Phil Poskitt

Specialist Paramedic Critical Care

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

The purpose of this study was to evaluate the efficacy of ketamine on quality of life measures following severe injury. The results of this study suggest acute ketamine administration has an impact on long-term mental health of injured patients, specifically anxiety and PTSD.

https://t.co/46i8yYII1D

[JB @JBPara999]

Finishing off the third of our annual Clinical Response to Major Incidents annual refresher for our critical care paramedics today. This year it’s a tabletop exercise focusing on creating clinically appropriate casualty flow and making ‘the least bad decision’ when overwhelmed

[Simon Carley @EMManchester]

Pre-hospital acute behavioural disturbance, a guest post by Jack Lyon. What does the evidence say about Ketamine and other sedatives.
#FOAMedhttps://www.stemlynsblog.org/pre-hospital-abd/

[IMCrit @IM_Crit_]

If you chose grade 1 CL or POGO >90%, you need to make sure that you were actually seeing the glottis...

In this case, the esophageal opening (E) can be confused with the normal glottic opening (G), thus impersonating it:

[IMCrit @IM_Crit_]

ICU/ED/OR Airway "Secrets":

#foamed #foamcc #meded #medtwitter #airways

While you attempt direct laryngoscopy in a hypoxemic patient, you get this view:

[Harrison Ford @HarrisonFordLA]

May the fourth be with you

[Nick Mark MD @nickmmark]

Excellent first lecture in the Difficult Airway Course by @jarrodmosier

The difference between complicated and complex; a watch is complicated but airways are complex!

Human factors are underestimated: the three foot world view can predominate leading to people trying to “plan a harder”

Two cardinal rules:
1. Do not wander into failure
2. Intubate with a team, not an audience

[NEJM @NEJM]

In the RSI trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results and Research Summary: https://t.co/KjMmYm2WSD

[James Stubley @JamesStubley]

Great day of learning with @YorkshireAirAmb & colleagues, focusing on individualised, physiological targeted resuscitation, aimed at optimising survival & ROSC in the most challenging cases.
Thanks to @EMDocJB & @HaldenHB & the rest of the faculty.
OHCA management beyond #ALS

[James Stubley @JamesStubley]

Making the most of q…t time on 06:00-18:00 critical care RRV shift - @TheResusRoom podcast on “Excellence in Defibrillation”, supported by latest paper by Dr Sheldon Cheskes et al, “Defib Current & Pad Efficacy”.
Is it time for A-P position from the start?
#OHCA #prehospital

[SpaceX @SpaceX]

Falcon Heavy launches the @viasat-3 F3 mission to orbit from Florida

[Phil Poskitt @VHA_CPD]

Great to have been there!

[Ortus Technologies @OrtusTechUK]

Great to host Yorkshire Air Ambulance at Ortus House last week for a SPEAR course with Dr Jon Barratt.

Specialist endovascular resuscitation that delivers real‑time data to support critical on‑scene decisions during cardiac arrest.

@YorkshireAirAmb

#SPEAR #Resuscitation

[McLaren Mastercard Formula 1 Team @McLarenF1]

Race week selfies are sooooo back 🙌

#McLarenF1 | #MiamiGP 🏝️

[Ortus Technologies @OrtusTechUK]

A week on from hosting @YorkshireAirAmb at our Customer Experience Centre, we’re still reflecting on an insightful SPEAR session led by Dr Jon Barratt.

SPEAR helps guide CPR quality and real-time decisions in complex cardiac arrests.

@CorpulsWorld

#SPEAR #Resuscitation

[TheResusRoom @TheResusRoom]

🚨Resus Guidelines 2025; R2R podcast out now🚨

We unpack the latest guidelines, ALS, ventilation, defibrillation, paediatric, newborn & post-ROSC care & what they mean for practice.

🎧 Listen now:
https://t.co/JllNsEBEYL

https://t.co/ipr8fDZirQ

https://t.co/RNpmm81F57

[James Yates @heli_med_james]

We’ve been building up to this moment for months!

Really excited to see our Extrication course come to life. A programme which show the practical application of all the latest evidence. Bringing guidelines to life with videos, critical narrative and some resus room humour….

[noamaan wilson-baig @LeDyslexicMedic]

1/ 🧵 Contemporary evidence supports moving from EtCO₂ ventilation strategies toward precision guided ventilation using real-time PaCO₂. That’s the direction of travel for prehospital neurocritical care—and it’s how we tighten neuroprotection. I will explain in this thread

[TheResusRoom @TheResusRoom]

🚨 New Extrication Course is now LIVE! Produced with @PostCollision

Built on latest evidence, this 2hr CPD course is for anyone responding to RTCs; fire, police, ambulance, highways endorsed by @FPHCEd

Train your service, group discounts available

🔗 https://t.co/aoQIQ5QLPf

[TheResusRoom @TheResusRoom]

🌐 ICYMI; GCS – Roadside to Resus
The Glasgow Coma Scale: still reliable? We peel back its origins, consistency and clinical application.

🎧 Listen now: 🔗 https://t.co/ipr8fDYKCi

https://t.co/RNpmm817fz #FOAMed

[TheResusRoom @TheResusRoom]

Check out our latest Roadside to Resus episode; Pre Alert 🚨🎤🎧

The latest evidence, guidelines along with our thoughts on the topic

https://t.co/JllNsEB79d

https://t.co/ipr8fDYKCi

https://t.co/RNpmm817fz #FOAMed