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Reposted by Prof Simon Carley

Simone Gherardi @drghem.bsky.social · Mar 5

EMS / HEMS / prehospital EM Folks..Any protocol for noradrenaline infusion (without an infusion pump) in the prehospital setting? @cliffreid.bsky.social @ebmgonewild.bsky.social @sjtrem.bsky.social @stemlyns.bsky.social @emmanchester.bsky.social

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Reposted by Prof Simon Carley

Mark Ramzy, DO @mramzydo.bsky.social · Mar 12

Dr. George Willis on DKA Myths at #IncrEMentum2025:

🪦DKA Criteria is not set in stone
🧪Check B-Hydroxy-Butyrate Levels
💉Dont assume its insulin noncompliance
🦑Consider SQuID Protocol for mild to mod DKA

#FOAMed #MedEd #MedSky @thesgem.bsky.social @cliffreid.bsky.social
@emmanchester.bsky.social

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Mark Ramzy, DO @mramzydo.bsky.social · Mar 12

@thesgem.bsky.social & Salim Rezaie on Induction Agents at #IncrEMentuM2025:

🫁Asthmatic requiring intubation = Ketamine
🧠Increased ICP, consider Propofol vs Etomidate
🦠Septic Shock = Ketamine vs Etomidate. Avoid Propofol

#FOAMed #MedEd #MedSky @drfreeze.bsky.social @emmanchester.bsky.social

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Reposted by Prof Simon Carley

Mark Ramzy, DO @mramzydo.bsky.social · Mar 12

Dr.Reuben Strayer on Airway in Trauma at #Incrementum2025:

🧑‍🦯Dont blindly follow ATLS
🩸Yankuer suctions SUCKS badly (consider Ducanto catheter)
🔪Scalpel -Finger-Bougie = Be prepared

#FOAMed #MedEd #MedSky
@emswami.bsky.social @emmanchester.bsky.social @drfreeze.bsky.social @davidcarr333.bsky.social

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Prof Simon Carley @emmanchester.bsky.social · Apr 14

Thanks Matey 😀

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Reposted by Prof Simon Carley

Rupinder (Rup) Sahsi, MD 🧠💭 @hotsahs.sahsi.net · Mar 26

Simon Carley @emmanchester.bsky.social did a nice breakdown of the issues with how the paper was widely misinterpreted, and does in fact shows a mortality benefit from prehospital TXA.

(also, hi Simon!)

www.stemlynsblog.org/the-patch-tr...

The PATCH trial. TXA in major trauma

Is tranexamic acid (TXA) useful in traumatic bleeding? A review of the PATCXH trial published in the NEJM.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Feb 15

There is increasingly evidence that diastolic blood pressure (DBP) is a crucial resuscitation target in trauma and cardiac care. Based on a great article by Dan and Rich we look at how optimizing DBP may improve survival rates in emergency medicine.

Is Diastolic Blood Pressure the New Resuscitation Target

This week I read a great article in the EMJ by Dan Horner and Rich Carden on new resuscitation targets. notably the use of diastolic blood pressure. DBP is the prime driver of coronary perfusion and thus successful resuscitation. Not only in cardiac arrest, but seemingly also in trauma. This blog (with their permission and review) outlines the main points from that article and links their thoughts on trauma to similar emerging evidence in cardiac resuscitation.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Feb 12

Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more

This month’s St Emlyn’s podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in…

Podcast – Monthly Round Up December 2024 – Chest trauma, IO access, AI and more

This month’s St Emlyn’s podcast wraps up Season 11 with a review of key emergency medicine topics. We cover new evidence on chest trauma management, intraosseous access safety, pediatric imaging updates, AI in medicine, toxic alcohol poisoning, and airway management. Plus, insights from major conferences like EUSEM 2024.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Feb 7

This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform

More trials from TBS 2025. (part 2)

This blog post provides concise summaries of recent critical care trials, including HEMOTION, PREOXI, BLING III, CLASSIC, EVIDENCE, VICTOR, and PARAMEDIC-3. Each trial is examined for its key findings, strengths, limitations, and practical implications for clinical practice. The post aims to inform healthcare professionals about the latest evidence-based practices in critical care. #FOAMed

www.stemlynsblog.org

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St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 10

London Trauma Conference 2024: Key Insights
Day 2 of the London Trauma Conference delivered impactful discussions on trauma care innovations, including advanced resuscitation strategies, rib fracture management, and prehospital interventions. Highlights

Talking Trauma – London Trauma Conference 2024 Day 2

It’s a testament to Professor Lockey and the organizing committee’s efforts that Day 2 of LTC was perhaps even better attended than day one. The grand theater at the Royal Geographic Society was filled, with standing room only in the balcony area. Professor Karim Brohi is well known to anyone who has even a passing interest in trauma. His efforts through the Center for Trauma Sciences have really pushed forward our understanding of acute trauma resuscitation, in particular around bleeding and coagulation.

www.stemlynsblog.org

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St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 13

Explore the variability in maintaining PHEA for trauma patients. With insights into drug protocols, administration methods, and governance. #FOAMed @stemlyns

Maintenance of Prehospital Anaesthesia in Trauma Patients: Variability in Practice

Explore the variability in maintaining prehospital anaesthesia for trauma patients in this comprehensive summary of a multinational survey. With insights into drug protocols, administration methods, and governance, the article highlights challenges and opportunities for standardisation in prehospital care. Ideal for clinicians and researchers aiming to optimise anaesthesia practices and enhance patient outcomes in emergency settings.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 29

The latest St Emlyn's podcast - an interview with Matt Hooper recorded at the London Trauma Conference about compassionate resuscitation and some of the lessons we can learn in Emergency Medicine from the world of palliative care.

