Our response, now in SJTREM, reaffirms that:
✔ Observational evidence remains critical
✔ HIRT’s findings were misinterpreted in the comment
✔ Survival benefit remains robust, after sensitivity analysis

#PrehospitalCare #EmergencyMedicine #ResearchResponse #PHRM #Teamwork #CriticalCare #HEMS #PHEM

4/ #EmergencyMedicine #TCA #ResuscitativeThoracotomy #KnowledgeInPractice #HEMS #PHRM #InterprofessionalPractice

3/ It’s a conversation about the future of prehospital trauma care — what works, when, and for whom.

🎙️ Big thanks to the Pre-Hospital Care Podcast team for helping share this work.

🧠 Listen here: podcasts.apple.com/gb/podcast/p...
📄 Read the study in @jama.com: jamanetwork.com/journals/jam...

2/
In this episode, we talk about:
🩺 Key findings from our 20-year, 601-patient study
⏱️ Why speed of intervention is the most critical factor
🫀 Why tamponade ≠ exsanguination—and how that changes decision-making
💡 How to evolve from traditional “blunt vs penetrating” thinking

🚁 London’s Air Ambulance continues to lead in both innovation and governance, ensuring PoCUS enhances decision-making through structured oversight and interprofessional teamwork.
🔗 Read more: sjtrem.biomedcentral.com/articles/10....
#HEMS #PrehospitalCare #Ultrasound #ClinicalGovernance

Read the commentary by Dr Marco Tartaglione and Dr Luca Carenzo

sjtrem.biomedcentral.com/articles/10....

Thank you again for the invitation and engaging discussions on prehospital and retrieval medicine!

#PHRM #PrehospitalCare #EmergencyMedicine #InterprofessionalCare #Research

Our study highlights a 41% higher survival rate for patients treated by interprofessional teams.
Read the original paper: doi.org/10.1186/s130...

Read our original study here: doi.org/10.1186/s130...

Their feedback reinforces our findings, with @ryanmchenry.bsky.social analysis showing a 41% survival improvement with these teams.

@scotambservice.bsky.social @uni-of-warwick.bsky.social

Knowledge translation is the final, essential step in research.

When it’s done right, it brings science off the page and into practice—where it saves lives.

#KnowledgeTranslation #PreHospitalCare #TraumaResearch #ResuscitativeThoracotomy

Huge thanks to Dr Hutchinson-Bazely for his thoughtful review and to the incredible research team—esp Dr Zane Perkins—for making this study possible.

I highly recommend reading the full review:
🔗 www.stemlynsblog.org/laa-resuscit...
🔗 Our paper: jamanetwork.com/journals/jam...

For exsanguination-induced TCA, the window is incredibly narrow.

We’re probably performing RT too late and too frequently. The real opportunity lies in identifying patients before they lose cardiac output—not trying to bring them back once they have.

One standout insight:

RT shouldn't be reserved for cardiac arrest alone—but for cardiac tamponade with severe cardiogenic shock.

As Dr Hutchinson-Bazely reframes it: Traumatic Circulatory Arrest—when circulation is lost, even if the heart is still beating.

Key takeaways from his review:
🔑 Speed is everything—delays cost lives in TCA
🔑 We need to bring critical care teams to patients sooner
🔑 Decision-making should move from injury type (blunt vs penetrating) to tamponade vs exsanguination physiology

#TraumaCare #ResuscitativeThoracotomy

Dr Halden Hutchinson-Bazely's review of our recent paper on prehospital Resuscitative Thoracotomy (RT) for Traumatic Cardiac Arrest (TCA) is a masterclass in knowledge translation.

He distilled years of work into key lessons for trauma care.

Read his blog: 🔗 www.stemlynsblog.org/laa-resuscit...

In 25+ years and 100+ publications, it's rare to feel certain that the message landed.

But today, I experienced one of those rare moments.

You hope the key findings will resonate through just 2,000–3,500 words. But will readers take away what you set out to convey?

Knowledge translation—turning complex data into actionable insights—depends on both the clarity of the authors and the perspective of the reader.