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Pre-Hospital Care Podcast

Pre-Hospital Care Podcast

By Eoin Walker

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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S02E04: Esther Murray (Part 1): How to Take Care of Yourself After a Moral Injury

Pre-Hospital Care Podcast

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The UK Paramedic Strikes with Carl Betts - reflections on a sad day.
The UK Paramedic Strikes with Carl Betts - reflections on a sad day.
In this episode we are examining the recent strikes and pay freeze that frontline paramedics have been experiencing. This is on the background of increased cost of living and operational pressures across the emergency care system. We will focus both on Carl’s recent reflections of the issue and also the sense of community within the current strikes. We will also examine how this strike is different to others and indeed how the climate of the NHS is vastly different to that ever seen before. Carl Betts is no stranger to the podcast, he has been a paramedic for over 10 years and currently working in Quality Improvement. He has also written a recent blog on his reflections of the strike action, the sense of unity and the multi-factorial climate of pressures that paramedics work in within the UK. This was an episode recorded for World Extreme Medicine (WEM) and aired with kind permission from WEM. World Extreme Medicine are providers of specialist environment and expedition medical education and can be found here: https://worldextrememedicine.com/
32:50
January 16, 2023
The Trauma Handover with Andrew Pearce
The Trauma Handover with Andrew Pearce
In this session I am speaking with Andrew Pearce on the concept of the trauma handover. We examine the definition of the handover, the commonly expected barriers to effective handover, and the recall of handover information. We will also examine where the handover occurs, standards and recommendations, tools and templates, how we can measure effectiveness, and finally whether it works in practice. We will also dig into some of the empirical literature to examine some of the evidence behind the handover. Andrew Pearce is an Emergency Physician and pre-hospital retrieval medicine specialist. He is currently the Clinical Director and a Medical Retrieval Consultant coordinator at MedSTAR Emergency Medical Retrieval Service based in Adelaide, Australia. In the episode we examine: 1.  Definition of the clinical handover. 2.  Commonly expected barriers to information handover. 3.  Recall of information and some of the errors in recall.  4.  Empirical findings on handover from the literature.  5.  Where the handover occurs and bias attached to handover information. 6.  Current standards & recommendations (Standard 6, ACSQHC) 7.  Templates and Tools used and advocated.  8.  Measuring effectiveness/quality assurance of handover. 9.  Summary from Andrew.  Some of the empirical papers and standards mentioned in this episode can be found here: Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members https://pubmed.ncbi.nlm.nih.gov/20702445/ Expectations differ between senders and receivers of patients in transition - Joint commission centre for Transforming Healthcare 2017 https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea_58_hand_off_comms_9_6_17_final_(1).pdf?db=web&hash=5642D63C1A5017BD214701514DA00139&hash=5642D63C1A5017BD214701514DA00139 Clinical handovers between prehospital and hospital staff: literature review https://emj.bmj.com/content/32/7/577.short Australian Commission on safety and quality in healthcare: Standard 6: Clinical Handover  https://www.safetyandquality.gov.au/sites/default/files/migrated/Standard6_Oct_2012_WEB.pdf My thanks to Andrew for an engaging and insightful interview. 
52:28
January 09, 2023
Schwartz Rounds – The emotional debrief with Aggie Rice
Schwartz Rounds – The emotional debrief with Aggie Rice
In this session I am speaking with Aggie Rice on the concept and tool of Schwartz rounds and her journey of implementation within the NHS. Schwartz rounds can be described as a structured forum where all staff, clinical and non-clinical, come together regularly to discuss the emotional and social aspects of working in healthcare. In the session we wanted to explore the purpose of Schwartz Rounds and some of the potential benefits to staff that participant in them. We also wanted to look at the evidence and staff feedback as to their utility and ability to flatten the hierarchies of management within an organisation. The underlying premise for Rounds is that the compassion shown by staff can make all the difference to a patient care, but also in turn, make staff feel supported in their work. We want to dig into this principle and get the thoughts from Aggie who is implementing them at a local and national level. Aggie Rice is a mentor and trainer on the Schwartz Rounds and Team Time programmes. After working for the Point of Care Foundation for a few years as an Associate, Aggie joined the Foundation in this full-time role in 2021. Aggie has worked on the Schwartz Round programmes since 2016 and has a keen interest in organisational culture, storytelling and the emotional wellbeing of health and social care staff.  In the episode we cover:  1.  Why Schwartz rounds are important in the contemporary healthcare climate.  2.  The power of narrative and the anatomy of the Schwartz round 4.  The principle of psychological safety 5.  Whether they can be used as a surrogate for counselling  6.  Opening up and flattened hierarchy 8.  Adoption and rate limiting steps/barriers to participation 9.  Progress within the Ambulance Service versus other healthcare settings 10.Take home messages You can learn more about Schwartz Rounds here: https://www.pointofcarefoundation.org.uk/our-programmes/staff-experience/ You can learn more about Aggie Rice here: https://www.pointofcarefoundation.org.uk/about-us/people/aggie-rice/ I hope you enjoy this episode with an insightful and engaging guest. 
35:09
December 26, 2022
Thoracotomy: The current research and outcomes with Zane Perkins
Thoracotomy: The current research and outcomes with Zane Perkins
In this session we will examine the latest research to emerge from Zane Perkins and Mike Christian around Resuscitative Thoracotomy (RT). The research has been led by Zane and Mike examined over 600 retrospective thoracotomy cases from the LAA database spanning 20 years, looking at the survivors, the pathology (exsanguination versus tamponade), the pre-arrest rhythms, the morbidity and mortality, the time of intervention versus outcome as well as other markers. I wanted to explore the results of this research and the potential implications on practice. Zane Perkins is a consultant Trauma and General Surgeon at the Royal London Hospital, a consultant Physician for London's Air Ambulance, and an Honorary Senior Lecturer at the Centre for Trauma Sciences, Queen Mary’s University London. Current thinking on Thoracotomy practice Examine the research in more detail from primary & secondary outcomes Survival rates - Who are the current survivors? What are the main domains of pathology Exsanguination: Results of outcome and pre-arrest rhythms What it shows around intervention and decisions around exsanguination Tamponade: results of outcome and pre-arrest rhythms  What it shows around intervention and decisions around tamponade Differentiated decision making and prospective changes to SOP Final thoughts and take-home messages. The study has yet to be published but we will publish the results as they are published. My thanks to Zane for an engaging and insightful interview. 
43:31
December 19, 2022
Effective teams and dealing with difficult people
Effective teams and dealing with difficult people
This is the second part of the lecture series on building effective teams and dealing with difficult people. The concepts taught here involve models of teamwork (Action centred Leadership, the five dysfunctions of a team), trust - both as a concept and a pre-requisite, culture, homeostatic teams and finally tools and techniques for fostering good team work.  In the second half of the podcast we examine dealing with difficult people from the perspective of understanding the triggers, root cause analysis, rapport building, the energy investment model, the ELCR framework, self awareness, humility and insight. Some of the resources and models can be found here:  Energy investment model: https://careerresilience.wordpress.com/2021/06/03/how-are-you-investing-your-energy-in-times-of-change/ Action Centred Leadership: https://www.businessballs.com/leadership-styles/action-centred-leadership-john-adair/ The Five Dysfunctions of a team: https://tomorrowsleadership.nl/how-to-overcome-the-5-dysfunctions-of-virtual-teams/ Empathic communication: https://hbr.org/2022/08/4-ways-to-communicate-with-more-empathy I hope you get something from this episode that you can use either within clinical practice or within general work-based situations. I'm always keen for feedback on sessions, please feel free to reach out to me at eoinwalker@hotmail.com - please also rate, review and subscribe to the podcast. This episode will be aired across the Pre-hospital Care Podcast and Restore Podcast platforms.  Many thanks, Eoin
26:54
December 16, 2022
Exertional Heat Injury with Harvey Pynn
Exertional Heat Injury with Harvey Pynn
In this session we will examine Exertional Heat Injury (EHI) within individuals undertaking endurance races, military exercises, or extreme activity. We will draw contrast and parallels to acute behavioural disturbance, what is happening both at the physiological level and some of the autonomic positive feedback mechanisms within EHI. To do this I have Harvey Pynn with me, Harvey is a Lieutenant colonel within the British Military and an Emergency Medicine and air ambulance consultant with GWAAC. In the episode we examine:  ·  Definitions, spectrum of disease – EHI as a broad definition and spectrum of states ·  How are thinking has changed on heat illness and what is happening on a physiological level ·  Incidence of EHI; anecdotal and empirical ·  The hierarchy of ‘exercise-state’ heat loss – evaporative, convective, conduction, then radiation. ·  Heat acclimatisation: Salt concentration (aldosterone mediated), sweating initiation and rate. ·  Risk factors (individual, environmental)- concomitant disease or drugs (dehydration, alcohol, co-morbid disease, medication) ·  Subtle and not so subtle prodromal signs and symptoms of heat injury & why urine colour isn’t a great marker (lack of micturition during     dehydration). ·  Preventative measures and treatment modalities in severe EHI  ·  Analogues of comparison and symptomatology – ABD, drug induced hyperthermia. ·  Differential diagnosis and an anecdotal case from Harvey  Please find some related research produced by Harvey pertaining to measuring dehydration and the sequlae of EHI: https://www.researchgate.net/publication/327822126_The_Compensatory_Reserve_Index-potential_uses_in_a_military_context Please also see relevant empirical literature that is congruent with the podcast: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819979/ Please enjoy this episode with an engaging and informative guest. 
40:58
December 08, 2022
The art of active listening
The art of active listening
In this episode I examine the art of active listening. It is a slightly different episode and one of a number to come where I give a series of lectures. In this episode I wanted to do two things: 1. Build awareness of the factors that affect our listening ability. 2. Build and create the conditions that can produce good listening habits. One of the main problems is caused by the fact that we think much faster than we talk. The average rate of speech for most of us is around 125 words per minute. In contrast we process and think at about 800 words a minute. This is a fundamental mis-match which can cause a deficit in receiving information. The human brain is made up of more than 13 billion cells and operates in such a complicated but efficient manner that it makes any comparison to computers seem insignificant. It might seem logical to slow down our thinking when we listen so as to coincide with the 125-word-per-minute speech rate, but slowing down thought processes seems to be a very difficult thing to do. When we listen, therefore, we continue thinking at high speed while the spoken words arrive at low speed. In the act of listening, the differential between thinking and speaking rates means that our brain works with hundreds of words in addition to those that we hear, assembling thoughts other than those spoken to us. The latency of this mis-match is often taken up by internal dialogue rather than integration of the spoken, but more importantly inferred meaning behind words. In this episode I examine:  The definition of active listening.  The 'classic' example - one which we all fall prey to.  The anatomy of the received message. The why and what of ‘Active Listening’. Triple A listening (what triple A listening actually is).  Kinesthetics of listening – what it feels like to be heard amongst other aspects.  Models of active listening: Four ears of communication, the communication triangle.  The power of silence The quality of listening - The hierarchy of active listening  Chunking information as an adjunct to active listening  Closed loop communication  The power of agreement Please let me know what you think of the content at eoinwalker@hotmail.com and also feel free to recommend future topics. Please also feel free to rate and review the podcast and I always welcome feedback. 
39:45
December 05, 2022
Fighting fatigue in the EMS workforce with Kristy Sanderson.
Fighting fatigue in the EMS workforce with Kristy Sanderson.
In this session we will examine one of the common greatest human factors challenges within pre-hospital care, that of acute fatigue within clinical practice. The ambulance services are trying out different ways of working to help staff feel less tired at work and safer on scene, but these actions are often localised and have no empirical underpinning, and also we don’t know whether they are making working environments safer. Kristy is investigating whether patient and staff outcomes can be improved through development and implementation of a fatigue risk management system (FRMS), as is done in other safety-critical industries like aviation and transport.  The evidence suggests individual components of a FRMS which may be effective, Kristy is currently investigating the optimal packaging of these interventions. Kristy believes that FRMS adoption in the NHS needs local tailoring and understanding of barriers and facilitators. Kristy is looking at a way to integrate a comprehensive fatigue risk management system for the UK NHS ambulance sector that is acceptable, feasible, and likely to improve patient outcomes and staff wellbeing and experience. Within the episode we will examine: 1.  Kristy’s research approach to an agreed set of evidence-based and emerging components of a FRMS for the UK ambulance sector that are considered feasible and acceptable. 2. The wider CATNAPS study and its wide ranging primary and secondary outcomes.  2.  The components of a comprehensive FRMS that are in use and why. 3.  The ways in which front-line staff and patients experience current fatigue actions and potential to improve safety culture and reporting. 4.  Development and usability testing of the FRMS and its implementation guide that allows tailoring to organisational and local context and is underpinned by a new theory of change and logic model. 5. The 12 hour day and and night shift, both pros and cons of this pattern of working.  6. Fatigue mitigation and how the FRMS may serve to support this. 7. Second and third order effects of fatigue.  More on CATNAPS and Kristy's research can be found here: https://arc-eoe.nihr.ac.uk/research-implementation/research-themes/mental-health-over-life-course/catnaps-fighting-fatigue-nhs Please enjoy this episode with an engaging guest. 
29:54
November 27, 2022
Combat Casualty Care with Ed Barnard
Combat Casualty Care with Ed Barnard
In this session we will examine the bleeding patient in the tactical and combat environment. We will dig into some of the fundamental education that has changed practice in recent years, we will also look at the sequential approach to bleeding control, second and third generation haemostatics, pharmacological agents, tourniquets, neck zones and injuries, blunt injury and junctional wounds, hypotensive management and finally pain management in the combat arena. We also examine the utility and success of highly interventional skills at or near point of wounding such as REBOA. Finally we will examine Traumatic Cardiac Arrest (TCA) and the utility (or not) of an algorithmic approach to management. To do this, Ed Barnard joins me. Ed is an emergency medicine consultant within Cambridge University hospital and has undergone sub-specialty training in pre-hospital EM, working in more than five EMS systems, educating and mentoring medical students and doctors in training, giving national and international lectures, delivering a national research and clinical innovation meeting, completing a PhD from a top-100 research university, publishing over 30 journal articles, receiving five national-level research awards, and being appointed as a Senior Lecturer for the military. Topics covered:  Sequential approach to arresting bleeding Look at second/third/fourth generation haemostatic compounds (celox, quik-clot) Utility of tourniquets (origins, usage and types) Neck zones and wounds Blunt injury and junctional wounds Hypotensive mx - utility of this Critical Hypovolaemia and tx modality Interventions at point of wounding - REBOA TCA management and algorithmic approaches Ed's reflections and perspectives over the past 5 years on bleeding  Some of the concepts and evidence that Ed mentions in the episode can be found here:  A comparison of Selective Aortic Arch Perfusion and Resuscitative Endovascular Balloon Occlusion of the Aorta for the management of hemorrhage-induced traumatic cardiac arrest: A translational model in large swine https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526509/ The outcome of patients in traumatic cardiac arrest presenting to deployed military medical treatment facilities: data from the UK Joint Theatre Trauma Registry https://militaryhealth.bmj.com/content/164/3/150.abstract Prehospital determinants of successful resuscitation after traumatic and non-traumatic out-of-hospital cardiac arrest Epidemiology and aetiology of traumatic cardiac arrest in England and Wales — A retrospective database analysis https://www.sciencedirect.com/science/article/abs/pii/S030095721630538X  Please enjoy this episode with an insightful and engaging guest.
55:45
November 22, 2022
The root of improvement with Carl Betts
The root of improvement with Carl Betts
In this session I will be talking with Carl Betts on the anatomy of quality improvement and some of the pitfalls that occur along the way. Carl is a Paramedic for over 10 years and is a quality improvement lead based in Sheffield working for the ambulance service. In this conversation we will look at the pitfalls we can fall into when examining improvement. We will also look at some of the bias’s that can preclude improvement. We will also be talking about how root cause analysis occurs, data collection, pre and post implementation analysis, some of the quality improvement projects on workflow and hospital delays and how that might translate in practice. In the conversation we examine: The overview of QI. Pitfalls to improvement Bias: The WW2 story  Bias at work RCA – why it’s important and make it relevant to hospital delays Why data collection is important Why pre and post implementation analysis are important Project on hospital delays & ideas that have come from them Final thoughts from Carl and take-home messages. Below is a link to plan, do, study, act cycles that Carl made reference to in the interview.  https://www.england.nhs.uk/wp-content/uploads/2022/01/qsir-pdsa-cycles-model-for-improvement.pdf Please enjoy this episode with an engaging and insightful guest. 
