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@ParaAndy90 Paramedic knowledge of MHA is lacking. Try to apply MCA without considering MHA, especially if undiagnosed MH condition.

Had some interesting conversations regarding self harm/suicide when a patient is deemed to have capacity with the 2nd year GCU students today. Always a difficult discussion, what to do, where to go for support etc

@DrGoblin3 They both look like shit coffees

I think the barista fancies my wife

@iDrSunny Have a rich dad or mum.

Tip for new docs Plan your possible exit routes 1) study for exams for Canada, USA etc 2) do your college exams and utilise these years to up skill (also helping you with exit routes) 3) build a portfolio of ‘other work’ - coding, working with startups, interning at a venture fund, medico legal law, academia etc 4) save as much as you can and invest it wisely into property or ISA stock like Freetrade etc 5) build a LinkedIn profile 6) network with people - especially if you see someone whose career path you admire or want to learn from 7) get a mentor 8) be absolutely ready for the NHS to devalue your worth and to push you out This hopefully will give you a great chance to enjoy these two years and then also the world is your oyster for the years after I am always happy to help should you need

@roachkoach Gimme them stix!

The Koach is at Louisville Loves Nu-Metal!

@ParaAndy90 2100-0900 shift!? That is horrendous. Used to do 1930-7.30:which was bad enough

5AM....still another 4 hrs to go 🤯🤯 #99nightshiftsucksballs

@imafshinahmed Well done, he's 9...

This guy is a liverpool under 9 golie!! Amazing Reaction Time ❤️

@numetal_moment youtu.be/A5WA0i1rue0?si…

WE🗣️NEED🗣️MUSIC🗣️ If you know anyone that's making new music that deserves a look - ANY GENRE - reply to this post with a link to one of their songs! We will be going through submissions LIVE on the show tomorrow at 4PM PST / 7PM EST 👇

@geeky_gillon @MallinsonT The likelihood ratio of an aggressive drive is strongly correlated with getting a Cat 3 job within the last 90 mins of the shift.

@MallinsonT I would really like to pull the vehicle data & look at which bits of information generate an aggressive drive vs which produce a very meh blue light pootle. It would be interesting, but can’t think of anyone to fund the research

Anyone got a citation for prehospital teams who DONT tell the person driving what they’re going too - to avoid Red Mist?

@AbbieTBee The novelty soon wears off, but on a 'good' day it must be one of the best roles in UK healthcare.

Had the amazing opportunity of a ride out today in a para car and oh my god Ive chosen the wrong career 🫶 Defo will be looking to get out of hospital when I can - maybe transfer medicine is for me ? Maybe HEMS? Maybe critical response ? (Thanks A-M at East Of England Ambo!)

@glurcher @OcoRory Can't comment on med students. Non-med prescribing course provides plenty of pharmacology, but of course much needs to be self directed. Should have a personal formulary that aligns to scope of practice. But reality may differ from theory.

@MonnomestAlex @OcoRory All together probably 😂 I'm afraid I have concerns about the pharmacology taught to medical students now, let alone other professionals. When I ask what Vd is I usually get a blank look from juniors. Should not prescribe if don't have basic knowledge of pharmacokinetics.

After a long journey, independent prescribing paramedics in NI working directly for GP surgeries can request an individual CIPHER number Printed my first scripts today with my actual name on it and my individual CIPHER Milestone for the profession in NI

@glurcher @OcoRory They are only allowed to prescribe diuretics, ACE-I, and NSAIDS.

@OcoRory Assume there is a limited formulary?

@RKELLAS *1994

2024 is the year of rap music 🎤

@timricketts_ @Tom_the_Knowles Great choice Dad!

@Tom_the_Knowles Romeo and Juliet, Dire straits

@JudithHaire @Ask_foradoctor Paramedics are regulated.

@Ask_foradoctor does this include paramedic sitting in for GP?

@thefinnmckenty Nickelback because Drop B tuning.

@hevercastle What's the access going to be like this weekend for the Craft show? I have heard the roads are closed due to roadworks?

@ParaAndy90 @cpdme Depends, if unclear anatomy (large pts) then worth having a feel (with consent).

Catching up on @cpdme ACS webinar and it made me think, Who properly measures electrode placement when doing an ECG ?

@kjm1468 @Stanfield72 @joshyjoshthorn1 Much more morbidity is prevented by a good, holistic falls referral than by all the 'Gucci' stuff.

@Stanfield72 @joshyjoshthorn1 Do my best to avoid the 💩🧲s, seen enough. Nothing like helping an uninjured old dear back into bed, making cup of tea and having a wee chat.

After six months in ambulance services, I've advanced to become a newly qualified Paramedic 2. Yet, upon reflecting on this period, I find myself pondering our professional identity as Paramedics. Does our professional action truly reflect our identity? If it does, then my experiences over the past six months have primarily involved primary care/mental health care, diverging from the emergency care focus identity that was taught to me in university & what is portrayed on programs like Ambulance and 999 on & emergency TV shows. 🤔🚑 #NHS #Ambulance #London #Paramedic #Healthcare #Primarycare

@ParaAndy90 What's in the burns kit... hopefully just 20 minutes of active cooling and some clingfilm?

Started the littlest one at a new club, cracking 1st aid set up, missing only one thing however 🤔 #defibrillatorssavelives

@linsinoz @DrJSherrington Furosemide. Lasts six hours. Apologies if this was not a serious reply and I am teaching you to suck eggs.

@DrJSherrington What even is Lasix!