Clinical Practice Manager-Advanced Paramedic Practitioner (Critical Care) @Ldn_Ambulance. Science. Humanism. My own views..
London and South East
Joined October 2014
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Another article from APP Critical Care London that addresses an area of healthcare that is rarely spoken about.
pubmed.ncbi.nlm.nih.gov/3962…
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A London critical care paramedic, Alex Wilding, has been discussing the importance of a Stab Check.
“It’s never just a flesh wound” and focusing on “getting on with it” but maintaining dignity and gaining consent.
Also to “do it again” in hospital
Lovely to get this recognition for the @Ldn_Ambulance APPCCs and co-author @pike_chelsey . Thank you @_theBPJ_ and @ParamedicsUK. Thank you audience! Well done to all Golden Nugget presenters.
Congratulations to the winners of the BPJ Golden nuggets awards at #ParaCon24. @pete_phil85 won the main prize and @BrowneeNick won the audience prize. Brilliant effort by all presenters and thank you for your continued support of the journal.
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'That which can be asserted without evidence, can be dismissed without evidence.'
Christopher Hitchens – author and humanist, was born #OnThisDay 1949.
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April Paper Podcast
•RCT; wet clothes removal, is there a difference in rewarming rates?
•Morphine vs ibuprofen + paracetamol for fractures
•ETCO2 & mortality in suspected severe TBI
itunes.apple.com/gb/podcast/…
open.spotify.com/show/4pGoo1…
TheResusRoom.co.uk #FOAMed
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Calling ALL ambulance service staff in England! @LksAse is here to support YOU. Whether you're a clinician, manager, or another professional, we've got services tailored just for you. Contact us today to learn more! ow.ly/kf4850R1zxo
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Saving ambulance resources: a service evaluation of the identification of non-viable out-of-hospital cardiac arrest in London by advanced paramedic practitioners in critical care from 8:4 by Nick Brown and Chelsey Pike doi.org/10.29045/14784726.20…
“Saving ambulance resources: a service evaluation of the identification of non-viable out-of-hospital cardiac arrest in London by advanced paramedic practitioners in critical care”
go.shr.lc/3v0XHoQ
See you at ‘Golden Nuggets’, CoP conference 2024.
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Great work @pike_chelsey @BrowneeNick 👏
Saving ambulance resources: a service evaluation of the identification of non-viable out-of-hospital cardiac arrest in London by advanced paramedic practitioners in critical care from 8:4 by Nick Brown and Chelsey Pike doi.org/10.29045/14784726.20…
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Delphi study to reach a consensus on the definition of Acute Behavioural Disturbance with management considerations.
Important to also consider the decompensated patent with a history of ABD who is no longer aggressive but physiologically unstable / peri arrest.
Consensus on acute behavioural disturbance in the UK: a multidisciplinary modified Delphi study to determine what it is and how it should be managed emj.bmj.com/content/41/1/4
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A retrospective cohort study of pre-hospital agitation management by advanced paramedic practitioners in critical car from 7:3 by @BrowneeNick et al is now #OpenAccess ingentaconnect.com/contenton…
Sometimes there are clear examples of how far paramedic practice has come. Today I spoke at the annual BMUS 3 day conference about POCUS use in paramedic practice and its utilisation within APPCC.
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When people near death have out-of-body experiences, see tunnels with bright lights, and watch their lives pass before them, have their souls left their bodies? An experimental test: if revived, do they have accurate memories of what happened in the ICU while they flatlined? Answer: no. community.macmillanlearning.…
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Six fundamental beliefs that bias our view of the world:
1. My experience is a reasonable reference.
2. I make correct assessments of the world.
3. I am good.
4. My group is a reasonable reference.
5. My group is good.
6. People's attributes (not context) shape outcomes.
Psychologists have posited hundreds of cognitive biases over the years. A fascinating new paper argues that they all boil down to one of a handful of fundamental beliefs coupled with confirmation bias. doi.org/10.1177/174569162211…
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A positive response from Government to the short debate in the House of Lords today, supporting the proposals to enable the prescribing of the 5 specified controlled drugs by paramedic independent prescribers, with changes due to be made to legislation by the end of this year.
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Sleep loss ⬇️⬇️ gut microbiome diversity, causes microbiota imbalance (dysbiosis), further ⬆️⬆️ inflammation. Transplanting microbiota of sleep-deprived humans into well-rested mice triggers similar inflammation, including in brain regions controlling memory & decision-making. 🌙🦠#Microbiome #SleepScience #GutHealth rdcu.be/dkB3s
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We’ve been crafting this episode for a while now and last night it all came together beautifully. Hearing @EdPresswood discussing the intricacies and nuances of end of life care pretty much stopped us in our tracks. This is one not to miss
#FOAMed #FOAMems
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ARREST RCT results are in. Made possible in part by the recruitment of 862 patients by London’s Advanced Paramedic Practitioners in Critical Care and CARU @Ldn_Ambulance thelancet.com/journals/lance…
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We’re currently embarking on forming the College of Paramedics - Critical Care Specialist Interest Group (CCSIG) with aims to develop a curriculum for those wanting to progress from Paramedic to Advanced Paramedic 🙌
More info will be available soon!
#ParamedicsUK #CriticalCare
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We're pioneering a new scheme to help reduce the risks of chemsex, as data shows that we treat 1 person a day from the effects of 'hook-up drugs'.
This will include new training for staff + resources for our teams to share with communities where #chemsex is most prevalent (1/2)
ALT A picture of Advanced Paramedic Peter Kingsley getting out of his fast response unit car on a dark night.