#MedChat Transcript
Healthcare social media transcript of the #MedChat hashtag.
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See #MedChat Influencers/Analytics.
Profile | Tweet |
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![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] Following a CatABCDE approach, with focus on getting on a pelvic binder and watching vitals for signs of significant abdominal/pelvic internal haemorrhage #MedChat |
![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] [REDACTED USER] Bi-Lateral IV access would be first port of call, with IO in the proximal humerus being a good alternative if pt becomes shut down due to hypotension. Critical care teams with blood products would be useful, as standard fluid resus may cause a dilutional coagulopathy #Medchat |
![]() | CR Barley @_crbarley Can anyone tell big fat juicy Trauma is not my field of expertise? #medchat #timetolearn |
![]() | Billy Roskell @billyroskell [REDACTED USER] [REDACTED USER] IV IO give TXA good pelvic immobilization. Fluid in 250ml reassess max 2ltr #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] Interested for answers on this! I personally really struggle with hot debrief as I can’t remember what happened immediately after. Maybe the debrief should include a recap of what actually happened as well as what went well and what could reasonably be done to improve? #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] I also really struggle with the phrase “So, how do you think that went?” It’s so open-ended and is often sprung on you without warning. Maybe we should say “Shall we have a debrief? Let’s go over what happened.... What do you think we did well/can be improved?” #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] I think debrief can be great opportunity to act on holes in a service. Not only medically but for psychological support of staff. Perhaps it will also help to acknowledge in this debrief, as you’ve said, how slight the chances of survival were initially? #medchat |
![]() | Billy Roskell @billyroskell [REDACTED USER] [REDACTED USER] Never had a Service debriefing in 25yrs no matter how distressing. Asked how are you over the radio but nothing more. However I attended a police hot debriefing following a fatal RTC,very well constructed. All expressing how they felt at the time and now. #medchat |
![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] [REDACTED USER] Without experience it's hard to weigh in, but I think being open about what went well, and things that could have be improved for the next time, but also understanding that not everyone can be saved, so it's important to allow people to just discuss their feelings too #MedChat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] As I say, I struggle with hot debriefs anyway. In a cold debrief I’d feel as though I’d had time to consider questions and digest what has happened. By then I may be ready to tell you what I needed in the incident clinically and need now emotionally. #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] I am going to leech off everyone else’s answers for number three! #NoShame #MedChat 🤗 |
![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] [REDACTED USER] Establishing airway and breathing with the thought of intubating if expertise available, then using HOTT as the major reversible causes of traumatic cardiac arrest, pelvic binder for potential pelvic haemorrhage. CPR is devalued, until the other causes can be managed. #MedChat |
![]() | Billy Roskell @billyroskell @LivEaTraveLove [REDACTED USER] [REDACTED USER] [REDACTED USER] My Trust could well be very good at it. I'm speaking from personal point of view. Think if your asked if your ok at the time, have a think before replying I'm ok. #medchat |
![]() | CR Barley @_crbarley @COwomoyela [REDACTED USER] [REDACTED USER] Here comes a stupid question! Forgive me, what is a tripod? #medchat |
![]() | Billy Roskell @billyroskell [REDACTED USER] [REDACTED USER] Control claret, think of reversible causes Tension pneumo decompress, Airway & ventilate defib on, cpr. #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] @COwomoyela [REDACTED USER] [REDACTED USER] Oooh, I actually use this but have never known it has a special name... thanks! #medchat |
![]() | Billy Roskell @billyroskell [REDACTED USER] [REDACTED USER] 🤔 be assertive but calm. Explain that to reverse the cause is better than treating the result. #medchat |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] God, this sort of confrontation is my worst nightmare as a young, baby-faced, University-educated Paramedic. Someone older and with more experience disagreeing with the clinical care I know to be best for the patient... grateful for tips #medchat |
![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] [REDACTED USER] I think briefly explaining the rationale behind why CPR is ineffective in traumatic cardiac arrest, and that once HOTT has been addressed, CPR can commence with a higher success rate? #MedChat |
![]() | Oli Smith @OliSmith91 [REDACTED USER] [REDACTED USER] Taking the time to explain can be beneficial - you may impact the practitioner with their future practice which is far more beneficial. If there enough hands on deck - CPR won't hurt but volume preservation and HOTT principles take priority. #medchat [REDACTED USER] |
![]() | CR Barley @_crbarley [REDACTED USER] [REDACTED USER] No, agreed. I think being from Uni background can be seen in a negative light by some ambulance crews though 🤔 or is that me being insecure? #medchat |
![]() | Elliot Sutcliffe @Elliot203 [REDACTED USER] [REDACTED USER] [REDACTED USER] Ultimately team cohesion is important, and depending on how many people are available, will depend on if CPR will interfere with effective HOTT management. If 3 people, then CPR takes too many away from the main focus, if theres 7 of you, then I think CPR would be useful #MedChat |
