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 #HelloMyNameIs Andy 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 Saint Emlyn's journal club blog on a meta analysis of bougie use in airway management. #FOAMed

Thanks to Cliff Reid 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)

Barry Singleton Cliff Reid 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 Saint Emlyn's 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 Team DFTB LITFL 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

The impact of alternate defibrillation strategies on shock-refractory and recurrent ventricular fibrillation: A secondary analysis of the DOSE VF cluster randomized controlled trial - PubMed #ncbi pubmed.ncbi.nlm.nih.gov/38522736/

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. Mat Goebel MD MAS NRP Remle P. Crowe, PhD Jeff Jarvis

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 ⁦Clare Hayes-Bradley⁩ 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 ATACC Faculty and my international Red Team colleagues. 🇬🇧 🇳🇱 🇧🇪 🇸🇪 🇺🇸

Shattered after another successful #ATACC some amazing candidates and always great to be back with ATACC Faculty

I had a case not go so well from a team dynamics point of view so I explored the concept of shared mental models more deeply and reported my reflections to our HEMS team

Here's the recording (4 mins)

youtu.be/eK2nFF8ZDyw

NEW Causes Of Cardiac Arrest You NEVER Thought Of?! Meet The Hs & Ts & Cs!
youtu.be/Jv-wXhwgpTI

a deep journey in pathophysiology of trauma and in advance prehospital trauma care by London's Air Ambulance Charity at TBS Zermatt

youtube.com/live/X_MYg3p4U…

Position statement on asymptomatic patients with head injury who are taking anticoagulants endorsed by Royal College of Emergency Medicine Association of Ambulance Chief Executives British Geriatrics Society SBNS UK Hospital at Home Society

rcem.ac.uk/wp-content/upl…

Here's my video breakdown of these new recommendations
youtube.com/watch?v=72nJIT…