Nathaniel @Nat_O_Byrne Twitter profile | Pikagi

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Nathaniel

@Nat_O_Byrne

314

Followers

916

Following

28

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600

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Ambulance Driver / Stretcher Fetcher | 🇮🇪 Living in 🇬🇧 | Interests include PHEM, Education, Continuous Learning and Evidence Based Practice.

UK

Joined March 2012

Don't wanna be here? Send us removal request.

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@Nat_O_Byrne

Nathaniel

4 months

Working in the Ambulance Service / medical field in general is absolutely hilarious. One minute you feel like giving up because you feel so incompetent and know nothing. Next minute you feel so good at your job and proud of what you do. It’s like a constant rollercoaster.

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@ZOTAC

@bonclide_

@CoachConvos

@Nat_O_Byrne

Nathaniel

3 months

If you’ve qualified and not posted this picture - You’ve not officially qualified…

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@Nat_O_Byrne

Nathaniel

6 months

A very proud moment. Officially been signed off as eligible to register as a HCPC registered Ambulance Driver. Now to hand the portfolio in, wait for the board to sit and register with the HCPC. Exciting times ahead. 🚑

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@Nat_O_Byrne

Nathaniel

3 months

4 years later…. 1.5 years longer than it was originally meant to be, I’ve managed to gain registration as a fully qualified Paramedic. It’s been a long journey but it’s been worth every minute. Looking forward to see what the future will bring.

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@Nat_O_Byrne

Nathaniel

6 months

The @GoodSamApp is a great initiative, enhancing the chain of survival. Alerted this AM however whilst on route was stood down. Only been alerted a handful of times and ambo crew had got there first, but it’s better to have it and not need it than vice versa.

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@Nat_O_Byrne

Nathaniel

1 month

Pre-hospital peeps: You think your patient should go to hospital but your crewmate disagrees and thinks they can be left at home. You’ve already strongly advised hospital (for good reason) but your crewmate overrules you in front of the family. What do you do?

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@Nat_O_Byrne

Nathaniel

3 months

Well somehow I’ve managed to bag myself a first-class honours degree… 🚑🎓

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@Nat_O_Byrne

Nathaniel

6 months

I genuinely wish more people had this mindset. Qualifying as a paramedic doesn’t mean you have to know absolutely everything. It’s a lifelong journey, a jigsaw that you fill the pieces in as you find them. Be humble,admit when you make mistakes,learn from them and teach others.

@TheLeeMcLaren

Lee McLaren

6 months

Number 1 lesson I’ve learnt as a student Paramedic. By the time I’ve qualified Im never going to be the finished product. And that okay! Instead of chasing perfection, chase that growth mindset. Every experience and every mistake is a learning opportunity. Merry Christmas!

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@Nat_O_Byrne

Nathaniel

6 months

The curse is real. Crewie: “I’ve only worn my hi vis once in 2 years” Me: “I’ve worn mine maybe twice in four years, we never go to jobs requiring them”. 1st Job - First crew on scene to high speed RTC, 3 casualties, 2 unconscious and trapped, 1 trapped in another vehicle.

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@Nat_O_Byrne

Nathaniel

6 months

@PCTomVanDerWee Got hit by a drunk driver not long ago (He blew 135mcg/100ml). Driver begged me not to call the police or else he will “kill himself”. People just can’t take responsibility for their actions. It’s so frustrating.

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@Nat_O_Byrne

Nathaniel

22 days

Thank you to the Tenth Lock Pub in Brierley Hill for having us at @DudleyCFRs in to do an awareness session on CPR, AED use and the use of the @TheDanielBaird1 Bleed Kits. Also amazing to speak to Ken, cardiac arrest survivor, who had a cardiac arrest in January. Great fun.

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@Nat_O_Byrne

Nathaniel

7 days

Just listened to @wmcareteam ‘s podcast on Impact Brain Apnoea by @jenrow . Really informative and explained simply. Prompt recognition and ventilation is key to reverse hypoxia&hypercarbia, stimulate spontaneous respiration and prevent catecholamine surge which worsens outcome.

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@Nat_O_Byrne

Nathaniel

1 year

@JMoff79 @KHoulgate It’s not just ‘talking and reassuring’ that’s challenging. It’s the toileting, feeding, reassuring, re-positioning, etc. for 6+ hours, oftentimes a whole shift, which is not in our care bundle. It’s not something that we’re used to and not something we should be used to.

