Killian Starrs

Paramedic | F1 / GAA fan | Exiled from Tyrone ☘️ Haven’t got a clue. God bless Captain America

[James Yates @heli_med_james]

A nice observational study which reminds us that for preterms we should use a considered amount of downwards pressure on the resuscitation mask. Obtain a good seal but minimise adverse effects

#nls #FOAMed #FOAMems https://t.co/OhvpsRNero

[Karim Brohi @karimbrohi]

This week @London_Trauma System is publishing our Palliative and End of Life Care in Older Trauma Patients best practice guidance. Please share widely!

https://t.co/RARYXMhq2c

Key Principles:

All healthcare professionals involved in the care of older trauma patients have a responsibility towards the identification and management of an individual’s palliative and end of life care needs.

Palliative support for older trauma patients should be provided in conjunction with, and not separate to, best available curative/life-prolonging interventions

All older trauma patients should be looked up on local health records to see if they have an advance care pathway

Prognostication at the outset can be difficult. Where the appropriateness of clinical interventions is uncertain, ‘time limited trial of treatments’ should be considered, alongside patients wishes and preferences.

Effective communication between TUs and MTCs is essential and palliative care referral pathways should be in place within trauma networks to facilitate individualised decision-making.

Where specialist services at MTCs are requested to guide treatment options, senior TU clinicians managing the patient should factor in and convey relevant information about a patient’s medical background and personal values, to enable shared decision-making on prognosis, treatment intentions and the best location of ongoing care.

Thank you to @TraumaEMC and everyone involved in producing this guidance.

[Killian Starrs @Killian877]

@NIElectricity Grand job, the map just said recalculating on there, thanks for the quick reply!

[Killian Starrs @Killian877]

@NIElectricity is there an estimate on what time the works in BT78 will be finished and power on?

[Russell 🏳️‍🌈 @Medic_Russell]

Rishi Sunak thinking he could actually hang on to this Home Secretary

[Killian Starrs @Killian877]

What a bunch of clowns

[BBC News (UK) @BBCNews]

Police find 15 people in vehicle on M62 in Warrington https://t.co/HjpzmViIzx

[Killian Starrs @Killian877]

@plasterapplier1 SECAmb - PR Diaz // IM Midaz for CCP use

[Killian Starrs @Killian877]

@PREM_Education

[NIAS @NIAS999]

To see the full statement from the Northern Ireland Ambulance Service regarding the Creeslough Tragedy, please visit our website: https://t.co/wffd1Crky0

[Killian Starrs @Killian877]

@IrishTimes You should all be beyond shamed for coming out with this absolute shit and not doing any decent research or discussion with NIAS / NAS

[Killian Starrs @Killian877]

@GBod2 @Nathan_Antino Discharge on scene

[Air Ambulance Charity Kent Surrey Sussex @airambulancekss]

Restart a Heart with KSS - 09:30 https://t.co/vsvOOHfnJK

[Killian Starrs @Killian877]

“It (patients urine) smells like a UTI”

[Killian Starrs @Killian877]

@TomTheParamedic @SECAmbulance @SECAmb_IBIS @nhs_scft Does the UCR exist across the trusts patch? i.e in east kent also? Just curious if it’s utilised over here much but obviously don’t see it if calls get removed off the stack before dispatch

[Rory O'Connor @OcoRory]

I really passionately believe that leaving ambulance services and advanced practice isnt the be all and end all to being a paramedic, we need to start rewarding and developing everyone in the role, particularly frontline amb paramedics as there's a sens eof being left behind

[Derek Collings-Hughes @DCollingsHughes]

I cannot stress how important this paper is for paramedics who buy into the political story of ED backlog being due to "inappropriate" presentations

1/2

https://t.co/Hifbd5osdY

[Killian Starrs @Killian877]

@TheScorch1701 @LtMalcolmReed You leave Reed alert out of this

[Killian Starrs @Killian877]

@NoContextHumans @Chris_doherty4

[Killian Starrs @Killian877]

@101dnarg Some in between nights crackers though!

[TCS London Marathon @LondonMarathon]

One of the greatest moments of every London Marathon - your 2023 final finisher 🙌

We’re in awe of your determination to finish what you started.

#LondonMarathon #WeRunTogether