The Wider World of Pre-hospital Care; Roadside to Resus

15 snips

Dec 11, 2025

Guest

Zane Perkins

Camella Main, a consultant midwife and lead in ambulance services, introduces the National Pre-hospital Maternity Decision Tool to enhance care for pregnant patients. Cosmo Scurr discusses the AAGBI's SAFER guidance updates, including video laryngoscopy and team requirements. Felix Wood clarifies crush injury management and the importance of potassium monitoring. Zane Perkins dives into the role of artificial intelligence in pre-hospital care, showcasing its potential for ultrasound coaching and prediction models that could reshape clinician responses.

Ask episode

AI Snips

Chapters

Transcript

Episode notes

ADVICE

Use The Maternity Decision Tool

Use the Pre-hospital Maternity Decision Tool for pregnant or recently pregnant patients instead of NEWS2.
Pre-alert and repeat observations as guided by the tool to enable seamless, safer hospital management.

INSIGHT

NEWS2 Is Not Sensitive In Pregnancy

NEWS2 misses deterioration in pregnant women; maternity-specific parameters are more sensitive.
In one audit 58% of women would not have triggered time-critical conveyance if assessed by NEWS2.

ADVICE

Professionalise Voluntary Responders

Create accredited learning and clear supervision pathways for voluntary pre-hospital clinicians.
Frame events as approved practice settings to allow supervised skill development and quality assurance.

Get the Snipd Podcast app to discover more snips from this episode

Get the app

Welcome to this special edition of Roadside to Resus where we're diving into some of the progressive and practice-defining developments in pre-hospital emergency care. This episode brings together a superb group of clinicians, educators and leaders who are shaping the future of PHEM across the UK, and we caught up with them at the recent Faculty of Pre-hospital Care Conference entitled 'The Wider World of Pre-hospital Care'!

We start with Pam Hardy, the Chair of the FPHC, who offers an introduction to the College and its ongoing work to elevate standards across pre-hospital care.

Next, Camella Main guides us through the brand-new Pre-hospital Maternity Decision Tool designed to support clinicians facing complex decision making in this complex group of patients. Camella breaks down how the tool came to fruition and how teams can use it to enhance safety and decision-making on scene.

We then hear from Ben Sheppey, who explores the growing move to formalise and professionalise voluntary pre-hospital care. Ben reflects on the challenges, opportunities and cultural shifts required to align voluntary responders with national standards.

Harriet Tucker then walks us through the new FPHC consensus statement on managing penetrating neck injuries. She distils the key principles, the recommendations, and how the guidance aims to bring clarity to one of the most complex and time-critical presentations we face.

From there, Cosmo Scurr unpacks the latest AAGBI PHEA Guideline, highlighting the key movements in delivering anaesthesia in the pre-hospital environment.

We also hear from Felix Wood, who provides a sharp, practical look at crush injury and crush syndrome.

Finally, Zane Perkins explores the rapidly advancing world of AI in PHEM. From practical application to decision making support. Zane describes how emerging technologies have the potential to change prehospital care in ways we may have never considered before!

A huge thanks to the expert speakers for their time recording highlights from the superb conference.

Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon, Rob & James