Mike Christian
drmikechristian.bsky.social
Mike Christian
@drmikechristian.bsky.social
Critical care and prehospital physician, professor, healthcare leader and forever learner. 🇨🇦🇬🇧🏳️‍🌈www.linkedin.com/in/mdchristian
📢 New Response Published!

We’ve addressed the recent critique of our meta-analysis on physician-led interprofessional pre-hospital teams.

📰 Read the full response: sjtrem.biomedcentral.com/articles/10....

📄 Original study: doi.org/10.1186/s130...
Benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically ill and injured patients: the ‘science’ explained - Scandinavian Journal of Trauma, Resu...
sjtrem.biomedcentral.com
May 2, 2025 at 7:04 AM
🎧 New Podcast Alert!

Just released: the latest episode of the Pre-Hospital Care Podcast dives into our study on Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA).

🔗 podcasts.apple.com/gb/podcast/p...

#PreHospitalCare #TraumaResearch
April 7, 2025 at 3:48 PM
🚑✨ It’s not about the gadgets—it’s about the governance.
A recent editorial explores how clinical governance, not just technology, is the key to making prehospital ultrasound (PoCUS) a powerful tool for patient care.

#HEMS #POCUS #clinicalgovernance #Teams #PHRM #PHEM
Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service - Scandinavian Journal of Trauma, Resuscitation and Emerg...
Background There has been increased use of prehospital point-of-care ultrasound (PoCUS) by helicopter emergency medical services (HEMS) in recent years. Lack of governance structure and evidence of be...
sjtrem.biomedcentral.com
March 25, 2025 at 2:36 PM
🚁 Thank You, NZ PHRM Society! 🚁
It was an honour to present our research on interprofessional pre-hospital teams at the New Zealand PHRM Society meeting!

🎥 Watch the presentation: youtu.be/DYDvudmWMII?...
📄

#NZPHRM #PHEM #HEMS
NZ Prehospital and Retrieval Medicine Society Webinar #1 - Mike Christian on Interprofessional Teams
YouTube video by NZ Prehospital and Retrieval Medicine Society
youtu.be
March 23, 2025 at 6:40 PM
📢 New Response Published!

We’ve addressed insightful comments from Dr. @ryanmchenry.bsky.social and Dr. @adamboulton17.bsky.social et al. on our study about physician-led interprofessional pre-hospital teams.

#Teams #EmergencyMedicine #Collaboration #PatientOutcomes #HEMS #PHEM #PHRM #research
Benefits of targeted deployment of physician- led interprofessional pre-hospital teams on the care of critically ill and injured patients: a systematic review and meta-analysis - matters arising respo...
sjtrem.biomedcentral.com
March 17, 2025 at 7:47 PM
People are hearing the news...have you?

Our recent study in @jama.com (Surgery) was their top-viewed paper last week.

Read the publication here if you haven't yet: jamanetwork.com/journals/jam...
March 13, 2025 at 5:12 PM
Translating Trauma Research into Practice

After years of designing, collecting, cleaning, analysing (and rewriting... several times), publishing a study is both a milestone and a leap of faith.
March 7, 2025 at 9:56 PM
Reposted by Mike Christian
Just published in @sjtrem.bsky.social - a short re-analysis of recent work on the efficacy of physician-staffed pre-hospital critical care.

Improved precision by pooling survival + mortality outcomes, and some reassurance against publication bias.
📊 New Data Reinforces Collaboration in Pre-Hospital Care!

@ryanmchenry.bsky.social with ScotStar’s EMRS re-analyzed data from our study (doi.org/10.1186/s130...), finding survival was 41% higher for pts Tx by MD-led interprofessional teams vs. paramedics alone — with min risk of publication bias.
March 4, 2025 at 4:38 PM
📊 New Data Reinforces Collaboration in Pre-Hospital Care!

@ryanmchenry.bsky.social with ScotStar’s EMRS re-analyzed data from our study (doi.org/10.1186/s130...), finding survival was 41% higher for pts Tx by MD-led interprofessional teams vs. paramedics alone — with min risk of publication bias.
March 4, 2025 at 1:24 PM
🚨 New Research Published From London’s Air Ambulance!
Pre-hospital Resuscitative Thoracotomy (RT) can improve survival for Traumatic Cardiac Arrest (TCA)

jamanetwork.com/journals/jam...

