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: Weeks 14,15 & 16 - Back to Uni

So Instead of writing week by week of my return to Uni, I appreciate it's probably less interesting to read than zipping around on Blue Lights so I thought that I'd condense my first three weeks into one post instead.

Coming back to Uni after Christmas and the excitement of Placement was harder than I'd thought. Initially I found myself lacking that get up and go with my home studies after lectures each day. Before placement I'd happily sit for a few hours when I got back to my room and study things around what I'd learnt or read ahead on things I was going to learn but now I was having to force myself to do the same. After a few days I gave myself a kick up the back-side and just remembered how bad I wanted this and how hard I'd worked to get here and I was fine again.

Seeing all of my colleagues again has been great, everyone has their own war stories to share from Placement and hearing about their experiences helps my own learning too.

Read on to find out what I've been learning about since I got back!

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!

Diary: Week 11

So the second week of my Hospital placement has been and gone. Week 2 went pretty much as week 1 did really, lots of fundamental care with some lovely patients. I'm writing this a week late due to starting my Ambulance shifts pretty much as soon as I finished my second week in the Hospital so expect two updates quite close together.

Read on to see what else I got upto.

Diary: Week 8

Week 8 flew by and I found it really enjoyable. Moving and Handling came to an end with a more practical application of skills orientated session, so getting people out of beds and chairs in a hurry (ie about to perform chest compressions on them because they were in Cardiac Arrest) and out of tight areas like toilet cubicles

Read on to find out what else I've been upto this week including attending Court!

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 5 & 6

It's been a busy two weeks so I missed last weeks update.

So, as alluded to I've been very busy, if you regularly read this you'll see I had my first OSCE a week ago and on the build up to it my nerves got the better of me. Despite practicing day and night for Adult and Child BLS/AED (not lay-person BLS, it's the Healthcare Professional one which includes BVM, Suction and Airway Adjuncts), on the day my brain went to mush, the morning of the OSCE I did another practice run through of both OSCEs I'd need to complete and I was making mistakes that I'd never made before. Suffice to say walking into the room with that mannequin staring up at the ceiling, the anxiety was crushing, read on to find out what happened next...

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 2

The first 'proper' week of my Course this week - and don't I know it.

We've been bombarded with Anatomy and Physiology, professionalism, and Basic Life Support for both Children and Adults this

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.

DIARY: Getting close now!

September is on the horizon and so the start date for my first year at University is  getting closer and closer. In the past few months I've finished my College Access Course and come out quite well with  enough distinctions to satisfy my admissions criteria which is a huge load off of my mind.

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:

Paramedic Career Development

Hello readers,

I thought I'd devote some cyber-space to something all aspiring Student Paramedics should know about for Interviews - Career pathways and specialisations once you are qualified. I was asked this on two of my Interviews which made me glad that I had done my research, one interview I was even asked how I would like to specialise later on down the line if I was successful and why I chose that particular career path.

So here we go with some of the options available to a Paramedic with a few years under your belt:

DIARY: The road so far

It's been twelve months now, twelve months since my Fianceé convinced me (and it took alot of convincing...) that despite what I thought, I could make it into University even with my rough road with Education in life so far. I was convinced that me and Education were never meant to be - if you told the 16, 18, even 25 year old me that I would one day study at University I would have laughed and walked away! However with a shove from my better half I enrolled on a College Access course with a view of taking my Medical Career to the next level and making the jump from Combat Medic to a fully qualified State Registered Paramedic.

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!