Author | Lightnews

4/ #EmergencyMedicine #TCA #ResuscitativeThoracotomy #KnowledgeInPractice #HEMS #PHRM #InterprofessionalPractice

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Mike Christian @drmikechristian.bsky.social · Apr 7

Mike Christian @drmikechristian.bsky.social · Apr 7

3/ It’s a conversation about the future of prehospital trauma care — what works, when, and for whom.

🎙️ Big thanks to the Pre-Hospital Care Podcast team for helping share this work.

🧠 Listen here: podcasts.apple.com/gb/podcast/p...
📄 Read the study in @jama.com: jamanetwork.com/journals/jam...

Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest with Mike Christian

Podcast Episode · Pre-Hospital Care Podcast · 07/04/2025 · 43m

podcasts.apple.com

Mike Christian @drmikechristian.bsky.social · Apr 7

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In this episode, we talk about:
🩺 Key findings from our 20-year, 601-patient study
⏱️ Why speed of intervention is the most critical factor
🫀 Why tamponade ≠ exsanguination—and how that changes decision-making
💡 How to evolve from traditional “blunt vs penetrating” thinking

Mike Christian @drmikechristian.bsky.social · Apr 7

🎧 New Podcast Alert!

Just released: the latest episode of the Pre-Hospital Care Podcast dives into our study on Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA).

🔗 podcasts.apple.com/gb/podcast/p...

#PreHospitalCare #TraumaResearch

Echoes of precision: feedback, governance and ultrasound in prehospital care - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Mike Christian @drmikechristian.bsky.social · Mar 25

🚁 London’s Air Ambulance continues to lead in both innovation and governance, ensuring PoCUS enhances decision-making through structured oversight and interprofessional teamwork.
🔗 Read more: sjtrem.biomedcentral.com/articles/10....
#HEMS #PrehospitalCare #Ultrasound #ClinicalGovernance

Mike Christian @drmikechristian.bsky.social · Mar 25

Read the commentary by Dr Marco Tartaglione and Dr Luca Carenzo

sjtrem.biomedcentral.com/articles/10....

Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service - Scandinavian Journal of Trauma, Resuscitation and Emerg...

Mike Christian @drmikechristian.bsky.social · Mar 25

🚑✨ It’s not about the gadgets—it’s about the governance.
A recent editorial explores how clinical governance, not just technology, is the key to making prehospital ultrasound (PoCUS) a powerful tool for patient care.

#HEMS #POCUS #clinicalgovernance #Teams #PHRM #PHEM

Background There has been increased use of prehospital point-of-care ultrasound (PoCUS) by helicopter emergency medical services (HEMS) in recent years. Lack of governance structure and evidence of be...

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis - Scandinavian Journal o...

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Mike Christian @drmikechristian.bsky.social · Mar 23

Thank you again for the invitation and engaging discussions on prehospital and retrieval medicine!

#PHRM #PrehospitalCare #EmergencyMedicine #InterprofessionalCare #Research

Mike Christian @drmikechristian.bsky.social · Mar 23

Our study highlights a 41% higher survival rate for patients treated by interprofessional teams.
Read the original paper: doi.org/10.1186/s130...

Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providin...

doi.org

NZ Prehospital and Retrieval Medicine Society Webinar #1 - Mike Christian on Interprofessional Teams

Mike Christian @drmikechristian.bsky.social · Mar 23

🚁 Thank You, NZ PHRM Society! 🚁
It was an honour to present our research on interprofessional pre-hospital teams at the New Zealand PHRM Society meeting!

🎥 Watch the presentation: youtu.be/DYDvudmWMII?... 📄

#NZPHRM #PHEM #HEMS

YouTube video by NZ Prehospital and Retrieval Medicine Society

youtu.be

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Mike Christian @drmikechristian.bsky.social · Mar 17

Read our original study here: doi.org/10.1186/s130...

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis - Scandinavian Journal o...

Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providin...

doi.org

Mike Christian @drmikechristian.bsky.social · Mar 17

Their feedback reinforces our findings, with @ryanmchenry.bsky.social analysis showing a 41% survival improvement with these teams.

@scotambservice.bsky.social @uni-of-warwick.bsky.social

Benefits of targeted deployment of physician- led interprofessional pre-hospital teams on the care of critically ill and injured patients: a systematic review and meta-analysis - matters arising respo...

Mike Christian @drmikechristian.bsky.social · Mar 17

📢 New Response Published!

We’ve addressed insightful comments from Dr. @ryanmchenry.bsky.social and Dr. @adamboulton17.bsky.social et al. on our study about physician-led interprofessional pre-hospital teams.

#Teams #EmergencyMedicine #Collaboration #PatientOutcomes #HEMS #PHEM #PHRM #research

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Mike Christian @drmikechristian.bsky.social · Mar 13

People are hearing the news...have you?

Our recent study in @jama.com (Surgery) was their top-viewed paper last week.

Read the publication here if you haven't yet: jamanetwork.com/journals/jam...

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance

Mike Christian @drmikechristian.bsky.social · Mar 7

Knowledge translation is the final, essential step in research.

When it’s done right, it brings science off the page and into practice—where it saves lives.

#KnowledgeTranslation #PreHospitalCare #TraumaResearch #ResuscitativeThoracotomy

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Mike Christian @drmikechristian.bsky.social · Mar 7

Huge thanks to Dr Hutchinson-Bazely for his thoughtful review and to the incredible research team—esp Dr Zane Perkins—for making this study possible.

I highly recommend reading the full review:
🔗 www.stemlynsblog.org/laa-resuscit...
🔗 Our paper: jamanetwork.com/journals/jam...

Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

www.stemlynsblog.org

Mike Christian @drmikechristian.bsky.social · Mar 7

For exsanguination-induced TCA, the window is incredibly narrow.

We’re probably performing RT too late and too frequently. The real opportunity lies in identifying patients before they lose cardiac output—not trying to bring them back once they have.

Mike Christian @drmikechristian.bsky.social · Mar 7

One standout insight:

RT shouldn't be reserved for cardiac arrest alone—but for cardiac tamponade with severe cardiogenic shock.

As Dr Hutchinson-Bazely reframes it: Traumatic Circulatory Arrest—when circulation is lost, even if the heart is still beating.

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance

Mike Christian @drmikechristian.bsky.social · Mar 7

Key takeaways from his review:
🔑 Speed is everything—delays cost lives in TCA
🔑 We need to bring critical care teams to patients sooner
🔑 Decision-making should move from injury type (blunt vs penetrating) to tamponade vs exsanguination physiology

#TraumaCare #ResuscitativeThoracotomy

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Mike Christian @drmikechristian.bsky.social · Mar 7

Dr Halden Hutchinson-Bazely's review of our recent paper on prehospital Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA) is a masterclass in knowledge translation.

He distilled years of work into key lessons for trauma care.

Read his blog: 🔗 www.stemlynsblog.org/laa-resuscit...

Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

www.stemlynsblog.org

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance

Mike Christian @drmikechristian.bsky.social · Mar 7

In 25+ years and 100+ publications, it's rare to feel certain that the message landed.

But today, I experienced one of those rare moments.

Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

www.stemlynsblog.org