Discover and read the best of Twitter Threads about #Paramedic
Most recents (14)
DALL-E created this image of a paramedic and nurse wearing VINO OPTICS Vein Finder Glasses.
These people don’t exist, but our tech most certainly does.
These people don’t exist, but our tech most certainly does.
Available at vinOOptics.com
What ideas related to research are important for paramedics to understand but are generally not well understood? Related: what ideas do paramedic students struggle with when introduced to research?
(asking for my own interest and possibly for a future podcast).
#EMS #paramedic
(asking for my own interest and possibly for a future podcast).
#EMS #paramedic
@k_bowles @Shanno5shannon @BillLord2 @ben_meadley @Aidan_Baron @DCollingsHughes @EricJaegerTNG @heli_med_james @paramedickiwi
Thinking about this more from the perspective of paramedics interpreting research with reference to their own practice as opposed to becoming a researcher.
1/ On the International Day of #WomensDay 's Rights, the Armed Forces of #Ukraine expresses its gratitude to women servicemen of the Armed Forces of all partner countries, including participants in bilateral and multinational educational, training, logistics and humanitarian
2/ operations, for the incredible work and the important role they play in securing aid and support to Ukraine.
Indestructible women of Ukraine have changed their lives and become the defense of Ukraine with weapons in their hands, support and help the army as volunteers, or
Indestructible women of Ukraine have changed their lives and become the defense of Ukraine with weapons in their hands, support and help the army as volunteers, or
3/ continue as bravely and selflessly to lead victorious battles on educational, scientific, information, medical, educational, economic, legal, security, political, diplomatic, psychological, musical, family, maternal, legists physical, financial, economic, spiritual, business,
Today's pearl is about Salicylate☠️!
Toxicity is most often seen with acetylsalicylic acid (Aspirin), but also methyl salicylate (Oil of Wintergreen- 5 mL = 22 aspirin), bismuth subsalicylate (Pepto-Bismol), teething gels, & headache preparations (BC Powder) ingestion
🧵1/11
Toxicity is most often seen with acetylsalicylic acid (Aspirin), but also methyl salicylate (Oil of Wintergreen- 5 mL = 22 aspirin), bismuth subsalicylate (Pepto-Bismol), teething gels, & headache preparations (BC Powder) ingestion
🧵1/11
- Mechanism of Action:
Uncouples oxidative phosphorylation & ↑Renal NaHCO3 excretion➡️AG Metabolic Acidosis
Stimulates medullary 🫁 drive ➡️ 1° respiratory alkalosis
- Clinical: Tinnitus, N/V, Tachypnea/Hyperpnea, AMS & Hyperthermia (late)➡️⚠️RAPID DECOMPENSATION
🧵2/11
Uncouples oxidative phosphorylation & ↑Renal NaHCO3 excretion➡️AG Metabolic Acidosis
Stimulates medullary 🫁 drive ➡️ 1° respiratory alkalosis
- Clinical: Tinnitus, N/V, Tachypnea/Hyperpnea, AMS & Hyperthermia (late)➡️⚠️RAPID DECOMPENSATION
🧵2/11
- Labs: Order at minimum BMP, HFP, VBG, Salicylate /APAP lvl, EOTH, UA,EKG
Salicylate Lvls:
Acute Tox:
15 - 30 mg/dl = therapeutic range
>30 mg/dl = symptoms begin
> 90-100 mg/dl = severe toxicity
Chronic Tox:
40-60 mg/dl = severe toxicity
🧵3/11
Salicylate Lvls:
Acute Tox:
15 - 30 mg/dl = therapeutic range
>30 mg/dl = symptoms begin
> 90-100 mg/dl = severe toxicity
Chronic Tox:
40-60 mg/dl = severe toxicity
🧵3/11
Last week @Ldn_Ambulance and @KingsMaternity came together for some joint maternity training. Some of the learning may be useful for #communitymidwives and #ambulanceclinicians in London so I am writing up a thread 🧵
🧵 3rd stage of labour
Midwives' scope of practice: MWs sometimes give an oxytocic drug to aid birth of the placenta (active management)
This will be syntometrine or syntocinon depending on area/trust
This is followed by controlled cord traction (CCT)
Normally takes 5-30 mins
Midwives' scope of practice: MWs sometimes give an oxytocic drug to aid birth of the placenta (active management)
This will be syntometrine or syntocinon depending on area/trust
This is followed by controlled cord traction (CCT)
Normally takes 5-30 mins
🧵 3rd stage of labour
Ambulance clinicians can instead use physiology to encourage this process (esp if MW not present)
- Encourage bladder emptying
- Use gravity/upright positioning (have something ready to catch the placenta!)
