Oli Smith

Advanced Paramedic Practitioner.

Medicine, education, & motorcycles.

[Sam Taylor @parasamtaylor]

Request for Participants to be involved in MSc Student Research

Please share to colleagues who may not have access to social media but may be interested in this topic.

#FOAMed #MedTwitter #MedEd #Paramedic #MedX #PaediatricCare #Prehospitalcare

[Oli Smith @OliSmith91]

@EEAST_UrgCare Hey!
What applications are you using POCUS for within the APP-UC team?

[Jonathan Street @JStreetUK]

💡 #Paramedics in #criticalcare, I want to hear from YOU! 🚑
How do non-medical decisions impact care if your patients? Share your experience and help advance understanding.
💻 Submit interest today: https://t.co/hQXT7qiznM
#Research

[Alyesha Proctor @alyesha_proctor]

‼️ We are recruiting South Western Ambulance Service paramedics for a paediatric research study ‼️

Could you help in evaluating the acceptability of a new pre-hospital paediatric specific clinical decision tool to support paramedics in their management of head-injured children?

[College of Paramedics - Primary and Urgent Care @CoP_PrimUrgCare]

Ahead of our work on #AdvancedParamedic practice, pls complete this short survey to inform the wider, formal consultation https://t.co/wPrVabewWz

@ParamedicsUK
@Kirsty_LLR
@helenbeau1
@CarlSmithCoP
@tracyniks
@CoP_Lewis

[Rachel Edwards @rachelgemma90]

My consultant showed me this handy trick today***

My mind = 🤯

[Royal College of Emergency Medicine @RCollEM]

🚨SAFETY FLASH 🚨 Glycerol Toxicity from Slushies

Can present as nausea, abdominal pain, headache, drowsiness and profound hypoglycaemia.

See the full SF with links: https://t.co/809nqNjEkD

For all our safety flashes and news alerts: https://t.co/vcsoaYXB4q

[Oli Smith @OliSmith91]

@Chris_Riggers @Tom_A_Clarke Also, so much more user friendly for anyone else reading the paperwork who isn't familiar with ePCR.

Can be copy/pasted much more easily too - emailing GP etc.

Sod the tick-boxes.

[Oli Smith @OliSmith91]

@LWhybrow Hey Lucy, I completed this year. Feel free to message

[Oli Smith @OliSmith91]

@donotcallmemike @ClipboardUK @georgebellstarr @houghtonc79 @OcoRory @NWAmbulance @richard_mcgirr The governance limits here - the process is to electronically prescribe via Adastra. If that can't be found or doesn't happen, they can't get the Rx.

This is where PGDs can trump Rx, though the governance requires pt's GP to be informed. Tourists / people who are homeless... 🤷‍♂️

[Oli Smith @OliSmith91]

@donotcallmemike @ClipboardUK @georgebellstarr @houghtonc79 @OcoRory @NWAmbulance @richard_mcgirr Yes.

A number of APP-UCs do so. They don't issue physical FP10s, it's all electronic prescribing.

[Oli Smith @OliSmith91]

@donotcallmemike @ClipboardUK @georgebellstarr @houghtonc79 @OcoRory @NWAmbulance @richard_mcgirr APP-UC clinicians rotate through GP / A&E / UCC with honarary contracts. This provides long-term supervision from Dr's or other NMPs - at least three years of roughly one-day-a-week whilst tAPP.

2/2.

[Oli Smith @OliSmith91]

@donotcallmemike @ClipboardUK @georgebellstarr @houghtonc79 @OcoRory @NWAmbulance @richard_mcgirr Not sure I understand your question?

Prescribing within the LAS is managed electronically - Adastra is used, GP record gets automatically updated, no FP10 stack to entice rogues to get a bit smash-and-grabby.

1/2

[Nick Mark MD @nickmmark]

You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.”

But how much CO2 is there in an amp of sodium bicarbonate?

A bicarb 🧵
1/

[Julia Williams @DrJuliaWilliams]

Strange tweet from me. I am looking for a UK based (sorry but that’s to do with pay and conditions) paramedic researcher to help write grant proposals from January - end of July 2023 on a part time basis up to 15 hours per week on a casual contract . If interested please DM me.🙏🏼

[Alex Warren @alexfwarren]

Here's a trial that should change your practice if you treat patients in cardiac arrest.

In a cluster-randomised trial from 🇨🇦, double sequential defibrillation was associated with a 16% ⬆️ chance of SR, 20% ⬆️ chance of ROSC and 17% ⬆️ of surviving to hospital discharge.

1/3

[Oli Smith @OliSmith91]

@fletcher5555 Hey Dave!

Worth speaking to @KarinaCatley about the outstanding work performed around EOLC and empowering prehopsital colleagues to recognise palliative patients - then instigate the conversation / share decisions with GP / pt / family etc.

[Oli Smith @OliSmith91]

@rob963m @Ldn_Ambulance @ChrisAmbulance Thanks Rob.

It's excellent to showcase innovation - but leaves a sour taste to see a new vehicle being glorified, whilst off-the-road time is a huge, ever-increasing, issue. Look at the APP-UC VOR data for mechanical issues.

When will this vehicle be put into frontline use?