#POCUS transcranial Doppler can be hard to integrate into practice - a 🧵on how it can change management. Trauma post OR for laparotomy (no CTs yet) - still unstable, TCDs done given low GCS.. diastolic reversal suggesting severely elevated ICP 🧠🤯😢#medtwitter #echofirst

#CritCare #OpenAccess The association of arterial partial oxygen pressure with mortality in critically ill sepsis patients: a nationwide observational cohort study Read the full article: ccforum.biomedcentral.com/articles/10.11… Jean-Louis Vincent ISICEM #FOAMed #FOAMcc

First time doing a #POCUS thread (and a little bit nervous about it!), but had a case over the weekend that once again reminded me how useful ultrasound is at the front door. Images posted with full consent. (1/5)

🔓Noradrenaline-induced changes in cerebral blood flow in health, traumatic brain injury and critical illness: a systematic review with meta-analysis LZ Meng 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Here's a link to my talk on VExUS and "ARDS" vimeo.com/959323826?shar…

Great article on one of our survivors in our prehospital ecpr study in Sydney #ecpr #resuscitation #prehospital #ecmo ⁦NSW Ambulance⁩ ⁦SydneyHEMS⁩ abc.net.au/news/2024-07-0…

Optimising cost of #HEMS 🚁🚁🚁 Health outcomes & costs of #HEMS versus ground-based #EMS were compared across six different scenarios. Estimated 30-day #mortality and quality-adjusted life years (QALYs) were used to measure health benefits. Read now: sjtrem.biomedcentral.com/articles/10.11…

Recovery of arterial blood pressure after chest compressions pauses in patients with out-of-hospital cardiac arrest resuscitationjournal.com/article/S0300-… #Resuscitation

Prehospital partial REBOA for exsanguonating torso haemorrhage. The P-PRO study published today in JAMA Surgery. This is the environment, and these are the patients REBOA was developed for. jamanetwork.com/journals/jamas… Congrats RobbieL London's Air Ambulance Charity and all involved.

Prehospital partial zone 1 (supraceliac) #REBOA in #trauma patients at risk of CA & death due to exsanguinating subdiaphragmatic hemorrhage: 🔍 prospective study evaluating physician-led/delivered urban prehospital service in Greater London 🇬🇧 🩸16 adults with severe

For context, these patients were properly dying. Median values: ISS: 50 (all blunt trauma) First BP: 58/35 mmHg BP just prior to REBOA: 47/28 mmHg

This is something I teach on every #SPEAR course but yet often struggle to actually describe the technique, this thread explains it perfectly!

#Governance is an important part of patient safety. East Anglian Air Ambulance has an impressive governance framework which includes #POCUS, as shown in the article. Thank you Jon Barratt for taking the time to talk to us about implementation! sjtrem.biomedcentral.com/articles/10.11…

Airway management and ventilation techniques in resuscitation during advanced life support: an update CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

"Non-invasive blood pressure measurements are often inaccurate in the pre-hospital setting, particularly in patients with haemodynamic instability". New work by Yani Perera and others Thames Valley Air Ambulance with EMROx - Emergency Medicine Research in Oxford Oxford Trauma and Emergency Care Frimley Health NHS Foundation Trust 💙: shorturl.at/JNYx3

(1/x) As you might know, I research venous congestion in critically ill patients. This is a fascinating field but is changing a TON as new evidence emerges. Here are my top 5 learnings about venous congestion in the past months. A 🧵 Pinging some experts in the field for their

Full text now published in Resuscitation! Read full text here:buff.ly/3yX7yhD Transoesophageal echocardiography enhances cardiac arrest management significantly 🩺 TL;DR: Transoesophageal echocardiography (TOE) improves cardiac arrest management by providing

"Non-invasive blood pressure measurements are often inaccurate in the #prehospital #criticalcare setting" Physiological extremes & transport conditions (e.g. vibration) can affect oscillometric cuff devices. But by how much? Read now on #SJTREM: sjtrem.biomedcentral.com/articles/10.11… #EMS

Our upcoming course on Hemodynamic Monitoring. Top notch speakers, great topics, and a lot of discussion. Simultaneous translation (Spa/Eng) and lectures will be recorded. Please RT Ross Prager Philippe Rola Matt Siuba korbinhaycockmd ANDROMEDA-SHOCK massoeventos.com/monitoreo-hemo…

Some interesting work here on the (lack of) agreement between non-invasive and invasive BP monitoring in pre hospital critical care. Understanding the pitfalls of NIBP, particularly at the extremes, is important in its interpretation. Look at this example! 🙃