39:42
October 25, 2022
'Public Health Paramedicine' with Andrew Furber
'Public Health Paramedicine' with Andrew Furber
In this episode we will examine how the evolution of public health is migrating through to ambulance services and creating future opportunities within this field of practice. In May of last year AACE (the association of Ambulance Chief Executives) published a discussion paper around developing a public health approach within the ambulance sector. This paper starts by denoting that every 24 hours, the NHS has contact with over a million people, and the ambulance sector is at the fore front of these interactions. So we also know that ill health maps across social deprivation and indeed constitutes a high percentage of pre-hospital work, so I want to dig into all of the above with Dr Andrew Furber. Andrew has been the Regional Director for Public Health England (Northwest) and Regional Director of Public Health NHS NW since May 2020. He was previously Centre Director for Public Health England (PHE) in Yorkshire and Humber. He has worked as a Director of Public Health from 2007 to 2018 and is a past President of the Association of Directors of Public Health UK (ADPH). He was awarded an OBE for services to public health in the Jubilee Birthday Honours List. In this episode we examine: The necessity of taking a population perspective and approach to public health. What the data is telling us about pre-hospital public health. Potential preventative strategies. Looking at the wider, societal determinants of health and wellbeing and focusing on reducing inequalities. The challenge of working in partnership across health systems. Future opportunities for Paramedics in the domain of public health. Final take home points from Andrew.  Please find more information here: https://aace.org.uk/wp-content/uploads/2021/05/Single-pages-Public-Health-Approach-Ambulance-Sector.final_.pdf Finger Tips - Public Health https://healthierlives.phe.org.uk/ Please enjoy this episode with an insightful guest.  This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy.  One of their most innovative recent products is the D heart: D-Heart is the first portable ECG device that is simple to use, clinically reliable, affordable and makes use of a smartphone. It allows anyone to perform a hospital-level ECG in total autonomy with the option to send the results to the 24/7 tele-cardiology service or to your trusted doctor. D-Heart allows you to track your heart health, explain possible unclear symptoms or to monitor the efficacy of medication. D-Heart will allow you to become an engaged partner in the management of your health. You can record an ECG whenever you have symptoms and share it with your trusted physician and to establish a shared decision-making process. The image-processing and artificial intelligence will guide you to the correct electrode placement by showing you an image of your own chest with virtual marks placed where you should apply the electrodes. More information on the D heart can be found here: https://www.bha-medical.com/d-heart-ecg-mobile-device More information on BHA medical can be found here: https://www.bha-medical.com/
34:12
October 03, 2022
 ‘Blood Products and the SWIFT trial for traumatic haemorrhage’ with Jason Smith
‘Blood Products and the SWIFT trial for traumatic haemorrhage’ with Jason Smith
In this session we will examine the bleeding patient in the tactical and combat environment. We will dig into some of the fundamental education that has changed practice in recent years, we will also examine the SWIFT Study which is a study of Whole blood In Frontline Trauma A multi-centre randomised controlled trial of the clinical and cost-effectiveness of pre-hospital whole blood administration versus standard care for traumatic haemorrhage. To do this I am speaking with Surgeon Capt Jason Smith. Jason is currently the Defence Professor of Emergency Medicine at the Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham. He was also appointed Royal College of Emergency Medicine Professor in 2013, and is an Honorary Professor at Plymouth University Peninsula Schools of Medicine and Dentistry. He was Consultant Advisor in Emergency Medicine to the Medical Director General (Navy) from 2010-2014. He is a Fellow of the Royal College of Emergency Medicine, the Royal College of Physicians of London, and the Royal Geographical Society. He undertook a doctorate in the management of patients with blast lung injury, and his current research interests include the treatment of pain in emergency patients and the management of traumatic cardiac arrest. In the episode we examine: Sequential approach to arresting bleeding The utility of TXA Pharmacological agents - TXA, FFP, FDP, blood, cryo-p, RePHILL The RePHILL trial Pain mx and preferential agents Freeze Dried Plasma and Fresh Frozen Plasma and part of the array of intervention The SWIFT trial To find more on the SWIFT trial please see here: https://www.nhsbt.nhs.uk/clinical-trials-unit/current-trials-and-studies/swift/ This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don’t have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app
28:20
September 28, 2022
Surviving Cardiac Arrest part 2 with Zoe Hitchcock
Surviving Cardiac Arrest part 2 with Zoe Hitchcock
In this session we will be talking with Zoe Hitchcock. Zoe, 9 years ago in 2013 had a seminal event whilst walking on Oxford St in London. Zoe suffered a cardiac arrest from a cardiac myopathy causing a VF cardiac arrest. The adage that it takes a system to save a life truly came into focus that day. In this episode we will hear from Zoe’s first-hand experience of that cardiac arrest and the events leading up to incident and how it has been a turning point in her life. What Zoe remembers about that day The wider picture around Zoe’s husband and reason she was in Oxford St The incident on the pavement and challenges for pre-hospital team HEMS team and transfer to St Marys The recovery and life now  The perspective change to life and family  Take homes messages The episode below is the initial conversation I had with Zoe to give you more details of the incident and the surrounding conditions:  https://podcasts.apple.com/gb/podcast/s02e01-zoe-hitchcock-cardiac-arrest-survivor/id1441215901?i=1000437344052 Please enjoy this episode with a true legend.  This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don’t have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app
26:48
September 12, 2022
Risk Mitigation with Dave Callen
Risk Mitigation with Dave Callen
In this episode we will examine the true story of the tragic death of a Search and Rescue medic Dave VanBuskirk. On the evening of the 22nd of July, 2013 Dave fell approximately 200 ft to his death whilst on a winching mission to save another person at Mt Charleston in the Las Vegas region of the US. To tell the story I interview SAR pilot Dave Callan. Dave Callen is a retired Sergeant from the Las Vegas Metropolitan Police Department. He spent most of his career in the Air Support unit, where he flew patrol, search and rescue, surveillance, short haul/long line and tactical missions. Dave is certified as a rescue pilot a variety of airframes and holds an airplane and helicopter instrument rating with over 4,000 hours of flying experience. Dave unpacks the incident back in 2013, its wide-ranging impacts on the wider team and some of the lasting lessons learnt from the tragedy. In the episode we examine: The anatomy of the Las Vegas Police Police Dept – The service Dave VanBuskirk was flying in. What regular operations would look like and the span of area covered by the service. Who Dave VanBuskirk was as a person and professional. The immediate impacts of the death on Dave Callen and the wider team. Dynamic rollout – what it is, why lips on winch hooks can pose a risk. The risk mitigation strategies Dave has taken from the incident Dave VanBuskirk’s principle of getting a little bit better everyday and commitment to excellence. Safety audits – the principles and lessons learnt. Final thoughts and take-home messages. To learn more about Dave VanBuskirk, see here: https://sr3rescueconcepts.com/about To learn more about SR3 Rescue Concepts please see here: https://sr3rescueconcepts.com/ This podcast is brought to you in association with BHA Medical. https://bha-medical.com/about-us/ BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. There most recent product is the Vitalstream: https://bha-medical.com/medical-products/vitalstream/ The Vitalstream is the world’s most innovative wireless non-invasive patient monitor, using a simple disposable finger cuff to measure Continuous Beat-by-Beat Blood Pressure “CNIBP,” Heart Rate, Respiration Rate, and other physiological parameters. This unique technology enables safe, secure, and accurate patient monitoring from virtually anywhere, including remote patient monitoring from a secure cloud portal. This solution provides real time data, enabling healthcare staff to provide early intervention and rapid response to a patient’s changing health conditions. Using a low-cost, disposable finger cuff, the VitalStream patented Pulse Decomposition Analysis (“PDA”) algorithms process the arterial pulse waveform to derive CNIBP, Heart Rate, Respiration Rate, and other hemodynamic parameters. Please also check out further devices and services offered by BHA medical here: https://bha-medical.com I hope you enjoy this episode with an insightful and engaging guest.
50:19
September 05, 2022
The COPD Pathway with Jonathon Will and Tom Fardon
The COPD Pathway with Jonathon Will and Tom Fardon
In this session we will examine a new pathway which is emerging within Scotland and north of England. The Chronic Obstructive Pulmonary Disease (COPD) pathway has been designed to both specialise treatment and expedite specialist care to this cohort of patients. NHS data shows that in 2020/21, approximately 1.17 million people in England have been diagnosed with COPD, which is around 1.9% of the population.  To host the conversation I have Jonathon Will with me. Jonathon is a registered Paramedic working with the Scottish Ambulance Service (SAS), he has also worked as an Emergency Care Paramedic within various Emergency Department Resuscitation units. His last two years has been spent working as the Clinical Effectiveness Lead within SAS and a National improvement Advisor for urgent and unscheduled care within NHS Scotland. Tom Fardon is a Respiratory Consultant within NHS Tayside, with a specialist interest in airways disease (COPD, Asthma and Bronchiectasis). Tom is also the clinical lead for the managed clinical network within Tayside and the chair of the national advisory group for respiratory medicine, also the lead for respiratory care action plan within NHS Scotland. He also leads the Scottish Respiratory advisory committee to initiate the recommendations within the respiratory care action plan. In the conversation we talk about:  * The pathology of COPD; what’s going on with these patients and how these patients normally present to the ambulance service.  * Physiological tolerance and adaptation over time.  * Why this pathway has been designed? (what is the current problem) * How the key clinicians and specialisms have been brought together * End points that the pathway serves  * Improvements to the current services * What tiers of patients this pathway serves  * What happens to the life-threatening COPD patients  * What a patient could expect when they go through the pathway.  * What the future holds  * Take homes messages   Please find more about the pathway here: https://www.consultantconnect.org.uk/copd-pathway-tayside/ Consultant Connect are partly responsible for supporting this pathway and can be found here: https://www.consultantconnect.org.uk/  This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of their most innovative recent products is the D heart: D-Heart is the first portable ECG device that is simple to use, clinically reliable, affordable and makes use of a smartphone. It allows anyone to perform a hospital-level ECG in total autonomy with the option to send the results to the 24/7 tele-cardiology service or to your trusted doctor. D-Heart allows you to track your heart health, explain possible unclear symptoms or to monitor the efficacy of medication. D-Heart will allow you to become an engaged partner in the management of your health. You can record an ECG whenever you have symptoms and share it with your trusted physician and to establish a shared decision-making process. The image-processing and artificial intelligence will guide you to the correct electrode placement by showing you an image of your own chest with virtual marks placed where you should apply the electrodes.  More information on the D heart can be found here: https://www.bha-medical.com/d-heart-ecg-mobile-device  More information on BHA medical can be found here: https://www.bha-medical.com/
45:21
August 29, 2022
‘Emerging research priorities within pre-hospital care’ with Sarah McLaughlin and Lisa Ramage.
‘Emerging research priorities within pre-hospital care’ with Sarah McLaughlin and Lisa Ramage.
In this interview we will examine the emerging research priorities within pre-hospital care from the perspective of priority and importance. I will be speaking with Sarah McLaughlin – a senior research fellow with affiliations with Essex & Herts Air Ambulance (EHAAT) and Anglia Ruskin University. I will also be speaking with Lisa Ramage, Lisa is a PHEM trainee in the East of England and the chair of PHOTON. PHOTON is a group of non-consultant grade, pre-hospital, doctors with an ambition to expand the quality and reach of research within pre-hospital care. In this conversation we are going to examine a national Delphi study which is defining the national research priorities within pre-hospital care in the contemporary climate. We will also: Examine what is a Delphi study Why is it an important time for empirical research and audit at the moment within pre-hospital care Sarah’s EHAAT Delphi study as an analogue of the national PHOTON study The process of a Delphi study in terms of rounds and refinement of the questions. How does it achieve consensus? What are the advantages to a Delphi study? Ethical approval (the panel and process) Topics that have emerged from the process Why is it important to study end points that don’t always involve mortality (look at 30 day outcome, CPC neurological outcome, discharge data, and patient centred outcomes) How does this inform national strategic direction and focus Final thoughts from Sarah and Lisa & take-home messages. You can find out more about PHOTON and Lisa Ramage here: https://fphc.rcsed.ac.uk/about/photon-group You can find out more about EHAAT here: https://www.ehaat.org/about-us/our-people/ You can find the EHAAT Delphi study that is mentioned in the interview here: https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00835-z You can find some of Sarah McLaughlin's publications here: https://www.researchgate.net/profile/Sarah-Mclachlan-5 This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don’t have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app Please enjoy this episode with two insightful and engaging guests 
31:44
August 25, 2022
Traumatic Cardiac Arrest with Richard Lyon
Traumatic Cardiac Arrest with Richard Lyon
In this session we will examine the latest research and approaches to traumatic cardiac arrest with Richard Lyon. We will examine the demographics and diversity of pathology that clinicians see day to day within TCA. We will also examine survival rates, empirical research, blood products, the utility of high-fidelity simulation, and the importance of governance & debrief. We will also examine the usefulness of ultrasound and application in practice. Richard Lyon is a Consultant in Emergency Medicine and Pre-hospital Care at the Royal Infirmary of Edinburgh and Clinical Lead for the Medic One team. He is a HEMS Consultant and Director of Research for Kent, Surrey & Sussex Air Ambulance. He studied at Edinburgh University where he developed close research links with the Scottish Ambulance Service. He undertook a unique doctorate thesis on out-of-hospital cardiac arrest, a project that has developed into a national strategy for cardiac arrest in Scotland. In the episode we examine: A working definition of TCA Current thinking / acceptance of TCA algorithm differentiation Survival rates - Who are the survivors? Current empirical research What are the main domains of pathology Blood products in TCA High fidelity training. Internal governance and debrief. HF & Team dynamics within TCA Utility of USS Seminal cases. Final thoughts and take-home messages. These are some of the latest algorithms related to TCA: https://www.resus.org.uk/sites/default/files/2020-05/G2015_Traumatic_Cardiac_Arrest_Treatment.pdf https://rcem.ac.uk/wp-content/uploads/2021/10/RCEM_Traumatic_Cardiac_Arrest_Sept2019_FINAL.pdf https://fphc.rcsed.ac.uk/media/2577/tca-submission-oct-2018.pdf This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of their most innovative recent products is the D heart: D-Heart is the first portable ECG device that is simple to use, clinically reliable, affordable and makes use of a smartphone. It allows anyone to perform a hospital-level ECG in total autonomy with the option to send the results to the 24/7 tele-cardiology service or to your trusted doctor. D-Heart allows you to track your heart health, explain possible unclear symptoms or to monitor the efficacy of medication. D-Heart will allow you to become an engaged partner in the management of your health. You can record an ECG whenever you have symptoms and share it with your trusted physician and to establish a shared decision-making process. The image-processing and artificial intelligence will guide you to the correct electrode placement by showing you an image of your own chest with virtual marks placed where you should apply the electrodes. More information on the D heart can be found here: https://www.bha-medical.com/d-heart-ecg-mobile-device More information on BHA medical can be found here: https://www.bha-medical.com/ Please enjoy this episode with both an insightful and fascinating guest.
41:34
July 30, 2022
Dementia and Alzheimer’s disease with Jennifer Bute
Dementia and Alzheimer’s disease with Jennifer Bute
In this interview we will examine some of the prevailing issues and incremental rise of Alzheimer’s disease within the global healthcare system. Cognitive decline is a major concern of the aging population. Already, Alzheimer’s disease affects approximately one in 14 people over the age of 65, rapidly becoming the third leading cause of death in the UK behind cardiovascular disease and cancer. To do this I have with me Jennifer Bute. Jennifer was a GP in a large clinical practice, whose patients included those with dementia. Then she began to notice symptoms in herself and was finally given a diagnosis of young-onset dementia in 2009. After resigning as a GP, she resolved to explore what could be done to slow the progress of dementia. Jennifer has written a new book titled ‘Dementia from the inside’ and in this interview we will dig into some of the concepts form the book and speak around the wider aspects of the disease.  Jennifers website and book can be found here: https://www.gloriousopportunity.org/resources.php More from Jennifer can be found here: https://www.gloriousopportunity.org/ Concepts she advocates including Japanese Memory Groups can be found here: https://www.gloriousopportunity.org/japanese-memory-groups.php This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don’t have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app
40:18
July 24, 2022
The 'seesaw balance of frustration and contentment'. Retention in the world of frontline ambulance staff with Carl Betts
The 'seesaw balance of frustration and contentment'. Retention in the world of frontline ambulance staff with Carl Betts
In this conversation I talk with Carl Betts about his reflections on paramedic retention in contemporary practice. Carl is a paramedic and quality improvement lead based in Sheffield working for the ambulance service. He has been a paramedic for 10 years and also has a 10-year extensive history of expeditions across the globe.  We examine this article, Carl’s motivations for writing it, and pull out some of the salient learning points from his reflection in this interview. We examine some of the metaphorical warning lights that Carl describes (demand, resourcing, external management pressure), the spill over of GP work, e-consult and exponential rise of primary care. We also examine current hospital handover times, the central pivot and reason for staying in the role (patients) & the frustration seesaw that clinicians find themselves on. We also explore what the ‘outs’ and opportunities there are at the moment for paramedics, we also look at mental burnout and how should things change to avoid frustration and burn out, and finally a seminal case in reference to the conversation from Carl's experience.  The reflection can be found here: https://wordpress.com/page/prehospitalcarepodcast335905859.wordpress.com/3 The rotational paramedic proposals can be found here: https://www.hee.nhs.uk/our-work/paramedics/rotating-paramedics https://www.hee.nhs.uk/sites/default/files/documents/Feasability%20Study%20of%20the%20Rotating%20Paramedics%20Pilot%20-%20Final.pdf The future proposals from AACE can be found here: http://aace.org.uk/wp-content/uploads/2015/09/Ambulance-2020-and-beyond-the-AACE-vision.pdf This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of their most innovative recent products is the D heart: D-Heart is the first portable ECG device that is simple to use, clinically reliable, affordable and makes use of a smartphone. It allows anyone to perform a hospital-level ECG in total autonomy with the option to send the results to the 24/7 tele-cardiology service or to your trusted doctor. D-Heart allows you to track your heart health, explain possible unclear symptoms or to monitor the efficacy of medication. D-Heart will allow you to become an engaged partner in the management of your health. You can record an ECG whenever you have symptoms and share it with your trusted physician and to establish a shared decision-making process. The image-processing and artificial intelligence will guide you to the correct electrode placement by showing you an image of your own chest with virtual marks placed where you should apply the electrodes. More information on the D heart can be found here: https://www.bha-medical.com/d-heart-ecg-mobile-device More information on BHA medical can be found here: https://www.bha-medical.com/
43:22
June 30, 2022
‘Surviving cardiac arrest’ with Noah and Erran
‘Surviving cardiac arrest’ with Noah and Erran
In this session we will be talking with Noah Baron Cohen. Noah, now 22, 6 years ago in 2016 had a seminal event whilst exercising at The Jewish Community Secondary School in North London. Noah suffered a cardiac arrest from a primary arrhythmia causing a VF cardiac arrest. The adage that it takes a system to save a life truly came into focus that day. In this episode we will hear from Noah’s first-hand experience of that cardiac arrest and the events leading up to incident and how it has been a turning point in his life. Erran is Noah’s father and will also tell the sequence of events as he experienced it, both on that day in 2016 and the consequential roller coaster ride of Noah's rehabilitation.  We talk about Noah’s life before the incident, what Noah & Erran remember about that day, we run through sequentially timeline of events. We also speak about the recovery journey that Noah embarked on, the consequential shift in perspectives on life that it has given rise to, and finally take home message from Noah and Erran. This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the latest solutions that BHA medical offer is the iMed end-to-end Covid-19 testing and monitoring solution. NPH iMed is an end-to-end Covid-19 testing and monitoring solution, developed in partnership with BHA Medical Limited to assist in collating and managing test results, reopen travel, leisure, events and entertainment. One of the first independent online test verification systems in the world, NPH iMed is a leading solution for testing, managing and monitoring all of your Covid-19 needs. NPH Group has simplified the process of reporting test result data for you through our online platform which makes capturing the required data for submission easy, while easily recalling individuals for repeat testing and submissions. NPH have created a fully compliant and automatic upload capability, so you don’t have to worry about it, with a cost-effective solution. More can be found here: https://bha-medical.com https://www.bha-medical.com/imed-self-testing-monitoring-covid-19-app Please enjoy this episode with an inspiring pair of guests. 
