Pre-Hospital Care Podcast 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.
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I hope you enjoy this episode with an insightful and engaging guest.