This podcast is designed to have engaging and inspirational conversations with some of the worlds leading experts in or relating to pre-hospital care. We hope you take a lot from the conversations both from a technical and non-technical perspective. Please rate and review the show as feedback helps ensure that the best information gets back to you throughout the project.
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Welcome to the first series of the Endurance podcast with myself Mark Beaumont. I’m joined on many of the episodes by my friend and performance manager Laura Penhaul. We started recording these conversations as a research project for my new book, also called ‘Endurance’ & published by Global Cycling Network – so you can find many of these conversations written up in the ‘Wise Words’ sections of the book. The Endurance podcast is focussed on meeting the sports scientists, the support staff, t ...
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A podcast about inequality with hosts Walker Bragman and Mark Colangelo. Full episodes are available to recurring donors to the OptOut Media Foundation. Subscribe at https://originals.optout.news/#/portal/signup Support this podcast: https://podcasters.spotify.com/pod/show/gildedage/support
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Welcome to Humans of the Trail. Home to stories from the Humans who live, work, and play on our trails.
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Blood Administration in Haemorrhagic shock within EMS systems
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This episode continues our series on traumatic bleeding, focusing on the use of blood transfusions in prehospital settings. While blood transfusions are life-saving for haemorrhagic shock, evidence on prehospital blood use is mixed. Civilian and military studies show improved outcomes with prehospital blood, but the 2022 RePHILL trial found no supe…
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In this episode, we will look at the innovative Walking BloodDonor program as a collaborative effort between the Canadian Armed Forces and Canadian Blood Services. This program has revolutionised the way blood is provided to troops deployed in remote and austere environments. Today's guest will take us behind the scenes, explaining how troops are p…
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Pre-hospital Work Place Culture in Focus with Carl Betts
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In this episode, we'll delve into the organisational culture of ambulance services; and the unwritten rules, beliefs, and behaviours that shape how we work. From KPIs to mission statements to crew room dynamics, to the disparate social work hours of pre-hospital care. We unpack the insights of what truly makes this unique workplace tick. Joining me…
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The Paramedic Norwegian Acute Stroke Prehospital Project (ParaNASPP) study with Maren Ranhoff
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In this episode, we examine the upcoming Paramedic Norwegian Acute Stroke Prehospital Project (ParaNASPP), a stepped wedge randomised trial evaluating the use of the National Institutes of Health Stroke Scale (NIHSS) for stroke screening by paramedics in ambulances. The study aims to enhance early stroke identification and triage, potentially impro…
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In this episode, we delve into the Ten Second TriageTool (TST) to understand its performance in action. We explore the development and impact of the NHSE Major Incident Triage Tools (MITT & TST), designed to prioritise life-saving interventions quickly and effectively. Our guest provides insights into how these tools are transforming emergency resp…
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In this episode, we delve into The EXIT Project, an initiative founded by Tim Nutbeam and Rob Fenwick, aimed at improving spinal care, indications for spinal immobilisation and patient outcomes in road traffic incidents and other axial load injuries. The project employs scientific rigour and trial methodology to develop effective strategies for eme…
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This special edition of the PHCP podcast for International Paramedic Day explores the diverse and evolving landscape of the paramedic field. Our hosts delve into the growth of roles, changes in triage systems, community engagement, interdisciplinary collaboration, technological advancements, mental health support, and future predictions. This compr…
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In this conversation, we will examine and explore the anatomy of work that a Sydney HEMS Registrar sees within their time at one of the most progressive and dynamic Air Ambulance services in the southern hemisphere. We dig into the day-to-day life, the clinical governance, the case mix and indeed the debrief that occurs within the Sydney HEMS team.…
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This week we are talking with Dr. Brian Burns about therange of Pre-hospital cases seen in NSW Australia. In the episode, we will explore the prevalence of trauma versus acute medical pathology, the types and patterns of injury encountered, the range and efficacy of interventions in pre-hospital care delivered and the utility of each. We will also …
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Join me as I speak with Rob Pupelis, CEO of Spectros Medical Devices, about the latest advancements in tissue oximetry and the future of this medical technology. Rob is a leader in the development of non-invasive sensing and remote monitoring in healthcare, with a focus on shedding light on tissue health and diseases related to vascular performance…
