Para

Paramedic in the UK. Likes a moan on occasion.

[Para @_paramedicyorks]

Something has to change with 999 ambulance staffs welfare. Morale is at an all time low, the pressure is numbing and for some reason the trusts and management seem to be making life even harder.
A thread 1/5
#nhs #paramedic #nqp

[Para @_paramedicyorks]

@tjohnton66 @Ldn_Ambulance @NHSEnglandLDN @jasonkillens @SadiqKhan @londoncouncils @AACE_org @UKHSA @UKHSA_London You're missing the point. 8000 calls in 10 hours. How is any service supposed to cope with that? 999 is for life threatening emergencies. I'll wager there wasn't 8000 cardiac arrests, heart attacks, strokes etc in London in 10 hours. Ring 111 or go online instead. Use some common

[Para @_paramedicyorks]

@RidgwayAmb26164 @harryfisherEMTP And if the patient denies pain, what exactly are you planning to do an x-ray on?

[Para @_paramedicyorks]

@DonnchadhaD Had a shocker there

[Para @_paramedicyorks]

Only paramedic coving my town tonight. One operational Team leader covering a population of 600'000 people. Good job it's not news years eve or anything...

[Para @_paramedicyorks]

Horrific, upwards of 70 injured. Imagine if that happened in the UK? No chance would we have the resources to deal with such a major incident, mostly due to hospital pressures and corridor waits.

[Sky News @SkyNews]

BREAKING: At least 11 people have died following the attack at the Christmas market, the German newspaper Bild reports https://t.co/vCQ2L0vcLm

[Para @_paramedicyorks]

@ParaAndy90 With those disgusting looking t-waves my suggestion would be a head injury with raised ICP but seems others have suggested and ruled out

[Para @_paramedicyorks]

@ParaAndy90 Speaking from experience in this with the mother on the stretcher we carried our NLS on top of that very cupboard in the picture. Awful, but no other crews.

[Para @_paramedicyorks]

@NatashaMDay Been looking into this too but problem is a lot of these courses are aimed at nurses on ICU or HDU etc instead of pre-hospital paramedics

[Para @_paramedicyorks]

@ParaAndy90 Very frustrating for you, Why is this appropriate for crews? Why can police say no we won't attended until you've done a risk assessment and this is accepted by EOC? We need to be saying no we won't be going either then until we know we will be safe.

[Para @_paramedicyorks]

@DrJSherrington Guilty, makes me feel like I'm on an American medical drama

[Para @_paramedicyorks]

Think we're okay for knives

[Para @_paramedicyorks]

@fesshole Also a paramedic - that's bullshite

[Para @_paramedicyorks]

Find it baffling how my trust don't have manual BP cuffs on our ambulances. Even if it was just as a backup. How many times do we look at the automatic reading and say, that can't be right?

[Sarah @SarahP_Para]

Been showing crewmates that NIBP #blood #pressure readings are inaccurate for yrs

Esp imp for us in 🚑 pre-hospital setting

#Manual BP readings consistently give more 👀 believable BP for #haemodynamically compromised pts

Would be interesting to compare to🏥arterial line BP

[Para @_paramedicyorks]

@statto95 @LukeFromYorks @YorksAmbulance Yes it can be sent on other calls like CAT 1s and can be sent to other areas too.

[Para @_paramedicyorks]

@Lawrence__J I was an NQP at 2 different trusts and even that was vastly different. Going from regular meetings with a TL and going over portfolio stuff to coming to another trust and it was a case of 3 reflections, few certificates and that'll do.

[Para @_paramedicyorks]

Biggest frustration at the moment is those who can 'smell a UTI' when they walk through a door..
No you can't it's just stale piss until proven otherwise.

[Para @_paramedicyorks]

@laurawizadora @NJL_Blancq Fully agree. Just a shame that SDEC's seem to accept an awful lot more from ED compared to ambulance.

[Para @_paramedicyorks]

@adam_culyer @samdharrison Fully agree, high risk and patient safety really concerning here. If the CC is listening to the call how can they tell resuscitation won't be necessary? Are they inputting questions to the call handler such as, ask about co-morbidities, DNAR etc ?

[Para @_paramedicyorks]

Does anyone else have any concerns RE the new YAS trial on cardiac arrest dispatch? Sounds to me to be unsafe and unnecessary. What if the closest crew is a NQP or 'non-clinicians'?
Who decides the arrest is not suitable for resuscitation?

[Para @_paramedicyorks]

@samdharrison