Ciaran McCullagh (@prehospthinker) profile picture

random thoughts and things encountered in prehospital care land

Joined March 2015
Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)Photo by Ciaran McCullagh (@prehospthinker)
Ciaran McCullagh retweeted
1/3 A paper recently published on physician lead prehospital critical care teams has recently lead to some heated discussions in various spheres. Further discussion has resulted in a white paper being authored by the prehospital and retrieval medicine society of New Zealand
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So completely agree. Let them face a family at an inquest rather than finding the lowest person on the pole to blame in our ‘just culture’.
We need coroners to involve the management and politicians that set up a system to fail patients. Rather than just putting frontline staff on the stand.
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Ciaran McCullagh retweeted
Great engagement this week with the Irish Dementia Working Group on @AmbulanceNAS proposals for developing an age friendly ambulance service. Really good insights and advice, thanks to all the group members @IrishDementiaWG @alzheimersocirl
Powerful meeting this morning with @AmbulanceNAS who are working hard to ensure we have an Age Friendly Ambulance Service. Our members shared many insightful experiences. We are all looking forward to further developing this work
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Taking falsified medicines can harm your health. They may contain: ❌ no or incorrect amount of active ingredient ❌ the wrong active ingredient These medicines won’t treat or prevent disease & may cause harmful side effects. Only purchase 💊 from authorized pharmacies.

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Ciaran McCullagh retweeted
This is bad. Eir’s customer complaint manual: "Under no circumstances are the complaints number or complaints webpage address to be provided to any customer. An agent found to be doing this will be subject to a disciplinary under call avoidance." Irish court fined it €7,500
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Ciaran McCullagh retweeted
This is brilliant. Cobras. Goals vs target measured vs unintended vs unintended outcome. It’s a huge problem in healthcare.
Goodhart's Law = when a measure becomes a target, it ceases to be a good measure Important concept and often a mistake made in healthcare Combat it by: 1. multi-dimensional measures 2. conduct thought exercises w/ various data to eval for unintended actions 3. regular review
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Ciaran McCullagh retweeted
"Dying, just like being born, is a process our bodies go through quite naturally. Knowing what to expect takes away a lot of the fear." @drkathrynmannix goes through the process of dying with the idea of relieving anxiety around the subject of death: ow.ly/FWqv50Q95B0
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Almost as cynical as me but not burnt out
This quoted post is unavailable.
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Seen much about a child in possession of a ‘toy’ being detained at gunpoint by armed officers? Although @firearmsWMP won’t comment on this case, our job is increasingly difficult when we deal with ‘toy’ gun incidents. This ‘toy’ is in fact real & capable of killing! Enough said?
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Fantastic afternoon, certain now more than ever that our quest to eliminate incivilty will improve patient safety and staff wellbeing.
Our National Human Factors in Patient Safety Conference is currently underway. We have two very interesting speakers, Professor Steven Yule and Dr Chris Turner delivering their talks to our attendees in the Albert Theatre in RCSI as well as online 👏
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And that’s a wrap for another year 👏 Another successful National Human Factors in Patient Safety conference has come to an end. Great speakers who delivered very interesting talks and provided great take-aways. Thank you to our speakers and attendees both in person and online.
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The psychological impact of resuscitation affects everyone differently. Immediately afterwards, you might feel great – or sometimes you might not be affected at all. But it's important to remember that at times, exposure to resuscitation can be shocking, upsetting or disturbing. Read our new resource Responder Wellbeing for key advice and support on steps you can take to look after your wellbeing. resus.org.uk/responder-wellb…
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For Al my colleagues who have worried about my “summer” uniform, I was just ahead of the game.
As #shortsgate rumbles on into its second day across the UK ambulance sector Twitter fraternity it’s great to see colleagues embracing the future…
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Ciaran McCullagh retweeted
Essential listening for every single member of An Garda Siochana, including the Commissioner and indeed the Minister for Justice. Urgent action required.
Laura Young resigned from An Garda Síochána last year, and was one of 109 to quit the force last year - the highest number in five years. @mickthehack speaks to her on why she felt she had to leave the force. open.spotify.com/episode/35q…
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Ciaran McCullagh retweeted
Excellent read. Decisions and consequences.
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True 7 years ago when first written… not enough beds👇
Emergency Departments are crowded because of insufficient inpatient beds not low acuity/inappropriate/drunk/primary care patients.
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It’s a fair point
I think it’s worth noting which hospitals are NOT declaring major incidents. Different hospitals operate different levels of ‘open disclosure’ when it comes to being overwhelmed.
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Now that’s clever and useful!
CT Abdomen Anatomy ✨ How to distinguish the features in an abdominal CT, very useful 😍👌🏼 -
Ciaran McCullagh retweeted
Got my flu shot at @ULHospitals today. Hope all @AmbulanceNAS staff will do the same - protects our patients, our families and ourselves
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