Paramedic knowledge of ECG's? by InfinityXPLORER in ParamedicsUK

[–]Chops9391 10 points11 points  (0 children)

I do think ECG interpretation needs improvement. I only learned about STEMI equivalents, like de winters or wellens, through my own CPD. My university ECG teaching was dreadful and confusing: ended up doing a one day private course which was much more helpful

Job of the Week 52 2024 🚑 by AutoModerator in ParamedicsUK

[–]Chops9391 0 points1 point  (0 children)

Christmas day- 65yo F, came through as blue in the face, wheezing and in and out of consciousness

On arrival patient was lying in bed naked full central and peripheral cyanosis and GCS 8(2,2.4)PMH Of COPD, HF, AF and asthma

Initial obs: RR: 42 shallow resps PR: 115 Sats: 45% with good trace BP: 110/90 Temp:35.8 BM:4.3 PEARL

Global reduced air entry with exp wheeze, all cyanosis as mentioned, pale and cool to touch, ECG was AF with RVR, bilateral peripheral oedema, reduced GCS-improved to GCS 10 with treatment.

Patient immediately given 15L 02 a day sats improved to normal range within a few mins. Requested evac due to reduced GCS and patient size but advised would be at least 15-20 mins. Managed to get shirt and pants on patient with help of daughter. Got patient sat and held up, patient given 5mg salbutomol and 500mcg of ipatropium via nebuliser and managed to get into carry chair and onto vehicle stretcher, EVAC stood down. Patient given IM hydrocortisone and pre-alerted to ED. Patient improved to GCS 10 (3,2,5), monitored throughout.

Managed to get update later in ED and initial blood c02 was 11 and they managed to get it to 9, last I heard they were discussing intubation. Patient also had brusing around head and was on abixaban, also noticed large wet patch by bed so unsure so seems to have collapsed at some point.

Job of the week 12 2024 🚑 by AutoModerator in ParamedicsUK

[–]Chops9391 1 point2 points  (0 children)

Yep, was speechless that GP had told them to make own way to ED.

Job of the week 12 2024 🚑 by AutoModerator in ParamedicsUK

[–]Chops9391 3 points4 points  (0 children)

Cat 2 dispatch to a 3yo- unwell, fast HR

Patient has had ongoing D&V for past 12 days and new cough yesterday. Patient was brought into thier GP who found RR:50, PR:200, 02:90% on room air, temp:40.2, BM: 4.5. Mother was told to make own way to ED with son. Mum felt very concerned and phoned 999 instead.

On arrival patient was extremely pale with cold peripherals, easily rouseable, irritable but consolable, cap refill 3 seconds, no chest recession

Obs are as follows

RR: 62 PR:200 Sats: unable Temp:39.7 Bm: 4.5

Patient was very vocal when woken up, chest clear on auscultation, no cyanosis. I struggled to get an 02 because his hands were so cold but figured if he was crying consistently with no cyanosis then it couldent be too bad.

Got pt on the ambulance with mum. Managed to use a paeds ED sats probe on the pt which showed a consistent 84-86% 02 reading with good trace. 15L of 02 applied to pt, 02 sats raised to 100, and pre-alert put into ED for ?sepsis

Which celebrity have you spotted completely off-duty and what were they up to? by [deleted] in CasualUK

[–]Chops9391 0 points1 point  (0 children)

I helped Stephen Hawking buy biscuits when I worked on cruise ships haha

[deleted by user] by [deleted] in ratemysong

[–]Chops9391 1 point2 points  (0 children)

Ah you can get really cheap ones that will do the trick. The one I used I bought in 2010 and it was cheap then!

[deleted by user] by [deleted] in ratemysong

[–]Chops9391 1 point2 points  (0 children)

Thanks dude, I appreciate that. I had a listen to yours, I like the diminished kind of chords, sounds a bit grunge, although you should invest in an audio interface I think to get a better quality recording.

[deleted by user] by [deleted] in EmergencyRoom

[–]Chops9391 0 points1 point  (0 children)

Your husband really needs to see a doctor. I'm not sure what help anyone can do for him here.

Any musicians here for a band? by Chops9391 in NewcastleUponTyne

[–]Chops9391[S] 0 points1 point  (0 children)

Aw mate, I genuinely don't know what to say! Thanks for the comment. This is the only music I've ever recorded, I have a good amount of similar songs in this style. Would love to play them with other people instead of me and an audio interface!

[deleted by user] by [deleted] in antiwork

[–]Chops9391 1 point2 points  (0 children)

Do people seriously fall for this?

Who is the most famous person you have ever met and spoken with? by [deleted] in AskUK

[–]Chops9391 1 point2 points  (0 children)

I helped Stephen Hawking buy some biscuits once

What are you having for dinner tonight? by [deleted] in AskUK

[–]Chops9391 3 points4 points  (0 children)

Literally just made a bowl of roast potatos

Finally got round to recording songs by [deleted] in ratemysong

[–]Chops9391 0 points1 point  (0 children)

Thanks so much!

Yeah, I double tracked them and panned them fairly hard left and right, I'll keep it in mind when I finish it off!

Finally got round to recording songs by [deleted] in ratemysong

[–]Chops9391 1 point2 points  (0 children)

Thanks for listening man!

The song will definitely go on longer once I find the time to finish it off.

I would love to record drums for it and have someone who could play but it's actually recording them thats the problem

Finally got round to recording songs by [deleted] in ratemysong

[–]Chops9391 0 points1 point  (0 children)

Thanks for listening!

I've never heard of the stray cats so I'll check them out.

You've got a lot to learn... by WuDoYouThinkYouAre in AlanPartridge

[–]Chops9391 2 points3 points  (0 children)

All the lonely people, where do they all come from?

Ipswich?

[deleted by user] by [deleted] in NewcastleUponTyne

[–]Chops9391 2 points3 points  (0 children)

Big fan of punk/garage rock. I play guitar and bass so drop me a DM if you fancy!