Maria Laffey

Can i ask all paramedics a favour? If a relative, friend or passerby has attempted CPR, can you please advise them how well they did and how they’ve given the patient the best chance of survival. Its a small task for you but it will make a significant difference to them.

*Trauma folk* - Has anyone else heard a clicking noise when auscultating a right sided pneumothorax/flail chest? I’ve just read up on Hammans sign, but it appears to only be in the left.. And my patients injury was definitely to the right.. #FOAMed #phtls

Has anyone else been pinged by the HCPC this year? I’ve submitted my portfolio but it still says it needs action - do i need to do anything else?

Lovely evening at my neighbours wedding. I danced with a lady i attended 1.5 years ago with multiple spinal fractures following an RTC. I wasn’t particularly sure she had a spinal injury, but my gut said immobilise -and i’m damn glad i did! 🕺💃

**North Wales Primary Care Clinicians***: Please can you code your observations during your consultations - its really useful during my ambulance shifts as it means I can see what observations are normal for that patient which therefore helps me provide better care.

😩

Its alway lovely to receive thank you letters from patients, but i’m particularly chuffed to have received two on the same day! #plaudit

Pretty chuffed to have passed my prescribing exam! 💊🎓🤓

Last minute cram before my final exam at 12 💊📚🎓

Pretty chuffed to have passed my OSCE after only 7.5 hours between shifts and less than 6 hours sleep. Just over a week to go until i’m finished 🤓💊🩺

15.5 hour shift today. Dreading my 06:45 alarm for the GP surgery tomorrow 😴

Does anyone know the original reference for the medical model of history taking? The structured PC/HPC/PMH/DH/Allergies/FH/SH/SR approach

Unfortunately they day has finally come - I’ve been pinged during my renewal 😔 #ifyouknowyouknow

It just feels wrong to pay another £196.24 to stay registered as a paramedic.

Evidence for the current updates: nice.org.uk/guidance/ng232/e…

14.5 hour shift completed today. Nos da 🥱😴

Further to my last tweet: The new NICE head injury link -> nice.org.uk/guidance/ng232

It would be great to see the evidence for why NICE has added anti platelet therapy as a reason to admit patients with head injury. My literature review for my dissertation in 2021 found mono therapy didn’t increase the risk, but dual therapy did significantly @NICEComms

Brought my laptop down to my local ‘bee garden’ to complete some more uni work - i’m so lucky to have this on my doorstep!

That said, i’m now looking for another audiobook. Any recommendations?