Harry Reeves

Intensive Care Paramedic | There’s no endpoint to learning... evolve with evidence |

[Harry Reeves @paramedologist]

#paramedicine #foamed

[Harry Reeves @paramedologist]

A great sharing of knowledge at the Coffee and Cases session yesterday all about “Wound Care - A Spectrum of Acuity” that Paramedics are involved with at all levels.

Speakers with specialist knowledge in Community Care all the way through to Critical Care a big thanks to all!

[ERC - European Resuscitation Council @ERC_resus]

#ILCOR #CoSTR The 2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, addressing the most recent evidence reviewed by ILCOR, has been published online 👉
https://t.co/mcWw3Zmoco @Ilcor_org

[João Carlos Silva 🇧🇷 @Silva_J_Carlos]

Hey guys, another awsome ECG from a patient with chest pain and STEMI. @ecg_cases @ecgrhythms @EkgHacks @smithECGBlog #Cardiology #CardioTwitter #ECG

[Nick Mark MD @nickmmark]

This is a hard question! You probably learned that "its bad to give someone with COPD ‘too much’ O2 because they might stop breathing”

Turns out hypoxic respiratory drive causing apnea is a MYTH..but there is an important truth here:

A🧵on Oxygen induced hypercapnia!
2/

[Zed Zha, MD, FAAFP @DrZedZha]

During a skin exam, the patient told me they had HIV. I acknowledged it and kept inspecting the skin, some areas with my bare hand. Patient teared up and thanked me for not “jumping away” as soon as I learned they were HIV positive. It’s 2022. HIV+ people are not dirty.

[Dr Nat Dodd @MagpieNat]

Fantastic interactive session on collaboration in research @ACParamedicine symposium @usceduau from the @monash_para team

[Dr Aidan Baron @Aidan_Baron]

Now Live
@olasveengen on T-CPR

Compression Only Telephone CPR saves an additional 20 lives per 1000 OHCAs compared to 30:2 standardised CPR

Joint @Ilcor_org @EuropSocEM Guidelines Webinar

[Natalie Anderson PhD, RN @CerebralNurse]

Finnish Study concludes: "Integration of paramedics into end-of-life care at home is reasonable especially in rural areas without 24/7 palliative care services and outside of office hours" #ParamedicResearch #ParamedicEoLC #EoLC https://t.co/LPXoIWHwrw

[Paul Bailey @WAAMBMEDIC]

We did it! The largest randomized trial of CPAP for breathlessness in the prehospital arena - 708 patients.

Take home message - effective at relieving dyspnoea +++; no effect on mortality.

[Cliff Reid @cliffreid]

Nice when what we’ve said for years is now backed up by research

A nurse team leader in cardiac arrest improves CPR/Defib quality and cognitively offloads the physician

(also nice study name!)

https://t.co/jPLZd4uRqF

[Resuscitology @resuscitology]

In trauma patients, lying a patient flat with no pillow leaves the neck EXTENDED. For a NEUTRAL position, occipital elevation is required.

An added bonus: airway management is easier and laryngeal view is improved.

Does your trauma centre leave patients' necks extended?

[Harry Reeves @paramedologist]

Just completed my first peer review. Amazing effort authors put into their important papers, difficult to provide negative feedback via in text notes

[Brett Denning @WelshStoic]

I know the NHS is short staffed but this can't be the answer

[Dr Aidan Baron @Aidan_Baron]

but what if pelvic binders don't actually work?

[Harry Reeves @paramedologist]

@Aidan_Baron Hey this sounds familiar. If only someone had a (poorly written) RCT proposal ready to go

[ACEM @acemonline]

ACEM is disappointed and saddened by the repeal of #Medevac legislation. Medical colleges were united in calling for Medevac to stay. Everyone deserves access to medical care – emergency medicine doctors will not forget those who remain in offshore detention.

[Cliff Reid @cliffreid]

Some maths

Intelligent & experienced doctor
+
Bullying dickhead
=
Bullying dickhead

Colleagues, your professional status & lifelong contribution to medicine does not entitle you to abuse others, no matter how much that short term buzz compensates for your personal inadequacies

[Tom Bircher @tombircher]

Mind. Blown.

[Natalie Wall, MD @nataliemwall]

Ironically, I found myself once again sharing the OR with this gentleman a couple of years later. Except this time with the privilege of asking for a 10-blade and proceeding to open the chest.

He had no idea who I was. But I certainly remembered him.

Words matter.