Rob Major
@phemDM
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Senior Healthcare Leader, Defence and Security Consultant, Military Veteran (all views my own)
Norwich, England
Joined June 2022
Amazing work by @ehaatClinical Nuanced and expert care where the ALS guidance refers to ‘seek expert help’ - lots of building of important OHCA innovation by this organisation/team.
…..more cardiac arrest work. This time nuancing arterial access during arrest so we can focus on targeting pressures, chest compression fraction and so on, to hopefully achieve more survivors. Dream team @EHAAT_ @ehaatClinical PHCC
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The compassion bag. We take plenty of equipment to the scene - compassion is perhaps the most important thing we bring…..@Kershberg @ehaatClinical Proud to say that I think we have some of the most compassionate clinicians in the world attend to our patients @EHAAT_
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Well done JB, key to have the leadership, energy and ambition in the team around you. High expectations of big things for you and YAA 👍
One year on from my first set of shifts @YorkshireAirAmb and I am so grateful for the opportunity to work with an amazing team full of energy and ambition for improvement and innovation. So much excitement for the next few months upto the end of 2025 #SPEAR
@theortusgroup
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@EMDocJB @YorkshireAirAmb @theortusgroup Looking forward to contributing to the inaugural YAA SPEAR! 💪
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♥️ Today’s the day! ♥️ Learn #CPR online for free with Restart a Heart Live. Just 20mins and you will have the skills that could save a life. 80% of cardiac arrests happen in peoples own homes so make sure you know how you can help your loved ones in an emergency
Last year we broke a @GWR World Record. This year we’re aiming even higher: to train 1 million people in #CPR - and we need YOU on the team! On Weds 1 Oct, join our free, live, online CPR sessions, led by a #paramedic and running every hour, on the hour. https://t.co/G0FLQTW7W4
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Amazing to see this come to fruition! Great innovation from some really forward thinking organisations around OHCA. Looking forward to seeing the results @ehaatClinical @NHSCharities @EastEnglandAmb
Thank you to EEAST Charity and @NHSCharities for making this possible, together with @GoodSamApp for their instant on scene technology, and @ehaatClinical for their support to deliver this amazing project.
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Thank you to EEAST Charity and @NHSCharities for making this possible, together with @GoodSamApp for their instant on scene technology, and @ehaatClinical for their support to deliver this amazing project.
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Another publication demonstrating the cost effectiveness of ECPR. Lots of heterogeneity but this demonstrates ECPR is the future of OHCA for selected patients. Requires strength, leadership and the pursuit of better outcomes for patients to deliver https://t.co/ZgdLS7IdZj
resuscitationjournal.com
Extracorporeal cardiopulmonary resuscitation (ECPR) is increasingly used for refractory cardiac arrest across the world, but its cost-effectiveness remains uncertain. We conducted this systematic...
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These are 2 amazing research leaders. Researching the pre hospital space is extremely hard. Investing in research infrastructure & talent is essential for for HEMS charities to deliver evidence based improvements for the patients that fund them. Well done EHAAT!
EHAAT pioneer’s new era of research for Essex and Hertfordshire and beyond | EHAAT
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EHAAT pioneer’s new era of research for Essex and Hertfordshire and beyond | EHAAT
ehaat.org
As our Centre for Excellence goes from strength to strength, our work around research and scholarship is about to enter a renewed, fresh and exciting era. We're about to embark on a significant...
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After 5 and a bit years as Deputy Medical Director at EAAA I’m excited to start a great new job as Deputy Chief Medical Officer at the James Paget Hospital. I’ll use the leaving gift I received from EAAA to remind myself that closing one door can lead to opening a bigger one 😁
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ECPR improves outcomes in refractory OHCA, but most patients never reach an ECMO center in time. 📍New systems are expanding access by initiating ECPR in the prehospital 🚑🚁 or non-ECMO center setting. But what happens after cannulation? 🧵👇 (1/5)
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Arterial cannula for percutaneous femoral VA #ECMO: relationship between cannula size, predicted arterial size & vascular complications 🧮 median predicted CFA diameter 5.4mm, 1.9 Fr lower vs chosen cannula ⚖️ significant discrepancy = higher complications Estimated CFA diameter
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🚨 In just 2.5 months since launch, RescQ has registered over 100 bystanders involved in Out-of-Hospital Cardiac Arrest (OHCA) events. We're proud to be the first UK (at least!) to document the bystander denominator & provide with much needed support.🧵 @DrKeeble @EastEnglandAmb
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So far, we've provided personalised sessions to 11 bystanders — with excellent feedback. 🙌 Our dedicated website continues to offer tailored resources, videos & peer-led content to support the psychological journey. 💙 @DrKeeble @DrMarcoMion @gareth_grier @phemDM @LukeAndreou
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I was highly skeptical that there was a benefit to recognising and treating occult VF diagnosed with POCUS versus traditional electrocardiographic (ecg)VF This has made me revise my preconceptions. There might be a benefit to diagnosing occult VF with US and treating it as such
Are you missing occult VF ( VF not recognised on ECG but visible on echo) in cardiac arrests masquerading as asystole OR even PEA? Check out the Reason 3 cardiac arrest trial and don’t forget to diagnose, defibrillate, and even consider ECPR in these pts. https://t.co/8q6REuhpV9
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ECPR for refractory cardiac arrest 🩺 physiology/rationale ⚒️ technical considerations 🔍 (growing) evidence ‼️ special circumstances ⚖️ patient selection ⏱️ timing/setting & post-ECPR care 🎓 training 🚧 risks/complications 🥅 goals 🎁 organ donation 💵 economic impact &
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@EastAngliAirAmb POCUS course today 20+ candidates covering both critical care and urgent care care use of ultrasound. Expert faculty and support from @ButterflyNetInc @EAAARAID @phemDM thanks to those that have helped over the years @EMDocJB @DrPaulRees @phemDM
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Come work with us @EAAARAID Two fantastic jobs supporting our R&D and clinical innovations. Deliver some exciting primary pre hospital research with our team! #BreakingBarriers
https://t.co/D98vblY8yR
eaaa.org.uk
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