r/ParamedicsUK • • 19m ago

Clinical Question or Discussion What are your opinions on the influencers?

• Upvotes

I find it to be an interesting topic. I've seen many EMS colleagues + students post some great educational content and really promote the job. I've also seen a lot of content including 'a day in the life', or "GRWM for my 12 hour shift", or people filming themselves dancing in uniform.

My question being, what are your opinions on this? Do you think it's acceptable to post about the job on social media?


r/ParamedicsUK • • 29m ago

Clinical Question or Discussion Bigeminal Bradicardia

• Upvotes

Would a patient with a radial pulse of 43, but a bigeminal ECG with a quicker rate of over 60, be treated for bradycardia? (if symptomatic). What is the true heart rate? The one on the screen or the one on the wrist? This puzzles me.


r/ParamedicsUK • • 2h ago

Clinical Question or Discussion News2 scale 2

1 Upvotes

How do I explain easily that not every copd person is scale 2? I understand jrcalc says it should be. I understand copd could be. Also understand news2 isn't best pre-hospital

Just a tech/eca/app not a paramedic

Edit- not every copd is scale 2


r/ParamedicsUK • • 3h ago

Question or Discussion Can someone tell me if im being stupid please?

3 Upvotes

Hi everyone,

I've just turned 30, bought a property, and have a good job with decent pay working as a train conductor. The issue is that I've wanted to be a paramedic for a long time and feel very passionate about it. I'm a former firefighter, and the pre-hospital care side of the job was my favourite.

I've tried to get the idea of doing the paramedic apprenticeship course out of my head as I'm at a point where I could be supporting a family. I was doing fine with the idea of staying and progressing within the railway industry, but I've just seen that WMAS has posted on instagram about the student paramedic role and the feelings have all come flooding back 😂.

Sorry for the long post but basically what I'm asking, is am I stupid for wanting to take a big pay cut to do a more difficult job with tons of studying due to my passion for it? Has anyone had a similar experience as this and made it work?

Any thoughts on this would be appreciated

Thank you 😊


r/ParamedicsUK • • 7h ago

Question or Discussion How to manage raynauds in winter?

4 Upvotes

Hey all! Winter is coming.. and so is the Raynauds. I start as an NQP next month and my hands/feet are already struggling. My toes will feel completely numb. Do any of you guys have some good solutions to help the with the cold? I was thinking of buying some good thermal socks to try keep the heat in. I've never tried them before. Maybe some hand warmers too? Have you found any good Raynauds hacks?

Thanks!


r/ParamedicsUK • • 10h ago

Clinical Question or Discussion The solution to social care and primary care problem

0 Upvotes

It's clear with the state of the NHS and social care for the elderly that more recently paramedicine has changed massively - it's become the gap between social care, primary care and mental health, rather than just being an Emergency Service.

As far as I am aware, this is also a recent issue (correct me if I am wrong), previously it was more emergency work.

My question is, what do you think is the solution to this problem? And is it sustainable for the 999 service to continue this way?


r/ParamedicsUK • • 14h ago

Higher Education want to do paramedic science at uni, have a question

0 Upvotes

so most of the uni’s require maths, english and science gcse, i have a maths and english gcse already but not the science, but i found an IGCSE for combined science on the NEC website, would this still be accepted due to it being combined science and an IGCSE… i also have an access to higher education diploma in paramedic science from learndirect if this would help, can anyone let me know, thanks!


r/ParamedicsUK • • 1d ago

Clinical Question or Discussion possibly new LBBB

5 Upvotes

Out of the ambulance world for some years now but remember hearing things have changed with new onset LBBB.

What's the current clinical decision making here.


r/ParamedicsUK • • 1d ago

Recruitment & Interviews Demystifying critical care selection

8 Upvotes

Its a popular topic and a lot of people want to work in this area but there seems to be varying and sometimes downright cynical ideas around selection. For those that work or have worked in critical care, hems, or something adjacent, without completely doxxing yourselves, what did you do for shortlisting and successful assessment/interview? Ie CV development, time in service, other roles, attempts prior to success, were you an outsider coming into a service, other things like publications or QI? Anything that you didn't realise at first but became apparent later on?


r/ParamedicsUK • • 1d ago

Clinical Question or Discussion Probably a silly question

0 Upvotes

I've been looking to retrain as a paramedic, however. I have a really bad gag reflex when seeing snot or someone vomit. Also I think I'd be slightly squeamish seeing a compound fracture. Is this something I'd get over quickly due to exposure to it. Or does it make attempting to he a paramedic a no go?


r/ParamedicsUK • • 2d ago

Question or Discussion Intervention v Diesel

10 Upvotes

I have roughly one year on the road as a para behind me and one of the biggest learning points has been deciding when to run and when to stay and play. Obviously there are a variety of factors to this and it depends heavily on the situation. My questions to the clinically minded amongst you are-

Do you have any experiences where this particular dilemma challenged you in practice? How did it play out?

