@iceman_ex Mate I miss you. As soon as travel is allowed I need to recharge my élan vital from your presence. Looking forward to the next #ResuscitologyUK
@EMManchester
@Cap1llary
@_NMay
@Resuscitology
Inhaled budesonide improves time to recovery, with a chance of also reducing hospital admissions or deaths, in people with #COVID in the community who are at higher risk of complications
The UK PRINCIPLE trial in @TheLancet
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01744-X/fulltext
In a porcine submassive pulmonary embolism model (RV dysfunction without MAP drop), supplemental oxygen therapy improved right ventricular haemodynamics with the same magnitude as seen for pulmonary vasodilatation with nitric oxide
https://pubmed.ncbi.nlm.nih.gov/33870917/
In a randomised controlled study in cadavers, tracheal tubes inserted via a surgical cricothyroidotomy technique were more resistant to extubation force when secured with a suture compared with fabric tape methods
https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00925-y
Changes to intubation practice as a result of #COVID resulted in increased incidence of hypoxia in non-COVID patients
One factor may be the removal of apneic oxygenation
More rigorous ED intubation analysis from @cjgroombridge and team
https://pubmed.ncbi.nlm.nih.gov/34080299/
101 Lessons from Sydney HEMS
Written in 2017, the lessons still ring true
Free e-book by @_NMay via @stemlyns
Smartphone-based dispatch of community first responders to out-of-hospital cardiac arrest - statements from an international consensus conference. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00841-1
Challenges in the PREHOSPITAL emergency management of geriatric trauma patients – a scoping review. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00922-1
Use of regional analgesia and risk of delirium in older... : Journal of Trauma and Acute Care Surgery.
Regional anaesthesia in elderly rib fractures reduces delirium by 35%. https://journals.lww.com/jtrauma/Abstract/2021/08000/Use_of_regional_analgesia_and_risk_of_delirium_in.3.aspx
1/3 Milrinone vs Dobutamine in Cardiogenic Shock
Hats off to the investigators
However small study, often randomised hours after ICU admission, & not selected based on underlying cause or hemodynamics
https://www.nejm.org/doi/full/10.1056/NEJMoa2026845
When critically important stuff you should have known already but learned from Twitter friends finally makes mainstream news…
Covid: Pulse oxygen monitors work less well on darker skin, experts say https://www.bbc.co.uk/news/health-58032842
Persistent Racial/Ethnic Disparities in Out-of-Hospital Cardiac Arrest - Annals of Emergency Medicine https://www.annemergmed.com/article/S0196-0644(21)00303-6/fulltext
Hot off the press: Engagement of the Median Glossoepiglottic Fold and Laryngeal View during Emergency Department Intubation https://www.annemergmed.com/article/S0196-0644(21)00312-7/fulltext @brian_driver @airwaycam @ErinKarl_MD
4Really enjoyed this one - I think there’s something in it for everyone involved in acute care. 30 mins of important learning on identifying those patients about to die if you don’t act fast https://twitter.com/_NMay/status/1420161932594720769