45:18
June 22, 2022
Monkeypox Virus with Professor Kelechi Nnoaham
Monkeypox Virus with Professor Kelechi Nnoaham
In this session we will examine the recent viral Monkeypox (MPV) outbreak with Professor Kelechi Nnoaham. We dig into the anatomy of the virus, the possibility of local transmission of the virus, the origins of the current outbreak, current prevalence, symptomatology, known transmission pathways, viral genetic adaptation, the R rate, Case Fatality Rate, containment (ring vaccination strategies), whether the MSM data is outlier data, and finally, surveillance of MPV. Professor Kelechi is the Executive Director of Public Health and lead for Research & Development, Innovation and Value-Based Health for Cwm Taf Morgannwg University Health Board, Wales. Kelechi has held Honorary Professorships in Public Health and Epidemiology at Plymouth University (since 2015) and Cardiff University (since 2021) medical schools and previously worked as the Director of Public Health for Plymouth and Bristol City Councils. He has subsequently worked throughout leadership roles in public health and healthcare leadership across the UK. Kelechi has an MPH in Global Health Science (with Distinction) at Oxford University and followed that up with a PhD in Public Health & Epidemiology at Oxford University in 2011. This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. BHA’s latest innovation is a Monkeypox Lateral Flow Antigen Rapid Test. The product is a lateral flow detection of monkeypox virus antigen in human whole blood, serum, plasma, rash exudate, or nasal swab. The product uses a double antibody sandwich method. During the test, a specimen is dropped into the specimen hole, the specimen is superimposed under the capillary effect. If the specimen contains monkeypox virus, a colour band appears in the test area (T) indicating a positive result for monkeypox virus. If the specimen does not contain the corresponding substance, there will be no colour bands in the test area (T), and the result will be negative. The Performance Characteristics show that the positive and negative coincidence rates are 100% Please see the show notes for further details and how to order kits: https://www.bha-medical.com/monkeypox-virus-antigen-rapid-test-kit https://www.bha-medical.com Please enjoy this wide ranging episode with an insightful guest.
37:60
June 12, 2022
Emergency dispatch with Jerry Overton
Emergency dispatch with Jerry Overton
In this session we will examine the importance and art of dispatch with Jerry Overton. Jerry Overton serves as the President of the International Academies of Emergency Dispatch, the organisation charged with setting standards, establishing curriculum, and conducting research for public safety dispatch worldwide. Established in 1988, the International Academies of Emergency Dispatch (IAED) is the international standard setting and certification body for emergency dispatch. Currently, its protocols are in use in over 2800 dispatch centres in 38 countries. As the President of the IAED, Jerry leads the Academy, which allows advanced call taking, clinical assessment, and patient management by evidenced based telephone algorithms. Jerry has established international relationships for IAED and assists in the development of EMS systems worldwide. The importance of dispatch as a concept and model. Origins of targeted dispatch and how far we’ve come. Modelling – dispatch systems support tools (MPDS, ProQA). The four historical priority symptoms - chest pain; difficulty breathing; change in level of consciousness; serious haemorrhage. Importance of compliance to pre-arrival instructions. Paramedic/CCP additional dispatch – Silent interrogation, active interrogation, crew requests, advice to crews on the ground. Pre-arrival dispatch instructions (importance and nuances of these). Breathing diagnostic tools and the integration of software into the call taking script. Take Home Massages and reflections from Jerry This podcast is brought to you in association with BHA Medical. BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. One of the most recent devices they sell is the D-Heart; D-Heart is the first smartphone ECG device that is simple to use, clinically reliable, portable and affordable. It allows anyone to perform a hospital-level ECG in total autonomy and to send the results to the 24/7 telecardiology service or to your trusted doctor. ·  The app guides you to perform a professional ECG ·  Bluetooth ECG streaming in real time ·  Medical grade ECG (12 to 60 seconds of recording) ·  Telecardiology service available 24/7 ·  Charge the device directly in the case ·  Italian design and manufacturing The D heart ECG device can be found here: https://bha-medical.com/medical-products/d-heart/ For further information on BHA medical please see here: https://bha-medical.com Please enjoy this wide ranging conversation with an insightful and engaging guest. 
45:20
May 29, 2022
Head injuries with consultant neurosurgeon Mark Wilson
Head injuries with consultant neurosurgeon Mark Wilson
In this session we will examine the fundamentals of head injury with consultant neurosurgeon Mark Wilson. We will dig into the details of brain injury, primary and secondary injury, the importance of venous drainage, and optimising the pre-hospital management. Mark is a Consultant Neurosurgeon and Pre-Hospital Care Specialist working at both Imperial College (mainly St Mary's Major Trauma Centre) and as an Air Ambulance doctor. He is also a Clinical Professor specialising in Brain Injury at Imperial and Honorary Professor of Pre-Hospital Care (the Gibson Chair) at the Faculty of Pre-Hospital Care, Royal College of Surgeons, Edinburgh. Marks’ specialist areas are acute brain injury (mostly traumatic brain injury) and its very early management. He is also  co-director of the Imperial Neurotrauma Centre and co-founder of GoodSAM, a revolutionary platform that alerts doctors, nurses, paramedic and those trained in basic life support to emergencies around them. He has worked extensively overseas (India, Nepal, South Africa, as a GP in Australia, Researcher for NASA and as an expedition doctor on Arctic and Everest expeditions). In the episode we examine:  Incidence of brain injury TBI Vs NTBI pathology Doctor/Paramedic teams within neurological injuries Accuracy of our pre-hospital diagnoses with head injury Do we triage patients to the right places. Pre-hospital Anaesthesia and transfer to neurological units The importance of the basics done well even before formative PHC. Pupils and wider, lesser-known symptomatology Seminal case from Marks experience. Final thoughts from Mark and take-home messages. This podcast is brought to you in association with BHA Medical.  https://bha-medical.com/about-us/ BHA medical source, supply and implement innovative medical technology and solutions across the globe. BHA provide market leading services in covid 19 testing kits, medical products, smart technology and consultancy. There most recent product is the Vitalstream: https://bha-medical.com/medical-products/vitalstream/ The Vitalstream is the world’s most innovative wireless non-invasive patient monitor, using a simple disposable finger cuff to measure Continuous Beat-by-Beat Blood Pressure “CNIBP,” Heart Rate, Respiration Rate, and other physiological parameters. This unique technology enables safe, secure, and accurate patient monitoring from virtually anywhere, including remote patient monitoring from a secure cloud portal. This solution provides real time data, enabling healthcare staff to provide early intervention and rapid response to a patient’s changing health conditions. Using a low-cost, disposable finger cuff, the VitalStream patented Pulse Decomposition Analysis (“PDA”) algorithms process the arterial pulse waveform to derive CNIBP, Heart Rate, Respiration Rate, and other hemodynamic parameters. Please also check out further devices and services offered by BHA medical here:  https://bha-medical.com I hope you enjoy this episode with an insightful and engaging guest. 
34:44
May 20, 2022
The fundamentals of Mountain Rescue with Ben Cooper and Jamie Patterson
The fundamentals of Mountain Rescue with Ben Cooper and Jamie Patterson
In this session we will examine the fundamentals of Mountain Rescue with Paramedic Jamie Patterson and Emergency Nurse Practitioner Ben Cooper. This will include a look at the demographics and diversity of rescues within the Mountain Rescue Team (MRT). We will also examine the different specialist domains that constitute being a member of the MRT such as navigation, search strategies, team dynamics, Immediate Medical Care (IMC), casualty evacuation and much more. Finally, we will examine some seminal cases where all of Ben and Jamie’s training has come to use. Both World Extreme Medicine colleagues examine the following topics: Why is the MRT a fundamental part of an emergency response out on the hill? What a MRT comprises of (the size, the diversity of background and profession)? Domains of practice that are relevant What the education and training looks like from the inside. Internal governance and debrief. Risk management and mitigation Search strategies Importance of team dynamics The immediate medical care and ceilings of care on scene. Casevac Seminal cases from both guests Further resources recommended by the guests include: Go outside. Sit down. Wait. https://dmbins.com/blog/go-outside-sit-down-wait/ Mountain Rescue Doctor: Wilderness Medicine in the Extremes of Nature https://www.amazon.co.uk/Mountain-Rescue-Doctor-Wilderness-Medicine-ebook/dp/B000V770NC Mountain Rescue: History and Development in the Peak District 1920s-Present Day https://www.amazon.co.uk/Mountain-Rescue-Development-1920s-Present-1920s-2007/dp/0752440918 Cairngorm John: A Life in Mountain Rescue https://www.amazon.co.uk/Cairngorm-John-Allen/dp/1905207573 Call-out: A climber's tales of mountain rescue in Scotland https://www.amazon.co.uk/Call-out-climbers-mountain-rescue-Scotland/dp/1911342215 World Extreme Medicine - Fundamentals of Search & Rescue | Northumberland | October 2022 https://worldextrememedicine.com/products/search-rescue/sar/ If you have any specific Mountain Rescue questions, Jamie Patterson is available to take these at: jamie.pattison90@gmail.com I hope you find this episode both engaging and insightful. 
58:32
April 20, 2022
‘From Ruin to Recovery’ with Allistair MacSorley
‘From Ruin to Recovery’ with Allistair MacSorley
In this session I will be talking with Allistair MacSorley around his journey through pre-hospital care as a paramedic and then a day in 2018 that changed his life forever and left him paralysed from the waist down. We will also be examining his tenacity, drive and attributes that separate him from the crowd. He is currently still working as a registered Paramedic and part of the maternity team within London Ambulance Service. He is also part of the Irish paracycling development squad in hand cycling. He is training for and focussed on the next hand cycling World Cup in May in Belgium, aiming towards ParaOylpmics Paris 2024 and then the LA games 2028. He has adapted and employed a coach from September 2021 which has fundamentally changed his training program and diet. The carbon fibre cycle bike is a £15,000 specialised bike with adaptations and enables Ali to compete at elite level.  In the conversation we discuss:  The introduction to Alistair’s life growing up His father’s influence and motorbikes His training as a Paramedic What he took his training and facets of his career The career break and what he learned whilst away The incident and injuries sustained The recovery The adaptations to life His current role (LAS and cycling) Ali's story can also be found here: https://www.irishnews.com/news/northernirelandnews/2019/07/29/news/-flying-doctor-left-paralysed-after-motorcycle-crash-returns-to-circuit-a-year-later-to-complete-lap-1672238/ https://www.bbc.co.uk/sport/motorsport/49140461 Please enjoy this episode with a truly inspiring professional and friend.
01:32:17
April 15, 2022
Governance within High Performing Teams with Pete Sherren
Governance within High Performing Teams with Pete Sherren
In this session we examine the importance of governance and the main facets that constitute robust governance. This includes a look at why governance is important, the different domains that constitute good governance and finally how it is applied in practice. We will also look at the fundamentals of risk management within governance and the symbiotic relationship between the two. To do this I have Intensive Care, Anaesthetic and Pre-hospital care consultant Pete Sherren with me. In the conversation we unpack:  What is governance and why it is a vitally important feature of a culture of improvement.  The facets of good governance and cultural commitment.  Education and Training. Clinical audit. Clinical effectiveness. Research and development. Openness Information Management Finally Risk management and how this is important for the patient clinician, and institution. Links to the Delphi study that we mention in the conversation can be found here:  Consensus on research priorities for Essex & Herts Air Ambulance: a Delphi study: https://sjtrem.biomedcentral.com/track/pdf/10.1186/s13049-021-00835-z.pdf Please enjoy this conversation with an engaging and insightful guest. 
45:20
March 20, 2022
Portfolio Medical Careers Podcast, an interview with Eoin Walker
Portfolio Medical Careers Podcast, an interview with Eoin Walker
I'm pleased to release this recently recorded episode with ED consultant Dr Amy Hughes. Amy has launched the 'Portfolio Medical Careers' Podcast which details interesting narratives and career paths from various medical careers. This series will cover doctors, paramedics, nurses, and other allied healthcare professionals with different stories and paths within and outside of the National Health Service (NHS). She has some fantastic interviews lined up and really gets to the heart of emphasising the 'journey and not just the destination'. The podcast also denotes that various experiences can feed into the wider clinician and person and give more rounded and diverse experience from which to draw.  This month we join Paramedic Eoin Walker. Eoin has been a practising paramedic for over 20 years and journied through a fascinating career including the LAS cycle response unit, Physician Response Unit, London's Air Ambulance (HEMS), LAS Advanced Paramedic Practitioner, Expedition Medicine and, most recently,  a role with the International Committee of the Red Cross (ICRC). The podcast can be found here:  https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5saWJzeW4uY29tLzQwMDc3NS9yc3M/episode/YTlhYTI3NjktYWFkNS00MDBlLWEzODctM2FhZjIwZjBjNGUz?hl=en-HU&ved=2ahUKEwjMi4nizsX2AhXUiP0HHY46DecQjrkEegQIBhAF&ep=6
47:14
March 15, 2022
Paediatric pain management with Will Broughton
Paediatric pain management with Will Broughton
In this session we will examine some of the prevailing issues and difficulties of paediatric pain management. To do this I have Will Broughton, an associate professor of paramedic science at Buckinghamshire New University, Paramedic with specialist interest in Paediatric Emergency Medicine and Paramedic Education. He continues to practice clinically with London Ambulance Service (LAS) and South Central Ambulance Service (SCAS). We will unpack some of the nuances, challenges, and evidenced based approaches that Will has found from being both a pre-hospital practitioner and studying his MSc in this domain of practice. In the conversation we discuss:  Definitions of pain and what it means to children. Physiological consequences of pain in paediatrics Difficulties of pain management in Paediatrics Pain relief routes available and advocated (NICE) Pain assessment - Wong and Baker, visual analogue scales.  The utility of the FLACC score Monitoring difficulties and challenges  Human factors with Pain - Parents, stressful environment Tx/Pain Mx strategies - NICE, preferences, nuances. Take homes messages. Resources that are mentioned in the episode include:  CRIES pain scale http://geriatricphysio.yolasite.com/resources/CRIES%20Scale%20for%20Neonatal%20Postoperative%20Pain%20Assessment.pdf WHO pain ladder https://professionals.wrha.mb.ca/old/professionals/files/PDTip_AnalgesicLadder.pdf Children in painhttps://rcem.ac.uk/wp-content/uploads/2021/11/Pain_in_Children_2017_18_National_Report_Oct_2018.pdf Wong and Baker faces https://wongbakerfaces.org I hope you enjoy this episode with a fantastic guest. Will Broughton can be reached on Twitter at @WilBroughton
48:24
March 02, 2022
 ‘Designing the RSI’ with Paul Swinton
‘Designing the RSI’ with Paul Swinton
In this session we will be interviewing flight paramedic Paul Swinton, to talk about how to optimise the RSI in the pre-hospital environment. We will unpack some of the nuances, challenges, and approaches that Paul has found from being both a pre-hospital practitioner and in innovating the layout and design for an RSI in creating the SCRAM bag. SCRAM™ (Structured CRitical Airway Management) is an innovative solution for enhancing the performance of emergency airway management. It involves the systemisation, standardisation, cognitive offloading, human factors and good governance are core principles to the design and philosophy of SCRAM. Paul has been a paramedic for the past 20 years. He joined the Scottish Ambulance Service Special Operations Response Team, based in Glasgow, in 2010, after re-locating from the West Midlands Ambulance Service. He is currently an Air Ambulance Paramedic for the Scottish Air Ambulance Division, involved in critical care and retrieval medicine, working alongside the trauma teams and medical retrieval services of Scotland (ScotSTAR). He is originally from South Africa, where he qualified and worked as a paramedic on the road, in Emergency Departments and as a flight paramedic. This podcast is brought to you in collaboration with Scottish Health Innovations Limited, also known as SHIL, who work in partnership with NHS Scotland to identify, protect, develop and commercialise healthcare innovations to improve patient care. SHIL uses specialised knowledge to help bring new ideas and innovations from healthcare professionals to life, with a multidisciplinary team providing expert services including intellectual property advice and protection, regulatory expertise, project management, idea incubation, funding advice, development, commercialisation, and post-commercialisation monitoring.  You can follow SHIL’s work on Twitter, @ScotHealthInno You can find out more about SHIL here: https://www.shil.co.uk/ You can find SHILs products here: https://www.shil.co.uk/browse/products This podcast is also brought to you in association with Openhouse. Openhouse take a unique approach to creating products in focussing on a ‘Fit For Purpose’ end product. Their focus on creating truly bespoke products along with the best possible purchasing experience which means they have strong working relationships with customers from all sectors of industry.  Openhouse products can be found here: openhouseproducts.com You can follow Openhouse on twitter @OHproducts You can find out more about Openhouse here: https://www.openhouseproducts.com/about-us/ You can see the SCRAM range as mentioned in the episode here: https://www.openhouseproducts.com/?s=SCRAM&post_type=product You can find out more about the guest here: https://paulswinton.com I hope you enjoy this episode with an engaging and insightful guest. 
