Tim

Burnout, Stress, and Moral Injury Among Emergency Medical Services Clinicians: A Systematic Review - Journal of Emergency Medicine jem-journal.com/article/S0736-…

Victoria University of Wellington Doctoral Scholarship 2026 (Fully Funded) - Free Study in New Zealand Apply: scholarshipforphd.com/wgtn-scholarsh… Many Fields/Majors Deadline : 01 July 2026

@jamie_wallis @ShivaniM_KC I just don’t know how you know this about paramedic training or the epidemiology of the paramedic caseload

@TimEdwards76 @ShivaniM_KC Paramedics are highly skilled in management of acute illness. HHS/DKA, yes. But a pt doesn’t call 999 to have their chronic diabetes managed! If the focus of paramedic training is skewed towards chronic diabetes mx then I would say there is a real problem with the training!

I’m going to say something that might get be cancelled. Type 2 diabetes isn’t managed by GPs. It’s managed by GPs, practice nurses, pharmacists and paramedics of varying abilities. You can have one PCN with a highly skilled GP who would rival a specialist given their experience and expertise in T2D who supports the allied HCPs. And at the other end, my patient was recently seen by the paramedic at the practice who started 6 months ago. Highly variable. No doubt excellent care in some places, but totally unsupported in others. Now, I’m not saying that any of these healthcare professionals can’t manage T2D - anyone can follow a protocol or guideline. But I am saying that the experience of managing T2D, the nuance and the medical knowledge underpinning T2D management no longer sits with GPs in many practices. Ofc the same reasons this has happened ARSS, GPs being replaced etc

@jamie_wallis @ShivaniM_KC I’m just interested how you know that about paramedic education and why they are less equipped than other practitioners with appropriate training to perform these roles

@TimEdwards76 @ShivaniM_KC A paramedic by their very nature practices acute medicine, not chronic disease. There are many things they could bring but I don’t think chronic diabetes management is one of them. I’m sure many wouldn’t want to either? (I’m not disrespecting paramedics but this situation)

@jamie_wallis @ShivaniM_KC Definite variation in models for employment of paramedics in primary care but why specifically is a paramedic Poundland medicine ?

@ShivaniM_KC I re-read your tweet and shocking about a paramedic with 6 months experience in primary care! I believe in a chronic disease model run by trained nurses and pharmacists with experience of chronic disease management, overseen by a GP.. but not Poundland medicine 😡

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Trainee Critical Care Paramedic recruitment open. It’s that time of year again, we are excited to invite applications for @SECAmbulance CCP. This year vacancies are in Kent. Details and apply here - apps.trac.jobs/job-advert/770…

The Faculty of Pre-Hospital Care offers a yearly student elective programme. This report was written by Zarah Butt about her facilitated elective with @Ldn_Ambulance. 🔗: fphc.rcsed.ac.uk/education-reso…

The Faculty of Pre-Hospital Care offers a yearly student elective programme. This report was written by Libby Jones, final-year medical student at the University of Nottingham, about her facilitated elective with @WelshAmbulance. 🔗: fphc.rcsed.ac.uk/education-reso…

A short seven years (!) after I started writing the code, it’s great to see this paper published. We use high-frequency NHS to data show that short-staffed, less experienced nursing teams deliver worse outcomes – with the largest mortality impacts for patients with sepsis.

Chemsex: core knowledge for emergency medical service responders from BPJ 9:3 by Peter Kingsley is now #OpenAccess. doi.org/10.29045/14784…

Vacancy: Clinical Trainer - RNLI Full info👉 collegeofparamedics.co.uk/COP/BecomeAPar…

I’m seeking interview participants for my PhD study about patient safety in non-conveyance. If you had an ambulance out for yourself or you were there as a carer (either paid or friend or family) I’d love to talk to you. Please see ad below for details. Please share!

@DrLKVaughan Hi Louella it is stroke video triage and not done by phone and has been subject to evaluation.

undifferentiated pts into pathways, increasing the risk of true strokes being missed and delays for pts with other serious conditions. It is also inefficient, putting yet another (expensive) clinician into the pathway. The workarounds are killing the system.

I found out yesterday that a new component has been added to the Stroke pathway. As hospitals with hyper-stroke services are receiving so many stroke mimics, LAS now has to ring a consultant after they have done their initial assessment. The consultant then decides where 1/

🚨 Student Paramedic Opportunity! The College of Paramedics & RCSEd are offering limited places for student members to support the Diploma in Immediate Care Exam. 📧 Interested? Send an expression of interest to carl.smith@collegeofparamedics.co.uk 📅 Apply by 30th Oct 2025

🚨 The College of Paramedics is calling on all members to engage with the UK Government’s consultation on proposals to extend medicines responsibilities for Allied Health Professions (AHPs). 🗞️ To read more, click here ➡️ bit.ly/4mx1MGz

🚨 Webinar announcement! 🚨 Join us for a session on blood transfusion! Rob Evans, HEMS SPTL, is going to talk about the life saving potential of bringing blood to the roadside and share the latest developments from @NWAirAmbulance. Register here: forms.gle/ERmFUcDrmmY3r6…

RECRUITING 👇👇👇 Our vision @Ldn_Ambulance is to deliver outstanding emergency and urgent care whenever and wherever needed for everyone in London, 24/7, 365 days a year. I’m looking for a values-led leader who brings experience of managing governance, risk, and corporate affairs at a senior level, ideally in a complex and high-profile setting. You’ll be an engaging, compassionate, vibrant leader with the technical experience to excel as our new Director of Corporate Affairs. If this is you I’d like to hear from you. Check out more about the role and apply here: alumniglobal.com/job/las

Tickets closing on the weekend

New update for #PrehospitalCare professionals! The latest Telephone Support in Prehospital Care edition is out. Are you up-to-date on best practices? Get the insights here: [ambulance.libguides.com/currentawarene…]. Please share! #TSPC #EMS #Paramedic #EmergencyServices #PatientCare