Lawrence Hayes
@lh4yes.bsky.social
Critical Care Paramedic (@SECAmb_CCP / Repatriation) Snow, waves and mountains
Reposted by Lawrence Hayes
sjtrem.biomedcentral.com/articles/10....
#Prehospital management of accidental #hypothermia: A nationwide survey among Italian helicopter emergency medical services
#HEMS #PHEM #survey #FOAMed
#Prehospital management of accidental #hypothermia: A nationwide survey among Italian helicopter emergency medical services
#HEMS #PHEM #survey #FOAMed
Prehospital management of accidental hypothermia: A nationwide survey among Italian helicopter emergency medical services - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Accidental hypothermia, defined as a drop in core temperature below 35 °C, is a significant concern in prehospital care. Despite Italy’s variable climate and demographic vulnerability, limited data…
sjtrem.biomedcentral.com
October 24, 2025 at 11:03 AM
sjtrem.biomedcentral.com/articles/10....
#Prehospital management of accidental #hypothermia: A nationwide survey among Italian helicopter emergency medical services
#HEMS #PHEM #survey #FOAMed
#Prehospital management of accidental #hypothermia: A nationwide survey among Italian helicopter emergency medical services
#HEMS #PHEM #survey #FOAMed
Reposted by Lawrence Hayes
🎙️ New Podcast!
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky
October 24, 2025 at 1:06 PM
🎙️ New Podcast!
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://wp.me/pdrP8b-5ph
#EMIMCC #FOAMed #MedSky
Reposted by Lawrence Hayes
Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical…
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical…
Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical appraisal.
www.stemlynsblog.org
October 24, 2025 at 4:52 PM
Factors in the Initial Resuscitation of Patients With Severe Trauma – The FiiRST-2 Trial
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical…
The FiiRST-2 randomised trial compared fibrinogen and prothrombin complex concentrate with plasma in trauma patients needing massive transfusion. No significant benefit was found. Read our St Emlyn’s critical…
Reposted by Lawrence Hayes
Norepinephrine vs epinephrine for cardiac arrest?
"Despite the limited evidence, norepinephrine appears to offer potential advantages over epinephrine in terms of multiple haemodynamic parameters and possible survival"
Read #free & #openaccess on #SJTREM:
"Despite the limited evidence, norepinephrine appears to offer potential advantages over epinephrine in terms of multiple haemodynamic parameters and possible survival"
Read #free & #openaccess on #SJTREM:
The effects of norepinephrine in shockable cardiac arrest, a scoping review - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Background Out-of-hospital cardiac arrest is considered a major public health issue with an incidence of 67–170 per 100.000 inhabitants in Europe. Sufficient coronary perfusion pressure is a…
sjtrem.biomedcentral.com
October 22, 2025 at 8:43 AM
Norepinephrine vs epinephrine for cardiac arrest?
"Despite the limited evidence, norepinephrine appears to offer potential advantages over epinephrine in terms of multiple haemodynamic parameters and possible survival"
Read #free & #openaccess on #SJTREM:
"Despite the limited evidence, norepinephrine appears to offer potential advantages over epinephrine in terms of multiple haemodynamic parameters and possible survival"
Read #free & #openaccess on #SJTREM:
Reposted by Lawrence Hayes
UK ED POCUS has matured
From binary thinking to Bayesian reasoning
open.substack.com
May 31, 2025 at 8:22 AM
Reposted by Lawrence Hayes
Aortic Dissection Management
-Activate consultants
-POCUS:check for tamponade
-Anti-impulse tx:reduce force + frequency of blood striking flap
-Analgesia 1st
-HR: esmolol w/ goal ~ 50 bpm
-BP: clevidipine/nicardipine w/ goal SBP ~ 100 mm Hg
youtube.com/shorts/jKP5e...
#EMIMCC
-Activate consultants
-POCUS:check for tamponade
-Anti-impulse tx:reduce force + frequency of blood striking flap
-Analgesia 1st
-HR: esmolol w/ goal ~ 50 bpm
-BP: clevidipine/nicardipine w/ goal SBP ~ 100 mm Hg
youtube.com/shorts/jKP5e...
#EMIMCC
Aortic Dissection Management #emergencymedicine #criticalcare #resuscitation
YouTube video by EMSwami
youtube.com
May 28, 2025 at 7:52 PM
Aortic Dissection Management
-Activate consultants
-POCUS:check for tamponade
-Anti-impulse tx:reduce force + frequency of blood striking flap
-Analgesia 1st
-HR: esmolol w/ goal ~ 50 bpm
-BP: clevidipine/nicardipine w/ goal SBP ~ 100 mm Hg
youtube.com/shorts/jKP5e...
#EMIMCC
-Activate consultants
-POCUS:check for tamponade
-Anti-impulse tx:reduce force + frequency of blood striking flap
-Analgesia 1st
-HR: esmolol w/ goal ~ 50 bpm
-BP: clevidipine/nicardipine w/ goal SBP ~ 100 mm Hg
youtube.com/shorts/jKP5e...
