Chris Sim retweeted
The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position
youtu.be/jEc36zZIFbw
Chris Sim retweeted
Do you look after cardiac arrest patients?
Ever notice the difference between American & European Hs & Ts?
Can hypoglycaemia cause cardiac arrest?
What are the Cs ?!
Do you know the Ischaemic / Structural / Electrical model of cardiac causes?
youtu.be/Jv-wXhwgpTI
Chris Sim retweeted
Anecdotally, I think this is a relatively common issue in cardiac arrest care.
Take time to perfect the essentials when managing an arrest. Don’t accept anything less. If you’re a team leader, or team member, take time to notice these little things that make the big difference
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival.
Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.

ALT The image shows a side-by-side comparison of two defibrillator pad placements on a CPR training mannequin, labeled "A" and "B." The background is dark blue, and the text reads: "Spot the difference. Do you know the best defib pad placement?" In image A, one pad is placed on the mannequin's upper right chest, while the other is positioned on left hand side of the rib cage, close to the armpit. In image B, one pad is also placed on the upper right chest, but the other one is placed on the left hand side, further away from the armpit and almost on top of the ribcage.
Chris Sim retweeted
“One day we will…stop making patients lie flat”
- @HumanFact0rz
Chris Sim retweeted
Large US/Canadian cohort study finds no overall difference in survival to hospital discharge for children moved intra-arrest v those resuscitated on scene.
But intra-arrest transport in under 1s = lower survival.
#stayonscene jamanetwork.com/journals/jam…
Chris Sim retweeted
The paradox of interpreting the ECG with a RBBB:
- Overt STE may be present, satisfying OMI/STEMI criteria, but it is not appreciated; or conversely
- The widened QRS of a normal RBBB ECG is misinterpreted as suggesting OMI/STEMI, despite normal ST segments.
A 🧵.
1/6
Chris Sim retweeted
To some this may seem so trivial but to those of us who have experienced loss, this is such a massive thing. Today I read this and I cried, cried because now my family will have something to recognise our baby and to remember our baby by. Today is a good day ❤️ – at South West, England
9 years ago, I had a dream that every person who had lost a baby before 24 weeks gestation would be able to get an official government-issued certificate to formally acknowledge their loss, and today, those certificates are happening. Whatever the gestation, whether a parent has tragically lost their baby at one day into pregnancy or 23 weeks and six days, they can apply. Whether the loss happens at any point in the future or any point in the past, you can apply. No one will miss out; your loss, your pain, your grief are finally being recognised.
To avoid the application site from crashing, we are asking people to form an orderly queue, and if the English are good at anything, it’s queuing. So to start with, if those who have had a loss since September 2018 can apply first, and the government will then open it up to everyone else as soon as possible, this does mean some of us (including me) need to be patient a little longer.
To answer a few questions:
You don’t need medical proof of a loss. This is for everyone, whatever type of loss they may have experienced, whether it be a loss from miscarriage, ectopic, molar, TFMR or for another reason. This certificate is for anyone who has lost a baby before 24 weeks gestation, whether the loss was today or 90 years ago. Your loss needs to have taken place in England, and you need to currently live in England to apply.
We want to thank Dame Floella Benjamin @FloellaBenjamin for believing in us and our mission; your joining with us as a charity helped make this a reality. We would also like to thank all our ambassadors for joining their voices with ours to ensure we were heard. @SayingGoodbyeUK
6 years ago, Sam and I were asked to co-chair and author one of the world's first baby loss reviews for under 24 weeks gestation. We were tasked with looking into all clinical care and bereavement support, and part of that was also to bring in the new certification process. Last summer, we laid that report in Parliament, and the government accepted all 73 of its national recommendations. Today is a landmark day because one of those 73 is coming to pass - certificates are now here!
We hope you are as excited as us; please help us spread the word.
Here is the link:
gov.uk/request-baby-loss-cer…
Chris Sim retweeted
Why #MarthasRule matters: 🧵
In September 2023, at one week old, our little baby boy presented with a high temperature but otherwise seemed well. We attended a local ED with the expectation that he’d receive a lumbar puncture and blood cultures.
Chris Sim retweeted
Best coffee shop ever? ☕️📸
Local Patriot Coffee won Best Coffee in Cabarrus County for 2023… and you can see why.
Love this energy. 🤩
Chris Sim retweeted
I'm not an expert in much, but I do have quite a lot of experience in treating exertional heat illness.
Below my experience learning distilled into a Twitter thread.
Chris Sim retweeted
Our grown up little sausage oblivious to the fact he is about to be a big brother.
Ps.. anyone else’s 2 year old eat whitebait? 🙃🙄
Chris Sim retweeted
A diagnosis that is often missed.
A patient presented with weakness and fever with PMH of metastatic cancer..
Hypotensive and tachycardiac.
How would you treat this patient ?
Chris Sim retweeted
Thread: I strongly encourage all HCPC registrants to respond to the current consultation on new Standards of Conduct, Performance & Ethics and new Social Media Guidance.
Another point of great concern is the failure to amend the existing Standard 9.5, which is a huge problem (1)
Chris Sim retweeted
1/2 If you are looking to buy a new home PLEASE avoid @DavidWilsonHome at all costs. First time buyers of a £300K+ house that we lived in for 1 week before realising our roof needs redoing, among other shoddy workmanship. Multiple emails ignored from customer care.

