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In this conversation, the author of Designing for Healthcare: The human-centred Approach, Craig Joseph joins us to discuss design processes, workflows, operations, and technologies around the person-to-person interaction which fundamentally lies at the heart of healthcare and human factors. Craig states that currently chronic disease management,med…
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In this conversation, we will examine the percentage andgrowth of females in Pre-Hospital Emergency Medicine (PHEM). We also examine the diversity within the UK context and how this has slowly but surely grown and affected the workforce for the better within pre-hospitalcare. We also discuss the hierarchy of competence, barriers to entry and some o…
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In this episode, I will be speaking with Ani Naqvi. Ani is an Executive Transformation Expert and Mentor who guides leaders towards productivity, self-care, and finding purpose. Her remarkable experiences, including surviving the 2004 tsunami, have shaped her holistic approach to personal and professional growth. Ani's remarkable personal experienc…
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In this conversation, we will examine the utility andinnovation of virtual reality training as a tool for paramedic practice. We will examine the engagement with VR technology, which areas of education it can support, the reflections from students, Virtual Reality versus reality in an academic sense, the assessment process online and much more. To …
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In this episode, we have the privilege of interviewing Jack Mannings, the Spinal Injury Association (SIA) support coordinator for London. Jack shares his authentic story of having a spinal cord transection at C5 from a road traffic incident that left him tetraplegic. He speaks from his experience both pre and post-injury, shedding light on his reha…
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Preventing dementia and Alzheimer’s disease is apriority for many. According to the World Health Organisation (WHO) there are currently more than 55 million people suffering from dementia worldwide, and nearly 10 million new cases each year. It is also currently the seventh leading cause of death and one of the major causes of disability and depend…
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In this conversation, we will examine what is involvedwith the application and benefits of becoming a University Ambulance NHS Trust. As of the start of April of this year, the Trust is now known as the Welsh Ambulance Services University NHS Trust. The sought-after status has been granted by the Welsh Government in recognition of WAST’s commitment…
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In this episode, we dig into the life of a fast jet pilot with Paul Heasman. Paul speaks candidly about Crew Resource Management (CRM), the line between training and instinct, OODA loops, decision making, and much more. Paul joined the Air Force in 1999 and went through training through various aircraft types. Paul then flew the Tornado F3 from RAF…
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In this conversation, we will examine the role of AIwithin pre-hospital care. We will also look at how AI is being embedded within the systems and processes from dispatch algorithms to diagnostics to demand profiling. We also look at the future of AI and where it might support patientcare. To do this I have Nico Preston with me, Nico is ascientist …
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Patient liaison and follow-up with Sarita Taneja and Stuart Plumbley from Kent, Surrey, Sussex (KSS) HEMS
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In this conversation, we will examine Patient Liaisonand follow-up. Pre-hospital clinicians are often just the first point of medical contact, so checking in throughout the rehabilitation allows clinicians and patients to close the loop on any unanswered questions and often is a chance to learn about things from the patient’s perspective. This fost…
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Join me in this episode where I speak with Mike Donal. We unpack his journey through growing up, dropping out of school, drug use, mental health, self-harm, suicidal attempts, steroid use, sex, and mental health section in a hospital, all before 21 years old. We also look at Mike’s journey through the gym, alcohol, relationships, tattoos, and stero…
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In this episode, we speak with Professor Mark Wilson about the forthcoming SIS trial. This randomised study aims to compare the safety and patient outcomes of the current spinal immobilisation practice versus a more flexible "movement minimisation" approach for suspected spinal injury patients. The findings could inform future clinical guidelines. …
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In this conversation, we will look at the relationship between Paramedic theory and practice with Vince Clarke. We will dig intoVince’s doctorate in Education on the subject, various frameworks for the acquisition of skills through simulation, reflective models of learning, the progression from novice to expert, directive versus facilitative learni…
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In this conversation, we will look at the life of an Advanced Clinical Practitioner (ACP). We will dig into what the training looks like, the autonomy involved, the various specialisms you can take, what Dan has learnt along the way and much more. As more and more alternative career pathways are opening, we explore if this one is an attractive opti…
