Critical Care Paramedic @SECAmb_CCP / HEMS Paramedic @airambulancekss
Folkestone, England
Joined November 2014
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Silas 🫀 retweeted
🚁Back To Base 🚁
Thank You to everyone who took part in the first ever REACT course in collaboration with @EastAngliAirAmb
Thank you to the course facilitators, actors and everyone at EAAA for the warm welcome of The ATACC Group !
Are you ready for REACT ! Get in touch ⬇️
[email protected]
#REACT #ATACC #EAAA #HELIMED #NEVERSTANDINGSTILL
Awesome results. Couldn’t agree more re: adrenaline (apart from calling it epinephrine).
Lots of talk about ECMO for rVF but adrenaline is a low-hanging fruit 🍇
Our Cardiac Arrest protocol for VF at @PBCFR does not follow standard AHA guidelines.
Here's what we do:
1. HP-CPR
2. Early defibrillation
3. No Epinephrine
4. DSED for rVF
5. Esmolol for rVF
YTD Arrests Worked: 524
Overall Survival to D/C:
- PBCFR: 13.2%
- National: 7.5%
Utstein Survival YTD via @CARESRegistry:
- PBCFR: 41.7%
- National: 23.9%
Utstein Bystander Survival YTD:
- PBCFR: 38.5%
- National: 27.2%
#Epinephrine could (and should) be #removed from the shockable rhythm protocol.
Silas 🫀 retweeted
Learn about London Air Ambulance's @LDNairamb 2024 publication on zone 1 partial REBOA.
@HaldenHB analyses it against the UK-REBOA RCT.
@stemlyns #FOAMed @karimbrohi
@robbielendrum @ResusOne
stemlynsblog.org/zone-1-part…
Silas 🫀 retweeted
This is something I teach on every #SPEAR course but yet often struggle to actually describe the technique, this thread explains it perfectly!
Silas 🫀 retweeted
Paramedics:
Does your ambulance service do POC ketone testing?
Aside from DKA,
Are you also testing for euglycaemic ketoacidosis in unwell patients taking SLGT2 inhibitors ?
(Often times these patients don’t have diabetes- they have HF)
(We probably should be checking)
Silas 🫀 retweeted
Thread of positive stories that will restore your faith in humanity 🧵
1. Man posing with photo of forest he revived
Silas 🫀 retweeted
Study categorisation from @pocock_stuart at #PratoAnaes2022
➡️ WOW! and PHEW! interpreted the same but very different
➡️ PHEW! and DAMN! interpreted differently but virtually the same
We need to get wiser, a p-value is no substitute for brain.
Silas 🫀 retweeted
He brazenly lied to @covidinquiryuk about "losing" all those WhatsApps.
Now he's brazenly lied on national TV.
He's Johnson, basically, with a glossy £700 million veneer.
I'm so utterly sick of these Trump-lite, devoid-of-integrity, grubby little political charlatans.
Awesome work
And we're live... our ERICA-ARREST study is open for recruitment. Curring-edge cardiac arrest research from @qmul and @EAAARAID - read more here: ERICA arrest study | East Anglian Air Ambulance (eaaa.org.uk) @EastAngliAirAmb @BartsIntervGrp @DMS_MilMed
Silas 🫀 retweeted
The "homemade limoncello" video is up there with the very best of the internet.
4 years later and I still laugh at it on every play.
Welcome to the new UK vs US medical debate: “MidaKet” vs “Ketolam”
New blog: MidaKet for procedural sedation in critical illness
⚖️ Midazolam & ketamine yield synergistic sedation while minimizing doses & side-effects from either agent alone (multimodal sedoanalgesia).
⚖️ Avoids suppressing respiration or Bp.
post: emcrit.org/pulmcrit/midaket/
There are lots of amazing things about working for @airambulancekss but the Aftercare Team are doing something extra special 🦸🏻♀️
Silas 🫀 retweeted
Unless one operates in a region where opioid overdoses are truly endemic
I just don’t think having law enforcement carry naloxone is a good idea.
If a member of the public isn’t breathing they need CPR
Not repeated doses of naloxone and many people standing around waiting
Silas 🫀 retweeted
I have recently come across a challenging case where it felt like everything fell into place and we had a good outcome.
In debrief a common theme that came out that the treatment of such an extreme case are not in the guidelines
Hence a 🧵 on
