
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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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…
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
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 ⚕️
Michael Bright retweeted
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
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
Michael Bright retweeted
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…
Michael Bright retweeted
And an editorial for the UK-ROX trial from our friends at the Pragmatic Critical Care Research Group!
#CCR25
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Michael Bright retweeted
#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
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
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/…


































