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:

1. Prehospital Rapid Sequence Intubation by Intensive Care Flight Paramedics (Delorenzo et al, 2018) [link]
2. Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest (Wang et al, 2018) [link]
3. Drug-free tracheal intubation by specialist paramedics (critical care) in a United Kingdom ambulance service: a service evaluation (Houghton Budd et al, 2021) [link]

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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:

1. Prehospital Rapid Sequence Intubation by Intensive Care Flight Paramedics (Delorenzo et al, 2018) [link]
2. Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest (Wang et al, 2018) [link]
3. Drug-free tracheal intubation by specialist paramedics (critical care) in a United Kingdom ambulance service: a service evaluation (Houghton Budd et al, 2021) [link]

Hosted on Acast. See acast.com/privacy for more information.

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 more information.

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 more information.

'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 case? We want to read about it! Please submit to: podcast@prem-ed.com

Also, if you have a second, would you like / rate / subscribe please? It means more to us than money itself (well, maybe not).

J&S x

References: 

• NICE: Major trauma: assessment and initial management
• The London Major Trauma Triage Decision Tool
• Spoiler alert! 1
• Spoiler alert! 2

* explicit content *

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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 episode, or have any questions, concerns, or feedback, please get in touch at podcast@prem-ed.com

J&S x

References: 

• MHRA Schedule 17 drugs
• Paramedics and medicines: legal considerations (England, 2016)
• The Mental Capacity Act and use of proportionate restraint (in the UK)

* explicit content *

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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 aVR (LITFL)
• S1Q3T3 pattern (LITFL)
• Aortic Stenosis and cardiac auscultation
• NICE guidelines: VTE
• The 2017 ESC STEMI Guidelines

* explicit content *

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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 *

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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 married to Pauline, with two enthusiastic sons, and a lazy Labrador. He is a dreadful guitarist, and reasonable runner. He also enjoys hillwalking, skiing and whisky. (Nb. Ross' words, I'm not being judgemental!)

I really enjoyed talking to Ross about his career, trauma care, human factors, medical education, and much more. 

I hope you enjoy listening and let us know what you think! 

--

Silas.

Plugs! 

• Ross on Twitter
• Army Medical Services recruitment
• PhEDECs™ ECG Course

References

• Meet MERT
• MERT overview
• REPHILL trial

Sound recordist

• Jack Neuman

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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 Feedback

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

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 us a review (5 stars optional but ideal...)

--

Silas.

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References

• Health Professions Council of South Africa (2018). ‘Clinical Practice Guidelines’. [Online].
• Unknown (2017). ‘Pre-hospital medicine: South Africa vs. the United Kingdom’. Int Journal Paramedic Practice. [Online].
• College of Paramedics (2018). ‘Post-registration Career Framework’. [Online].
• Petter, J (2012). ‘Raising educational standards for the paramedic profession’. Journal of Paramedic Practice. [Online].
• General Medical Council (2020). ‘Bringing physician associates and anaesthesia associates into regulation’. [Online].
• Ebben et al (2017). ‘A patient-safety and professional perspective on non-conveyance in ambulance care: a systematic review’. Scand J Trauma Resusc Emerg Med. [Online].
• Brown, M (2015). ‘The Paramedic Series’. Mental Health Cop (blog). [Online].

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• Health Professions Council of South Africa (2018). ‘Clinical Practice Guidelines’. [Online].
• Unknown (2017). ‘Pre-hospital medicine: South Africa vs. the United Kingdom’. Int Journal Paramedic Practice. [Online].
• College of Paramedics (2018). ‘Post-registration Career Framework’. [Online].
• Petter, J (2012). ‘Raising educational standards for the paramedic profession’. Journal of Paramedic Practice. [Online].
• General Medical Council (2020). ‘Bringing physician associates and anaesthesia associates into regulation’. [Online].
• Ebben et al (2017). ‘A patient-safety and professional perspective on non-conveyance in ambulance care: a systematic review’. Scand J Trauma Resusc Emerg Med. [Online].
• Brown, M (2015). ‘The Paramedic Series’. Mental Health Cop (blog). [Online].

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• Lung volumes and capacities (MedBullets, 2019):

• Tension pneumothorax – time for a rethink? (Leigh-Smith and Harris, 2005)
• West's zones of the lung (Yartsev, 2019):
• The Iron Lung (The Science Museum, 2018):
• SECAmb pioneering new protocol for spinal injury patients (Sanders, 2020)
• High Flow Nasal Cannula (HFNC) – Part 1: How It Works (Lodeserto, 2018) #REBELEM
• Patent foramen ovale (Aggarwal and Singh, 2018) #BMJbestpractice
• Novel Tips for Airway Management (Rogers, 2014)
• The Oxford Head Elevating Laryngoscopy Pillow (Alma Medical, no date)
• ERC and ESICM Guidelines for Post-resuscitation Care (Nolan et al, 2015)

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• Lung volumes and capacities (MedBullets, 2019):

• Tension pneumothorax – time for a rethink? (Leigh-Smith and Harris, 2005)
• West's zones of the lung (Yartsev, 2019):
• The Iron Lung (The Science Museum, 2018):
• SECAmb pioneering new protocol for spinal injury patients (Sanders, 2020)
• High Flow Nasal Cannula (HFNC) – Part 1: How It Works (Lodeserto, 2018) #REBELEM
• Patent foramen ovale (Aggarwal and Singh, 2018) #BMJbestpractice
• Novel Tips for Airway Management (Rogers, 2014)
• The Oxford Head Elevating Laryngoscopy Pillow (Alma Medical, no date)
• ERC and ESICM Guidelines for Post-resuscitation Care (Nolan et al, 2015)

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• Australian paramedic graduates transitioning into UK NHS ambulance services: what are the potential challenges? (Devenish et al, 2015)
• Cardiovascular complications in COVID-19: A systematic review and meta-analysis (Kunutsor and Laukkanen, 2020)
• COVID-19 and Cardiology (ESC, 2020)
• Critical Care Outreach teams (NICE, 2018) 
• Guidance for the role and use of non-invasive respiratory support in adult patients with COVID- 19 (confirmed or suspected) (NICE, 2020)

Sound recordist

• Jack Neuman

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References

• National Registry of Emergency Medical Technicians #USA
• The Human Medicines Regulations 2012 #UK
• Medicine Entitlements (HCPC, 2018) #UK
• Paramedics and medicines: legal considerations (England, 2016) #UK
• EMS, Medical oversight of systems (Baker and Cole, 2019) #USA

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• Maternity Marmite Series – Breech Birth (Mansfield, 2016) #webinar
• Maternity Marmite Series – Cord Prolapse (Mansfield, 2016) #webinar
• Maternity Care for Paramedics (e-LfH, 2018) #e-learning
• Royal College of Obstetricians & Gynaecologists 'Green Top' guidelines
• Baby Loss Awareness
• Mariposa Trust (for patients)
• Sands | Stillbirth and neonatal death charity (for patients)
• Sands training (for healthcare staff)
• Resuscitation and support of transition of babies at birth (Wyllie et al, 2015) #RCUKGuidelines

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

References

• The National Ambulance Resilience Unit (NARU) Education Centre
• Ambulance HART website
• Paramedic Insight: the training to become a HART paramedic (Clark, 2017)
• How to become a HART paramedic: Hannah's story

Sound recordist

• Jack Neuman

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