Richard Orrill

advanced paramedic, resuscitation instructor. amateur kayaker. my opinions are my own. honestly !!!

[Richard Orrill @OrrillRichard]

@gareth_grier @MattSnowsill When do tickets go on sale.

[Richard Orrill @OrrillRichard]

@steve_paramedic ROSC. A CCP would argue they bring the knowledge and leadership aspect. But that’s something that is that you don’t need to be a CCP for. But I do understand you comparison.

[Richard Orrill @OrrillRichard]

@steve_paramedic Interesting question. But what do you mean when you say they bring a better outcome? What do they bring. A CCP brings the critical care element for an unstable patient needing for example RSI. For that to happen the paramedics et al need to have achieved.

[Prehospital Medicine QMUL @PrehospitalQmul]

Rest in Peace Professor Chamberlain. Thank you for all your support in helping us set up @PHMBSc right at the start. Your rest is well earned. Thank you. Thank you. Thank you.

[Resuscitation Council UK @ResusCouncilUK]

In the UK, fewer than 1 in 10 people survive a cardiac arrest.

That’s not good enough, and it’s why we’re working towards a day where everyone has the skills to save a life.

With widespread CPR knowledge, we can change these odds and save more lives.

[Richard Orrill @OrrillRichard]

@jbrannan23 Instead of removing it. The focus should be retain the skill and improve safety by improving first pass success using VL equipment etc and education.

[Richard Orrill @OrrillRichard]

@jbrannan23 The problem is that many believe that supraglottic devices are the one size fits all in emergency airway management. Which is now becoming the standard approach in UK paramedic practice. But ETT still has a place in TCA, Asthmatic, pregnant and burns patients.

[Richard Orrill @OrrillRichard]

@TalalAXI VT

[Natalie Kruit @nattiejpk]

Incorporation of prehospital TOE in cardiac arrest resuscitation is feasible. Identifying the area of maximal compression early in the resuscitation may improve OHCA outcome and aid in the ECPR decision making tree. Larger trials are needed #resuscitation #OHCA #ECPR #prehospital

[Cliff Reid @cliffreid]

Magically Reappearing in December

[Richard Orrill @OrrillRichard]

@jasonkillens @Jeremy_Miles That’s not CPR. 5-6 cms, 1/3 the depth of the patients chest. What we see is an ineffective attempt a chest compressions.

[Richard Orrill @OrrillRichard]

@jasonkillens Not quiet sure how changing from red to purple and reducing the time to 6 minutes is outcome based success. If not been able to achieve above 65% for 4 years how will success be achieved by further reducing the time window.

[Laura O'Callaghan @Lauraoc25]

Prehospital sedation needs to be done with same standards as in hospital. Practitioners need to be experienced, with documented evidence of competence in airway management, and haemodynamic management. Safety cannot be compromised.

Even ketamine isn’t always the ‘safe’ option

[Richard Orrill @OrrillRichard]

@jasonkillens It’s a great platform now everyone has gone to blue sky. Welcome back

[prehospitalcare @FPHCEd]

📢Join us for our first webinar in 2025🎉

🚑Register now and secure your spot!🌟

https://t.co/tCloqAaSDO

#FPHCWebinar #PreHospitalCare #RegisterNow

[Richard Orrill @OrrillRichard]

@RCEMLearning A.

[Emergency Medicine Journal @EmergencyMedBMJ]

#OnlineFirst

"Our findings indicate that triage BP readings may overestimate blood pressure"

Triage measurements in the emergency department overestimate blood pressure
https://t.co/YWaACrqGlH

@SCHARRSheffield @RCollEM

[British Geriatrics Society @GeriSoc]

Appetite loss in ageing doesn't always have a medical or pharma cause. Pleasure and reward of eating can be altered, eg by interruptions in social cues, being unable to share meal times. Not just resulting in eating less, but less nutritious https://t.co/GKU2WDZdFX #BGSconf

[Critical Care Reviews @CritCareReviews]

Endothelial Protection and Improved Micro- and Macrocirculation with Hemoadsorption in Critically Ill Patients

CCR Journal Watch
https://t.co/Sp06oA6IDG

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://t.co/nitMzacLrj

[Emergency Medicine Journal @EmergencyMedBMJ]

#November2024

Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study

"Psychometric testing demonstrates that the 25-item PREM-ED 65 is suitable for administration to adults ≥65 years old up to 10 days following ED discharge"

https://t.co/pHCsWnlNvH