Ryan McHenry

@ryanmchenry.bsky.social

Emergency, Pre-Hospital & Retrieval Medicine Registrar. Research Fellow in deprivation, isolation & emergency care. Often climbing, sometimes running.

Pre-hospital critical care and outcomes in head injury. It may seem obvious that early interventions save lives/change outcomes, but relatively little evidence in this group. A wee paper just out in the EMJ Bottom line: Association between PHCC and reduced mortality.

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WHO faces a 21% reduction from the original proposed budget for the 2026-27 biennium. “If we think US$ 2.1 billion a year is ambitious—or $ 4.2 billion for the biennium—then either we must lower our ambitions for what WHO is and does, or we must raise the money.” - @drtedros.who.int bit.ly/3ZrwCXZ

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4.2 billion dollars for two years – or 2.1 billion a year – is not ambitious, 
it’s extremely modest.

2.1 billion dollars is the equivalent of:

8 hours of global military expenditure or,
1 stealth bomber or,
3 months’ advertising expenditure by the tobacco industry.

"It seems somebody switched the price tags on what is truly valuable
in our world."

Dr Tedros Adhanom Ghebreyesus, WHO Director-General

Just out at Journal of the Intensive Care Society Association between socioeconomic status and mortality from emergency admission to critical care in Scotland 2010-2011. Grim findings, that come as little surprise. Most deprived significantly more likely to die, and to be readmitted.

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Just published in @sjtrem.bsky.social - a short re-analysis of recent work on the efficacy of physician-staffed pre-hospital critical care. Improved precision by pooling survival + mortality outcomes, and some reassurance against publication bias.

Mike Christian@drmikechristian.bsky.social · last yr.

📊 New Data Reinforces Collaboration in Pre-Hospital Care! @ryanmchenry.bsky.social with ScotStar’s EMRS re-analyzed data from our study (doi.org/10.1186/s130...), finding survival was 41% higher for pts Tx by MD-led interprofessional teams vs. paramedics alone — with min risk of publication bias.

Providing support for people who turn to emergency care in times of crisis feels like the right thing to do. But we still know little about how it impacts people and health systems. A short 🧵 on a new paper with Prof. Christine Goodall in European Journal of Emergency Medicine.

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