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@Nat_O_Byrne

Nathaniel

9 months

It was a a privilege to take part in @wmcareteam ‘s PHASTER course. A great day, utilising advanced skills and inter-agency working. An amazing CPD opportunity.

@wmcareteam

WM CARE Team

9 months

We recently ran a Pre Hospital Advanced Surgical & Trauma Emergency Resuscitation (PHASTER) course 48 interagency personnel were involved from various orgs such as @wmcareteam @OFFICIALWMAS @WLVParaSoc @MAA_Charity @WNDLRAirAmb @HWFire @WestMidsFire @WMPolice 1/5

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@Nat_O_Byrne

Nathaniel

1 year

@chippa_chop The good old “I know someone who had to wait 9 hrs with **Insert injury or illness that didn’t prevent them from getting in a taxi / family member’s car to hospital** ”

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@Nat_O_Byrne

Nathaniel

1 month

We talk about the CUS principles: I’m Concerned, I’m Uncomfortable, and this is a Safety issue. Is it as easy to implement them as it’s made out?

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@Nat_O_Byrne

Nathaniel

1 month

“Just ask yourself, could it be S3PS1S?” #Sepsis

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@Nat_O_Byrne

Nathaniel

7 months

@emmajoyfulford It’s “intended to reduce transmission of pathogens that may occur due to contact of the patient with healthcare workers' contaminated clothing” So what about my jacket sleeves that fall below my elbow? What about the stretcher seatbelts which could be contaminated?

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@Nat_O_Byrne

Nathaniel

1 month

Dear members of the public, when travelling in a car on a single carriageway and you see this sign, the speed limit is 60mph, not 30 or 40mph.

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@Nat_O_Byrne

Nathaniel

1 month

@GenerallyUnwell I’m glad it’s recognised and accepted within HEMS, as disagreeing shouldn’t be seen as a bad thing in pre-hospital practice. It can be quite toxic as road crew in this situation. Not a personal experience but an interesting one I wanted to get opinions on. Thank you.

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@Nat_O_Byrne

Nathaniel

2 months

@DaveSwart7 @ParamedicsUK From my University @wlv_uni

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@Nat_O_Byrne

Nathaniel

3 months

@cleanupbritain @NationalHways I think it’s a bit unfair to be blaming National Highways if I’m being honest. If people didn’t put it there, there’d be no need to get it cleaned up.

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@Nat_O_Byrne

Nathaniel

5 months

Absolutley agree. Take everything with a pinch of salt but it’s a great platform when looking to further your knowledge and pick up new pieces to add to your puzzle.

@JessicaSpara

Jess Sparrow 🐥

5 months

This platform has been a really useful learning tool for me over the years I’ve been training and qualified as a paramedic. The amount of random nuggets of information, interesting studies and discussions I’ll stumble upon is ridiculous. /1

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@Nat_O_Byrne

Nathaniel

18 days

It literally takes 1:21 to learn how to save a life. Defibrillators are extremely easy to use. Have a watch - Someone may be able to thank you for saving their life one day.

@ResusCouncilUK

Resuscitation Council UK

@ResusCouncilUK

18 days

61% of people say they aren’t confident enough to use a defib, yet early CPR and defibrillation can significantly increase the chances of survival. Learn the steps to save a life with Defib Dani 👇

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@Nat_O_Byrne

Nathaniel

2 months

Agreed!

@loddyy24

Olli

2 months

Seeing student paramedic tiktoks and the majority of their photos are in the back makes me sad. Students don’t learn anything sat there on the way to jobs!

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@Nat_O_Byrne

Nathaniel

1 year

@AddissKelly @lynnebaird8 @BBCNews @HeartMidsNews @TheDanielBaird1 @hollybaird_x Honestly fair play to every single one of you. What an amazing initiative.