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Restore Podcast: Overcoming Adversity with Jay Baldwin
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In this episode, I will be speaking with Jay Baldwin. At 26 Jay had suffered bilateral leg amputations from an IED whilst serving in the British army in Afghanistan. He was medically discharged from the UK military at 28, divorced at 32 and battled and won cancer at 33. Since being medically discharged from the Army, the dad of six has learned to w…
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Join us for an insightful conversation with Robbie Maiden, a lifeboat coxswain, as he shares his journey from being embedded in a culture from a young age to becoming a leader in the austere lifeboat setting. With no formal leadership training, Robbie has developed his skills through experiential learning and personal growth. Robbie has held the po…
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The Future of Pre-hospital Maternity Care with Consultant Midwives Camella Main, Stephanie Heys and Dawn Kerslake
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In this conversation we discuss the future of pre-hospital maternity care with three leading consultant midwives from UK NHS ambulance services. Dawn Kerslake, Stephanie Heys, and Camella Main are experts in their field and will provide valuable insights into this critical area of pre-hospital care. During the podcast we explore the education and t…
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In this conversation, we will examine human performance,some of the fundamental components of performance, models of performance, and how we train versus how we perform. We will also examine the importance of psychological safety, and the interplay between performance, standards, and behaviour. We also speak around the concept of culture as an enab…
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In this conversation, we will unpack the International Journal of Paramedicine and the original vision for the journal. We willalso look at the reach of the journal and the different sections of the journal yet to launch. We also examine the interaction with the journal as it looks to create discussion and research ideas and how people can get invo…
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Life as a London HEMS Paramedic in 2024 with Kerien Rodwell
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In this episode we are speaking with London HEMS Paramedic Keiren Rodwell. We dig into Keiren's background from working as a paramedic student in New South Wales, to working for the London Ambulance Service LAS in north east London. Keiren joined London Ambulance Service straight out of university in February 2018. We speak about the death of two o…
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In this conversation we will examine the current stateof play within UK military medicine, the demographics of modern military capability; that of deployable role 1, 2 and 3 hospitals within the field. We will also examine the lessons learnt from recent conflicts and how they might inform the military medicine of the future. We look at analogues of…
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Life Threatening Anaphylaxis and the AMAX4 algorithm with Ben Mckenzie
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In this conversation, we speak with Australian emergency physician Dr. Ben Mckenzie. Ben has developed the AMAx4 algorithm as a streamlined approach to recognising and treating anaphylaxis after the tragic death of his 15-year-old son Max Mckenzie. Ben has helped standardise best practices for this life-threatening emergency. Promptly following the…
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The Scottish Trauma Network with Martin Esposito
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In this conversation, we will examine how trauma is both managed and reported on throughout Scotland. The Scottish Ambulance Service (SAS) receives over 1.5 million calls a year and responds to over 500,000 emergency incidents per year. In the episode, we will discuss The Scottish Trauma Audit Group (STAG) as a national audit group within the Scott…
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This is a selection of 10 of the most downloaded episodes of 2023. In this episode, we hear from: Major Incident Management with Keir Rutherford and Alec Wilding. The future state of Pre-Hospital Care with Jason Killens. Safe Sedation of Acute Behavioural Disturbance with Tim Edwards. Addiction part 3 with Dr Brian Hall. Paramedic Burnout with Liz …
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This is a selection of 10 of the most downloaded episodes of 2023. In this episode we hear from: The UKISAR deployment to the Turkey earthquake disaster with Deb Swann. The Ten Second Triage Tool (TST) with Claire Park. The Pre-Hospital Airway with John Chatterjee. Pelvic Trauma with Ash Vasireddy. High-Fidelity Training with Neel Bhandari. These c…
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Update on the Ukraine War: Life in Conflict
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In this conversation, we will examine some of the contemporary reflections on the Ukraine crisis with David and Shawn. We will examine what it is currently like on the ground, some of the emerging needs and how David and Shawn believe they can be met. We will also dig into David and Shawn’s background in Ukraine and how this has evolved. We will lo…