- Oxytocin helps! (Skin-to-skin, breastfeeding)
Ambulance clinicians can instead use physiology to encourage this process (esp if MW not present)
- Encourage bladder emptying
- Use gravity/upright positioning (have something ready to catch the placenta!)
- Oxytocin helps! (Skin-to-skin, breastfeeding)
25 years ago today I worked my first shift as a Paramedic….25 years!
So young, with so much responsibility.
Man did I love it...I still do!
I was one of those fortunate people that found a career that they truly loved early in life.
👇🧵
1/
So young, with so much responsibility.
Man did I love it...I still do!
I was one of those fortunate people that found a career that they truly loved early in life.
👇🧵
1/
EMCA,PCP,ACP,Tac, ITLS,ACLS, Superintendent,PALS,AHLS,CBRNE, HAZMAT,TCCC,Aeromedical, Rope Tech,Confined Space, Trench, Marine,SAR,POU, K9TCCC,Educator... I went for it all! I've worked near & far, day & night, 5-6 jobs at a time. So many stories...most that will never be told /2
We are a unique breed in emergency services, the bonds we form can only be compared to those of family. I have had the opportunity to work with some truly amazing people, & am grateful for the role that each & every one of those crazy family members have played in my life /3
Hi all! I am sharing a list from a young woman needing help. She is in school to become an EMT and has child expenses as well as personal needs to get through the program. I know #NurseTwitter is always so awesome about helping someone in need.
Including #EMT and #Paramedic folks on this too.
Please help if you can. Thanks!
target.com/gift-registry/…
Please help if you can. Thanks!
target.com/gift-registry/…
@DnRNursing @NightShiftMedic @JerrySoucyRN @NursePatMacRN @NurseJustinRN @UEPI2507 @NJEMT2RN @EMT2RN2MD please tag folks to amplify!
Really scary sounding story about #ambulance provision in England today.
Closing 57 of ambulance stations?! :O
Why it's not actually as bad as you first think - a thread by a #paramedic. (1/15)
Closing 57 of ambulance stations?! :O
Why it's not actually as bad as you first think - a thread by a #paramedic. (1/15)
In the 1970s/1980s, ambulance services were simple; every town had a station, with more ambulances than the town needs.
If you called 999, one of the crews would come, take you to hospital, and then go back to their station to clean, restock, and play pool til next call. (2/15)
If you called 999, one of the crews would come, take you to hospital, and then go back to their station to clean, restock, and play pool til next call. (2/15)
Whilst really easy to understand - it only works when you have more ambs than you need, and when it's busy, your two ambulances might both be 'on a job ' and if you call 999, one of the two crews in the next town will have to come - which might be 20 miles away! (3/15)
I was 12 years old when I watched as a man’s wife ran into the restaurant I was at, yelling inside to all, “somebody, please help my husband!”
I saw the man slumped over his steering wheel in the parking lot (likely a sudden cardiac arrest).
I had no idea what to do.
And,
I saw the man slumped over his steering wheel in the parking lot (likely a sudden cardiac arrest).
I had no idea what to do.
And,
I also knew that that horrible feeling, and not knowing what to do, would NEVER happen again.
On April 19th I enter my 34th year as a #Paramedic. Helping others in the time of most need has been so rewarding.
Read this thread. And, as Lauren says, learn #CPR!
On April 19th I enter my 34th year as a #Paramedic. Helping others in the time of most need has been so rewarding.
Read this thread. And, as Lauren says, learn #CPR!
My most sincere condolences to you Lauren, your mother, and your family.
