Medic in The Middle Profile
Medic in The Middle

@MedicMiddle

Followers
2,900
Following
1,500
Media
159
Statuses
1,190

Pre-Hospital Emergency medicine Podcast featuring a range of guests from critical care to maternity. #FOAMed #PHEM #CPD UK 🇬🇧 #Paramedic Host -Tom Alderson 🚑

Joined February 2021
Don't wanna be here? Send us removal request.
Explore trending content on Musk Viewer
Pinned Tweet
@MedicMiddle
Medic in The Middle
1 month
An amazing privilege to be joining @MAA_Charity as a HEMS Paramedic Fellow. Looking forward to the opportunity to work with a fantastic team 👍
Tweet media one
6
3
107
@MedicMiddle
Medic in The Middle
3 years
Do we convey too many patients in the ambulance service that could be safely conveyed by family members/third party <1 hour? 🧐
54
8
252
@MedicMiddle
Medic in The Middle
2 years
Patient calls GP practice - the practice advise patient to call 111, 111 send ambulance, ambulance call GP who calls patient. We experience this all too often
6
43
245
@MedicMiddle
Medic in The Middle
3 years
A calm structured ABCDE approach is such an underrated and often overlooked aspect of managing the unwell patient, particularly returning to the top of the algorithm after any intervention.
12
28
223
@MedicMiddle
Medic in The Middle
2 years
Paramedics need more education around Life threatening cardiomyopathy’s and not just stemis. Brugada, wellens, hypertrophic ventricular cardiomyopathy’s etc. why is this not taught in standardised programmes
21
10
129
@MedicMiddle
Medic in The Middle
3 years
The Paramedic career is a journey and not a race, don’t be disheartened if you are not where you want to be right now in your career and remember to keep focussed, stay hungry, and most importantly, stay humble.
2
18
120
@MedicMiddle
Medic in The Middle
3 months
Excited to announce I have joined @emas as a Specialist Practitioner this week. I will be based at Nottinghamshire, looking forward to meeting everyone. 👍 🚑 #criticalcare #urgentcare
Tweet media one
8
0
123
@MedicMiddle
Medic in The Middle
2 years
Med Twitter ! Do you ensure your loved ones have 300mg aspirin at home ‘just in case’ of an ACS episode ? Especially in times of increased ambulance waits
29
12
118
@MedicMiddle
Medic in The Middle
2 years
What a brilliant idea! Preloading the Igel with a suction cathater prior to insertion 🚑 🩺
Tweet media one
5
11
104
@MedicMiddle
Medic in The Middle
1 year
How to do night shifts 🚑
Tweet media one
4
2
94
@MedicMiddle
Medic in The Middle
3 years
Had an incident yesterday where the patient needed intubating and the IGel was insufficient, unfortunately in my locality this skill has been removed from standard paramedic practice. 😡
18
5
82
@MedicMiddle
Medic in The Middle
1 year
Things could be a bit quiet on the medic in the middle front until the new year! As there is a mini medic in the middle who’s joined the crew 👶👨‍🍼
Tweet media one
4
0
75
@MedicMiddle
Medic in The Middle
1 year
Hi I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
3
43
73
@MedicMiddle
Medic in The Middle
1 year
Exciting news! There is going to be a Medic in The Middle baby arriving in November 2023! 👶 😁 👨‍🍼
Tweet media one
8
0
70
@MedicMiddle
Medic in The Middle
2 years
Hi I use this account to teach people about Pre hospital Emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 2,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
1
52
72
@MedicMiddle
Medic in The Middle
1 year
Hi I use this account to teach people about Pre hospital Emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 2,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
0
43
67
@MedicMiddle
Medic in The Middle
1 year
Should PHTLS and ALS courses be a core part of HCPC paramedic registration?
