Cardiology appointment for 3 years time (cardiac sounding chest pain with risk factors). 🤔🤔any advice for this patient
@HSELive
? I’ve asked him not to die in the interim
I’ve moved from a city with no community COVID to a city with no community COVID and I need to do an enforced fortnight hotel quarantine...wise up Ireland. This is how it should be done.
Todays setup. 2 pilots , paramedic & doctor on shift 7-7. Flying 270km/hr , 2 hr endurance. 6 medical bags , ventilator , blood , monitor , suction , ultrasound and much more.
My first week as remote GP:
Monday - first patient - headache , gcs 8 , intubated , treated as meningitis , transfer (4hrs) to tertiary hospital.
Tuesday - fly 1 hr to primary healthcare remote clinic. 10 patients. Massive health needs.
Hard to beat for variety.
Also 38c (winter)
Currently on a helimed shift and reading the articles about
#HEMS
back home 🇮🇪. Thanks to those advocating
My thoughts (worked for 5 services)
1. The gold standard model is doctor-paramedic. The primary cost is the platform. Adding a physician is relatively minor in comparison
Shift in UK last weekend. Irish HEMS doc (me) handed over to Irish major trauma consultant & senior nurse.Sad that we continue to export talent.
Smuggled in a proper breakfast for the duty crew 😉
7 year old Wicklow girl with new diagnosis autism. Psychologist & CAMHS rejected referral. OT wait at least 3 years. Any ideas??
@DonnellyStephen
@AsIAmIreland
Early christmas present-car swap…Thanks to
@CRITICALcharity
for ongoing support to allow me to respond in Wicklow & surrounds in a safer 4wd vehicle. Fully kitted to provide critical care at the roadside.
0700 start shift , handover from outgoing team. Daily electronics check and drug check. Check all equipment tagged. Car first to ensure deployable immediately , followed by aircraft.
Interesting week on the learjet..Norfolk Island,Horn Island,Darwin,Sydney,Adelaide,Brisbane.Cairns..An insight into how massive Australia is and the logistical challenges of dealing with sick patients in remote areas...And how cool the place looks from the air too!!!
@SimonHarrisTD
@Antcon7062
@neasaconneally
I finished the GP training scheme in 2017. 1/3 of my class not working in GP and 1/3 working overseas...give us a shout when you value and resource GP approapriately and we’ll come back....something tangible not waffle like the above
Some really amazing stuff from the Irish out of hospital cardiac arrest data.
1. 81% had cpr attempted 2. 26% had a defibrillator attached pre EMS 3. 96% of survivors had good to moderate function. Bravo
@CFRIreland
@DubFireBrigade
@AmbulanceNAS
Hot and very bumpy on
@EHAAT_
HM07 today....medical cardiac arrest moulage with pacing between jobs. Getting students and pilots involved
#theonlywayisessex
Currently day 7/14 quarantine. Incredibly boring but needs to be done to ensure the safety of those outside the window....
@NICU_doc_salone
speaks sense
Getting stuck into the critical care passport with a failed airway / front of neck access moulage with
@RueckerMD
@TonyTone17
in between jobs on
@EHAAT_
HM55....flying over Herts and it’s beautiful lavender fields
Primary Care Centres without the GP’s. Same shit different day....
I’m off to the UK , can
@SimonHarrisTD
give me a shout when it’s sorted and I’ll come back
No GP bloods available in Wicklow for at least the next two weeks. Very embarrassing
@SimonHarrisTD
@DonnellyStephen
. Hard to provide good care with resources as they are.
Coming over here - doing a highly skilled job , paying my taxes , and not using any of the state services (nhs etc.)...thanks
@BorisJohnson
, packing the bags and I’ll be gone in a few weeks. 😢 Great to feel welcome.
EU migrants have been able to “treat the UK as if it’s part of their own country” for too long, Boris Johnson said yesterday as he reprised the core message of Vote Leave’s 2016 EU referendum campaign.
@eoconor209
Excellent piece Emily. Staff retention so much easier than recruitment. Staff have bad experiences and they leave making it worse for those remaining and the cycle ’s about making people look forward to going to work again..thanks from primary care.
Man down. Living in Western Australia/ Queensland over the last two years COVID has always been an abstract concept. At least it’s a nice place to isolate. 🌞🕶🌊🏖
3. The helicopter is a method to transport the crew. It should be rarely used as a patient transport vehicle as we have limited primary pads. The focus should move away from being on speed to hospital and focus on speed to treatment ( ie. Skilled personnel)
Normal people best bit of TV in a while. Makes me remember how much I loved my 6 years in Trinity....didn’t get as much action as Conall but I think we were nerdier in the science block
Thanks to all who supported my cycle.
@CRITICALcharity
have big plans to increase the number of medical responders of all types in all counties. Hopefully good news for health outcomes in every corner of the country.