Marcus McDonagh 🇮🇪

JC: Do physician led prehospital teams improve outcomes? What is the impact of physician-led interprofessional pre-hospital teams on mortality outcomes for critically ill and injured patients.

Not that I can add much to this excellent description by @emmanchester.bsky.social, but there's a touch of a confounder.
The biggest model we have for "non physician HEMS" is also the country that has some of the lowest standards for EMS education.
www.stemlynsblog.org/physician-le...

New starter pack for PHEM - Pack 2!

Additions & suggestions welcome.

This point on preparing for #PHEM application is equally valid for #paramedics aspiring to specialist practice

Spend majority of time building your CV doing things you enjoy to meet person spec

If you don’t get in then you won’t feel like it was a waste of your time

Don’t forget these physician lead model are selective on what they dispatch themselves to. Unlikely to attend frail, co-morbid or non shockable cardiac arrest etc. can’t really generalise when it’s not an RCT…. Heavily selection bias

This article rings true everywhere. It might be more pressing in the UK, as other countries willingly accept their senior staff with better pay and/or work hours, but it's still a factor in rural areas of the US and Australia.
And certainly worth a read.

Notable difference from moving from a NHS ambulance service (struggles to retain experience) to New Zealand (keeps very experienced staff) in terms of productivity, decision making and overall patient care!

PHEM/HEMS/Paramedicine/Retrieval Pack 1 is now full. 150 accounts to get you started. Will commence Pack 2 once a few more folk have arrived!

go.bsky.app/NWQRhE1

Detailed program for our next online symposium is now available. Tickets are £5 for @paramedicsuk.bsky.social members or £10 for non members. Available at the link below.

collegeofparamedics.co.uk/COP/Events/E...

Line up for our second International Critical Care Paramedic Symposium is now live. A great mix of speakers from across the globe.

Tickets for the online conference are available here: collegeofparamedics.co.uk/COP/Events/E...

Cheat code for pre hospital medicine

Prehospital critical care beyond advanced life support for out-of-hospital cardiac arrest: A systematic review To assess the clinical outcomes of patients with out-of-hospital cardiac arrest attended by prehospital critical care teams compared to non-critical c…

Really grateful to have been given the opportunity to get involved with this research. Great to finally see it be published ☺️

www.sciencedirect.com/science/arti...

End-of-life care dying wishes are granted by paramedics Bride Jess was ready to cancel the wedding - but the help allowed people to say goodbye to her dad.

The amazing Wish Ambulance, run by volunteers from Welsh Ambulance, and the rotational palliative care paramedics working in Welsh Ambulance Service

Man fulfils dying wish accompanying daughter down aisle www.bbc.com/news/article...

Very thoughtful and nuanced post from @garethgrier1.bsky.social on the huge complexities of potentially delivering extracorporeal CPR (ECPR) across the U.K. There is much enthusiasm and pockets of excellence - but a whole system-wide change is needed. Like REBOA and RT, a HALO procedure (1/2)

ehaat.org/wp-content/u... Really exciting opportunity to join our team at Essex and Herts Air Ambulance and help us deliver vital CPR education to children, and adults. Kids save lives and there’s a lot of work to do!!!

A total pain prevalence of 51% was found in New South Wales, w 5% of patients stating that their pain was not managed.

People with indigenous backgrounds & who spoke a language other than English were less likely to report adequate pain management.

#AnSky #PainSky #MedSky

https://buff.ly/49bToGW

🚨🚁🚑 New Starter Pack for #PHEMSky #PHEM #HEMS #Prehospital

A work in progress. Recommend accounts that should be added here or DM

go.bsky.app/NWQRhE1

Pic of Nat and participants on the Nov 24 Resuscitology course. One holds a banana as a phone; one has a rubber chicken; one is wearing a wizard hat; one holds a picture of a bee; one has a Rubik’s cube; one has a bougie; and all are smiling on a gorgeous sunny day in Manly. John Hinds’ motorbike helmet has a chair of its own.

Save the Date!

Next Resuscitology is 10-11 April 2025, Manly, NSW

Registrations open January. Join us for cases, skill stations - and whimsy

go.bsky.app/8JsiCqb

Starter pack for HCPs in Australia and New Zealand

Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes.

tinyurl.com/BMVCourse

It takes a system to save a life in cardiac arrest. I’m proud to have played a small part in this paper in The MJA which shows how survival has incrementally improved in Victoria over 25 years and highlights the value of a registry. If you don’t measure, you can’t improve 🤓 🚑