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@Nat_O_Byrne

Nathaniel

3 months

@ES_Humour ‘Haemorrhage from penis’ - The patient ‘dribbled’ after having a wee and got worried. ‘ill - Pt has taken edibles - Now feels like his lips are rolling up’

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@Nat_O_Byrne

Nathaniel

6 months

@GenerallyUnwell @le_chadd Yeah often getting dispatched to a job that came in the previous day…

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@Nat_O_Byrne

Nathaniel

26 days

Question: What number of casualties would be enough to out-number a 2 person crew? I know this can be very dependent on the situation, but interested to hear people’s perspectives and/or experiences. #MajorIncident #Triage #MassCasualtyIncidents

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@Nat_O_Byrne

Nathaniel

9 months

@laurathesnowman Resus Council ALS Guidelines advise changing the pads from anterior/ lateral position to anterior / posterior position when in refractory VF. (After 3 shocks).

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@Nat_O_Byrne

Nathaniel

2 months

@MaryLouMcDonald A very sad case. Staff were under so much pressure. Of the 191, I would love to know how many actually needed to be in the ED. No doubt many didn’t need to be.

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@Nat_O_Byrne

Nathaniel

6 months

@niamhcarolan_ @GoodSamApp Yeah absolutely, apart from the fact it always seems to alert me during the depths of the night when I’m GCS 12 at best and don’t know my arse from my elbow 🤣🤣🤣🤣

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@Nat_O_Byrne

Nathaniel

1 year

@TheRealRead 100% agree. Getting sent to a “C1 life-threatening asthma” in your last 30 seconds of your 12hr shift is fine. The patient walking calmly out to the ambulance when you arrive, breathing better than you are, is not.

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@Nat_O_Byrne

Nathaniel

16 days

Brilliant day at @cosfordairshow , some absolutely amazing talent shown. First time going today and will definitely be going back. #Cosford24

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@Nat_O_Byrne

Nathaniel

6 months

1 week ago - Full ED waiting room, wait times of 6hrs+, sat outside ED on an ambulance for half of my 12hr shift due to no beds & late finish. Last night - Empty waiting room, immediate ambulance offload, stayed within local area and on time finish….. #WhatsChanged ?

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@Nat_O_Byrne

Nathaniel

7 months

@Sam_Imber @emmajoyfulford Exactly, they ‘should’, but not all have been transitioned. If you’re going to worry about infecting patients, clamp down on all of it, not some. You could argue that the transmission of pathogens is the same if not more from a sleeve amongst a variety of other things.

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@Nat_O_Byrne

Nathaniel

1 month

@GlenwrightCook I think you hit the nail on the head with your last point. Our senior colleagues should be leading and teaching us. In this case it didn’t happen from my understanding.

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@Nat_O_Byrne

Nathaniel

3 months

@ParaAndy90 If the patient is 1: A farmer 2: A man who said “My wife told me to call you.” Or 3: Someone who tells you “I just don’t feel right”. It’s going to be a big job. Be prepared🤣

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@Nat_O_Byrne

Nathaniel

26 days

@TheLeeMcLaren Don’t pick up the EPR/Tablet until you’ve completed your assessment.

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@Nat_O_Byrne

Nathaniel

5 months

I’m sick of seeing posts / hearing about people being killed in RTC’s. It’s so needless. People don’t need to lose their entire existence from other people’s (and their own) laziness / complacency / overconfidence. (1/2)

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@Nat_O_Byrne

Nathaniel

6 months

@ParaAndy90 I think I’ve had a stroke just looking at that…

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@Nat_O_Byrne

Nathaniel

3 months

@ParaAndy90 Love this! We don’t realise the impact we can have on people.

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@Nat_O_Byrne

Nathaniel

9 months

#ESS2023 @bluelightcard

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@Nat_O_Byrne

Nathaniel

1 month

@VinnymanOne Never heard of that! What is it used for?

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@Nat_O_Byrne

Nathaniel

1 year

@wmasjoshmiller @Coppola_AJ @proftomquinn @perkins_gd @KeithCouper @SCAS999 @OFFICIALWMAS @swasftResearch @WarwickCTU Thank you Josh and all presenters , great webinar.

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@Nat_O_Byrne

Nathaniel

11 months

@MedicMiddle Wellens syndrome?

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@Nat_O_Byrne

Nathaniel

2 months

@ParaAndy90 @darren6015 Do you not have a policy which outlines which categories get a blue light response? I 100% agree we shouldn’t be driving on blues to calls that have been in for hours but it’s our job and we have to play the game..

