Critical Care & PHEM Consultant with @UHDBTrust, @MidlandsAccots & @MAA_Charity, alumni of @SydneyHEMS, voluntary doc for @wmcareteam - views my own

Stafford, England
Joined April 2020
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
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Michael Bright retweeted
Course run by experienced instructors and supervisors. Few places left
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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…
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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
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Vacancy: HEMS Specialist Paramedic - Lincolnshire & Nottinghamshire Air Ambulance Full info👉 collegeofparamedics.co.uk/CO…
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.@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…
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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…
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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
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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) 👇
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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/…
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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
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Michael Bright retweeted
🚨 Exciting news! 🚨 
The CARE Team Junior Membership scheme is growing. Since 2023 we’ve supported med students & junior docs — and this September we’re opening the doors to nurses & paramedics too. Applications open soon… stay tuned ⚕️
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For those who may be interested !
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It's that wonderful time of year when new residents are joining the ICU team! Here are a few of my favorite @CritCareTime infographics to help you understand key concepts: ⚡️Undifferentiated shock 💉 Vasopressors 😮‍💨 The physiologically difficult airway & 🧪 Metabolic acidosis
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Michael Bright retweeted
🚨 Save the date 🚨 ⏰Join us for the next FPHC webinar on the 10th July⏰ Discover the management of out-of-hospital cardiac arrest in pregnancy and the latest evidence on maternal and neonatal outcomes from resuscitative hysterotomy. 👉Register here bit.ly/3Sv7NGc
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Out of hospital cardiac arrest in pregnancy: what’s new? Join me for a ⁦@RCSEd⁩ webinar on 10th July 2025. services.rcsed.ac.uk/profess…
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And an editorial for the UK-ROX trial from our friends at the Pragmatic Critical Care Research Group! #CCR25
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#DidYouKnow we have a dedicated team that responds 24/7 to incidents of major trauma such as stabbings, shootings and RTCs? MERIT, made up of a Doctor and Critical Care Paramedic, provides advanced care to critically ill patients across the region 🚑 #teamWMAS
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Michael Bright retweeted
Amazing systematic review study by Dr. Mike Christian and colleagues suggesting outcome benefit of mixed paramedic/physician prehospital crews. Article: doi.org/10.1186/s13049-024-0… Video describing results: youtu.be/mXvwZ1WKxCU
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Michael Bright retweeted
🚨APPLICATIONS OPEN NOW 🚨 For the first time in over a year, the West Midlands CARE Team has opened up recruitment for experienced doctors to join as Trainee Clinical Leads! Head over to our website for details of how to apply: wmcareteam.com/wmct/2025/01/…
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