Robert Prosser
@RobertProsser96
Followers
468
Following
739
Media
12
Statuses
124
Paramedic 🚑 Liverpool 🏠 Interest in Trauma, Event Medicine, EPRR and endlessly watching TikTok when I should be getting ready 🧐 27. All opinions are my own.
Liverpool, England
Joined February 2018
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
JUNGKOOK
• 1244020 Tweets
Celtics
• 279605 Tweets
VIRGINIA AL 9009
• 151448 Tweets
sabrina
• 142664 Tweets
Boston
• 142215 Tweets
Mavs
• 134523 Tweets
Dallas
• 127670 Tweets
Luka
• 124156 Tweets
ariana
• 95715 Tweets
Kyrie
• 93050 Tweets
Tatum
• 83352 Tweets
Porzingis
• 82344 Tweets
barry
• 65837 Tweets
Dr. Phil
• 55322 Tweets
Charli
• 45089 Tweets
Miranda
• 44415 Tweets
Corinthians
• 40635 Tweets
Jaylen Brown
• 31951 Tweets
ナイトワンダラー
• 28711 Tweets
#スターレイル予告番組
• 26818 Tweets
#PowerGhost
• 22203 Tweets
Miss Alabama
• 19401 Tweets
Hayırlı Cumalar
• 16397 Tweets
ロックマンワールド
• 15311 Tweets
Kaytranada
• 14982 Tweets
#BiharSpecialStatus
• 14808 Tweets
#يوم_Iلجمعه
• 13855 Tweets
Tariq
• 12677 Tweets
PRABOWOingin RAKYATmakmur
• 11231 Tweets
ドラマCD
• 11145 Tweets
Carlos Miguel
• 10832 Tweets
SalingJAGA SalingBANTU
• 10691 Tweets
GIGIL OUT NOW
• 10647 Tweets
Ambulance paramedics in the UK should all be allowed to intubate in cardiac arrest, and have the appropriate equipment and regular training to do so safely.
🙋♂️ What’s your unpopular opinion in medicine that will get you in this position?
#MedTwitter
176
41
209
18
2
148
Last shift for a while in central Liverpool orange team and with my top crewmate Paul! Been a great few years working in Anfield but looking forward to my new challenge as SPTL for Wallasey blue team 🚑
11
1
120
On the way down to
#London
to provide medical cover outside
#BuckinghamPalace
overnight for
@stjohnambulance
@sjamerseyside
4
0
62
NHS ‘pay rise’ has resulted in a £500 drop in my pay compared to last month… Lots of colleagues in a similar position today from across the ambulance service and wider NHS. It’s ok though because the government has just cut taxes for those earning over £150k/year. Thanks, Liz 🤯
2
8
48
Slightly different Sunday providing paramedic support to
@Great_Run
Manchester for
@SJANorthCRU
! Nice to be back on a bike again!
1
1
45
Linda taught me as a cadet in
@stjohnambulance
from about 12, and even taught my dad first aid at work before I was born! Linda has ‘been there, done that’. She still runs her SJA unit, supports cadets and keeps jockeys safe at
@AintreeRaces
. Genuinely inspirational
#volunteer
💚
She’s 80 this year, but once again my mum is on duty at Aintree, as a volunteer for
@stjohnambulance
Making sure everyone attending or riding during the three day meeting, is well looked after. Words fail me on how proud she makes me. They don’t make them like her any more!
22
27
701
1
2
40
Really useful training day from
@NWAmbulance
today. Most importantly a refresher of all things maternity, keeping us up to date and ready to react to some of the most nerve wracking calls we attend! Hoping to complete
#PROMPT
training shortly to further support my colleagues 🤰👶
1
0
34
Saw first hand today the difference basic first aid measures by members of the public make. Direct pressure and improvised tourniquets stemmed severe bleeding and possibly saved the persons life.
1
4
30
This is exactly it. I get so frustrated with people who think just throwing an igel into soiled airways works. It doesn’t. “Igel and get them to hospital quickly” - clearly never had to deal with an active arrest with soiled airway and a carry down 3 flights of stairs. 1/
@Bananamang0_
@GHancock2304
I would disagree on the amount of times a tube would be useful. I’ve been to fair few jobs with completely soiled airways that re-soil quickly after suction has been used. A tube would have been so beneficial in these situations. We don’t always have time for crit care to turn up
1
1
13
2
5
29
It’s such a strange perspective delivering a baby at one call, and pronouncing someone dead in the next. We have such a privileged job but sometimes fate works in funny ways.
