
Paramedic. MCPara. Passionate about good Paramedic Education and Mentorship. Paramedic for @deptherapy
SE England
Joined November 2012
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20 yrs working 999 in very multicultural areas of the UK has taught me that #Sikhs are just not the problem, if any one race or culture can be? Only this week I attended a frail, elderly white man who was living with Sikh neighbours who cared for him for 15yrs after his wife died
Howard Payne retweeted
Almost everyone I speak to feels completely pissed off with what is happening to Britain. The extortionate costs, high taxes, petty authority rules and the fact that nothing works properly. A country in serious decline. A decline facilitated by governments for corporate greed.
Britain faces huge difficulties and we don’t have the calibre of politicians to deal with the issues being faced. We have the most useless, insincere and out of touch politicians ever seen in British history. It’s a dreadful situation. We are being led by a bunch of shysters with their nests being feathered by their corporate cronies.
Britain is broken. You can feel the decline everywhere, except in the deep pockets of the greedy corporations who have been allowed to plunder the assets of Britain.
We are an island full of natural resources & with a temperate climate. We should have energy security, vibrant agriculture and fishing industries, blue collar industries to be proud of, manufacturing centres of excellence, but instead, it's all being destroyed, sold off or closed down. The industrial and community fabric of so many communities has been wilfully destroyed or neglected for decades.
We have infrastructures and public services that are rotting despite having the highest tax burden in history.
We have an ongoing cost of living crisis where supermarkets & utility & energy companies fleece consumers on a daily basis while showing record profits.
And for all of this, I blame governments for being more concerned in political game playing, consolidation of power, suppressing freedom of speech, indulging in petty punishment rules and surveillance culture, facilitating corporate greed rather than addressing the many concerns and challenges faced by individuals and communities right across the country.
The first job of any government should be to wholeheartedly serve and protect the citizens that they are supposed to represent. Instead, we have successive governments who are punishing the public and are in thrall to billionaires, global technocrats and asset stripping corporations like BlackRock.
Britain has turned into a total mess. Nothing works. Everything is bogged down in governmental petty bureaucracy or punishment politics. Pensioners, small businesses, students, farmers, fishing communities and the disabled are wilfully hammered by the Labour government. Over £100bn of taxpayers’ money is now spent per year on interest payments for the national debt, £30bn is being spaffed away on carbon capture machines, The cost of living for basic essentials like water, energy and food is through the roof. We are taxed to the hilt and yet public services and core infrastructures are rotting. We have water, energy and food security concerns despite having the national resources to be secure in all of these. We have a warmongering Prime Minister who is the most pompous and conceited individual ever to walk through the doors of 10 Downing Street. We have successive governments literally asset stripping the country to give everything away to multinational corporations. We have massive amounts of poverty and homelessness. We have thousands of migrants arriving across the channel while £millions are spent every day on housing them in 5 star hotels. We have an NHS that is in a total mess with millions of people living in excruciating pain because they can’t get treated for months on end. We have governments who are more concerned with sucking up to the likes of BlackRock rather than fixing the mess that they created. And we even have a government who ram through plastering solar panels on thousands of acres of prime farmland while spending £50bn on sun dimming experiments. It’s an utter disgrace what has happened to Britain and for all of this, I blame successive governments.
Britain is broken. A gigantic asset stripping and plundering Britain - facilitated by successive governments - at our own expense. Absolutely shameful.
Howard Payne retweeted
ECG in syncope is VITAL.
4 inherited diseases - HOCM, WPW, ARVD, Brugada
2 acquired - PE, trifasicular block
2 mixed disorders - prolonged QT, short QT
Know the ECG findings in these eight conditions
#RCEMcpd
Howard Payne retweeted
Nausea and Vomiting: A thread (mostly for fun)
First a little background adapted from Dylan Harris: lecturer at University of Cardiff.
Stresses the need to transport head injury patients smoothly in a slightly heads up position to minimise changes in ICP. Credit to the excellent @para_Brad
Maissan, I.M., Vlottes, B., Hoeks, S. et al. Ambulance deceleration causes increased intra cranial pressure in supine position: a prospective observational prove of principle study. Scand J Trauma Resusc Emerg Med 29, 87 (2021). doi.org/10.1186/s13049-021-0…
Looks significant to me !
Between 2009 and 2017 annual A&E visits among over 65s grew by a third.
New @theifs analysis finds that the cuts of over 30% in per person social care spending for the over 65s explains between a quarter and a half of that increase in A&E visits. ifs.org.uk/publications/1521…
An outstanding act of compassion and caring by the staff at @Barnet__ED today. Focussing on what really matters to Patients and their loved ones in the most challenging times. Inspiring - thank you 🙏
pubmed.ncbi.nlm.nih.gov/2003… A really useful piece of research that I cite with SParas all the time
Thread by @MDCearns: The Glasgow Coma Scale is a widespread and important tool for discussing conscious level. After all, "what's the GCS?", barked the stereotypical neurosurgeon at the cowering FY1. But why?! Well...… threadreaderapp.com/thread/1…
Howard Payne retweeted
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Learnt a bit about blood pressure measurement last year. But if it’s not on twitter did it really happen?
Cue my second #tweetorial 😎
To the person who thought it was OK to steal one of our Paramedic’s handbag, purse, house and car keys from an ambulance whilst she was dealing with a critically unwell Patient on the South Coast last night, karma will catch up with you eventually. Beyond speechless 😩










