Chris Sim 리트윗함
The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position
youtu.be/jEc36zZIFbw
YouTube
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Chris Sim
1K posts
Chris Sim
@CSim93
SWAST HART Paramedic in Bristol. With a beautiful wife & 2 beautiful sons. Have a special interest in moving to Australia.
Shaftesbury, England 가입일 Mayıs 2021
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Chris Sim 리트윗함
Do you look after cardiac arrest patients?
Ever notice the difference between American & European Hs & Ts?
Can hypoglycaemia cause cardiac arrest?
What are the Cs ?!
Do you know the Ischaemic / Structural / Electrical model of cardiac causes?
youtu.be/Jv-wXhwgpTI
YouTube
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@ParaAndy90 Slow & large doses in overwhelming majority of patients.. 1-2mg a minute to 10mg, with almost always desired effect!
The 2.5mg clinicians have always heard ‘this one time at band camp someone gave 0.0005mg to Joe Blogs and put him into respiratory arrest’
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Some really good discussions with the 2nd year student paramedics regarding morphine administration..
It appears some clinicians are still using the 2.5ml and see how we go method for every patient so they dont become hypotensive 🫣 pic.twitter.com/z7M9cNvJLC
Glasgow, Scotland 🇬🇧 English
This happens far too much in practice. These are stressful situations but if we spend that extra 5 seconds placing pads optimally, it might make that difference between ROSC or no ROSC..
Resuscitation Council UK@ResusCouncilUK
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival. Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.
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Chris Sim 리트윗함
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
Resuscitation Council UK@ResusCouncilUK
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival. Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.
English
@nqpcharlie Anything that requires the slightest Paramedic intervention should be your responsibility..
Most ECAs will absolutely understand this & those who don’t, have a chip on their shoulder & will get over it :)
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@nqpcharlie At the end of the day you’re the clinician and decision maker, to start off you do what makes you feel comfortable.
In time you’ll gain experience/judgement/confidence, learn your thresholds & what you’re comfortable with!
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Chris Sim 리트윗함
“One day we will…stop making patients lie flat”
- @HumanFact0rz
Christopher Hicks@HumanFact0rz
One day, we will stop giving IV cefazolin for trivial lacerations seen in the trauma bay. We will stop doing unjustified plain films, stop repeating axial imaging when performed elsewhere, stop making patients lie flat. We will let evidence and reason guide our decision-making.
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Incredibly fortunate to call this work!
Great 2 weeks with some awesome people completing my first module at HART.
BA is fun.
#paramedic #HART
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Ambulance colleagues: what work-outs / exercises do you think are beneficial to train for the physical aspects of this job? Ie squats for lifting the scoop, and so on. 🏋🏼♀️ 🚑 (I know general exercise is good for MH but thinking more muscle group specific)
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@CSim93 We hope he had a great time seeing the helicopter! What great pictures. Would you be happy for our charity to share and use as we see fit? If so, would you be so kind as to send the images to communications@dsairambulance.org.uk? Thank you so much!
South West, England 🇬🇧 English
A fantastic experience for my son with @dsairambulance who took the time to engage with him whilst clinicians dealt with an incident. A fantastic and very well needed service!
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Chris Sim 리트윗함
Chris Sim 리트윗함
Large US/Canadian cohort study finds no overall difference in survival to hospital discharge for children moved intra-arrest v those resuscitated on scene.
But intra-arrest transport in under 1s = lower survival.
#stayonscene jamanetwork.com/journals/jaman…
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Australia, a special place with some special memories with my beautiful wife and children.
Is Queensland in need of a UK Paramedic..? 🙄
#paramedic #australia
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Chris Sim 리트윗함
The paradox of interpreting the ECG with a RBBB:
- Overt STE may be present, satisfying OMI/STEMI criteria, but it is not appreciated; or conversely
- The widened QRS of a normal RBBB ECG is misinterpreted as suggesting OMI/STEMI, despite normal ST segments.
A 🧵.
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