28
4
65
@MedicMiddle
Medic in The Middle
1 year
16 year old male notices a ‘high heart rate’ alert on his smart Watch whilst at rest - so calls 999, you attend and do an ECG
Tweet media one
14
9
64
@MedicMiddle
Medic in The Middle
1 year
Hi I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
2
44
63
@MedicMiddle
Medic in The Middle
1 year
Tweet media one
5
8
63
@MedicMiddle
Medic in The Middle
3 years
With increased wait times for ambulances turning up to falls and long lie patients, would we benefit from a consensus on Rhabdomyolysis and long lie? - discuss @GroupCall2 @hepner_alex @TeemuX8 @JRCALCguidance @Para_Practice @ParamedicsUK
15
3
59
@MedicMiddle
Medic in The Middle
1 year
56 yr old male calls 999, complaining of 2 hour Hx of sudden onset left sided chest pain. Past history of hypertension and smoking
Tweet media one
9
15
56
@MedicMiddle
Medic in The Middle
1 year
Hi I use this account to teach people about Pre hospital Emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 2,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
0
37
56
@MedicMiddle
Medic in The Middle
10 months
Hi I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
2
37
49
@MedicMiddle
Medic in The Middle
2 years
Do you debrief after incidents? Try this debrief tool
Tweet media one
1
11
52
@MedicMiddle
Medic in The Middle
11 days
On shift today responding for @EMASNHSTrust on the Specialist Practitioner FRV. Happy Saturday everyone!
Tweet media one
3
0
96
@MedicMiddle
Medic in The Middle
10 months
To settle the age old paramedic debate about the mixing of Salbutamol and Ipratropium-
Tweet media one
14
9
48
@MedicMiddle
Medic in The Middle
2 years
It’s a worrying situation to be in when ambulance clinicians are pre-alerting unwell patients to hospitals and arrive with no beds available
5
5
48
@MedicMiddle
Medic in The Middle
2 years
We need to understand as paramedics that decisions can’t always be black and white, and make sure we use our clinical experience and judgement to make rational, justified decisions. Even if this occasionally leads to reading between the lines of guidance
5
3
45
@MedicMiddle
Medic in The Middle
1 year
A pelvic binder is a haemorrhage control device. Not an ‘extrication and packaging device’ 🚑
1
3
42
@MedicMiddle
Medic in The Middle
2 years
This M18 2L o2 Cylinder is filled to 300 bar. That’s 600 litres of o2. That will keep someone running on 2L/min for 5 hours. Or someone on 15L/min for around 40 minutes 🚑 ⛑
Tweet media one
2
3
41
@MedicMiddle
Medic in The Middle
2 years
Hi, I use this account to promote a podcast to teach people around the world about pre hospital care. The content is all completely free, and I don’t advertise. I would love to hit over 1k followers to be able to reach more people Can I get some follows and RTs to help?
1
26
39
@MedicMiddle
Medic in The Middle
2 years
Do people remember the first ever patient they went to/treated as a clinician ?
29
0
40
@MedicMiddle
Medic in The Middle
2 years
Should there be more specialist paramedic roles in the pre-hospital setting?
12
5
39
@MedicMiddle
Medic in The Middle
2 years
Today we used alternative pathways to treat and leave a palliative heart failure patient at home - diuretics upped, opiates prescribed and Distric Nursing package put in place - Leaving appropriate patients at home is such a rewarding part of the paramedic role 😎
1
5
36
@MedicMiddle
Medic in The Middle
3 years
JRCALC has removed The IV route for Chlorphenamine, are UK paramedic colleagues still giving it IV as it is included in the BNF for IV, the drug is covered under HMR 2012 legislation does that justify use Stepping outside of JRCALC administration routes ?
