide! 👶🏼 🚑 🚁

Next level delirium.

@medic_m_a_c I had a pair of tracerlites about 8-9 years ago and they lasted me twice as long as any boot I’ve had since. My current Lowa Z8N’s are giving them a run for their money though!

It’s always good to have effective analgesia that doesn’t require a cannula. Is nebulised ketamine an option? @stemlyns stemlynsblog.org/jc-is-nebulise…

@ChippyLyn This made me laugh way more than it should have 😅

The man who makes the giant eclairs at our local patisserie is retiring next week. There ll be some big chouxs to fill when he goes #ImHereAllWeek

@DrChrisHingston I wonder if there were any incidences of tissue necrosis? Given that it’s 10 x the “normal dose” of IM adrenaline sitting in poorly perfused muscle. That said, I’d rather a gammy deltoid than..well..death, if it does improve outcomes that much!

@elliott_rees Reckon you need a decent dose as poor muscular flow due to low cardiac output/perfusion. I wondered if it may be better survival as not much actually reaches the circulation!

Interesting paper. IM adrenaline in arrest associated with improved survival and neurological recovery. This group were younger and more likely to have bystander CPR though, both strong predictors in the outcomes seen.

@wiggs1234 @ParamedicsUK @benseabourne

Can all paramedic prescribers please fill in attached. Not being able to prescribe certain medications has a real impact on my practice in ICU.The @ParamedicsUK are investigating. …ea01.safelinks.protection.outlook.com/?url=https%3A%…

I will soon be re-opening the Winch Paramedic Cadetship selection process for 2024/25, that will allow sucessful applicants to try out at joint the team that delivers UK Search And Rescue for HMCG. If you’re a UK paramedic and interested, follow me so you don’t miss your chance.

Are you a paramedic looking for a new opportunity? Well you're in luck because we've got a new position available to join our fantastic team. If you'd like to be at the forefront of a charity leading the way in critical care across the region, apply here: greatnorthairambulance.co.uk/our-work/join-…

@TimAustin87 @GWAAC @SCAS999 @swasFT @Ldn_Ambulance @NWAmbulance @EMASNHSTrust @NEAmbulance @AirAmbulanceNI @EMRSscotland For me there’s two considerations. The primary and secondary. 1) what is the quickest way to get the patient in front of someone who can provide blood product resuscitation and a thoracotomy if required. 2) where does the patient need to go in order to be definitively managed

#STABBINGS @GWAAC have a clearly prescribed plan for this cohort of patients. Interested to see what the expectations/ current practice’s are within other UK ambulance trust, with a focus towards time on scene. Replies or DM’s welcomed. #MajorTrauma #TraumaDesk #TraumaNetwork

Setting ventilator in acute brain injury 💨 ventilatory settings 🧠 oxygen & carbon dioxide targets 🫁 management of concurrent acute BI & #ARDS Free to read #FOAMcc on @yourICM 🔓rdcu.be/dILp2

📣New guideline alert! Airway management in patients with suspected/confirmed cervical spine injury Joint guideline from @dasairway @Assoc_Anaes @Bsoa_org_uk @ICS_updates @naccsuk @FPHCEd and @RCEMLearning …-publications.onlinelibrary.wiley.com/doi/10.1111/an… Open access!

@BCEHSCCP @DipRTM At the moment it’s mainly national guidelines, ABC R&T, Oxford handbooks, and cases in retrieval medicine. Huuuge curriculum so difficult to revise for!

@elliott_rees @DipRTM @elliott_rees I'd be keen to discuss your preparation for DipRTM. I'll be in Scotland next week for Retrieval 2024...

Not for the first time, and unlikely to be the last…I find myself revision cramming for a trip to Edinburgh. @DipRTM this time! …pass or fail - the prep for this exam has been hugely beneficial in plugging some knowledge gaps in my practice - definitely worth consideration!

Some last minute revision! @LITFLblog is a fantastic resource for the “need to know” on emergency LVAD management / troubleshooting! litfl.com/ventricular-as…

@Dr_JonL @SWTraumaNetwork Well done mate 👏 thoroughly deserved!

I am privileged and proud to have successfully interviewed and accepted the substantive role of Clinical Director to the @SWTraumaNetwork #TraumaCare #SouthWales

@AlexNevard I think that depends on how prepared the resus cubicle is for the procedure & how far it is from the ambulance doors. In terms of who, I don’t think it matters who wields the scalpel- but mgmt should be lead by whoever has the most experience of the procedure.

Interesting discussion the other day. What would you do? Penetrating chest trauma, arrests as they pull up into the ambulance bay. Assuming they are suitable for a thorocotomy, where do you do it? The ambulance or the resus room? Who does it the TT or the PHEM crew?