Our response, now in SJTREM, reaffirms that:
✔ Observational evidence remains critical
✔ HIRT’s findings were misinterpreted in the comment
✔ Survival benefit remains robust, after sensitivity analysis
#PrehospitalCare #EmergencyMedicine #ResearchResponse #PHRM #Teamwork #CriticalCare #HEMS #PHEM
📢 New Response Published!
We’ve addressed the recent critique of our meta-analysis on physician-led interprofessional pre-hospital teams.
📰 Read the full response: sjtrem.biomedcentral.com/articles/10....
📄 Original study: doi.org/10.1186/s130...
4/ #EmergencyMedicine #TCA #ResuscitativeThoracotomy #KnowledgeInPractice #HEMS #PHRM #InterprofessionalPractice
3/ It’s a conversation about the future of prehospital trauma care — what works, when, and for whom.
🎙️ Big thanks to the Pre-Hospital Care Podcast team for helping share this work.
🧠 Listen here: podcasts.apple.com/gb/podcast/p...
📄 Read the study in @jama.com: jamanetwork.com/journals/jam...
2/
In this episode, we talk about:
🩺 Key findings from our 20-year, 601-patient study
⏱️ Why speed of intervention is the most critical factor
🫀 Why tamponade ≠ exsanguination—and how that changes decision-making
💡 How to evolve from traditional “blunt vs penetrating” thinking
🎧 New Podcast Alert!
Just released: the latest episode of the Pre-Hospital Care Podcast dives into our study on Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA).
🔗 podcasts.apple.com/gb/podcast/p...
#PreHospitalCare #TraumaResearch
🚁 London’s Air Ambulance continues to lead in both innovation and governance, ensuring PoCUS enhances decision-making through structured oversight and interprofessional teamwork.
🔗 Read more: sjtrem.biomedcentral.com/articles/10....
#HEMS #PrehospitalCare #Ultrasound #ClinicalGovernance
Read the commentary by Dr Marco Tartaglione and Dr Luca Carenzo
sjtrem.biomedcentral.com/articles/10....
🚑✨ It’s not about the gadgets—it’s about the governance.
A recent editorial explores how clinical governance, not just technology, is the key to making prehospital ultrasound (PoCUS) a powerful tool for patient care.
#HEMS #POCUS #clinicalgovernance #Teams #PHRM #PHEM
Thank you again for the invitation and engaging discussions on prehospital and retrieval medicine!
#PHRM #PrehospitalCare #EmergencyMedicine #InterprofessionalCare #Research
Our study highlights a 41% higher survival rate for patients treated by interprofessional teams.
Read the original paper: doi.org/10.1186/s130...
🚁 Thank You, NZ PHRM Society! 🚁
It was an honour to present our research on interprofessional pre-hospital teams at the New Zealand PHRM Society meeting!
🎥 Watch the presentation: youtu.be/DYDvudmWMII?...
📄
#NZPHRM #PHEM #HEMS
Their feedback reinforces our findings, with @ryanmchenry.bsky.social analysis showing a 41% survival improvement with these teams.
@scotambservice.bsky.social @uni-of-warwick.bsky.social
📢 New Response Published!
We’ve addressed insightful comments from Dr. @ryanmchenry.bsky.social and Dr. @adamboulton17.bsky.social et al. on our study about physician-led interprofessional pre-hospital teams.
#Teams #EmergencyMedicine #Collaboration #PatientOutcomes #HEMS #PHEM #PHRM #research
People are hearing the news...have you?
Our recent study in @jama.com (Surgery) was their top-viewed paper last week.
Read the publication here if you haven't yet: jamanetwork.com/journals/jam...
Knowledge translation is the final, essential step in research.
When it’s done right, it brings science off the page and into practice—where it saves lives.
#KnowledgeTranslation #PreHospitalCare #TraumaResearch #ResuscitativeThoracotomy
Huge thanks to Dr Hutchinson-Bazely for his thoughtful review and to the incredible research team—esp Dr Zane Perkins—for making this study possible.
I highly recommend reading the full review:
🔗 www.stemlynsblog.org/laa-resuscit...
🔗 Our paper: jamanetwork.com/journals/jam...
For exsanguination-induced TCA, the window is incredibly narrow.
We’re probably performing RT too late and too frequently. The real opportunity lies in identifying patients before they lose cardiac output—not trying to bring them back once they have.
One standout insight:
RT shouldn't be reserved for cardiac arrest alone—but for cardiac tamponade with severe cardiogenic shock.
As Dr Hutchinson-Bazely reframes it: Traumatic Circulatory Arrest—when circulation is lost, even if the heart is still beating.
Key takeaways from his review:
🔑 Speed is everything—delays cost lives in TCA
🔑 We need to bring critical care teams to patients sooner
🔑 Decision-making should move from injury type (blunt vs penetrating) to tamponade vs exsanguination physiology
#TraumaCare #ResuscitativeThoracotomy
Dr Halden Hutchinson-Bazely's review of our recent paper on prehospital Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA) is a masterclass in knowledge translation.
He distilled years of work into key lessons for trauma care.
Read his blog: 🔗 www.stemlynsblog.org/laa-resuscit...
In 25+ years and 100+ publications, it's rare to feel certain that the message landed.
But today, I experienced one of those rare moments.
You hope the key findings will resonate through just 2,000–3,500 words. But will readers take away what you set out to convey?
Knowledge translation—turning complex data into actionable insights—depends on both the clarity of the authors and the perspective of the reader.
Translating Trauma Research into Practice
After years of designing, collecting, cleaning, analysing (and rewriting... several times), publishing a study is both a milestone and a leap of faith.
Just published in @sjtrem.bsky.social - a short re-analysis of recent work on the efficacy of physician-staffed pre-hospital critical care.
Improved precision by pooling survival + mortality outcomes, and some reassurance against publication bias.
Read the full comment in Scandinavian Journal of Trauma, Resuscitation & Emergency Medicine: (sjtrem.biomedcentral.com/articles/10....)
#InterprofessionalCare #EmergencyMedicine #Teamwork #EvidenceBasedMedicine
@ryanmchenry.bsky.social
📊 New Data Reinforces Collaboration in Pre-Hospital Care!
@ryanmchenry.bsky.social with ScotStar’s EMRS re-analyzed data from our study (doi.org/10.1186/s130...), finding survival was 41% higher for pts Tx by MD-led interprofessional teams vs. paramedics alone — with min risk of publication bias.
Delivering advanced critical care interventions for trauma (and other medical conditions) requires a system that includes physician-led prehospital interprofessional teams as a part of the overall response. doi.org/10.1186/s130... .
While pre-hosp blood administration is impt, alone, it won't solve the problem (espec in the volumes available in the EMS models proposed). Stopping the bleeding & 're-pressurizing' the arterial system to enable cardiac perfusion is essential for patient survival. journals.lww.com/co-criticalc...
