Rob

Paramedic | Team Educator | CFR Advocate | Gym Dodger | Dad | A place for my own thoughts and rambles on pre-hospital education, clinical practice and research.

[Rob @AmbuEducator]

Love this. It doesn't take long to sort CABC and work on the move.

[Great Western Air Ambulance Charity @GWAAC]

Our crew have produced an aide-memoire to help ambulance paramedics manage the situation at the scene of a stabbing and get the patient on their way to hospital within five minutes of arriving.

Paramedics can view the aide-memoire at:

https://t.co/CPMbB6B9yz

[Clinical Trials Unit - Global Health Trials Group @CTU_LSHTM]

🎉| Congratulations are due to all the team at South Central Ambulance Service @SCAS999 on reaching *3⃣0⃣0⃣* patients randomised into the #CRASH4trial! 🚑

A great team with a fantastic attitude and creative approach to overcoming all problems faced - well done to all! 🎉🌟👏🏼

[Rob @AmbuEducator]

Great to see this kick in where I am yesterday.

[Speedy @Speedy_Trial]

📢 🤩 Delighted to welcome the South Central Ambulance Service and Southampton stroke team who go live TODAY as the 4th region helping to deliver the SPEEDY trial 🤝🙏🏻 #MakeTheCall #SpeedyLaunch #savingbrains

[Rob @AmbuEducator]

But you'll be seen quicker at hospital if you go via ambulance right? #britainsbiggestlie #paramedic #ambulance

[Prehospital Nurse 💚💙���️ @lesyoung01]

Ambulances are there to take you to hospital !
No -
Ambulances are there to bring trained clinicians to you in an emergency. If they can deal with your issue they may then discharge you at home or to your GP

But if you need further treatment then they may take you to hospital.

[Rob @AmbuEducator]

Auscultation of heart sounds is not just for OSCEs. This should become regular practice on the road to benefit all of our patients #EMSTOTD #paramedic #ambulance

[Keith Siau @drkeithsiau]

@AlexMedBytes 👍🏆 A recap on Beck’s triad and pericardial effusion (via @OsmosisMed)

[Rob @AmbuEducator]

Continuing on from yesterdays tachyarrythmia post - Remember HISS as an easy way to remember red flags for arrythmia patients (Signs of Heart Failure, Ischaemia, Shock or Syncope). https://t.co/Ehnw09h5mT

[Rob @AmbuEducator]

Today's thought of the day is what else could we do for stable fast AF patients? - the most common tachyarrythmia we face. Rodriguez et al (2019) suggests pre-hospital treatment is beneficial with strict guidelines in place > https://t.co/lkOsAWdlZe #EMSTOTD #ambulance #paramedic

[Rob @AmbuEducator]

Thinking about teamwork during prehospital trauma incidents. One completes the primary survey whilst your other colleagues complete COMA - Clothes off, Oxygenation, Monitoring and Access. Is it time our ECAs/ECSWs/EMTs/AAPs are supported to cannulate? #ambulance #EMSTOTD

[Rob @AmbuEducator]

Not just long lie falls account for rhabdomyolysis. Symptoms and assessment findings always need clinical context and good history taking to make sense of it all #EMSTOTD #ambulance #paramedic

[Dave Quirk @2Quirk]

🚑🚨 Rhabdomyolysis can occur as a consequence of crush injury (and other causes). October #RapidRecap looks at recognising the cause, pathophysiology, and patients at increased risk 🚨🚑. Thank you for supporting #RapidRecap - please continue to share and provide feedback.

[Rob @AmbuEducator]

Why wouldn't you belt up in the back? #EMSTOTD #ambulance

[SECAmb Education @SECAmbEducation]

. @AACE_org launches #SafeInTheBack campaign on behalf of all UK #ambulance services to improve #safety inside #ambulances - for both #patients and staff.

