Archive for the ‘Podcast’ Category
Did you read the article about the fire crew that cut the roof off a police car after a patient took refuge following a two car bumper bashing? Complained about whiplash and ended up being collared and boarded. It was in all the tabloid newspapers? If you didn’t read it, I’m pretty sure you will find several stories similar in nature across the internet and I’m pretty sure you would have rolled your eyes skywards, wondering why would someone want to place a cervical collar around certain patients. In this podcast I get the opportunity to discuss with Emergency Medicine Consultant Jonathan Benger that exact question “Why do we put cervical collars on conscious trauma patients?”
The UK paramedic is going to start seeing a greater availability of Ketamine at the roadside in the near future. With the recent amendment to the legal framework that covers the possession and transportation of scheduled medication or the “misuse of drugs” act, Paramedics have now been given entitlement to carry Ketamine for the purpose of medical administration. However there is still a grey area as to who is actually qualified to administer Ketamine. In the recent release of the 2013 JRCALC guidelines, the guide refers to Ketamine being administered by a “suitable trained practitioner”. This passes the responsibility to the local ambulance authority to dictate who can or can not administer Ketamine under the directive of a PGD (Patient Group Directions).
This is a short podcast with the event organiser of the Paramedic programme for this years Trauma Care conference, John Wood. Chair of the Great Western regional branch of the College of Paramedics, John is coordinating the first day of the conference that has been dedicated purely to Paramedic practice. In this podcast John gives me a glimpse at the line up of speakers to the conference as well as admitting to his addiction to social media and twitter onair. (more…)
In an earlier post I was moaning about my fellow Paramedics, being their own worse enemies, quick to complain about the lack of any progress within our profession, but slow to act when given the chance to do something. Participating in clinical research is the one tool open to us to do so. Potentially if we miss an opportunity to push ourselves to the front of the queue along with all the other white coats in the clinical research credibility sweepstakes we will continually be relegated to the back of the class when it comes to important discussions. I was afraid that our profession was missing the boat and worried that many others feel research is well outside our reach.
In this episode of the podcast series I get to chat to the directors and founders of the Wessex critical care programme about the programme being run, down toward Southampton. I chat to Michael Eddie and Owen Hammett about their recent presentation on head injuries and we cover the NICE guidlines along with the key things to bare in mind when faced with a patient with a depressed level of conscious.
Remember the TOPCAT2 trial? That was a trial being run up in Edinburgh that looked at how to improve the outcome in an out of hospital cardiac arrest (OHCA). From the presentation of the paper last year the authors highlighted a trend in the return of spontaneous circulation under the trial that was 6,5% above the national average. By creating a second tier specialist cardiac arrest Paramedic for the trial or a “TOPCAT Paramedic”, this trial could have an impact on how paramedics and ambulance trusts should approach OHCA in the future. Based on this trial the current method of running a resus in the prehospital environment will need to be reviewed.
This is the third part of our Podcast series into Airway Management with John Hinds. In this podcast we discuss the one airway that everyone fears, the nightmare airway! We discuss the traumatic airway where direct injury makes the landscape and landmarks difficult to recognise. We touch on RSI and ask who should be providing this service at the roadside and what should we be doing for the 10 minutes whilst waiting for somebody who can RSI or insert a more advanced airway to arrive. In the worse case scenario of the steadily occluding airway we discuss the surgical airway and the best way to deliver oxygen through it. And then for the most nightmarish of airways of them all , the peadiatric airway!
In this the second part of the podcast series on preHospital intubation and airway management with John Hinds we chat about recognising when you are failing at intubation and how to best rectify the problems paramedics commonly come up against. We chat about the actual mechanics of passing a tube and the thought process of doing so. As part of a generation that has become dependend on an end tidal CO2 reading, confirming if we are actualy in the trachea, John gives us a few tips that the “old guys” where using before the days of capnography. John introduces me to the “intubating supraglottic device” and the neat trick of passing an ET tube down the centre of the device. If you can pull that trick off at your next difficult resus, you should come away looking like a “Legend”. (more…)
If you’ve ever sat through one of John Hinds’ presentations on airway management you would be baffled by the number of slides to do with motorcycles in the first few minutes of the talk. What becomes obvious is his passion for motorcycle racing probably gives him more than enough credibility when it comes to managing the difficult airway after a severe crash. John is a consultant anaesthetist and intensivist in Northern Ireland as well as part of the BASICS group Northern Ireland. It was after one of his presentations to a group of Paramedics on airway management that I asked John to share some of his tips and tricks when placing an ET tube for this podcast. (more…)
It use to be a smoke plume or the ringing church bells that signaled a call for help. A runner between the villages, carrying details of disaster and distress, summoning help with a cry from door to door. Now it’s a simple tweet that alerts a community to a developing catastrophe, not a bird song but the digital chirp of social media. If we as an EMS community are suppose to be sending the help, are we listening? (more…)