reading after all that. resus_symposium_2025.eventbrite.co.uk

in the U.K., could be much easier to roll out and might well help us stop flogging flailing hearts with treatments that don’t work (adrenaline, bicarbonate, blah blah). We’re hoping to bring all this together in our symposium on 15/16 Jan so here’s a shameless plug for that for anyone who’s still

schemes, our CPR Smart school champion programme, and when you put all this together, we can work it through…….I’ll pull this thread out when I Bluesky to say that I’m proud we’re doing prehospital ECMO in a couple of years time!! 😎 Pretty sure that prehospital REBOA has promise for cardiac arrest

this said, getting to the bottom of this is why we’ve just invested big time in bringing in people to @EHAAT_ who are natural collaborators, wise, professionally cautious yet ambitious, and experts. Our region has great opportunities with @EAAARAID @EssexCTC , first responder

to get an ECMO team to patients quicker than their v experienced APP group can get the patient to ECMO. We know that bystander cpr and defibrillation works yet uk rates of delivery are woeful and inequitous. Something that we know works is not being done anywhere near enough. All

of HEMS services if this is to be done as service delivery (look at the resource in the sub-30 model just as proof of concept). Even London had to create an entirely new parallel model to try sub30, so all services would have to do that in sync….and I still question whether even London is able

might we justify the roll-out of ECMO. We also have to acknowledge that people like me (pretty experienced prehospital consultant getting greyer) don’t have the skills to do ECMO. Hardly anyone does in the U.K., so any national ECMO project would require a step change in staffing

with all those expensive drugs if the case is to be made (unless all the charities group together to make it work, hmm). When compared with other initiatives such as bystander CPR strategies, smart controm room work from ambulance services, and maybe even prehospital REBOA, how

that NICE makes regular recommendations on the cost-effectiveness of items like drugs, with a risk that some patients with rare conditions have access to treatments questioned. Prehospital ECMO, if costed in its entirety for a U.K.-wide project, would need to ethically compete

at charities merging resources (OMG he said it, difficult in reality also) or joint applications to NIHR etc, which takes a lot of collaboration, human factors, joint vision, strategy. And… for stuff like PH ECMO in the UK, we have to look at cost per patient. We all know

sometimes devolved or semi-delagated. There is a national research group, which produces recommendations on work that needs to be done. Individual charities are excellent at financially supporting projects but once we get to ‘proper’ research (into millions) either we must look

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

all critical care is delivered by ‘doctor’ teams, with critical care paramedics doing lots more autonomously (good). So as yet, we haven’t defined what prehospital critical care is, who does it, who owns it. Even at college level the approach is intercollegiate through a

at the side of the road wherever you are, pretty much. SOP’s for most things differ little in terms of the medicine with most nuance being on triage options, etc. We don’t (yet) have a national clinical director for prehospital critical care, like there is one for most things. Not

organisational maturity. Little in the way of national strategy. This sounds like a criticism but actually works quite well locally, where on a day-to-day basis there is a surprising similarity between what the services deliver, e.g, prehospital anaesthesia looks largely the same

Much better so far!!! I needed respite care from it!