๐จ๐December's #RapidRecap looks at Psychogenic Non-Epileptic Seizures #PNES, helping us move past the historical pejorative term "pseudo-seizures". Distinguishing between epileptic seizures and PNES is often challenging and with caution - see #JRCALC for further guidance. ๐๐จ
๐ The prehospital assessment of abdo pain can be challenging, with multiple pt streaming options available. How can we enhance our assessment?
1. Comprehensive and structured hx-taking.
2. Thorough physical exam.
3. An underpinning knowledge of potential causes.
Links below ๐
๐จ๐ In keeping with the pregnancy-related complications theme of our last #RapidRecap, this month, we explore bleeding๐ฉธ. Scan the QR for the RR library and QR for bleeding CPD๐๐จ #paramedic#JRCALC#studentparamedic#ambulance @SusanRhind1
โ๏ธ๐ฅต#RapidRecap -Heat illness ๐ฅตโ๏ธ. Heat stress > heat exhaustion > heat stroke > mortality. Early consideration, recognition, and intervention are essential to improving patient outcomes. Hot weather and older adults are not the only ones at risk of heat stroke; think raves too.
MSc โ ๏ธ....Tough, often overwhelming, yet achievable. A process made easier by having the right people around; a great cohort and top-tier study team.
โ๏ธ๐ฅต#RapidRecap -Heat illness ๐ฅตโ๏ธ. Heat stress > heat exhaustion > heat stroke > mortality. Early consideration, recognition, and intervention are essential to improving patient outcomes. Hot weather and older adults are not the only ones at risk of heat stroke; think raves too.
If you're a newly qualified or early career professional who has recently completed or are working towards your professional registration @NWAmbulance, you may be eligible to apply for @NIHRresearch INSIGHT health and social care Research Masters studentship ๐
For me, the outdoors calms the brain at times of pressure, an often-needed reset to baseline. And so, it was perfect timing for our annual hiking trip, this time to Keswick (not quite as tough as the national 3 peaks from last year ๏ฟฝ๏ฟฝ๏ฟฝ), and finished with Ladore Falls Spa ๐งโโ๏ธ๐งโโ๏ธ๐งโโ๏ธ
Thousands of motorbikes, a brilliant atmosphere, and all for a good cause. It was unbelievable to see the number of people lining bridges to welcome and support the bikers! #davesday#daveday
@loddyy24 Hi Olli. NWAS begin a road show-type event soon whereby the event vehicle, FTSU guardian, and leaders will attend each ED to talk with NWAS staff about sexual safety, improving culture, and promote speaking up. There's a lot of planning going on ๐
๐๐จ#RapidRecap STEMI. Early diagnosis and prompt transfer to PPCI are crucial. Minimising our on-scene time can positively influence patient outcomes, especially those with cardiogenic shock. Women may experience 10% longer at scene; consider STEMI early. &...prepare for VF.๐๐จ
๐๐จ#RapidRecap STEMI. Early diagnosis and prompt transfer to PPCI are crucial. Minimising our on-scene time can positively influence patient outcomes, especially those with cardiogenic shock. Women may experience 10% longer at scene; consider STEMI early. &...prepare for VF.๐๐จ
@h3l3na97@RossM_2003 Defibrillators often increase joules for the first 3 shocks, 200, 300, 360... And the likelihood of reverting VF is highest at the point of arrest, then decreasing over time. Without stacked shocks, a 4-minute wait exists before 360j and there is also consequential chest trauma.
@RossM_2003 Definitely - it significantly improves defibrillation time and these patients are high risk of VF. From a human factors perspective, it keeps the clinician calm with good operating bandwidth as all they have to do is press shock ๐