Brad Sheridan
@drakazaruAnaesthetist and Prehospital & Retrieval Medicine Physician. Husband and father. MEXT Scholar and Budoka in a previous life. All good ideas are rarely my own.
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Very much aligns with the experience @EastAngliAirAmb @EAAARAID with both radial IBP and SPEAR femoral lines. More info on both here: link.springer.com/article/10.118… journals.sagepub.com/doi/full/10.11… And in modern day PHEM, scene time is a poor metric - described here link.springer.com/article/10.118…
Great paper showing that non invasive BP measurement is unreliable in a PHEM case mix. #IABP better and feasible in prehospital care #foamed stemlynsblog.org/non-invasive-o…
Trauma: One of a very few diseases on the increase worldwide. The @QMUL Trauma Sciences Masters programme is the original, and still the best, trauma educational programme (and experience) in the world. I'm confident (if biased!) that no other team puts so much into exceptional…
Trauma induced coagulopathy is limited to only one out of four shock induced endotheliopathy (SHINE) phenotypes among moderate-severely injured trauma patients: an exploratory analysis | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine sjtrem.biomedcentral.com/articles/10.11…
JC @St Emlyn's Is First Pass Success a useful marker of performance in Prehospital emergency anaesthesia? #FOAMed #PHEM stemlynsblog.org/jc-is-first-pa…
Surely no one with experience of an arterial line would question its utility in the critically unwell?
There is no evidence suggesting that setting up an IABP on-scene increases time to treatment / CT. To me, it is all about timing and team work. IABP should be the standard when treating post-ROSC patients and patients given an emergency anaesthesia; both pre- and in hospital.
This is for all anesthesia trainees: No procedure in IR suite/hybrid OR is a minor procedure. If the patient needs to go to IR, something is not right. Make sure the patient is optimized and you are fully prepared to deal with adverse events.
Great organisation. Great people. Great job. Great experience
We're recruiting for HEMS Registrar positions @airambulancekss - obviously biased but it'll be one of the best jobs you ever do: jobs.nhs.uk/candidate/joba…
Yep. Slight differences in UK. We use 2g bolus for head injuries. We still have 1g bolus almost always prehospital and then the 8-hour 1g infusion as standard. In practice I and many others now give that 1g top-up as a bolus in the ED. Otherwise it does not get given. #uoftem24
Great tips from @petrosoniak on adjuncts in MHP 1. Give TXA 2gm when you give blood 2. 4gm fibrinogen conc for levels <1.5 3. Keep temp > 35C 4. Calcium Cl 1 amp #uoftem24 @davidcarr333
I’m very pleased to share this paper from the team at @LifeFlight_Aus sciencedirect.com/science/authSh…
Serratus Anterior Plane Block for Clinically Suspected Rib Fractures in Prehospital and Retrieval Medicine: Prehospital Emergency Care: Vol 28, No 1 tandfonline.com/doi/full/10.10… . @chrispartyka @SydneyHEMS
Got this in the post today! I took a slight circuitous route, but an excellent journey nonetheless. I thoroughly recommend @TraumaMasters for anyone who’s considering it. World class education and phenomenal support. Many thanks @TraumaEMC, @ZBPerkins @cjaylwin, @karimbrohi et al
I have been using pressors from a peripheral iv (piv) for a long time. But I think we have moved fast to the other side... I am afraid that we are training a generation of residents/NPs/PAs thinking that it is fine to manage with 2 pivs a patient who is on norepi 0.25 mcg/kg/min
OSA talk at #periSIG23 multiple take home messages. Most prominent for me is that it takes CPAP 4 weeks to improve symptoms so not for urgent situations, and that oral devices work very well and are well tolerated. Also that access to CPAP is expensive for patients.
It was great to collaborate with this team and publish a systematic review and meta-analysis of tranexamic acid (TXA) use in major trauma; we think the first to include results from the recent published PATCH study. Free, open access: sciencedirect.com/science/articl…
Prehospital Arterial line introduction @airambulancekss presented by @GreenhalghRob High success rate, mainly radial, mostly Flowswitch type, mainly without ultrasound. #FPHC2023
Should the hospitals of the future centralise obstetric units nearer to operating theatre complexes and intensive care units? These units are the highest area for activity out of hours. @NAPs_RCoA @RCoANews @jas_soar @emirakur @doctimcook twitter.com/i/broadcasts/1…
Applications for Clinical Fellowships in PreHospital & Retrieval Medicine (August 2024 & February 2025) are now open: apply.jobs.scot.nhs.uk/Job/JobDetail?…
Safe POCUS requires that one can articulate the pre-test probability which justifies the scan, and the positive and negative likelihood ratios of that specific POCUS exam performed. POCUS without a basic understanding of Bayesian clinical decision making is perhaps dangerous.
Great idea. As long as front-line workers have control over what goes on the dashboards and posters
Thinking about this a lot lately Public expectations regarding emergency care should be managed with aggressive transparency It’s fairer to our patients, fairer to our staff, and might incentivise change at a political level Article by @dr_mattmorgan bmj.com/content/380/bm…
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