Pre-hospital acute behavioural disturbance, a guest post by Jack Lyon. What does the evidence say about Ketamine and other sedatives.
#FOAMedhttps://www.stemlynsblog.org/pre-hospital-abd/
If you chose grade 1 CL or POGO >90%, you need to make sure that you were actually seeing the glottis...
In this case, the esophageal opening (E) can be confused with the normal glottic opening (G), thus impersonating it:
Excellent first lecture in the Difficult Airway Course by @jarrodmosier
The difference between complicated and complex; a watch is complicated but airways are complex!
Human factors are underestimated: the three foot world view can predominate leading to people trying to “plan a harder”
Two cardinal rules:
1. Do not wander into failure
2. Intubate with a team, not an audience
In the RSI trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results and Research Summary: nejm.org/doi/full/10.1056/NE…
ALT The New England Journal of Medicine
Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults
A Research Summary based on Casey JD et al. | 10.1056/NEJMoa2511420 | Published on December 9, 2025
Visual representations of the patients in the trial and the treatments they were assigned.
Read the full Research Summary at NEJM.org.
Great day of learning with @YorkshireAirAmb & colleagues, focusing on individualised, physiological targeted resuscitation, aimed at optimising survival & ROSC in the most challenging cases.
Thanks to @EMDocJB & @HaldenHB & the rest of the faculty.
OHCA management beyond #ALS
Making the most of q…t time on 06:00-18:00 critical care RRV shift - @TheResusRoom podcast on “Excellence in Defibrillation”, supported by latest paper by Dr Sheldon Cheskes et al, “Defib Current & Pad Efficacy”.
Is it time for A-P position from the start?
#OHCA#prehospital
Great to host Yorkshire Air Ambulance at Ortus House last week for a SPEAR course with Dr Jon Barratt.
Specialist endovascular resuscitation that delivers real‑time data to support critical on‑scene decisions during cardiac arrest.
@YorkshireAirAmb#SPEAR#Resuscitation
A week on from hosting @YorkshireAirAmb at our Customer Experience Centre, we’re still reflecting on an insightful SPEAR session led by Dr Jon Barratt.
SPEAR helps guide CPR quality and real-time decisions in complex cardiac arrests.
@CorpulsWorld#SPEAR#Resuscitation
We’ve been building up to this moment for months!
Really excited to see our Extrication course come to life. A programme which show the practical application of all the latest evidence. Bringing guidelines to life with videos, critical narrative and some resus room humour….
🚨 New Extrication Course is now LIVE! Produced with @PostCollision
Built on latest evidence, this 2hr CPD course is for anyone responding to RTCs; fire, police, ambulance, highways endorsed by @FPHCEd
Train your service, group discounts available
🔗 post-collision.com/courses/i…
1/ 🧵 Contemporary evidence supports moving from EtCO₂ ventilation strategies toward precision guided ventilation using real-time PaCO₂. That’s the direction of travel for prehospital neurocritical care—and it’s how we tighten neuroprotection. I will explain in this thread
🚨 New Extrication Course is now LIVE! Produced with @PostCollision
Built on latest evidence, this 2hr CPD course is for anyone responding to RTCs; fire, police, ambulance, highways endorsed by @FPHCEd
Train your service, group discounts available
🔗 post-collision.com/courses/i…
🚨 NEW EPISODE! 🚨 Roadside to Resus: Pre-Alerts 2025
Love them or loathe them, make them or receive them-they’re key!
The latest evidence, new national guideline & the all-important “no more heads-up calls” rule
itunes.apple.com/gb/podcast/…open.spotify.com/show/4pGoo1…