... not too bad, actually, not too bad. I published a 'Systematic review of the effectiveness of prehospital critical care following out-of-hospital cardiac arrest' in the journal Resuscitation. You can get access to the full-text for free until 20th April 2017. Simon Laing, podcaster extraordinaire featured the review in the April 2017 Papers of the…Read more So how’s the research going? (2)
So I had an interesting but short conversation with @__DanR__ on Twitter, following the EMS physicians vs paramedics blog. Well, as far as you can have interesting 150-character conversations. But Dan made a really good point: Prehospital care needs to focus on getting the basics right. And I couldn’t agree more. For OHCA that is…Read more Prehospital care: Gucci kit or basics
The paramedic vs physician debate is probably as old as the respective professions and can be traced back to ancient Egypt. Like many EMS folks, I’d say it is training, skills, experience and a supporting governance structure which is important, rather than the job title. However, much research still works on the physicians vs paramedics…Read more EMS Physicians vs Paramedics
Oh why, thank you for asking. It is going well indeed. After many many coffees and many more emails, this is where we are Research Ethics Committee approval - check Health Research Authority approval - check Confirmation of capacity and capability by the first two ambulance trusts - check Starting data collection - BIG FAT CHECK…Read more So how’s the research going? (1)
So here is a little rant. Not an angry, all-out, shouty kind of rant. More like an observation. I noticed this thing in FOAM and SMACC - dividing topics in emergency medicine into 'sexy' or 'non-sexy'. And apologizing if talking about 'non-sexy' topics. A list of sexy topics: Airway Major trauma Thoracotomy Peri-mortem hysterectomy Combat medicine Non-sexy…Read more Sexy Beast
While a survival rate of 7.2% after out-of-hospital cardiac arrest (OHCA) is disappointingly low, there is something to be said about perspective. Yes, the outcome of prehospital resuscitation for OHCA is frequently an emotional conversation with the patient's family or friends, before resuscitation is discontinued. On the other hand, how does the chain of survival from EMS to…Read more Two sides of the coin – heads
Out-of-hospital cardiac arrest is an interesting research topic. How do you research a condition where the usual outcome is death? Can we do better? We need to do better.