Tim Wallace

RCEM has launched a unique training programme to empower paramedics and emergency care professionals to engage in academic research 🏥 In collaboration with @ParamedicsUK and @NIHRresearch - the modules will take learners from the fundamentals of research through to applying findings to improve emergency care practice 📈 Read more here 👇 rcem.ac.uk/rcem-launches-…

Incorrect 'CPR' Sucks! Early CARDIAC ARREST management only makes sense if you understand pathophysiology and you target interventions to the patient Here I describe what's WRONG with many cases of cardiac arrest resuscitation and how we can fix it youtu.be/pzlsHBCJI0E

We've released the July 2024 #JRCALC Clinical Update! It includes two brand new guidelines: 🆕Clinical Considerations in Relation to Diversity and Equality 🆕Conditions Requiring Specific Prehospital Clinical Management Plus, changes to: 🚨Trauma - abdominal, pelvic and thoracic 🚨Head Injury 🚨Tranexamic acid (TXA) 🚨Electrical Injuries and more! You can find further information here: bit.ly/JRCALCJuly24

ILCOR Review: Teaching team competencies within resuscitation training: A systematic review sciencedirect.com/science/articl… #ResuscitationPlus

BRUEs (Brief Resolved Unexplained Events) in infants can be really concerning for family members to witness. But, inherently, when prehospital teams arrive the infant is often alert and crying. So what's going on? Here's what we need to know....🧵 #FOAMed #FOAMems #paramedic

JC secondary analysis of DOSE VF trial shows (DSED) a superior strategy over AP/VC defibrillation for refractory ventricular fibrillation (RVF) in OOCH, improving survival rates and neurological outcomes significantly. @stemlyns #FOAMed stemlynsblog.org/jc-does-the-ou…

Top papers podcast 2023/24. St Emlyn's. Our edited podcast covering recent Airway papers. #FOAMed @stemlyns stemlynsblog.org/top-papers-pod…

Ok. A few bits. Will add a context of intravenous sedation for long bone fracture manipulation as an example. 1. Even when the pre-sedation environment is tense, noisy, loud, etc., speak gently with the patient before you start. Allocate someone to continue to speak smoothly and

Interesting study shared by @AndyPattonIRL at @SydneyHEMS Governance Day - TL;DR we underestimate large volume blood loss and overestimate small volume blood loss on scene (1/3) ncbi.nlm.nih.gov/pmc/articles/P…

Another @stemlyns journal club blog on a meta analysis of bougie use in airway management. #FOAMed Thanks to @cliffreid for spotting this one. stemlynsblog.org/jc-bougie-use-…

This is also our experience @SydneyHEMS - we have a large video library of severely contaminated airways from both prehospital and interhospital missions showing effective intubation with standard geometry VL using the Storz C-MAC device (no conflict of interest)

@DrBSingleton @cliffreid Well it can…. & this is an oft quotes limitation to VL…….but the available evidence suggests VL outperforms DL in the soiled airway. This from a John Sakles ED airway registry Of course happy to see other better evidence.

Please visit @stemlyns to read about Max and the reasons why we need the AMAX4 algorithm in anaphylaxis/asthma. I promise you'll learn from this tragic story. Thank you Ben and Tamara. Joining @DFTBubbles @LITFLblog to get the learning out there. stemlynsblog.org/just-a-routine…

Want to be a cutting edge clinician or run a cutting edge service? Some thoughts on how youtu.be/uZ2UmuRLybw

Successful upper extremity #intraosseous access was associated w/ increased odds of ROSC in comparison to successful lower extremity IO access (aOR: 1.11 [1.08, 1.15]). Association consistent across multiple subgroups. @nerdymedic @rpcrowe @DrJeffJarvis tandfonline.com/doi/full/10.10…

Predictive and protective factors for failing first pass intubation in prehospital rapid sequence intubation: an aetiology and risk systematic review with meta-analysis - latest @SydneyHEMS #airway publication by ⁦@ClareHBradley⁩ sciencedirect.com/science/articl…

Could not possibly overstate how phenomenal the #ATACC course is. The 3 most intense and exciting days of learning in my career. So grateful to the @ATACCFaculty and my international Red Team colleagues. 🇬🇧 🇳🇱 🇧🇪 🇸🇪 🇺🇸