Learn more and download campaign resources here:

💚 https://t.co/Ug7u7xZjOz

[Rob @AmbuEducator]

Don't forget to ask family or bystanders what the seizure 'looked like'. Use that + preceeding events to consider most likely aetiology. Dissociative seizures appear to be on the rise anecdotally - let us not overmedicate these patient groups. #EMSTOTD #paramedic #ambulance

[Top Biomedical Science @imedverse]

Types of Seizures

@StephaneeBeggs #MedEd

[Rob @AmbuEducator]

Ooh I like this. We must be comprehensive with our overall assessment and decision making to mitigate clinical risk as much as possible #paramedic #ambulance #EMSTOTD

[BASICS Scotland @BASICSScotland]

Great aide mémoire from @Scotambservice
And a good reminder to brush up on Red Flags and Safety Netting!
#BSAC23

[Rob @AmbuEducator]

We are in the most privileged position entering patients' homes during arguably their most vulnerable moments 🚑

[Prehospital Nurse 💚💙❤️ @lesyoung01]

Med peeps, You may attend a job that you forget tomorrow. The patient & family may remember this encounter for the rest of their lives. Make sure it’s a positive encounter & your remembered for a positive reason.

What you do impacts on others, sometimes forever. Remember this

[Rob @AmbuEducator]

Is this a game changer upon us? #paramedic #prehospital #als #clinicalresearch

[JEMS - EMS @jemsconnect]

Recent studies demonstrate that three CPR components enhance neurological survival in cardiac arrest patients by improving cerebral and coronary blood flow.
https://t.co/IhJz1DaDfC

[Rob @AmbuEducator]

@SCAS999 on top again! Excellent work

[Clinical Trials Unit - Global Health Trials Group @CTU_LSHTM]

📰| #CRASH4trial JUNE RECRUITMENT UPDATE! 🌟

Thank you to all our recruiting sites who continue to work so hard every month to get every eligible patient in!

& special shout out to the top recruiters for June! 🌟🎉:

🥇 @SCAS999
🥈 @HullHospitals
🥉 @RESTEDteam

[Rob @AmbuEducator]

The realisation that advancing the Paramedic profession into other healthcare arenas is the way forward. Offering pathways for advanced practice will retain colleagues in the NHS. Time to finish this MSc!

[Tom Davidson 🇺🇦 @tfdavidson]

NHS Long-Term Workforce Plan- paramedic highlights ⚕️.

A thread🧵👇

#NHSWorkforcePlan #paramedic #paramediceducation

[Rob @AmbuEducator]

@SCAS999 leading the way on important preventative research for health screening our little ones.... #EMSTOTD #prehospital #paramedic #clinicalresearch

[South Central Ambulance Service @SCAS999]

SCAS is set to become the first ambulance service in the country to screen children for type 1 diabetes in a landmark study. https://t.co/7kDQgowBaX

[Rob @AmbuEducator]

Thinking about paperwork - my feelings are it is a waste of time to write defensively. 'Plan - PPE, Assess, Obs'. Of course you have done this, why write it? Just tell me what you've discussed with the patient, onward referral and safety netting. Thoughts? #paramedic #EMSTOTD

[Rob @AmbuEducator]

@LeonBaranowski Have humility. You don't know everything and never will. Yes, there is a hierarchical responsibility on a vehicle but your crew mate is worth their weight in gold, regardless of their level/experience/rank. Strive to support those around you to be better. Be the difference

[Rob @AmbuEducator]

A great read. Stick to the guidelines and hit that pain hard at the first attempt. The key appears to be in the administration time - don't rush drugs into your patients and the side effects will be much less = a much more comfortable patient experience. Excellent work.

[Harry Griffen @hazzajg]

A great poster by the team @FHEMS_ARU showing the gaps in pain Mx in Paramedic practice. Slow full doses of Morphine have always worked so much better in my practice in comparison to “titration” of smaller doses. #ParaCon23 @ParamedicsUK