Jack Barrett

He does this work in practice? Will nursing split from AFC or will this effect all staff on AFC?

Helicopter emergency medical services demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma netwo... Background Early rapid sequence induction of anaesthesia (RSI) and tracheal intubation for patients with airway or ventilatory compromise following major trauma is recommended, with guidance suggestin...

Heritage, D., Griggs, J., Barrett, J. et al. HEMS demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma networks. Scand J Trauma Resusc Emerg Med 32, 138 (2024). doi.org/10.1186/s130...

Pre-hospital management of penetrating neck injuries: derivation of an algorithm through a National Modified Delphi - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Background Timely and effective pre-hospital management of penetrating neck injuries (PNI) is critical to improve patient outcomes. Pre-hospital interventions in patients with PNI can be especially ch...

Simpson, C., Tucker, H., Griggs, J. et al. Pre-hospital management of penetrating neck injuries: derivation of an algorithm through a National Modified Delphi. Scand J Trauma Resusc Emerg Med 32, 123 (2024). doi.org/10.1186/s130...

These findings support the expanding role of HEMS in equitable, timely care for trauma patients. 🚁 This study reaffirms the vital contribution of pre-hospital teams in transforming outcomes for the most severely injured. #TraumaResearch #PreHospitalCare 7/7

Balancing operational challenges like scene safety with the need for rapid interventions is critical. By improving systems and case selection, we can maximise the benefits of pre-hospital RSI while minimising risks. #TraumaCare #HEMS 6/7

What does this mean for practice? PHRSI highlights the operational importance of HEMS in trauma systems, especially in rural areas. Continued investment in training, protocols, and systems will help balance the risks and benefits of these interventions. #PHEM #HEMS 5/7

Patients who received PHRSI had higher injury severity scores but achieved similar mortality outcomes compared to EDRSI patients. This shows HEMS teams deliver life-saving care to the most critically injured, often in challenging environments. #TraumaCare #whywedoresearch 4/7

We compared RSI performed pre-hospital (PHRSI) by HEMS to Emergency Department RSI (EDRSI). PHRSI was performed 20 minutes faster (median 64 mins vs. 84 mins). This time-saving advantage ensures critical care reaches patients sooner. #PreHospitalCare #HEMS 3/7

Trauma patients often need rapid sequence induction (RSI) of anaesthesia to secure their airway. Delays can lead to worse outcomes, but only 25% of UK trauma patients meet the 45-minute guideline for RSI. Our research aimed to explore this problem. #TraumaResearch 2/7

Helicopter emergency medical services demonstrate reduced time to emergency anaesthesia in an undifferentiated trauma population: a retrospective observational analysis across three major trauma netwo... Background Early rapid sequence induction of anaesthesia (RSI) and tracheal intubation for patients with airway or ventilatory compromise following major trauma is recommended, with guidance suggestin...

🚁Time is critical in trauma care, especially for patients who cannot maintain their airway. Our latest paper from Air Ambulance Charity Kent,Surrey,Sussex explores how HEMS reduce delays to PHEA. Here's the summary! 1/7 #TraumaCare #PHEM sjtrem.biomedcentral.com/articles/10....

With The Diary of a CEO sharing the acronym DOAC with Direct Oral Anticoagulants, the irony writes itself—one thins your blood, the other your grasp on credible medical information.

Set up a paramedic researcher starter pack for those just joining Bluesky.... go.bsky.app/BZpAcQN

Let me know if you want to be added.

Would you be surprised? Prospective multicenter study of... : Journal of Trauma and Acute Care Surgery uality Improvement Program Palliative Care Best Practices Guidelines, we sought to determine if trauma team members could use the SQ to accurately predict 1-year mortality in trauma patients. METHODS...

Link to paper: journals.lww.com/jtrauma/abst...