45:27
February 21, 2022
The epidemiology of cardiac arrest with Katherine Pemberton and Tom Archer
The epidemiology of cardiac arrest with Katherine Pemberton and Tom Archer
In this session we will examine the epidemiology of OHCA. We will look at the frequency and trends of OHCA together with the causes and risk factors. We will examine the concept of a registry of cardiac arrest and appreciation of baselines to work from. We will also look at the current mitigation strategies that are available to prevent OHCA such as policy, and Public Access Defibrillation (PAD) amongst others. We will also look at our guest's PhD (Dr Katherine Pemberton) and how that both informs the current climate and the future of how we tackle OHCA. We examine: The current statistical climate - in Wales and Queensland Main contributing factors/risk factors around incidence Patterns between the two areas both in disease prevalence and problematic rate-limiting steps in decreasing OHCA. Cornerstones of policy that need/require adaptation PAD/Public Access Defibrillation and the importance of community engagement Social demographics and how OHCA maps onto social deprivation  Iterative solutions (no magic bullet concept)  These are links to Dr Pemberton's literature review: https://ajp.paramedics.org/index.php/ajp/article/view/752 https://ajp.paramedics.org/index.php/ajp/article/view/753 These are the pubmed links.  https://pubmed.ncbi.nlm.nih.gov/31352680/ https://pubmed.ncbi.nlm.nih.gov/31352690/ https://pubmed.ncbi.nlm.nih.gov/33219108/ Please enjoy this episode with two insightful and engaging guests 
01:13:31
February 17, 2022
The Best of 2021 - The Restore Podcast with Eoin Walker
The Best of 2021 - The Restore Podcast with Eoin Walker
The best of the 'Restore Podcast 2021' is here. This conversation features accounts with Consultant psychologists, psychiatrists, special forces operatives, professional rugby stars turned drug addicts turned pastors, inspirational leadership coaches, accounts on NLP, Neuroplastic Somatic Practice, EMDR therapy, CBT, and much, much more. The mandate is…raw and inspirational conversations with the application of deep understanding and revelation. In the world of memes and brief captions that sound good in the moment, we need real, raw, and deep accounts and tools to navigate one of the most difficult segments of time in life. Instead of falling for a brief caption that means nothing and lasts only a moment, instead try leaning into these life accounts of how people have turned around their lives from truly testing times. Wisdom is the life application of knowledge. It is found in a deep understanding and fostered through narrative and tools most of which don’t lay within our own capacity and rely on us being willing to hear others survive and thriving through adversity. My thanks to all the guests that have featured across the podcast in 2021. I look forward to taking you with me into 2022 for more inspirational conversations and truly revelationary accounts.
53:04
January 29, 2022
The 'power of the debrief', types and tools for debrief
The 'power of the debrief', types and tools for debrief
In this episode we look at the debrief in its entirety; why we debrief, when, how and where. We examine the evidence behind debriefing and the institutions that use debrief such as the military, pre-hospital practitioners, ward based staff, sports teams, athletes and others. We then look at the types of debrief such as the hot & cold debrief, Schwartz rounds, Critical Incident Stress Debriefing, the After Action Review amongst others. We then examine 6 tools of debriefing that can be used in practice. We briefly also touch on the disparity of evidence around mitigation of psychiatric pathology such as PTSD.  Here are some of the tools mentioned: TAKESTOCK https://www.rcemlearning.co.uk/foamed/take-stock-hot-debrief/ STOP5 https://www.stemlynsblog.org/wp-content/uploads/2018/10/Hot-Debrief-Poster-V2-April-2018.pdf PLUS DELTA https://fhop.ucsf.edu/sites/fhop.ucsf.edu/files/custom_download/ACPS_Plus_Delta_Template.pdf MODIFIED PLUS DELTA https://leanconstruction.org/media/learning_laboratory/Plus_Delta/Plus-Delta.pdf ITRUST Debrief https://www.bmsc.co.uk/course/itrust-debriefing/ PEARL debrief https://debrief2learn.org/pearls-debriefing-tool/ I hope you enjoy this episode 
21:20
November 24, 2021
The story of the Cycle Response Unit (CRU) with Tom Lynch MBE, MStJ & Tom Baverstock
The story of the Cycle Response Unit (CRU) with Tom Lynch MBE, MStJ & Tom Baverstock
In this episode, we are going to examine a story of one of the key innovations in pre-hospital care in the last 20 years and how it came into existence. We will look at the Cycle Response Unit or CRU that see’s Paramedics respond to emergency calls via mountain bikes across the nation. To do this we have the creator and founder of the CRU Tom Lynch MBE, MStJ. Tom Lynch has channeled his excellent cycling and coaching skills, his self-belief, and his competitive spirit to develop and deliver the CRU.traveled the world as a BMXer, won numerous trophies and titles several times over, appeared on the front page of magazines, had fans on every continent and lived a life people can only dream of. In 1999 Tom got the go-ahead for a trial to set up the Ambulance Cycle Response Unit (C.R.U.) to answer 999 calls in the West End of London. He still had friends in the bike industry from BMX days and he made sure he got the best equipment available. The bike was fitted with the latest pre-hospital equipment and the all-important lightweight defibrillator. This marked the beginning of a legacy of paramedics on mountain bikes, but it wasn’t always an easy ride. we examine the history and background, Tom’s struggles and battles to get the project off the ground, some of the seminal cases in which the CRU has been involved, and some of Tom’s best moments. In the conversation we examine: Tom Lynch's background growing up History & inception of the CRU Demographics served across London and wider teams across the UK Advantages over other vehicles over time and environment Seminal cases that the CRU have attended/made a difference to CRU Awards achieved Some of the battles and struggles Tom has faced and overcome What it gives back to both the community and the clinician. Some of the key takeaways  I hope you enjoy this episode with two fascinating guests.
01:27:31
November 14, 2021
'Focused ultrasound in out-of- hospital cardiac arrest by Advanced Paramedics', with Nick Brown
'Focused ultrasound in out-of- hospital cardiac arrest by Advanced Paramedics', with Nick Brown
In this session we will examine the recently published in the Journal of Paramedic Practice on 'Focused ultrasound in out-of- hospital cardiac arrest by Advanced Paramedics'. To do this I have Advanced Paramedic Practitioner, author and lecturer Nick Brown.  In the episode we discuss why ultrasound is used, what device is used and what APPs use it for. We also discuss the primary and secondary outcomes of the study, the population the study focusses on (OHCA) and the problem/question they are seeking to address (cardiac arrest management/termination). We also explore the study's methodology, the differentiation of results, the conclusion, the clinical relevance to practice, what Nick took from performing the audit and the salient take home messages from the study.  The research article can be found here: https://www.magonlinelibrary.com/doi/abs/10.12968/jpar.2021.13.1.26 Please enjoy this episode and feel free to rate and review the podcast. 
31:21
November 01, 2021
The evolution of Paramedic education with Lisa Burrell and Alan Rice
The evolution of Paramedic education with Lisa Burrell and Alan Rice
In this episode we will examine the various ways in which paramedic education has evolved over the past 20 years both conceptually and the skills taught within the profession. Alan Rice and Lisa Burrell join me in this conversation,  Alan is the lead for post-registration paramedic education at St Georges University, London. His role is predominately designing and organising the delivery of education for specialist and advanced paramedic roles in both urgent and critical care. He also oversee’s the work force development of all qualified paramedics that are studying towards a higher education award. Alan also works as a consultant paramedic advising ambulance trusts. Lisa Burrell is both an Advanced Paramedic Practitioner in London and a senior lecturer at St Georges university. Lisa teaches on both the post and undergraduate cohorts and spends time teaching CCPs from different services. She has also spent over 8 years as a flight paramedic within London and has split her time between teaching and critical care. In the episode we talk about: ·  The concept of critical thinking & analysis - a central concept of education.  ·  The diversity of care pathways and how this has changed over 20 years. ·  Non-technical skills taught and emphasised throughout the curriculum and course. ·  Mentoring - the importance of this. ·  Monitoring and the use of monitors within pre-hospital care.  ·  Engagement with technology for current practitioners.  ·  Skills that have evolved – USS, thrombolysis for VTE, prescribing, Abx, ·  Anecdotal thoughts on evolution of both the profession and the paramedic practice curriculum.  The undergraduate Paramedic Science course at St Georges University London can be found here: https://www.sgul.ac.uk/study/courses/paramedic-science Please enjoy this conversation with two fantastic guests. 
48:45
October 25, 2021
The 'Psychoses and Neuroses' with Anna Basquil
The 'Psychoses and Neuroses' with Anna Basquil
In this episode we will examine the various pathologies related to psychosis and neurosis in mental health that clinicians can see within practice. We also examine some of the key aspects of these pathologies so that clinicians can construct both meaningful and targeted treatment to this extremely difficult cohort of patients. To do this am am joined by Anna Basquil, a special mental health practitioner who joined the ambulance service in January 2020, seconded by her mental health trust to provide and help embed the 'dual assessment model' on patients. She works on the 'Mental Health Joint Response Unit' together with a Paramedic. Prior to this Anna was working in an 'early intervention service' with patients experiencing their first episode of psychosis. Anna worked in patients early years of diagnosis to help them both integrate and cope with their symptoms to help normalise and stabilise their lives.  In the interview we discuss:  Some of the fundamental differences between psychoses and neuroses. The demographics of each pathology Deep dive into Psychoses – definition, types, signs and symptoms. Examine schizophrenia as the most common type of psychosis. Brief look at prodromal phase, acute phase and recovery phase of psychotic episodes. Deep dive into Neuroses – definition, types, signs and symptoms. Examine depression and anxiety as the most common types of neuroses. Brief look at triggers for neuroses. Managing episodes of neurosis Managing psychotic episodes More information on the 'Mental Health Joint Response Unit' can be found here: https://aace.org.uk/initiatives/mental-health-joint-response-car/ I hope you enjoy this episode with an engaging and informative guest. 
41:38
October 16, 2021
 ‘Reflections from a newly qualified Critical Care Paramedic’ with Adam Clegg
‘Reflections from a newly qualified Critical Care Paramedic’ with Adam Clegg
In this session we will examine some of the prevailing educational learning from a colleague who has just qualified as a critical care paramedic in London. We will unpack some of the revelations, nuances, and comparisons that critical care has brought from their perspective from other roles. In the episode we dig into Adam’s background and why the Advanced Paramedic Practitioner in critical care career pathway was appealing to him. We also examine what has it brought Adam from a wider perspective and the nuances in care compared to standard paramedic practice. We then unpack Adam's personal revelations that were previously unknown and what he took from the mentoring aphase of his critical care training. We finish off by looking a few seminal cases and how that both inspired him and helped him learn along the way.  I hope you enjoy this episode with both an honest and insightful guest. 
37:02
October 05, 2021
Transient Loss of Consciousness (TLOC) with Nick Gall
Transient Loss of Consciousness (TLOC) with Nick Gall
In this session we will examine the varied pathology of Transient Loss of Consciousness (TLOC), the definition, the causes, the sequalae, and the management. I wanted to also examine some of the key aspects of TLOC that are red flags and should be examined further within clinical practice. To do this I have Consultant Cardiologist and Honorary Senior Lecturer, Dr Nicholas Gall with me.  In the episode we look at an established definition of TLOC, Nick's efforts to start a blackout pathway, the fundamental problem of TLOC in unpacking why undifferentiated TLOC can be a clinical minefield. We then examine the aetiology of TLOC and the diagnostic tools with which to differentiate the pathology (USS and ECG nuances). We then look at red flags warning signs and subtle information cues with TLOC, treatment of TLOC patients (broad take home messages) and clinical examples from practice. I hope you enjoy this episode with a fascinating and insightful guest. 
37:55
September 29, 2021
Public Health with Professor Kelechi Nnoaham
Public Health with Professor Kelechi Nnoaham
In this session I speak with  Professor Kelechi Nnoaham. We examine the prevailing themes of public health within the contemporary pandemic. We examine some of the key aspects of public health necessary to overcome one of the most challenging public health issues since the inception of the NHS. We dissect some of the fundamental principles of public health, the info-demic war of information, the contemporary evidence-based research, decentralised leadership and more. Professor Kelechi is the Executive Director of Public Health and lead for Research & Development, Innovation and Value-Based Health for Cwm Taf Morgannwg University Health Board, Wales. Kelechi has held Honorary Professorships in Public Health and Epidemiology at Plymouth University (since 2015) and Cardiff University (since 2021) medical schools and previously worked as the Director of Public Health for Plymouth and Bristol City Councils. He has subsequently worked throughout leadership roles in public health and healthcare leadership across the UK. Kelechi has an MPH in Global Health Science (with Distinction) at Oxford University and followed that up with a PhD in Public Health & Epidemiology at Oxford University in 2011. In the conversation we examine:  The current public health climate – acute versus chronic needs, secondary infection rates. Collaboration – joined up working versus independent initiative The information war – The ‘info-demic’ ‘Press release’ medicine – effectiveness and impact. The principles of public health - The big 5 - population health management, prevention, population health research, knowledge mobilisation and collaborative working with communities. The 4, 4, 54 principles within a public health context Empirical research in the current climate; disaggregation of data (lack of sub-group analysis), action with absence of published data, equity of authorship, retraction of papers, robustness of evidence, retraction of studies, increase in corrections in 2020, decrease in RCTs & Meta analysis, decrease in ethics and consent. Decentralised ownership of health (internal locus of control). Professor Kelechi can be contacted through the following platforms;  • Twitter - @CwmTaf_DPH, @KelechiNnoaham • LinkedIn - linkedin.com/in/kelechi-nnoaham-1649937 Please enjoy this interview with an insightful and fascinating guest. 
46:43
September 13, 2021
Failure: The Impartial Executioner of Leaders, Followers, and Their Organisations with David Stehlik
Failure: The Impartial Executioner of Leaders, Followers, and Their Organisations with David Stehlik
In this episode I speak with Dr David Stehlik on leadership, followership and organisations. Dr Stehlik is the programme director for the Keith Bussey School of Business and entrepreneurial leadership at the University of St Francis in Fort Wayne in the US. He is also the the founder of a strategy and business education consultancy ‘Fourscene’ related to the field of strategic foresight. He is a strategist, an educator and team developer, he has also published a book called ‘Integrated delivery - innovating leadership for outstanding healthcare outcomes’ that was released at the beginning of 2021. In this episode we speak about what constitutes ‘great leaders’, and then dissecting the antithesis of this in the anatomy of failing leaders. We also examine: Self-awareness and tools to help get there (SWOT analysis, Johari’s window) Great followers and failing followers The consequences model & Role-playing model & conflict resolution The AI model Great organisations & failing organisations You can contact David at https://www.foursceneventures.com/about.html You can also read the article that the interview is based on here: https://www.regent.edu/acad/global/publications/jpc/vol5iss1/3-stehlik.pdf I hope you enjoy this episode with a fantastic guest. 
01:08:34
August 03, 2021
Infant Resuscitation with Mark Faulkner
Infant Resuscitation with Mark Faulkner
In this session we will examine a recent publication by Clinical Practice Development Manager of the Advanced Paramedic Practitioner for critical care scheme in London Ambulance Service, Mark Faulkner, which is featured in the Scandinavian Journal of Trauma, resuscitation and emergency medicine. The case study involved the resuscitation of a VF cardiac arrest in a 3-month-old infant.  The link to the case report can be found in the show notes and in this episode, we will be speaking with Mark (one of the authors) to both explore the case and some of the essential learning points that surround cases like this.  We explore the following themes: The current statistical climate of cardiac arrest and infant cardiac arrest Prodromal symptoms of sick infants The utility of sense checks with a clinician in the control room Use of standard and extended diagnostics to recognise ROSC such as USS  Deviation from protocol (post shock pause) for good reason Differentiating recurrent from refractory VF from the download Underlying causes of structural and electrical abnormalities and cardiac myopathies The utility of a HOT debrief in these cases as an intrinsic benefit. The article from the interview can be found here: https://sjtrem.biomedcentral.com/articles/10.1186/s13049-021-00871-9 References to articles that Mark mentions throughout the interview can be found here:  https://pubmed.ncbi.nlm.nih.gov/19913971/ https://www.sciencedirect.com/science/article/pii/S1521689620301087 https://www.magonlinelibrary.com/doi/full/10.12968/jpar.2021.13.6.232 I hope you find this episode insightful and useful.
