Carl Senior

Senior Regulatory Affairs Professional (Medicines)💊

Ambulance Technician (AAP) 🚑

Dog Parent 🐕 Dad 👶

[Carl Senior @carl_senior]

So proud of the developing partnership between @SJAOperations & @YorksAmbulance in Hull. Volunteer EACs working seamlessly with the NHS, responding to 999 calls in their community. Fantastic teamwork, great feedback & examples of outstanding patient care! 👏 #volunteernotamateur

[Carl Senior @carl_senior]

@JustMySaySo @SJA_DConlon @stjohnambulance The handsets would have been cheaper, but cellular networks / 4G don't cope well at large events, we've trialled similar. Having a TEA2 license for the airwave network means we can use TETRA - national, reliable comms. Plus direct comms with statutory services for mutual aid👍🏻

[Carl Senior @carl_senior]

Massive thanks to @YAS_JonT for delivering a brilliant CPD session on OOHCA for the @stjohnambulance crews in Hull this eve! Great knowledge & insights (plus a new nickname for Curtis too)... Cheers also to @HarryCoutts4 for organising 👍🏻

[Carl Senior @carl_senior]

Great shift supporting @YorksAmbulance in Hull yesterday! Steve joined us as an observer to see how SJA is supporting the NHS. 7 emergency calls attended - a mix of medical, trauma & mental health. Only 3 to Hosp, 4 discharged/referred to alternative care. #VolunteerNotAmateur

[Carl Senior @carl_senior]

The Treatment Centre is up & running @HumberStSesh We've got a great team of Emergency Responders, Ambulance Crew and HCPs supporting this fantastic local event. The sun is shining and the music has started. Here's to a brilliant day! 😎

[Carl Senior @carl_senior]

Late to the game, but used the new tread-depth keyring yesterday when doing a VDI. This is the kind of simple ergonomic change that makes a big difference to road safety. No need for crews to hunt for a gauge or (worse) guesstimate how much tread is left! Thanks @TW10FLY & team!

[Carl Senior @carl_senior]

@Caspersight You can take a pen if you want. The ballots themselves are attended from end-to-end, boxes are kept sealed. The unsealing & counting is monitored by reps from all parties. You can go and watch the count too if you like. Nobody has time the opportunity to alter the ballot papers.

[Carl Senior @carl_senior]

@adam_culyer I'd love to know how many of these Reform supporters are bots vs real people. I'm seeing loads of new accounts, dodgy usernames etc just spamming Reform content. Far*ge has nailed the social media strategy, (just like Brexit) but not convinced there's as much support for him IRL

[Carl Senior @carl_senior]

@LoftusSteve @timfarron So what that tells me is last year was the first time we got a true picture of the scale of the problem... 4m hours of raw sewage discharges last year. There is no justification for that.

[Carl Senior @carl_senior]

@BladeoftheS I used to be a big fan of your tweets. Too many false statements these days. Fact check what you're saying please!

[Carl Senior @carl_senior]

@dr_dru_ @adam_culyer @JackCondron123 As with everything healthcare, it's a balance of benefit vs risk. Personally I think there are enough checks and balances with supply and governance of POMs, that the administration of non-parenteral POMs has more benefits than risk.

[Carl Senior @carl_senior]

@dr_dru_ @adam_culyer @JackCondron123 Well the MHRA has already assessed that risk so you don't have to. The posology is clear that Penthrox is suitable for use by non-registrants & is supported by dose ranging and efficacy studies. If it wasn't safe for non-registrants, the posology wouldn't have been approved.

[Carl Senior @carl_senior]

@dr_dru_ @adam_culyer @JackCondron123 ^ PGDs are however often used to add a layer of governance for non-parenterals, or to cover supply only.

[Carl Senior @carl_senior]

@dr_dru_ @adam_culyer @JackCondron123 POMs are restricted in supply so cannot be bought by Tom, Dick or Harry. A prescription only goes as far as *supply*... The *administration* to another person is distinct in law. A PGD is not required for a non-parenteral drug btw.

[Carl Senior @carl_senior]

@adam_culyer @dr_dru_ @JackCondron123 Penthrox is a non-parenteral drug, so can be legally administered by anyone under Medicines Act 2012 without an exemption required. The PoM restrictions apply to purchase & supply only. So if a Dr supplies the drug for use, staff trained & good governance, it's above board 👍🏻

[Carl Senior @carl_senior]

@jerrytheamboman @loddyy24 I guess perceived benefit is very subjective. My experience is certainly that it meets or exceeds morphine analgesia in many patients. EMAS did a useful study & the MEDITA trial looks at it vs standard analgesia. Food for thought! https://t.co/crcMi2eMMJ.

[Carl Senior @carl_senior]

@jerrytheamboman @loddyy24 Yeah you're right. Galen admits that's a trade-off. Speed & simplicity is a big thing for me though, I've been at several jobs where Penthrox analgesia had kicked in minutes before Paramedic could cannulate. Plus can be carried by non-registrants. All benefits for the patient.

[Carl Senior @carl_senior]

@jerrytheamboman @loddyy24 It definitely has a place... There are a couple of comparative studies vs IV morphine which show either parity or superiority. It's quicker to set up, has faster onset, accessible to more clinicians, lower environmental impact Vs entonox.

https://t.co/5q2HwbmIb8

[Carl Senior @carl_senior]

Brilliant joint working with YAS for their critical care OSCEs in Hull! A great CPD opportunity for St John EACs, coordinated by the brilliant Harry Coutts & Jenny Best.

@danbevis @HarryCoutts4