Tom Astbury

@jc_haddad1 Congratulations Doctor!

Happy to say I am now Dr Joseph Haddad, BM BS, BMedSci (Hons) 🎉 A short amount of time off before starting Foundation Training in Wessex!

🚨New Paper🚨 We piloted an overnight deflection pathway in our ED: 147 low-acuity patients returned for scheduled appts instead of waiting overnight. Result? •Avg ED stay cut by 5 hours •Satisfaction score: 4.79/5 Access here: kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…

WAS leading the way again! Kept with Mercs, allow staff to wear shorts and slowly refurbing their estate to include gyms.. Others, take note - I reckon the staff survey is overwhelming positive👀

@Kyle_Griffies Any pearls to share mate?

This is HUGE Published today by @RCollEM with @AACE_org and @UKCPA support this advisory statement we constructed is the 1st step for suitable people in Emergency Departments to self administer their own Time Critical Medication rcem.ac.uk/wp-content/upl… #Parkinsons #insulin

Just had to pull over for this cracking view on the way to shift this morning.

📢 See our Safety Flash on this very issue here ⬇️⬇️

And finally, #ALF2025 are honoured to announce the Tom Heywood Award for Excellence in #Disability Advocacy. Tom was known for being a relentless advocate for disabled staff within the #ambulance sector...

Today, @TASCharity is proud to launch the #Ambulance Staff #SexualSafety Support Service, their new confidential listening ear phoneline. The service provides a safe space and a compassionate ear for staff and students when they need to talk. #ALF2025 > aace.org.uk/news/tasc-the-…

@leonsantos102 @ParaAndy90 Wow what a game changer! Hopefully something others trusts adopt going forward.

@TomAstbury_ @ParaAndy90 Hi Tom, in London we do have a clinical feedback app where we can check upon patients that we have transported to hospital. We haven’t had the app for very long and not every hospital in London is participating in it but hopefully it’s a start of something good.

Clinical decision making for paramedics. I've heard a few folk saying they would be more confident in making decisions of they knew exactly what a hospital would do for their patient. How do we fix this 🤔

@statto95 @NJL_Blancq @loddyy24 @studentparabeck David I’m afraid you’re incorrect regarding this issue. A university student on placement with an NHS Ambulance Trust can be issued uniform with NHS logo and AS Crest. Look at the entirety of SCAS. It’s at the discretion of the parent trust.

@NJL_Blancq @loddyy24 @studentparabeck An LAS internal student is different from one at a University (3rd party) on an NHS Placement. So Trade Mark Act 1994. We can discuss the need for the law all you like (it's old and I don't like having to wear frown anyway) but the law is there.

@George_Brbr Do you think any of these recommendations will feed heavily into ambulance operations George? Would be eager to know your thoughts.

@heli_med_james @JoeHunter1991 @Camellamain1 Thank you both. I just wish JRCALC would explain their decision making for guidelines- you know to make them more guiding 😂.

@JoeHunter1991 @TomAstbury_ @Camellamain1 I’m delighted APGAR has been removed. It’s a retrospective score reflecting how well a baby transitions to life outside the womb. I think it was confusing/distracting and doesn’t change immediate management. If the notes are written well, we can calculate APGAR later

Just doing a maternity refresher for my NQP induction. Discuss removal of APGAR in the JRCALC. Does anyone know why? Struggling to find removal reasoning. Our guess is clinicians were taking too long scoring without keeping baby warm.

@NJL_Blancq @helloimnicholas @NinjaKitchenUK Spending your NQP paycheck wisely I see

@helloimnicholas @NinjaKitchenUK I’ve been eyeing this up 👀 Because it measures grind weight live it supposedly *knows* if the grind is too corse or fine which is just wild to me

🧵 This week - under a Labour government - NHS community services for the entire population of Wilshire (half a million people), were handed to a private equity backed company, @HCRGCareGroup, formerly known as VirginCare. 1/n

Enjoying our standby whilst providing Paramedic led ambulance cover for @lifeline_ltd with @EventSafetyUK for the @chillswim Windermere Event.

@NWAmb_NikS @NWAmbulance @nwamb_Cumbria @NWAmb_ChrisH @NWAmb_CRTJane @blycfr Thanks for everything Nik! And for kickstarting my ambulance career as a CFR, all the best in your future endeavours.

The close of a chapter today as I leave my full-time role with @NWAmbulance after almost 6 yrs with the Community Resus Team and 3 yrs+ as an #EMT 🚑 A huge thanks to my colleagues and our volunteers for their support and commitment over the years - you all made it worthwhile 🙏🏼

1/2- how on earth are you supposed to manage- exertional heat illness, febrile convulsions, septic patients etc if your cab is 38°C?

Seeing quite a few posts by staff over various trusts about working in ambulances without air-con. The fact that ambulance senior management considers 30°C+ back-cab temperatures safe to work in for staff and patients is frankly appalling. 1/2