Crawford the Gasser

Engineer - R&D -Doctor -Anesthesiologist (PHEM / Airway / Education / Safety). Kitesurfing & bike racing. Ex SYD & LDN HEMS. ATACC fan. EMRTS 🏴󠁧󠁢󠁷󠁬󠁳󠁿

[Crawford the Gasser @CruaFear]

@FLTDOC1 @UWMedFlight Congrats on a great career and making a difference for so many people (crew and patients alike). 🙌🏻❤️

[Crawford the Gasser @CruaFear]

@evrisupportline - cos I was away on holidays for more than 10 days you won’t let me speak to a human being. I have someone else’s parcel and mine has t been delivered. As usual your customer care is appalling.

[Crawford the Gasser @CruaFear]

@FirstBusnews - £100m profit last year - what a price gouging rip off this is. £9 for a 30 min journey on a rammed clapped out double decker. #ripoff #firstbus

[Chris Bishop @Pipes_n_pumps]

Following on from the publication of the hotly anticipated SUB30 study of prehospital extracorporeal CPR (ECPR) for refractory out of hospital cardiac arrest, it was a pleasure to attend the @FPHCEd webinar with @drmamoun01 @GomorraDoc Dr Ben Singer and Dr Jey Jeyanathan 1/

[Crawford the Gasser @CruaFear]

Hoping to see a big step forward for patients / families / friends. Putting the patient at the centre of care in the pre-hopsital environment. https://t.co/SXWhGFWcA2

[Crawford the Gasser @CruaFear]

Ireland as an outlier in the pre-hospital care of people. Not for lack of hard work of the staff on the ground. System changes required - we could be doing much more!

[TheJournal.ie @thejournal_ie]

"I'm dismayed that Ireland has been left behind when it comes to this key element in trauma system development."

Dr Brian Burns is an Irish doctor in Australia. He says an upskilled Irish emergency service would save lives.

Read more:
https://t.co/6jTYoIVh6K

[Crawford the Gasser @CruaFear]

Concerns raised that Irish emergency medicine model is 'failing' severely ill and injured people (via @thejournal_ie) https://t.co/yxRlTqZT10

[Crawford the Gasser @CruaFear]

Worth a read - the PA megathread

[ExplosiveEnema @ExplosiveEnema2]

🚨The PA Megathread🚨

A community project looking to collect all of the evidence from posts, threads, and news articles related to the #PAproject in one place

If you think a post is worth including here please tag me

[EMRTS Wales @EmrtsWales]

Our Critical Care Practitioner Fellowship programme for paramedics and nurses is now open for applications. Deadline is midnight, January 22. For more information visit: https://t.co/rtiowD86JL 🚑🚁⚕️

[Dessie Gibson💙 @DessieGibson_]

Ye know yer living in Donegal when buying Christmas trees there's a sign like this🤣.....

[Dr Tony Goldstone @goldstone_tony]

3/3

But UK voting public is watching 👀- even this group of @DailyMailUK readers polled 2wks ago 👇say its the most important of @RishiSunak's 5 pledges & the SINGLE one seperating @Conservatives & @UKLabour

RT if you want this / next goverment to fix #RETENTION #FIXPAY

[Dr Tony Goldstone @goldstone_tony]

1/ VITAL🧵 So people have had a couple of days to digest the DDRBs "independent" reports & their imposition by governemnt.

TLDR;they represent further MASSIVE pay cuts.

Lets start with some history and look at what happened BEFORE the current high inflation

Pls read all/RT

[armyemdoc @armyemdoc]

Now, this is some freaky 💩.

The question, now, is whether we should be administering sedative/hypnotics to patients during CPR. While we need more data, this high-quality prospective study suggests yes.

Of the 28 available for interview:
-39% had recall, most commonly emergence sensations, followed by a dream-like state
-one patient was able to repeat back to them the audio recording they played in their ears during CPR
-one patient described the doctor's appearance running the code
-22% had near-normal EEG recordings sustained up to 60 minutes into CPR
-seizure-like activity was seen in 24% of EEGs

https://t.co/nDBepPwF7W

#emergency #emergencymedicine #icu #criticalcare #cpr #heart #life #health #survivor #foamed #foamcc #science #data #research #armyemdoc #medtwitter

[Karim Brohi @karimbrohi]

Very considered editorial from Halema Shakur-Still and Ian Roberts @CTU_LSHTM on the Patch trial results, very much in line with my editorial comments @CritCareReviews #CCR23.

https://t.co/9GvMKqAlzE

[Crawford the Gasser @CruaFear]

@nialldowney @casematepub @easons @Waterstones @amazon @StevenShorrock @DrStevenKinnear @SportsOrla @_markgallagher @MartyMakary @RichardDeCrep @BrennanSurgeon @David_ukan @TEDxStormont @DrJonnyElliott @NiallOfficial Haha - @nialldowney - you’re the really important Niall on Twitter - I think @NiallOfficial handle suits you!

[Big Dog @wcd07]

Supersport first lap #NW200 #Metropole

[Rattled Doc @rahttled_doc]

Hey @NHSEngland, @NHSScotland, and UK #Medtwitter

Those UK doctors who moved to my Aussie ED realised we never had an Exit Interview. We never got to share some of the examples of NHS culture that drove us away. Perhaps we can inform you a little with some anecdotes? 🧵

[Crawford the Gasser @CruaFear]

@DrSofiaR @NHS_HealthEdEng Holy cow 😞

[Tim Cook @doctimcook]

So *my* interpretation of the literature, integrated with some priority scoring gives

Elective - igel or PLMA
Novice at arrest - igel or SLMA
Expert airway rescue - PLMA
Airway rescue & planned conduit for intubation - PLMA, ILMA or igel

For me PLMA covers it all