#FoodForThought
0
1
24
Another interesting day yesterday, providing cover to
@LFC
homecoming parade on an ambulance with the amazing Bill Houghton. Amazing to see so many people visit and celebrate in our amazing city! Even got to meet some of my friends out on the route ☺️
1
0
19
Day in Sheffield today at the
@999EMSRF
Conference 2022, pushing the agenda for paramedic and pre-hospital research
1
2
16
Really enjoyable day with colleagues from
@NWAmbulance
and
@AintreeMTC
on a brilliantly organised CPD event! Thank you to
@Grant__Parsons
and the rest of the faculty for organising ☺️
0
0
15
Abuse twice this month for blocking the road on emergency calls… “I could have an emergency to be going to as well, why don’t you have any consideration for me”. Really?!
(1/3) Our ambulance crews will always park as considerately as possible; however, we are here for life-threatening emergencies which means we need to get to our patients as quickly as possible to give them life-saving interventions.
8
41
314
1
1
13
Surprisingly, I insert Igels in most of my cardiac arrest patients! But there are a large, likely underreported cohort, who absolutely need a tube. Something the ambulance community should think about before just removing a life saving skill. 11/End
3
1
11
After countless previous clear outs where I couldn’t bear to get rid of them, the time has finally come to get rid of my
#YuGiOh
cards… Had them since primary school and barely touched them since, but does feel like I’m getting rid of a piece of my childhood 😅🤓
1
0
10
@loddyy24
We have them in NWAS, the same
Blue ones for morphine and also white ones for other drugs. They’re usually in the vehicle CD safes or station meds cupboards.
1
0
6
The best weekend of training and immersive simulation by the
@ataccgroup
in Lincolnshire. Met some amazing people and clinicians who I’m lucky to have worked with and been mentored by. Mentally and physically draining weekend but well worth it…
0
0
9
Yet if you try equally save someone’s life with an ET tube you are frowned upon by half the medical community. People just don’t realise the complexities we deal with. There are problems we need to do better, but we have to have our colleagues on board for this. 7/
1
0
8
Airways 2 is often quoted. This showed NO statistical difference in survival between igel and tube. Igel is not better. Paramedics had the ability to override the randomisation if their patient needed different airway management. It showed ETI is difficult, we know that anyway.8/
1
0
8
I strongly disagree with the principle of ‘you don’t do X number of tubes per month’. I intubate many more people than babies I deliver. Midwives and obstetricians don’t kick off at me it. Especially providing immediate care for a shoulder dystocia because I don’t do it often. 3/
1
0
6
@LJMUParaSoc
@IamCal75
- Primary care ACP,
@lewis__d
- Community / Urgent care,
@Jake_asaurusrex
- Cruise Ship,
@jackjoseph94
- TACP in Emergency medicine,
@JackWood2020
- Oil Rig,
@ZeeshParamedic
- Resus officer
4
2
6
It’s not about ‘don’t take our skills away’. It’s about the the thought that sub-optimal care is acceptable and that an airway that is difficult to manage can be magically fixed with an igel, or you can just use a 2 person BVM technique whilst also carrying down stairs. 10/
1
0
6
Equally nobody would question an ED doctor performing a resuscitative hysterotomy or thoracotomy if the patient needed it. How often do they do this? Do they simulate this as often as paramedics intubate? 4/
1
0
5
Something so special about 12000 scousers all singing together on the waterfront. Unreal atmosphere last night
@JamieWebster94
0
0
5
Critical care / HEMS are not always available. Even if they are why is it right or fair that a patient’s life hangs on this wait potentially. Would any of those commenting want to wait for a helicopter to come so they can have some effective ventilations? 2/
1
0
7
So remove tubing. But then what about choking? I still have to be competent in laryngoscopy to try to clear a blocked airway? I’ve never seen a choking arrest, my laryngoscopy experience is from ETI. Should we just call it straight away because we aren’t experienced enough? 9/
1
0
5
I am not trying to start a war between professions. Quite the opposite. It’s just crazy to think that if I was called to resuscitate their family with a soiled airway or poor vents for whatever reason, they’d rather me try an orange cannula in the neck and hope for the best. 5/
1
0
5
I had an horrific shoulder dystocia with newborn arrest. I could’ve just walked them to the ambulance and drove to hospital quickly. But instead used skills I’ve never done before, to try and save 2 lives. The team were grateful and complementary that we tried everything. 6/
1
0
4
@spiceblackford
@stjohnambulance
@sjamerseyside
Not really, only seen one tent, but even now near 3am there are still people coming and laying flowers
0
0
4
@EmergMedDr
@EastEnglandAmb
UCR do bloods in my area. Rapid access to OT/physio which gets the patient up/moving in their own environment, improves confidence and reduces risk related to hospital stays. We refer a lot to them anyway, but direct access from 999 will reduce waiting compared to Cat3/4 response
0
0
4
@DonnchadhaD
@simontutt88
One of ours used to accept ambulance referrals but don’t anymore because they bed down patients in their so can only deal with 3 seated patients at a time… In a massive major trauma centre… Pointless! Locally only available for frailty though not general SDEC stuff.
