#HelloMyNameIsCon

118 posts

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#HelloMyNameIsCon

#HelloMyNameIsCon

@conpapak

Critical care and anaesthesia 🩺 EBM advocate 📚 Climbs stuff for fun 🧗🏼 Coffee connoisseur ☕️ Usually found outdoors 🏕️ LDN🇬🇧 SVG🇳🇴 ATH🇬🇷

London, England Katılım Kasım 2017
227 Takip Edilen146 Takipçiler
#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@bilalksheikh @ross_prager Also an excellent idea! Out of the way for chest compressions and airway management and probably easy to identify and scan for most paramedics with basic US skills.
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Ross Prager
Ross Prager@ross_prager·
A patient has a cardiac arrest with chest compressions ongoing. A resusTEE is performed. Despite the CPR being done hard, fast, and with perfect recoil, why will this patient die despite everything being done?👇 (that is, unless you fix)
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@DrDiGiorgio Working in a different country/system here but we have “break the glass” for elite sports players or famous people purely because the clinicians caring for them need a higher level of medical malpractice insurance.
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
Can anyone explain the need for an extra "break the glass" in a patient chart in the electronic health record? It's already illegal to enter a patient chart if you're not caring for the patient, so why do some patients deserve "extra" security?
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@searchy_boy CRM - Moulage and simulation of how to take control of a scene, allocate resources and delegate effectively. Understand your cognitive load and shared decision making.
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Jonathan Search
Jonathan Search@searchy_boy·
Calling all #PHEM folks. I am in the process of revamping a trauma care module for university based student paramedics. What interesting trauma care resources have you got/can recommend? What do you wish you were taught/taught more about? Give me your suggestions! 🚑
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@simontutt88 @jbrannan23 I am open to be corrected here. IGel is the first line option for advanced airway, but if that fails and basic airway is challenging too, what’s the harm of having a not-so-competent intubator try? The patient is hypoxic in either scenario.
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Simon Tutt
Simon Tutt@simontutt88·
@conpapak @jbrannan23 I suppose the issue is gaining and maintaining competence to perform. I was lucky and did 58 tubes in undergrad back in those times and since than have done anaesthetics + list bimonthly and sims alternate months using SPA, could we extend that to all paras. Likely not possible
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Jamie Brannan
Jamie Brannan@jbrannan23·
Today SAS removed endotracheal intubation as a core skill for paramedics. APCC and aircrew paramedics will maintain the skill. I know this is an evidence based act. But, for my own curiosity, I wonder if the evidence takes into consideration rural and semi-rural communities
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@plasterapplier1 @JamesOz1 and @expensivecare recently covered breaking bad news in their podcast. Great opportunity to brush up on the frameworks, even as a critical care practitioner myself having difficult conversations frequently. Highly recommend it!
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James Pockets
James Pockets@plasterapplier1·
Interested to hear from students. On paramedic courses how much training are you getting on breaking bad news. Mine had 2 slides on bad news, and 2 days on maternal emergencies. 46 times I’ve had to tell family their loved ones have died in 12 months, and I’ve been to 3 births
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@paulajmc1 @ES_News_ @obbsie Unlikely, I would suspect that the ambulance crew were offered training and support to improve their skills when dealing with suicidal patients. Coming from an ambulance background, I find this case shocking.
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Paula McLachlan
Paula McLachlan@paulajmc1·
@ES_News_ @obbsie Genuine question - did the ambulance crew face similar disciplinary action? Totally agree that there was never a complaint to answer to, just wondered if other emergency services are hounded in a similar fashion.
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Dr Ali G (🦋 @dralig.bsky.social)
Dr Ali G (🦋 @dralig.bsky.social)@AlisonGeorge10·
@pa_StephenNash @TomStocks1982 @Paulscriven Jamie Saunders’ words here are important Stephen. “I’ve been left to lead arrests…” Jamie wanted to look like someone he wasn’t. The patients who had arrested were given no choice & denied a dr at a time of serious need🚨 Imagine if that was your loved one or yourself!
Dr Ali G (🦋 @dralig.bsky.social) tweet media
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Oren Gottfried, MD
Oren Gottfried, MD@OGdukeneurosurg·
First three orders in chart after seeing this patient?
Oren Gottfried, MD tweet media
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@TheLeeMcLaren A classroom gives you a safe space to focus and build your knowledge. Placement then compliments that with the hands on approach. Paramedicine is taught in the classroom and practiced on the streets. You need to know what to do before you go out and do it.
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Lee McLaren
Lee McLaren@TheLeeMcLaren·
You have 3 years of training to become a qualified Paramedic! where all the responsibility is yours! Would you rather learn: 1. In the trenches, working on an Ambulance 2. In the comforts of a clean, warm lecture room, talking about it. And why?
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@moribunddr Wouldn’t call it micromanagement. It’s the pressure filtering down unfortunately. I can imagine that in those 15 mins, they’ve had ten bleeps themselves from discharge coordinators, bed managers, matrons, PTS booking managers etc. Don’t blame the nurse, blame the system.
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@Ryanharris2021 I did a PGDip in clinical education as NQP and a couple years later started a critical care MSc. On both courses, I had colleagues who struggled to adapt to academia after gaps with their studies.
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Ryan Harris
Ryan Harris@Ryanharris2021·
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 :)
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@Aidan_Baron @EdinburghUni has been offering HCP-Med for a couple years now. It’s former of 3 year part time (while still working as a clinician), followed by 2 years of full time studies. Brilliant idea and would love to see than expanded across the whole of the U.K.
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Dr Aidan Baron
Dr Aidan Baron@Aidan_Baron·
Multiple “benefits”: 1. Create medical schools which aren’t recognised overseas = captive workforce 2. Create interns who need extended foundation training = captive workforce 3. Decrease course time = increased throughput = increased university funding
Leon Rozewicz@Rozewicz

