Cardiac arrest isn’t a diagnosis in the same way as headache isn’t a diagnosis, jaundice isn’t a diagnosis, chest pain isn’t a diagnosis, abdo pain isn’t a diagnosis. If we keep trying to find magic bullets that treat the presenting complaint, we’re relying on luck to innovate.

The European Resuscitation Council Guidelines 2025 are out now in Resuscitation! 🔗 Read the Executive Summary: sciencedirect.com/science/ar… 🧵 Explore all the chapters in this thread #Resuscitation #RESUS25 #ERCGuidelines #Guidelines2025

Avoiding unrecognised oesophageal intubation The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’ The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2 This requires 4 elements -CO2 rises & falls with respiration -sustained (non-fading, >7 cycles) -amplitude >1 KPa -clinically appropriate It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate See these two updated webpages Sustained exhaled CO2 rcoa.ac.uk/safety-standards-… Prevention of future deaths rcoa.ac.uk/safety-standards-… @AAGBI @AndyHiggsGAA @NicholasChrimes

1/ Shock isn’t “give fluids, then pressors, then inotropes.” That recipe misses the physiology. Here’s how to manage shock properly: 🧵 #MedX #haemodynamics

(0/x) How do I approach the first 2 minutes of meeting a new critically ill pt? My approach has been forged from my learnings as a paramedic. Here's my approach as an ICU doc 🧵

The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position youtu.be/jEc36zZIFbw

Fresh from the edit - our podcast on #SPEAR and advanced resuscitation . @TheResusRoom have done a brilliant job assembling this - concept, delivery & insights from our OHCA programme at @EastAngliAirAmb and beyond… podcasts.apple.com/gb/podcas… @BartsIntervGrp @NHSBartsHealth

Many see pre-procedural checklists solely as a tool for checking equipment In EMRS we monitored the heart rate of clinicians during our pre-anaesthetic checklist. 100% of clinicians experienced a fall in heart rate Here's why.... CoreCognition.co.uk

🧵Why does low protein intake cause hyponatraemia? Most people find this confusing. But the underlying physiology is beautifully simple. Let’s walk through it 👇 #Hyponatraemia #FluidBalance #MedTwitter #FOAMed

Half of the places for the AHP Annual Conference have already been taken! Don’t miss your chance to attend one of the UK’s biggest events for cath lab professionals. 🗓️ 7–8 July | 📍 Park Plaza, Leeds 🎓 Two learning streams – Core & Advanced 🛠️ Hands-on sessions, expert speakers & team-focused learning 💼 Free for BCIS members – bursaries available for accommodation 🔗millbrook-events.co.uk/AHPAn… @bcis_ahp

🚨 ACCESS Clinical Development Day is nearly here! 📢 Meet our speaker lineup below 🗓️ 22 May 2025 | 🕙 10AM–4PM | RLH Education Academy 🎓 5 CPD points | In-person only 📩 Register now: eu.jotform.com/form/25091520… 🔍 Topic: Innovation in Action – Cardiac Arrest & Major Incidents 📄 Full agenda dropping this week! #CriticalCare #CPD #ACCTS #CardiacArrest #MajorIncidents #ACCESSCDD #Innovation

Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest - Resuscitation resuscitationjournal.com/art…

And some supporting papers, for some extra reading! pubmed.ncbi.nlm.nih.gov/3847… and ccforum.biomedcentral.com/ar… and pubmed.ncbi.nlm.nih.gov/3951… @EAAARAID @BartsIntervGrp

One of the things I don’t like is when politicians and NHS managers refer to me as a “provider” or as a “contractor”. I am a medical doctor. My colleagues are nurses, midwives, pharmacists, physiotherapists etc. The people I treat are my patients and not “service users”.

Following years of work, and months of rigorous preparation, @LDNairamb in close support and collaboration with @NHSBartsHealth launches the UK’s first Pre-Hospital #ECMO CPR Capability!

Useful algorithm for no reflow in PPCI #BCISACI

Absolutely thrilled for an action-packed 3 days at @BCIS_uk ACI 2025! Can't wait to connect with fellow @bcis_ahp members, exchange invaluable tips, and soak up all the knowledge. #BCISACI

📚New #ICRJournal Article: "PCI in the UK: Recommendations of the BCIS" 📚 Just Published! 🔓Access it here 👉 ow.ly/K0ZW105XFVo @ncurzen @helenroutledge2 @mmamas1973 @DrPeterOKane @optimacto @vinoda_sharma

(1/x) High quality CPR, early defibrillation, and treating the underlying cause saves lives in cardiac arrest, but what else can we do? Here are 7 advanced therapies for cardiac arrest👇 A🧵 Caution: Bleeding edge - evidence 'light' zone.