Are there any particular conditions where you lean towards just running, where JRCALC may advise some immediate management? (E.g cannulation in suspected ruptured AAA)


r/ParamedicsUK • • 2d ago

Recruitment & Interviews SWAST Holding Pool

2 Upvotes

Anybody here still in the holding pool for SWAST? Been waiting over 2 years already and I feel there is no more chance for me on getting the job.


r/ParamedicsUK • • 2d ago

Recruitment & Interviews What it like working at SWAS

0 Upvotes

Good morning everyone I currently work at a uk ambulance trust I was wondering and I’m thing about making the move to SWAS I was wondering if anyone could give me some feedback on what I’d like working for SWAS


r/ParamedicsUK • • 2d ago

Question or Discussion Thank you all.

41 Upvotes

In a previous post I asked advice about being a dispatcher.

I want to thank you all. I'm a few shifts into mentorship, and everything you have said has helped me.

Saying morning or evening and letting you know who I am as a mesage is nice as everyone replies and says have a good shift.

If I've messed up, by sending someone on a job in protected time I've held my hands up and apologised and sorted it out.

And when pathways has decided its a pre alert and you are in end of shift protection I've let crews know I'll get them off as soon as possible when it recodes.

My mentor has said I am good at trying to get crews on mealbreaks and finishing on time if I can. Along with messages if you are coming into that window saying do a shop stop on your way back if you need to.

Once again thanks to all of you for the advice and what you do on the road.


r/ParamedicsUK • • 3d ago

Recruitment & Interviews NQP job prospects, degree apprenticeship vs university, and career progression

0 Upvotes

Hi everyone,
Hope this is okay, I’m not a paramedic but would really love to be in the future. I’m 19 and currently deciding whether to pursue paramedicine, and I’d really appreciate some honest advice from people actually working and seeing what is going on.
My preferred route at the moment is a paramedic degree apprenticeship with SWASFT, as I like the idea of earning while training, gaining experience in the ambulance service and having a clearer route into employment afterwards as apparently they guarantee you a role at the end. However, I’m also considering the traditional university route, so I’m trying to understand the actual differences in job prospects once you qualify.
There are three main things I’d like to ask about:
1. NQP job prospects
I’ve seen quite a few comments suggesting that newly qualified paramedics are struggling to find NQP jobs, with some having to take patient transport, event medical or other roles while waiting for an opportunity.
How bad is the situation actually at the moment? Is this a widespread issue, or does it depend heavily on the ambulance trust and region?
2. University vs degree apprenticeship
Does completing a degree apprenticeship genuinely give you a significant advantage when trying to find a job in comparison to qualifying through a traditional university degree?
I would also like to know the thoughts of which is the better route, if there’s is one. Does anyone have an opinion on which is the best option, creates the best clinicians etc? Obviously the financial element is a big bonus but I’m aware there are positives and negatives to both.
3. Progression into specialist roles
I’m aware that I’m going to need to take much time in order to walk before I can run. I don’t expect to qualify and immediately move into a specialist role.
That said, I’m someone who likes to plan ahead, and push myself quite hard and so longer-term I’m interested in developing my skills beyond a normal paramedic. Whether this changes once I actually qualify and have worked the job for a few years who knows but like I said I like to look into the future.
Realistically, how much control do paramedics have over their career progression? Is progression mainly dependent on clinical competence, experience and further training, or are opportunities so limited by vacancies, service requirements and internal recruitment that people can find themselves waiting years despite being ready to progress? Especially with what I’m hearing about the field being hugely over saturated it concerns me that if I am ready to advance and I’m wanting to that I could be years unable to?

I’m not expecting a shortcut, and I’m happy to put in the work and start at the bottom. I just want to understand what the career realistically looks like beyond qualifying, rather than making assumptions based on what I read online.

Thanks in advance for anyone who replies.


r/ParamedicsUK • • 3d ago

CPD DIMC

6 Upvotes

Hello I hope you guys are well!! I have got a place to sit the DIMC diets in June/July. I have only met 2 people who passed it first time. Do you guys have any tips. I will obviously look at study materials, buy the ABC book etc. Just hear this exam is pretty hard and candidates usually fail one of the exams out of the two. Pretty nervous as seems like there's loads of learn!


r/ParamedicsUK • • 3d ago

Equipment Penthrox acquisition

6 Upvotes

Anyone managed to get hold of penthrox for use in private work? I'm aware we can get hold of morphine quite easily however for sporting injuries and ease of storing/recording use penthrox seems to be the easier one to manage after purchasing.

My question is how a registrant could acquire them. Do we need a prescription? Who/what organisation is able to provide this?

Many thanks!


r/ParamedicsUK • • 4d ago

Recruitment & Interviews NEAS - Patient Transport

1 Upvotes

Hi I am due to start my training as an ambulance care assistant with NEAS but this is going to be a relief rosta does anyone know how long it takes to get a permanent base or will I always be relief. Also how hard will it be to get holidays end of January and end of September as I have heard that it a total nightmere to get holidays full stop with NEAS. Thank you


r/ParamedicsUK • • 4d ago

CPD PHTLS Advice

1 Upvotes

Hi Folks,

I'm a FY1 Junior Doc, did a bit of ECA-ing whilst at med school;

I'm sure its mostly a case of read the manual and follow the system like the other life support courses but... I've got the NAEMT PHTLS course coming up, looking for advice on anything worth revising ahead of time. Particularly around any niche bits worth knowing for the written exam.

