Sindujen Sriharan

pubmed.ncbi.nlm.nih.gov/33468291/ Very proud that our work on #spaceCPR has been published. My first first-author publication! Also excited to talk about this work at the upcoming @Aero_Med conference in Aug. Thanks to @R_D_Pollock and @Space_Doctor for all their support! #spacemedicine

Less than 3 weeks to go! Don't forget to register for our annual conference 26-27th November in Birmingham: ukmcs.co.uk/events

@scotgasdoc Congratulations! 🥳

It’s all over! ✅ Thanks to everyone for their time, support, and guidance to finally get me to the finish line. Couldn’t have done it without you.

“Physiology-Guided CPR” 🚨🚨🚨 The inclusion of “physiology-guided CPR” in the ERC resuscitation guidelines marks a significant milestone in progress. So here are my reflections on the journey we have undertaken and thoughts on the future directions #SPEAR 🧵

British societies guideline on management of emergencies in patients on ECMO 🫀Recognition of cardiac arrest 🏥 Team structure 🕵️ Early troubleshooting @BritishCardioSo @FICMNews @ICS_updates @BACCNUK @SCTSUK @BSHeartFailure @ResusCouncilUK @ACTACCUK link.springer.com/article/10.100…

Our latest FICMLearning podcast is live! Today's episode is on Obstetric Critical Care with Education Subcommittee member, Dr Cathy Ross and Intensive Care Consultant and lead Obstetric Physician, Dr Katie Cranfield. 🎧Out now bit.ly/41hu13P #FICMLearning #FOAMed

Registration for this year’s #UKMCS conference is officially open! Our first ever 2-day conference. Join us on 26-27th November in The Studio, Birmingham for all things #obstetriccardiology.

@amit_pawa @LSORA_UK @RegionalAnaesUK They are really great and useful videos! Thanks!

I was recently filling out paperwork for my appraisal and there was a question regarding teaching contribution. I searched my videos on Youtube from @LSORA_UK @RegionalAnaesUK & my own channel & totted up the total views I have received I couldn’t believe it! Thank you all! 👇🏼

@AdamBoulton17 Really interesting!

Key output from my PhD fellowship has been published in Resuscitation TLDR: 🚨 Prehospital critical care teams were less likely to attend cardiac arrest patients in more deprived neighbourhoods. 🚨 No association with neighbourhood ethnicity 🧵... resuscitationjournal.com/article/S0300-…

Great day seeing friends and learning about LVAD, impella, Ecmo with @MLSCourse at @RBandH with @DrWaqasAkhtar #MLS #MCS #ECMO #ECLS highly recommend the MLS course

ICU Stories: A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started

@IM_Crit_ @ecgrhythms @EkgHacks @EcgsOnly Could it be a version of the spiked helmet sign? Kind of like the case 6 ECG in this series? pmc.ncbi.nlm.nih.gov/articles/PMC32…

Any thoughts about what led to these brief ECG changes? #cardiotwitter #CardioX #Cardiology @ecgrhythms @EkgHacks @EcgsOnly

Brilliant day of multidisciplinary learning at our UKMCS Trainees' day in Manchester. Particular focus on the MDT, shared decision-making, high-risk cases and avoiding over-medicalisation where possible @MFT_SaintMarys

A common error in the ICU/ED we see: intubating patients on BIPAP after 4 hours (or even less!) that look comfortable JUST because their blood gas isn't improving. Retweet if you have seen this practice yourself! Check out my recorded discussion with @paulieac quoted below where we talk about this and MANY more NIV pearls (Paul is a NIV guru btw) Instead: 1) Check to make sure a good mask seal --> if poor seal, your NIV isn't being delivered to pt. 2) Check your minute ventilation. Aim for ~0.1L/kg . So for an average person somewhere around 6-7LPM minute ventilation 3) Ensure appropriate indication (CHF/COPD over pneumonia) 4) Check your settings. For CHF, mean airway pressure more important (increase PEEP). For COPD, driving pressure more important (increase IPAP). 5) Make sure you are thinking about pulmonary toilet (e.g. breaks to cough, cough assist etc.)

Really interesting read!

@ross_prager @ResusTEEproject @ERC_resus @ResusCouncilUK @AHAScience @cliffreid Really interesting read!

🚨New study of pre-hospital #TEE in cardiac arrest. ~90% of CPR pre-TEE was in the wrong place! (not over the LV) Study Overview: Retrospective. OHCA. Performed by specialist MDs in Australia. N = 19 (small). Results: 1) Changed management or confirmed diagnosis in 17/19 2) Improved CPR location in 13/17 pts. 3) 17/19 patients CPR was not over LV. TEE resulted in improved location of CPR being performed (see figure below!) This is the sort of innovation we need in pre-hospital CPR. Huge hats off to the authors. Now question is how to scale to more providers (through technology, education, or other). @EM_RESUS @EMCases @IM_Crit_

International Liaison Committee on Resuscitation - sneak preview of 2025 recommendations! ilcor.org/publications/p…

Doesn’t feel like 5 years since we had to learn to don PPE, to work in it all day & make it last because supplies were short. People have different opinions about what happened, we all lost so much. I can only say that in 27 years as a doctor it was the worst thing I’ve ever seen

Key recommendations from the Emergency treatment of peri-operative anaphylaxis: Resuscitation Council UK algorithm for anaesthetists #anaesthesia #medicine #anaphylaxis buff.ly/5oPdwXb

(1/x) Performing ultrasound in zero gravity is harder than in the ICU... Here's what we learned from studying AI ultrasound in zero gravity trying to detect celestial dust related lung injury 🌙🚀 A 🧵 Made possible by funding from @csa_asc

@PHMBSc @IofPHC @PrehospitalQmul Sounds like a great talk! Would love to hear it 👌🏾

Alas, we have reached our last day of the presentations :( Kicking it off with Louisa with her excellent rundown of emergency presentations in Structural Congenital Heart Disease. These should always be in your differentials! @IofPHC @PrehospitalQmul