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Miles Gandolfi @ABCaffeination

Emergency Medicine consultant. PHEM. Know your priorities during resuscitation. Airway, Breathing, Caffeination. London Joined November 2014
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Miles Gandolfi retweeted
RCEMpresident Profile Picture

Ian Higginson @RCEMpresident

4 weeks ago

Work out the maths. Evidence from England shows that for every 72 people who stay 8-12 hours before admission, there is one excess death. Not tackling this is a deliberate policy choice.

RCollEM Profile Picture

Royal College of Emergency Medicine @RCollEM

4 weeks ago

Work out the maths. Evidence from England shows that for every 72 people who stay 8-12 hours before admission, there is one excess death. Not tackling this is a deliberate policy choice.

Miles Gandolfi retweeted
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Neil Pettinger @kurtstat

2 months ago

I think I might've found a metric that explains ED exit block a bit better than my previous attempts. The orange scatterplot compares - for each day in the year - ED length of stay (measured in minutes, on the vertical axis) with mean AMU 'movement-adjusted' fullness (arrivals…

Miles Gandolfi retweeted
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ehaatClinical @ehaatClinical

3 months ago

Mannekin pictures of a cardiac arrest with the pathology as a dilated cardiomyopathy. What is the definitive treatment…? Where should refractory / recurrent VF in this context go for hospital interventions? What novel therapies are available on scene? 🤨

Miles Gandolfi retweeted
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Beds & Herts Emergency Critical Care Scheme @BHECCS

3 months ago

Yesterday, we were joined by @EastEnglandAmb & @HFRS crews for a day of training. The day was a great opportunity to sharpen our clinical skills, improve team dynamics & enhance patient care under pressure Thanks to all that attended & to Zoll for their sponsorship of the day

Miles Gandolfi retweeted
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Beds & Herts Emergency Critical Care Scheme @BHECCS

4 months ago

🚨 Meet the team: Dr Miles Gandolfi “I get a great deal of satisfaction from volunteering as a doctor for BHECCS, where we provide advanced treatment for critically unwell patients. My favourite part of the job is the fantastic people I get to work with” #VolunteersWeek

Miles Gandolfi retweeted
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Adam Boulton @AdamBoulton17

4 months ago

Key output from my PhD fellowship has been published in Resuscitation TLDR: 🚨 Prehospital critical care teams were less likely to attend cardiac arrest patients in more deprived neighbourhoods. 🚨 No association with neighbourhood ethnicity 🧵... resuscitationjournal.com/article/S0300-…

Miles Gandolfi retweeted
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Neil Pettinger @kurtstat

4 months ago

We tend to assume that the reason why it takes so long to treat patients in A&E is to do with the number of A&E attendances. 1/12

Miles Gandolfi retweeted
sib313 Profile Picture

𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @sib313

4 months ago

are bigger NHS Trusts better than smaller ones? Do mergers improve performance? Nope: strasys.uk/the-value-of-f…

Miles Gandolfi retweeted
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Beds & Herts Emergency Critical Care Scheme @BHECCS

6 months ago

Happy National Doctors’ Day! Our pre-hospital doctors bring the A&E department to the roadside by providing advanced skills & expertise to the most critically ill and injured patients across the region. Thank you for everything that you do! #NationalDoctorsDay #Beds #Herts

Miles Gandolfi retweeted
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Beds & Herts Emergency Critical Care Scheme @BHECCS

7 months ago

We’re recruiting! 🚨 Check if you’re eligible to be a trustee here: gov.uk/government/pub… Interested parties please send expressions of interest to [email protected] #BHECCS #Charity #Trustee #Bedfordshire #Hertfordshire

Miles Gandolfi retweeted
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Lawrence Leroux @LawrenceELeroux

7 months ago

✨The Tale of the Equitable Resuscitation✨ Once, there was a man who had a cardiac arrest. 🚑 Unfortunately, he lived 20 minutes from the hospital—just too far to be a candidate for ECPR. The end. Already heard it? Let’s talk about ECPR & equity.

Miles Gandolfi retweeted
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James Yates @heli_med_james

7 months ago

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

ResusCouncilUK Profile Picture

Resuscitation Council UK @ResusCouncilUK

7 months ago

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

Miles Gandolfi retweeted
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Giacomo De Luca @jackdeliuc

7 months ago

🎬 🧵... This is my third and final thread about sodium bicarbonate in critical care 🧂 ☝🏻If you missed the first and second part about 8.4% and 1.3% bicarb, I strongly recommend you to read them before moving on 🏃🏻. x.com/jackdeliuc/sta… x.com/jackdeliuc/sta…

jackdeliuc Profile Picture

Giacomo De Luca @jackdeliuc

7 months ago

🎬 🧵... This is my third and final thread about sodium bicarbonate in critical care 🧂 ☝🏻If you missed the first and second part about 8.4% and 1.3% bicarb, I strongly recommend you to read them before moving on 🏃🏻. x.com/jackdeliuc/sta… x.com/jackdeliuc/sta… https://t.co/gWkHXHGQ85

Miles Gandolfi retweeted
jackdeliuc Profile Picture

Giacomo De Luca @jackdeliuc

7 months ago

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta…

jackdeliuc Profile Picture

Giacomo De Luca @jackdeliuc

8 months ago

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta… https://t.co/Mprmcno2DV

Miles Gandolfi retweeted
jackdeliuc Profile Picture

Giacomo De Luca @jackdeliuc

8 months ago

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

Miles Gandolfi retweeted
drrandywax Profile Picture

Dr. Randy Wax @drrandywax

9 months ago

Amazing systematic review study by Dr. Mike Christian and colleagues suggesting outcome benefit of mixed paramedic/physician prehospital crews. Article: doi.org/10.1186/s13049… Video describing results: youtu.be/mXvwZ1WKxCU

Miles Gandolfi retweeted
NHSMillion Profile Picture

NHS Million @NHSMillion

11 months ago

One NHS, many nationalities. Huge thanks to every single person who helps keep the NHS going 💙

Miles Gandolfi retweeted
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Beds & Herts Emergency Critical Care Scheme @BHECCS

11 months ago

🚨Join us as an Emergency Responder 🚑 ERs are professionals who give up their spare time to respond to life-threatening emergencies in blue light cars alongside @EastEnglandAmb We’re expanding our team in #HemelHempstead and starting a brand new team in #WelwynGardenCity

Miles Gandolfi retweeted
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Robert Howard also on BlueSky as @ProfRobHoward @ProfRobHoward

11 months ago

Looking for a version of the MoCA that can be administered over the phone and was reminded of the Impossible MoCA, which is always fun to give to anxious colleagues. "Just a standard test I give to all my patients".

Miles Gandolfi retweeted
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ehaatClinical @ehaatClinical

12 months ago

Thank you very very much to everyone who contributed to our prehospital care course last week. What a team! Quite a few tired people for whom we are very very grateful indeed. 🧡

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