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@Nat_O_Byrne

Nathaniel

6 months

@Sully_Bryan1 @mrpatrickrevans @GoodSamApp Governance is one of GoodSam’s core principles, but realistically there’s not much to it. Once the trust is registered as a verifying organisation, all they have to do is match with details on file and ID card submitted and go “yep, they’re qualified in CPR”, it takes 1-2 days.

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@Nat_O_Byrne

Nathaniel

4 years

Getting letters like this makes you feel so proud. @OFFICIALWMAS

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@Nat_O_Byrne

Nathaniel

6 months

@ParaAndy90 @TheLeeMcLaren 100% agree… too many Paramedics forced to be mentors when they clearly have no interest or desire to mentor. It’s so unfair to students who need and want to learn and paired with a mentor who just wants to come into work, do their job and go home..

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@Nat_O_Byrne

Nathaniel

6 months

@mrpatrickrevans @GoodSamApp Absolutely! I don’t know why it hasn’t been used by some ambulance trusts way earlier than it has been

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@Nat_O_Byrne

Nathaniel

1 month

@VinnymanOne Ah interesting thanks bud. Do you know why the ambulance battenberg pattern is used?

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@Nat_O_Byrne

Nathaniel

10 months

@JessicaSpara It’s really nice to read stuff like this - It shows how much you care. People may say you’re ‘too keen’ but I think we need more clinicians like this, who strive to be good. 1/4

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@Nat_O_Byrne

Nathaniel

7 months

@wmaspeterbowles @OFFICIALWMAS @ClareBosanko @MAA_Charity @wmcareteam Stay safe bud

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@Nat_O_Byrne

Nathaniel

3 months

@OFFICIALWMAS Hi guys! How are the road crews selected for these exercises? I would’ve loved to get involved in something like this but never heard about it.

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@Nat_O_Byrne

Nathaniel

7 months

@kylescully20 @leebonnie2707 You will say they’ll leech off the system and claim benefits etc. but so do our own… and some of them “men coming into the country” are actually hardworking doctors, nurses and carers. Looking after our people, not theirs. Have a hard think and educate yourselves. 2/2

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@Nat_O_Byrne

Nathaniel

1 month

@GlenwrightCook It is bud.

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@Nat_O_Byrne

Nathaniel

7 months

@MusaMayayise @ecgrhythms @EcgOxford @PMcardioBot @RobertHermanMD @The_Nanashi_O @smithECGBlog @DidlakeDW @ecgandrhythmRoe @DaveRichley @ShaojieChen1 Accelerated Idioventricular Rhythm (AIVR) - Cause dependent on further Hx as ‘chest pain’ is broad but potentially post ichaemic injury?

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@Nat_O_Byrne

Nathaniel

7 days

@VinnymanOne @firearmsWMP That’s one beautiful car 😍

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@Nat_O_Byrne

Nathaniel

4 months

@josephmooney Hi Joe, what’s the rationale behind the bolus of fluid for #NOF ?

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@Nat_O_Byrne

Nathaniel

3 months

@rosesusitation I think a bad idea - It undermines the hard work and dedication people put into qualifying. If you’re a Paramedic, you’re a Paramedic. You may not be as “seasoned” as others but you’ve earned that title.

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@Nat_O_Byrne

Nathaniel

6 months

@codebluenursey I always try to think top to toe. So imagine the body. First start outside the body (environment) - Hypothermia. Then to the mouth -Hypoxia. Then the pancreas - Hyper/hypo metabolic. Then the abdominal aorta - Hypovolemia.

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@Nat_O_Byrne

Nathaniel

6 months

@Sully_Bryan1 @mrpatrickrevans @GoodSamApp Of course it is, but if it’s been proven in other trusts to work, then why hasn’t it been used earlier. For example: LAS.

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@Nat_O_Byrne

Nathaniel

8 months

@chrisfrantic @t_riple9 Beautiful light set up… would love to see this in the dark.

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@Nat_O_Byrne

Nathaniel

2 months

@Tom_the_Knowles @DaveSwart7 @ParamedicsUK @wlv_uni It’s under ‘Medications not to be administered by Student Paramedics’. As an EMT in my trust we weren’t permitted to give IBP, only Paramedics could administer it.

