Wez

Thoroughly enjoyable day thanks to the SPEAR and @theortusgroup team

#October2025 🫀 We need to talk about Annie 🫀 For decades, millions have learnt CPR using Resusci-Annie – a white, slim, blond female manikin created in the 1960s. But how well does Annie reflect the people we actually resuscitate in real life? @ResusCouncilUK @RCollEM In a recent EMJ editorial, Ellen Weber @emjeditor challenges us to think critically about diversity in CPR training. A scoping review found: ✅ Most manikins remain white and slim ✅ Only 5% of instructional videos used non-white manikins ✅ Just 12% of teaching institutions reported having diverse manikins ✅ Black participants reported feeling more engaged when manikins reflected their ethnicity emj.bmj.com/content/early/…📖 📖 We already know that CPR is less likely to be performed in deprived or minority communities. Could the lack of representation in training be sending the wrong message? If we want to tackle inequities in resuscitation, perhaps it’s time to start with Annie. 📖 Read the full editorial here: doi.org/10.1136/emerme… #EmergencyMedicine #Resuscitation #Equity #MedicalEducation #CPR

@DrSteveTaylor @wesstreeting @DHSCgovuk @NHSE_WTE Couldn’t agree more! However, the chap in the green ambulance uniform in the AHP photo is in fact a doctor (and a great colleague). It’s a shame that @NHSEngland couldn’t find a photo of one of the ~ 16000 registered UK paramedics to use

Just one point for @wesstreeting @DHSCgovuk @NHSE_WTE There is no thanks for Doctors in any of your posts Let’s start a day where Doctors are thanked It’s a small thing but that’s where it starts

Love that @NHSEngland acknowledge the hard work of colleagues across the NHS It’s a privilege to work with and alongside them The NHS is better because of Team

Honoured to make my first conference speaker opinion alongside @DrPaulOnion to a wonderful and engaging audience. Roll on next year (from the seats at the back)

The Resuscitation Council UK is deeply saddened by the death of Professor Douglas Chamberlain CBE OStJ KSG. We would like to pay tribute to a visionary whose pioneering contributions transformed emergency medical care. He was instrumental in championing the introduction of paramedics and the use of early defibrillation—advances that have saved countless lives. His unwavering dedication to improving pre-hospital care leaves a profound legacy that continues to inspire generations of emergency medical professionals worldwide. Professor Gavin Perkins MBE President Professor Andrew Lockey MBE Vice President

@simontutt88 A big issue in sim is the candidate says something/that they’re going to do something rather than actually doing it. “We’ll get a line in & give TXA”, but with no consideration that these things actually take time. So spending time doing them really affects the scenario.

Looking for ideas from Paramedic and prehospital colleagues if you could design a bespoke pre hospital trauma course for student para through nqp level. What things would /do you feel would be beneficial: lectures, sims, skills stations, specific topics etc? Welcome ideas.

⚠️ From what we can see on social media there have been 2 Scottish paramedic suicides in 2 days so, we’re going to highlight the issues they face & why many don’t speak up. As ever, please read with caution 🧵

Following on from the publication of the hotly anticipated SUB30 study of prehospital extracorporeal CPR (ECPR) for refractory out of hospital cardiac arrest, it was a pleasure to attend the @FPHCEd webinar with @drmamoun01 @GomorraDoc Dr Ben Singer and Dr Jey Jeyanathan 1/

@nickopotamus Sorry to hear this Nick. Take care

@HullStrength I’d also say the same applies with schemes that use HCP volunteers who respond from home. Typically these are people who live in “wealthier” areas, and respond to others in their local area who probably also >ave earners. I imagine fewer responses to areas of low Ave income.

Whilst well meaning the funding model of air ambulance charities exacerbate health inequality as opposed to alleviate it

𝗔𝘁 𝘁𝗶𝗺𝗲𝘀, 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗼𝗯𝘃𝗶𝗼𝘂𝘀 𝘄𝗵𝗲𝗻 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝗶𝘀 𝘀𝘁𝗿𝘂𝗴𝗴𝗹𝗶𝗻𝗴 𝘁𝗼 𝗰𝗼𝗽𝗲, 𝗯𝘂𝘁 𝘀𝗼𝗺𝗲𝘁𝗶𝗺𝗲𝘀 𝘁𝗵𝗲 𝘀𝗶𝗴𝗻𝘀 𝗮𝗿𝗲 𝗵𝗮𝗿𝗱𝗲𝗿 𝘁𝗼 𝘀𝗽𝗼𝘁. Check in on those around you. #WorldMentalHealthDay | #YouAreNotAlone | @samaritans

@helloimnicholas Welcome to the club Nick! Well done

@SamGoodhand I was called (ambulance) to a patient who had arrested in hospital, but on a half landing on a set of stairs. Crash team etc all there, but with one trolley on the floor above, and one on the floor below. And no way to move the patient. Definitely pros and cons for both

The “Crash Trolley” - the stalwart of every hospital emergency . Ergonomic, organised, all-in-one… Or are they hiding in plain sight in the hunt for better human factors?! Would a multi-modular, A/B/C break-apart unit be a no-brainer🧠 ? A 🧵: #MedTwitter

@medicluke @EastMidsMTC @RichBayli55 @drrichardbrook @LNAACT What a great group!

When you’re on your way home from a great week @EastMidsMTC you bump into your old SR @RichBayli55 and your old novice anaesthesia mate @drrichardbrook on @LNAACT critical care shift! Of course we had to get a photo! 🚑 🦺🚨

@EastCoast_Para Often OHCA and natural death are not really differentiated, and we end up approaching people who’ve died as if they’ve had a OHCA. If there’s not an identifiable and reversible cause, in someone with the reserves and rehab potential then resuscitation is probably not indicated

Majority of OOHCA shouldn’t receive resuscitation efforts

@jbrannan23 I voted for immobilise (but appropriately/to comfort)

@wezroberts I’d be interested to see how you vote 😉 (patient compliant)

A 90+ year old is found at the bottom the stairs in their house. They live alone, have dementia and last seen 24hrs ago. They cannot recall events. There’s a significant lac across their forehead and c/o right hip pain. Would you fully immobile on possible mechanism alone?

@jbrannan23 I probably wouldn’t be in this case - injuries to two distinct body areas with an unclear Hx and a patient who is likely fragile/frail/possibly osteoporotic. But I wouldn’t be rushing to strap them down in an unnatural position on a scoop etc if not comfortable/tolerated by them

@wezroberts Ok, how would you clear their spine?

We’re very pleased our weekend nights are over

@Obidoc @WHHNHS We’re using the same bags (prehospital), really helpful in a “tense” situation especially when you’re assistant might not be as familiar with the kit

We have trialled #SCRAM in our #ITU over the last 12 months and now we are fully implementing them in our emergency #airway management #patientsafety #humanfactors #CRM #RSI @WHHNHS