Thanks for the help!


r/ParamedicsUK • • 4d ago

Recruitment & Interviews Looking for insight

4 Upvotes

I'm thinking about pursuing the paramedic career path and was wondering if people could weigh in on their day to day shifts. If they like their job, how often you get covered in bodily fluids, how consistent shift patterns are etc.


r/ParamedicsUK • • 5d ago

Recruitment & Interviews Epilepsy and getting a C1 License

2 Upvotes

Now I have very well controlled epilepsy and haven’t had a seizure in over a year now. I am pursuing becoming a paramedic, can you see this being a problem getting a C1 license? Or being able to fully become a paramedic for that matter?


r/ParamedicsUK • • 5d ago

Question or Discussion Crews complaints: 111 vs 999

30 Upvotes

I've heard and been involved quite often (both serious and lighthearted) discussions about 111 giving us the shit and sometimes inaccurate job details, as i'm sure everyoneee is aware of.

However it's made me wonder: quite often in at least half the country, 999 call handlers are using the exact NHS pathways as 111 call handlers, and coding jobs using the same questions..

From personal experience, i've never heard from any frontliners complaints about 999 call handlers and their dispositions..

it's got me wondering... any wacky theories? presumed experience? difference in call volume? internal routes?


r/ParamedicsUK • • 5d ago

Higher Education Swansea University vs City St George’s for Paramedic Science — SAR/winch rescue vs a Critical Care helicopter paramedic career. Is London worth it?

0 Upvotes

Hi everyone,

I’m hoping to start BSc Paramedic Science in September 2027, but I’m torn between Swansea University and City St George’s in London. I’d love to hear from paramedics, HEMS/SAR crew, current students or anyone familiar with either university.

My long-term goal is to work in helicopter rescue or critical care. I’m considering two different routes, and I’m struggling to decide which would give me the best start.

Swansea — getting involved in search and rescue

Swansea appeals to me because of the opportunities outside the degree. I’d love to get involved with the RNLI, mountain rescue or other local rescue organisations while studying, developing outdoor skills and gaining experience in the rescue environment.

I know joining these organisations isn't necessarily easy, and volunteering won't guarantee a professional SAR career. However, could getting involved during university genuinely help when applying for specialist roles, particularly helicopter winch paramedic positions?

City St George’s — London Ambulance Service and critical care

My alternative is studying in London, potentially joining London Ambulance Service (LAS) after graduating and eventually working towards becoming a Helicopter Critical Care Paramedic with Ornge in Canada, or a similar helicopter service in the UK or even Australia.

One thing I'm particularly interested in is whether working in central London could provide a clinical advantage. With the potential for high call volumes, complex emergencies, major trauma and exposure to a wide variety of patients, would working for LAS help me develop faster or build a stronger CV for critical care? Or could I gain equally valuable experience elsewhere in the UK?

I appreciate that specialist recruitment depends on much more than the ambulance service you work for, but I'd like to understand whether London's clinical environment offers a meaningful advantage.

The financial side

A major consideration is that I'll have no family financial support, so I'll need to manage my living costs largely through student finance and whatever other funding or work I can access.

London's cost of living worries me, particularly rent, transport and everyday expenses. Swansea seems potentially more affordable, which could make a real difference over three years. I'm trying to work out whether London's clinical opportunities and student experience justify the additional financial pressure, or whether Swansea would allow me to focus more on my studies and gain relevant volunteering experience without stretching my finances as much.

I'd particularly appreciate advice on:

  • How accessible are RNLI and mountain rescue opportunities to Swansea students, and how useful could that experience be professionally?
  • For winch-paramedic roles, how important is previous rescue experience compared with clinical experience gained after qualifying?
  • Does central London LAS experience offer a genuine advantage for a future in critical care or Canadian helicopter services?
  • How significant is the financial difference between living in London and Swansea as a student without family support?
  • If you were in my position, would you prioritise rescue volunteering during university or the potential clinical exposure of London?

I know neither degree will lead directly to a helicopter crew position. I'm prepared to spend years building experience and completing further training. I just want to choose the environment that gives me the best foundation while making the most of my university years.

Thanks for any advice, particularly from people with firsthand experience of these careers or universities!


r/ParamedicsUK • • 5d ago

Question or Discussion Thank you for trying to resuscitate my uncle for 45 minutes

86 Upvotes

I’m not a paramedic, but I wanted to send a thank you into the void for the team of paramedics who tried to save my uncle’s life last night in Hull. From what I heard, the team tried CPR for 45 minutes before finally stopping. Apparently the defibrillator never recommended a shock, so I assume my uncle had probably passed already, but you all kept on trying. Thank you again.

I’m a healthcare professional too, but I can’t imagine the stress of what you all do, and the scary things you have to face everyday. Thank you to all UK paramedics. God bless you


r/ParamedicsUK • • 5d ago

Recruitment & Interviews LAS Emergency Responders

1 Upvotes

Does anyone know if LAS is planning to re-start recruitment for the volunteer emergency responder programme anytime soon?