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David Anderson ASM

@expensivecare.bsky.social
521 followers 205 following 18 posts

Medical Director - Ambulance Victoria; Intensivist - Alfred Health; Adj Assoc Prof - Monash Paramedicine. 🏴󠁧󠁢󠁳󠁣󠁴󠁿🇳🇿🇨🇦🇦🇺🏳️‍🌈 #medsky #foamed #emsky #paramedicsky

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David Anderson ASM @expensivecare.bsky.social · 18/03/2025
It isn’t often that you need to provide a risky treatment before you’ve even assessed the patient, but that’s what prehospital clinicians sometimes need to do when caring for patients with acute behavioural disturbance. @jamesoz1.bsky.social & I talk sedation safety on Clinical Conversations.
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Critical Care Reviews @criticalcarereviews.com · 26/01/2025
ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review CCR Journal Watch criticalcarereviews.com/latest-evid… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters…
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Nick Mark, MD @nickmark.bsky.social · 26/11/2024
More medical inspired art: coronary arteries as subway map.
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David Anderson ASM @expensivecare.bsky.social · 26/01/2025
So humbled and proud to have been awarded an Ambulance Service Medal is this year’s Australia Day honours list. Thanks to those who nominated me and to the friends and colleagues I’ve worked with over the ups and downs of 25+ years in prehospital care ☺️. 🎖️🤓🚑
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David Anderson ASM @expensivecare.bsky.social · 24/01/2025
I’ve learned so much from @jamesoz1.bsky.social chatting all things pain with @billlord.bsky.social in this series, and we’ve saved the best for last. An exacerbation of chronic pain is a common reason to call an ambulance. What can we do as paramedics and as an EMS system? Let’s find out!
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Justin Hensley @ebmgonewild.bsky.social · 04/01/2025
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.
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Susie Dent @susiedentwords.bsky.social · 31/12/2024
Word of the Day is one I keep posting at the end of the year, hoping its time will come. ‘Respair’, from the 16th century, is fresh hope, and a recovery from despair. Here’s to a few drops of respair in 2025.
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David Anderson ASM @expensivecare.bsky.social · 18/12/2024
Morphine or fentanyl? Does splinting really reduce pain? Is ketamine the ideal prehospital analgesic? Is there a role for paramedic administered NSAIDs? What about nerve blocks? Find out the answer to these and more on part 2 of James’ interview with Bill Lord. 🚑💊🤕
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David Anderson ASM @expensivecare.bsky.social · 13/12/2024
Wonderful feedback on our new book. 🤓 The perfect gift for the discerning paramedic in your life! 😃
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NEJM.org @nejm.org · 10/12/2024
Presented at #CCRDownUnder: In the SAHARA trial involving patients with subarachnoid hemorrhage and anemia, liberal transfusion of red cells did not result in a lower risk of an unfavorable neurologic outcome than a more restrictive strategy. nej.md/4ilTVdO
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Chris Nickson @precordialthump.bsky.social · 10/12/2024
Early Restrictive vs Liberal Oxygen for Trauma Patients: The #TRAUMOX2 Randomized Clinical Trial | ⁦‪JAMA - ‬⁩ Just published! #ccrdownunder jamanetwork.com/journals/jam...
jamanetwork.com
Early Restrictive vs Liberal Oxygen for Trauma Patients
This randomized controlled trial investigates whether an early 8-hour restrictive oxygen strategy compared with a liberal oxygen strategy lowers the incidence of death and/or major respiratory complic...
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Marion Campbell @marionkcampbell.bsky.social · 10/12/2024
We have seen a number of trials with non-significant findings at #CCRdownunder. There is often debate then about what next? This paper by Pocock & Stone is a useful discussion piece to inform this type of discussion www.nejm.org/doi/full/10....
nejm.org
The Primary Outcome Fails — What Next? | NEJM
When the primary outcome of a clinical trial fails to reach its prespecified end point, can any clinically meaningful information still be derived from it? This review article addresses that question.
