Michael Bright

Critical Care Consultant with @UHDBTrust, @MidlandsAccots & @MAA_Charity, alumni of @SydneyHEMS, voluntary doc for @wmcareteam & @stjohnambulance - views my own

[Ram Matsa @RamMatsa]

Course run by experienced instructors and supervisors. Few places left

[Nick Mark MD @nickmmark]

What do tactile fremitus and OR fires have in common? Why we keep doing things that don't make sense: radial art lines, NPO after midnight, Trendelenberg position, etc?

Checkout my new blog post about Ritual and Reason in Medicine.
https://t.co/JJ3dUDzozK

[Michael Bright @thepasteurpoint]

@TJCoats Also looking at the photo I instantly thought Leicester General but where is the clock?

[Michael Bright @thepasteurpoint]

@TJCoats You’ve survived the NHS….. Congrats and hopefully not a complete retirement, so many wonderful insights over the years via Twitter 😊

[Michael Bright @thepasteurpoint]

@DrRJWebb @LeDyslexicMedic @Asiritrauma1 @YorksAmbulance A mix in reality…. certainly doing subclavian US CVCs gives you the tactile feel and memory for doing the skill. Then a mix of simulated, theatre and some on the unit also. But it certainly is a dying skill because on the unit you have time and US so hard to justify anatomical

[Michael Bright @thepasteurpoint]

@DrRJWebb @LeDyslexicMedic @Asiritrauma1 @YorksAmbulance But in PHEM land I use the landmark clavicle walking technique (due to speed and urgency - and I’d say I’m pretty good with an ultrasound) and can say I’ve not had a arterial placement (and we have a good feedback system in our service)

[Michael Bright @thepasteurpoint]

@DrRJWebb @LeDyslexicMedic @Asiritrauma1 @YorksAmbulance Broadly it’s normally technique and that we know the anatomy is “broadly” consistent. Walking the needle on the underside of the clavicle, following the trajectory of the notch. Now personally I do subclavians with US (if we’re being pedantic it enters the axillary) in hospital

[ACCESS London @ACCESS_London1]

🚑 Can you deliver ICU care at 60mph?

ACCESS is recruiting Doctors – August 2026.
✔ Largest Critical Care Transfer Service in the UK
✔ Complex inter-hospital transfers
✔ QI, governance & research
Not routine ICU. ICU in motion.

#ICU #CriticalCare #RetrievalMedicine #MedJobs

[Michael Bright @thepasteurpoint]

@LEGO_Group @KPComeHomeBaby Is this only in the US?

[Royal College of Paramedics @ParamedicsUK]

Vacancy: HEMS Specialist Paramedic - Lincolnshire & Nottinghamshire Air Ambulance

Full info👉 https://t.co/xiwxNfhf3X

[Michael Bright @thepasteurpoint]

@DrRJWebb @helenvecht Wes wants it to be free…. 🤣🤣🤣 if only you’d kept your NMC up lol…. Jokes aside is ridiculous and frustrates me

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

.@BSEcho have launched a new Level 1 library🚀- developed by Jen Gosling, @EchoFoundations, et al, which will support practitioners of emergency echo

The first 30 cases are FREE!

Find out more: https://t.co/7bKXKHDOEk

[Michael Bright @thepasteurpoint]

@Burnt2020 @TheSnoozeDoctor Would agree here, the McGrath has its own quirks. The C-MAC is excellent for DL whilst having VL 😊

[Michael Bright @thepasteurpoint]

@JAShuttleworth Not in OOHCA according to the imminently releasing REBOARREST trial….. PHEM trauma 🤷🏻‍♂️

[Michael Bright @thepasteurpoint]

@isitsleepytime Me frantically searching the article to see it with an “r”… Alas 🤣🤣🤣🤣🤣

[Michael Bright @thepasteurpoint]

Although a 3% difference in the mRS @ 30 days…..

[Michael Bright @thepasteurpoint]

This afternoon hot off the press session, the REBOARREST trial…

[Michael Bright @thepasteurpoint]

Outcomes not a significant difference between the groups… ?due to the timing of getting REBOA in up and running from 112 -> REBOA (47 mins)

[Michael Bright @thepasteurpoint]

This afternoons session around good quality post paediatric ROSC care from @BarneyUoB

[Michael Bright @thepasteurpoint]

@Pipes_n_pumps @EduardArgudo @ERC_resus @LDNairamb @EMDocJB 35mmHg is what I put in our guidelines 😉