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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Navigating Advanced Practice: The Role of Supervision with Professor Deborah Harding
45:22
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45:22Today, we're honoured to host Professor Deborah Harding, a distinguished figure in the field of advanced clinical practice. Professor Harding serves as the Supervision Lead for the NHS England for Advancing Practice, where she has been instrumental in developing supervision frameworks that support advanced practitioners across various healthcare di…
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Two Worlds of Innovation: NHS vs Private Sector with Hannah Browning
38:32
38:32
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38:32In this episode, we explore the challenges and contrasts of implementing innovation across the NHS and the private healthcare sector with expert guest Hannah Browning. As the founder of Beyond Excellence, Hannah brings a rare dual-sector insight, having held senior leadership roles in major private providers including Nuffield Health, Spire Healthc…
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AI Risk Prediction and Decision Support System (AI-TRiPS) for Trauma Care with Zane Perkins
58:24
58:24
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58:24In this episode of the Pre-Hospital Care Podcast, we explore the rapidly evolving role of artificial intelligence in trauma care, focusing on the AI Risk Prediction and Decision Support System (AI-TRiPS)—a cutting-edge AI tool designed to enhance decision-making in high-pressure trauma settings. AI-TRiPS is built on Bayesian networks for clinical d…
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Recognising Red Flags: A Guide to Paediatric Pathologies with Sarah Edwards. Part 2 Paediatric Series.
46:42
46:42
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46:42In this episode of the Pre-Hospital Care Podcast, we’re joined by Sarah Edwards to explore the most frequently encountered paediatric emergencies seen in the field. Sarah Edwards is a Consultant in Adult and Paediatric Emergency Medicine and the RCEM Learning Chair. She is Senior Editor for the Emergency Medical Journal, RCEM Learning Chair and Hon…
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The Person Centred Approach to Therapy with Chris Molyneux
51:28
51:28
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51:28The person-centred approach to counselling is built on the foundation of empathy, authenticity, and unconditional positive regard. Developed by Carl Rogers, this approach shifts the focus from the therapist as an expert to the client as the central figure in their own healing journey. Rather than directing or diagnosing, the counsellor provides a n…
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Decision-Making under high pressure situations Part 2 - with Olly Sapsford
50:49
50:49
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50:49In this episode, we continue our deep dive into decision-making under pressure with Olly Sapsford, a Firefighter and Commander as well as a Lecturer in Disaster & Emergency Management at Coventry University. We explore the mental models, training, and strategies that support effective decision-making in extreme environments. How do emergency respon…
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Paediatric Assessment in Critical Care with Anna Dobbie: Paediatric Series Part 1
36:08
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36:08In this episode of the Pre-Hospital Care Podcast, we are focusing on the vital topic of paediatric assessment in the pre-hospital phase of care. Assessing and managing a sick or injured child is one of the most challenging scenarios for pre-hospital teams. Our guest breaks down the key components of paediatric assessment with the subtle red flags t…
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Sustaining a World-Class HEMS Service: London’s Air Ambulance with Jayne Clarke
34:27
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34:27In this episode, we take an in-depth look at one of the world’s leading HEMS services—London’s Air Ambulance (LAA) Charity. This conversation centres around the lesser-known challenges of sustaining and growing a top-tier HEMS service within the UK. From community engagement strategies to high-impact fundraising and marketing campaigns, we uncover …
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Improving Cardiac Arrest Survival with Mark Faulkner
53:03
53:03
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53:03Out-of-hospital cardiac arrest remains a critical challenge despite advances in pre-hospital care, with survival rates heavily influenced by early intervention, high-quality CPR, and coordinated response systems. In this episode, we’re joined by Mark Faulkner, a leading expert in resuscitation and emergency care, to explore the key factors that imp…
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The Power of Shared Learning in Pre-Hospital Care with Sara Orritt
37:04
37:04
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37:04In this episode of the Pre-Hospital Care Podcast, we dive into the crucial role of shared learning within the pre-hospital setting. Learning from past experiences, both successes and challenges, is vital for improving patient outcomes and advancing best practices. We’ll explore key moments where shared learning has led to real changes in practice a…
