Dave Hawkins

@GenerallyUnwell @JessicaSpara ^This

@JessicaSpara Horses for courses but I wouldn’t do an unfunded MSc personally. Most CCP jobs require a specific one (and will fund you doing it). I’d do DIMC / ATACC, ALS, PALS and PHTLS to strengthen your CV and apply for CCP (I started 3 years post-reg).

Paramedic colleagues that have done further qualifications: what have you done? And would you recommend it? Particularly those in #criticalcare 🚑🚁🏨

@sainsburys am I being cynical here? You give me a voucher for 100 nectar points if I spend £45 on fuel, then I need to shop again to have them added. Seems like a way to reduce people claiming the whole 50p they're worth. Why not just add them at PoS? #onestepclosertoTesco.

@Ryanharris2021 Personally I'd complete NQP and how ever long you want to at Band 6, then choose a speciality, in which case most Trusts will fund your MSc. in critical or primary care. Unless you want two masters. Most Trusts want you to do the MSc that goes with the specialism.

Should I pursue an MSc while working as an NQP? I plan to start the course after becoming NQP2. I have listed the pros and cons, but I'm struggling to make a decision. Discussion welcomed, DMs open :)

@TM5006941 Nothing to do with me mate. There are two of us it seems!

@ambo_dave 😮

@ParaAndy90 It has its place for the right presentations as others have said. Non compressible haemorrhage, access, TXA, diesel (or kilowatts maybe these days)

@ParaAndy90 Worth a read but noting the provenance and conflict of interests. Tibia significantly longer to heart by an author who works for a manufacturer. sciencedirect.com/science/articl… I use IO very frequently in cardiac arrest as initial access. Quick, simple and very effective in HH site.

@ParaAndy90 Varies by Trust. SECAmb allow this.

@GenerallyUnwell Way to cause a really sick patient.

This guy is 💯 posting controversial tweets for engagement and followers. It’s only a matter of time until he starts advertising something he sells. 🎣

@BananaSplitt_ @ParaAndy90 @GoodSamApp Literally induces an SVT at 03:00 when deeply asleep!

@ParaAndy90 @GoodSamApp It’s the loudest alert; I shit myself everytime😂

@DrBenLovell Pretty sure the decision maker in ED didn't read the ambulance notes.

@DrBenLovell Has a case of ventricular standstill with LOC, well documented + ECG capture on PCR. He was discharged with LRTI. Pleased I followed him up, brought it to ED consultants attention. He now has a pacemaker. Even writing this now it feels like it could never happen, but true story.

A tricky clinical conundrum was resolved today by reviewing the documentation in the ambulance PCR sheet, these documents are worth their weight in gold

@pippipandaway Speak up. Firstly to them. They might not realize they're doing it, it might generate a positive dialogue and you might come to some common understanding (they might think they're being super helpful) if badly received, speak to one of the team leaders. Don't ignore.

Any advice for how to be professionally assertive when dealing with people that you have to work with, who mansplain and try to take over (unnecessarily). Outside of work I’d be incredibly uncouth and just tell them to F off.

@clifford0584 I mean, I have. I know. Just wondered if you were aware of it, or had that level of insight. You've answered the question I guess.

@ambo_dave Don’t know do some research and gather the evidence and stop guilt tripping EDs to just keep expanding

news.stv.tv/north/nhs-gram… I have every sympathy with colleagues within overcrowded ED's across the country, but holding ambulances isn't the answer. They aren't an extension of Majors and the patients this leaves with true 'no care' who are alone & frightened are the bigger risk.

@pepsipietro ^^this. To a patient in this situation, a thoroughfare is the Ritz. It shouldn't be so, but it's the truth. I'm so sorry that this was their experience Pete.

@rickstrang And here we completely agree. This is unacceptable in the extreme.

@ambo_dave Sure. If you spot them to make the call that is. 🤷‍♂️ You’re right by the way but it’s not absolute and always. Risk balancing has to occur. It can’t just be one way. Of course none of us should even be in this position but here we are 🤷‍♂️

@rickstrang As many as can be physically accommodated, occasionally using the front passenger seat if needs must. Often no luxury of 1 PT per DCA at multi casualty incident. I stand by that anywhere in a hospital is safer than alone in the community. Crash call would get tx in minutes.

@ambo_dave How many pts would you convey in one truck? 2? 4? 5? Is there any number at which you’d simply have to say “Sorry, no matter the risk, I can’t get anymore in”

@clifford0584 Suggesting that there is none in relation to deaths resulting from ambulance delays in the community?

@ambo_dave We have actual evidence about 12 hour ED waits and mortality

@Ste_Story Was probably sound when help was only ever minutes away. The world has turned, and this advice needs to move with the times. It almost certainly now causes more harm than it prevents.

Surely now's the time to consider removing the phrase "don't move the pt" from 999 calls for falls. Would love to see decent research into it but instinct is that the risk of ~8hour wait on floor for an ambulance will be greater than the risk of worsening bony injuries by moving