52:45
July 17, 2021
Ultrasound with Gaynor Prince - WEMcast re-post
Ultrasound with Gaynor Prince - WEMcast re-post
In this session, we interview Gaynor Prince. Gaynor is an emergency physician based in New Zealand and has developed a subspecialty interest in ultrasound in ED. We take a look at point of care ultrasound, its utility and its limitations. We will be especially focussing on the EFAST and how it has been adaptive and progressive in point of care treatment in the past 5 years.  We also take a look at ultrasound probes and the positive and negative interaction with tissue. Gaynor unpacks some of the fundamental advantages and disadvantages of POCUS and how it has been adapted, been made portable and democratised amongst clinicians in recent years. We unpack the principles of EFAST, what we are looking for, when to look and where. We examine the difference image representations of fluid, blood, ascites, urine, intestinal contents, lungs, air.  Gaynor them looks at the anatomical variations and how to optimise the view, interplay with clinical questioning, repetition of scans and preferential windows to see the anatomy. We go sequentially through the EFAST and look at tips and tricks from Gaynor's practice and how these can be related to everyone's ultrasound practice and decision making. We finally look at a prime example of when USS has been really useful to Gaynor's practice in one of the remotest and most extreme environments - Antarctica. She recalls a story of when ultrasound greatly assisted her decision making, illustrating some of the unique examples of this modality in remote and austere locations. You can see more from Gaynor here: https://www.wem.academy/videos/extreme-medicine-research/ultrasoundinextremeenvironments/ This episode has been kingly re-shared from WEMcast. World Extreme Medicine provide courses, resources, training and conferences and can be found at: https://worldextrememedicine.com Please enjoy the episode.
56:36
June 30, 2021
Maternity episode 4 with Stacey Robinson and Sarah Brown
Maternity episode 4 with Stacey Robinson and Sarah Brown
Caroline Philips is back for the fourth instalment of the maternity mini series. Caroline is joined by Stacey Robinson the LAS practice lead midwife and Sarah Brown the LAS practice lead paramedic. In this episode they focus the on management of various pathologies, including bleeding, cord prolapse, shoulder dystocia, and all types of other maternal emergencies and treatment modalities seen within the pre-hospital environment. They dig into the technical and non-technical elements of care for the above pathologies and some of the different manoeuvres that optimise the mother and baby’s health in difficult deliveries. In this final episode we hear from these two specialists as they draw upon their experience, knowledge and oversight to relay some of the most essential aspects of care in maternal emergencies.  Our thanks goes to London Ambulance Service for allowing these professional perspectives to be shared and for being a forerunner in recruiting midwives and specialist paramedics with a maternal pre-hospital care focus to support the wider frontline staff. We hope you enjoy this episode with two fantastic clinicians. 
01:05:52
June 23, 2021
Maternity episode 3
Maternity episode 3
In this episode we explore late pregnancy complications 
01:04:54
June 14, 2021
Maternity Part 2 - Challenges and emergencies of early pregnancy with Stacey Robinson
Maternity Part 2 - Challenges and emergencies of early pregnancy with Stacey Robinson
In this episode Caroline Philips speaks with Stacey Robinson, prehospital midwife about challenges and emergencies of early pregnancy. They discuss bleeding, termination of pregnancy, and miscarriage. Stacey addresses why bleeding occurs and how to assess for it in the first trimester; inclusive of the subjective terms of 'light' and 'heavy' bleeding. They also discuss the potential risks and the atypical presentations that can occur within the first trimester. Stacey discusses some of the nuisances of care that can be provided to this cohort of patients, together with the hidden signs of bleeding.  Stacey also discusses the psychosocial aspects of care around bereavement and loss which can occur around this pathology. Stacey reinforces the importance of psychological reassurance and care which are vitally important to this patient group.  Relevant links that are useful for this episode can be found here:  https://www.miscarriageassociation.org.uk/wp-content/uploads/2019/08/Ambulance-Crews-first-responders-Good-Practice-Gude.pdf https://www.miscarriageassociation.org.uk/information/for-health-professionals/e-learning/ https://nbcpathway.org.uk/professionals We hope you find this interview valuable with an insightful and engaging guest.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.
52:47
June 03, 2021
Maternity Part 1 with Stacey Robinson
Maternity Part 1 with Stacey Robinson
In this episode Caroline Philips interviews Stacey Robinson; pre-hospital midwife, on a variety of maternity and newborn topics that pre-hospital providers might face on scene. Having embedded herself within an ambulance service, Stacey gives a unique and insightful perspective on common myths, unique presentations, and healthy fundamental baselines of maternal and newborn care. This is a four part series, in this episode Stacey unpacks her role, the 'normal labour' scenario and deviation in physiology to be expected in pregnancy. They look at why physiology changes and some of the important details around history and examination. They also examine some of the non-pharmacological methods of optimising birth (skin to skin, micturition, non-technical skills, drying).  Here are some useful links for this mini series:  https://cprguidelines.eu/assets/guidelines/RESUS-8907-NLS.pdf https://nbcpathway.org.uk/professionals https://www.miscarriageassociation.org.uk/information/for-health-professionals/e-learning/ https://www.miscarriageassociation.org.uk/wp-content/uploads/2019/08/Ambulance-Crews-first-responders-Good-Practice-Gude.pdf https://www.tommys.org/baby-loss-support Please enjoy this episode with a truly insightful guest and experienced midwife.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.
01:24:58
May 26, 2021
7/7 with Ken Murphy - Major incident mini series
7/7 with Ken Murphy - Major incident mini series
This session will be the first of a mini-series examining the first-hand accounts of clinicians at some of the most well-known major incidents in the past 20 years. We will start the series by looking at the London bombings from both my perspective and a paramedic Team Leader now Critical Care Paramedic Ken Murphy. We will examine from our anecdotal experience how the scene unfolded and how it became apparent that 3 other bombs had detonated in quick succession. We will walk through some of the thoughts, recollections and structural components and just how it felt to be part of the largest coordinated terrorist attack that the UK has ever seen. In the episode we examine: Our day up until that point The initial call to Kings Cross for a reported power surge The confirmation down in Aldgate East Arrival on scene and what met us The triage and extrication CSCATTT and closer look at the 3 Ts Transfer of patients to the Royal London Hospital  Kings Cross – the casualty clearing station and transfer of patients  I hope you enjoy this first hand account that examines the difficulties and realities of major incidents.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.
47:55
May 18, 2021
Expedition Medicine with Natalie Taylor and Jamie Patterson
Expedition Medicine with Natalie Taylor and Jamie Patterson
In this episode I speak with GP Natalie Taylor and Paramedic Jamie Patterson on Expedition Medicine. We examine the skills, schemes, teams and courses that are helpful to prepare you for this dynamic environment. We will dive into our guests experiences to see what has worked for them and how they have navigated previous expedition trips. A special thanks goes out to World Extreme Medicine as we all met through this platform and have indeed all worked for WEM throughout our careers. We take a look at: The diversity of experience of both guests Main themes of expedition medicine – % of non-medical issues, Human Factors, self-care, self admin, primary care Group / team dynamics and how psychological health also plays a part Trauma on expedition Education and experience needed to go on the trips Rate limiting steps on all expeditions and things to be minded of as a clinician The casevac - nuances and tips  Some of Nat and Jamie’s most amazing highlights from expedition I hope you enjoy the episode. You can find more from World Extreme Medicine, courses and everything expedition here: https://worldextrememedicine.com To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.
48:46
May 12, 2021
Critical Care Communication
Critical Care Communication
In this episode I examine critical care communication and why this is so important within clinical practice. I look at definitions & statistics, the communication problem, the anatomy of communication, the patient, team and individual, leadership communication, empathetic communication, conflict management communication and finally crisis communication. I examine the approach to individual communication that can optimise both sent and received communication, the main facets of non-verbal, verbal and tonality that is needed to confer vital information.  I also look at a number of theories that have deconstructed the problem of communication, these are; communication theory, Millers Magic number 7, The communication triangle, signal detection theory, and finally meta-cognition. I break down some of the central concepts of the main aspects of critical care communication that are used on a day-to-day basis, that of, leadership, empathy, conflict and crisis. I hope you enjoy this topic. We are going to start mixing up the content on the podcast and feature more educational content, lecture sets as well as more traditional interviews and conversations with experts within their field of practice.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team.  https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.
01:01:39
April 25, 2021
New Horizons - Paramedic Practice in the 21st Century  - College of Paramedics podcast collaboration
New Horizons - Paramedic Practice in the 21st Century - College of Paramedics podcast collaboration
In this session we examine some of the ways in which we have seen paramedics diversify through a multitude of roles within the healthcare economy. We chat with Gary Strong; Paramedic and CPD lead from the College of Paramedics and Caroline Phillips; my co-host, Paramedic and Palliative care Paramedic. The session is intended to unpack, examine our roles and journey through pre-hospital care and finally give insight into some of the positive and challenging aspects of diversification we have seen within paramedic practice in the contemporary climate. In the episode we discuss: The variety of roles that are open to Paramedics & ways in which Paramedicine is changing. We examine Gary’s path through Paramedicine, how he has got to where he is now and what got him there (education, roles and reflections). Caroline’s path through Paramedicine, from education, roles and reflections on current and past job titles within paramedic practice. My own (Eoin’s) path through Paramedicine, how I have got to where I am now and what got me there (education, roles, reflections) Final thoughts on pathways, education and the future of diversity and the role of a paramedic itself. As we see the diversity of roles within our expansive field of practice we reflect on where the profession has come from and how quickly it has adapted to new eco-systems of healthcare. We also reflect on some of the fundamental traits of paramedics around adaptability and flexibility as the DNA of what makes a paramedic so integrated and embedded within various domains of practice.  I hope you enjoy this wider ranging conversation on the evolution of the 'paramedic'.
01:14:18
April 01, 2021
COPD with Sarah Aldington
COPD with Sarah Aldington
In this episode Caroline Philips interviews Sarah Aldington; a Consultant Emergency Physician in Sydney, she is also a pre-hospital & retrieval specialist with Sydney HEMS. Sarah formerly worked in respiratory medicine in the UK before studying her PhD in New Zealand focusing on the prevalence of cannabis smoking induced COPD and lung cancer. Whilst in Wellington Sarah established a choir for COPD patients called 'Sing Your Lungs Out (SYLO)'.  In this interview Sarah gives a fantastic insight into advanced lung disease and a patient focused approach to this life limiting illness. Sarah recounts this amazing initiative that took on a life of its own and instilled a community of like minded sufferers. Sarah and Caroline share insightful perspectives on what truly matters to patients and how this initiative changed Sarah's perspectives on her approach to medicine. Please enjoy this episode with a fantastic guest. More on the choir they speak about can be found here: https://pubmed.ncbi.nlm.nih.gov/27650768/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294022/ https://pcnnz.co.nz/wp-content/uploads/2016/05/Health-Happiness-Community-Gayle-Williams.pdf https://givealittle.co.nz/org/sylo#:~:text=The%20Sing%20Your%20Lungs%20Out,living%20with%20chronic%20lung%20disease.&text=Neighbourhoods%20Fun%20Awareness-,The%20Sing%20Your%20Lungs%20Out%20(SYLO)%20Choir%20is%20a%20community,of%20life%20and%20lung%20function.
43:10
March 24, 2021
Advanced Paramedic Practitioners in Urgent Care (APPUC) with Nikki and Andrew
Advanced Paramedic Practitioners in Urgent Care (APPUC) with Nikki and Andrew
In this session Caroline Philips interviews two of the advanced paramedics in urgent care. The conversation includes; their role on a day to day basis, this structure of the scheme and how there time is spent. They also examine how previous pre-hospital roles (such as clinical advise, team leader/manager roles) have helped with the senior clinical role as an APPUC. Nikki and Andrew also catalogue the variety of patients that they see and the in-depth patient focussed history taking and nuanced risk/benefit analysis undertaken. They also discuss some of the skills that the scheme supports such as wound care assessment and closure methods, point of care tests, additional medications and utilisation of alternative referral pathways. Nikki and Andrew also denote the adjunctive education and skills that have been fostered within the APPUC scheme. As the prevailing percentage of demand within pre-hospital care are medical pathologies, this scheme has had bilateral benefit of supporting frontline paramedics and managing patients in the community and avoiding the transfer through to the emergency department where possible. They also denote the change in communication skills that Nikki and Andrew have both witnessed within their practice.  Please enjoy this fantastic episode with two insightful practitioners.
39:30
March 17, 2021
Frailty with Claire Norman
Frailty with Claire Norman
Claire is a registered Nurse and Paramedic working as a frailty coordinator at Brook Green Medical Centre, London (HAFP Primary Care Network) with Dr Anna Wilson (Lead GP) and Dr Emily Eve as part of a frailty team. She also sits on the College of Paramedics Committee for primary and urgent care specialist interest group. Claire works as a part community matron as well as a registered paramedic and receives referrals to both support and link the patient into appropriate care pathways.  In this episode Claire and Caroline discuss the definition of frailty, contributing factors and the sequelae of neurological disorders contributing to frailty. Clare also discusses baselines of health and the phenotype model and the cumulative deficit model. Caroline also talks about the fall decision tool and frailty syndrome. Please enjoy this episode with an insightful guest.  For more on frailty please see the links below: https://www.bgs.org.uk/ British Geriatric Society https://podcasts.apple.com/gb/podcast/the-mdtea-podcast/id1073719746 MDTea Podcast https://www.rcem.ac.uk/ Royal College of Emergency Medicine
47:50
March 10, 2021
Resilience with Tony Underwood
Resilience with Tony Underwood
Tony Underwood is a former English Rugby Union professional who played as a winger for both country and at club level. He made his England debut in October 1992 against Canada, and went on to win a total of 27 English performances/caps. Having trained as an airline pilot, went on to fly for Easy jet, Virgin Atlantic and Emirates. In this conversation we talk about resilience, high performing teams, relationship with failure and success, continual improvement & feedback mechanisms, transitioning & adaptation to change, meta-programs, co-aligned lessons with aviation and medicine and finally human factor mitigation. I hope you enjoy this interview with an insightful and interesting guest.  To find out more about Tony please head to: wordplaygroup.com Twitter: @underwood_tony
53:16
March 04, 2021
The bleeding patient with Ben Watts
The bleeding patient with Ben Watts
In this conversation with Ben Watts we look at the sequential approach to arresting bleeding. We also examine the second/third generation haemostatic compounds (celox, quik-clot), pharmacological agents such as TXA, FFP, FDP, blood, cryoprecipitate. We also examine the utility of tourniquets (origins, usage and types), neck zones and wounds, Blunt injury and junctional wounds, Hypotensive management and Pain management modalities and preferential agents. Ben is a specialist retrieval practitioner/CCP working in Scotland and previously as a CCP in the Thames Valley and before this in South West of England. He also has an extensive history of expedition work in various international locations, I first met Ben whilst working for World Extreme Medicine as a fellow paramedic and he has been a contributor to both WEMcast and to the College of Paramedics podcast.  I hope you enjoy this wider ranging conversation as much as we did. 
01:30:52
February 27, 2021
Addiction with Mark Dempster
Addiction with Mark Dempster
Mark Dempster is an addiction specialist working with patients with drug addiction, gambling addiction, sex addiction, alcohol addiction, internet addiction, and more. He is a counsellor dedicated to helping people regain control and turn their lives around.  In the conversation we look at some of the statistics around the health burden & impact on the individual and extended families, how people become addicted (habit Vs addiction), the 5 stages of addiction, common cognitive pitfalls and finally breaking the cycle. We also explore some of therapies that are evidence based and are commonly practised such as CBT, DBT, ACT, and PET. 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 the use of Class A drugs, that include heroin, cocaine, meth, and hallucinogens. £36 billion is spent by the nation every year on treatment relating to drug and alcohol abuse. At the time of filing their report, titled No Quick Fix, the UK had the highest rate of addiction to opioids and the highest lifetime-use of amphetamines, cocaine, and ecstasy across Europe. Many view addiction as something that only affects the users themselves but, in reality, casualties from substance abuse are taxing on entire communities, the NHS and society as a whole. It has a direct affect on healthcare workers and on the frontline of the emergency services on a daily basis. Please enjoy this interview with Mark, his clinic and work can be found here: http://markdempstercounselling.com/
51:55
February 20, 2021
Critical Care Teams (CCT) with Johannes von Vopelius-Feldt
Critical Care Teams (CCT) with Johannes von Vopelius-Feldt
In this interview I interview Johannes von Vopelius-Feldt, Johannes is an emergency physician currently working in South West England. He has written and undertaken extensive research into the utility and demographics of critical care teams. He has also empirically examined the impact of critical care within certain patient presentations to examine the benefit that these teams can bring.  In the conversation we examine; the overall proven benefit of critical care versus standard care within pre-hospital care. We also examine skill mix versus intervention, intervention versus outcome, the wider utility to critical care outside of cardiac arrest and some of the prospective studies which may benefit transparency into the usefulness of CCTs. We also examine the shift in mindsets and underlying concepts that are now well known and accepted around human factors and mitigation strategies compared to 10 years ago.  Johannes' research can be found below - please enjoy this conversation with an insightful and engaging guest as he brings an inquisitive and research based perspective to the domain of critical care.  J von Vopelius-Feldt, JR Benger - European Journal of Emergency Medicine 20 (6), 382-386 45, 2013 Who does what in prehospital critical care? An analysis of competencies of paramedics, critical care paramedics and prehospital physicians J von Vopelius-Feldt, J Benger - Emergency Medicine Journal 31 (12), 1009-1013 40, 2014 Critical care paramedics: where is the evidence? A systematic review J von Vopelius-Feldt, J Wood, J Benger Emergency Medicine Journal 31 (12), 1016-1024, 18 2014 Systematic review of the effectiveness of prehospital critical care following out-of-hospital cardiac arrest J von Vopelius-Feldt, J Brandling, J Benger - Resuscitation 114, 40-46 17 2017 The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest J von Vopelius-Feldt, A Coulter, J Benger Resuscitation 96, 290-295 15 2015  Critical care paramedics in England: a national survey of ambulance services J von Vopelius-Feldt, J Benger - European Journal of Emergency Medicine 21 (4), 301-304 13 2014  Prehospital critical care for out-of-hospital cardiac arrest: An observational study examining survival and a stakeholder-focused cost analysis J von Vopelius-Feldt, J Powell, R Morris, J Benger - BMC emergency medicine 16 (1), 1-7 11 2016 Should physicians attend out-of-hospital cardiac arrests? J von Vopelius-Feldt, JR Benger - Resuscitation 108, A6-A7 4 2016  Response to: influence of EMS-physician presence on survival after out-of-hospital cardiopulmonary resuscitation
35:33
February 15, 2021
Pandemic in focus Pt 4 with ACP Lucy Grimwade
Pandemic in focus Pt 4 with ACP Lucy Grimwade
In this session we interview Lucy Grimwade who works as an Advanced Clinical Practitioner (ACP) and Matron in an Emergency Department in Manchester. Lucy gives a fantastic perceptive on the current climate within the emergency department throughout the first and second spike of Covid-19. She gives an honest and insightful first hand recollection of her clinical and personal experiences around the effects in patients physical and mental health. She also provides an insightful commentary on the mental health of the shared ED community and habits that have served her well during the lockdown period. Please enjoy this interview providing a unique cross-section of life on the frontline of the NHS during the greatest health crisis it has ever faced. 