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The Evolving Nature of Major Incidents with Adam Desmond
1:08:26
1:08:26
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1:08:26In this episode, we’re joined by Paramedic Adam Desmond, an experienced paramedic who has been on the frontline of some of the UK’s most devastating major incidents, including the Brixton nail bombing on 17th April 1999, the Soho nail bombing on 30th April 1999, the Ladbroke Grove rail crash on 5th October 1999, the London terror attacks on 7th Jul…
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Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest with Mike Christian
42:43
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42:43Today, we’re diving into one of the most challenging and high-stakes procedures in trauma medicine—prehospital resuscitative thoracotomy (RT) for traumatic cardiac arrest (TCA). Joining me is Dr Mike Christian, the senior author of a recent study published in JAMA Surgery, which examines the impact of prehospital RT in London’s Air Ambulance (LAA) …
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Vehicle Borne Attacks in Barcelona with Jorge Morales Alvarez
1:18:08
1:18:08
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1:18:08This is the second in a short mini-series focusing on vehicle-borne attacks having transitioned from a relatively rare method used by Terrorist Vehicle-Borne (TVB) attacks to becoming one of the most lethal forms of terrorism. In Western countries, by 2016, TVB has resulted in just over half of all terrorism-related deaths. Their effectiveness and …
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Vehicle Borne Attacks in New Orleans with Bill Salmeron
47:46
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47:46In 2016, ISIS encouraged vehicle attacks through its online magazine, targeting crowded outdoor events. Rather than large-scale attacks using weapons of mass destruction, terrorism has shifted towards smaller, lone-actor incidents due to increased security measures. Online radicalisation has facilitated this change, inspiring attacks with easily ac…
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Improving communication and decision-making within Geriatric care. Part 3, with Iain Wilkinson and Georgie Gill
56:59
56:59
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56:59In this episode, we’ll explore the communication barriers that clinicians encounter in delivering coordinated care for geriatric patients, including the role of sensory impairments like hearing or vision loss. We’ll uncover best practices for engaging families in decision-making, addressing complex geriatric syndromes, and managing conflicts around…
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AI-Enhanced Extended Reality Simulations for Medical Training with Martien Strik
34:27
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34:27In this episode, we will delve into the latest advancements and innovations in XR technology - the world of Extended Reality and its groundbreaking applications in medical training and how it might shape the future of medical training in practice. From real-time communication with patients, integrating emotional intelligence for a more empathetic i…
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Delirium, Confused States, and Elderly Pathologies with Iain Wilkinson and James Adams. Part 2, Geriatric Series
59:42
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59:42Delirium is a common and often under-recognised condition among older adults, particularly during emergencies.It can be triggered by a range of factors, including infections, dehydration, medications, or underlying chronic conditions, and presents significant challenges for pre-hospital and hospital providers alike. In this episode, we’ll explore t…
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The Future of AI-Enabled Training With Luca Carenzo and Federico Barra
48:29
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48:29Today, we dive into the concept of how Artificial Intelligence is revolutionising how we train for critical scenarios and indeed critical skills such as CPR. Traditional simulation-based training has long been plagued by challenges such as limited realism, high costs, and barriers to accessibility. But now, advancements in AI, particularly through …
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Frailty in Geriatric Patients with Iain Wilkinson and James Adams. Part 1, Geriatric Series
50:59
50:59
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50:59In this episode, we focus on the critical topic of frailty and fall assessment in elderly patients. Frailty is a complex condition that affects many older adults, making them more vulnerable to injuries and complications. Falls, one of the most common emergencies among this population, can have life-altering consequences, including fractures, loss …
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Pre-Hospital Care in Germany with Johannes Strobel
36:36
