SWAST HART Paramedic in Bristol. With a beautiful wife & 2 beautiful sons. Have a special interest in moving to Australia.

Joined May 2021
143 Photos and videos
Chris Sim retweeted
27 Jul 2025
The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position youtu.be/jEc36zZIFbw
1
28
60
11,609
Chris Sim retweeted
Do you look after cardiac arrest patients? Ever notice the difference between American & European Hs & Ts? Can hypoglycaemia cause cardiac arrest? What are the Cs ?! Do you know the Ischaemic / Structural / Electrical model of cardiac causes? youtu.be/Jv-wXhwgpTI
7
20
75
17,849
23 Feb 2025
This happens far too much in practice. These are stressful situations but if we spend that extra 5 seconds placing pads optimally, it might make that difference between ROSC or no ROSC..
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival. Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.
2
1
9
2,277
Chris Sim retweeted
Anecdotally, I think this is a relatively common issue in cardiac arrest care. Take time to perfect the essentials when managing an arrest. Don’t accept anything less. If you’re a team leader, or team member, take time to notice these little things that make the big difference
Defib pad placement is important. Positioning them correctly can double someone’s chance of survival. Side A is correct. The key difference is that the pad on the left hand side of the chest has been placed on the side of the rib cage, closer to the armpit.
7
25
126
18,182
25 Dec 2024
Merry Christmas from HART Bristol white team! Huge respect to all of those giving up their time to look after the public today 🎅🏻 🎄
7
5
110
6,263
10 Nov 2024
Incredibly proud to finally be able to call myself a HART Paramedic, and what a privileged job it is!
3
1
108
8,402
Chris Sim retweeted
20 Oct 2024
“One day we will…stop making patients lie flat” - @HumanFact0rz
One day, we will stop giving IV cefazolin for trivial lacerations seen in the trauma bay. We will stop doing unjustified plain films, stop repeating axial imaging when performed elsewhere, stop making patients lie flat. We will let evidence and reason guide our decision-making.

ALT Aragorn But Notthis Day GIF

4
51
232
55,892
5 Oct 2024
Saturday, been up since 5:45am, left in charge of my 2 sons, and this is why it shouldn’t be allowed..
13
920
19 Sep 2024
Incredibly fortunate to call this work! Great 2 weeks with some awesome people completing my first module at HART. BA is fun. #paramedic #HART
9
1,058
27 Jul 2024
A fantastic experience for my son with @dsairambulance who took the time to engage with him whilst clinicians dealt with an incident. A fantastic and very well needed service!
1
14
1,763
24 Jul 2024
Congrats to all Para students passing their courses 💪🏻 🧑‍🎓 in 7 years I’ve gone from working in a supermarket, to ECA, to student, to NQP, to HART. Dream big, your careers are only just starting!
1
56
4,905
Chris Sim retweeted
The next generation @CSim93
1
1
644
Chris Sim retweeted
Large US/Canadian cohort study finds no overall difference in survival to hospital discharge for children moved intra-arrest v those resuscitated on scene. But intra-arrest transport in under 1s = lower survival. #stayonscene jamanetwork.com/journals/jam…
1
19
46
5,739
8 May 2024
Australia, a special place with some special memories with my beautiful wife and children. Is Queensland in need of a UK Paramedic..? 🙄 #paramedic #australia
3
1
7
2,842
Chris Sim retweeted
The paradox of interpreting the ECG with a RBBB: - Overt STE may be present, satisfying OMI/STEMI criteria, but it is not appreciated; or conversely - The widened QRS of a normal RBBB ECG is misinterpreted as suggesting OMI/STEMI, despite normal ST segments. A 🧵. 1/6
3
36
179
56,569
26 Mar 2024
Nothing beats a bit of man time after 4 night shifts…
8
1,328
2 Mar 2024
Last shift on a conventional ambulance completed (on my own terms anyway). Can’t say I’ll miss any of it.. Looking forward to my next chapter with Bristol HART starting on Monday 🚑 🚨
1
70
8,815
Chris Sim retweeted
22 Feb 2024
To some this may seem so trivial but to those of us who have experienced loss, this is such a massive thing. Today I read this and I cried, cried because now my family will have something to recognise our baby and to remember our baby by. Today is a good day ❤️
9 years ago, I had a dream that every person who had lost a baby before 24 weeks gestation would be able to get an official government-issued certificate to formally acknowledge their loss, and today, those certificates are happening. Whatever the gestation, whether a parent has tragically lost their baby at one day into pregnancy or 23 weeks and six days, they can apply. Whether the loss happens at any point in the future or any point in the past, you can apply. No one will miss out; your loss, your pain, your grief are finally being recognised. To avoid the application site from crashing, we are asking people to form an orderly queue, and if the English are good at anything, it’s queuing. So to start with, if those who have had a loss since September 2018 can apply first, and the government will then open it up to everyone else as soon as possible, this does mean some of us (including me) need to be patient a little longer. To answer a few questions: You don’t need medical proof of a loss. This is for everyone, whatever type of loss they may have experienced, whether it be a loss from miscarriage, ectopic, molar, TFMR or for another reason. This certificate is for anyone who has lost a baby before 24 weeks gestation, whether the loss was today or 90 years ago. Your loss needs to have taken place in England, and you need to currently live in England to apply. We want to thank Dame Floella Benjamin @FloellaBenjamin for believing in us and our mission; your joining with us as a charity helped make this a reality. We would also like to thank all our ambassadors for joining their voices with ours to ensure we were heard. @SayingGoodbyeUK 6 years ago, Sam and I were asked to co-chair and author one of the world's first baby loss reviews for under 24 weeks gestation. We were tasked with looking into all clinical care and bereavement support, and part of that was also to bring in the new certification process. Last summer, we laid that report in Parliament, and the government accepted all 73 of its national recommendations. Today is a landmark day because one of those 73 is coming to pass - certificates are now here! We hope you are as excited as us; please help us spread the word. Here is the link: gov.uk/request-baby-loss-cer…
1
5
1,328
Chris Sim retweeted
Why #MarthasRule matters: 🧵 In September 2023, at one week old, our little baby boy presented with a high temperature but otherwise seemed well. We attended a local ED with the expectation that he’d receive a lumbar puncture and blood cultures.
17
77
274
98,171
15 Jan 2024
Immensely pleased to be starting my career with HART on 1st March 🙌🏻 incredibly excited to be starting this new chapter! #paramedic
4
1
79
11,744