Pre Hospital ציבורי
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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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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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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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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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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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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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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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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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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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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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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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In this conversation, we will examine the current state of NHS ambulance service delivered care and how we can approach this with a different perspective. We will examine the current models of operation and how over the next 10 to 20 years this needs to be flipped on its head. We will explore the numbers of See, treat and convey versus see, treat a…
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In this conversation, we will examine the challenges of exposure to high-stress situations, the principle of ‘psychological stunning’ and how to deal with the concepts of ‘amygdala highjack’. We will reflect with Tash on a seminal case that she experienced and her reflections on it. We will also reflect on how to harness and control these psycholog…
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In this conversation, we will examine the utility and functions of ultrasound within air ambulance services. We look at how the aggregation of data and familiarity with ultrasound is narrowing down and assisting time to intervention and time to definitive care. We look at the scans of preference and some of the data around pneumothoraces, tamponade…
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In this conversation we will examine the anatomy of the Advanced Paramedic Practitioner in Urgent Care (APPUC) scheme as it currently stands within London. We will examine the discharge to the community rate, Alternative Care Pathway referral rates and where they are being referred to, commonly seen pathology for the group, advances in the scheme (…
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In this conversation we will examine the recent recommendations and development of a national out-of-hospital transfusion protocol for critical care services. We will unpack the recent modified RAND Delphi study that sets out the guidance of clinical governance and recommendations for out of hospital transfusion services. We will dig into the recom…
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This is the second instalment of the conversation on the approach to major incidents with Keir Rutherford & Alec Wilding. We examine triage tools which have just come into practise which is around the TST - 10 second triage algorithm and the MITT - major incident triage tool and also look at enhanced levels of care on scene and what should be done …
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In this conversation we will examine some of the lessons learnt from anecdotal experiences in major incidents, together with the reflections from previous recommendations in major incident enquiries such as the Manchester bombings. We will examine the differentiation of terrorist attacks at point of call from an otherwise normal RTC or ‘typical’ in…
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In this conversation we will examine the latest in non-invasive ventilation via the helmet interface. Recent empirical research has shown that ventilation via helmet can mean faster recovery time, shortening an ICU stay, reduces the need to intubate, lowers ICU mortality, and can result in minimal or no sedation of the patient. Aurika Savickaite is…
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In this conversation we will examine the principles of coagulopathy and novel approaches to coagulopathy within pre-hospital care. We will examine the utility of fibrinogen concentrate, the distinct features of fibrinogen concentrate with cryoprecipitate, its longevity of use compared to other blood products, how you constitute fibrinogen concentra…
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In this conversation we will examine the concept of the performance pizza. This is a concept which examines three main domains of performance within pre-hospital care; the predictable routine, the predictable emergencies and the unpredictable emergencies. We will dig into each of these domains and examine what each constitutes, how you train for ea…
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In this conversation we will examine the career progression of Vicki Brown, who is an Advanced Practitioner in Critical Care, and is the first person in the country to get on the Faculty of Pre Hospital Care (FPHC) Register of Consultant Practitioners by qualifying from a purely paramedic background. We will trace her career pathway and the steps t…
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This is a repost of an episode I recorded back in the early years of podcasting. It remains the most downloaded episode of the entire podcast. Steve Rashford is the medical director of The Queensland Ambulance Service (QAS) with 5,000 staff and 1,300 response vehicles. In the episode Steve gives some of his perspectives of a pre-hospital careers sp…
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In this conversation we will examine the fundamentals of human factors within tasks with Jim Walmsley. We will focus on Human factors from a task perspective refer to the ways in which the design of a task or activity can affect the safety and performance of the individuals performing it. We will examine the concept of task complexity, task variabi…
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In this conversation we will examine the concept of flash teams with Ben Watts. We will focus on why they can pose such a challenge in highly stressful situations. We examine the concepts and issues of ego, lack of team ethos, lack of shared understanding/clear plan, poor communications, name use, active listening issues, poor followship, anchoring…
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In this session I am speaking with Clare Fitchett as we explore the fundamentals of human factors and the interplay of leadership. In the conversation we examine what human factors mean to Clare and how they affect her practice. We also look at leadership and how Clare perceives leadership can affect human factors for the better. We finally examine…
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In this session, I am speaking with Neel Bhanderi on the advantages of high-fidelity training within clinical practice. In the conversation, we examine the concepts of analogs of reality and how it has multifactorial benefits through the integration of handover simulation, debriefing, stress inoculation, skill acquisition under stress, communicatio…
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In this conversation we will examine the fundamentals of human factors with Matt Edwards. We will focus on Human factors from an individual perspective. We will examine some of the seminal cases that Matt has experienced in practice and the concept of routine versus crisis from a checklist perspective. We will also examine how human interactions in…
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In this episode we kick off a mini-series on human factors in practice. I will be speaking with a cross section of clinicians on what human factors means to them and the impact it can and has had on their practice. In this episode I discuss the fundamentals of human factors including; a working definition of human factors, why human factors are imp…
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