Graham Pacey

A Paramedic working in the north west of England, currently studying towards an MSc

[Graham Pacey @grahamP36]

@NWAmb_Caroline @JanBarnesOrme @NWAmb_F2SU @NWAmbulance @MarkEvans1208 @RhondaStanger @lisat4_lisa @NWAmb_Caroline So glad you could find everyone else

[Graham Pacey @grahamP36]

@DrLucyMcCracken @AprilLochhead @laramitchdr @Jak673 Also depends if local community services have a way monitor CK in a timely fashion

[Graham Pacey @grahamP36]

@DrLucyMcCracken @AprilLochhead @laramitchdr @Jak673 I think its really difficult to have a cut off for long lie, depends on so many factors that often 🚑 crews can't guage, normal kidney function, meds, muscle mass, amount of movement on floor etc.

[Graham Pacey @grahamP36]

@SisterScrappy @mswenman It's amazing I love mine

[Graham Pacey @grahamP36]

@DrChrisGrant @NWAmbulance @NWAmb_Vinny @NWAmb_simwal @DrChrisGrant please try not to find as many patients as Liverpool

[Graham Pacey @grahamP36]

@NWAmb_Jon That was not a good day

[Graham Pacey @grahamP36]

@NWAmb_Jon Totally agree but swap dog for 6 year old and fresh air for the smell of oil and burning rubber

[Graham Pacey @grahamP36]

@NWAmb_Jon I don't know what your saying about us

[Graham Pacey @grahamP36]

@Ste_Story @NWAmb_Jon @DrLindaDykes @AirwayVigilante Perhaps, but a confirmed PPCI trfr is still a CAT2 so now the patient goes to the bottom of the CAT2 stack. There will never be a right answer unfortunately,a change in the culture of HCPs to be less risk averse would be a start

[Graham Pacey @grahamP36]

@DrLindaDykes @riversampler Again and this is not in any way taking anything away from CFRs bit we send our least qualified to our most complex patients, yet we send our most qualified to algorithm led patients in a vain attempt to hit government targets that are not evidence based

[Graham Pacey @grahamP36]

@DrLindaDykes @AirwayVigilante And I think it is not just paramedics, surely there has to be a realisation the Urgent and Emergency care are two different things. The lines between what is primary and urgent are blurred causing us confusion. If we are confused how can we expect patients to get it right

[Graham Pacey @grahamP36]

@garychaplin @DrLindaDykes @AirwayVigilante I think it has been made clear in lots of reports we are wanted to be a mobile treatment and assessment service. Some of our 🚑 organisations are still led by ambulance men who can't see how up skilling staff, changing practice and culture can change the system.

[Graham Pacey @grahamP36]

@DrLindaDykes @AirwayVigilante Absolutely, it also means an acceptance by the paramedic profession in general that our role ahs changed from that in which many trained, I qualified 7ush years ago and still most of my training was ALS based as opposed to the 95% of our actual workload

[Graham Pacey @grahamP36]

@paddy1111111111 @DrLindaDykes The issue is some paramedics will then convey across the road validating all the failings within that scenario

[Graham Pacey @grahamP36]

@DrLindaDykes @AirwayVigilante Does that not just move the problem. Patients end up in the wrong hospitals delaying life saving treatment. The answer for me is to up skill paramedics, adopt a new response model and become the mobile treatment and assessment service the public and NHS deserve

[Graham Pacey @grahamP36]

@NWAmb_Research @ParamedicBen @NWAmbulance Can't believe you have poached him from me

[Graham Pacey @grahamP36]

@pandaclare I often ask and document what a patient wants, but more importantly ask about CPR

[Graham Pacey @grahamP36]

@ScouseMedic30 Doh

[Graham Pacey @grahamP36]

@NWAmb_Steve Doesn't recognise my ID so I can't wear one

[Graham Pacey @grahamP36]

@sueclough1970 @LancashireCC It's a shocking menu. Trying to encourage children to eat a variety of foods as long as it's a sandwich or jacket potato. @MarcusRashford