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Jack Barrett @respara-jb.bsky.social · 03/01/2025

He does this work in practice? Will nursing split from AFC or will this effect all staff on AFC?

Jack Barrett @respara-jb.bsky.social · 28/12/2024

These findings support the expanding role of HEMS in equitable, timely care for trauma patients. 🚁 This study reaffirms the vital contribution of pre-hospital teams in transforming outcomes for the most severely injured. #TraumaResearch #PreHospitalCare 7/7

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Jack Barrett @respara-jb.bsky.social · 28/12/2024

Balancing operational challenges like scene safety with the need for rapid interventions is critical. By improving systems and case selection, we can maximise the benefits of pre-hospital RSI while minimising risks. #TraumaCare #HEMS 6/7

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Jack Barrett @respara-jb.bsky.social · 28/12/2024

What does this mean for practice? PHRSI highlights the operational importance of HEMS in trauma systems, especially in rural areas. Continued investment in training, protocols, and systems will help balance the risks and benefits of these interventions. #PHEM #HEMS 5/7

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Jack Barrett @respara-jb.bsky.social · 28/12/2024

Patients who received PHRSI had higher injury severity scores but achieved similar mortality outcomes compared to EDRSI patients. This shows HEMS teams deliver life-saving care to the most critically injured, often in challenging environments. #TraumaCare #whywedoresearch 4/7

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Jack Barrett @respara-jb.bsky.social · 28/12/2024

We compared RSI performed pre-hospital (PHRSI) by HEMS to Emergency Department RSI (EDRSI). PHRSI was performed 20 minutes faster (median 64 mins vs. 84 mins). This time-saving advantage ensures critical care reaches patients sooner. #PreHospitalCare #HEMS 3/7

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Jack Barrett @respara-jb.bsky.social · 28/12/2024

Trauma patients often need rapid sequence induction (RSI) of anaesthesia to secure their airway. Delays can lead to worse outcomes, but only 25% of UK trauma patients meet the 45-minute guideline for RSI. Our research aimed to explore this problem. #TraumaResearch 2/7

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Jack Barrett @respara-jb.bsky.social · 13/12/2024

With The Diary of a CEO sharing the acronym DOAC with Direct Oral Anticoagulants, the irony writes itself—one thins your blood, the other your grasp on credible medical information.

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Jack Barrett @respara-jb.bsky.social · 03/12/2024

Unsurprisingly, the 'Surprise Question' in major trauma patients does not predict mortality reliably. The question had a PPV of only 30.5% but a high NPV of 95.1%. Its utility in identifying patients for palliative care remains limited - even in older adults! #EMS #majortrauma #PHEM

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Jack Barrett @respara-jb.bsky.social · 02/12/2024

🔍 Our data was collected prior to the #JRCALC HI update, but supports flexible guidelines tailored to older adults' unique needs. They also highlight the importance of improving non-ED care options. Thanks to all who contributed to this impactful research! 🩺 #PrehospitalCare #HeadInjuryResearch 5/5

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Jack Barrett @respara-jb.bsky.social · 02/12/2024

🚨 High conveyance rates (60–70%) reflect the challenge of balancing ED benefits vs. risks (e.g., infection, long waits). Clinicians weigh patient safety, social support & holistic needs, but confidence in alternative care pathways is low. #EMSResearch #OlderAdults 4/5

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Jack Barrett @respara-jb.bsky.social · 02/12/2024

💊 Anticoagulants, frailty, and injury mechanisms are big red flags for clinicians. BUT assessing asymptomatic patients remains tricky—making "to transport or not" decisions more nuanced and challenging. #TBI #ClinicalDecisionMaking 3/5

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Jack Barrett @respara-jb.bsky.social · 02/12/2024

🧐 Clinicians feel confident using guidelines (like NICE & JRCALC) to decide on hospital transport for older adults with head injuries. BUT they also find the rules too rigid, making it tough to tailor care to individual needs. #AmbulanceCare #PatientCentred 2/5

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Jack Barrett @respara-jb.bsky.social · 02/12/2024

🚑 Just published in British Paramedic Journal! Our study explores how ambulance clinicians make decisions when treating older adults with head injuries. 🧠 Falls, frailty & anticoagulants add complexity. Here's what we found 👇 1/5 #EMS #HeadInjury www.ingentaconnect.com/contentone/t...

ingentaconnect.com

A national perspective of ambulance clinicians’ perceptions...: Ingenta Connect

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Jack Barrett @respara-jb.bsky.social · 25/11/2024

Interesting paper on NHS nurse and doctor retention: A small turnover increase, like 20 nurses or 7 doctors leaving in a month, could mean 239 extra deaths monthly across NHS hospitals. Retaining staff saves money and lives by ensuring consistent, high-quality care. www.bmj.com/content/bmj/...

bmj.com

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Reposted by Jack Barrett

Huma Naqvi @humanaqvi.bsky.social · 21/11/2024

Key messages from #chriswhitty Older adults are ageing well But we have a responsibility to manage multimorbidity & lifestyle adaptations Get more geriatricians in research Tackle the prejudices around involving older adults in research #BGSconf @gerisoc.bsky.social @jkdhesi.bsky.social

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Jack Barrett @respara-jb.bsky.social · 22/11/2024

Si Robinson on clinical and ethical decision-making with families and children. Sharing his PhD findings with parents/guardians and children who have lived experiences of PH care. Essential work, giving the child a voice in research, allowing our clinicians to hear 1sthand their experiences.

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Jack Barrett @respara-jb.bsky.social · 22/11/2024

Prof Will Broughton Buckinghamshire New University talked about the upcoming System-wide Paediatric Observation Tracking (SPOT), a large programme of work to improve the recognition and response to the deterioration of children or young people in any healthcare environment. One system used by all!

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Jack Barrett @respara-jb.bsky.social · 22/11/2024

Chaired by Usman Khan (SECAmb Chair), Alyesha Proctor from UWE discusses her work in paediatric head injuries in the prehospital setting. Highlighting a wide variation of in-hospital clinical decision rules for paediatric head injuries and a need for a suitable PH CDR

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Jack Barrett @respara-jb.bsky.social · 22/11/2024

South East Coast Ambulance Service NHS Foundation Trust Research and Development Department held its 4th Clinical Research Summit yesterday in Sussex. The theme for yesterday's event was Prehospital Paediatric Care. 1/4

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Jack Barrett @respara-jb.bsky.social · 19/11/2024

Interesting paper on how austerity and underinvestment—particularly in primary and social care—have left #NHS services struggling to keep up with the demands of an ageing, increasingly unwell population. A reminder of the long-term impacts of policy decisions. www.nejm.org/doi/full/10....

nejm.org

Lessons from England’s National Health Service | NEJM

The NHS in England has historically delivered high quality at low cost, but recently, its performance has declined. The challenges facing the NHS hold potential lessons for the United States.

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