43:59
February 11, 2021
‘The Commando Way’ with Bram Connolly
‘The Commando Way’ with Bram Connolly
In this episode I talk with Bram Connolly. Bram is former special forces operative with the Australian Special Forces with 20 years of experience on the frontline. Bram was was awarded the Distinguished Service Medal for leadership in the Australia Day awards 2012. Bram is the Managing Director and founder of Hindsight Leadership and Resilience. He is the author of "The Fighting Season" and "Off Reservation" and the leadership book "The Commando Way" published in 2020. In the conversation we talk about: Resilience, leadership, values and optimisation. We explore various facets of the book 'The Commando Way' and dig into some of the 20 years experience that taught Bram the lessons he depicts in the book. I hope you enjoy this interview with an inspirational leader. Bram also has a podcast:  https://podcast.warrioru.com.au/podcasts/ Hi book 'The Commando Way' can be found here: https://www.amazon.co.uk/s?k=the+commando+way&adgrpid=55975240794&gclid=Cj0KCQiA0-6ABhDMARIsAFVdQv-06UsRi2ZQL-Obrchizx8P0WYzCaepcjXf-70TtIPFVkJAksF7S0IaAtPbEALw_wcB&hvadid=259062984695&hvdev=c&hvlocint=9046009&hvlocphy=21468&hvnetw=g&hvqmt=e&hvrand=11852429682160879921&hvtargid=kwd-302016437038&hydadcr=24402_1816050&tag=googhydr-21&ref=pd_sl_39q7xnnmde_e
55:32
February 04, 2021
Pandemic in focus Pt 3: Reflections from GP Lloyd Evans
Pandemic in focus Pt 3: Reflections from GP Lloyd Evans
In this episode we speak with Lloyd Evans a GP in Wales around his experiences of the second wave of the pandemic. We explore some of the fundamental issues that have led to a rise in demand and stress both within the general population and the frontline NHS staff. We explore some of the second and third order effects of the covid pandemic, together with the unintended positive aspects that it has incurred.  I hope you enjoy this episode with an insightful and honest practitioner as it gives a rounded cross-section of accounts from the frontline of the largest health crisis that has befallen the NHS since its inception in 1948.
48:15
February 01, 2021
Pandemic in focus Pt 2: Reflections from APP Alec Wilding
Pandemic in focus Pt 2: Reflections from APP Alec Wilding
In this mini-series I talk to Alec Wilding who is an Advanced Paramedic Practitioner (APP) on the frontline of the healthcare system within the UK. Alec gives me an honest and transparent perspective of life tackling the second wave of the covid pandemic and his thoughts on how it is impacting the mental and physical health of both the population and the staff. Alec gives an honest and insightful recollection into the incremental effects of the pandemic and is the second of four accounts from the frontline - I hope you get as much out of it as I have.
38:58
January 25, 2021
Pandemic in Focus with EMD Lucy Gough
Pandemic in Focus with EMD Lucy Gough
In this mini-series I talk to a cross section of individuals at the frontline of the healthcare system within the UK. In this episode I speak with friend and colleague Lucy Gough. Lucy is an Emergency Medical Dispatcher (EMD) within London. She gives me an honest and transparent perspective of life in the Emergency Control Room and her thoughts on the contemporary demand profile within the pandemic in London. Lucy is both honest and insightful into the unique challenges that she and colleagues face on a day-to-day basis and the overall challenge that the ambulance service faces in response to the largest health demand since the creation and inception of the NHS. This is the first of four accounts from the frontline - I hope you get as much out of it as I have.
34:31
January 22, 2021
Best of Restore 2020
Best of Restore 2020
This has been a unique and challenging year for everyone. It has been a real privilege to have over a 100 conversations on various podcasts and platforms (PHCP, Restore and WEM). I have included this recording of the best of Restore as mental health has taken a central spotlight in this pandemic and has been an inescapable facet to manage for all of us as things have become difficult in work and personal lives.  My hope for 2021 is that a continued narrative both encourages you and gives everyone listening to these podcasts a sense of hope in a time that has required every clinician to engage with difficult times. I hope to help encourage every healthcare professional in this time of demand and great need, these conversations are designed to hopefully give back to you - I sincerely hope they serve this function at this time. My thanks also goes out to everyone that has contributed to the PHCP in 2020, platforms like this will always benefit from a plenary of perspectives rather than just individual ones. Eoin 
45:21
January 04, 2021
Pre-hospital mental health with Anna Basquil and Dan Fisher
Pre-hospital mental health with Anna Basquil and Dan Fisher
In this episode we explore the initiative of pre-hospital co-responding mental health nurses working alongside paramedics within London, UK. We look at the prevalence of mental health within the capital and how Anna and Dan have seen the initiative add benefit to pre-hospital assessment, management and the resultant access to healthcare.  We look at some of the current prevailing mental health statistics (MIND 2020), such as: 1 in 4 people experience mental health issues each year. 792 million people are affected by mental health issues worldwide. At any given time, 1 in 6 working-age adults have symptoms associated with mental ill health. Mental illness is the second-largest source of burden of disease in England. Mental illnesses are more common, long-lasting and impactful than other health conditions. Men aged 40-49 have the highest suicide rates in the UK. We also look at anecdotal commonalities in acute MH presentations within the community and the interplay between the Mental Health Act and the Mental Capacity Act in assessment and treatment of mental health patients. Lastly, we look at case studies to understand the dual assessment model that Anna and Dan use to assess patients within the pre-hospital environment.  I hope you enjoy the episode.
57:10
December 09, 2020
Life Under Fire with Jason Fox
Life Under Fire with Jason Fox
In this episode I chat to Jason Fox about his new book ‘Life Under Fire’  for those of you that aren’t familiar with Jason, he is a former Royal Marine Commando and Special Forces Sergeant. Joining at 16 and serving for 20 years; Jason passed the grueling selection process for the Special Forces in 2001, serving with the Special Boat Service till 2012. Jason has planned and led operations including hostage rescue, counter terrorism, counter insurgency, maritime counter terrorism, surveillance, body guarding and counter narcotic missions. He currently features in the channel 4 program - SAS: Who Dares Wins. The book is split into two parts, the first part the battle mind looks at his journey to a resilient life and mental approach.  The second part - Strength and Guile looks at the lessons learned from his 20 years as an operator and royal marines commando and inferred learning to the reader. Concepts we explore include: The concept of graded exposure to training. The sense of community and brotherhood from war. Jason's struggles with PTSD and the emotional combat indicators that signify it. The ‘cigar moment’ and how it calms the central nervous system down. Awareness of your own vulnerabilities and how it can help protect you. The preferential mode of de-escalation over aggression (grey man, passive use of the weapon). High performing teams ability to self regulate rather than externally regulate. Reframing negative events and what it can teach us about resilience. The power of debrief also known as Sensitive Site Exploitation/SSE. The concept that there is a flattened hierarchy and everyone can contribute a game changing piece of information. Not resting in the aftermath of success and using failure as a teacher. I hope you enjoy the episode. You can find 'Life under fire' by Penguin books here: https://www.penguin.co.uk/books/111/1119268/life-under-fire/9781787633193.html
52:11
November 16, 2020
EOLC 4: Grief and bereavement with Julia Samuel MBE
EOLC 4: Grief and bereavement with Julia Samuel MBE
In this episode Julia Samuel and Caroline Phillips discuss grief and the process of bereavement. We discuss important skills for breaking bad news, bereavement by exposure and ways in which we can support our own resilience as healthcare professionals. Julia Samuel is a psychotherapist who has spent the last thirty years working with bereaved families. She has worked both in private practice and in the NHS at St Mary’s Hospital Paddington where she pioneered the role of maternity and paediatric psychotherapist. In 1994 she worked to launch and establish Child Bereavement UK as its Founder Patron, where she played a central role until September 2019. Julia was awarded an MBE in the 2015 New Year’s Honours list for services to bereaved children. She is the author of two books: Grief Works and This Too Shall Pass. We hope you enjoy the episode. Further reading: -  Child Bereavement UK https://www.childbereavementuk.org/?gclid=Cj0KCQjw2or8BRCNARIsAC_ppyYXJ4jJ5kW2226C30UnEuOOBqUA8vUbrBPiCuZFHmJ4sh1L8HHhydIaAjssEALw_wcB -  Information about Julia Samuel’s books, ‘Grief Works’ and ‘This too shall pass’ can be found here, as well as her ‘Pillars of Strength’ tips -  https://juliasamuel.co.uk -  Cruse Bereavement UK has practical resources and information for personal and professional use - https://www.cruse.org.uk
59:13
November 13, 2020
EOLC 3: Advanced Neurological Disease with Diane Laverty
EOLC 3: Advanced Neurological Disease with Diane Laverty
This episode explores advanced neurological conditions with Palliative Nurse Consultant Diane Laverty. Diane has over 30 years experience in palliative care and spent time in her doctorate exploring informal carers needs when looking after those with progressive neurological conditions. Motor Neurone, Parkinson’s and Multiple Sclerosis conditions are discussed, common symptoms and potential exacerbations are covered and the wider social implication on family and carers are discussed. Further reading: -  Motor Neurone Disease Association https://www.mndassociation.org -  Parkinson’s Foundation https://www.parkinson.org -  Multiple Sclerosis Society https://www.mssociety.org.uk/about-ms/what-is-ms -  Oxford Handbook of Palliative Medicine (2019) We hope you enjoy the episode.
43:41
November 06, 2020
PHCP - house keeping episode
PHCP - house keeping episode
I just wanted to do a house keeping episode to let you know what to expect in this season. We are half way through the mini series on End of Life Care and had 'recognising the dying phase' with Dr Emma Hall and 'oncological emergencies' with Merel a cancer clincial nurse specialist.  We have two more instalments of EOLC and these are around advanced neurological disease with Diane Laverty and Grief and bereavement with Julia Samuel MBE. Caroline Philips has done a fantastic job at cataloging some of these essential conversations and really helping us appreciate some of the deeper facets of end of life care. We will have some skill based episodes with myself and Nick Brown. These are looking at the skills undertaken by clinicians and everything that the text books don’t tell you around experiential learning and reflections of performing these on a daily/weekly basis - we will look at IO, splintage, intubation, IV access and other skills. We will look at pain management with a pain specialist and some of the types and methods of acute and chronic pain management that we might face in the pre-hospital environment. We will do a deep dive into one of the prolific drugs in society and that we interact with on a daily basis - that of alcohol. We will look at chronic alcoholism and how it changes physiology. We will also look at acute intoxication and why these patients can be so difficult to look after. We will start with a mini case review series as well - dissecting some challenging cases and what we can learn from these cases. We will also look at urgent care with a GP and urgent care advanced paramedic in more detail and some of the subtitles that we can learn to pick up as clinicians. Finally we will look at some of the diverse range of pre-hospital career options that are available for clinicians (paramedics, doctors and nurses) in the current climate.  We hope you enjoy the season.
06:44
November 01, 2020
EOLC part 2: Oncological Emergencies with Merel and Caroline Philips
EOLC part 2: Oncological Emergencies with Merel and Caroline Philips
In end of life care we are mindful of respecting patient’s wishes, including those relating to conveyance to acute care settings. However there are some presentations, specifically in relation to cancer, which we need to be aware of and rapidly refer onto either acute or specialist colleagues. In this episode we explore these reversible oncological emergencies based on cases seen in Merel’s clinical experience as a Cancer Clinical Nurse Specialist in a specialist cancer centre in The Netherlands. We review Neutropenic Sepsis, Superior Vena Cava Obstruction, Metastatic Spinal Cord Compression and Hypercalcaemia. Further reading: -  AACE JRCALC Clinical Guidelines (2019) – End of Life Care -  NICE Guidelines - Metastatic spinal cord compression in adults: risk assessment, diagnosis and management -  NICE Guidelines - Neutropenic sepsis: prevention and management in people with cancer -  Oxford Handbook of Palliative Medicine (2019) We hope you enjoy the episode.
37:21
October 30, 2020
End of Life Care: Recognising the dying phase with Dr Emma Hall
End of Life Care: Recognising the dying phase with Dr Emma Hall
In this episode Caroline Phillips hosts Dr Emma Hall, Palliative Care Consultant and discusses the signs of the final few days and hours of life. We discuss the challenges of recognising the dying phase, the importance of shared decision making and the positive aspects of shared learning between prehospital and palliative care professionals. This is part of a mini series on the Pre-hospital Care Podcast where we will start to look into topics in more depth and involve some of the subject specialists to share their experience.  We hope you enjoy the episode. Further reading: Kathryn Mannix – With the End in Mind Oxford Handbook of Palliative Medicine (2019) AACE JRCALC Clinical Guidelines (2019) – End of Life Care
01:05:44
October 23, 2020
The Pre-hospital Debrief with Nick, Caroline and Eoin
The Pre-hospital Debrief with Nick, Caroline and Eoin
In this episode we explore some of the fundamental the components what makes a good debrief. The concept of debrief effects everyone within pre-hospital care whether formal or informal. Involvement in a debrief exercise can help to make sense of events and offer the opportunity for learning that can be applied in the future. It’s power, in part, is that it takes place when the events are fresh in the mind and that all experiencers are able to contribute. In this episode we dig a little into the broad benefits of debriefing and what makes for a successful debrief exercise (as well what doesn’t) within the context of prehospital care. How can we optimise the setting and structure in which a productive conversation can be had in order to maximise the outcomes from a debrief? Also, is shared reflection just for those ‘big jobs’ or can we apply it to any experience? We look at: Definitions of debrief. What do we think debriefing is/what purpose it serves. What debriefing is not. How we can optimise the setting for a successful debrief. How to structure a debrief. Relevant content in the context of pre-hospital care. Some of the issues/pitfalls/barriers involved in debriefing. The models we refer to in the episode are here:  Gibbs cycle: https://www.mindtools.com/pages/article/reflective-cycle.htm The 3D model of debriefing: https://www.semanticscholar.org/paper/The-3D-model-of-debriefing%3A-defusing%2C-discovering%2C-Zigmont-Kappus/7b63a9876c39340398dedd25b48eddc5f08096b8 Other insightful resources include the book 'Never fly solo' by Rob Waldman: http://www.neverflysolo.com/about-book.html Debriefing tools: https://www.nds.org.au/images/resources/wa-safer-services/Debriefing-Tool.pdf We hope you enjoy this wide ranging conversation.
01:00:59
October 08, 2020
Club drugs, illegal highs and Novel Psycho-active Substances with Owen Bowden Jones
Club drugs, illegal highs and Novel Psycho-active Substances with Owen Bowden Jones
This is a wide ranging conversation on club drugs, illegal highs and Novel Psycho-active Substances (NPS) with Dr Owen Bowden Jones. Owen is a Consultant Psychiatrist with over 20 years' experience in general and substance misuse psychiatry in both the NHS and private practice. In 2010 he founded the Club Drug Clinic, offering treatment specifically for those using 'club' drugs such as cocaine, ketamine, MDMA, GHB/GBL and novel psychoactive substances. In the conversation we discuss: The definition of Club drugs and illegal highs/Novel Psychoactive substances Define the problem by age and top 5 commonly seen drug presentations (differentiate between prevalence and problem – i.e. seeking help) Examine traditional vs emergent drug trends Look at groupings of drugs – Sedatives/dissociates, stimulants, synthetic cannabinoids, hallucinogens Examples of each and on common presentations & adjunctive use (concomitant use of these drugs) Ask about sourcing & trends in where people acquire drugs presently Look at first line staff engagement – who sees these groups of patients first (not always acute presentations) Examine new harms & clinical challenges Reference project Neptune – Novel Psycho-active Treatment Uk Network There is free e-learning on club drugs, illegal highs and NPS that Owen has put together, please find it at: http://neptune-clinical-guidance.co.uk/e-learning/ Feel free to reach out to Dr Bowden-Jones here: Owen.bowdenjones@nhs.net • Clubdrugclinic.cnwl@nhs.net • www.clubdrugclinic.com • @ClubDrugClinic @OwenBowdenJones www.neptune-clinical-guidance.co.uk
44:57
September 14, 2020
Bonus episode: Depression & Micro-adventure - Restore Podcast
Bonus episode: Depression & Micro-adventure - Restore Podcast
In this wide ranging conversation with Will Duffin - a passionate GP, educator, adventurer, innovator and polymath we define the current problem around depression and then examine different states of depression. We also look at why people get caught in the cycle of depression and current modalities of treatment for depression (chemical intervention, groups, social prescribing, referral pathways). We then look at the concept of micro-adventure & the benefits of these together with Will’s perspective on optimising mental health and balance (work/life). We look at how do Will achieve's balance in his life and regimes that works for him. We also examine ways in which he has changed his mindset and approach to mental health over the past 10 years both as a GP and as an adventurer. We dig down into some of the statistics on Mental Health and why this is such an important topic - such as (Figures from MIND and MHFA England 2020): 1 in 4 people experience mental health issues each year 792 million people are affected by mental health issues worldwide At any given time, 1 in 6 working-age adults have symptoms associated with mental ill health Mental illness is the second-largest source of burden of disease in England. Mental illnesses are more common, long-lasting and impactful than other health conditions Men aged 40-49 have the highest suicide rates in the UK 70-75% of people with diagnosable mental illness receive no treatment at all Half of mental ill health starts by age 15 and 75% develops by age 18 I hope you enjoy this conversation with an insightful and thoughtful colleague and friend.
