For Students: 6 Second ECG Simulator

Just thought I'd share this quickly for those Student Paramedics out there that stumble across this.

A colleague first showed the 6 Second ECG Simulator to me and it's a good way to pass 10 minutes of your time every so often to see what your interpretations are like. Arguably there's more on here than we need to know - but you can never have enough knowledge!

I'd recommend going through the teaching sessions for the rhythms before having a go at the game, and certainly stay clear of this until you've read into ECGs or started them at Uni.

Reflection: Would you call 999 for Tonsillitis?

So I'm back out on the road working on the Rapid Response Vehicle (those Ambulance marked cars you see zipping around your local city).

We received a call - Green 2 for difficulty breathing, partial airway obstruction, ?tonsillitis. It was originally graded as a Green 4 call but as it's allotted 4 hour response time had elapsed it had upgraded to Green 2 and we were asked to attend - the call had originated from NHS 111. At this stage it's safe to say my mentor and I let out a little groan as we made our way to the address, talking through the options available to us for this type of call - our impression at this stage is that it really didn't warrant an emergency Ambulance response.

However, it wasn't quite what it seemed! Read on to find out what happened next and a humbling lesson learnt for me.

Focus On: The Great Paramedic Intubation Debate

So if you're studying to become a Paramedic, it's very likely that you've heard about the great debate whether we as a Profession should Intubate patients anymore. The following is a whistle stop tour of how all of this came about and some of the issues around it.

Read on to find out more...

Diary: Week 13 - slightly late!

So I got caught up in Christmas and New Years and gorging myself with food and alcohol and generally not needing to worry too much about University and my Paramedic training for a couple of weeks so I'm abit behind. However 2015 is here and I'm back in the swing of things at Uni for 5 weeks, I thought I'd update my diary for my second and final week on my Ambulance Placement which I spent on the Rapid Response Vehicle (one of the Ambulance Cars you see driving around everywhere...).

Read on to see how it went...

Diary: Week 12

Week 12 brought my first week out on the Ambulance. This meant meeting my Mentor for the first time, getting to know those I'd be working with on my Station, and getting into the swing of things out on the road.

This week I was on a double crewed ambulance (DCA), this meant working with a Technician and my Paramedic mentor. On my first shift, I learned what equipment and consumables should be on the back of the vehicle and where to get anything that we were short of - by the end of my 4th shift I was comfortable doing this without prompting after seeing what we seem to use alot of and not alot of during out shift.

Read on to find out how the rest of my week went.

Focus On: Left Ventricular Failure (LVF)

Well my blog is filled with tips on becoming a Student Paramedic and ramblings in my Diary. So I thought I'd try and add some more information for those currently studying or about to begin studying. Prompted by a recent job I attended, I thought we would take a look at Left Ventricular Failure (LVF). Read on to find out more!

Memorising the Glasgow Coma Scale

So this one is for my fellow Student Paramedics out there.

I remember being introduced to the Glasgow Coma Scale years ago by the Army and was told I would have to memorise it. At first I had a little laminated card I made with it on that was with my Aide Memoire that I'd made and carried around to remember those obscure things you don't use very often.

However as always, it catches up with you and on one particular course there was a chance that it would come up on an exam so I had to memorise it. I tried loads of different ways of doing it but stumbled across this blog post on a US EMTs site that actually made it pretty manageable - have a read through the main article and check out some of the comments at the bottom for other ideas on memorising this particular beast.

Hope this helps someone!

The EMT Spot - Memorising GCS

Diary: Week 7

Well Week 7 has been and gone.

As Placement approaches the course content is stepping up a notch. I've had my Home Station given to me and my shifts (lots of lates!). This week we've been learning how to take baseline observations including BP, Blood Sugar (BM), Pulse, Resp Rate, Glasgow Coma Scale etc. and more moving and handling (manhandling eachother up and downstairs on different sorts of equipment was fun and knee destroying all at once!).

There has been of course A&P where we've moved onto the Lymphatic system and the obligatory Study Skills where we learnt how to look after ourselves with regards to the stress and pressure that Uni can sometimes bring with it.

Personally I've been using my free time to further develop my understanding of ECGs and I also found out that the back page of JRCALC has guidelines on how to treat people that have been Tasered and hit with a Baton Gun further leading to my belief that this book seems to have everything in it. With placement looming in just over a weeks time I'm now just really excited to getting out into practice and wondering what Week 8 will hold (a courtroom actually! - more next week on that one...).

Diary: Week 4

Well Week 4 has been and gone, they seem to be going by alot quicker now I've settled into a routine.

In Uni this week has been all about more A&P (shock!), History of the Paramedic Profession, 4 & 12 Lead ECGs and Infection Control. Read on to find out more!