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In this conversation, we will be looking at the currentguidelines on the pre-hospital management of drowning and the academic research that underpins these principles. We will explore the epidemiology of drowning and examine patient outcomes as a group. We will also discuss the important wider efforts in public awareness and prevention. To do this,…
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Major Incidents from a Scottish Perspective with John Paul Loughrey
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In this conversation, we will explore some of the lessons learned through years of major incident attendance in Scotland from theEmergency Medical Retrieval Services (EMRS). We examine the Scottish Trauma Network, the demographics of healthcare in Scotland, and some of the recent and seminal major incidents that have informed EMRS’s approach. We al…
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In this conversation, we will examine the concept andthe reality of psychological burnout among Paramedics. The effects of burnout are estimated to cost over $300 billion annually, with the WHO forecasting a burnout pandemic in the next decade. Within pre-hospital organisations, burnout can generate reduced quality, high absenteeism, increased turn…
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Addiction Part 3: The Psychology and Psychiatry of Addiction with Dr Brian Wells
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In the conversation, we examine the definition of addiction,the meta-substances (stimulants, sedatives, opioids), the time horizon of an addicted person (instant gratification), the triggers of addiction, the diagnosis of dependence, what dependence means, and the types of addictions (work, sex, drugs, diet, exercise). We explore two of the most ad…
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In this conversation, we will explore some of the nuances and challenges of Exercise Associated Collapse (EAC) with Luca Carenzo. The basis of this interview was the recent publication in the Journal of Science and Medicine in Sport of An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical …
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In this conversation, we will examine whether point-of-care ultrasound is a reliable predictor of outcome during Traumatic Cardiac Arrest (TCA). We will dig into the recently published systematic review on the topic with Tim Harris, who is one of the authors of the paper. We will examine why the authors decided to look at TCA and POCUS, the number …
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In this conversation, we will look at the research examining methods of safe sedation by Advanced Paramedic Practitioners within London and examine the research published on this looking at sedation of Acute Behavioural Disturbance (ABD). We will examine; what the retrospective cohort study of pre-hospital agitation management showed regarding the …
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In this episode, we will explore why Thrombectomy is considered a leading stroke intervention and can contribute to the early rehabilitation and treatment of ischemic stroke. This is especially important if recognised within pre-hospital care. This is due to its effectiveness in rapidly restoring blood flow to the brain and improving patient outcom…
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In this conversation, we will examine the complex and challenging environment of toxic drug and substance misuse on the streets of Vancouver and across British Columbia. We will explore the issues of concomitant drug ingestion, the use of fentanyl, the complications of mental health and the cyclical pattern of pre-hospital presentation. We will als…
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In this episode, we will explore reverse mentoring and challenging the status quo in quality improvement with Carl Betts. We will look at Carl’s reflections on mentorship and reverse mentorship of Quality Improvement fellows within an Ambulance service setting. We dig into how Carl leads these QI fellows but also how they lead him in innovation and…
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In this podcast, we will look at the benefit and utility of Methoxyflurane, more commonly known as Penthrox. Penthrox is a volatile, self-administered inhaled analgesic indicated for short-term pain relief. Penthrox is a portable, lightweight, non-invasive inhaler for self-administration of the Methoxyflurane vapour. Penthrox provides analgesia whe…
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In this episode, we examine how to approach systems strengthening in clinical practice within the context of Sierra Leone with Aneesah Peersaib. We will look at her recent deployment to support Continued Professional Development at local, regional and national level and her role in leadership development whilst in post in Sierra Leone. We will exam…
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In this next period, we will be recording a mini-series on addiction starting with this first episode with Specialist Addiction Therapist Mark Dempster. In 2013, the Centre for Social Justice determined that the level of addiction in the UK made it the “addiction capital of Europe.” This includes the use of legal substances, mainly alcohol, and t…
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In this conversation, we will examine the various types of trauma scores that feature both out-of-hospital and in-hospital to measure trauma – those of anatomical, physiological and combined trauma scores. We will look at why these are important, the three broad types of trauma scores, the origins, reliability and sensitivity of these. We will also…
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