Unsurprisingly, the 'Surprise Question' in major trauma patients does not predict mortality reliably. The question had a PPV of only 30.5% but a high NPV of 95.1%. Its utility in identifying patients for palliative care remains limited - even in older adults! #EMS #majortrauma #PHEM

🔍 Our data was collected prior to the #JRCALC HI update, but supports flexible guidelines tailored to older adults' unique needs. They also highlight the importance of improving non-ED care options. Thanks to all who contributed to this impactful research! 🩺 #PrehospitalCare #HeadInjuryResearch 5/5

🚨 High conveyance rates (60–70%) reflect the challenge of balancing ED benefits vs. risks (e.g., infection, long waits). Clinicians weigh patient safety, social support & holistic needs, but confidence in alternative care pathways is low. #EMSResearch #OlderAdults 4/5

💊 Anticoagulants, frailty, and injury mechanisms are big red flags for clinicians. BUT assessing asymptomatic patients remains tricky—making "to transport or not" decisions more nuanced and challenging. #TBI #ClinicalDecisionMaking 3/5

🧐 Clinicians feel confident using guidelines (like NICE & JRCALC) to decide on hospital transport for older adults with head injuries. BUT they also find the rules too rigid, making it tough to tailor care to individual needs. #AmbulanceCare #PatientCentred 2/5

🚑 Just published in British Paramedic Journal! Our study explores how ambulance clinicians make decisions when treating older adults with head injuries. 🧠 Falls, frailty & anticoagulants add complexity. Here's what we found 👇 1/5 #EMS #HeadInjury
www.ingentaconnect.com/contentone/t...

Predictors of care home resident conveyance to hospital or referral to community pathways by a regional ambulance service attending medical emergencies: a retrospective cross sectional study - Scandin... Background Care home residents are at higher risk compared with community dwelling elders for medical emergencies, often resulting in ambulance attendance and conveyance to hospital. We aimed to deter...

Latest research article:

Predictors of care home resident conveyance to hospital or referral to community pathways by a regional ambulance service attending medical emergencies: a retrospective cross sectional study

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

Interesting paper on NHS nurse and doctor retention: A small turnover increase, like 20 nurses or 7 doctors leaving in a month, could mean 239 extra deaths monthly across NHS hospitals. Retaining staff saves money and lives by ensuring consistent, high-quality care.

www.bmj.com/content/bmj/...

Key messages from #chriswhitty
Older adults are ageing well
But we have a responsibility to manage multimorbidity & lifestyle adaptations
Get more geriatricians in research
Tackle the prejudices around involving older adults in research
#BGSconf

@gerisoc.bsky.social
@jkdhesi.bsky.social

Si Robinson on clinical and ethical decision-making with families and children. Sharing his PhD findings with parents/guardians and children who have lived experiences of PH care. Essential work, giving the child a voice in research, allowing our clinicians to hear 1sthand their experiences.

Prof Will Broughton Buckinghamshire New University talked about the upcoming System-wide Paediatric Observation Tracking (SPOT), a large programme of work to improve the recognition and response to the deterioration of children or young people in any healthcare environment. One system used by all!

Chaired by Usman Khan (SECAmb Chair), Alyesha Proctor from UWE discusses her work in paediatric head injuries in the prehospital setting. Highlighting a wide variation of in-hospital clinical decision rules for paediatric head injuries and a need for a suitable PH CDR

South East Coast Ambulance Service NHS Foundation Trust Research and Development Department held its 4th Clinical Research Summit yesterday in Sussex.

The theme for yesterday's event was Prehospital Paediatric Care. 1/4

Lessons from England’s National Health Service | NEJM The NHS in England has historically delivered high quality at low cost, but recently, its performance has declined. The challenges facing the NHS hold potential lessons for the United States.

Interesting paper on how austerity and underinvestment—particularly in primary and social care—have left #NHS services struggling to keep up with the demands of an ageing, increasingly unwell population. A reminder of the long-term impacts of policy decisions. www.nejm.org/doi/full/10....

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