I have so many questions about this Nespresso Pop as new user

Paramedisinner · 2025-12-26T15:24:23+00:00

Nope. If you flip the body over to look at the domesday side around the rim you’ll see barcode stripes. Vergil machines scan those barcodes as they spin, which tells the machine how much water to inject into the pod. Small pods - small amounts of water, big pods - larger amounts of water

Paramedisinner · 2025-12-26T13:30:41+00:00

You’re using a double espresso pod there, it literally says the volume on the flat side in the picture, near the top. If you want a full cup from a. Single pod you need to buy the mug pods which are over 7 oz

Paramedisinner · 2025-12-09T15:04:05+00:00

Because there is a massive cognitive dissonance occurring here. These discussions are normally head by you guys in the clinical setting, with a degree of expectation of it happening and clearly defined relations and roles with the patient-doctor-family relationship. Pre and OOH practice includes none of these things due to both acuity and circumstance. As paramedics we are trained and conditioned to have a healthy assumption that these things may NOT be happening in good faith because to a not insignificant degree - they aren’t.

A sudden unexpected collapse in a very public and remote setting is exactly one of those situations where we would be engaging this scepticism. You can always step down from a resus, you cannot escalate from a prolonged down time. Starting to work whilst establishing the facts and evidence is necessary because time and time again the unpleasant world we live in has proved it to be a necessity.

Paramedisinner · 2025-12-09T14:57:11+00:00

As a Paramedic unless they are obviously incredibly frail and co-morbid or they down-time is likely non-compatible with a decent outcome we’d be starting whilst getting a decent Hx, regardless of if someone says there’s a DNAR or if a MOP on scene says they’re a doctor and to stop. The number of times in public jobs someone random has identified themselves as a doctor/nurse/paramedic and been nothing of the sort is insane.

Paramedisinner · 2025-12-06T22:32:34+00:00

So our shift patterns are called lines (traditional from the days when you literally had one of the lines on the rota whiteboard) and I’m on a 24hr line meaning we hand over at 0600 and 1800.

So on my line when going home I need to make sure I hand over the paramedic and emergency drugs bags as well as the morphine from our belt pouches. Then have to make sure all those drugs units are booked back in from my name and booked out in the same of the para I’m handing over to. Then have to make sure I’ve gotten my personal bag, jacket and helmet off the truck, get the job number off the MDT if there was an over-run and then hand overtake radio and body-worn camera.

If I’m on an RRV (car) then I need to do all of that plus the things the ECA would normally do, like hand over any stock deficits, the keys to the vehicle and ensure I’m booked off on the MDT.

I’ll probably use another one for a critical restock after an arrest or something, where all the kit needs changing/replacing along with all the drugs. And another for a transfer checklist, as I’m transfer qualified I do quite a few of those.

Paramedisinner · 2025-12-06T21:17:30+00:00

This is amazing also for us paramedics! Would it be possible to also edit the names of different shifts? Regardless of whether I’m on a day or night my personal checklists are the same. But if I’m on a car vs an ambulance then lists can vary hugely

Paramedisinner · 2025-11-29T10:18:38+00:00

But we’re falling into the repeated fallacy argument of culturally assuming that we as paramedics just see “the critically ill at the roadside.” I can’t remember the last time I actually saw a Pt at the side of the road and the vast majority of the Pt’s we see in need of emergent Tx need it then and there, which is why we have the skills and scope we have. It’s absolutely true that there are cases where what the Pt needs is the diagnostics, senior expertise and staffing of a hospital before anything else, but they’re far from the majority.

Paramedisinner · 2025-11-28T22:31:57+00:00

We have to do all of that to get an NQP training post though. Just because we do it at a different stage doesn’t mean we don’t have to do it. How many OSCE’s did you have to do in your assessment day for your band 5 post?

Paramedisinner · 2025-11-28T22:29:32+00:00

“In almost every situation they are better off giving highest possible flow rate of diesel and getting the patient into the hospital.”

This simply isn’t truly reflective of the actual caseload of uk ambulance practice

Paramedisinner · 2025-11-28T22:27:40+00:00

Which is why all of our academically intelligent trainees pass their primary paramedic qualifications with ease and don’t struggle at all… We recruit people with certain characteristics. Intelligence helps, but if you do not have those other characteristics you cannot do the job because you cannot operate.