#TraumaCare #EmergencyMedicine #PreHospitalCare #Resuscitation #LondonAirsAmbulance #HEMS
February 27, 2025 at 1:50 PM
A new and innovative paper from London's Air Ambulance. Yet another example of the power of inter-professional teams. It was a pleasure collaborating on this work. #PHEM #prehospitalcriticalcare #PHCC #Ultrasound #PoCUS

link.springer.com/article/10.1...
Implementation of prehospital point-of-care ultrasound using a novel continuous feedback approach in a UK helicopter emergency medical service - Scandinavian Journal of Trauma, Resuscitation and Emerg...
Background There has been increased use of prehospital point-of-care ultrasound (PoCUS) by helicopter emergency medical services (HEMS) in recent years. Lack of governance structure and evidence of be...
link.springer.com
February 5, 2025 at 12:16 AM
Reposted by Mike Christian
This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. The article suggests a benefit, but how robust is that finding?
JC: Do physician led prehospital teams improve outcomes?
This article explores the impact of physician-led interprofessional pre-hospital teams on survival and mortality outcomes for critically ill and injured patients. Drawing on a systematic review and meta-analysis, it examines the evidence, evaluates key benefits, and critically appraises the limitations. The discussion highlights the potential of this model to enhance pre-hospital emergency care while addressing challenges in implementation across diverse healthcare systems. Essential reading for professionals in emergency and pre-hospital medicine.
www.stemlynsblog.org
January 27, 2025 at 12:20 PM
🔍 Exploring Our Findings 🔍

Our recent study highlights that physician-led interprofessional teams enhance critical decision-making in pre-hospital settings, significantly improving patient outcomes.

For a deeper understanding, watch our explainer video:
🎥 youtu.be/Cu8nVb4DHOc

@sjtrem.bsky.social
Improving Prehospital Patient Outcomes (UK)
YouTube video by Mike Christian
youtu.be
January 10, 2025 at 10:41 PM
#1) 🚑 New Research Published! 🚑
How do physician-paramedic interprofessional pre-hospital teams improve outcomes for critically ill and injured patients?

Our meta-analysis in @sjtrem.bsky.social shows that these teams reduce mortality by 20% and increase survival by 49%! 🔗 doi.org/10.1186/s130...
January 8, 2025 at 4:33 PM
Yesterday Major General Tim Hodgetts (ret) gave a sobering talk on the need to prepare for the possibility of war given the current geopolitical situation
December 6, 2024 at 8:26 AM
For his second talk at #LTC2024 Prof Demetri Yannopoulos focused on systems issues in the delivery of prehospital ECMO. I’ll highlight some of the key points below.
#ECMO #PHEM #PHCC #EMS #prehospital
#eCPR
December 5, 2024 at 11:56 AM
Dr Neel Bhanderi’s talk highlighted the role of Critical Care Retrieval teams in addressing health inequalities for rural and remote patients. #LTC2024 #PHEM #PHCC #retrievalmedicine
December 4, 2024 at 5:50 PM
An excellent talk from Dr Matt Mak on fatigue and shift patterns in prehospital care kicked off the day.
December 4, 2024 at 10:17 AM
Today is prehospital care day at the London Trauma Conference. I have some more catching up to do on yesterday as there were so many talks and interesting abstracts but I’ll pop on a few real-time posts of the talks today #LTC2024 #LCAS2024 @LDN_TC
December 4, 2024 at 9:01 AM
It is both humbling and inspiring to hear a world leader in your field reflect upon the lessons from his career. Richard Lyon not only shared his most impactful resuscitation successes but also his most profound failures.

aakss.org.uk/kss_team/pro...
December 4, 2024 at 8:29 AM
Dr Demetrius Yannopoulos one of the world’s leading ECMO team has spent the past several years demonstrating the benefits of ECMO-CPR (eCPR) for the management of out of hospital cardiac arrest (OHCA). #LCAS2024 #LTC2024 #prehospitalcare #PHEC #PHCC
December 3, 2024 at 3:27 PM
The ARREST trial of cardiac arrest centers (CAC) for the management of OHCA patients. This finding that the best outcome was seen in patients who went to tertiary care hospitals EDs with a CAC available was interesting but what about brining tertiary critical care to the patient? #LCAS2024 #LTC2024
December 3, 2024 at 11:45 AM
This certainly leads one to pause for reflection. Male anaesthetists report significantly higher confidence for managing peri-operative cardiac arrests than their female colleagues, HOWEVER…their clinical outcomes were actually the same. #LCAS2024 #LTC2024
December 3, 2024 at 11:36 AM
The NAP initiatives attest to impressive dedication to supporting a learning health system. #LCAS2024 #LTC2024
December 3, 2024 at 11:31 AM