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JAMA @jama.com · 09/12/2024
Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v
Figure 3. Kaplan-Meier Curves for Probability of Antibiotic Duration and Mortality to 28 Days
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Chris Nickson @precordialthump.bsky.social · 09/12/2024
ADAPT-SEPSIS: “Care guided by measurement of PCT reduces antibiotic duration safely compared with standard care, but CRP does not. All-cause mortality for CRP was inconclusive.” #ccrdownunder
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Jonny Wilkinson @nottheflyhalf.bsky.social · 03/04/2021
Today it’s Lung #POCUS for you! It is: Easy to perform Accurate Sensitive Repeatable Negates irradiation or transport elsewhere! #FOAMed #POCUS #FOAMcc #foamus @icmteaching @ICUltrasonica Where do we scan then?? Linear/curvilinear or phased probe positions shown👍👇
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Dr Lindsey Fitzharris @drlindseyfitz.bsky.social · 02/12/2024
During #WW1, Marie Curie created a vehicle that contained a hospital bed, generator, X-ray machine & photographic darkroom equipment. These “petite Curies" (below) could be driven right up to the Front. Curie trained 150 women as radiology technicians. #histmed #skystorians #histsci
An old automobile from World War I with an open top. The side has a Red Cross on it and underneath it reads: "Radiologie."
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josh farkas 💊 @pulmcrit.bsky.social · 02/12/2024
I almost didn’t write this blog in *2015* about how contrast nephropathy isn’t real, because I thought it was already pretty obvious at that point (emcrit.org/pulmcrit/do-ct-scans-cau…) nearly a decade later, we’re still struggling with knowledge translation 🙈
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josh farkas 💊 @pulmcrit.bsky.social · 01/12/2024
this is so brutal it hurts, but it’s true 😳
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David Anderson ASM @expensivecare.bsky.social · 30/11/2024
So sad that I wasn’t able to be there for the official celebration of our new critical care paramedicine book. I was looking forward to my biscuit 😋. Great to finally see it on the shelves though!
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JAMA @jama.com · 25/11/2024
A liberal transfusion strategy compared with a restrictive strategy resulted in a lower rate of unfavorable neurological outcome among patients with acute brain injury. ja.ma/3V5z1p9
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Nicholas Chrimes @chrimesy.com · 23/11/2024
Lot's of answers approximating what I think is best: 1. Are you in the Vortex? (can you ventilate?) 2. Have you ever been in the Green Zone (able to ventilate). If so, try to go back and do that. 3. Have you had a best effort at any lifeline? (define what can be abandoned/what's left to try).
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ICU OnePager @icuonepager.bsky.social · 22/11/2024
Renal replacement therapy (RRT) in the ICU OnePager 📟 onepagericu.com/rrt
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David Anderson ASM @expensivecare.bsky.social · 23/11/2024
I used to post visitors to my garden to the other place. Here’s my first Bluesky garden friend. I think a juvenile male Australian king parrot. Very friendly 🤓🦜
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Anaesthesia @anaesjournal.bsky.social · 22/11/2024
Being a 'good rescuer' is: • counterintuitive eg the advice to stand back & analyse rather than pile in & do something • counter-cultural eg using checklists rather than relying on memory Specific rescuer training would reinforce these skills. #AnSky #MedSky #HFESky buff.ly/3COBTjM
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Tim Leeuwenburg @kangaroobeach.bsky.social · 23/11/2024
Such important work Kudos to Ambulance Vic - integration of @goodsamapp - public access defib registry - system based reform - audit & publication
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Ethics in Bricks @ethicsinbricks.bsky.social · 21/11/2024
Twitter is dead. Long live BlueSky.
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Bill Lord AM @billlord.bsky.social · 22/11/2024
Thanks David. It was great chatting with James about this important topic
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James Oswald @jamesoz1.bsky.social · 22/11/2024
At Ambulance Victoria, around 40% of our patients have pain as part of their presentation and we stand to make a real difference in the patient's experience of their illness. I was extremely fortunate to discuss the topic with paramedicine legend @billlord.bsky.social & @expensivecare.bsky.social
open.spotify.com
Clinical Conversations
Podcast · The Ambulance Victoria Office of the Medical Director · Ambulance Victoria's clinical podcast bringing you the latest need-to-know clinical pearls.
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Prof Samantha Thomas @docsamantha.bsky.social · 21/11/2024
Great to see the papers in our Special Issue on the Commercial Determinants of Health already getting media attention! @inquisitivegyn.bsky.social You can read all the papers in the special issue here: academic.oup.com/heapro/issue... www.theguardian.com/australia-ne...
theguardian.com
Learning CPR on manikins without breasts puts women’s lives at risk, study finds
Analysis of training models on global market found all had flat torsos with just one having a breast overlay
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Caroline Dew @caro-icu.bsky.social · 21/11/2024
Women are less likely to receive lifesaving CPR after cardiac arrest and less likely to survive. This interesting research looks into how CPR training & the sex of CPR manikins contributes to inequitable cardiac arrest outcomes. #MedSky #ResusSky #CriticalCare academic.oup.com/heapro/artic...