56:13
August 26, 2020
Thames Valley Air Ambulance (TVAA) with Ben Watts and Iain Edgar
Thames Valley Air Ambulance (TVAA) with Ben Watts and Iain Edgar
In this wide ranging conversation with Critical Care Paramedic Ben Watts and ED Consultant Iain Edgar we look at an overview of the TVAA service in providing critical care to the community. We also look at how expedition and military domains that they both practice can be used within the pre-hospital critical care environment. Other aspects of the conversation includes: The patient target group and demographics of the service. Examine traditional vs emergent pre-hospital presentations that Iain and Ben have seen over their time in pre-hospital care. Interventions and decision-making and how these are approached within TVAA. Critical care training approaches, quality assurance and quality improvement within the service. Frontline staff engagement and how the service both encourage and incorporate them within the scheme. Innovations that the scheme has embedding and medium to long-term innovations that may improve the program Non-technical aspects of care Vs technical skills & utilisation rates Incremental gains when orchestrating flash teams Personal learnings over the last >2 years I hope you enjoy the last of these critical care service review sessions with two insightful friends and colleagues.
59:40
August 25, 2020
Conflict Resolution with Ray Goodall
Conflict Resolution with Ray Goodall
In this episode we explore conflict resolution with Ray Goodall. Ray is an accomplished ex-military senior officer who is skilled in developing cohesive teams and has a vast operational background. He is Internationally acclaimed War College Faculty and a military institute instructor. He is also a liaison and advisor to Presidents, Ambassadors and Generals in complex multinational combat environments. Ray has extensive Combined Joint Force and Air Component Crisis Planning experience. He is an internationally recognized expert of the Command and Control of Air Power.  In this wide ranging conversation we explore: ·  The definition of Conflict resolution ·  Leadership in conflict situations (enemy and colleague conflict) ·  Models of conflict resolution - Strategy of Conflict and Game theory ·  De-escalation techniques used (aviation/inter-personal) ·  Optimisation of physiology - whether you use breathing techniques or tools to focus ·  Mentoring Vs Coaching ·  Rapid Decision making under stress and/or incomplete information ·  Failure (anecdotal examples of how you've learnt through failure) ·  Debrief & how to harness the best out of the debrief I hope you enjoy this episode with an extremely insightful and interesting guest.
01:04:15
August 18, 2020
Trauma with Karim Brohi
Trauma with Karim Brohi
Karim is a Professor of Trauma Sciences in the Blizzard Institute, Barts and the London School of Medicine & Dentistry, and Consultant Trauma & Vascular Surgeon at Barts Health NHS Trust. He is also the director of the pan London trauma system. In this episode we look at: Monitoring modalities and diagnostics (the advent of pre-hospital and in-hospital US, in-hospital CT & MRI) that have led to an improvement in outcome. Whether front loading pre-hospital critical care teams with more interventions had a net positive impact on survival to discharge. The benefit of numerical targets for physiology such as blood pressure in resuscitation or more organic end-points such as mentation/AVPU or pallor/diaphoresis/respiratory rate are more useful? The adverse effects of complex interventional involvement in pelvic blunt injury (such as REBOA or ECMO) are worth the investment at point of injury or whether they are better placed in centres of specialism? What we can do to prevent penetrating trauma as the upward trend in penetrating disease continues? Look at the advances in rehabilitation services Vs impact on survival to discharge in comparison to pre-hospital, & surgical intervention? Some of the more common injury patterns that exist more-so now compared to when Karim first started as a surgeon. The recent challenges faced within the Pan London Trauma Networks. The advent of Acute Traumatic Coagulopathy (ATC) in the early 2000’s and its consequential impact on survival since. Where Karim sees the largest gains that can be made in pre-hospital care? What Karim looks for potential in other junior clinicians  Advice that Karim would pass on to someone starting their medical career. Aspects of mindset and approach that have changed in Karim's practice over the last 10 years  I hope you enjoy the episode.
37:54
August 10, 2020
Advanced Paramedic Practitioners (Critical Care) in London with Mark Faulkner
Advanced Paramedic Practitioners (Critical Care) in London with Mark Faulkner
This is a wide ranging conversation with Mark Faulkner - the clinical development manager for critical care (advanced practice) within the London Ambulance Service NHS Trust, Mark is also the clinical advisor for Major Trauma within the LAS and as such sits on the Pan London Trauma Steering Group, as well as number of national trauma groups. In this episode we examine a variety of topics that encompass decision making, experience & empirical background, additional clinical interventions, leadership & non-technical skills and support/pastoral functionalities of advanced practice. We discuss: Overview of the APPCC Scheme The patient target group & demographics Added value of interventions Vs decision making. Training, quality assurance and quality improvement within the scheme. First line staff engagement – who sees these groups of patients first Innovations that the scheme has just embedding and medium to long-term innovations that have improved the program Non-technical aspects of care Vs technical skills & utilisation rates Incremental gains when orchestrating flash teams Personal learnings over the last >6 years I hope you enjoy the episode
32:34
August 06, 2020
Leadership with Tim Archer
Leadership with Tim Archer
In this conversation I talk with Tim Archer. Tim is a former Group Captain, he held a number of senior appointments in the RAF during which time he gained an MA in Leadership Studies from the Centre for Leadership Studies at Exeter University, a Post Grad Certificate in Executive Coaching from Lancaster University Business School and was awarded a full-time 12-month Fellowship back at the Centre for Leadership Studies. After a spell as Director Public Sector at the Leadership Trust in the UK, he moved to the United Arab Emirates for 8 years where he was a government advisor during which time he developed, designed and taught experiential leadership development and coaching programmes. He currently works for Cardiff University developing their leadership modules for the MSc in Public Health. We have a wide ranging conversation that touches on: The definition of leadership Mission command - military doctrine (what to do, not how to do it - no disseminated responsibility)  myth of military leadership  - Constructive decent Vs destructive concept The OODA loop (Observe, Orient, Decide, Act) Leadership Vs Management (Kotter) Trust and cohesion – Peak rapport Homeostatic leadership Compassionate Leadership Situational leadership Leadership in conflict Leader as a coach  Systems leadership - NHS Model - leading when not in charge I hope you enjoy this episode with a fascinating guest and friend.
01:21:01
July 08, 2020
Black Lives Matter: A conversation with senior Detective Inspector Ahenkora Bediako. Restore Podcast Collaboration
Black Lives Matter: A conversation with senior Detective Inspector Ahenkora Bediako. Restore Podcast Collaboration
This has been the most downloaded episode of all time on the Restore Podcast and very relevant to the pre-hospital community. I have decided to re-post it on the PHCP as it affects every aspect of life and of blue light personnel.  In this episode I interview a senior Detective Inspector within the police who works within the Modern Slavery and Child Exploitation Unit in London. English born and raised, of African decent and operating for 14 years within the police through the hierarchy of leadership he has a unique perspective into the contemporary climate. I first met Henk as a friend about 8 years ago and have valued his perspectives and insights as a friend and colleague battling shift-work, the reality of London and everything in-between. We discuss some of the fundamental assumptions, biases and racism within society and aspects of law that need to be re-considered. We also discuss his standing as a leader within the institution and how we can all model progress and address the bias and racism. We also talk about representation of black and ethnic minorities within the emergency services and how this can be addressed. We also talk about the institution of the police and how the concepts of trust and of 'Non-maleficence' (do no harm) needs to be restored from the community towards the police.  I hope you enjoy this episode. 
01:16:22
June 27, 2020
EMRS & EMRTS Critical Care & Retrieval Services with Wayne Auton and Tom Archer
EMRS & EMRTS Critical Care & Retrieval Services with Wayne Auton and Tom Archer
In this episode I talk to Wayne Auton and Tom Archer who work respectively for the Scottish and Welsh Air Ambulances (EMRS & EMRTS). Wayne is a former Royal Marine and currently a Specialist Paramedic in retrieval and transfer medicine as well as pre-hospital critical care. Tom is a Critical Care Practitioner & lecturer on the Critical Care MSc in Cardiff University. In this episode I talk with Wayne and Tom about innovation within the domain, advice to aspiring critical care colleagues, top tips in leadership & group dynamics. I also ask then about how they have navigated the past 6 months both personally and as a service. The Emergency Medical Retrieval Service (EMRS) provides critical care and transfer to definitive treatment for patients in remote healthcare locations across Scotland. They provide Consultant and Retrieval Practitioner delivered aeromedical retrieval from rural health care facilities throughout Scotland and well as pre-hospital critical care of major trauma patients, telemedicine advice to rural health care colleagues, rural facility outreach training and research in pre-hospital medicine and major incident support across the country. The Emergency Medical Retrieval and Transfer Service (EMRTS) Cymru is an aeromedical retrieval service that provides Consultant and Critical Care Practitioner-delivered pre-hospital critical care across Wales. It was launched at the end of April 2015 and is a partnership between Wales Air Ambulance Charity, Welsh Government and NHS Wales. EMRTS provide pre-hospital critical care for all age groups (i.e. any intervention/decision that is carried outside standard paramedic practice) and undertake time-critical, life or limb-threatening adult and paediatric transfers from peripheral centres (inc. Emergency Departments, Medical Assessment Units, Minor Injury Units) for patients requiring specialist intervention at the receiving hospital.  I hope you enjoy the episode with these two great friends. You can find out more about them both here:  Wayne: https://www.wayneauton.com/blog-1/https/wwwwayneautoncom/blog-page-url/new-post-title Tom: https://www.linkedin.com/in/tom-archer-857b2354/?originalSubdomain=uk
01:10:16
June 26, 2020
Medic One - Seattle Fire Department with Andrew Latimer
Medic One - Seattle Fire Department with Andrew Latimer
In this conversation I talk with Andrew Latimer. Andrew is an Acting Assistant Professor in the the Department of Emergency Medicine. He is involved with quality improvement, education, and clinical and operations research in Emergency Medical Services including involvement with Seattle Fire Medic One, King County EMS, and Airlift Northwest. His research interests are in the pre-hospital care of critically ill and injured patients, pre-hospital airway management, and air medical retrieval medicine. In this episode we look at the concepts of 'measure and improve' which have proven to make Seattle one of the world's leading institutions on cardiac arrest survival.  Their main domains of practice around out-of-hospital cardiac arrest and advanced airway management (inclusive of drug-assisted intubation). The Medic One Program began in 1970 when the first group of firefighters were trained as paramedics in cooperation with Harborview Medical Center and the University of Washington. Since then, the Medic One Program has gained notoriety due to the training and pre-hospital emergency patient care paramedics deliver within the community. Medic One provides the community with Advanced Life Support (ALS) activities that, in the past, could only be performed by physicians. In addition to responding to medical emergencies, medic units respond to all working fires, hazardous materials and rescue responses. I hope you enjoy this episode with a fascinating clinician & individual.
37:40
June 15, 2020
Life after the SBS with Stephen Burns
Life after the SBS with Stephen Burns
Stephen left the military in 2012 after serving 14 years in the Royal Marines and the SBS. At the age of 27 Stephen was awarded the Military Cross (MC) by Her Majesty the Queen for his work in Afghanistan in 2008. The MC is granted in recognition of "an act or acts of exemplary gallantry during active operations against the enemy on land" to all members of the British Armed Forces of any rank. Since 2015 he has mentored youth in schools, executives, budding sports stars, professional athletes and delivered the Limitless Programme to diverse audiences, veterans charities and public services. In this conversation we have an honest talk about his challenges with mental health through his military service and beyond. Stephens honest and open recital of his challenges with self harm and victim mindset and how he broke this are both insightful and refreshingly honest. Through his revelations of seeking like minded community he recently started an online community (10,000) of military and blue light personnel to support, encourage and offer opportunities to like minded individuals. His story is both encouraging and a voice of hope that despite the depths of suffering you can overcome any level of adversity with healthy community and a healthy mindset. Please find the charity that is fundamental to Stephen's story here: rock2recovery.co.uk The online community of OpSpartan can be found here: https://www.opspartan.com More on Stephen can be found here: https://www.wioh.co.uk/about
54:55
June 14, 2020
How to survive and thrive from a life threatening head injury: With Matt Masson and Mike Nolan
How to survive and thrive from a life threatening head injury: With Matt Masson and Mike Nolan
In this episode we interview Matt Masson ex-extreme sports and ski instructor. In November 2011 Matt sustained a life changing head injury when he fell 26 ft through a plastic roof onto his head. He has had to re-build his life completely from re-learning to talk, to walk, to ski amongst many other things. Matt's inspirational story is a true testament to his mental determination, engagement with rehabilitation and timely pre-hospital care. His story and YouTube video can be found here: https://www.thewobblyjourno.com and https://youtu.be/xnJExrygdSk We re-unite him with Mike Nolan  the Flight Paramedic on the night (a friend and colleague) who walks him through his injury load, the sequential interventions and his initial presentation on the night. Matt is just about to release his first book together with his Mother titled 'Road to the top of the mountain'. Please enjoy this truly inspirational story told in first person. Our thanks also goes out to the Nurse liaison team at the Royal London Hospital that initially put both Mike and Matt in contact.
57:34
June 12, 2020
The Mobile Intensive Care Ambulance (MICA) program with Ben Meadley
The Mobile Intensive Care Ambulance (MICA) program with Ben Meadley
In this conversation I chat to Ben Meadley. Ben has extensive experience in prehospital critical care, and is an operational Intensive Care Flight Paramedic (MICA) with Air Ambulance Victoria. Ben has a keen interest in prehospital critical care, advanced clinical assessment, pre-hospital critical care interventions and developing clinical judgement in critical care practitioners. MICA paramedics’ training goes beyond practical skill precision to include more detail in anatomy, physiology, pathophysiology and pharmacology to greater increase capacity to make independent complex clinical decisions and interventions. MICA paramedics operate either as part of a two person crew or as a single responder. We look at many facets of the MICA system and the differentiation between land MICA and flight MICA systems. We dig down into Ben's experience and empirical knowledge and look at the fundamentals of high performance within the MICA system, why they exist and how they continually improve. I hope you enjoy this conversation.   
52:32
June 09, 2020
The High Acuity Response Unit (HARU) & Critical Care with Stephen Rashford
The High Acuity Response Unit (HARU) & Critical Care with Stephen Rashford
Steve is the medical director of The Queensland Ambulance Service (QAS) with 5,000 staff and 1,300 response vehicles. QAS has a contemporary approach to clinical service delivery and innovation in prehospital trauma care. It also operates a tiered system of pre-hospital care with Advanced Care Paramedics (ACPs), Intensive Care Paramedics (ICPs) and a smaller cohort of HARU Paramedics.  In this episode we discuss a variety of topics: High Acuity Response Unit (HARU) both its inception and the clinical remit for the HARU. Governance around the HARU program and provider quality assurance for some of the procedures (RSI, on-call advice, blood products and the bleeding patients). Quality improvement and where the program is heading  The lessons learnt building the HARU and ICP schemes in QLD. I hope you enjoy this episode as I found it both insightful and helpful to look at how other systems approach high performing teams and continuous improvement. Eoin  
58:15
June 01, 2020
High Performing Individuals with Piers Carter. Restore Podcast collaboration
High Performing Individuals with Piers Carter. Restore Podcast collaboration
In this conversation with Piers Carter we examine the fundamentals of high performing individuals - the birth place of high performing teams. Piers has an eclectic background. Since 1997 he has been working with businesses; coaching, facilitating and helping them have better conversations – as individuals, teams and leaders. Prior to this, he was paid by the government to throw petrol bombs at the Police – as a riot control, Public Order & self defence instructor. Piers then began expedition-leading, giving him some incredible experiences all over the world working with adults and young people in developing countries and challenging environments. I have always found Piers to be an inspirational character with insight into some of the foundational pearls of wisdom that has changed my world on a day-to-day basis. In this conversation we talk about the power of choice, paying attention to somatic signals, how we gain better insight into personal triggers, the concept of centring, broadening our exposure to failure and many other things. I hope you enjoy this episode with a true legend and friend. You can find out more about Piers here: http://pierscarter.co.uk/ For more content from the Restore Podcast please head over to:  https://anchor.fm/eoin-walker1/episodes/Episode-11-High-Performing-Individuals-with-Piers-Carter-ee9u7p
53:55
May 23, 2020
The UK's busiest Major Trauma Centre with Karim Ahmed
The UK's busiest Major Trauma Centre with Karim Ahmed
In this episode I interview Karim Ahmed the clinical lead for the emergency department of the Royal London Hospital (RLH) in Whitechapel. We examine the impact of MTCs across the health economy and why they can add a survival benefit to the patient. We also look at the utility of overlaying fundamental and essential patterns of care to complex scene's and how this deconstructs some extremely challenging pathology. We also examine the social deprivation that tracks trauma & some of the outliers that can present to the RLH. We also get some pearls of wisdom from Karim in relation to trauma and the wider population of undifferentiated trauma patients that constitute the case load seen on any given day in London.  I hope you enjoy this episode with an insightful friend and colleague. 
