Colin Apps

@xGPhilosophy Exactly what’s wrong with xG. A player of Rogers quality, just outside the box, no pressure on the ball, and xG estimates he’s only going to score once in 50times. Ridiculous under estimation.

0.02(xG). Morgan Rogers, that is silly 🚀

Thank you 🙏 @worcester_uni with the Paramedic society students who are doing a 24hr CPR Marathon in aid of @MAA_Charity and @CRY_UK justgiving.com/crowdfunding/2…

Phem doctor fellowship also available midlandsairambulance.com/contact-us/cur…

@jamesgarwood @MAA_Charity was it you @jamesgarwood

@jamesgarwood @MAA_Charity Definitely not me

*CCP recruitment Midlands Air Ambulance Charity @MAA_Charity are recruiting for Critical Care Paramedics/Trainee Critical Care Paramedics. jobs.nhs.uk/candidate/joba…

@searchy_boy Yes sorry, midnight tomorrow

@col_apps Is that midnight on the 27th?

Due to the large number of applications - closing date is now 27/02/24

@jamestooley @DrRJWebb Ketamine 10mg/ml IN seems to work well for children up to 7yrs, with reasonable volumes administered via the MAD. So paramedics could potentially stick to the lower strength ketamine and reduce the risk. >7yr can often be easier to cannulate so may not need IN option.

@DrRJWebb Hi Richard, major hurdles are that front line paramedics don’t have standard strength ketamine (10mg/ml) in their armament at the moment & subsequently carrying 2 strengths of ketamine (50mg/ml) requires significant risk mitigation (so I don’t think this is coming anytime soon)

An intranasal option should be available for all Ambulance Trusts and all pre-hospital providers. It allows fuss-free effective analgesia, particularly for children, removing barriers. Ketamine gets around the weird opiate restrictions for Paramedics, and is a great drug.

@RStewart127 @Aidan_Baron @RyanFerris93 In my experience it’s used rarely by ccps, but when it’s used, it’s done so safely and effectively. Obviously important to consider the cause of shock, manage appropriately and analyse the risk/benefit. Good news is,I’ve never seen/known of its use ⬆️ on scene times @DrJonathanD

Should Metaraminol be available for use by Critical Care Paramedics in frontline Ambulance service roles where Adrenaline Infusions are the only alternative vasopressor ?

@aaronhillmedic @GNairambulance Well done Aaron. Great achievement. Glad your hard work has paid off. 👍

Incredibly proud and fortunate to be joining @GNairambulance shortly as a HEMS Critical Care Paramedic. I’ve been chasing this goal for many years and it feels fantastic to be joining such a forward thinking, welcoming and supportive team 🙌🏼 #PHEM

@Laurenh11142539 @Ambo_Matt @searchy_boy @IJoesbury @swasFT @MAA_Charity Completely agree. SWAST hems desk do an excellent and difficult job tasking multiple hems teams across a huge area. Their efforts make a huge difference to patient outcomes across the region. Very grateful of their hard work.

@Ambo_Matt @col_apps @searchy_boy @IJoesbury @swasFT @MAA_Charity Depending on the location of the incident and also the availability of GWAAC depends on who we request, we often use @MAA_Charity and we are in close contact with them as @col_apps has said it is about the patient and the nearest and quickest asset.

Is it time for @swasFT to develop a road based enhanced/critical care response in Plymouth? The second largest city in the patch which houses an MTC but no enhanced/critical care response. Delivering the relevant clinical skills and CRM. Also gives staff a route for development

Well done Marg and Katie, awesome achievement, thank-you.

@Ambo_Matt @searchy_boy @IJoesbury @swasFT @MAA_Charity Sorry to hear this. Obviously timely and appropriate patient care is what’s most important, so if the patient needs enhanced care then the closest available team should be sent. We will continue efforts to improve the systems in place, patients don’t care about borders. 👍

@col_apps @searchy_boy @IJoesbury @swasFT @MAA_Charity Problem is getting SWAST to request you from WMAS. Having critical care tied into the trust is good but cross border work can be awkward.

@searchy_boy @IJoesbury @swasFT Hi, for info @MAA_Charity operate from Strensham, 5mins flight and 12mins by road from Gloucester. We are available 0700-0200hrs and always happy to assist.

@IJoesbury @swasFT Yes it is. It’s also time something similar was developed in Gloucestershire where we have no BASICS scheme or count based Critical/enhanced care service

@MidoriOtoko1 If PH crit care was funded by the nhs it definitely wouldn’t be operating as we know it. It only benefits a small % of patients and does little for the patients waiting hours for an ambulance. There would be very few funded resources, so probably even less opportunity for dev.

Hot take that potentially, the wide spread use of critical care charities in the UK allows Ambo services to get away with not funding and developing internal training programmes for paramedics and hampers progression and development. 🤷‍♂️

Had a great morning teaching children CPR and talking about @MAA_Charity At St Georges Catholic Primary School Worc, The school is fundraising for a community AED for #RestartAHeartDay 👍@ResusCouncilUK

Today #AirAmbulanceWeek takes-off across the UK, raising awareness and funds for the lifesaving work of air ambulance charities. Every day they deliver advanced pre-hospital care to people with a medical emergency, saving lives when #EverySecondCounts. airambulancesuk.org/air-ambulance-…

A great course. Helped/helping a lot with my MSc studies. Would highly recommend it.

@MAA_Charity HMED06 arriving at @uhbtrust secondary landing site to pick us up.