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So….What do we all make of the latest JRCALC update on termination of resuscitation and verification of death?Does the n...
15/04/2026

So….What do we all make of the latest JRCALC update on termination of resuscitation and verification of death?

Does the new wording make practice clearer, safer, and easier to defend, or do you think it risks confusion at scene, especially around timing, re-arrest, and verification of death?

I’m keen to hear real-world thoughts from those actually dealing with this at 3am.

Keep it constructive. What works, what doesn’t, and what needs clarifying?

I’ve tried a fair few resus apps over the years, and so far eResus seems to tick all the boxes for me.Clear. Uncluttered...
10/04/2026

I’ve tried a fair few resus apps over the years, and so far eResus seems to tick all the boxes for me.

Clear. Uncluttered. Easy to follow when it matters.

Interested to hear what others are using. What’s the best resus app in your view, and why?

Qualifications are nothing withiut Experience and attitude
08/04/2026

Qualifications are nothing withiut Experience and attitude

A calm clinician will usually do more good than a fast one.Speed matters.But rushed thinking causes more mistakes than s...
07/04/2026

A calm clinician will usually do more good than a fast one.

Speed matters.
But rushed thinking causes more mistakes than steady hands.

Agree or disagree?”

A patient who looks calm is not always improving.You will see this on scene. Someone who was agitated, restless, or dist...
04/04/2026

A patient who looks calm is not always improving.

You will see this on scene. Someone who was agitated, restless, or distressed suddenly becomes quiet. That can be a warning sign, not reassurance. It may reflect fatigue, reduced cerebral perfusion, or physiological deterioration.

Do not let calmness lower your guard. Reassess.

Have you ever seen a patient become suddenly calm just before deteriorating?


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What’s one fact about the human body that has actually helped you in prehospital care?Something from anatomy, physiology...
03/04/2026

What’s one fact about the human body that has actually helped you in prehospital care?
Something from anatomy, physiology or assessment that made you think differently, recognise risk earlier, or understand a patient better. Share yours below.

We say “busy shift” because “unrelenting descent into operational nonsense” sounds dramatic.  BusyShift                 ...
03/04/2026

We say “busy shift” because “unrelenting descent into operational nonsense” sounds dramatic.

BusyShift

You won’t remember every set of obs.You won’t remember every drug you’ve given.But they will remember you.How you spoke ...
31/03/2026

You won’t remember every set of obs.
You won’t remember every drug you’ve given.

But they will remember you.

How you spoke to them.
How you reassured them.
How you treated them when they were vulnerable.

That part of the job still matters.

We’re not short of ambulances. We’re short of somewhere to take patientsThis is what midnight, 1am or 4pm really looks l...
31/03/2026

We’re not short of ambulances. We’re short of somewhere to take patients

This is what midnight, 1am or 4pm really looks like…

00:38 “Chest pain” We do everything properly

Assessment, ECG, Treatment. Decision made. They need hospital

01:12 We arrive, There’s nowhere to go
No beds, No chairs, No movement

So we wait...

01:54 Crew next to us, Same situation, Patient still on oxygen, Still on the ambulance stretcher.

Over an hour now

02:21 We’re not a crew anymore, We’re a holding bay
Observations, Reassurance, Risk management

All in the back of a vehicle

02:49 Jobs stacking, Control asking for updates. We’ve got nothing to give

This isn’t a delay - This is gridlock

Ambulances aren’t unavailable

They’re trapped

Full, Occupied, Stuck outside

And while we sit here, someone else is waiting

At home, On the floor and getting worse

So what’s the real emergency now

The patient we can’t hand over. Or the one we haven’t reached yet

What’s your longest wait this month?

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Cardiff

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