0
0
3
@jackjoseph94
First bit of down time in forever and you make the crew do drills instead of a well earned brew! 😉👀
0
0
3
@Ryanair
having a nightmare with your agents on chat and also on the phone - you have changed my flight times and I’m trying to change my flight to the same one that the rest of my group are on but I’ve just been hung up on 😡
6
0
1
@TomWilkes_
@SJAOperations
Do we have left any of the much larger land rover 4x4s that you can properly treat patients in the back of? Like the high top long wheelbase ones? That landrover is decent for extrication but can’t do much else in it
1
0
3
@loddyy24
@Thomas_Wardale_
@paulgoddard87
I’m sure will be able to help or find someone who will! :)
2
0
3
@jerrytheamboman
@Ste_Story
Happily be late for a true emergency any day. Dont have any real end of shift protection. Cant get a cat 4 in the last hour, no cat 3 in last 30mins. Cat 1+2 up to finish. Crews forego a second break so they finish at a reasonable time but with hospital delays it’s a nightmare
2
0
1
@Ste_Story
They do their best in CAM. Sometimes theres cat1s which have no cover but with single resource allocation often RRV will assess these first. Impossible to not release crews, vehicles have to get back for next shift to start. Otherwise just have staff sat in stations with no ambo
1
0
2
@FFAFrances
@feelingunderap1
By your logic an igel will suffice for every patient… Why are you intubating ‘all the time’. Can see you’re generally negative to paramedics in your anonymous Twitter and clearly won’t hear our views regardless. Maybe we are the ones feeling ‘under appreciated’ 🙄
0
0
2
@loddyy24
At
@UCLanParamedics
we had the Senior Coroner for Lancashire, Dr James Adeley, came to give us a talk. One of the most valuable talks we had in my opinion, might be worth a go! (He’s also on tele at the minute: )
0
2
2
@DonnchadhaD
App called ‘AirRX’ which gives info for this. EU and UK Civil aviation authority rules on access to full medical kit on link - pilots make the decision based on info they have about you and patient condition. Call airline medical advice lines for support.
0
0
2
@ZeeshParamedic
@NJL_Blancq
I’ve never understood the equipment obsession on ITU transfers. Pretty much all of it is in the ambulance and what isn’t there probably isn’t worth doing in the back of a van. Just bring the drugs! Oxygen cylinders, bvms and suction units? Got them!
2
0
2
@Thomas_Wardale_
You’ll be absolutely fine! Drop me a line if there’s anything you need help with :-)
1
0
1
@eimhearquinn
Nice to see you guys last night! Managed to find time for a lil chill at the docks myself 🙏🏻
1
0
1
@Ste_Story
@Aidan_Baron
@georgebellstarr
@hemsbagcarrier
@Gas_Craic
@LeeMcLaren11
@Ste_Story
literally yes to everything you’ve said. Not forgetting we have to be competent in laryngoscopy, during a cardiac arrest, regardless for airway obstruction 🙃
0
0
1
@cash_jack
@NWAmbulance
Use them for the golf at Hoylake. Would love to see them in Liverpool City Centre soon!
0
0
1
@FootieChick1967
@DanHaygarth1
Used to do Mersey river festival and music on the waterfront every year, shame it stopped!
2
0
1