With the number of COVID-19 critical care admissions in the UK rising again, clinicians may find our narrative review on 'COVID-19-related organ dysfunction and management strategies on the intensive care unit' of interest.@BJAJournals @GSTT_ICU

RT @DavidWienerMD: Diastology guideline update from @ASE360: clear flow charts, new subgroup algorithms, HFpEF dx. Recommendations for the….

Could US guided primary survey and incorporation of CFA Vmax be helpful for identifying adequate flow with CPR, subphenotype PEA and early ROSC identification. Fixation on intra-arrest iBP without any appreciation of flow maybe too simplistic. Great work by @ChrisKeeliher on this

Next favourite bugbear 'pseudoPEA'. Such an imprecise term and we must get better at subphenotyping this!

Need to be more precise by what we mean when we talk about 'DBP/CPP'. Do we as a medical community understand intra-arrest waveforms well enough? For me the answer is no. Need to think about:.- Compression pressure.- Recoil pressure.- End decompression pressure.- Dichrotic pulse

Starting point for discussions.

Brilliant few days exploring complex cardiac arrests/medical critical care @ehaatClinical. Focus on individualised management strategies predicated on more precise pathophysiology. Great to have @theortusgroup along to explore the role of CCSV & CPR arm depth/rate/AMC adjustment

RT @ehaatClinical: Two days of intensive cardiac arrest work with our clinical team. Thanks to everyone who has pulled these days together.….

Such a great paper looking at the role of 3D to more precisely describe MR. Particularly like the extended Carpentier classification with Type IV SAM/Type V Hybrid & subdividing P2 into P2L/P2M which helps unpick if flail/pap rupture involves AL/PM muscle.

Correct link

Watching the 'Truth vs Alex Jones' documentary on Sky about the Sandy Hook shooting. Beyond the heinous acts of Alex Jones, how anyone can see the faces of all those dead children and not question America's approach to gun regulation is beyond me. What's changed in 13 years?.

Do we know what is killing our refractory OOHCA patients and if tPA has a role? Great work by the @ehaatClinical getting one of the largest case series of selective prehospital thrombolysis published and focussing on not just outcomes but causes of death..

RT @MelindaDollyMcp: Do you have knowledge/experience in out of hospital cardiac arrest and Bystander CPR? I am looking for ‘experts’, ‘spe….

RT @zarahsultana: No thanks, Nigel.

🤔

Never convinced using the pigtail on the return cannula to drive DPC flow is ideal. We routinely cut in Y connector with 3/8" → 1/4" & 3/8" tubing for better DPC flows that can easily be measured, and importantly adjusted too. Less thrombosis/limb issues in our experience

Landing monitor 😍

Interested to see how this goes down

Looking forward to the Resuscitation Science Symposium 2025 at the Royal College of Pathologists next week. A fantastic couple of days of learning, networking and catching up with friends!. @IofPHC @QMULBartsTheLon @PrehospitalQmul

RT @ehaatClinical: It’s all go for the New Year. We’re having an ‘away day at home’ where we’re bringing together all of our charity and cl….