11
3
35
@MedicMiddle
Medic in The Middle
3 years
@Hannahroyal27 @mohammedtalhak This is why paramedics who don’t want to mentor shouldn’t be forced to mentor, it’s a shame because it Creates a negative learning environment
1
0
33
@MedicMiddle
Medic in The Middle
8 months
Hi I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
2
22
30
@MedicMiddle
Medic in The Middle
3 years
TXA and Co-Amoxiclav are contraindicated to be given through the same IV line - useful bit of guidance that is perhaps not so well known From @JRCALCguidance @AACE_org
2
5
32
@MedicMiddle
Medic in The Middle
1 year
Hi I use this account to teach people about Pre hospital Emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 2,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
0
24
29
@MedicMiddle
Medic in The Middle
1 year
One of the best parts of my role is being able to educate new students on the road whilst also attending 999 calls day to day 😁🤓 📚 #theyarethefuture #education #paramedic #nhs #leadership #clinicalteammentor
Tweet media one
3
2
29
@MedicMiddle
Medic in The Middle
2 years
Really starting to enjoy more rural ambulance work, new clinical decision making and longer transfer times have been a great new challenge to my practice
Tweet media one
1
0
28
@MedicMiddle
Medic in The Middle
3 years
Every paramedic has popped this move on a pre-alert at some point in their career
Tweet media one
0
3
28
@MedicMiddle
Medic in The Middle
3 months
Today marks my last day working for @OFFICIALWMAS . It’s been a blast of a 7 year journey 👍 🚑 onto the next adventure 😎
2
0
27
@MedicMiddle
Medic in The Middle
2 years
There should be more training and focus in the paramedic curriculum on how to deal with cognitive strain and how to manage stressful situations calmly, I honestly believe it would lead to better decision making and better patient outcome @ParamedicsUK @GroupCall2 @heli_med_james
3
0
27
@MedicMiddle
Medic in The Middle
2 years
Today we are in Nottingham at @teleflex EZ-IO course
Tweet media one
9
0
27
@MedicMiddle
Medic in The Middle
14 days
I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
2
24
28
@MedicMiddle
Medic in The Middle
1 year
40 year old Male - presents to ambulance c/o recurrent syncope (fainting spells) and palpitations. 🚑 He reports a family history of sudden adult deaths in his father and an uncle. Examination: •Vital signs are stable. •Physical examination is unremarkable, denies any pain
Tweet media one
12
6
25
@MedicMiddle
Medic in The Middle
2 years
Pushing fluids through and want to speed up the process? Try using a 3 way tap and a 10 or 20ml syringe to draw up fluids and push them through 👍 💧
Tweet media one
3
1
24
@MedicMiddle
Medic in The Middle
1 year
Buzzed to have been accepted onto the PGCert at @uniofwarwick @warwickmed starting in October! 😁🤓 #selfdevelopment #paramedic
2
0
25
@MedicMiddle
Medic in The Middle
21 days
Tweet media one
1
0
24
@MedicMiddle
Medic in The Middle
1 year
Don’t forget about Sgarbossa in suspected LBBB M.I’s 😎
Tweet media one
0
4
21
@MedicMiddle
Medic in The Middle
1 year
There are days as paramedics where I firmly believe we are kept alive by caffeine and paracetamol 😂
3
0
23
@MedicMiddle
Medic in The Middle
5 months
I use this account to teach people about Pre hospital emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 3,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
0
20
23
@MedicMiddle
Medic in The Middle
2 years
“The beautiful thing about learning is that no one can take it away from you” - B.B King 🎸 Today I start my new venture as a CTM, thanks to all those who have supported the journey so far! 🚑 😄
Tweet media one
1
0
23
@MedicMiddle
Medic in The Middle
1 year
Hi all - I’m going to start ECG Mondays. 57-year-old man is seen in GP surgery following two weeks of episodic left chest pain. HR 73, BP 134/64, SpO2 97 . No pain at time of ECG on crew asx. Answers posted Tuesdays !
Tweet media one
9
1
22
@MedicMiddle
Medic in The Middle
2 years
There can sometimes be a bit of resistance from clinicians when it comes to using checklists, but it is evidentially proven to reduce cognitive load and thus improve patient care 👍
@MediMemosUK
MediMemos.co.uk
2 years
Student Paramedics and Ambulance Techs - don’t forget these cards can help you out too, whether it be OSCE practice and prep to using them on the road as the base of your clinical practice. Checklists increase your ability to perform and increases bandwidth. How do you use yours?
Tweet media one
Tweet media two
Tweet media three
Tweet media four
3
3
43
4
4
21
@MedicMiddle
Medic in The Middle
1 year
Hugely proud of this episode with the awesome mind 🧠 that is @heli_med_james from @TheResusRoom @theSONARteam @GWAAC joining to share his font of knowledge on the topic Be great to hear your thoughts on this one!
1
2
21
@MedicMiddle
Medic in The Middle
1 year
Very Excited to announce we will be recording our next episode at the end of this month with @heli_med_james from @TheResusRoom . The Episode will be on neonatal management/care. please do message in any questions you want answering/topics you want covering! 😎 🚑
1
3
20
@MedicMiddle
Medic in The Middle
2 years
This arrived today!
Tweet media one
0
2
20
@MedicMiddle
Medic in The Middle
2 years
Excited to be recording later in the month with HART Critical care paramedic @JBPara999 - topic for the month is drownings! Send any questions you want answering this way!