Its #BlackHistoryMonth #BHM
In the 1970s in Pittsburgh,
there was an important development relevant to both Black History & Paramedic History,
back then it was unusual for any care to be given en route to hospital, with most ambulances simply acting to transport patients,
1/8
In the 1970s in Pittsburgh,
there was an important development relevant to both Black History & Paramedic History,
back then it was unusual for any care to be given en route to hospital, with most ambulances simply acting to transport patients,
1/8
But the Freedom House Ambulance was bucking this trend,
They were crewing their ambulances with Emergency Medical Technicians,
Trained in life saving interventions and techniques...
2/8
#BlackHistoryMonth2021
freedomhousedoc.com/main_page.html
They were crewing their ambulances with Emergency Medical Technicians,
Trained in life saving interventions and techniques...
2/8
#BlackHistoryMonth2021
freedomhousedoc.com/main_page.html
Not only that,
Freedom House was recruiting from Pittsburgh's inner-city neighbourhoods,
staffing all their vehicles with African-American EMTs, many from disadvantaged background, many lacking a High School Diploma...
3/8
#BlackHistoryMonth #BHM2021
99percentinvisible.org/episode/freedo…
Freedom House was recruiting from Pittsburgh's inner-city neighbourhoods,
staffing all their vehicles with African-American EMTs, many from disadvantaged background, many lacking a High School Diploma...
3/8
#BlackHistoryMonth #BHM2021
99percentinvisible.org/episode/freedo…
Patients are my greatest teachers & recently I’ve had a patient unexpectedly become one of my biggest cheerleaders - a 🧵
Over the past few mths, I’ve been providing #PalliCare to a patient whose elderly body is ailing them while their mind remains extraordinary & vibrant. 1/
Over the past few mths, I’ve been providing #PalliCare to a patient whose elderly body is ailing them while their mind remains extraordinary & vibrant. 1/
During our visits at their home, I’ve learned that they immigrated to Canada bringing with them diverse life experiences, spending their adult lifetime in academia. They live alone, so upon realizing how big of a nerd I am, they have generously shared their passions & slivers 2/
of their vast knowledge & wisdom with me. Even assigning me homework! Each visit I leave inspired, wishing I had taken notes during these precious conversations. It is an incredible honour to share time with them caring for their body/mind/spirit. I always look forward to it. 3/
1/7 Reports of increased drug #overdose interventions and a
rise in opioid-related/illicit-drug-related deaths in the time of #COVID19 as reported in several areas of 🇨🇦 are deeply concerning.
rise in opioid-related/illicit-drug-related deaths in the time of #COVID19 as reported in several areas of 🇨🇦 are deeply concerning.
2/7 British Columbia Coroners Service reports a 39% ↑ in suspected illicit drug toxicity deaths in April 2020 over the # deaths seen in April 2019, with March & April 2020 being the first back-to-back months w\ over 100 deaths since late 2018. www2.gov.bc.ca/assets/gov/bir…
3/7 Toronto #Paramedic Services reported that April 2020 saw the highest
number of opioid-related fatalities in one month since September 2017, with 343 suspected drug #overdose calls, including 25 deaths.
toronto.ca/wp-content/upl…
number of opioid-related fatalities in one month since September 2017, with 343 suspected drug #overdose calls, including 25 deaths.
toronto.ca/wp-content/upl…
7. Israel's regime is the biggest threat to peace in the world🤨👇🏼
threadreaderapp.com/thread/1121790…
threadreaderapp.com/thread/1121790…
8. Israel's regime is the biggest threat to peace in the world🤨👇🏼
threadreaderapp.com/thread/1124838…
threadreaderapp.com/thread/1124838…
9. Israel's regime is the biggest threat to peace in the world🤨👇🏼
threadreaderapp.com/thread/1125763…
threadreaderapp.com/thread/1125763…
**Arterial Blood Gas Interpretation for Paramedics**
You asked for it so here it is!
Started off last week with a request from my #Paramedic mates wanting to know more..
#CPD
#EmergencyMedicine
#TeamNHS
You asked for it so here it is!
Started off last week with a request from my #Paramedic mates wanting to know more..
#CPD
#EmergencyMedicine
#TeamNHS
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