Graham Nichol MD's Avatar

Graham Nichol MD

@grahamnichol.bsky.social

I practice emergency medicine at Harborview, direct the University of Washington-Harborview Center for Prehospital Emergency Care, and lead multicenter randomized trials to evaluate disruptive interventions intended to improve emergency care. Seattle, WA

87 Followers  |  115 Following  |  17 Posts  |  Joined: 01.09.2023  |  1.7903

Latest posts by grahamnichol.bsky.social on Bluesky

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Mechanical ventilator during CPR?

Learn more next week

MUV Monash UW Joint Resuscitation Rounds

SYMEVECA Study

bit.ly/symevecastudy

Alberto Hernandez-Tejedor MD PhD

Head, SAMUR Proteccion, Madrid, ESP

Weds Jul 2 1300 h PST

Live via ZOOM

bit.ly/resusroomjul25

27.06.2025 16:49 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Can a cellphone save a life?

Learn more next week...

MUV Monash UW Joint Resuscitation Rounds

Carolina Malta Hansen MD PhD

Danish Volunteer Responder Program:
CPR and AED via Mobile Phone App

Weds, May 7, 2025
1300 h โ€“ 1400 h in Seattle, Washington

Live Via ZOOM
bit.ly/resusroommay25

02.05.2025 16:23 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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A Framework for Exception From Informed Consent in Trials Enrolling Patients With ST-Segment-Elevation Myocardial Infarction and Cardiogenic Shock - PubMed Cardiogenic shock (CS) is critical end-organ hypoperfusion attributable to reduced cardiac output. Acute ST-segment-elevation myocardial infarction with CS (AMI-CS) has high mortality. Clinical resear...

Why do trials enrolling patients with infarct-related shock under exception from informed consent for emergency research?

pubmed.ncbi.nlm.nih.gov/40008533/

28.03.2025 20:28 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Should physicians or paramedics give pre-hospital emergency care?

Learn more next week...

MUV Monash UW Resuscitation Rounds

Michael Christian MD
Professor of Medicine, Critical Care
UBC, Vancouver, BC
bit.ly/prehosp-physicians

Weds Apr 2, 1400 h PST

Live via ZOOM
bit.ly/resusroomapr25

28.03.2025 20:26 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Defibrillation for ventricular fibrillation?

Learn more next week...

MUV Monash University of Washington Joint Resuscitation Rounds

Christian van der Werf MD PhD
University of Amsterdam Heart Center
Amsterdam, NL
bit.ly/defib4vf

Live via ZOOM
Weds Feb 5, 1300 h PST
bit.ly/resusroomfeb25

31.01.2025 17:59 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Post resuscitation oxygen supplementation: Throw it away?

Is hyperoxia harmful after resuscitation from cardiac arrest?

A few thoughts here

bit.ly/O2-throwitaway

Kudos to my colleague Rob Klemisch

10.01.2025 05:17 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Adequacy of oxygenation depends on multiple factors including pre-existing conditions, severity of injury or illness, adequacy of other elements of care eg ventilation

/fin

11.12.2024 21:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

No clinically important difference between early restrictive vs. liberal oxygenation targets in patients w traumatic injury transported to hospital

In my opinion, results are not that surprising

/2

11.12.2024 21:02 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Early Restrictive vs Liberal Oxygen for Trauma Patients This randomized controlled trial investigates whether an early 8-hour restrictive oxygen strategy compared with a liberal oxygen strategy lowers the incidence of death and/or major respiratory complic...

Another large, well-done emergency care trial by Danish investigators just published...

jamanetwork.com/journals/jam...

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11.12.2024 21:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Prehospital Transcutaneous Cardiac Pacing in the United States: Treatment Epidemiology, Predictors of Treatment Failure, and Associated Outcomes Transcutaneous cardiac pacing (TCP) is a potentially lifesaving therapy for patients who present in the prehospital setting with bradycardia that is causing hemodynamic compromise. Our objective wa...

Transcutaneous pacing for severe bradycardia?

Learn more next week

Tanner Smida, West Virginia Univ., Morgantown, WV
bit.ly/transcutpacing

MUV Monash UW Joint Resuscitation Rounds
1300 h PST, Dec 4

LIVE via zoom
bit.ly/ressroomdec24

28.11.2024 18:13 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1

My main observation from this is wide confidence intervals- some might say nothing works, but an alternative explanation is we need more, well controlled, adequately powered trials.

19.11.2024 17:36 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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IO for Vascular Access During Cardiac Arrest?

MUV - Monash - UW Resuscitation Rounds

Tanner Smida MD/PhD Candidate, West Virginia University

Upper vs. Lower Limb IO In Patients with Cardiac Arrest
bit.ly/upperorlowerio

Weds, Sep 4, 2024 1300 h in Seattle

Live Via Zoom
bit.ly/resusroomsep24

29.08.2024 20:07 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Steroid Therapy After Cardiac Arrest?

Laust Obling MD
Copenhagen, Denmark

High Dose Steroids in Patients with Out of Hospital Cardiac Arrest: ย STEROHCA trial

bit.ly/sterohca

MUV- Monash - UW Resuscitation Rounds

Weds, Apr 3, 2024ย  1300 h in Seattle

Live Via ZOOM

bit.ly/resusroomapr24

28.03.2024 20:24 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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New collaboration

@UWMedicine joins ADVANCEnet, part of PCORnet

We are excited to collaborate with OCHIN to increase the efficiency of health care research that serves the needs of our large, diverse population in the Pacific Northwest.

ochin.org/news/advance...

21.03.2024 01:02 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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New #resuscitation trial

Does hypothermia begun quickly in field and continued in hospital improve neurologic outcomes after out of hospital cardiac arrest?

bit.ly/princess2trial

#cardiacarrest

20.03.2024 17:26 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Is Manual Identification of ST Elevation on ECG Passรฉ?

Learn more Dec 6, 1300ย h PST

Vienna-Monash-UW Resus Rounds

R Herman, Univ of Naples, Naples, ITย 
and SW Smith, Univ. of Minnesotaย 

on AI-enhanced ECG interpretation to identify myocardial infarction

Live via ZOOM

bit.ly/resusroomdec23

01.12.2023 17:42 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Join us next week

MUV - Monash - U Washington Resuscitation Rounds

Stephen Bernard MD
Ambulance Victoria;
Melbourne, Australia

Prehospital tranexamic acid after major trauma?
bit.ly/PATCH-Trauma

Weds, Sep 6, 2023
1300 h in Seattle

Live Via ZOOM
bit.ly/resusroomsep23

01.09.2023 04:32 โ€” ๐Ÿ‘ 7    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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