Rethinking Resuscitation: The Case for Physiology-Led Care with Mark Faulkner

In today’s conversation, we move beyond the idea of simply recording numbers in the cardiac arrest patient. Instead, we explore how physiological data can be used to guide real-time resuscitation, helping clinicians understand what is happening inside the patient, how interventions are working, and where care should go next. Joining us as the guest to discuss this is Mark Faulkner. Mark is an Advanced Paramedic for Hampshire and Isle of Wight Air Ambulance (HIOWAA), where he provides clinical leadership through his critical care practice. His work spans frontline practice, education, quality improvement, and the development of clinical pathways that shape the delivery of advanced pre-hospital care. This is the reading list associated with the episode:Barreto, A. et al. (2020) ‘Diastolic blood pressure and survival in cardiac arrest’, Resuscitation, 155, pp. 1–8.Bernard, S.A. et al. (2024) ‘Physiology-guided resuscitation in cardiac arrest’, Journal of Clinical Medicine, 13(12), p. 3527.Brede, J.R. et al. (2019) ‘Prehospital REBOA in cardiac arrest’, Resuscitation, 140, pp. 136–143.Butterfield, E. et al. (2024) ‘Prehospital arterial monitoring in cardiac arrest’, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32(1).Kruit, N. et al. (2025) ‘Prehospital ECPR (PRECARE study)’, Resuscitation, 188.Nolan, J.P. et al. (2021) ‘European Resuscitation Council Guidelines’, Resuscitation, 161, pp. 98–114.Perkins, G.D. et al. (2018) ‘Epinephrine in OHCA’, New England Journal of Medicine, 379(8), pp. 711–721.Rubertsson, S. et al. (2014) ‘LINC trial’, JAMA, 311(1), pp. 53–61.Sutton, R.M. et al. (2014) ‘Hemodynamic-directed CPR’, Resuscitation, 85(3), pp. 397–402.Yannopoulos, D. et al. (2020) ‘Advanced reperfusion strategies’, Circulation, 141(10), pp. 784–796.Rees, P. et al. (2023) ‘Prehospital arterial blood pressure monitoring and outcomes in cardiac arrest’, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.Barrett, J. et al. (2023) ‘Diastolic blood pressure and ROSC in OHCA’, Resuscitation.VitalStream from BHA Medical sponsors this podcast: Closing the Haemodynamic Blind Spots in Acute and Pre-Hospital CareVitalStream is a wireless, wearable, non-invasive haemodynamic monitoring platform designed to deliver continuous, real-time physiological data, so you’re not relying purely on intermittent cuff readings when patients are unstable, moving, or in non-traditional care environments.Using AI-driven analytics and patented Pulse Decomposition Analysis, it provides continuous blood pressure alongside advanced haemodynamic parameters such as cardiac output, stroke volume, systemic vascular resistance, and fluid status. The aim is simple but critical: to help clinicians understand not just what the blood pressure is, but why, and whether a patient is fluid responsive or in need of a different intervention.BHA Medical’s VitalStream solution focuses on integrating this level of monitoring into acute care workflows, streaming real-time data to a centralised platform, supporting earlier recognition of deterioration and more informed clinical decision-making.In corridor medicine, where patients are often managed outside traditional monitored spaces, the challenge is missed deterioration between spot checks. Continuous trending helps reduce those “blind spots,” enabling earlier identification of haemodynamic decline and better prioritisation when systems are under pressure.And in pre-hospital care, the value is in maintaining a clear physiological narrative from first patient contact through to hospital handover. VitalStream is designed for rapid deployment, applied, calibrated, and delivers data within around 90 seconds, using a low-pressure finger sensor that allows teams to follow trends in real time, rather than relying on isolated snapshots.For more information, visit: https://www.bha-medical.com/vitalstream-patient-monitoring