The Pre-Hospital & Retrieval Medicine Team of NSW Ambulance
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A UK Prehospital Emergency Medicine Podcast. This podcast and associated website aims to: - Share knowledge and expertise in the field of prehospital medicine with specific reference to the UK working environment - Make this content relevant to all professional prehospital practitioners
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A space for musicians to share their experiences and insights during the Coronavirus pandemic. Each episode is an intimate audio diary, documenting personal stories and stunning acoustic performances. Featuring artists from across the globe and in every genre; from rising talents like Arlo Parks, JC Stewart, and Joy Crookes, to indie legends such as Idlewild and Mystery Jets.
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Medical chats, interviews and case discussions relating to prehospital, resuscitation and emergency medicine. Brought to you by PREMED. All views expressed herein are those of the hosts or guest(s) and do not necessarily represent the views of their respective employers or affiliate organisations. Hosted on Acast. See acast.com/privacy for more information.
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Welcome back to The Sydney HEMS Debrief, now on episode 14! Today, we are joined by Retrieval and Anaesthetic Staff Specialist Dr Jess Devlin, who talks us through one of her most challenging and rewarding cases. Using the case as a springboard, we go on to discuss some of the nuances around, and approaches towards, multi-casualty scenes and consid…
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Welcome back to The Sydney HEMS Debrief, now on episode 13. Today we are talking about the PreCare trial, currently underway here in Sydney. This feasibility trial – a first for Sydney – concerns placing patients suffering out of hospital cardiac arrest onto potentially life-saving extracorporeal membrane oxygenation (ECMO) therapy in the field, be…
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Welcome back to The Sydney HEMS Debrief. After an extended New Year break, we return with episode 12. We are joined this week by Sydney HEMS Staff Specialist Dr Ian Ferguson. Ian is the lead author on a recently published randomised control trial assessing the haemodynamic effects of adding fentanyl to an induction regime of ketamine and rocuronium…
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Welcome to episode 11 – likely our last episode of the year! The feedback has been fantastic – thank you to all who have taken the time to let me know your thoughts, and for helping to shape the episodes into what they are. In this end of year episode, we are joined by Sydney HEMS Staff Specialist Dr Ruby Hsu. Ruby and I sat down for a chat with no…
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Join for the second part of Dr Brian Burns’ episode, as we continue to discuss mimics of shock in our trauma population. See some show notes below for more resources. Thanks for listening! Show notes: Reference on pulmonary embolism: https://emcrit.org/pulmcrit/eight-pearls-for-the-crashing-patient-with-massive-pe/ Reference on pulmonary contusion:…
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In the ninth episode of the Sydney HEMS Debrief series, we have the first half of a two-part episode! Join us as Sydney HEMS Senior Staff Specialist Dr Brian Burns discusses the recognition, aetiology and treatment of different types of shock in our pre-hospital trauma patients. Whilst pre-hospital clinicians may have a natural bias towards hypovol…
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Welcome back to the Sydney HEMS debrief! In this episode 8, we are joined by the extraordinary Dr Nat Kruit. Dr Kruit is a Sydney HEMS Consultant, Cardiac Anaesthetist, and ECMO Specialist. Given the increasing global chatter around ECMO, and to give it its full name, extracorporeal membrane oxygenation is going to be the focus of this episode. Joi…
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In the seventh episode of the Sydney HEMS Debrief series, Sydney HEMS CCP and Educator Jackie Buckthought shares a challenging case from her training. Jackie discusses how this case has affected her work flow, resilience, and more recently her perspective as an educator. It’s a cracker! As ever, any feedback is welcome – please get in touch, and un…
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In episode six of the debrief series, NSW Aeromedical Retrieval Staff Specialist Dr Sarah Aldington discusses a formative experience, highlighting the profound impact cases may have on clinicians and the importance of a dedicated debrief. Click to access STOP5.pdfتوسط Sydney HEMS Team and Friends
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Welcome back to the Sydney HEMS debrief – this is episode 5. Dr Robbie Lloyd has spent his past 12 months as a Sydney HEMS Registrar, and has been intent on making quality assurance and clinical governance ‘cool’. By harnessing the learning from our daily ‘coffee and cases’ team chat, he has led a fantastic project wherein snippets of learning are …
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Part 2 of Silas' conversation with Rob, a MICA Paramedic and educator with Ambulance Victoria, about paramedic-led RSI (rapid sequence induction of anaesthesia). If you have any feedback, please email us at: podcast@prem-ed.com References: Prehospital Rapid Sequence Intubation by Intensive Care Flight Paramedics (Delorenzo et al, 2018) [link] Effec…
