Dave Hawkins

Senior Leader & Critical Care Paramedic for NHS Ambulance Service. HEMS CCP. MSc Advanced Paramedic Practice (Critical Care). Views my own.

[Dave Hawkins @ambo_dave]

@GenerallyUnwell @JessicaSpara ^This

[Dave Hawkins @ambo_dave]

@sainsburys am I being cynical here? You give me a voucher for 100 nectar points if I spend £45 on fuel, then I need to shop again to have them added. Seems like a way to reduce people claiming the whole 50p they're worth. Why not just add them at PoS? #onestepclosertoTesco.

[Dave Hawkins @ambo_dave]

@Ryanharris2021 Personally I'd complete NQP and how ever long you want to at Band 6, then choose a speciality, in which case most Trusts will fund your MSc. in critical or primary care. Unless you want two masters. Most Trusts want you to do the MSc that goes with the specialism.

[Dave Hawkins @ambo_dave]

@TM5006941 Nothing to do with me mate. There are two of us it seems!

[Dave Hawkins @ambo_dave]

@ParaAndy90 It has its place for the right presentations as others have said. Non compressible haemorrhage, access, TXA, diesel (or kilowatts maybe these days)

[Dave Hawkins @ambo_dave]

@ParaAndy90 Worth a read but noting the provenance and conflict of interests. Tibia significantly longer to heart by an author who works for a manufacturer. https://t.co/xfxE43Wbm8

I use IO very frequently in cardiac arrest as initial access. Quick, simple and very effective in HH site.

[Dave Hawkins @ambo_dave]

@ParaAndy90 Varies by Trust. SECAmb allow this.

[Dave Hawkins @ambo_dave]

@GenerallyUnwell Way to cause a really sick patient.

[Dave Hawkins @ambo_dave]

@BananaSplitt_ @ParaAndy90 @GoodSamApp Literally induces an SVT at 03:00 when deeply asleep!

[Dave Hawkins @ambo_dave]

@DrBenLovell Pretty sure the decision maker in ED didn't read the ambulance notes.

[Dave Hawkins @ambo_dave]

@DrBenLovell Has a case of ventricular standstill with LOC, well documented + ECG capture on PCR. He was discharged with LRTI. Pleased I followed him up, brought it to ED consultants attention. He now has a pacemaker. Even writing this now it feels like it could never happen, but true story.

[Dave Hawkins @ambo_dave]

@pippipandaway Speak up. Firstly to them. They might not realize they're doing it, it might generate a positive dialogue and you might come to some common understanding (they might think they're being super helpful) if badly received, speak to one of the team leaders. Don't ignore.

[Dave Hawkins @ambo_dave]

@clifford0584 I mean, I have. I know. Just wondered if you were aware of it, or had that level of insight. You've answered the question I guess.

[Dave Hawkins @ambo_dave]

https://t.co/C6E4J01HrW
I have every sympathy with colleagues within overcrowded ED's across the country, but holding ambulances isn't the answer. They aren't an extension of Majors and the patients this leaves with true 'no care' who are alone & frightened are the bigger risk.

[Dave Hawkins @ambo_dave]

@pepsipietro ^^this. To a patient in this situation, a thoroughfare is the Ritz. It shouldn't be so, but it's the truth. I'm so sorry that this was their experience Pete.

[Dave Hawkins @ambo_dave]

@rickstrang And here we completely agree. This is unacceptable in the extreme.

[Dave Hawkins @ambo_dave]

@rickstrang As many as can be physically accommodated, occasionally using the front passenger seat if needs must. Often no luxury of 1 PT per DCA at multi casualty incident. I stand by that anywhere in a hospital is safer than alone in the community. Crash call would get tx in minutes.

[Dave Hawkins @ambo_dave]

@clifford0584 Suggesting that there is none in relation to deaths resulting from ambulance delays in the community?

[Dave Hawkins @ambo_dave]

@Ste_Story Was probably sound when help was only ever minutes away. The world has turned, and this advice needs to move with the times. It almost certainly now causes more harm than it prevents.