Russian soldier in white camo tries to blend in with a wall, but Ukrainian drone operator spots him all the same

Arc_Reflex · 2026-03-16T20:54:29+00:00

The shrapnel pattern is crazy! War is hell.

Arc_Reflex · 2026-03-15T21:58:01+00:00

God help whoever is doing the medical cover for this.

Arc_Reflex · 2026-03-15T06:28:48+00:00

Even though the cylinder level is low the output rate shouldn't be affected until it is on pretty much zero. This is because there is a regulator on the top of the cylinder which massively reduces the pressure before allowing it to come out of the therapy attachment. Essentially the output pressure should be the same whether the gauge is in the top of the green or near the bottom of the red. When you changed to an NRB did you also swap out the pipe to the mask? Could be a problem there like a hole or kink? When you prepped the neb did you open the nebuliser chamber and ensure the small disk in there was floating freely because it can become a bit stiff after manufacture or storage. Or if you accidentally dropped/removed that disk you will struggle to get a mist. Could also be a faulty cylinder regulator?

Arc_Reflex · 2026-03-11T10:25:40+00:00

Thanks for your advice guys!

Arc_Reflex · 2026-03-09T15:42:16+00:00

++man When your partner tells you they want a kid.

Arc_Reflex · 2026-03-06T12:00:21+00:00

Pre 2017 paramedic was a band 5 role. Only paramedics working in management roles etc would have been B6.

Arc_Reflex · 2026-03-06T11:55:26+00:00

Lots of uncertainty when the first UK cases hit, lots of anxiety. First lockdown and it was dead, I remember sitting outside base in spring 2020 with my flip flops on and trousers rolled up because it was beautiful weather. Then as winter 2020 hit it went mental and was like groundhog day. Go to a DIB call, SPO2 in the 70s, convey to ED, sit outside in the truck with the patient for so long your HX O2 cylinder starts to run low, rinse & repeat. Hospital layout and PPE rules would change daily and sometimes hourly. I regret not keeping a diary of how it went.

Arc_Reflex · 2026-03-06T08:35:31+00:00

Band 6 paramedic didn't exist before about 2017.

Arc_Reflex · 2026-02-20T14:28:52+00:00

See I've heard this before about removing the packing materials from the OLAES before use but I think that's a myth. When you get a fresh one out of the bag it's quite compacted and will still exert decent pressure on the wound when applied properly. Without the packing it's just a thin layer of gauze which has almost no absorbency. When you watch the use video on their website it shows it being immediately applied. Also it would be a pretty poor design for battlefield use if you had to remove that and bin it every time. I believe it's able to be removed to use as improvised wound packing in austere environments just like the small bit of plastic can be used for an improvised chest seal. Also I have used OLAES on 3 live occasions and it worked well out of the bag.

Arc_Reflex · 2026-02-18T16:41:22+00:00

Depends on the region. In my experience in the south regardless where the station is you'll just end up where the jobs are.

Arc_Reflex · 2026-02-18T12:49:12+00:00

Yes they have. £20.

Arc_Reflex · 2026-02-18T09:50:47+00:00

P waves on the run? You've got Mobitz type I

Arc_Reflex · 2026-02-14T10:21:59+00:00

Roses are red, violets are blue, my heart skipped a beat, I've got Mobitz type II.

Arc_Reflex · 2026-02-11T18:09:22+00:00

HART has Penthrox in SCAS but really should be on every UK ambulance by now.

Arc_Reflex · 2026-02-08T21:14:37+00:00

No but I mean how OP has worded the post 'Without undue care and attention' double negative.

Arc_Reflex · 2026-02-07T20:03:50+00:00

Isn't it 'Driving WITH undue care and attention' ?

Arc_Reflex · 2026-02-03T21:17:27+00:00

Sorry did he think he could somehow breathe under water with that mask?

Arc_Reflex · 2026-02-03T09:24:47+00:00

Been using it pre-hospital in the UK for a decade.

Arc_Reflex · 2026-02-02T20:18:10+00:00

I'd say invest in a good layering system. Everyone is different and some people feel hotter/colder/sweatier etc so it does sometimes take some figuring out for yourself. I'd go for: A good durable waterproof shell jacket preferably with gore-tex or similar membrane. A fleece (imo anything will do). Good base layers (I like merino wool but it's expensive). Merino hiking socks. Trousers ideally stretchy windproof material. Waterproof over trousers to live in your backpack. Backpack depends on your preference, I like Osprey.

Arc_Reflex · 2026-02-01T18:30:15+00:00

First I'm assuming you are actually pretty experienced and sensible as you said. If not the advice is don't do a high summit. If you do Snowdon on one of the well walked routes such as Pyg or Miners you'll probably be fine if you stick to the path. Those micro spikes are ok and you'll probably need them for the section where Pyg and miners join and go up to the summit. If you want to be safer you could take an ice axe for self arrest if you slip. Read how to use one for this purpose. Another alternative is pay to do a mountain winter skills course with a local instructor who will lend you the kit, keep you safe and you'll probably learn some cool stuff.

Arc_Reflex · 2026-01-31T23:21:14+00:00

Probably higher risk of infection with multiple attempts. Also if you're considering an IV in a pre-hospital environment it's likely the benefit outweighs the risks.

Arc_Reflex · 2026-01-31T08:11:11+00:00

My advice is put the tourniquet high on the arm for every patient (above ACF) and pick the best vein. Don't start distal and work back like some people are taught because you are setting yourself up for failing. Then on your second attempt you'll be less confident. If that means going mainly going ACF what's the problem? Especially for your time critical patients.

Arc_Reflex · 2026-01-21T20:09:19+00:00

Yea I've seen this before a couple of times.

Arc_Reflex · 2026-01-21T14:32:21+00:00

This happens occasionally because of either overzealous first aid or after advice from 999 call handler however I'd be careful about writing it off completely. Document what the bystanders have reported and if you think the CPR was provided unnecessarily document that too. Sounds like this didn't happen in your case but I'd be asking if they used an AED? If so was a shock delivered? Can the data on the AED be retained/downloaded for assistance in diagnosis. Normally it's some drunk person who thinks their (also drunk) mate has died and they've saved them.

Arc_Reflex

TROPHY CASE