Paul Rees

Interventional Cardiologist and Academic Resuscitation Physician @MMRCbeat @UMN_DCVM Chief Investigator, ERICA-ARREST study @QMUL @EAAARAID

[Paul Rees @DrPaulRees]

Fresh from the edit - our podcast on #SPEAR and advanced resuscitation . @TheResusRoom have done a brilliant job assembling this - concept, delivery & insights from our OHCA programme at @EastAngliAirAmb and beyond… https://t.co/4Qe9GcYKkW @BartsIntervGrp @NHSBartsHealth

[Air Medical Journal @AirMedJournal]

The July/Aug issue of the #AirMedicalJournal is here! 🚁

Inside: original research, clinical reviews, the latest Critical Care Update/Air Transport Medicine Research Review, and a spotlight on the Univ of Michigan Survival Flight program.

Read it here: https://t.co/z0xOMdJGCt

[Liam Sagi KAM @liamsagi1]

Implemented live video into your ambulance service? Please get in contact with Scott and take part in the research @AACE_org

[John Walls @WallsJS]

Excellent two days on the #SPEAR course @emtaccs. Great faculty and lots of inspiring/thought provoking discussions! @DrPaulRees @EviSteen @CarlHaentjens @FilipBrande Thank you!

[Sara Moscatelli @saramoscatelli7]

🏃‍♀️❤️ Can lifelong endurance exercise be associated with cardiovascular abnormalities?

A new joint consensus statement from the European Association of Preventive Cardiology (ESC) and the American College of Cardiology (ACC) provides practical guidance for the management of *Masters Athletes* (≥35 years) with abnormal cardiovascular findings.

🔑 Key messages:

✅ Exercise remains one of the most powerful tools for reducing cardiovascular risk and improving longevity.

⚠️ However, long-term high-volume exercise may be associated with a higher prevalence of:
• Atrial fibrillation
• Bradyarrhythmias
• Ventricular arrhythmias
• Coronary artery calcification and atherosclerosis
• Aortic dilatation
• Myocardial fibrosis
• Exercise-induced arrhythmogenic cardiomyopathy

💡 Importantly, these findings should not automatically lead to exercise restriction.

The document emphasizes:
🔹 Careful risk stratification
🔹 Athlete-specific clinical assessment
🔹 Integration of wearable device data
🔹 Shared decision-making
🔹 Management of traditional cardiovascular risk factors according to standard guidelines

🏅 For Masters athletes, clinical decisions should balance cardiovascular safety with the substantial health and performance benefits of lifelong exercise.

📌 One of the most important take-home messages:
*"High fitness levels reduce cardiovascular risk, but they do not eliminate the impact of cardiovascular disease when present."*

This consensus statement fills an important gap in sports cardiology, where much of our current evidence is derived from sedentary populations and may not be directly applicable to highly trained athletes.

#SportsCardiology #MastersAthletes #PreventiveCardiology #ESC #ACC #AtrialFibrillation #CoronaryArteryDisease #Cardiomyopathy #ExerciseMedicine #CardiovascularHealth #SharedDecisionMaking #HeartHealth #AthleteHeart

[Paul Rees @DrPaulRees]

@BartsIntervGrp Well-deserved!! P

[Barts Interventional Group (B.I.G.) @BartsIntervGrp]

Many congratulations to Dr. Steve Hamshere @BartsIntervGrp for being awarded the BJCA Best Interventional Cardiology Trainer at #BCS2026!

He has been awarded this prestigious award for his outstanding contribution towards cardiology training in the UK

[Liam Sagi KAM @liamsagi1]

Volunteers play a pivotal role in out-of-hospital cardiac arrest. From @GoodSamApp responders, defibrillator guardians, Community First Responders to our CPR trainers. Every one is crucial to helping patients survive. Thank you 💚#VolunteersWeek

[Ahmed Bennis MD 🫀 @drbennisahmed]

Coronary stenosis location matters for Sudden Cardiac Death risk!

❌ LM stenosis: HR 1.05 — NS
❌ LAD stenosis: HR 1.09 — NS
⚠️ LCX stenosis: HR 1.34 (1.15-1.57) — p<0.001
🔴 RCA stenosis: HR 1.53 (1.31-1.80) — p<0.001

✅ This challenges our traditional perception

[Paul Rees @DrPaulRees]

@drbennisahmed An interesting reminder on what actually constitutes "prognostically important" coronary artery disease.

[Adam Gottula @laertezz]

FLIGHT-to-ECPR Study: A refractory cardiac arrest patient who's an ECPR candidate has a real path to survival. Geography alone shouldn't preclude ECPR. If your HEMS team has access to ECPR, please fly the candidate!

It's time to retire the phrase "we don't fly dead patients."

[Heart_BMJ @Heart_BMJ]

Simulation deficit in cardiology training: a missed opportunity for the modern trainee

https://t.co/8ERpRb2eNc

[Liam Sagi KAM @liamsagi1]

Ambulance service expands live video CPR support to strengthen cardiac arrest response
https://t.co/src4s1IaJg

[Paul Rees @DrPaulRees]

@liamsagi1 @Pipes_n_pumps @AirMedJournal You did! P

[Paul Rees @DrPaulRees]

SPECIAL ISSUE: call for papers: @AirMedJournal is seeking papers for a special issue on Prehospital ECPR and Transporting Patients on Mechanical Circulatory Support. Deadline - July 1, 2026. https://t.co/UbTcsx6yqO
Send papers to https://t.co/odJ0v5GOIc

[Paul Rees @DrPaulRees]

Read our review of the top 5 papes in prehospital medicine - currently #FOAM in @AirMedJournal ; from our colleagues at @SurvivalFlight #PHEM @UMichMedSchool @UMN_DCVM @UMNews @MMRCbeat @EAAARAID @LifeLinkIII @Sciencedirect

https://t.co/nX1OB2V40G

[Paul Rees @DrPaulRees]

Homeward to #Minneapolis following a great team visit to #Dublin for education and debate @EuroELSO @AerLingus - good to catch transcontinental colleagues, too!

[ASGBI @asgbi]

Critical decision-making in trauma- @MaxMarsden83 is back, challenging us to think about blunt thoraco-abdominal trauma decisions. #ASGBI2026

[Paul Rees @DrPaulRees]

Busy day at @EuroELSO in #Dublin - and the @MMRCbeat team in action presenting the challenges of saving as many lives as possible from the clutches of #OHCA @UMN_DCVM @UMNews

[Ed Barnard @edbarn]

New in EMJ - free open access:

Endovascular resuscitation: an expert practice review

A practical overview of REBOA, SAAP and ECPR for emergency physicians managing the sickest patients in shock or cardiac arrest.

Please read / comment / share

DOI: 10.1136/emermed-2025-215376

[Paul Rees @DrPaulRees]

Great to have next-generation HFOCT on the menu at @UMN_DCVM - and thanks to @gentuity for bringing us their new #OCT Vis-Rx Prime device

[Natalie Kruit @nattiejpk]

What happens when you remove the hospital as the boundary?

Advanced, targeted interventions & diagnostics can be delivered in the field enhancing cardiac arrest care

Reframing resuscitation as precision critical care @cliffreid @PrecareSyd @SydneyHEMS

https://t.co/wGXuWN64mz