JK

4th Battalion The Parachute Regiment & Paramedic grad from @uniofherts. Northerner trapped down south💪🏽. Studying Msc in Critical care

[JK @KuczJames]

Seemingly irrelevant with all the current madness but still absolutely buzzing to have it finished! 🆎🤙🏼

[Artur Nadolny @ArturNadol7566]

HE PROTECTED 54,000 DOCTORS. THE @NHS PROTECTED ITSELF.

In January 2014, Dr Chris Day (@drcmday) was working overnight in the intensive care unit at Queen Elizabeth Hospital in Woolwich. Two locum doctors didn't show up. The unit was running at double the patient load the national guidelines allow. He raised the alarm. He reported unsafe staffing. He linked the situation to two patient deaths.

That's what the NHS calls a whistleblower.

What followed was eight years of litigation, a legal battle all the way to the Court of Appeal, and over £700,000 of public money spent by Health Education England (@NHSE_WTE) and Lewisham and Greenwich NHS Trust (@LG_NHS) trying to stop his case being heard at all.

Here's the really elegant bit. HEE's opening legal argument wasn't that they'd done nothing wrong. It was that whistleblowing law simply didn't apply to them, because they didn't directly employ junior doctors. They were just the organisation that controlled the career progression of every single one of England's 54,000 junior doctors. Totally different thing.

Dr Day fought that argument to the Court of Appeal and won. The law was clarified. All 54,000 junior doctors below consultant grade in England now have statutory whistleblowing protection. One man, crowdfunding against three QCs, changed employment law for an entire profession.

No formal apology from the NHS. No reinstatement. No path back to a consultant career. He has worked as a locum A&E doctor ever since, doing overnight shifts while his opponents collected salaries, pensions, and the occasional glowing tribute to NHS transparency.

During the 2022 tribunal hearing, the communications director at Lewisham and Greenwich NHS Trust deleted up to 90,000 emails. The director whose entire NHS email archive was also deleted during live litigation happened to be the instructing legal client in the case. The tribunal described the conduct as extraordinary. Nobody was prosecuted. The trust issued a partial apology about a press release.

The system did exactly what it always does. It absorbed the cost, deflected accountability, and waited for the man it destroyed to run out of money or energy.

He hasn't.

Sources: The Guardian | @BBC | BMJ | Westminster Confidential @davidhencke | Protect @WhistleUK | @BylineTimes | @CrowdJustice

[CardiovascularCorner @TrackYourHeart]

Coronary Artery Territories Explained Using Hand Landmarks

[TheParachuteRegiment @TheParachuteReg]

The Parachute Regiment is today mourning the death of Lance Corporal George Hooley, who died following a tragic accident in Ukraine. LCpl Hooley was 28 and was observing Ukrainian forces test a new defensive capability, away from the front lines.

Ready for anything 🇬🇧

[JK @KuczJames]

🤙🏼

[Gareth Grier @gareth_grier]

The compassion bag. We take plenty of equipment to the scene - compassion is perhaps the most important thing we bring…..@Kershberg @ehaatClinical Proud to say that I think we have some of the most compassionate clinicians in the world attend to our patients @EHAAT_

[James Yates @heli_med_james]

This is absolutely huge news for the college and for the profession!

It’s another significant step forwards in professionalisation and the development of paramedicine as a unique and specialist area of healthcare. Massive kudos to all involved in this accolade

[North West Pre-hospital Education Forum @NW_PHEF]

Only 1 week to go! Have you signed up for our session on pre-hospital blood transfusion?
🩸 Title: Autonomous Pre-hospital Blood Transfusion by HEMS CCPs
📅 Date: Wednesday 1st October 2025
⏰ Time: 19:00–20:00
📍 Location: Online via Zoom
🔗 Registration: https://t.co/oBhs3R7im8

[James Yates @heli_med_james]

Just completed the consultation on extending medicines responsibilities for paramedics

This would see several key medicines such as fent, midaz and magnesium being added to schedule 17. This has massive potential to improve care.

Please complete!: https://t.co/k8eveJsPbI

[WM CARE Team @wmcareteam]

Challenging a senior decision maker can be daunting when a healthcare procedure is going wrong. An escalation technique like CUSS can be a useful.

#Communication
#HumanFactors
#CareTeamSessions

LY

[Eddy J. Gutierrez, MD @eddyjoemd]

The decision as to whether we should provide bicarb to our critically ill patient takes places every single day. This paper breaks things down amazingly well. Don’t forget to pay attention to the serum CO2. 🎩 tip to the authors.
https://t.co/wtiQFg1wGN

[Dr Honey choudhary 🩺 @Doctors__squad]

🫁 diseases associated with chronic #kidney disease.

[Chris Wearmouth @CCWearmouth]

Wait, do US EMS have stuff like ECMO and Stroke CT ambulances but not paracetamol? 😧

[Adam Aston 🌹🚑 @cllr_aston]

British Paramedicine is 54 years old today. 🎂

This is Professor Douglas Chamberlain CBE, KSG, OStJ Cardiologst and father of Paramedicine who created the role of Paramedic in the UK and Europe.

6 Ambulance Men from Brighton Ambulance Station were chosen to undergo pioneering extended cardiac and emergency training at the Royal Sussex County Hospital, they began treating patients on 4th March 1971.
The Paramedic was born. 💚 @OFFICIALWMAS @AACE_org @ParamedicsUK

[Lee McLaren @TheLeeMcLaren]

A paramedic marks the first step into leadership, a position of authority granted by title alone.

Yet, true leadership is earned through action.

Exceptional paramedics cultivate friendships, foster trust, & establish authentic authority with peers.

That’s impactful leadership.

[British Journal of Anaesthesia @BJAJournals]

Do you use ketamine as part of your routine clinical practice? Richards et al review the diverse effects of ketamine and its benefits in clinical practice. #ketamine #anaesthesia #perioperative #analgesia #surgery

https://t.co/chVbGOh9us

[Royal College of Paramedics @ParamedicsUK]

🚑Vice Chair (Non-Doctor) Role at RCSEd Faculty of Pre-Hospital Care

This would be an amazing opportunity for one of our members and would strongly advise those with an interest in joining an amazing team at the faculty of Pre Hospital Care!

Apply here - https://t.co/SjH4A0QKj4

[Mamoun @drmamoun01]

Many thanks to @ZackShinar & Chris Nickson for editorial on our @sub30study on #ECPR

https://t.co/bei47sEbtS

& @HaldenHB review @stemlyns - All crucial steps towards shared learning & equitable access to this challenging lifesaving resuscitation
@LDNairamb

[EAAA RAID Group @EAAARAID]

Successful start to the BRAIN-FIRST study of brain biomarkers (using the @AbbottNews POC TBI cartridge) in HEMS/PHEM. Read more about this groundbreaking @EAAARAID point of care study here: https://t.co/wBXV7Vf0AY
@EastAngliAirAmb @AbbottNews

[Hans van Schuppen @HansvanSchuppen]

The Netherlands now has nationwide availability of prehospital ECPR! From today, our #HEMS team of Amsterdam is equipped with #ECMO as part of the OnScene trial. Now all Dutch HEMS can provide ECPR. 🚁🇳🇱 More info on https://t.co/I2CmCR1hTb And check out https://t.co/LdcKIoEPKR

[Oren Gottfried, MD @OGdukeneurosurg]

EKG Assistance

[Oren Gottfried, MD @OGdukeneurosurg]

How you clot ?