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36:36In this episode of the Pre-Hospital Care Podcast, we had the privilege of speaking with Dr. Johannes Strobel, a leading figure in Pre-hospital Critical Care and a key driver of clinical innovation within Germany’s renowned EMS system. Reflecting on his journey, Dr. Strobel shared the challenges and rewards of shaping EMS systems across diverse sett…
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Ethical and Legal Decision-Making. Medico legal aspects of PHC Part 3 - with Steve Bell
24:43
24:43
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24:43In this episode, we’re delving into one of the most complexand critical topics in pre-hospital care, that of ethical and legal decision-making. Whether respecting a patient’s autonomy, determining capacity, or navigating complex end-of-life care scenarios, these decisions often come withhigh stakes and no easy answers. Balancing the duty to act wit…
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Physician-led Interprofessional Teams with Mike Christian
51:20
51:20
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51:20In this episode, we discuss the role of interprofessional teams within pre-hospital care and examine the latest research published on this topic. Over the past three decades, the role of physicians in pre-hospital care has grown significantly. In this episode, we are joined by Dr Mike Christian. Beginning his career as a paramedic, Mike is now a cr…
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Managing Complex Legal Scenarios. Medico legal aspects of PHC Part 2 - with Mark Faulkner
47:57
47:57
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47:57In this episode, we dive into the intricate legal landscape that pre-hospital care providers must navigate daily. From understanding fundamental duty of care to managing mandatory reporting requirements, we explore how every decision in the field carries legal weight. Our discussion covers essential scenarios pre-hospital teams frequently encounter…
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In this episode, we delve into NATO’s medical readiness for large-scale conflicts, addressing pressing questions about preparedness and challenges in the face of hybrid and cyber threats. Also, how NATO adapts its strategies to meet these complex needs of contemporary warfare. We’ll address lessons from recent conflicts—Ukraine, Afghanistan, and Ir…
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Documentation and Communication. Medico-legal aspects of Care Part 1 - with Mark Faulkner.
59:19
59:19
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59:19In this episode, we’re diving into a critical topic for allpre-hospital providers: Documentation and Communication—Protecting Patients and Providers. In the increasingly complex world of pre-hospital care, accurate documentation and effective communication are more than just administrative tasks—they are key to ensuring patient safety, defending cl…
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The Anatomy of Decision Making Under High Pressure Situations
39:43
39:43
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39:43In this episode of the Pre-Hospital Care Podcast, we explore why decision-making is a cornerstone of effective pre-hospital care. Using a compelling case study from a high-pressure environment, we examine how clinicians navigate complex decisions and decisions within decisions. We dive into key theories of decision-making, including Miller’s Magic …
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Surviving Cardiac Arrest Part 3: Noah and Erran's Story
45:43
45:43
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45:43In this first episode of the new year, we speak with Noah, whose life changed dramatically in 2016. While exercising at school in North London, Noah suffered a cardiac arrest caused by a primary arrhythmia, resulting in ventricular fibrillation. That day brought the adage "it takes a system to save a life" sharply into focus. Noah shares his firsth…
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Resilience, Loss and Post Traumatic Growth with Keir Rutherford and Lisa Burrell
45:39
45:39
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45:39In this session, we reflect on the experiences, challenges, and growth that define a career in Paramedicine. Paramedics have the privilege of caring for individuals during some of the most vulnerable and difficult moments of their lives—a privilege that carries profound meaning but also significant emotional demands. This episode explores the essen…
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Surviving Cardiac Arrest Part 2: Zoe Hitchcock's story
25:30
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25:30In this episode, we speak with Zoe Hitchcock, whose life took a dramatic turn 11 years ago in 2013. While walking along Oxford Street in London, Zoe experienced a cardiac arrest caused by a cardiac myopathy, resulting in ventricular fibrillation. That day, the saying "it takes a system to save a life" became strikingly evident. Zoe shares her first…
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As we wrap up 2024, this special year-in-review episode of the Pre-Hospital Care Podcast feels particularly personal. It’s been a year full of challenges, breakthroughs, and moments that tested and redefined what staff can achieve. This episode isn’t just a summary of achievements or struggles—it’s about the real stories and the people behind them.…
