Mike Christian

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis - Scandinavian Journal o... Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providin...

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

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically ill and injured patients: the ‘science’ explained - Scandinavian Journal of Trauma, Resu...

📢 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

Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest with Mike Christian Podcast Episode · Pre-Hospital Care Podcast · 07/04/2025 · 43m

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

Echoes of precision: feedback, governance and ultrasound in prehospital care - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Read the commentary by Dr Marco Tartaglione and Dr Luca Carenzo

sjtrem.biomedcentral.com/articles/10....

Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service - Scandinavian Journal of Trauma, Resuscitation and Emerg... Background There has been increased use of prehospital point-of-care ultrasound (PoCUS) by helicopter emergency medical services (HEMS) in recent years. Lack of governance structure and evidence of be...

🚑✨ 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

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis - Scandinavian Journal o... Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providin...

Our study highlights a 41% higher survival rate for patients treated by interprofessional teams.
Read the original paper: doi.org/10.1186/s130...

YouTube video by NZ Prehospital and Retrieval Medicine Society NZ Prehospital and Retrieval Medicine Society Webinar #1 - Mike Christian on Interprofessional Teams

🚁 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

Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically Ill and injured patients: a systematic review and meta-analysis - Scandinavian Journal o... Introduction Over the past three decades, more advanced pre-hospital systems have increasingly integrated physicians into targeted roles, forming interprofessional teams. These teams focus on providin...

Read our original study here: doi.org/10.1186/s130...

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

Benefits of targeted deployment of physician- led interprofessional pre-hospital teams on the care of critically ill and injured patients: a systematic review and meta-analysis - matters arising respo...

📢 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

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

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

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

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...

JC: Pre Hospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest - data from 21 years at London's Air Ambulance Review the publication from London HEMS of their fascinating data on the survivability from resuscitative thoracotomy

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.

Using the properties of the odds ratio to improve precision in meta-analysis: an update on the benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of crit...

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... .

Revisiting the promise, practice and progress of... : Current Opinion in Critical Care ned experience with REBOA. We discuss the recent observational data together with the initial results of the first randomized control trial and provide a view on the next steps for REBOA in trauma res...

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...