Silas 🫀

Critical Care Paramedic @SECAmb_CCP / HEMS Paramedic @airambulancekss

[Silas 🫀 @GenerallyUnwell]

Made a #5minclinicalshiz collection 🤓

https://t.co/9LrbgM0Imi

[Silas 🫀 @GenerallyUnwell]

@LondonAllergy hi! I have some questions about anaphylaxis as a cause of cardiac arrest... Please would you dm? 🙏🏼

[Silas 🫀 @GenerallyUnwell]

@DonnchadhaD @JessicaSpara https://t.co/aaeyrIPWBt.

[Silas 🫀 @GenerallyUnwell]

@EastCoast_Para Perhaps. My experience is that patients are heterogeneous, as are theirs and their families expectations, wishes, and values.

Guidelines provide basic clinical guidance, but don’t effectively teach you to make individual, patient-centred, ethical decisions.

[Silas 🫀 @GenerallyUnwell]

@Catholic_Briton @AliJaneMoore @Burnt2020 It is in the services I work in, promise!

https://t.co/pLuFeQ9Cv1

[Silas 🫀 @GenerallyUnwell]

@Catholic_Briton @AliJaneMoore @Burnt2020 Its the standard treatment for tension disease in cardiac arrest

[Silas 🫀 @GenerallyUnwell]

@EastCoast_Para I don’t think less exposure necessitates better understanding of those elements, everyone involved in resuscitation should have a good understanding.

But I think there is a limit to the expectations you can place on people that don’t specialise in [something].

[Silas 🫀 @GenerallyUnwell]

@LarcombePeter @thatsnotmine125 @AliJaneMoore @Burnt2020 I don’t think anyone’s suggesting that, but as a temporising measure whilst waiting for someone to get a scalpel it’s probably better than a pen knife thoracostomy!

[Silas 🫀 @GenerallyUnwell]

@Catholic_Briton @AliJaneMoore @Burnt2020 Don’t need a chest drain

[Silas 🫀 @GenerallyUnwell]

@LarcombePeter @thatsnotmine125 @AliJaneMoore @Burnt2020 To be fair I’ve found needle decompression works quite often.

But I’m guessing the person didn’t use a cannula to cut up their lunch, hence the pen knife !

[The ATACC Group @ATACCGroup]

🚁Back To Base 🚁

Thank You to everyone who took part in the first ever REACT course in collaboration with @EastAngliAirAmb

Thank you to the course facilitators, actors and everyone at EAAA for the warm welcome of The ATACC Group !

Are you ready for REACT ! Get in touch ⬇️

[email protected]

#REACT #ATACC #EAAA #HELIMED #NEVERSTANDINGSTILL

[Silas 🫀 @GenerallyUnwell]

@Pipes_n_pumps @EastAngliAirAmb @ATACCGroup @eimhearquinn @lincs999dr @nick_sillett Another excellent day! Thanks to you and the whole faculty for your input - learnt lots

[Silas 🫀 @GenerallyUnwell]

@LewisAllam01 Doubled survival is not marginal… although appreciate the caveat they under recruited massively.

I also don’t do it in my practice, but I think it’s something we should consider as a system.

Is the Lifepak damage a real thing? I thought it was unproven

[Silas 🫀 @GenerallyUnwell]

Awesome results. Couldn’t agree more re: adrenaline (apart from calling it epinephrine).

Lots of talk about ECMO for rVF but adrenaline is a low-hanging fruit 🍇

[Peter Antevy @HandtevyMD]

Our Cardiac Arrest protocol for VF at @PBCFR does not follow standard AHA guidelines.

Here's what we do:
1. HP-CPR
2. Early defibrillation
3. No Epinephrine
4. DSED for rVF
5. Esmolol for rVF

YTD Arrests Worked: 524

Overall Survival to D/C:
- PBCFR: 13.2%
- National: 7.5%

Utstein Survival YTD via @CARESRegistry:
- PBCFR: 41.7%
- National: 23.9%

Utstein Bystander Survival YTD:
- PBCFR: 38.5%
- National: 27.2%

#Epinephrine could (and should) be #removed from the shockable rhythm protocol.

[Silas 🫀 @GenerallyUnwell]

@parakirst @SECAmb_CCP Welcome!

[Silas 🫀 @GenerallyUnwell]

@LewisAllam01 Appreciate DOSEVF was stopped early but it showed ↑ survival to discharge and in the absence of apparent harm I think it’s a sensible option to try

[Silas 🫀 @GenerallyUnwell]

@dieworkwear Same sizes too!

[Silas 🫀 @GenerallyUnwell]

@ClaireFoweraker @SECAmb_CCP @StGeorgesUni Welcome 🤗

[Silas 🫀 @GenerallyUnwell]

@callumsmith129 @airambulancekss @SECAmb_CCP Thanks mate! Was nice meeting you too x

[Silas 🫀 @GenerallyUnwell]

@NicholasChrimes @doctimcook Or those of us who intubate but don’t have VL!