Safe Vascular Access 2025
"We support strongly the principle that ultrasound improves safety and should be used whenever feasible. However, a blanket requirement for its use in all settings risks unintended harm in the unique context of prehospital trauma."
#anaesthesia #MedTwitter
https://t.co/Nlbt1fmsV8
Epidemiology of trauma deaths across a mature regional trauma system: patterns of pre-hospital and in-hospital fatalities
➡️https://t.co/V9DNnJpjEt
🔪 In a mature trauma system, 77% of deaths occur pre-hospital, often within minutes—before surgical intervention is possible.
🩸 Haemorrhage dominates early mortality (96% pre-hospital), reinforcing the critical importance of immediate bleeding control and system response.
🧠 Traumatic brain injury drives in-hospital deaths (84%), shaping priorities for neurosurgical and critical care management.
🎯 Key message: Further survival gains will come less from in-hospital advances and more from optimizing pre-hospital care and trauma system performance.
Work by Aditi Nijhawan , Ewoud ter Avest , Callum J Twohig , Stacey J Webster , Jason Morris , Robbie Lendrum , Virginia Fitzpatrick-Swallow , David J Lockey , Zane B Perkins
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #SoMe4Trauma #emgensurg @WSESurgery@NELANews
@JTraumAcuteSurg Cornerstone of trauma anaesthesia, definitive airway should follow enough resuscitation to survive induction of anaesthesia, positive-pressure ventilation and continued maintenance of anaestheisa with ongoing resuscitation
Today's Paper of the Day is:
Pulmonary atelectasis in anaesthesia and critical care
https://t.co/JKgcYjlUQ5
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026
Recommendations on antihypertensives in the peri-operative period
Here are some questions to the authors of the hypertension guidelines from the Association of Anaesthetists and British and Irish Hypertension Society!
#anaesthesia#MedTwitter
https://t.co/ot0rROe7tZ
🧊New in #CriticalCare:
On-scene selective brain cooling in ventricular fibrillation cardiac arrest: pilot results from the PRINCESS2 randomised trial
https://t.co/6La52qRe95
#CritCare#BrainCooling#CardiacArrest
The B-APNEIC score has been proposed as an alternative to the STOP-BANG questionnaire.
Here's some debate on the topic!
https://t.co/1Ys51PO7jz
https://t.co/i3aq4QiPs9
And check out the original paper here! ➡️ https://t.co/tpjPXcV5J1
#anaesthesia#MedTwitter
⚠️ In persistent air leak, more suction is not always better. Excessive suction can increase flow across the defect and delay healing. Use the least suction necessary to maintain pleural apposition.
Read more: https://t.co/7V9wV24arP
#RespiratoryMedicine#ChestDrain
Plan A blocks in regional anaesthesia
Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation
#anaesthesia#regionalanaesthesia#regionalanesthesia#pain#MedTwitter
https://t.co/BHb9RopP7d