AB

EM/PHEM Doc. Co-Founder @pcphyms. Wear a few hats. Passionate about care from point of need in austere environments. All views my own.

[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:

[TBS Zermatt @TBS_Zermatt]

London's Air Ambulance's Cosmo Scurr on Damage Control Pre-Hospital Care (DSPC), a targeted strategy for the most critically exsanguinating patients who will die on scene if the team doesn't move fast enough.

Watch the full talk at https://t.co/miEBDYAc4q

[EAAA RAID Group @EAAARAID]

New open-access paper from @EAAARAID

What is the value of HEMS?

Not just the intervention. Not just the aircraft. Not just speed. This study asks crews what HEMS actually adds at the scene.

Free full paper: https://t.co/rwgkFFWXdv

[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

[Salman Naeem @salmannaeem217]

Dear Med & Academic Twitter
Need your help in spreading the word about our latest OHCA study

This study aims to evaluate prehospital clinicians’ confidence in identifying underlying causes of OHCA, current treatment practices, team composition, and perceived barriers to improving patient outcomes.

We are looking for site champions from prehospital services across UK, Australia & New Zealand.

If you are interested please DM me

[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

[The ATACC Group @ATACCGroup]

🔴SPEAR - DAY 2🔴

The complexity stepped up today with a deep dive into cardiac and cardiovascular physiology - focusing on what truly improves the chances of ROSC and positive neurological outcomes.

Morning scenarios pushed immersive simulation further, challenging teams to manage cardiac arrest through physiology-led decision making, monitoring, and targeted interventions.

In the afternoon, we made the most of the sunshine in our TAG outdoor space - exploring right heart & pulmonary physiology, plus aortic physiology, comparing full occlusion, partial occlusion, and adrenaline.

We wrapped up with four high-intensity scenarios: resus arrests, thrombolysis, REBOA, and prehospital cardiac arrest across varied aetiologies. The day ended with an al fresco EVTM REBOA masterclass from Halden 👏

The progression has been clear - teams are becoming sharper, more coordinated, and increasingly confident from fundamentals through to advanced endovascular techniques. Their CRM and leadership gets better by the hour…but as complexity increases, so does the challenge of managing and positioning kit and equipment in a logical way - there’s still plenty to learn, and tomorrow will bring more cardiac arrests and even more special circumstances.

Another incredible day of learning, great weather, and Danny’s elite BBQ skills 🍖

Day 3 - more arrests, more complexity, more learning - lets go! 

#SPEAR #Resuscitation #CardiacArrest #CriticalCare #EmergencyMedicine #REBOA #EVTM #MedicalTraining #SimulationTraining #Teamwork #Leadership #PrehospitalCare #Resus

[Ed Barnard @edbarn]

1/8

In cardiac arrest, adrenaline reliably improves ROSC - but has not consistently translated into better long-term neurological survival.

Our comment asks whether the problem is not adrenaline itself, but how and where we deliver it..

Open access: https://t.co/qbXmQRdwRo

[EAAA RAID Group @EAAARAID]

1/ New from @EAAARAID in @SJTREM: observational review of Penthrox for prehospital fracture/dislocation manipulation & reduction in HEMS practice.

In selected limb trauma, methoxyflurane supported successful M&R without IV procedural sedation in more than half of patients.

[TacticalTrauma @TacTrauma]

https://t.co/z8Zo6a8TkD

[Ed Barnard @edbarn]

Whole blood in trauma has generated enormous interest. Today, @SWiFT_trial in @NEJM provides the clearest randomised evidence so far on whether prehospital whole blood improves outcomes in life-threatening traumatic haemorrhage: https://t.co/iqgPNZNdfk

[The ATACC Group @ATACCGroup]

🔵ATACC SPEAR🔵
⚠️ Limited Spaces Remaining | 20–22 April 2026 ⚠️

Cardiac arrest care has evolved - has your practice?

ATACC SPEAR (part of The Resuscitator Series) is a three-day immersive programme for specialist clinicians ready to go beyond ALS and into physiologically guided, high-performance resuscitation.

What to expect:
• Highly practical, hands-on learning
• Endovascular monitoring & therapies during cardiac arrest
• Advanced high-fidelity simulation
• Leadership & team dynamics
• Mechanical CPR, modern defibrillation & ventilation strategies
• Introduction to ECPR
• Latest equipment, technology & evidence

Delivered by a world-leading faculty and proudly supported by the EVTM Society (Sweden), SPEAR progresses from gold-standard care to complex, real-world scenarios at the very limits of practice.

To learn more and BOOK your place - click the link below 👇
https://t.co/RjlgBUcdaf

#ATACCSPEAR #Resuscitation #CardiacArrest #CriticalCare #PrehospitalCare #EmergencyMedicine #IntensiveCare #ECPR #MedicalEducation #ResuscitationScience

[ACCESS London @ACCESS_London1]

🚨 New speaker unlocked 🚨

We’re delighted to confirm Dr Ali Sanders as a speaker at the ACCESS Clinical Development Day.

🗓 19 March 2026
🧠 Theme: Time Critical
🎓 5 CPD points
🎟 Free to attend

Secure your place here: https://t.co/elHKE9IysB

[TacticalTrauma @TacTrauma]

Tactical Trauma 26
Nov 2-4
https://t.co/z8Zo6a9rab
Fantastic faculty ⬇️ Check out the programme for all things prehospital trauma. With a tactical twist. Follow us on @instagram

[TheResusRoom @TheResusRoom]

February '26 Papers Podcast

🫁🚑 Prehospital intubation location
⚡️❤️ Defibrillator pad position in shockable OHCA
💉🧠 Ketamine vs etomidate for RSI

Listen now 👉

https://t.co/JllNsEB79d

https://t.co/ipr8fDYKCi

https://t.co/RNpmm817fz

[Ed Barnard @edbarn]

@EastAngliAirAmb PHEM Senior Clinical Fellow recruitment: start dates Feb 2027 and Aug 2027.

If you’re looking for high-acuity prehospital practice with a strong clinical governance, education, and research culture, do have a look - and pls share :)

https://t.co/hjFwBWCGS9

[EAAA RAID Group @EAAARAID]

Edition 12 of our @AirMedJournal column: Top-5 #prehospitalpapers - this time critiques from @stat_medevac - facilitated by @EAAARAID

#FOAMed (until 19 Mar 26) Pls read / share / comment..

-> https://t.co/2tk1AVnKCU

Future editions from:
@SurvivalFlight

[Resuscitation Council UK @ResusCouncilUK]

We’re proud to launch a free, national e-learning resource to support healthcare professionals use the ReSPECT process with confidence.

Available now on the NHS Learning Hub: https://t.co/9T4C9zW91h

[AB @EMDoc_AB]

This is excellent! Give it a try and a follow if you are interested in learning!

Awesome work @docib ! 👏

[MedPodLearn @MedPodLearn]

Learning from podcasts the @MedPodLearn way. Listen to the podcast, read the notes, answer some MCQs and then write a reflection. And it’s all automatically recorded. Download for free and try all the features for a month without paying a penny.

[TacticalTrauma @TacTrauma]

Follow us on @instagram
Register ASAP if interested in #TacTrauma26 https://t.co/z8Zo6a8TkD

➡️ only 6️⃣4️⃣ tickets left !