Rob Major retweeted
The compassion bag. We take plenty of equipment to the scene - compassion is perhaps the most important thing we bring…..@Kershberg @ehaatClinical Proud to say that I think we have some of the most compassionate clinicians in the world attend to our patients @EHAAT_
Rob Major retweeted
♥️ Today’s the day! ♥️
Learn #CPR online for free with Restart a Heart Live.
Just 20mins and you will have the skills that could save a life.
80% of cardiac arrests happen in peoples own homes so make sure you know how you can help your loved ones in an emergency
Last year we broke a @GWR World Record.
This year we’re aiming even higher: to train 1 million people in #CPR - and we need YOU on the team!
On Weds 1 Oct, join our free, live, online CPR sessions, led by a #paramedic and running every hour, on the hour.
restartaheart.live/
Rob Major retweeted
Thank you to EEAST Charity and @NHSCharities for making this possible, together with @GoodSamApp for their instant on scene technology, and @ehaatClinical for their support to deliver this amazing project.
Rob Major retweeted
EHAAT pioneer’s new era of research for Essex and Hertfordshire and beyond | EHAAT ehaat.org/blog/ehaat-pioneer…
Rob Major retweeted
ECPR improves outcomes in refractory OHCA, but most patients never reach an ECMO center in time.
📍New systems are expanding access by initiating ECPR in the prehospital 🚑🚁 or non-ECMO center setting.
But what happens after cannulation?
🧵👇 (1/5)
Rob Major retweeted
@phemDM and others solidly included my mentor list ! Thank you
Rob Major retweeted
Arterial cannula for percutaneous femoral VA #ECMO: relationship between cannula size, predicted arterial size & vascular complications
🧮 median predicted CFA diameter 5.4mm, 1.9 Fr lower vs chosen cannula
⚖️ significant discrepancy = higher complications
Estimated CFA diameter should be considered at cannulation, as well as target blood flow to support metabolic demands. Here a cannula sizing chart to guide selection @asaiojournal
🖇️ bit.ly/44EgWUl
Rob Major retweeted
🚨 In just 2.5 months since launch, RescQ has registered over 100 bystanders involved in Out-of-Hospital Cardiac Arrest (OHCA) events.
We're proud to be the first UK (at least!) to document the bystander denominator & provide with much needed support.🧵
@DrKeeble @EastEnglandAmb
Rob Major retweeted
So far, we've provided personalised sessions to 11 bystanders — with excellent feedback. 🙌
Our dedicated website continues to offer tailored resources, videos & peer-led content to support the psychological journey. 💙
@DrKeeble @DrMarcoMion @gareth_grier @phemDM @LukeAndreou
Rob Major retweeted
I was highly skeptical that there was a benefit to recognising and treating occult VF diagnosed with POCUS versus traditional electrocardiographic (ecg)VF
This has made me revise my preconceptions.
There might be a benefit to diagnosing occult VF with US and treating it as such
Are you missing occult VF ( VF not recognised on ECG but visible on echo) in cardiac arrests masquerading as asystole OR even PEA? Check out the Reason 3 cardiac arrest trial and don’t forget to diagnose, defibrillate, and even consider ECPR in these pts.doi.org/10.1016/j.annemergme…
Rob Major retweeted
ECPR for refractory cardiac arrest
🩺 physiology/rationale
⚒️ technical considerations
🔍 (growing) evidence
‼️ special circumstances
⚖️ patient selection
⏱️ timing/setting & post-ECPR care
🎓 training
🚧 risks/complications
🥅 goals
🎁 organ donation
💵 economic impact & justice
@LancetRespirMed #FOAMcc
🖇️ bit.ly/3HjVSsV
Rob Major retweeted
@EastAngliAirAmb POCUS course today 20+ candidates covering both critical care and urgent care care use of ultrasound. Expert faculty and support from @ButterflyNetInc @EAAARAID @phemDM thanks to those that have helped over the years @EMDocJB @DrPaulRees @phemDM
Rob Major retweeted
Long-term outcome of #ECPR vs cCPR in #OHCA
🇦🇺🇳🇿@EXCELoutcomes
🪦 28% ECPR/12% CCPR OHCA survivors at 12 months
⚖️ ECPR cohort younger, more likely to receive bystander CPR
⏱️ median arrest to ROSC/ECMO time longer in ECPR, 61 vs 6'
🧠 majority of ECPR survivors did not have significant cognitive disability at 12 months, but increased motor disability likely due to ECMO complications
Despite significant baseline differences, and prolonged duration of CA in ECPR patients, no differences in HRQoL at 12 months or return to work in survivors.
@ResusJournal
🖇️ bit.ly/4ibgQXP
Rob Major retweeted
I don’t what more we can do… 80 patients with pre hospital arterial cannulation and intra arrest invasive BP measurements and it doesn’t even feature in the guidelines.
Meanwhile most services are just getting on with implementing the capability
Rob Major retweeted
Great point Chris!
This has been in other guidelines for adults for years, and can now be operationalised and delivered, even intra-arrest.
The A in ALS really doesn’t seem to stand for advanced, algorithmic life support would be more accurate
Rob Major retweeted
So in summary - my arguments will not satisfy the group 2 argument, and to be fair that is the level of evidence (so they are not wrong, ….. yet 🤣🤣🤣 )
Rob Major retweeted
Some exciting RAID updates:
ERICA-ARREST. >50% recruited. Lots of state of the art OHCA data captured, and trial survivors!
BRAIN-FIRST - Over 20 patients recruited and some excellent TBI POC data @AbbottNews
Keep watching for updates!
eaaa.org.uk/clinical-area/re…
Rob Major retweeted
And some supporting papers, for some extra reading! pubmed.ncbi.nlm.nih.gov/3847… and ccforum.biomedcentral.com/ar… and pubmed.ncbi.nlm.nih.gov/3951… @EAAARAID @BartsIntervGrp
Arterial lines prehospital? A really useful adjunct but only if it doesn’t delay transport. @EMManchester at #incrementum2025
stemlynsblog.org/non-invasiv…