In Europe medical degrees take 6 years. In the US medicine is a postgraduate 4 year degree. How can the UK do a 4 year undergraduate degree? British exceptionalism?🤷‍♂️

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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
Even as a paramedic I can relate! Absolutely loved my time in NICU but took me a while not to panic at MAPs of 30 😂
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@rosiedoddjones Most arguments have already been made, but I’d also highlight the analgesic properties of Aspirin. Used a lot more as an analgesic in other countries and is part of the care bundle for ACS.
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Rosie Dodd-Jones (she/her)
Rosie Dodd-Jones (she/her)@rosiedoddjones·
Calling #MedTwitter! Paracetamol in cardiac chest pain in the normotensive patient. Yay or nay? I usually give Morphine in isolation if pts respond well and seem to remember that paracetamol is not recommended in cardiac chest pain. Can’t find any literature though?
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#HelloMyNameIsCon
#HelloMyNameIsCon@conpapak·
@FFAFrances @DaveSwart7 @ParamedicsUK Indeed, a prefilled syringe (posiflush) is actually a medical device thus anyone can use it. If you draw up sodium chloride for the purposes of flushing a line or otherwise, you are using the S17 exemption which is only valid for registered paramedics.
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Frances
Frances@FinalFantAerith·
@DaveSwart7 @ParamedicsUK Students can give certain drugs. I was able to give some oral. Sublingual, inhaled and IM injections. What confused me as a student was that I could cannulate but wasn't allowed to flush it through to make sure it was patent as that was considered drug administration through IV.
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Dave Swart
Dave Swart@DaveSwart7·
I was told last week that UK paramedic students are not permitted to give ANY drugs whatsoever until they are qualified. Is this true and if so, why? Medicines governance? I have opinions but just trying to understand it first. Apparently this is being supported by @ParamedicsUK?
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Keşfet

@bilalksheikh @ross_prager @DrDiGiorgio @searchy_boy @simontutt88 @jbrannan23 @plasterapplier1 @JamesOz1