Pedro Dacal

Delighted to share the publication of our TETRiS study in Resuscitation, and proud to have contributed to this national collaboration. Traumatic Emergency Thoracotomy for Resuscitation in Shock (TETRiS) prospectively examined resuscitative thoracotomy across 20 UK Helicopter Emergency Medical Services and 26 Major Trauma Centre Emergency Departments. Among 116 patients, 71% underwent thoracotomy in the prehospital setting. Eight patients survived to hospital discharge. For me, the most important message is that identifying the underlying cause and intervening within the window of reversibility are central to successful resuscitation. Suspected cardiac tamponade prompted 62% of procedures, yet operative findings showed exsanguination alone in 71% of patients. Outcomes were more favourable in patients with isolated tamponade and those with residual physiological activity at intervention. This distinction matters: tamponade and exsanguination demand different priorities. Our findings reinforce the importance of recognising the likely reversible cause and directing time-critical treatment accordingly. The higher survival observed in the emergency department also needs careful interpretation. These patients had shorter arrest durations and more favourable physiology; the setting alone cannot explain the difference. A particular strength of TETRiS is bringing prehospital and hospital data together, capturing patients whose outcomes may be missed by hospital-based registries. Thank you to my fellow authors, Zane Perkins Lisa Ramage, Max Marsden Jared Wohlgemuth Mike Christian Harriet Tucker Ross Davenport TETRiS Collaborative, and the PHOTON, TERN and NaTRIC networks. A meaningful achievement made possible by collective effort across trauma care. sciencedirect.com/science/ar… #TETRiS #Resuscitation #Trauma #PrehospitalCare #EmergencyMedicine @ZBPerkins @LisaRamage @MaxMarsden83 @JWohlgemut @tucker_harriet

Welcome back to the last episode of #scanuary for this year! Had to take a few days off due to some pressing matters Today we are going to discuss a topic of recent interest for me which is non-traumatic Acute MSK back pain How regional anaesthesia can help in acute back pain If you find this post useful, please like and retweet

Welcome back to day 28th of #scanuary ! It's a month-long marathon of daily tweetorials about #POCUS & its uses Today we are going to discuss one of my favourite topics Acute pain management in ED How ultrasound competency is a key skill in providing good analgesia If you find the post useful, please like & retweet

Its the 26th of January and we are back again with another post of #scanuary It's a month-long marathon of daily tweetorials about #POCUS & its uses Today we're going to discuss sonographic secondary survey in non-traumatic shock and use of #PoCUS to assess severity and tailor management of patient in shock If you find the post useful, please like & retweet

After a hiatus of one day welcome back to day 25th of #scanuary! It's a month-long marathon of daily tweetorials about #POCUS & its uses Today we're going to discuss primary survey in non-traumatic shock and use of shock scanning If you find the post useful, please like & retweet