Tweet media one
4
0
20
@MedicMiddle
Medic in The Middle
2 years
Different sort of day yesterday doing an observation day with ⁦ @WMASHART ⁩ 😁
Tweet media one
0
0
19
@MedicMiddle
Medic in The Middle
2 years
@paramattharri84 Always find narcan intra arrest an interesting topic, cause of arrest of these patients is most likely going to be coming from an Airway or oxygenation issue, and as paramedics we need to be careful not to become sidetracked with prioritising narcan over reversible causes 🤓
4
1
19
@MedicMiddle
Medic in The Middle
2 years
Excited to start my new role at work as a Clinical team mentor, hard work and determination pays off 💪
2
0
19
@MedicMiddle
Medic in The Middle
1 year
Coming soon! 👀 TBI episode 🧠 with @WeekesLauren 🚑 🚁
0
1
18
@MedicMiddle
Medic in The Middle
2 years
Always treat the patient based off what is best for the patient at that time and not out of fear of litigation of simply ‘not doing something’
2
0
17
@MedicMiddle
Medic in The Middle
2 years
Hi I use this account to teach people about Pre hospital Emergency practice and promote the podcast. I don’t use advertisements and my content is also free. I’m trying to hit 2,000 followers to be able to reach more people Can I get some RTs and follows to help me get there?🚑
0
8
15
@MedicMiddle
Medic in The Middle
3 years
Certainly do miss having my handy service issue pocket JRCALC instead of relying on an app… think it’s time to invest 💵
3
0
15
@MedicMiddle
Medic in The Middle
2 years
Just wrapped up a great podcast with @JBPara999 from @YorkshireHart on drownings💧 can’t wait for it to be released! Keep eyes peeled 👀
2
0
15
@MedicMiddle
Medic in The Middle
1 year
Hypoventilation of TBI patients however will lead to an increase in Co2 and cause cerebral blood vessels to dilate and cause a rise in ICP - this can be dangerous for the Brain injured patient, and cause worsening secondary brain injury 🧠
0
0
16
@MedicMiddle
Medic in The Middle
3 years
Didn’t get the job I applied for today, but grateful for the experience of selection and a lesson to stay humble and stay thirsty 😎
2
0
15
@MedicMiddle
Medic in The Middle
10 months
Never be afraid to use aid memoirs. For anything! #checklistssavelives
@ZeeshParamedic
Zeesh
1 year
Teaching PILS course today. I cannot remember kiddy normal values. I just don’t have the bandwidth for it. Aide-memoires are very useful in such situations
Tweet media one
12
4
79
0
2
14
@MedicMiddle
Medic in The Middle
1 year
Great first day at @uniofwarwick @warwickmed on day 1 of the PgCert course! #learning #Selfdevelopment #paramedic
Tweet media one
0
0
15
@MedicMiddle
Medic in The Middle
7 months
50 y/o male found collapsed on floor. GCS 13/15, hr 90 , bp 176/90, rr 20, sats 93% on arrival, appears sweaty and pale
Tweet media one
4
4
15
@MedicMiddle
Medic in The Middle
2 years
Are we seeing less and less self care in this modern day and age? Would we benefit from a public education campaign?
1
0
14
@MedicMiddle
Medic in The Middle
14 days
Civility saves lives. I also think Humility saves lives. How many times are decisions made or not made out of fear of being ‘incorrect’ or feeling ‘daft’ for speaking up or asking for help #humilitysaveslives
1
3
15
@MedicMiddle
Medic in The Middle
3 years
After being unsuccessful myself in a recent assessment it’s humbling and reassuring to see a mind as brilliant as fellow podcaster @heli_med_james being open about set backs and positive attitude 👍 thank you James 😎 onwards and upwards mate.
@heli_med_james
James Yates
3 years
Thanks to all those who sent good wishes for the Advanced Paramedic Critical Care assessments. Unfortunately, despite giving it my all, I was unsuccessful. Time to regroup, reflect and move forwards
34
0
322
1
0
15
@MedicMiddle
Medic in The Middle
2 years
Plug for anyone who’s interested in learning more about capnography in the pre hospital setting, Troy Valente has done a brilliant job. Would recommend giving it a read!