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Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. Anaesthesia: Vol 77, No S1. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition Vasopressors in Trau…
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In this episode Silas spoke with Rob, a MICA Paramedic and educator with Ambulance Victoria, about paramedic-led RSI (rapid sequence induction of anaesthesia). If you have any feedback, please email us at: podcast@prem-ed.com References: Prehospital Rapid Sequence Intubation by Intensive Care Flight Paramedics (Delorenzo et al, 2018) [link] Effect …
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In this episode Silas spoke with Tom, a Newly Qualified Paramedic and Medical Support Officer, about his route to becoming a paramedic, life as an NQP, the impending NHS strike action, mental ill health in the emergency services, and more! If you have any feedback, please email us at: podcast@prem-ed.com Hosted on Acast. See acast.com/privacy for m…
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In this episode Silas spoke with Tom, a Newly Qualified Paramedic and Medical Support Officer, about his route to becoming a paramedic, life as an NQP, the impending NHS strike action, mental ill health in the emergency services, and more! If you have any feedback, please email us at: podcast@prem-ed.com Hosted on Acast. See acast.com/privacy for m…
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Read more about the Cochrane injuries group: https://injuries.cochrane.org/about-us-0 Have a listen to the earlier TXA podcast here: https://phemcast.co.uk/2018/01/18/episode-26-tranexamic-acid/ Do you want to revise your clotting pathways and the mechanism of action of TXA?! Here are some links to the excellent Life in the Fast Lane: https://parto…
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Road traffic collisions are a leading cause of death and injury. Following a road traffic collision many patients will remain trapped in their vehicle. Extrication is the process by which injured or potentially injured people are removed from their vehicle by the rescue services. Rescue service training focuses on the absolute movement minimisation…
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This is the book Jon quotes, “Pain is a symphony…” The International Association for the Study of Pain’s revised definition of pain is available here. If you’d like to read more about ‘nocebo’ i.e. the non-pharmacological adverse effects of an intervention, have a look at this article. Penthrox For more information on Penthrox, you can read about i…
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'ello! This time round we were sadly unable to meet face-to-face and produce all those funny little videos you love but we did have a good chat about BP monitoring, triage, and clinical assessment of neurological presentations. Thank you to our case contributor Jay, and to everyone who got involved on SoMe with the #MysteryDiagnosis. Have YOU got a…
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Before you listen to this new podcast, we encourage you to go back and have a listen to Episode 16: Blood which we released in 2017 outlining the available evidence about prehospital blood, and the background to the RePHILL trial. The RePHILL (Resuscitation with Pre-Hospital Blood Products) original paper is available here, and you can read more ab…
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Oh hello there, and thanks for coming back! This week we were joined by Marcus the HART Hero (we named him that, not him) as we discussed hypoxia, agitation, restraint, anxiolysis, and Rupert Murdoch. Thank you to our case contributor, and to everyone who got involved on SoMe with the #MysteryDiagnosis. If you want to submit a case for a future epi…
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This podcast is dedicated to the memory of Emmanuel Cauchy. George’s adventures! Grading frostbite Stages of frostbite. From Cauchy et al, 2016. Grade 1Grade 2Grade 3Grade 4Stages of frostbite. From Cauchy et al. 2001 The GELOX study The Hyperbaric oxygen study described by Carron is now in print and available here. Guidelines The guidelines mentio…
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Cardiovascular
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Its here! The podcast you've all been waiting for but didn't know it! Thank you to our anonymous case contributor, and to everyone who got involved on SoMe with the #MysteryDiagnosis. If you want to submit a case for a future episode, or have any questions, concerns, or feedback, please get in touch at podcast@prem-ed.com J&S x References: STE in a…
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Hello all! Following a festive hiatus we're back, but things are going to be a bit different from now on... Join Silas and Jonny as they chat, argue, and reflect on all things prehospital, resuscitation and emergency medicine! * explicit content * Hosted on Acast. See acast.com/privacy for more information.…
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Prehospital Critical Care with Lt Col Ross Moy
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Lieutenant Colonel Ross Moy (Twitter: @ross_moy) is a consultant in Emergency and Pre-Hospital Medicine in the British Army. During training he undertook Fellowships in Critical Care, Aeromedical Retrieval and Pre-Hospital medicine. He has deployed overseas several times, including operational tours of Iraq and Afghanistan. He is now an EM Consulta…