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Surviving Cardiac Arrest Part 1: Paul Swindell and Sudden Cardiac Arrest UK
39:57
39:57
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39:57In this episode, we explore the deeply personal and often overlooked journey of cardiac arrest recovery. Joining us is Paul Swindell, a cardiac arrest survivor, advocate, and co-founder of Sudden Cardiac Arrest UK. In 2014, Paul’s life changed in an instant when he experienced a sudden cardiac arrest. While he was fortunate to survive, his recovery…
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Beyond the Sirens: The Unique and Evolving Nature of Paramedicine with Will Broughton
54:24
54:24
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54:24In this episode, we explore Professor Will Broughton’s inaugural lecture, Beyond the Sirens: The Unique and Evolving Nature of Paramedicine. As the UK’s second-ever “Paramedic Chair,” Professor Broughton challenges the outdated perception of paramedics as mere “ambulance drivers,” instead highlighting the profession’s evolution into one of sophisti…
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Violence against Paramedics with Dr Justin Mausz
35:56
35:56
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35:56In this conversation, we will examine the prevalence, causes,types and critical issues of violence against paramedics. Justin Mausz shares his insights on the growing prevalence of violence in the pre-hospital environment, examining the kinds of violence paramedics face, including verbal, physical, and emotional abuse. He highlights the contributin…
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The Successes and Challenges of Major Trauma Networks in the UK with Ash Vasireddy
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50:27In this episode, we're diving into the critical topic ofmajor trauma networks in the UK. These networks have revolutionised trauma care, significantly improving patient outcomes since their inception. We'll explore the positives and challenges faced by these networks, with insightsinto their impact on patient survival rates, and the integration of …
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Educating High Performing Teams with Clare Richmond
46:17
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46:17In this episode, we will examine the fundamentals oftraining and education of high-performing teams. We discuss the role of real-world scenarios and high-fidelity training simulations in better-preparing trainees. We'll also discuss the role of high-fidelity simulation in enhancing the learning experience and the metrics used to evaluate training e…
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PTSD Part 3: Cognitive Behavioural Therapy (CBT) with Seth Gillihan
35:28
35:28
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35:28This is the third and final part of the PTSD series looking at the empirically proven talking therapies. In this episode we examine CBT with Seth Gillihan. Seth J. Gillihan is a clinical psychologist, best-selling author, podcast host, and creator of the Think Act Be Online School. He specialises in mindfulness-centered Cognitive Behavioural Therap…
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Pre-hospital Care in Care Homes with Lance A. Slatton
47:37
47:37
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47:37In this conversation, we will examine the important andoften overlooked aspect of paramedicine—caring for elderly patients in care homes. As the population ages, more and more paramedics are being called to care homes to respond to complex medical emergencies involving frail, elderlypatients. These scenarios present unique clinical, ethical, and lo…
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PTSD Part 2: Beyond adventure with Will Millard
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53:56Today, we’re joined by explorer, writer, and presenter WillMillard, whose incredible adventures have taken him to some of Earth's most remote and uncharted territories. From living with Indigenous tribes in Papua New Guinea to navigating the wild rivers of West Africa, Will has always sought to push the boundaries of exploration. But behind the thr…
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Selecting for high performers with Chris Denny
42:04
42:04
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42:04In this conversation, we will explore the critical topic of selecting prehospital clinicians for high-stakes environments. We explore the traditional methods used in clinician selection and why they may fall short in the unpredictable world of pre-hospital care. We'll discuss the need to re-define performance criteria to better suit high-pressure s…
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PTSD part 1: Eye Movement Desensitisation and Reprocessing (EMDR) therapy with Abigail Pamich
46:47
46:47
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46:47In this episode, we talk with Dr. Abigail Pamich, an experienced clinical psychologist with over 20 years of experience in therapy and mental health. Dr. Abigail runs a private practice in the UK, leading a team of 12 skilled therapists who offer remote therapy to clients nationally and internationally. She also has a growing YouTube channel where …