Diary: Week 3

Well week 3 came and went rather quickly. I've spent a large part of my week preparing for my BLS OSCE which is coming along well I feel - I'm rehearsing adult and pediatric BLS with AED before bed every night (which the person who lives under me must love listening too...). Even this early on in the course this is a pass or fail exam, a failure will get you a resit, a second failure will see you removed from the course - this may seem a little harsh but if you can't grab the basics at this early stage then it unfortunately looks like the profession may not be for you! Read on for what else I've been upto...

The Health Care Professions Council... And You!

Well it's that time of year where those aspiring Paramedics out there start to look at preparing your Personal Statements and battling through UCAS to get your University applications in.

With that in mind I thought I'd dedicate a little bit of cyber-space to the Health Care Professions Council (HCPC), why? Well you'll need to learn about them at some point and in all of my Interviews last year I was asked how the HCPC relates to the Paramedic, if you're really clever you'll also look at the HCPC Paramedic Standards of Proficiency and the Student Ethics guide and try to use those key values and standards and reflect on them in your Personal Statement, so read on...

Diary: Week 1

Well it came around quick, the first week of Uni has been and gone.

What can you expect? Well that will vary from Uni to Uni as you'd expect but a common theme throughout will be death by PowerPoint, various inductions and health and safety briefings - but also an overview of the course.

Life & Death On The Streets - Stuart Gray

So I was recently doing some work abroad and I stocked up on a few books before I left, with my Paramedic Course looming ever closer I thought I'd look around for any books that could give me a good insight into what I'm getting myself into. I ended up picking up "A Paramedics Diary - Life and Death On The Streets" by Stuart Gray.

Read on for how I found it!

RESOURCE: In-Depth Bag-Valve Mask (BVM) Analysis

Good afternoon readers,

I'll be quiet for 3 weeks as I'm off out to do some Medical work out in Germany, but before I leave I thought I'd share with you what I thought is an excellent in-depth analysis of best practice use of the BVM - it might be basics to some but it never hurts to refresh something that's so simple to use, but can be devastating if you get wrong.

American College of Emergency Physicians - BVM

Hope someone finds this useful!

RESOURCE: Atrial Fibrillation + Flutter

So amongst my own musings and original content on this blog I like to try and post bits and bobs I come across online that current students might find useful - This time it's an excellent video revision of recognising Atrial Fibrillation and Flutters on an ECG and also the Anatomy & Physiology behind it:



Original source: Acadoodle

The Student Paramedic Shopping List

So with my University start date looming, I'm obviously putting some money into the equipment I need for when I begin my journey as a Student Paramedic.

Now before you start parting with cash, get in contact with either Students currently on your course or a member of staff that lectures for your course. I opted to email one of the course leads and asked them for an essentials and nice to have list of things for their students, here's what I'm buying:

REFLECTION: To me a Paramedic is...

So I attended a Cardiac Arrest last night, not my first but it was the first where I was the first person on scene, working alone for some time and the only one with any sort of medical training.

To arrive at a scene of mayhem where emotions are running high, to enter a room when all eyes suddenly drop on you to have the cure for what is happening to this persons loved one, to teach someone with no experience how to carry out CPR when it is their loved one they're about to do it to, and to co-ordinate and motivate this group effort in the soul purpose of giving life back to the person laying before you.

RESOURCE: Easy 4 H's & T's revision (ACLS)

Hello Readers,

Pretty good video below on the 4 H's and T's otherwise known as the reversible causes of a Cardiac Arrest. Pretty good for revision, whilst there's plenty of material out there for ACLS - I think this is one of the better revision videos going.




Hope this helps!

Paramedics and the Military

So I thought I'd start April off with something I know a little about. If you've come across this blog it's likely that you would like to become a Paramedic sometime in the future, there are a few Career options open to you once you have successfully attained State Registration - Ambulance Trusts are the obvious ones but there's scope to work Privately, in remote/hostile environments abroad or at sea, or as another option: Within the Military. Now we're specifically looking at the Army and the RAF here as the Navy don't have Paramedics within the service (they have Medical Assistants instead). So let's look at how these two Services use Paramedics.

One to Watch: Junior Paramedics

Just a quick one really for prospective Student Paramedics out there, it's worth a watch of BBCs latest documentary "Junior Paramedics" JUNIOR PARAMEDICS EP 1 - all the episodes are on iPlayer at the moment but if you're reading this a few months from now and this link no longer works then just search the program title in YouTube and catch them there.

The series provides a decent look at what to expect on your first ever placement, it's a little cheesy and it doesn't really show you much of the Uni side of the course but nevertheless it's not a bad insight really!