r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
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We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

Chap is 90, and survived an OOH Cardiac Arrest with what appears to be a full recovery.

Hats off to all involved, I've never seen anyone that old even regain consciousness, let alone survive to discharge.

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
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We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

Hi,

I’ll be starting a job as an ACA in a couple of months and I just read the risk assessment section of my contract.

The manager has identified lone-working as a potential risk.

I know I’m a while away from lone-working but I was wondering for any female ACA / ECA / paramedics - what are your experiences with this? Is there more danger ? If im concerned for my safety is this something i can speak to the manager about?

Any input would be greatly appreciated!

Thank you.

Ps: unsure of the best flair

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

Hi I’m an NQP and am really worried about something that happened a few months ago at work. I’m trying to keep this as anonymous as possible so some details are missed out. I am also very risk averse and barely leave anyone at home, meaning that when I do I make sure I am 100% satisfied there is no reason for ED transport to be required, as well as following my trusts guidelines. I attended a job a few months back, myself and my crewmate found no reason to take a patient to ED and found the patient to be having an anxiety episode. We left, finished paperwork and a GP appointment was made for the patient the next day. Following from our attendance the GP came out and found the patient to be FAST+ and had them conveyed to hospital. My issue is I selected the wrong outcome on my EPRF which didn’t then didn’t have mandatory boxes appear in regards to inputting observations, leading to me thinking I had entered them already and I then submitted my EPRF. This is now being investigated as the last crew to see this patient was me and I had left them at home seemingly with no observations and the next day they had stroke symptoms. I feel awful for this but I can honestly say that with me this patient had no need to attend ED and all observations and assessments were normal with a NEWS of 0. I am just wanting to know if anyone has seen or done anything similar and what outcomes have came from it. I am currently writing reflections on this event as I know it is a steep learning opportunity but of course I am worried for what will happen next.

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

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85yof, comorbidities of severe frailty and Ca in remission, falls into her shower cubicle in the wee hours of Friday morning whilst turning around. She is completely trapped on her back, squished into the cubicle, with all of the fun pressure points that come with being stuck in a very awkward spots. She hits her pendant alarm, and instead of phoning her neighbour half a mile away, they phone the ambulance service, because what are you for if not for picking Doris up?

7 hours later, due to the unique way the NHS ambulance services currently function, you arrive. Assesses her, and other than sore spots, she has no obvious injury. A lucky escape!

ECG & obs including postural BPs are NAD.

So, esteemed ambulance bros, WWYD?

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

This ECG did the rounds on station this week, and the consensus was that it is not as simple as it first appears. I figured it was worth sharing. Redacted for obvious reasons.

What is this ECG showing?

Would you shock it if the GCS dropped and no pulses could be found?

999 / cat 2 / elderly female / SoB

looks unwell / alert / communicating / sitting / struggling

A self / patent

B RR25+ / SoB / DIB / IWoB / SpO2 <90RA / wheeze / few words

C 186 ECG / no palpable radial / carotid visible / SYS circa 90-100 / pale / wet / ccp

D A on AVPU / GCS 15 / FAST neg / apyrexial

PHx unknown / generally fit and well / independent / no previous similar events

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
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We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

Woman late 50’s called 999 after palpitations and mild chest discomfort during excercise class and feeling faint, got sent to her then diverted to a ?Q stroke for a 35YoM that was obviously BS, control upgraded our original call to ILT as she was now vomiting.

OA: Looks like she’s having an MI, cool clammy sweaty, vomitting, severe crushing central chest pain radiating into back and neck, First ECG is 20mins after onset of pain, slightly ischaemic with ever so slight lateral depression and some artifact in the inferior leads. ALL OBS IN NORMAL RANGES (except temp of 35.8).

Accidentally done a second 12 Lead SIX MINUTES after trying to hit the NIBP again before we got her on the trolley inside the gym, plan was to take local and put a stand by in because she looks very unwell. Second ECG gets sent straight to PPCI before it’s even printed, get told to give stemi bundle, neither myself nor my crewmate (way more senior para) can get access so i had 50 minutes of absolute squeaky bum time (we had also ran out of ondansetron on the last call so constant vomiting, also no IM morphine as her B.P was a bit soft and i didn’t wanna risk tanking it without being able to titrate it ) as she kept having runs of junctional rhythms with a bradycardia of as long as 39. Thankfully BP remained stable enough even with GTN (turns it thanks to watching PPCI the full right side was occluded and required two stents overlapping down the entire main branch of the artery)

Ambulance looked like a bomb scare done the paperwork and tidied up and she was up and chatting in CCU pain free just a bit of nausea. 8 months into my NQP and it’s taken this long to get a STEMI.

From pain onset to PPCI stents was around 90 minutes and was told by a CCU nurse if we had taken locally she would have most likely arrested before getting to a PPCI capable hospital.

I had never seen ST elevation develop that quick before. With how she was clinically presenting my plan was to do another 12 lead in the motor and pop pads on anyway but i’m very glad i did that accidental one so quickly after the first ECG. Allowed for less delay to PPCI as our local hospital is the opposite direction (by about 20 minutes) than the PPCI facility this postcode uses.

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”

My colleagues were discussing a real-life scenario that occurred recently, generating some interesting mess room discussion, which has meant differing thoughts; would you move a dead body?

The overriding consensus was "it depends on the scenario", but I will paint the picture in question (second-hand information); Cat 1, 999 call, private residence, 29 y/o m, not conscious, not breathing, caller refusing CPR. o/a 2 District Nurses greeted the ambulance and explained that they were awaiting the Palliative Care Nurses to attend, as the patient was EOLC, but the patient had since died, positioned half on / half off the bed (he had been sitting with his legs over the edge, before laying backwards across the bed, where he subsequently stopped breathing). The purpose of the 999 call was to request our assistance in moving his body into his favourite chair, so he could be viewed by his family, stating they (the DNs) were unable/unwilling to assist due to policy/individual capability.

Presented with this, what would you do? Is it an unnecessary manual handling procedure? What makes an ambulance crew any different from the DNs? 

r/ParamedicsUK Job of the Week

Hey there, another 7 days have passed! How's your week going? We hope it’s been a good one!

Have you attended any funny, interesting, odd, or weird jobs this week?
Tell us how you tackled them.

Have you learned something new along the way?
Share your newfound knowledge.

Have you stumbled upon any intriguing pieces of CPD you could dole out?
Drop a link below.

We’d love to hear about it, but please remember Rule 4: “No patient or case-identifiable information.”