01:03:44
May 19, 2020
Special Forces Vs Critical Care (Restore Podcast collaboration)
Special Forces Vs Critical Care (Restore Podcast collaboration)
In this episode I chat to Jason Fox - a former Royal Marine Commando and Special Forces Sergeant. Joining at 16 and serving for 20 years; Jason passed the grueling selection process for the Special Forces, serving with the Special Boat Service. Jason has planned and led operations including hostage rescue, counter terrorism, counter insurgency, maritime counter terrorism, surveillance, body guarding and counter narcotic missions. He currently features in the channel 4 program - SAS: Who Dares Wins. We look at the similarities between the Special Forces (SF) and critical care (paramedic) practice. We examine the principles of high performing teams, relationship with failure, and communication amongst other aspects. We also look at self care and what it means on a practical level and the power of not taking yourself too seriously. I have always found Jason to be honest and open person which is why having conversations with him is so refreshingly real. This episode will feature on the Restore Podcast (self-care non-clinical) and the Pre-hospital Care Podcast (clinical conversations) as it relates to both. I hope you enjoy this episode.
49:46
May 16, 2020
Fundamentals of Research
Fundamentals of Research
In this episode Nick Brown and Jo Shaw deconstruct the definitions, challenges and nuances of research within pre-hospital care. They examine the history of research and the differences between research, audit and service evaluation. They look some of the results of the contemporary bigger research studies that have recently been published & also the origins of funding through the national governmental bodies such as the National Institute of Health Research (NIHR).  They also differentiate some of the various methodologies within empirical research and make reference to how this can affect the outcome data and inference to the clinical bottom line. This episode illustrates that it is important to be driven by the data especially in an information light environment when on scene with patients.  We hope you enjoy the episode
32:51
May 14, 2020
Trauma Tree & Vital Signs
Trauma Tree & Vital Signs
In this episode myself and Mark Falkner look at the origins of the trauma tree & why it was created. We also look at the origins and utility of GCS, heart rate and respiratory rate. We also discuss the mapping of social deprivation onto trauma & the exposure that paramedics see in regards to trauma. We also look at some of the outliers within trauma that don't fit the historical picture of trauma. We also look at the most useful vital sign - that of respiratory rate. I hope you enjoy the episode. For more content by me head over to the Restore Podcast with Eoin Walker: https://podcasts.apple.com/gb/podcast/restore-with-eoin-walker/id1505391534
50:38
May 04, 2020
Critical Care Concepts
Critical Care Concepts
In this episode I interview Mark Falkner the Critical Care Scheme lead in London. We look at a cross section of critical care concepts from Traumatic Brain Injury to which are the most essential vital signs to pay attention to. We also look at some of the empirical literature of the above topics and examine the trauma tree in relation to this. I hope this episode imparts some key take home messages for you all as clinicians in the pre-hospital domain of practice. Please also find more content from me around inspiring stories in mental health and well-being from a whole cross section of society on the Restore Podcast with Eoin Walker here:  https://anchor.fm/eoin-walker1/episodes/Episode-3---Reboot-your-life-with-Dan-Richards-ec8ep2 I hope you enjoy the episode 
21:42
May 03, 2020
Austere Medicine with Eoin & Roger Alcock
Austere Medicine with Eoin & Roger Alcock
In this episode we explore the various domains of medicine away from an ambulance or hospital setting. Roger Alcock is an Emergency Medicine and Paediatric Emergency Medicine consultant in Scotland and was involved in the 2014 UK response to the West Africa ebola crisis. Myself and Roger explore the facets of humanitarian and expedition medicine that can add to your career and add depth and breath to experience as a pre-hospital clinician. We explore some of the details of Roger's Sierra Leone deployment for the ebola crisis and some of his expedition endeavours all of which have added to his career and perspectives. We also examine some of the non-technical skills that these deployments and expeditions can foster which both add to resourcefulness and situational awareness of clinical demand and innovation in low resource settings.  I hope you enjoy the episode.
58:41
April 26, 2020
End of Life Care with Dan, Georgina, Diane and Caroline
End of Life Care with Dan, Georgina, Diane and Caroline
This episode focuses on a vital part of pre-hospital care; that of end of life care. Dan Davis explores this area with Caroline Philips, Diane Laverty, Georgina Murphy Jones. As all three guests work in various capacities for Macmillan they explore both the similarities and variations of palliative and EoLC and the subtle changes in approach to these patients. They look at the mindset change of approach to these patents in de-emphasising resuscitation and focusing on rapport building, supporting documented wishes and multi-agency engagement to facilitate the best care in the last period of a patient's life. Diane Laverty works as a Macmillan Nurse Consultant and is passionate about specialist palliative care and EoLC patients having a voice and receiving high quality care across all domains of practice.  Caroline Philips and Georgina Murphy Jones work as paramedic clinical tutors and Macmillan specialist clinicians helping embed both EoLC training and practice across London and to fellow colleagues. They examine the difficulty of not having prior rapport with these patients & families and some of the variations we would expect to see when looking at the physiology and clinical findings. This episode is especially important in the current climate and Dan brings this into focus talking about his own experiences with EoLC with his own father.  Please enjoy this episode which discusses this relevant and important narrative within pre-hospital care.
01:04:21
April 21, 2020
Traumatic Brain Injury - with Dan Davis & Alice Kershberg
Traumatic Brain Injury - with Dan Davis & Alice Kershberg
In this episode Dan Davis explores the wider aspects of TBI with Alice Kershberg, a clinical nurse specialist in traumatic brain injury.  Alice plays a vital role in not only looking after patients who have suffered a traumatic brain injury, but acts as the bridge between the hospital and the community and between the neurosurgery team and the family. In this episode we explore many facets of the pathology but also shine a light on the pastoral role of acting as a liaison supporting patients and family after surgery, helping them to navigate their recovery in what can be a life changing injury. Alice's role is fundamentally key to linking medicine to the lives of those affected in the community and gives an insight into the patient journey after pre-hospital care has passed the baton onto the hospital and into rehabilitation - we hope you enjoy the episode. 
01:00:55
April 13, 2020
New experiences in Pre-hospital Care with Nick Brown
New experiences in Pre-hospital Care with Nick Brown
In this episode Nick Brown examines a cross section of perspectives from staff that have recently qualified to staff that have progressed through to fully qualified. We get their thoughts on education and mentoring through various routes into pre-hospital care. We also look at some of the support mechanisms for clinicians and the diverse range of presentations that pre-hospital care throws at you.  It is a fascinating insight into various levels of experience, clinical grades & thoughts through fresh eyes  in what can sometimes be one of the most challenging roles within the NHS.
01:12:60
April 06, 2020
High Performing Teams with Eoin & Dan
High Performing Teams with Eoin & Dan
In this episode we take a look at the components of high performing teams and what differentiates these from teams that fail to perform. We examine the concepts of ownership, humility, checklists, communication and non-technical skills. We also look clinicians relationship with failure and how that can either be a tool for positive change or compound the failure and associated implications. We take examples across domains and relate them back to pre-hospital care - looking at themes of successful teams from a technical and non-technical perspective. We hope you enjoy the episode. 
01:35:53
March 31, 2020
The Facts Behind the Coronavirus Pandemic with Will Duffin
The Facts Behind the Coronavirus Pandemic with Will Duffin
At the recording of this podcast episode, the world is in the midst of the coronavirus pandemic. Eoin welcomes a special guest to go through the facts of the global crisis with Will Duffin, education lead and content director at the World Extreme Medicine.
45:37
March 25, 2020
S02E08: Mark Faulkner: Defanging the Coroner’s Court for Paramedics
S02E08: Mark Faulkner: Defanging the Coroner’s Court for Paramedics
In this episode of the pre-hospital care podcast, we welcome Mark Faulkner, an advanced paramedic practitioner, to unpack the often daunting legal world that paramedics are exposed to.
30:09
August 12, 2019
S02E07: Ben Clarke Part 2: Deliberate Practice in Pre-Hospital Care
S02E07: Ben Clarke Part 2: Deliberate Practice in Pre-Hospital Care
You never know when that "nightmare job" or patient is going to appear and put you to the test. As clinicians, we should be always attempting to push our push our skills closer to perfection. In this episode, Ben Clarke shares his insights into deliberate practice, in-time learning, and meta-cognition. 
19:44
July 29, 2019
S02E06: Ben Clarke Part 1: Leadership Techniques in Pre-Hospital Care
S02E06: Ben Clarke Part 1: Leadership Techniques in Pre-Hospital Care
In part 1 of our conversation with Ben Clarke (Assistant medical director of London Ambulance Service), we talk about leadership in pre-hospital care. What's more important - a good leader, or a good team willing to follow? Can you teach leadership or does it only come from experience? Can you be born a leader? How do you empower different types of staff on-scene? Join us as we explore the nature of leadership in pre-hospital care. 
39:44
July 15, 2019
S02E05: Esther Murray (Part 2): The Flow State in Healthcare
S02E05: Esther Murray (Part 2): The Flow State in Healthcare
Have you ever been working, and all sense of time and self melts away, and you find yourself in perfect sync with what you’re doing? There’s a word for that. It’s called the Flow State.  In part 2 of our conversation with Dr Esther Murray, we  explore Flow and how to put yourself in hyper productive mindsets more often using specific techniques anyone can implement in their work. Dr Murray is a Senior Lecturer in Health Psychology and an expert in the subject of moral injury and self-care. 
26:18
July 01, 2019
S02E04: Esther Murray (Part 1): How to Take Care of Yourself After a Moral Injury
S02E04: Esther Murray (Part 1): How to Take Care of Yourself After a Moral Injury
In part 1 (of 2) of our conversation with Dr Esther Murray, we explore the concept of a moral injury, and how paramedics can spot warning signs that they've suffered one, as well as tips on how to restore a good mental state. Dr Murray is a Senior Lecturer in Health Psychology and an expert in the subject of moral injury and self-care. 
30:56
June 17, 2019
S02E03: Victoria Lebrec: Collision Survivor & Activist for Road Safety in London
S02E03: Victoria Lebrec: Collision Survivor & Activist for Road Safety in London
In this episode, we welcome Victoria Lebrec, who fights for road safety in London after losing her leg being run over by a skip lorry in 2014. Others have lost limbs on the same section of road since her incident, and it is only one of many places in London where accident rates are disproportionately high. Victoria’s work is focused on raising awareness for the need for improvements for cyclist safety across London. 
33:08
June 03, 2019
S02E02: Dan Richards: Motorcycle Collision Survivor & Amputee
S02E02: Dan Richards: Motorcycle Collision Survivor & Amputee
Meet Dan Richards, an ex-patient of Eoin’s who lost his right arm and shoulder in a traffic accident 9 years ago. His story of recovery and his imperturbable attitude is inspiring. He summed it up perfectly with, “…whatever you want in life, you must work hard for it. Even if you don’t get it, you can still hold your head high and say, ‘Well, at least I did not give up,’ and while there is no shame in giving up, there is no success in it either.”
49:15
May 20, 2019
S02E01: Zoe Hitchcock: Cardiac Arrest Survivor
S02E01: Zoe Hitchcock: Cardiac Arrest Survivor
Update:  Due to a technical hiccup, this episode was cut short by about 15 minutes during the first day of it's being published. It's now updated, so If you listened to it then and would like to catch the rest of this conversation, you can re-download the episode now. Thank you for your patience.  We're back with the second season of the Pre-Hospital Care podcast! Our first episode is a fascinating conversation with a cardiac arrest survivor and long friend of Eoin's, Zoe Hitchcock. They met when Zoe suffered a heart attack and Eoin happened to be sent out to treat her. Tune in for a fascinating and unique perspective on pre-hospital healthcare from the patient's perspective.
01:01:47
May 06, 2019
S01E08: Self-Care and Dealing with Trauma with Dan Davis (Part 2)
S01E08: Self-Care and Dealing with Trauma with Dan Davis (Part 2)
We end the first season of The Pre-Hospital Care Podcast by finishing up Eoin and Rich’s conversation with Dan Davis as they talk about dealing with the emotional trauma that is, unfortunately, part and parcel of pre-hospital care.  Thanks so much for being a part of this journey into healthcare podcasting. Keep an eye out for season 2! It’ll be out before you know it. 
50:19
February 27, 2019
S01E07: Self-Care and Dealing with Trauma with Dan Davis (Part 1)
S01E07: Self-Care and Dealing with Trauma with Dan Davis (Part 1)
The paramedic field is much more fast-tracked than it once was. It's such an established path that many new paramedics have come straight from the classroom, and are being thrown into situations that a professional of any seniority would find it difficult to handle.  Perhaps it's no surprise, then, that the mental health of people working in emergency healthcare is getting worse over time. What can be done? 
28:24
February 13, 2019
S01E06: Family Witness Resuscitation and Breaking Bad News, with Nick Brown (Part 2)
S01E06: Family Witness Resuscitation and Breaking Bad News, with Nick Brown (Part 2)
On this episode of Pre Hospital Care Podcast, Eoin and Rich continue their discussion with Nick Brown to tackle the non-technical skills necessary in controlling a tragic and highly emotional scene. In 96% of cardiac arrest cases, the patient doesn’t make it. When that happens, they are not the only patient.  Losing a loved one is traumatic and a genuine health risk over time. If we take our oath as clinicians seriously, therefore, we must be well prepared and skilled in not adding any further stress and trauma, as well as set up avenues for ongoing help and support.  Medics.Academy is dedicated to educating health professionals on every aspect of medicine, both technical and non-technical.  Go to www.Medics.Academy to browse our library of healthcare education. 
46:42
January 30, 2019
S01E05: Family Witness Resuscitation and Breaking Bad News (Part 1)
S01E05: Family Witness Resuscitation and Breaking Bad News (Part 1)
On this episode of Pre Hospital Care Podcast, Eoin and Rich talk tackle perhaps the toughest topic in pre-hospital care. Delivering bad news to family members. Health professionals are not usually well taught about how to deliver the news of the death of a patient in a suitable and tactful way. This episode explains the four stages of delivering bad news, words to avoid, and how to remain professional but give support as much as you and your team can. Medics.Academy is dedicated to educating health professionals on every aspect of medicine, both technical and non-technical. Go to www.Medics.Academy to browse our large library of CPD-ready courses. 
40:32
January 16, 2019
S01E04: The Pre-Hospital Airway (Part 2)
S01E04: The Pre-Hospital Airway (Part 2)
In this week’s podcast, we continue to discuss the crucial topic of pre-hospital airway management. How can we maximise the chances of patients with airway problems when time and circumstance are not on our side?  Eoin Walker and Rich McGirr walk through different procedures and both technical and non-technical aspects of managing the airway in the field.  For CPD-relevant content about pre-hospital care and many other healthcare fields, sign up at www.Medics.Academy.
38:47
January 02, 2019
S01E03: The Pre-Hospital Airway (Part 1)
S01E03: The Pre-Hospital Airway (Part 1)
Eoin Walker and Rich McGirr are back to discuss the ever growing evidence base and controversial topic of airway management in the pre-hospital setting. How does the reality of managing this urgent, life-or-death part of the body differ from what is taught in the classroom? What are the essential steps in dealing with the prehospital airway? What are the pros and cons of each method?
43:09
December 19, 2018
S01E02: Club Drugs & Non-Legal Highs (Part 2)
S01E02: Club Drugs & Non-Legal Highs (Part 2)
Eoin Walker and Rich McGirr are back with special guest Martin Mist to talk more about the unique challenges that present themselves to paramedics when dealing with crises brought on by ingestion of illegal substances. When will you need to resort to physical restraint? Why part of a paramedic’s job is to be a detective. How to do proper research on new. What the top 5 hard-hitter drugs are and key nuggets for dealing with each. All this and more on the latest episode of the Pre-Hospital Care Podcast.
01:03:37
December 05, 2018
S01E01: Club Drugs & Non-Legal Highs (Part 1)
S01E01: Club Drugs & Non-Legal Highs (Part 1)
Paramedics are constantly in the middle of life and death situations. In the first full episode of the Medics.Academy Pre Hospital Care podcast, paramedics Owen Walker, Richard McGirr, and Martin Mist discuss Club Drugs and Non-Legal Highs and their effects on patients. As paramedics, they’re the first medical professionals to assess a situation before getting them to physicians at the hospital. They see the patients at their lowest point, suffering from anything from a cardiac arrest, a severe allergic reaction or a psychotic episode. Among many other topics, this episode covers the common and uncommon presentations of patients after drug overdoses and what paramedics look for and how to assess the situations.
57:01
November 20, 2018
S01E00: Introduction
S01E00: Introduction
This podcast is presented by Eoin Walker and Rich McGirr and is a Medics Academy podcast. The purpose of this podcast is to provide paramedics an easy-to-access set of resources and educational materials wherever they are. Feel free to take a look at the description in the footnotes of the podcast. Sign up to Medics Academy today to find out even more about what we do and just how much content we put out there for your education.
08:47
November 02, 2018