Jules Mitchell

Trauma Surgery Resident | Aussie | Mum to be! #BabyBump #ILookLikeASurgeon

[Jules Mitchell @DocJulesM]

@999METHANE Is there any evidence that HART have brought any true value to emergency or terror response in UK? Oz & other countries extend Fire Services or establish true multidis teams, not simply spend a fortune on elitist teams that work in isolation. Cost vs benefit ratio appears v poor

[Jules Mitchell @DocJulesM]

@999METHANE You clearly know lots about this……🙄. They had Fire, USAR and a multidisciplinary enhanced med team….what are HART bringing?? Are they expendables?? There is always risk, assess it, mitigate and manage it.

[Jules Mitchell @DocJulesM]

@999METHANE 14 in our med team, plus fire, plus USAR with 4 casualties -deploying 6 of multidisciplinary medical team into building not unreasonable?!

[Amin M. Demerdash, MD @amino15]

@PulmCrit 500 liters later, the MAP is still 50, the patient now can’t breathe and needs intubated, the kidneys are so congested they stopped working on the verge of CRRT … but hey the sepsis bundle has been fulfilled 😵‍💫

[ehaat_ @EHAAT_]

We're looking for a Clinical Director to join our dynamic team at EHAAT👉 If you have experience in developing and managing an integrated clinical strategy and a passion for the life-saving services we provide, we would love to hear from you! Find out more:https://t.co/EVrcUzMtE6

[Simon Carley @EMManchester]

Absolutely fantastic course with years long waiting list.

An opportunity not to be missed

[Dr Jessica M. DNP/MSN/MPH, CCNP, FNP-C, CFNP @Jessicam6946]

Tonight I helplessly held the hand of and stroked the hair of a beautiful 14 year old girl as she exited this world. She was looking forward to starting high school and eventually becoming a veterinarian. It was so senseless! I truly believe she could have been saved if her

[Jules Mitchell @DocJulesM]

@LarcombePeter @Obidoc @ATACCGroup Oh yes, it’s absolutely on my ‘bucket list’ 😊 #atacc

[Jules Mitchell @DocJulesM]

Wow! #Traumanurses of #Oz look at this!! That’s no boring classroom scenario or sim - great stuff @ATACCGroup #NTACC2019 #NTACC #21stcenturytraining

[M Velia Antonini @FOAMecmo]

#ECMO in respiratory failure, from background to modern era:
➡️criteria
➡️complications
➡️#ECCO2R in moderate ARDS
➡️MV management
➡️anticoagulation
➡️blood transfusion
➡️extubation & mobilization #ICUrehab
➡️evolving applications in #ARDS
@Membranes_MDPI https://t.co/RavyLAJUwc

[Institute of Pre-Hospital Care @IofPHC]

Thanks to all our @PHMMSc students for your human factors portfolio submissions today. We’re looking forward to reading all of them. We value the hard work that you invest alongside your professional roles and life events!! Education is how we change the future for our patients.

[Cliff Reid @cliffreid]

Heard the characteristic sound of an AW139 helicopter overhead in the middle of the night. Checking Flight Radar 24 from my bed showed it was our retrieval aircraft Rescue 207. It was 1.39 am. An AW139 at 01.39!
Imagine my wife’s delight to be woken and informed of this marvel.

[nigel tai @nigeltai]

@EMManchester @karimbrohi @irishEDdoc The "six hour" came from this 1949 study of mid-thigh femoral artery ligation in the hind limbs of dogs. https://t.co/8HGB1m8F9n TL;DR: animals who were re-perfused within 6 hrs had 90% limb salvage...but...

[Gregory Purssord @DrPurssord]

@AirwayVigilante @DocJulesM @richormonde @OperationalEMS @ETC_Org @ATACCFaculty @RCollEM It is for other Royal Colleges, maybe @RCollEM need to catch up?

[James Yates @heli_med_james]

Folks.

I don’t know what sort of institution you thought you were hacking but the assets of @TheResusRoom are limited to three microphones and a dog.

And I know you’re not here for our cognitive abilities

[Karim Brohi @karimbrohi]

ITACTIC is out!

Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial.

Thank you to everyone involved - it's hard to exaggerate how much time and work everyone put into this extraordinarily challenging study.

[Jules Mitchell @DocJulesM]

@TotalResus @accracpodcast @jwolpaw @LeeGoeddel Did it just say fill, fill and fill like most Doppler and pulse contour studies in surgical use? 🙄🤦‍♂️

[Per P. Bredmose @VikingOne_]

@SpontVentGA Exactly!!! Getting that dose right is the tailoring!!!!!! Way way way too many providers rely on dose per kg and do not take physiology into account

[Cliff Reid @cliffreid]

8 year old got humeral IOs, rapid sequence induction, surgical airway, anterior open thoracostomy, large volume prehospital blood, extended life plasma, cryoprecipitate, calcium and TXA via central line, pelvic binder and bilateral lower limb tourniquets. Thanks @HawkmoonHEMS

[Stephen Hearns @StephenHearns1]

Set out to climb Beinn Narnain today with Mrs H. @Kerrymilligan1 Nearly at the top when alerted to Arrochar MRT call. Fallen rock climber on Sugach Buttress about 30mins from our location

Excellent teamwork as always with @DaveWCurrie & the crew of Prestwick SAR helo @MCA_media

[Simon Carley @EMManchester]

There is a real difference between people who think this is an important question and those that don’t.

Spoiler: I much prefer those that don’t think it’s important. Judge people on their abilities and not their prior privileges.