#EMIMCC
Reposted by Lawrence Hayes
May 24, 2025 at 12:26 AM
Reposted by Lawrence Hayes
Incidence of post-induction hypotension following #emergency rapid sequence induction with ketamine: a systematic review and meta-analysis
Link: sjtrem.biomedcentral.com/articles/10....
#RSI #anaesthesia #EMS #SJTREM #FOAMed
Link: sjtrem.biomedcentral.com/articles/10....
#RSI #anaesthesia #EMS #SJTREM #FOAMed
Incidence of post-induction hypotension following emergency rapid sequence induction with ketamine: a systematic review and meta-analysis - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Introduction Rapid sequence induction (RSI) is a potentially-life saving intervention in critically ill patients. An important adverse effect of this procedure is post-induction hypotension (PIH),…
sjtrem.biomedcentral.com
May 18, 2025 at 6:30 PM
Incidence of post-induction hypotension following #emergency rapid sequence induction with ketamine: a systematic review and meta-analysis
Link: sjtrem.biomedcentral.com/articles/10....
#RSI #anaesthesia #EMS #SJTREM #FOAMed
Link: sjtrem.biomedcentral.com/articles/10....
#RSI #anaesthesia #EMS #SJTREM #FOAMed
Reposted by Lawrence Hayes
🔥In Case You Missed It🔥
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
November 15, 2024 at 11:51 PM
🔥In Case You Missed It🔥
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...
Reposted by Lawrence Hayes
A past case at OSH.
Undiff syncope, but saw this ECG and knew I had to do a POCUS echo right away.
1/2
Undiff syncope, but saw this ECG and knew I had to do a POCUS echo right away.
1/2
December 3, 2024 at 5:12 PM
A past case at OSH.
Undiff syncope, but saw this ECG and knew I had to do a POCUS echo right away.
1/2
Undiff syncope, but saw this ECG and knew I had to do a POCUS echo right away.
1/2
Reposted by Lawrence Hayes
Question for learners: what am I looking at here and why is it important?
#MedSky #EMIMCC #PCCM #CritCareSky
#MedSky #EMIMCC #PCCM #CritCareSky
December 2, 2024 at 8:51 PM
Question for learners: what am I looking at here and why is it important?
#MedSky #EMIMCC #PCCM #CritCareSky
#MedSky #EMIMCC #PCCM #CritCareSky
Reposted by Lawrence Hayes
Everyone in the team has responsibility for sharing mental models. Help your team leader get everyone on the same page. Wise words from the Resus Rats
December 2, 2024 at 10:07 PM
Everyone in the team has responsibility for sharing mental models. Help your team leader get everyone on the same page. Wise words from the Resus Rats
Reposted by Lawrence Hayes
what is the correct diagnosis for this ECG?
what does this have in common with the computer algorithm in the Hunt for the Red October?
answer: emcrit.org/squirt/ecg2/ #EMIMCC #ECGsky
what does this have in common with the computer algorithm in the Hunt for the Red October?
answer: emcrit.org/squirt/ecg2/ #EMIMCC #ECGsky
December 1, 2024 at 4:24 PM
what is the correct diagnosis for this ECG?
what does this have in common with the computer algorithm in the Hunt for the Red October?
answer: emcrit.org/squirt/ecg2/ #EMIMCC #ECGsky
what does this have in common with the computer algorithm in the Hunt for the Red October?
answer: emcrit.org/squirt/ecg2/ #EMIMCC #ECGsky
Reposted by Lawrence Hayes
Need help with lung ultrasound? Here is the BLUE protocol in infographic form (JPEG version). #FOAMed #POCUS @icmteaching @iceman_ex @ICUltrasonica @kyliebaker888 @sonophysio @PARADicmSHIFT #ultrascoundrels Thx @avkwong for the peer review! Download here...
November 19, 2024 at 8:18 AM
Need help with lung ultrasound? Here is the BLUE protocol in infographic form (JPEG version). #FOAMed #POCUS @icmteaching @iceman_ex @ICUltrasonica @kyliebaker888 @sonophysio @PARADicmSHIFT #ultrascoundrels Thx @avkwong for the peer review! Download here...
Reposted by Lawrence Hayes
#CriticalLanguage Time to move from ‘sniffing position’ to the more descriptive #flextension which prompts both base-of-neck flexion & atlanto-occipital extension.
@doctimcook.bsky.social @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
@doctimcook.bsky.social @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
‘Flextension’: a new term to describe optimal head and neck positioning for airway management
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 23, 2024 at 1:42 AM
#CriticalLanguage Time to move from ‘sniffing position’ to the more descriptive #flextension which prompts both base-of-neck flexion & atlanto-occipital extension.
@doctimcook.bsky.social @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...
@doctimcook.bsky.social @anaesjournal.bsky.social
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...