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PHEM Feedback is a project which assists ambulance and air ambulance staff with patient follow up. I was lucky enough to catch up with two of the minds behind the project – Sinead Keane and Dr Gio Cracolici – about its origins, how it works, and how it helps with clinician's learning and patient outcomes. Check it out! -- Silas. References PHEM Fee…
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Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound work? Want to know how to use ultrasound? This is a whole 45 minute introductory lecture. Although a face…
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A bit later than usual but better late than never, right?! This episode contains the second half of my conversation with consultant midwife Dawn Kerslake about maternity emergencies in prehospital care. We discussed ante- and postpartum haemorrhage, pre-eclampsia and eclampsia. As always, please get in touch with any feedback and feel free to leave…
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Definitions UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness. Australian definition (NSW Health): Behaviour that puts the patient or others at immediate risk of serious harm and may include threatening …
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Dawn is back! In this episode I was pleased to speak to Dawn Kerslake again, consultant midwife at South East Coast Ambulance Service, about the normal birth and some of the potential maternity emergencies that may occur in the prehospital environment. Hopefully you've heard the episode on maternity emergencies by The Resus Room (if not, I highly r…
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This was a joint podcast with our friends & colleagues at WEMCast – to hear more from them, have a look at their podcast back catalogue, and there’s more information on the World Extreme Medicine website. OLYMPUS DIGITAL CAMERA OLYMPUS DIGITAL CAMERA OLYMPUS DIGITAL CAMERA OLYMPUS DIGITAL CAMERA Mosquito born disease Malaria risk areas. From: https…
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Guidance documents College of Paramedics Statement on Intubation, available here. AAGBI Safer Prehospital Anaesthesia 2017, available here. Positioning From: http://anaesthesiatoday.blogspot.com/2013/03/10-common-procedural-basics_29.html Recommended Rich Levitan resources Podcast 70 – Airway Management with Rich Levitan Airway axes From: McGuire B…
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From: https://www.bbc.co.uk/news/uk-wales-46441129 From: https://www.ultimatekilimanjaro.com/blog/should-i-use-supplemental-oxygen-on-kilimanjaro/ A portable hyperbaric chamber (Gamow bag)From: https://litfl.com/hypothermia/Classic stretcher techniqueImprovised rucksack stretcher technique Want to know more? This is one of the organisations Lucy me…
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Hello again! Welcome to part 2 of my discussion with chief paramedic officer Justin Thomas. In this episode we discussed RSI, research, Justin's journey to becoming a PhD student, and how to move to South Africa as a paramedic. Enjoy! -- Silas References Health Professions Council of South Africa (2018). ‘Clinical Practice Guidelines’. [Online]. Un…
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Some facts Drowning is important: 1,000 people drown every day, 2 every 3 minutes, 41 per hour. It is the world’s 3rd leading cause of accidental death: 3.6 million people over 10 years. Disease of youth 64% < 30 years old 43% < 15 years old 25% < 5 years old Male: female ratio 2:1 In 40%, alcohol is on board 4 stages of Immersion associated with p…
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Hello 2021! We're back with season two of The Prehospital Podcast and to kick it off I spoke to Justin Thomas, Chief Paramedic Officer in Saudi Arabia and PhD student. We had a really interesting chat (I think so anyway...) about paramedic education in South Africa, paramedic practice in Saudi Arabia, the ethics of prehospital decision making, and …
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Join alternative band Flawes as they reflect on their 2020, the year in which they released their debut album just before the pandemic took hold. Pyjamas, running, carpentry, jigsaws, and Louis Theroux all feature along the way, PLUS, the band treat us to a very special performance of a winter classic to close the show. ➤ Listen to more from Flawes…
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Singer-songwriter Morgan St. Jean takes over the show today, live from quarantine in LA. Listen in for board games, family bonding, a special guest appearance, and a stunning acoustic performance of her new single ‘Lola’ ➤ Listen to more from Morgan here ➤ Follow Morgan here: @MorganStJean If you want to discuss your own experiences and join the co…
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Hello again! Here is the second half of my conversation with Dr Joanna Poole about the intricacies of ventilation. We had a really interesting discussion about physiology, pathophysiology, hyperventilation, tension disease, and loads more. Let me know your thoughts, enjoy! -- Silas References Lung volumes and capacities (MedBullets, 2019): Tension …
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Singer/producer Phem is joined by her dog as she sends in a diary from LA, she reflects on time spent in quarantine and lockdown this year, and chooses some big names to self isolate with! ➤ Listen to more from Phem here ➤ Follow Phem here: @Phem If you want to discuss your own experiences and join the conversation, you can reach us on: Email: soci…
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