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@Nat_O_Byrne

Nathaniel

10 months

@ES_News_ Try contacting them via their website, they may be able to track down the crew.

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@Nat_O_Byrne

Nathaniel

8 months

People will always use the 999 system inappropriately. It’s up to us to triage it and signpost these people to the right place. I’ve been out to someone with dental pain, someone who had taken edibles, and someone who cancelled the ambulance but we still sent one anyway.

@mhnparamedic

hannah

8 months

So our book club are reading “you called an ambulance for what?” Which is quite amusing sure, but I feel it should be renamed “We dispatched an ambulance for what?!”

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@Nat_O_Byrne

Nathaniel

7 months

@josephmooney Hope you stay safe tonight bud.

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@Nat_O_Byrne

Nathaniel

8 months

@stjohnambulance Large arm sling for #, figure of 8 in Neck of Femur #, Pelvic Binder in Paediatrics.

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@Nat_O_Byrne

Nathaniel

2 months

@ParaAndy90 @darren6015 Don’t get me wrong there are sooo many jobs that just absolutely do not require a blue light response but it’s not worth a disciplinary getting caught not using them.

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@Nat_O_Byrne

Nathaniel

6 months

@Sully_Bryan1 @mrpatrickrevans @GoodSamApp It’s not a new concept, it’s been used all around the world and for a number of years, my point is that it had the potential to be used much earlier than it has been.

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@Nat_O_Byrne

Nathaniel

6 months

@lukeingle_ Dunning Kruger effect

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@Nat_O_Byrne

Nathaniel

9 months

@BridsonLewis Fair play👏👏

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@Nat_O_Byrne

Nathaniel

9 months

Thank you @bluelightcard for my £20 voucher! Had a great time at the Emergency Services Show 2023. #ESS2023

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@Nat_O_Byrne

Nathaniel

9 months

@IhabFathiSulima Intussuseption, telescoping of the intestines.

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@Nat_O_Byrne

Nathaniel

7 months

@ParaAndy90 Hi bud, what’s PLE?

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@Nat_O_Byrne

Nathaniel

7 months

@JessicaSpara Was that to remind yourself that you’d given your patient 500mls of pasta water ?

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@Nat_O_Byrne

Nathaniel

8 months

@Kyle_Griffies He noticed an ambulance parked on the (offside) of the road, with it’s (engine running), on run lock. Etc. etc. (2/2)

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@Nat_O_Byrne

Nathaniel

3 months

@rosie_rudd5 Go Rosie!!!!

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@Nat_O_Byrne

Nathaniel

9 months

@wmcareteam Cheers Peter!

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@Nat_O_Byrne

Nathaniel

5 months

Closed doors are our sworn enemies. Thank god for #JESIP . #Ambulance #Fire #BestFriends

@TheSecretFF999

The Secret Firefighter UK

@TheSecretFF999

5 months

@Jacob_The_Pilot Hi Jacob, Your daddy’s friends woke them up as they were struggling to open a door… 😉

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@Nat_O_Byrne

Nathaniel

7 years

Lost their lives saving everyone else's, RIP

@NFitzPsychology

Niamh Fitzpatrick

@NFitzPsychology

7 years

My brave sister Capt Dara Fitzpatrick lost her life in #Rescue116 crash. We are devastated. Please pray for recovery of 3 remaining crew.

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@Nat_O_Byrne

Nathaniel

3 months

An amazing free learning opportunity.

@ThecitizenAID

citizenAID

3 months

Join us on Saturday 27th April 2024 at #Sandwell Ambulance Station. #citizenAid alongside the #WMAS West Midlands Ambulance Service's Education & Training Team will be holding FREE training sessions as part of this year's #StopTheBleedDay . More details at

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@Nat_O_Byrne

Nathaniel

6 months

@wmaspeterbowles @OFFICIALWMAS @WMASMERIT @wmasjacklewis Good to see some autonomy for yourselves!

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@Nat_O_Byrne

Nathaniel

5 months

@HiyaImMolly I did mine on the lack of exposure to OHCA in contemporary Paramedic practice and the impact it has on patient outcomes. With the way the ambulance service is going, I felt it was an important topic - How can we be good at something we see so infrequently?

