Mike Christian
@drmikechristian.bsky.social
Critical care and prehospital physician, professor, healthcare leader and forever learner. 🇨🇦🇬🇧🏳️🌈www.linkedin.com/in/mdchristian
🎧 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
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
🎧 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
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
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...
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
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...
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...
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.
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
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.
After years of designing, collecting, cleaning, analysing (and rewriting... several times), publishing a study is both a milestone and a leap of faith.
📊 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.
@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 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.
@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.
Delivering advanced critical care interventions for trauma (and other medical conditions) requires a system that includes physician-led prehospital interprofessional teams as a part of the overall response. doi.org/10.1186/s130... .
March 1, 2025 at 6:20 PM
Delivering advanced critical care interventions for trauma (and other medical conditions) requires a system that includes physician-led prehospital interprofessional teams as a part of the overall response. doi.org/10.1186/s130... .
Dr John Holcomb and team have done an excellent job demonstrating the time to in-hospital haemorrhage control and the need to move interventions into the prehospital setting journals.lww.com/ccmjournal/F....
March 1, 2025 at 6:20 PM
Dr John Holcomb and team have done an excellent job demonstrating the time to in-hospital haemorrhage control and the need to move interventions into the prehospital setting journals.lww.com/ccmjournal/F....
The key takeaways from the article:
- prehospital thoracotomy can save lives
- EMS in North America need to bring critical care and advanced (traditionally in-hosp) procedures delivered by physicians to patients, rather than bringing patients to care if we want to decrease prehosp trauma deaths.
- prehospital thoracotomy can save lives
- EMS in North America need to bring critical care and advanced (traditionally in-hosp) procedures delivered by physicians to patients, rather than bringing patients to care if we want to decrease prehosp trauma deaths.
March 1, 2025 at 6:20 PM
The key takeaways from the article:
- prehospital thoracotomy can save lives
- EMS in North America need to bring critical care and advanced (traditionally in-hosp) procedures delivered by physicians to patients, rather than bringing patients to care if we want to decrease prehosp trauma deaths.
- prehospital thoracotomy can save lives
- EMS in North America need to bring critical care and advanced (traditionally in-hosp) procedures delivered by physicians to patients, rather than bringing patients to care if we want to decrease prehosp trauma deaths.
🚨 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
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
🚨 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
Pre-hospital Resuscitative Thoracotomy (RT) can improve survival for Traumatic Cardiac Arrest (TCA)
jamanetwork.com/journals/jam...
#TraumaCare #EmergencyMedicine #PreHospitalCare #Resuscitation #LondonAirsAmbulance #HEMS
#2) 📽️ Watch the explainer video: youtu.be/mXvwZ1WKxCU
#InterprofessionalCare #EmergencyMedicine #PrehospitalCare #CriticalCare #Research #Teamwork #HEMS #PHEM #PHCC #RetrievalMedicine
#InterprofessionalCare #EmergencyMedicine #PrehospitalCare #CriticalCare #Research #Teamwork #HEMS #PHEM #PHCC #RetrievalMedicine
January 8, 2025 at 4:33 PM
#2) 📽️ Watch the explainer video: youtu.be/mXvwZ1WKxCU
#InterprofessionalCare #EmergencyMedicine #PrehospitalCare #CriticalCare #Research #Teamwork #HEMS #PHEM #PHCC #RetrievalMedicine
#InterprofessionalCare #EmergencyMedicine #PrehospitalCare #CriticalCare #Research #Teamwork #HEMS #PHEM #PHCC #RetrievalMedicine
#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...
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
#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...
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...
I’m not going to go into more details because one of the things he did point out is the Russia (among others) is known to be studying our publications about preparedness, response to incidents and our system in general.
So have this conversation with your locally & learn what your system must do.
So have this conversation with your locally & learn what your system must do.
December 6, 2024 at 8:26 AM
I’m not going to go into more details because one of the things he did point out is the Russia (among others) is known to be studying our publications about preparedness, response to incidents and our system in general.