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'Understanding barriers and enablers to supportive teams in UK health systems' with Paul Crampton and Millie Kehoe
52:15
52:15
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52:15In this conversation, we will examine and explore thecomplex dynamics of teamwork in UK healthcare. Effective teamwork is crucial for delivering safe, high-quality patient care, yet numerous factors can either enable or hinder its success. In this episode, we delve into the findings of a comprehensive study commissioned by the General Medical Counc…
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12 lead ECG Algorithms with Prof Peter MacFarlane
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47:05In this episode, we explore the history and development of ECG algorithms with a leading expert in the field. We'll cover the early days of ECG interpretation, the hurdles in creating automated algorithms, and how this essential technology has evolved. Our guest, with decades of experience, will discuss his role in establishing an ECG Core Laborato…
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Front of Neck Access (FONA) and the SALAD technique (Suction Assisted Laryngoscopy and Airway Decontamination) With Cliff Reid
40:35
40:35
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40:35In this conversation, we will examine the concept andskill of Front of Neck Access (FONA)and also the Suction Assisted Laryngoscopy and Airway Decontamination (SALAD) technique. Join us as we dive into this high-stakesprocedure with pre-hospital retrieval specialist Cliff Reid. We'll explore the indications, complications, and potential risks of FO…
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Part 2: Pre-hospital Burns with Krissie Stiles
58:01
58:01
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58:01In this conversation, we will examine the second part ofthe conversation with Krissie Stiles. In this episode, we look at the pain management, cooling, and safe transportation of burns. We then examine the complications, prevention strategies, coordination with burn centres, psychological impacts on patients and families, and continued care andreha…
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Part 1: Pre-hospital Burns with Krissie Stiles
1:07:34
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1:07:34In this conversation, we will explore the key aspects of burn care, beginning with the prevalence, causes, and classification of burn severities. We'll dive into understanding the physiological responses to burns and the potential complications that can arise, ranging from infections to organ failure. Emphasising evidence-based management, we will …
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Tackling alcoholism with Jonathan Hunt-Glassman
33:42
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33:42In this episode, we delve into the surge in alcohol consumption during the pandemic, the rise of digital health innovations in addiction treatment, and the crucial role of medication in supporting recovery. Alcohol misuse costs the NHS in England approximately £3.5 billion annually, covering hospital admissions, treatments, and A&E visits related t…
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Trauma Series Part 4: Spinal Trauma with Jim Walmsley
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43:31In this episode, we review the historical literature around spinal trauma, the actual prevalence of spinal trauma, and guidelines from RCSEd, NICE, NEXUS, and Canadian C spine rules. Critical Care Paramedic Jim Walmsley, with 19 years of experience at South East Coast Ambulance Service NHS Foundation Trust, joins us to discuss the cultural and clin…
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Mental Health on the frontline and TRiM with Lucy Gough
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57:45In this conversation, we will examine the role of TRiM(Trauma Risk Management). This is a trauma-focused peer support system designed to assist individuals who have experienced traumatic or potentially traumaticevents. In the UK Armed Forces, TRiM is based on the principle of "active monitoring," where trained non-medical personnel, known as TRiM P…
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STAB5: Dealing with Penetrating Torso Injuries
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44:57Today, we're diving into a crucial tool that has recently been released by GWAAC for emergency personnel: the STAB5 mnemonic. This simple yet powerful framework is designed to guide staff through the complex and often chaotic scenarios of penetrating trauma they face in prehospital care. The STAB5 pneumonic helps ensure that nothing is overlooked w…
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Scottish HEMS: Emergency Medical Retrieval Service (EMRS): The first decade of national coverage with Ryan McHenry
33:42
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33:42In this episode, we explore the evolution and achievements of Scotland's Emergency Medical Retrieval Service (EMRS), a lifeline for critically unwell patients in rural and remote areas. The EMRS, established in 2004, has transformed emergency care in Scotland, expanding its reach nationally in 2010 and opening a second base in Aberdeen in 2019. Thi…
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