Podcast – Compassionate Resuscitation with Matt Hooper at LTC

In this podcast, explore how Dr. Matt Hooper’s concept of "compassionate resuscitation" integrates palliative care principles into emergency medicine, focusing on quality end-of-life care for patients, families, and providers.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Feb 5

The latest St Emlyn's podcast - Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why it’s a systemic issue rather than an individual failure, and what changes are needed to maintain com

Podcast – Skills Fade with Nathalie Pattyn at Tactical Trauma 24

Emergency medicine demands constant practice, yet many clinicians experience skills fade due to lack of exposure. Nathalie Pattyn explores how this decline occurs, why it’s a systemic issue rather than an individual failure, and what changes are needed to maintain competency.

www.stemlynsblog.org

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Prof Simon Carley @emmanchester.bsky.social · Feb 6

Yep. If you look at the supplemental materials there are good descriptions of just how variable it is

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Prof Simon Carley @emmanchester.bsky.social · Feb 6

Yep. We talk about that and the paper has some quite detailed descriptions in the supplementary material.

You are right though. Very variable .

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Prof Simon Carley @emmanchester.bsky.social · Feb 6

No live stream this year. Talks will come out on YouTube later in the year.

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Prof Simon Carley @emmanchester.bsky.social · Jan 28

I thought this was a good article to remind us to read more than a title, tweet or abstract:

Good work from authors, but what about the underpinning data?

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 27

This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The article suggests a benefit, but how robust is that finding?

JC: Do physician led prehospital teams improve outcomes?

This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across diverse healthcare systems. Essential reading for professionals in emergency and pre-hospital medicine.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 27

This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The article suggests a benefit, but how robust is that finding?

JC: Do physician led prehospital teams improve outcomes?

This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across diverse healthcare systems. Essential reading for professionals in emergency and pre-hospital medicine.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 15

Our latest monthly update podcast from St Emlyn's blog, with lots on developing a learning culture, chest drain size in haemothorax, arterial lines in cardiac arrest, and much more. Listen whevere you get your podcasts and please like and subscribe.

Podcast – Monthly Round Up November 2024 – Learning culture, chest drains, arterial lines and more

The monthly update podcast from November 2024, including learning culture, chest drains in haemothorax, arterial lines in cardiac arrest and bad behaviour.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 22

The latest St Emlyn's podcast - an episode about the Ten Second Triage tool recorded ay Tactical Trauma 24.

Podcast – Ten Second Triage with Sean Brayford Harris at Tactical Trauma 24

Learn more about the Ten Second Triage tool in this interview recorded at Tactical Trauma 24.

www.stemlynsblog.org

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Reposted by Prof Simon Carley

Jens Stubager Knudsen @jensstubager.bsky.social · Jan 11

Prehospital setting:
The weight is an estimate
The dose is somewhere between 0,25 and 1 mg/kg depending on how unwell the patient looks.
And its a personal choice.

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Prof Simon Carley @emmanchester.bsky.social · Jan 11

How are you dosing ketamine for RSI in critically unwell patients?

LBW
ABW
IBW

And is that personal choice or protocol?

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Reposted by Prof Simon Carley

Tim Leeuwenburg @kangaroobeach.bsky.social · Jan 7

Benefits of physician-paramedic for prehospital critical care demonstrated in this neat study

www.youtube.com/watch?app=de...

In geographically vast Australia it takes time for teams to arrive to rural/remote incidents

We need rural responder networks to support ambulance in rural Oz

Benefits of physician-paramedic interprofessional pre-hospital teams

YouTube video by Mike Christian

www.youtube.com

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Reposted by Prof Simon Carley

St Emlyn's podcast and blog @stemlyns.bsky.social · Jan 6

How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impact trauma care timelines compared to emergency department RSI (EDRSI). This retrospective study explores time efficiency, injury severity, and

Pre-Hospital Emergency Anaesthesia (PHEA) vs. Emergency Department RSI: A Comparative Study on Trauma Care Timelines and Outcomes

How does pre-hospital emergency anaesthesia (PHEA) delivered by Helicopter Emergency Medical Services (HEMS) impacts trauma care timelines compared to emergency department RSI (EDRSI). This retrospective study explores time efficiency, injury severity, and patient outcomes, highlighting the role of HEMS in delivering critical care to severely injured patients in remote locations.

www.stemlynsblog.org

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