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A paramedic who took sick selfies in front of dying emergency patients has been fired by health officials.

Heartless Tatiana Kulikova, 25, posted a series of gruesome snaps on social media while she was on duty in an emergency ambulance in the city of Kirov, Russia.

One showed her giving the finger to an accident victim with the caption: "Another moron."

Another selfie showed her sticking up two fingers to a heart attack patient and was titled: "How I hate my job."

Now city emergency service officials have sacked the twisted health worker after she admitted taking the poor taste pictures.

Watch: Shocking footage of paramedics dragging a man downstairs

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Local health campaigner Artem Golubev, 40, said: "It is clear that while she was taking these photographs she was not looking after her patients.

"She shows a callous disregard for the welfare of her patients, some of whom died after those pictures were taken.

"I would not be surprised if their families sue both her and the emergency services."

A spokesperson for the city's emergency services said: "As soon as we were alerted to these images online we suspended the paramedic in question. After an investigation was carried out, the employee was fired."

Kulikova has made no comment following the incident.