Critical Care & PHEM Consultant with @UHDBTrust, @MidlandsAccots & @MAA_Charity, alumni of @SydneyHEMS, voluntary doc for @wmcareteam - views my own
Stafford, England
Joined April 2020
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- Following164
- Followers810
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Michael Bright retweeted
Today's Paper of the Day is:
Early management of adult severe traumatic brain injury: What researchers and clinicians must know
criticalcarereviews.com/late…
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026
Michael Bright retweeted
What do tactile fremitus and OR fires have in common? Why we keep doing things that don't make sense: radial art lines, NPO after midnight, Trendelenberg position, etc?
Checkout my new blog post about Ritual and Reason in Medicine.
open.substack.com/pub/nickma…
Michael Bright retweeted
🚑 Can you deliver ICU care at 60mph?
ACCESS is recruiting Doctors – August 2026.
✔ Largest Critical Care Transfer Service in the UK
✔ Complex inter-hospital transfers
✔ QI, governance & research
Not routine ICU. ICU in motion.
#ICU #CriticalCare #RetrievalMedicine #MedJobs
Michael Bright retweeted
Vacancy: HEMS Specialist Paramedic - Lincolnshire & Nottinghamshire Air Ambulance
Full info👉 collegeofparamedics.co.uk/CO…
Michael Bright retweeted
.@BSEcho have launched a new Level 1 library🚀- developed by Jen Gosling, @EchoFoundations, et al, which will support practitioners of emergency echo
The first 30 cases are FREE!
Find out more: bsecho.org/Public/News/Artic…
Outcomes not a significant difference between the groups… ?due to the timing of getting REBOA in up and running from 112 -> REBOA (47 mins)
This afternoons session around good quality post paediatric ROSC care from @BarneyUoB
Locked on for three days of resus pearls and updates @ERC_resus congress in Rotterdam
#RESUS25
Spending my day teaching on the @acutemedicine FAMUS course focusing on all things lungs, abdomen and vascular… alongside @RamMatsa #StokePOCUS
Out and about on the voluntary side today supporting Chester Marathon as mobile bike ALS provider #mysjaday @stjohnambulance
Michael Bright retweeted
TAAS are advertising 2 new development posts for regional ST3+ doctors who would like to explore or kickstart a career in PHEM. 🤗
Full JD is via the link ⬇️ theairambulanceservice.talos…
Michael Bright retweeted
Good change! Context is critical.
Avoiding unrecognised oesophageal intubation
The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’
The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2
This requires 4 elements
-CO2 rises & falls with respiration
-sustained (non-fading, >7 cycles)
-amplitude >1 KPa
-clinically appropriate
It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate
See these two updated webpages
Sustained exhaled CO2
rcoa.ac.uk/safety-standards-…
Prevention of future deaths
rcoa.ac.uk/safety-standards-…
@AAGBI @AndyHiggsGAA @NicholasChrimes
Michael Bright retweeted
(1/x) Intubating patients with shock in the ICU is by far the most dangerous bedside procedure we perform in ALL of medicine.
There is a 3.1% cardiac arrest rate during ICU intubations (JAMA 2021: PMID 33755076)
Here’s how you can make it as safe (as possible) 👇
Michael Bright retweeted
Recruiting non-clinical volunteers!
Share with someone who you think might suit
@wmcareteam vacancies:
>HR manager
>Fleet manager
>Operational support staff
-Experience desired but not essential
-Likely 2 hours per week on average
More details/Apply:
wmcareteam.com/wmct/vacancy/…
Michael Bright retweeted
Avoiding unrecognised oesophageal intubation
The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’
The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2
This requires 4 elements
-CO2 rises & falls with respiration
-sustained (non-fading, >7 cycles)
-amplitude >1 KPa
-clinically appropriate
It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate
See these two updated webpages
Sustained exhaled CO2
rcoa.ac.uk/safety-standards-…
Prevention of future deaths
rcoa.ac.uk/safety-standards-…
@AAGBI @AndyHiggsGAA @NicholasChrimes