So have this conversation with your locally & learn what your system must do.
So have this conversation with your locally & learn what your system must do.
His primary question was “Are we ready for war?“. Let that sink in for a minute as you reflect on your own personal response.
December 6, 2024 at 8:26 AM
His primary question was “Are we ready for war?“. Let that sink in for a minute as you reflect on your own personal response.
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
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
#6 Three thoughts stimulated by this talk for me:
1. Why do many EMS systems fail to make patient focused decisions?
1. Why do many EMS systems fail to make patient focused decisions?
December 5, 2024 at 11:56 AM
#6 Three thoughts stimulated by this talk for me:
1. Why do many EMS systems fail to make patient focused decisions?
1. Why do many EMS systems fail to make patient focused decisions?
#5 ECMO doesn’t equal careless waste or inefficient resource management. Algorithms can help guide decisions to target ECMO to those with the highest likelihood of a good outcome.
December 5, 2024 at 11:56 AM
#5 ECMO doesn’t equal careless waste or inefficient resource management. Algorithms can help guide decisions to target ECMO to those with the highest likelihood of a good outcome.
#4 Protectionism & bureaucracy in EMS are adversely impacting patients. Eg because local legislation prevents his team from transporting pts post ECMO commutation in their bespoke ECMO ambulance results in 3 extra high risk pt mov’t to move them to another ambulance to get the pt to hosp.
December 5, 2024 at 11:56 AM
#4 Protectionism & bureaucracy in EMS are adversely impacting patients. Eg because local legislation prevents his team from transporting pts post ECMO commutation in their bespoke ECMO ambulance results in 3 extra high risk pt mov’t to move them to another ambulance to get the pt to hosp.
#3 Unlike the UK and most truly advanced prehospital systems, North American EMS lack essential features necessary for high performing systems:
- direct (in the field) medical supervision
- Peer review of calls
- Evaluation of patient outcomes
Sadly this is true in Canada (incld BC)
- direct (in the field) medical supervision
- Peer review of calls
- Evaluation of patient outcomes
Sadly this is true in Canada (incld BC)
December 5, 2024 at 11:56 AM
#3 Unlike the UK and most truly advanced prehospital systems, North American EMS lack essential features necessary for high performing systems:
- direct (in the field) medical supervision
- Peer review of calls
- Evaluation of patient outcomes
Sadly this is true in Canada (incld BC)
- direct (in the field) medical supervision
- Peer review of calls
- Evaluation of patient outcomes
Sadly this is true in Canada (incld BC)
#2 The background work alone to deal with the contracts took over two years to est the collaboration, the politics have taken well over a decade. This story is chronicled in this MUST READ NY Times article.
December 5, 2024 at 11:56 AM
#2 The background work alone to deal with the contracts took over two years to est the collaboration, the politics have taken well over a decade. This story is chronicled in this MUST READ NY Times article.
#1 An analysis of his cohort shows benefits of eCPR for all patient subgroups over standard CPR.
December 5, 2024 at 11:56 AM
#1 An analysis of his cohort shows benefits of eCPR for all patient subgroups over standard CPR.
His summary thoughts from a great talk .
December 4, 2024 at 5:50 PM
His summary thoughts from a great talk .
The other key tip was the importance of the retrieval team to be able to bring advanced resuscitation techniques such as REBOA and ECMO to rural and remote patients.
December 4, 2024 at 5:50 PM
The other key tip was the importance of the retrieval team to be able to bring advanced resuscitation techniques such as REBOA and ECMO to rural and remote patients.
The coordinators are supported with technology and situational awareness such as real time data on the availability of blood across the state with the ability to mobilize blood via the police from nearby hospitals while awaiting the arrival of the retrieval team with the major transfusion packs.
December 4, 2024 at 5:50 PM
The coordinators are supported with technology and situational awareness such as real time data on the availability of blood across the state with the ability to mobilize blood via the police from nearby hospitals while awaiting the arrival of the retrieval team with the major transfusion packs.