Tweet media one
2
2
14
@MedicMiddle
Medic in The Middle
1 year
Used this technique today in practice for a difficult airway, results were - hugely improved oxygenation and airway patency 🚑
@RCEMLearning
RCEMLearning
10 years
Silo technique in airway- get it right the first time when pre-oxygenating @DocJohnHinds #RCEMBelfast #FOAMed http://t.co/YnIXizMCoo
Tweet media one
1
9
34
2
2
14
@MedicMiddle
Medic in The Middle
3 months
My partner wins the prize for best cupcakes for the leaving drinks 🍻 🧁
Tweet media one
0
0
14
@MedicMiddle
Medic in The Middle
3 years
Stepping outside of scope of practice/guidelines to benefit the patient? Discuss @GroupCall2 @hepner_alex @robfenwick @heli_med_james @emergprehosp @PARAMEDICAST_ @TeemuX8 —-> @MallinsonT sums this conundrum up beautifully ‘Clinical courage’
5
3
13
@MedicMiddle
Medic in The Middle
2 years
Do the basics and do the basics well
0
1
14
@MedicMiddle
Medic in The Middle
1 year
I was unsuccessful at a job interview recently. Time to regroup, reflect and move forward. The #paramedic career is a journey and not a destination.
Tweet media one
0
0
13
@MedicMiddle
Medic in The Middle
2 years
Thank you @ParamedicsUK
Tweet media one
0
0
12
@MedicMiddle
Medic in The Middle
8 months
Looking forward to starting the next module of my post grad at @uniofwarwick tomorrow! #criticalcaretransfer @warwickmed
0
0
13
@MedicMiddle
Medic in The Middle
2 years
Did you know? - #Nof patients can lose anything between 100-1000mls in volume pre operatively 🦴 🩸
2
0
13
@MedicMiddle
Medic in The Middle
8 months
Who out there uses venous blood 🩸 when taking a BM during cardiac arrest? Interesting excerpt from @JRCALCPlus
Tweet media one
9
0
13
@MedicMiddle
Medic in The Middle
1 year
“People don’t leave bad jobs, they leave bad leaders” - leadership first
1
3
12
@MedicMiddle
Medic in The Middle
1 year
68 Year old female complaining of a week long history of Shortness of breath, dizziness and occasional chest discomfort
Tweet media one
5
0
12
@MedicMiddle
Medic in The Middle
2 years
Important ECG findings not to be missed
Tweet media one
0
2
11
@MedicMiddle
Medic in The Middle
2 years
I feel as Healthcare professionals we become Jedi’s at multi tasking. In what other career are you assessing the patient, taking obs, completing paperwork, administering medication, communicating with family members, making a plan of conveyance or no conveyance
1
0
12
@MedicMiddle
Medic in The Middle
10 months
Good morning! Very lucky to work where I do and enjoy views such as these. Have a good day everyone 👍
Tweet media one
1
0
11
@MedicMiddle
Medic in The Middle
2 years
Ambulance crew debate of the day… at what age do we stop saying “they fell over” and start saying “they’ve had a fall” 🧐 50? 60? 70?
6
0
12
@MedicMiddle
Medic in The Middle
1 year
Debriefing after jobs is invaluable for provider welfare and continual improvement of practice. What tools do you use?
Tweet media one
2
1
12
@MedicMiddle
Medic in The Middle
10 months
Medic in the middle will be back with some fresh episodes in the upcoming months! We are busy planning some really amazing guests to feature - stay tuned! 👀 🎙️ 🚑
1
0
12
@MedicMiddle
Medic in The Middle
1 year
Been an amazing experience in NYC - Florida - Bahamas and now back to NYC before flying home tomorrow ✈️ Back on shift Monday 🚑 and lots of exciting podcast stuff coming up 👀
Tweet media one
0
0
11
@MedicMiddle
Medic in The Middle
1 year
Brilliant to see this coming into practice in the ambulance service sector 👍
@WelshAmbulance
Welsh Ambulance
1 year
We’re delighted to have introduced Penthrox into our suite of pain-relieving drugs. In a UK ambulance service first, our volunteers are also being trained to administer the drug, which is used to help patients with a traumatic injury, like a fracture 👉
Tweet media one
41
74
552
1
0
11
@MedicMiddle
Medic in The Middle
1 year
Another year on and we have double the listeners listening and sharing the podcast 😁 🙏 thanks to every listener for your support
3
0
11