Tom

Paramedic | Formerly found making documentaries 📷 🏔️ 🥾 🎾

[Tom @pt1408]

November was a wonderful month spent on elective placement with @EHAAT_

[Tom @pt1408]

@oli_m_sims @Dr_Done_ Yes ok. One day is a bit of a joke.

[Tom @pt1408]

@Bourne1Isaac @oli_m_sims @NJL_Blancq @TheSnoozeDoctor I’m aware of the gulf in paramedic/medical base training. But here we are talking about an individual at the top of the profession who has down time to train, operates within strict governance structures, and has high levels of exposure. That does not strike me as unsafe.

[Tom @pt1408]

@oli_m_sims @Dr_Done_ Oli, what do they teach on a paramedic degree that they don’t teach on a medical school degree? Sure you’d have to get used to the environment, but I doubt it would take you long to be better at my job than me.

[Tom @pt1408]

@oli_m_sims @NJL_Blancq @TheSnoozeDoctor Sounds like Mark has done a comparable 6 months rotation in Anaesthesia. I don’t think it’s true to say that anaesthesia is bread and butter for senior ED doctors in uk practice. Mark will have significant exposure to PHEA decisions, implementation and maintenance

[Tom @pt1408]

@oli_m_sims @NJL_Blancq @TheSnoozeDoctor Thanks for your response. I have sympathy with the view that PHEA should be delivered be anaesthetists but I think your arguments starts to hold less water when you have no problem with EM doctors doing PHEA.

[Tom @pt1408]

@oli_m_sims @TheSnoozeDoctor Oil, do you hold the same reservations about uk emergency medicine trainees doing PHEA?

[Tom @pt1408]

@thepharmamedic @TheResusRoom @robfenwick @heli_med_james And SC please.

[Tom @pt1408]

@loddyy24 I feel for paramedic students. Lots of graduates in recent years mean
ambulance services are now relatively well staffed. Combine this with an NHS funding squeeze and the landscape you describe with ARRS and advanced practice… very difficult for graduates atm.

[Tom @pt1408]

@TheResusRoom @robfenwick @heli_med_james @zollemsfire @TRRevents Prehospital discussion around reverse to breathing & “groggy” and convey to hospital under mental capacity act vs fully reverse and discuss patients onward wishes. Interested in a discussion that encompasses medicine, pragmatism, security, law and ethics.

[Tom @pt1408]

@salopcast https://t.co/EbO3zB3AMJ

A few more GA hints here

[Tom @pt1408]

@simontutt88 Id like to see course that reflect a bit more of the day to day work. Inclusion of non-major trauma scenarios / big mechanisms. Elderly fallers etc. Trauma with a medical cause. Mechanisms that require precautionary immobilisation but the patient is combative / intoxicated.

[Tom @pt1408]

@EM_RESUS AMI, lateral STEMI, Bifasicur block

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down this case of a 50-year-old man who suddenly went into cardiac arrest while in bed with his wife

#FOAMed

[Tom @pt1408]

@DonnchadhaD Con of ACP: The future of the role isn’t guaranteed. See PAs.
Con of med: Geographical instability, worse rotas in training, arguably worse pay in training relative to responsibility and exam load, currently extreme high competition ratios to get into speciality training.

[Sam Ghali, M.D. @EM_RESUS]

Here's a video I made breaking down this deadly #ECG case of a 60-year-old man who presented to the ER in shock

#FOAMed

[Tom @pt1408]

@paraacpmarkham @TheResusRoom @heli_med_james @robfenwick @zollemsfire @ZollHospital Thank you. Anything further intra-arrest?

[Tom @pt1408]

@NJL_Blancq I found uni work distracted me from core medical learning. I read JRCALC cover to cover whilst waiting to start, watched mountains of physiology/pathophysiology lectures on YouTube. Feel it really benefited me.

[Tom @pt1408]

@JessicaSpara Forerunner 235, not much more than £50 off ebay these days. Does everything I need. Used it for about 6 years.

[Tom @pt1408]

@NJL_Blancq We don’t have many pathways here. But I attempt a few times per week but due to service closing hours and service capacity I probably only succeed once a month.