Marcus McDonagh 🇮🇪
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marcusmcdonagh.bsky.social
Marcus McDonagh 🇮🇪
@marcusmcdonagh.bsky.social
Paramedic based in Aotearoa New Zealand. Previous NHS / BSc / PGcert in Performance Psych / Currently studying Post grad in Critical Care Paramedicine. Get outdoors!! 🇮🇪➡️🏴󠁧󠁢󠁳󠁣󠁴󠁿➡️🏴󠁧󠁢󠁥󠁮󠁧󠁿➡️🇶🇦➡️🇳🇿
Reposted by Marcus McDonagh 🇮🇪
Not that I can add much to this excellent description by @emmanchester.bsky.social, but there's a touch of a confounder.
The biggest model we have for "non physician HEMS" is also the country that has some of the lowest standards for EMS education.
www.stemlynsblog.org/physician-le...
JC: Do physician led prehospital teams improve outcomes?
What is the impact of physician-led interprofessional pre-hospital teams on mortality outcomes for critically ill and injured patients.
www.stemlynsblog.org
January 30, 2025 at 10:33 AM
Reposted by Marcus McDonagh 🇮🇪
New starter pack for PHEM - Pack 2!

Additions & suggestions welcome.
January 12, 2025 at 2:43 PM
Reposted by Marcus McDonagh 🇮🇪
This point on preparing for #PHEM application is equally valid for #paramedics aspiring to specialist practice

Spend majority of time building your CV doing things you enjoy to meet person spec

If you don’t get in then you won’t feel like it was a waste of your time
January 10, 2025 at 12:11 PM
Reposted by Marcus McDonagh 🇮🇪
This article rings true everywhere. It might be more pressing in the UK, as other countries willingly accept their senior staff with better pay and/or work hours, but it's still a factor in rural areas of the US and Australia.
And certainly worth a read.
January 4, 2025 at 10:35 PM
Notable difference from moving from a NHS ambulance service (struggles to retain experience) to New Zealand (keeps very experienced staff) in terms of productivity, decision making and overall patient care!
January 4, 2025 at 11:17 PM
Reposted by Marcus McDonagh 🇮🇪
PHEM/HEMS/Paramedicine/Retrieval Pack 1 is now full. 150 accounts to get you started. Will commence Pack 2 once a few more folk have arrived!

go.bsky.app/NWQRhE1
December 31, 2024 at 4:21 PM
Reposted by Marcus McDonagh 🇮🇪
Detailed program for our next online symposium is now available. Tickets are £5 for @paramedicsuk.bsky.social members or £10 for non members. Available at the link below.

collegeofparamedics.co.uk/COP/Events/E...
December 23, 2024 at 10:04 AM
Reposted by Marcus McDonagh 🇮🇪
Line up for our second International Critical Care Paramedic Symposium is now live. A great mix of speakers from across the globe.

Tickets for the online conference are available here: collegeofparamedics.co.uk/COP/Events/E...
December 20, 2024 at 12:08 PM
Reposted by Marcus McDonagh 🇮🇪
Really grateful to have been given the opportunity to get involved with this research. Great to finally see it be published ☺️

www.sciencedirect.com/science/arti...
Prehospital critical care beyond advanced life support for out-of-hospital cardiac arrest: A systematic review
To assess the clinical outcomes of patients with out-of-hospital cardiac arrest attended by prehospital critical care teams compared to non-critical c…
www.sciencedirect.com
December 14, 2024 at 1:40 PM
Reposted by Marcus McDonagh 🇮🇪
The amazing Wish Ambulance, run by volunteers from Welsh Ambulance, and the rotational palliative care paramedics working in Welsh Ambulance Service

Man fulfils dying wish accompanying daughter down aisle www.bbc.com/news/article...
End-of-life care dying wishes are granted by paramedics
Bride Jess was ready to cancel the wedding - but the help allowed people to say goodbye to her dad.
www.bbc.com
December 11, 2024 at 5:51 PM
Reposted by Marcus McDonagh 🇮🇪
Very thoughtful and nuanced post from @garethgrier1.bsky.social on the huge complexities of potentially delivering extracorporeal CPR (ECPR) across the U.K. There is much enthusiasm and pockets of excellence - but a whole system-wide change is needed. Like REBOA and RT, a HALO procedure (1/2)
faculty of prehospital care that originally brought disparate groups of largely voluntary people together. Ambulance service medical directors have a national group but often governance matters for ‘critical care doctor based stuff’ (see, even I don’t know what it’s called) is
December 11, 2024 at 9:10 AM
Reposted by Marcus McDonagh 🇮🇪
ehaat.org/wp-content/u... Really exciting opportunity to join our team at Essex and Herts Air Ambulance and help us deliver vital CPR education to children, and adults. Kids save lives and there’s a lot of work to do!!!
December 3, 2024 at 7:09 PM
Reposted by Marcus McDonagh 🇮🇪
A total pain prevalence of 51% was found in New South Wales, w 5% of patients stating that their pain was not managed.

People with indigenous backgrounds & who spoke a language other than English were less likely to report adequate pain management.

#AnSky #PainSky #MedSky

https://buff.ly/49bToGW
November 29, 2024 at 1:00 PM
Reposted by Marcus McDonagh 🇮🇪
🚨🚁🚑 New Starter Pack for #PHEMSky #PHEM #HEMS #Prehospital

A work in progress. Recommend accounts that should be added here or DM

go.bsky.app/NWQRhE1
November 11, 2024 at 6:12 AM
Reposted by Marcus McDonagh 🇮🇪
Save the Date!

Next Resuscitology is 10-11 April 2025, Manly, NSW

Registrations open January. Join us for cases, skill stations - and whimsy
November 24, 2024 at 8:48 AM
Reposted by Marcus McDonagh 🇮🇪
go.bsky.app/8JsiCqb

Starter pack for HCPs in Australia and New Zealand
November 24, 2024 at 5:14 AM
Reposted by Marcus McDonagh 🇮🇪
Want to improve your Basic Bag-Valve-Mask Ventilation skills? Here's a VERY short course I made that's free and will only take 5-10 minutes.

tinyurl.com/BMVCourse
November 23, 2024 at 9:07 PM
Reposted by Marcus McDonagh 🇮🇪
It takes a system to save a life in cardiac arrest. I’m proud to have played a small part in this paper in The MJA which shows how survival has incrementally improved in Victoria over 25 years and highlights the value of a registry. If you don’t measure, you can’t improve 🤓 🚑
This is what happens when you take a whole of organisation approach to improving cardiac arrest outcomes. Kudos to the team at Ambulance Victoria, in particular all the responders and researchers out there every day making this a reality

onlinelibrary.wiley.com/doi/10.5694/...
November 20, 2024 at 7:38 AM