Ash Reed

@jfdwolff When people say or write FAST scan when it’s not trauma and they mean POCUS for another reason like AAA scan!

I know I am insufferably pedantic, but there are certain things I really hate seeing in medical records. "Anti-sickness" - these are antiemetics. Use that word. "IFM" - these are inflammatory markers, but why not just write CRP because that is what it's usually a reference to.

@PremierWessex @DrHJStewart saw this and immediately thought of your talk in June! Positive move!

Our final thorax session, Dr Helen Stewart speaking about vaping in children. We are seeing increased use despite young people being aware of harm, targeted advertising to young people and a staggering environmental impact of inadequate disposal of vapes #premierconferencewessex

@scatatkins Im half way through and really enjoying the book, albeit frustrated by the system and its huge inadequacies. Have you sent a copy to @JamesTCobbler I think it would be useful - he seems genuine and could help change? #wishfulthinking #needchangenow

PUBLICATION DAY! Time After Time, my follow up to A Bit of a Stretch, finds out why so many criminals can't quit crime. It follows a bunch of colourful repeat offenders to discover why the system won't let them go straight.

@PremierWessex Is the programme available to be viewed yet please?

🤩🤩🥳🥳 TICKETS ARE OUT 🥳🥳🤩🤩 June 11th and 12th for the Premier Wessex conference. Get yours before they sell out. eventbrite.co.uk/e/premier-conf…

@OneArmWonder @DrTomRoberts @EddCarlton @PERUKItweep @DFTBubbles @Damian_Roland Not sure that you have to have a big drain in trauma, one example below but not saying this is the definitive answer but gives another perspective pubmed.ncbi.nlm.nih.gov/33039219/#:~:t….

@DrTomRoberts @EddCarlton @PERUKItweep @DFTBubbles @Damian_Roland 24fr for blood 8-14fr for air/serous fluid. You ever tried sucking blood through a 8-14fr tube? No worky worky…

In paediatric chest trauma needing a drain, APLS state insert the largest drain to fit past the ribs, others advocate the rule of 4.. 4× [age/4 + 4]. For a five year old this means a 24Fr chest drain... Why so big? @EddCarlton @PERUKItweep @DFTBubbles @Damian_Roland

@Triggy8 Done ✔️

@therunningpara Yeah 115 is low, warrants admission and management to find the cause and slowly bring it up. Infection in itself doesn’t cause it unless vomiting, diuretics and PPIs etc. sounds quite acute drop if only discharged 10/7 before though!

@therunningpara How low? Hyponatraemia doesn’t cause SOB as far as I’m aware. Lethargy and confusion yeah if very low…. Common in elderly often due to their medications 💊

@RCEMACPChair How much are they going up by Ash, so many categories when I looked…. Thanks

While I have your attention, I hope you have all received my newsletter or email from RCEM re fees. It’s a confusing time and I understand there is still some confusion and I can only apologise for that. The fees for ACP associate membership will be increasing from Jan.

Early morning dog all today and I saw a #publicaccessdefib in #priorypark and thought it was very Halloween themed 🎃 great to see it illuminated in case needed in the dark!

@georgette_eaton @OUPAcademic Critical reasoning. There are many true advanced paramedics but also many paramedics with MSc level studies using the title with little autonomy or lacking the 4 pillars of AP. Such a variety of paramedics in so many settings and roles is exciting but hard to define limits… 2/2

@georgette_eaton @OUPAcademic This was a very good read. It summarised a great deal eloquently. We still have a variety of paramedics that work at very different levels that I’m not sure how will be addressed. The risk averse, still have ‘ambulance driver’ types and the highly intelligent with fantastic 1/x

Delighted to have published in @OUPAcademic's British Medical Bulletin this month: Addressing the challenges facing the paramedic profession in the United Kingdom academic.oup.com/bmb/article/do…

Can you help please? Looking to measure interleukin-10 (IL-10) and need a small device to do that in the lab- anyone know such a device that is small and accurate without using flow cytometry? Thank you #interleukin10 #emergencymedicine #laboratory #cytokine

@joshyjoshthorn1 @AlexEwings This was my base for the majority of my time in the LAS, set me up well for my future. Good variety of calls from here. Enjoy!

Today, I had the opportunity to visit Edmonton Station, which will be my complex station. I was fortunate to observe a Team-base work meeting in person, and the positive atmosphere was genuinely inspiring. Meeting @AlexEwings was a highlight, as Alex kindly explained his role to me within LAS. As an NQP soon the prospect is daunting, but after this experience, I feel much more optimistic and enthusiastic about my role and look forward to supporting and serving the residents of the area but also looking forward to Team-Base working and being supported as an NQP 🚑🙌🏾

@JoGatward Mine too, I’m avoiding Twitter most of the time now which is a shame

Twitter seems so toxic at the moment. I’m trying hard to not engage with posts that are negative about PAs and ACPs but yet my feed is constantly full of them, it’s quite depressing. Why can’t people just be kind to each other? 1/2

Consultant practitioners / Nurse consultants - please can you contact me if you have a consultant strategy that you don’t mind sharing? Thanks! #consultantpractitioner #nurseconsultant #ACP

@Matt_ParaACP @DrDaveJames Thanks dude

@Ashleydalereed @DrDaveJames 👍🏻 Will do it when I’m next in.

@DrDaveJames have you salbutamol discharge advice you could share please? I won’t call in weaning as it’s not! We are looking to change in our Trust and wondered what yours says. Thanks!

@Matt_ParaACP @DrDaveJames Yes please, ashleyreed@nhs.net

@Ashleydalereed @DrDaveJames Hi ash we have a wheeze booklet that work well - want one?

Lots of research on the horizon - MAGPIE study looks interesting! Thanks @MrsJenkins3 #PREMIERWessex