Neal Parkes 🇺🇦🕊

@KingBobIIV I am a paramedic and can absolutely guarantee you that COVID was/is very real. And there is no way over 1 million NHS workers would collude with a Tory government to enable a conspiracy.

"How did the goverment sneak 25,000 military men and their families in yo thebuk without being noticed?" Why do you think they locked you in your houses in 2021? Covid my arse. Ive been saying since, that my entire town changed after lockdown.

Today is International Paramedics Day, so a huge thank you to my friends and colleagues whether civilian, military or volunteers. Whether managing motorsport medical care, bringing me patients when I’m trauma team leading or teaching on the ATACC course, y’all rock.

Fancy joining us in London on 2nd October this year? Free Roadside to Resus Live Event, courtesy of Zoll! Apply for your free tickets via the link below 👇🏻 zollclinical.wufoo.com/forms/z18llny7…

HCPC renewal letter got you in a cold sweat? Don’t forget, @TheResusRoom have a completely free, no catches, CPD diary on the website Log ALL your activities and get certificates for completing the questionnaire after listening to each podcast Head to: theresusroom.co.uk/trr-cpd-diary

A question for my prehospital care colleagues When starting a #resuscitation with an #AED, what is the most shocks you have ever delivered BEFORE the arrival of an #ambulance? Pls RT so we get a good sample #CFR #ER #CPAD

@EMDocJB What was the consensus?

The big debate about to begin! Prof Carli discussing the best EMS system strategy for OHCA #ParisRescue

@ResusCouncilUK Not surprising when we know the quality of cor delivered to patients is sub-optimal. Real-time feedback (rate, depth and recoil) is the only way to deliver HQ manual CPR. This fundamental intervention needs to be started at the earliest opportunity to optimise outcomes.

In the UK, fewer than 1 in 10 people survive a cardiac arrest. That’s not good enough, and it’s why we’re working towards a day where everyone has the skills to save a life. With widespread CPR knowledge, we can change these odds and save more lives.

@robertgmason @TheLeeMcLaren @JBPara999 @jasonkillens @AACE_org Perhaps it is because those resources are parked outside various hospitals up and down the country instead of responding to 999 calls?

A common misconception Lee. The number of calls requiring a response is less than in 2018, largely due to increases in H&T. Resources on duty have increased by 15% since 2018. More resources are attending fewer calls. The main problem is ambulance services are doing less with more.

Today @AACE_org has published a position paper setting out a future vision for NHS ambulance commissioning. Find out more and read the paper here: aace.org.uk/news/aace-publ…

@JacquiDeevoy1 Just go through the body scanner. Tge radiation you will receive is not dangerous as it will penetrate less than 1mm of your skin. A day spent sunbathing is probably more dangerous.

A good friend of mine is currently at Gatwick Airport about to go on holiday. After refusing going through the body scanner (because she believes they’re harmful to the body) and refusing a strip search (for obvious reasons), they conducted a search on her using a electronic wand which she said “they practically poked into my vagina”. Nothing suspicious was found but the ‘officers’ still insisted she had to have a strip search in a private room. She refused and, as a result, has now been told she’s not allowed to board the plane. Last time I refused the scanner at the airport, I was told to get in a different - longer - queue. I was patted down by a burly lesbian (and, before anyone asks, I have excellent gaydar) but there was no mention of a strip search. My friend is embarrassed, upset and crying and says she feels intimidated, humiliated and violated. She believes she’s been targeted as she’s a well-known TV personality. I’ve had a look online and it appears the airport staff are in the right: when did the rules change? Yet another example of ridiculous and invasive UK restrictions.

@liamsagi1 @SECAmbulance @HelenVine66 @AACE_org @Secamb_CRT @airambulancekss Is that 100% with or without real-time feedback?

Thank you @SECAmbulance for inviting me to present on #OHCA at the annual #volunteer conference. Thankfully I maintained credibility with my #CPR (100% 😮‍💨)

@salmannaeem217 @Pipes_n_pumps @heli_med_james This is partly my point, that it is rare that the basics are done well.

@NGParkes83 @Pipes_n_pumps @heli_med_james Agree with all of the above but we also need to provide a pathway for those who do the basics well as that is not enough

So, I’ve had a quick whizz through these draft consensus documents which will be used to inform the RCUK Guidelines 2025…. 🧵

@JamesBlunt @LortonEnt Just watched it on @PrimeVideo, it’s a great documentary. Really want to go to the next gig you do in Birmingham!

“One Brit Wonder”, which was voted Best Documentary of 2025 by my parents, is now available to purchase online at tinyurl.com/jbobwfilm @LortonEnt

@EMDocJB @Pipes_n_pumps @heli_med_james @ehaatClinical I guess what I am trying to highlight is that we should not take that “ticket of entry” as granted. Good BLS is hard to do, and I get concerned as lots of clinicians get excited about the “gucci” stuff, sometimes forgetting the essentials. I get excited when I excellent CPR.

@NGParkes83 @Pipes_n_pumps @heli_med_james @ehaatClinical Any advanced technique needs a “ticket of entry” that guarantees the essentials (not basics) are already being undertaken and that this isn’t a futile case. Hence the original SPEAR algorithm has a rapid assessment phase before moving to femoral cannulation.

@Pipes_n_pumps @heli_med_james @ehaatClinical And from there we can fine tune the metrics and build on the advanced resuscitation techniques. I think sometimes we think that one intervention can replace another when I fact they are complementary. Doing great BLS does not mean we cannot monitor AoDBP. 2/2

@Pipes_n_pumps @heli_med_james @ehaatClinical Well the ROC data gives us some idea that the current metrics are probably a good starting point. And we know that the vast majority of CPR is not compliant with the current metrics. I still believe that once this is fixed we will see benefit for our patients 1/2

@Pipes_n_pumps @heli_med_james I welcome the day when the majority of Chest compressions are delivered to high quality standard. And that defib pads are placed in the correct position We still need to fix the very fundamentals of resuscitation before doing anything too fancy.

@heli_med_james I welcome the day that the arbitrary 2 min cycles of CPR (in adult and paediatric) ALS are removed for more advanced, expert providers, who can adopt a more nuanced and physiologically-tailored approach

FLAT WHITE OR F OFF. THE WORLDS GREATEST BUSINESS IDEA #marketing #busin... youtube.com/shorts/AqtCtkk… via @YouTube This should just be the default code shop option everywhere! Waiting 15mins for a coffee is ridiculous!

@IEHutchings @EM_RESUS

@EM_RESUS Access is access

Just a reminder that you can resuscitate a shock patient infinitely faster through an 18-gauge IV in their vein than a 14-gauge IV in the sharps container

There are 6.2m Catholics in the U.K. and for us tomorrow is a holy day of obligation and fasting, with Lent lasting until Easter. The largest religious group in the U.K. is still, by far, Christian👇Many of whom will give something up for Lent as part of the Christian tradition of fasting. I am looking forward to all the messages of support and engagement for this Christian religious observance from all the politicians who love to put out such missives for other faiths. In the meantime, enjoy all the pancakes on this Shrove Tuesday.

@JDVance Hi JD can you please explain to me how my friend Lt Neil Turkington RGR was killed on 13th July 2010 in Afghistan if the @BritishArmy has not been involved in a war for 30 years…. You are a complete muppet and owe a big apology to the British armed forces.