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@Nat_O_Byrne

Nathaniel

4 months

@MikeyCycling @Das_Pig @RBKC_cycling @TfL @laurencyclist @JeremyVineOn5 @betterstreetskc @RBKC @SonOfTheWinds The driver and the infrastructure do not help in the slightest, but you forgot the 2 cyclists literally cycling themselves towards danger and potential death. If you recognise a danger, mitigate it - EARLY. Don’t kill yourself trying to prove a point.

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@Nat_O_Byrne

Nathaniel

4 months

@kellieOber @999echo_ I’ve genuinely considered changing career too, thinking I wasn’t made for it. But the good times make up for it🤣 I just wish they came along a lot more frequently 🤣

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@Nat_O_Byrne

Nathaniel

9 months

@DonnchadhaD 100% agree - So many people love to comment on ‘what they’d do differently’ when they’ve never been out on the road before.

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@Nat_O_Byrne

Nathaniel

3 months

@think_or_swim @PatKennyNT Why blame the shape of the SUV and not the awareness of the driver? Not a great place to put a pedestrian crossing but stopping on one doesn’t help the situation.

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@Nat_O_Byrne

Nathaniel

21 days

We all know that survival and good neurological outcome after OHCA can be rare, but this is one of many amazing examples of how the #ChainOfSurvival was perfectly demonstrated and a life was saved.👏

@swasFT

South Western Ambulance Service

21 days

Community First Responders can have a huge impact on our patients especially for Mark who suffered a cardiac arrest while on his garage roof. Here's Mark's story 🔽 #VolunteersWeek

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@Nat_O_Byrne

Nathaniel

8 months

@loddyy24 The patients of the future will be directly affected by this. These prospective paramedics will lack the adequate exposure to clinical cases to bridge the gap between Theory and Practice - This will inevitably create substandard clinicians and substandard care being provided.

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@Nat_O_Byrne

Nathaniel

4 months

@FFAFrances I find it’s very area/hospital dependant. Some will still send patients from back of vehicle straight to waiting room (sometimes, in my opinion inappropriately) and some will hold on the back.

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@Nat_O_Byrne

Nathaniel

6 months

@wmcareteam @t_riple9 Looks unreal!

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@Nat_O_Byrne

Nathaniel

8 months

@Kyle_Griffies I used to make up stories to remember my exemptions e.g. A man wearing a red top, yellow shorts and white shoes (Parking in areas with Double Yellow, White, or Red Lines), was walking down the road, he crossed a pedestrian crossing (controlled by zig zag lines). (1/2)

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@Nat_O_Byrne

Nathaniel

11 months

@hines_stephen Shock first - “Untreated VF will rapidly deteriorate into asystole, from which resuscitation rates are dismal. For untreated VF or VT, the likelihood of resuscitation decreases by up to 10% per minute.”

Cardiac defibrillation is the act of administering a transthoracic electrical current to a person experiencing one of the two lethal ventricular dysrhythmias, ventricular fibrillation (VF) or...

www.ncbi.nlm.nih.gov

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@Nat_O_Byrne

Nathaniel

8 days

Just watched a great @TraumaCareUK webinar on Bleeding Mimics, exsanguination and the ‘Hateful 8’ by Dr. Gareth Davies. Remember - Not all hypotensive, tachycardic trauma patients are bleeding.

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Trauma Care Webinar: Bleeding Mimics Exsanguination and the Hateful...

For your CPD Certificate, simply go to https://cpdcloud.typeform.com/to/VtwTfzbe. It's only £1.99 and all proceeds go back to charity!Summary of the Presenta...

www.youtube.com

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@Nat_O_Byrne

Nathaniel

3 months

@Marketaballann Ah it’s full… if anyone who signed up isn’t able to make this could you let me know so I can have your place please? Currently about to start my NQP journey and very excited but very nervous …

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@Nat_O_Byrne

Nathaniel

21 days

@ParaAndy90 I’ve got one, been using it for years.. no fees, good conversion rates, quick transfers, able to create mini ‘vaults’ to stow away money. Would recommend.

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@Nat_O_Byrne

Nathaniel

1 month

@josephmooney @AmbulanceNAS Sorry for your loss bud

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@Nat_O_Byrne

Nathaniel

7 years

Great initiative by @CFRIreland and @AmbulanceNAS to register AED's, helps locate them when they're needed.

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