Time to head up to Edinburgh for the DipIMC and FIMC My first diet as Convener, following in the footsteps of a fantastic group of pre hospital legends Good luck to all the candidates and huge thanks to all of my fellow examiners for their hard work and enthusiasm

Good morning and HNY from Nostell Air Base @YorkshireAirAmb ❄️

Excellent first day at the @emtaccs Mannheim 🇩🇪 SPEAR course Great group of candidates with lots of stimulating discussion around advanced resuscitation concepts

🛫to Mannheim 🇩🇪 to meet the Christoph 53 HEMS team and deliver the final @emtaccs #SPEAR course for 2025 Christmas market ✔️ Helicopters ✔️ Great food and wine ✔️ Fantastic friends and colleagues ✔️

Let’s do this! 🇦🇪 for 🎄

Great friend and colleague @JManning_UNC quoting #SPEAR and Physiology Guided Resuscitation in his talk on SAAP at the Paris Rescue course @DrPaulRees @DefProfEM @HaldenHB @alice_hutin

Underway at the #ParisRescue pre course Representing @YorkshireAirAmb @ATACCGroup @emtaccs and sharing the #SPEAR message of using safe femoral arterial access during OHCA @alice_hutin @LionelLamhaut @DrPaulRees @HaldenHB @Pipes_n_pumps

New badge New name Another evolution in the commitment to deliver the highest quality, innovative, most cutting edge, resuscitation training #SPEAR Specialist Endovascular Advanced Resuscitator @ATACCGroup @DrPaulRees @HaldenHB @Obidoc

That was quite the shift! Really exciting to be moving the envelope for critical care HEMS with @YorkshireAirAmb 🌈 ☀️ 🌧️ 🌃

Finally, a massive thank you to everyone who has been part of this crazy #SPEAR journey Co-founder: @DrPaulRees Friends, colleagues, supporters: @HaldenHB @DefProfEM @Pipes_n_pumps @emccdoc @phemDM @ShadmanAziz2 @talherer @nigeltai @ZackShinar @EMManchester @MaxMarsden83

To be recognised in the latest guidelines is a fantastic step forward. Arguably the DBP target recommendation should be higher (35mmHg) and I disagree with the “specialist settings” and “expert resuscitators” comments as they are hard to define But it’s all positive progress!

Due to the insane dedication of @ShadmanAziz2 we were finally able to clean the data and evidence what we were seeing clinically - improved DBP leads to improved ROSC ➡️ sciencedirect.com/science/ar…