academic.oup.com
CPR training as a gender and rights-based healthcare issue
Abstract. It is not understood how cardiopulmonary resuscitation (CPR) training, specifically the representation of sex in CPR manikins, contributes to ine
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David Anderson ASM @expensivecare.bsky.social · 21/11/2024
The latest episode of Clinical Conversations - Ambulance Victoria’s clinical podcast is out! Its the 1st part of a 3 part series where James chats with paramedicine legend @billlord.bsky.social about all things prehospital assessment and management of pain. Tune in wherever you get your podcasts!
open.spotify.com
Pain (Part 1) - Assessment, bias and disparities in care
Clinical Conversations · Episode
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josh farkas 💊 @pulmcrit.bsky.social · 20/11/2024
I’m going to write a short blog on how to get started on MedSky (starter packs etc). What are useful pointers for people migrating from med-twitter to medsky? I’m no expert on this, but I think a short how-to post could help bring more people over.
media.tenor.com
stanley from south park is asking how
ALT: stanley from south park is asking how
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Chris Nickson @precordialthump.bsky.social · 19/11/2024
Register for CCR Down Under ASAP… 😄 We’d love to see you in Melbourne for more @CritCareReviews magic, December 10th & 11th, 2024. A few rego spots are still open but they’re filling fast… criticalcarereviews.com/meetings/ccr...
criticalcarereviews.com
CCR Down Under
Critical Care Reviews Meeting Down Under - The Edge, Federation Square, Melbourne, December 10th - 11th, 2024
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David Anderson ASM @expensivecare.bsky.social · 20/11/2024
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 🤓 🚑
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LITFL @litfl.bsky.social · 20/11/2024
Oh this is so lovely. So clean and unpolluted. Like taking a drive out from the smog of the city, climbing to the top of a hillock and sharing the vista with old friends and new. Raising a glass of hope in the sunshine of sharing. #FOAMed #MedSky
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David Anderson ASM @expensivecare.bsky.social · 19/11/2024
🧐🧐🧐
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Dr Thomas Shanahan MRCEM @tshanahan0584.bsky.social · 16/11/2024
Happy to share an invited article I wrote looking at what #EM in Australasia can learn from the #NHS for Emergency Medicine Australasia. This was part of a discussion on the future of emergency care in Australasia in the EMA. onlinelibrary.wiley.com/share/author... #MedSky #BlueSky
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Bluesky @bsky.app · 16/11/2024
Another day, another million new people have joined Bluesky! 18M users? 🙂‍↔️ 18M friends 🙂‍↕️
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Tommaso Scquizzato, MD @tscquizzato.com · 16/11/2024
Ceftriaxone 2 gm IV q12h for 3 days vs. matching placebo reduced early-onset pneumonia occurring ≤4 days after intubation in OHCA survivors treated with TTM and may reduce antibiotic resistance gene acquisition through a decrease in antibiotic exposure #ReSS24 @ahascience.bsky.social
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Jay 🦋 @jay.bsky.team · 16/11/2024
A whiteboard from our Jan 2023 team retreat where I wrote down our goals, and the top one was “10k user signups.” We’re growing by 10k users every 10-15 minutes right now.
whiteboard with MUST:
- 10k user signups
- view post on web
- app store
- other pds federate 
- 3p labels/services 
etc
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Jack Iwashyna @iwashyna.bsky.social · 16/11/2024
This song has aged surprisingly well
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David Anderson ASM @expensivecare.bsky.social · 16/11/2024
Anyone else tried to use the Blue Sky app to do an ultrasound yet? Or just me?
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Critical Care Reviews @criticalcarereviews.com · 15/11/2024
➡️ The PARAMEDIC3 & IVIO trials were presented at #ERC24 & published in @NEJM 2 weeks ago ➡️ We have a podcast on each with their investigators ➡️ Yesterday, we reviewed PARAMEDIC3 ➡️ Today, it's IVIO criticalcarereviews.com/podcasts/ivio
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Natalie Anderson PhD RN @cerebralnurse.bsky.social · 14/11/2024
Excited to receive my contributing author advance copy of this great new text - Critical Care Paramedicine: A cased based approach #Paramedicsky #EMSky 🚑🩺 Available here: www.classprofessional.co.uk/ems-fire/par...
Photo of brand new textbook, in my hand. Critical Care Paramedicine: A case based approachTextbook open to Chapter 25: Termination of Resuscitation
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David Anderson ASM @expensivecare.bsky.social · 14/11/2024
Hi everyone. This seems…. Promising…. 🤓 #medsky #FOAMed
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