John Walls
@WallsJS
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British Army EM/PHEM Consultant (PGY-13), Travel enthusiast and Foodie. Interests include POCUS, Human Factors, strong coffee and good steak. All views my own.
Joined June 2013
We'd like to thank Professor Sir Keith Porter, Emeritus Professor of Clinical Traumatology, University of Birmingham and everyone who contributed to his new report into the vital impact of hospital helipads in emergency care. 👉 https://t.co/fnTLyEPIEb
#HelipadsSaveLives
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Last week I had the tremendous honour of receiving the Distinguished Service Order from his Majesty the King. This DSO covers a period of operational leadership and teamwork that represents the best of what teams can deliver, courage, ingenuity, agility and determination.
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Exsanguinating🩸haemorrhagic🩸shock due to major trauma causes 1.5 million deaths globally every year. Samy at @TBS_Zermatt shared tools to fight against exsanguination!🚁 📺 Watch here: https://t.co/QsZIyWfStg 🧠 Let’s discuss the latest evidence together!!
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@heidi_ed @gmcuk @RCollEM @EMTAcommittee We have failed to define the specialty and in doing so protect us and our patients from ever expanding expectations imposed by others that are tangibly growing further from the achievable. That is a fire startlingly recipe for exhaustion and burnout.
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📢 New National Pre-Alert Guideline RCEM and @AACE_org have released a new national guideline to standardise pre-alert calls between ambulance services and EDs. 📄 Full guideline available now: https://t.co/4Ajq0BTz9i ✅ Updated criteria for pre-alerts ✅ Use of ATMIST
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The Defence Medical Services today announced the establishment of the Paramedic Cadre, which for the first time recognises a formal paramedic profession within the Armed Forces. Read more below 👉
medium.com
The DMS has today announced the establishment of the Paramedic Cadre, which for the first time recognises a formal paramedic profession…
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🚨🚨🚨 Just published https://t.co/ffDcV7mqfQ
@JTraumAcuteSurg Review of REBOA in combat casualties on behalf of NATO
journals.lww.com
gement, device selection, and training among North Atlantic Treaty Organization (NATO) allies can compromise patient care during deployments. In response, NATO formed a multinational team of REBOA...
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Pleased to say we’ve done over 100 thrombectomies since starting 24/7 3 months ago with 40% done outside normal working hours. We’re on course for 350-400 cases by the end of the year. The next steps are improving transfer times and improving TIA and community rehabilitation.
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Essential cardiac arrest listening - HEMS Debrief podcast from @SydneyHEMS where @nattiejpk and @DrPaulRees discuss diastolic blood pressure targets amongst other physiological principles https://t.co/mwIWUFzOba
https://t.co/OFulXq45GN
sydneyhems.com
Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest. This is the first in a series of podcasts dedicated entirely to cardiac arrest, the physiology driving the clinical pres…
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@NephroP The true skill of medicine is knowing the trial results (which are correct for the average patient fitting the trial inclusion criteria) and deciding how to apply this information to the individual in the bed- who may not be average or fit the trial inclusion criteria.
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@armyemdoc This study is interesting.. But I must admit one thing, Even before this study.. I go for 12 mg as initial dose if: 🚨Caffeine use in 4 hrs 🚨Obese patients (>90 kg) I changed practice after this beautiful blog / from ALiEM👇 ( since 2012 !!!) https://t.co/hTVZTEq8yk
aliem.com
Is the 6-12-12 adenosine approach always correct?
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Excited to share our new publication on pre-hospital life-saving intervention timings in mass casualty incidents, now out in SJTREM. Thanks to my supervisors @karimbrohi & @TraumaEMC, and to @LDNairamb & @ehaatClinical for supporting the simulation work https://t.co/6w4WOXlg1k
sjtrem.biomedcentral.com
Background Mass casualty incidents (MCIs) pose significant challenges for pre-hospital care. In particular, there is a tension between the need for rapid triage and the need to deliver life-saving...
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Great to see this published in @Anaes_Journal TLDR - Stylets best for hyperangulated VL intubation Dynamic bougies next best Standard bougies worst Effects more marked when difficulty increases Manikin studies are often criticised, but may in some cases be the optimal design.
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Can emergency thoracotomy save lives in resource-limited hospitals? A Cape Town study shows promising survival outcomes, 24% to hospital discharge! @stemlyns
https://t.co/MszUIeWVwn
stemlynsblog.org
A South African study shows emergency thoracotomy in low-resource district hospitals can achieve survival rates comparable to major trauma centres. @stemlyns
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Very sad to hear of the passing of Professor Douglas Chamberlain. He was the founder of the paramedic profession, changed cardiac arrest management with defibs and founded the Resus Council UK. How the Emergency services work currently is down to his work and implementation. RIP
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Launch Day! Endovascular Cardiac Arrest Team (ECAT) @LDNairamb in collaboration with @NHSBartsHealth & @Ldn_Ambulance - #ECMO-CPR #Resuscitation
For the first time ever in the UK, we are bringing ECMO to the streets of London, offering hope to patients in cardiac arrest. https://t.co/MbBtwIWuGd
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🚨 New: Best Practice Guidelines with the National Poisons Information Service (NPIS) - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department. ⬇️ Download it 🔄 share it ▶️ practice it. 🔗 Link: https://t.co/2bfLPXW1pO
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Very excited to have been published huge thank you to the coauthors for their input and @adushianthan for his expertise. https://t.co/eOhOhwJw7m
mdpi.com
Lung ultrasound (LUS) has become a crucial part of the investigative tools available in the management of critically ill patients, both within the intensive care unit setting and in prehospital...
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The #PhysicianResponseUnit End of Life Care pathway helps support this cohort of patients and answers many of the suggestions in this article #CommunityEmergencyMedicine @NHSBartsHealth @Ldn_Ambulance @LDNairamb
bbc.co.uk
The UK was once ranked the best country for end-of-life care - but, say experts, that has all changed
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