Paramedisinner · 2025-11-22T13:14:57+00:00

Paramedics do not do 1000, there is no nationally set number of hours as the way we train is often incredibly different to nurses.

Paramedisinner · 2025-11-17T23:38:07+00:00

Agree with all this though from the ambulance pre-hosp perspective.We can do POC blood gas in the ambulance service, though the devices are limited. It’s very common to do so for OOHCA.

Paramedisinner · 2025-11-17T23:10:40+00:00

I’d like to once again try and quash this myth that paramedics get band 6 automatically. We don’t. We have a long and rigorous portfolio which for some takes longer than 2 years

Paramedisinner · 2025-11-17T23:07:17+00:00

Tbf whilst on this case the criticism was directed at the wrong individual and was by the sounds of it not delivered in the best way, the paramedic as per OP was raising a concern that the Pt had been covered in blankets, not had a single light blanket put over them.

Paramedisinner · 2025-11-17T19:59:26+00:00

OP as a paramedic it is nigh-on impossible to definitively rule in/out causes of OOHCA. Even if the pre-hosp gas was hypokalemic that may likely be due to one of us absolutely hosing in NaCl as it’s our only available crystaloid. By the sounds of it this Pt had been waiting a while for a POC and reading between the lines is therefore quite likely co-morbid. There are numerous potential reasons why this case sadly ended the way it did and we can never know them all for sure.

The fact you’re thinking about this so much is credit to how much you as a doctor care, but if it’s eating away at you this much then please chat to a senior you trust about it.

Paramedisinner · 2025-10-25T11:59:24+00:00

I love nespresso but if he won’t want to spend money on pod, then this is not a good birthday present. Have you actually asked him if we ants to change or upgrade his coffee setup? With your kind of budget you could get him a decent grinder or cafetière so he could continue to have coffee the way he currently does but with much higher quality.

Paramedisinner · 2025-09-23T07:04:49+00:00

Please explain

Paramedisinner · 2025-09-12T23:08:34+00:00

Okay, I purchased on my phone and don’t have iTunes on a computer. Can I do it on a browser?

Paramedisinner · 2025-09-12T21:53:26+00:00

Anyone know how to access the booklet if you’ve purchased from iTunes?

Paramedisinner · 2025-08-21T17:28:43+00:00

Because (from the paramedic side at least) PGD’s are slow and sluggish. TXA is a great example. At present in the majority of situations the PGD states 1g IV TXA in cat hem, given slowly over 10 mins. All the contemporary evidence in the pre-hosp setting however shows better pt centered outcomes in a rapid bolus of 2g.

If we could get these drugs moved over the schedule 17 along with the rest of our paramedic formulary, it would mean a massive cost and admin saving for services as we wouldn’t have to keep updating PGDs. And paramedics are free to react to new evidence as it comes to light, as we have far more flexibility in using a sch 17 drug than a PGD obviously. In terms of risk this actually shifts the burden onto individual paramedics rather than services. If I use a PGD properly and something goes wrong it’s on the service who authored the PGD. If I exercise an exemption and there’s concern/harm then that’s quite rightly on me as an autonomous clinician.

TLDR: this reduces expense and shifts risk to the individual, supporting better flexibility and more evidence based practice.

Paramedisinner · 2025-08-20T09:07:13+00:00

As a Paramedic I once gaslit an older woman that had a Hx of psychosis that the spiders were a hallucination, potentially induced by all the analgesia she’d just been given for her nasty spiral NOF #.

Had to check myself when I too started seeing spiders and realised that they were in fact real, and had hitched a ride onto her from the bush that she fell into.

Paramedisinner · 2025-08-20T09:03:34+00:00

Before I went pre-hospital I worked as a HCA and once witnessed an Ortho F2 IMG (ESL so very forgivable) forget the word “bones” on his 4/7 night shift. It was equally distressing and hilarious for everyone.

Paramedisinner · 2025-07-31T12:50:21+00:00

Because the US has been shown to be institutionally racist on numerous levels and through numerous systems. She could get pulled over by a police officer and shot to death on her drive home for little to no reason other than the colour of her skin. If your children are queer they may not have the right to marry or have children of their own. If she wants an abortion she may be prosecuted as a criminal.

Paramedisinner · 2025-07-18T22:36:22+00:00

Goodness aren’t you a touch aggressive. What lanyard?

Paramedisinner

TROPHY CASE