5 years of collaborative working and process design produced not only the 1st UK study of roadside ECMO-CPR but also informed an imminent #ECPR service evaluation by @LDNairamb / @Ldn_Ambulance for 2025- special thanks all involved and congrats #London @NHSEnglandLDN @sub30study

@DrHWazir @Keir_Starmer It remains a great career choice for those with a passion for it, state of NHS is transient, I mean let’s face it, couldn’t get much worse! Unwise to advise school leavers to factor that in, let alone base their choice on it.

@iamtomskinner We already have the worst numeracy and literacy skills amongst school leavers in developed world, let’s now go round advising the few who do get some form of education at university not to bother. . . Oh dear, there’s only one direction for the UK GDP and it isn’t ⬆️

@tsoburol @rcgp @KamilaRCGP Few reasons Tim, many so called experts/leaders in professional education/competence either, lack basic understanding of journey to competence or, are so blinded by biases, politics & aversion to change. Treatment of PAs is scandalous, even more so in context of a failing #NHS

@ABCDEcografia Couldn’t agree more, indeed it’s one of the easier US guidance skills to acquire / reach competence. Baffles me why 20 years post #POCUS dissemination anyone would attempt it without it.

Clearly @DHSCgovuk & @NHSEngland lack insight on how time critical the hospital re-build programs are not only for saving lives but even more so for economic prosperity. Loss of lives, talent & investor appeal in 1 move, UK downward spiral continues. . .

Excellent thread on use / misuse of diuretic therapy - the only point I’d add is adjuvant use of #Echo to identify a step change in baseline cardiac function or even indices in congestive nephropathy etc. Prob stating the obvious but a corner frequently cut in @NHSuk

@katiewiskar @threadreaderapp unroll

RT @ACCESS_London1: 📢 Excited for the ACCESS Clinical Development Day on 23rd Jan! Agenda highlights: 🔹 Acute Transfers of the Critically…

@elwagyo @gareth_grier @EMDoc_AB Fantastic piece of work @elwagyo 👏🏼- many congratulations

@frec4medic @teddyhla @ZackShinar @sub30study @HaldenHB @stemlyns @LDNairamb IABP: Intra-arterial blood pressure NOT balloon pumps 😉

@frec4medic @teddyhla @ZackShinar @sub30study @HaldenHB @stemlyns @LDNairamb Of course for maximal benefit for the population & cost effectiveness, services should consider adding other tools under investigation e.g. IABP, Resus TOE (TEE) etc for targeted resuscitation all in the context of studies / service evaluations and until clear strategy emerges

@frec4medic @ZackShinar @sub30study @HaldenHB @stemlyns @LDNairamb The most cost efficient way is likely plugging an ECPR expert to a well established HEMS service to operate as one team, working to the same SOP, trained collectively etc. VA runs for ECPR tend to be short. Consumable costs etc should come down as technique scales

RT @ACCESS_London1: 🎄✨ Wishing everyone a very happy Christmas! From all of us at the ACCESS team, thank you for your support this year. He…

@UAE_ESEM @Asiritrauma1 الله يرحمه ويتقبله في جنات النعيم. كان من خيره الرجال وطيب القلب وودود وترك علم ينتع به. إنا لله وإنا اليه راجعون. May his soul rest in peace

@divermac03 @Pipes_n_pumps @FPHCEd @GomorraDoc I’d say possibly within a system that will offer you Cath Lab ECPR as a pathway BUT only after 3 shocks on scene whilst maintaining high quality CPR with mechanical device e.g. positioning etc.

RT @ACCESS_London1: @drmamoun01 @LDNairamb @Ldn_Ambulance @NHSEnglandLDN @sub30study @NHSBartsHealth This evening, two of our consultants c…

@DrKeeble @Pipes_n_pumps @DrPaulRees @phemDM 2/2 Other services are exploring very complementary facets such IA guided CPR, peri-arrest echo etc and I suspect we’ll all converge on an advanced endovascular cardiac arrest package that a suitably trained team can deliver - it’s time we’ve moved #Resus to 21st century 🫀