Pre-Hospital Care Podcast

In this conversation, we will examine human performance, some of the fundamental components of performance, models of performance, and how we train versus how we perform. We will also examine the importance of psychological safety, and the interplay between performance, standards, and behaviour. We also speak around the concept of culture as an enabler for performance. To do this I have Tom Hurst with me. Tom is the Medical Director of London’s Air Ambulance (LAA), he is also a Consultant in Intensive Care Medicine (Critical Care) at King's College Hospital London. He is also a Consultant in Pre-Hospital Emergency Medicine at London HEMS, Bart's Health. Tom’s practice covers a wide range of general critical care as well as neurosciences, cardiovascular, major trauma and ECMO. To learn more about LAA and its people, please see here: https://www.londonsairambulance.org.uk/ To donate to their cause and work please see here: https://www.londonsairambulance.org.uk/donate This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: ⁠⁠https://www.pax-bags.com/en/⁠

In this conversation, we will unpack the International Journal of Paramedicine and the original vision for the journal. We will also look at the reach of the journal and the different sections of the journal yet to launch. We also examine the interaction with the journal as it looks to create discussion and research ideas and how people can get involved in the journal team amongst much more. To do this I have Mic Gunderson with me. Mic has been involved in EMS since 1975 in various clinical, teaching, leadership, and consulting roles. He is currently the President of the Center for Systems Improvement, the EMS Quality Academy, and the Chief Strategy Officer for the Cambridge Consulting Group. Mic also serves as the Editor-In-Chief of the International Journal of Paramedicine, which is published by the National EMS Management Association in the United States. The journal can be found here: https://internationaljournalofparamedicine.com/index.php/ijop/index This podcast is sponsored by PAX. Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: ⁠https://www.pax-bags.com/en/⁠

In this episode we are speaking with London HEMS Paramedic Keiren Rodwell. We dig into Keiren's background from working as a paramedic student in New South Wales, to working for the London Ambulance Service LAS in north east London. Keiren joined London Ambulance Service straight out of university in February 2018. We speak about the death of two of Keiren’s extended family whilst protecting their family from the wild fires in Australia. We dig into what a typical day looks like in London's Air Ambulance (LAA) and also Kerien's journey to this point. We also examine the fundamental differences between pre-hospital care in Australia to the UK. Around 25 per cent of LAS paramedics are Australian. The Service first began a recruitment campaign to attract Australian paramedics in 2014. At the time a national shortage of paramedics in the UK meant that the LAS looked to Australia because alignment of skills and training to UK practice. This podcast is sponsored by PAX.  Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: ⁠https://www.pax-bags.com/en/⁠

In this conversation we will examine the current state of play within UK military medicine, the demographics of modern military capability; that of deployable role 1, 2 and 3 hospitals within the field. We will also examine the lessons learnt from recent conflicts and how they might inform the military medicine of the future. We look at analogues of comparison from the last major British involvement in conflict within Iraq and how innovative aero-medical retrieval (MERT) and damage control surgery from seminal cases such as Camp Bastien can inform future care. We look at the increase in trended patterns of non-combatant injury from drone and missile strikes (that of blast injuries), the ever-present risk of IED insult and injury and finally how we might leverage near-term adaptations of pre-hospital/MERT capabilities for future deployment. To do this we have Major General Tim Hodgetts with us. Tim is the current serving Surgeon General of the United Kingdom Armed Forces, the Master General of the Army Medical Services, and the elected Chair of the Committee of Chiefs of Military Medical Services in NATO. His clinical background is a Professor of Emergency Medicine. Originally qualifying from Westminster Medical School, commissioned in the Royal Army Medical Corps, through to his present-day role of Surgeon General, and is the senior technical authority for all clinical matters in defence.  This podcast is sponsored by PAX.  Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: ⁠https://www.pax-bags.com/en/⁠

In this conversation, we speak with Australian emergency physician Dr. Ben Mckenzie. Ben has developed the AMAx4 algorithm as a streamlined approach to recognising and treating anaphylaxis after the tragic death of his 15-year-old son Max Mckenzie. Ben has helped standardise best practices for this life-threatening emergency. Promptly following the AMAx4 steps is vital for patient survival in the initial minutes of anaphylaxis until emergency medical services arrive. Anaphylaxis is a severe, potentially fatal allergic reaction that requires prompt adrenaline to optimise survival outcomes. AMAx4 emphasises key steps that should be taken as soon as anaphylaxis is identified. The simplified, structured sequence helps reduce treatment delays, improves outcomes, and has been endorsed by major allergy organisations as an evidence-based protocol. *** Please note, that you should adhere to local guidelines and protocols and remain compliant to these when practising pre-hospital care. Only practice the above algorithm with the support of your institution.' For more information please find the protocol here: https://litfl.com/amax4-algorithm/ And here: https://www.amax4.org/ This podcast is sponsored by PAX.  Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid-access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range please click here: https://www.pax-bags.com/en/

In this conversation, we will examine how trauma is both managed and reported on throughout Scotland. The Scottish Ambulance Service (SAS) receives over 1.5 million calls a year and responds to over 500,000 emergency incidents per year. In the episode, we will discuss The Scottish Trauma Audit Group (STAG) as a national audit group within the Scottish National Audit Programme of Public Health Scotland. STAG measures and is tasked to improving the quality of care, overall experience, and long-term outcome of patients with significant injuries throughout Scotland. We will also examine the Advanced Practitioner in Critical Care scheme in Scotland and how it has developed, how it is managed and some of the recent adaptations according to need throughout Scotland. We will also look at the need for key interventions when critical care is not available.   To do this I am speaking with Martin Esposito. Martin is a Consultant Paramedic for Major Trauma within SAS. In this role, he is the lead for all the major trauma work within SAS and also line manages the Advanced Practitioners in Critical Care. As well as trauma, is has a special interest in Pain Management and is the SAS lead for pain management as well as an Honorary Tutor at Cardiff University. More information on STAG can be found here: https://www.stag.scot.nhs.uk/ We look forward to seeing you in 2024. Happy New Year! Eoin

This is a selection of 10 of the most downloaded episodes of 2023. In this episode, we hear from: Major Incident Management with Keir Rutherford and Alec Wilding. The future state of Pre-Hospital Care with Jason Killens. Safe Sedation of Acute Behavioural Disturbance with Tim Edwards. Addiction part 3 with Dr Brian Hall. Paramedic Burnout with Liz Thyer These conversations were the last 5 of the ten most downloaded episodes of 2023. Needless to say, I learnt a lot from every guest on the podcast and feel privileged to have interviewed some great clinicians, guests and professionals on the podcast. Please feel free to reach out to me with feedback on the podcast and also feel free to rate, review and subscribe to the podcast wherever you get your podcasts. My thanks again for a great year and all the engagement along the way. If you have any feedback, suggestions and/or comments, please feel free to reach out to be at eoinwalker@hotmail.com Happy 2024! Eoin 6ntc23zu

This is a selection of 10 of the most downloaded episodes of 2023. In this episode we hear from: The UKISAR deployment to the Turkey earthquake disaster with Deb Swann. The Ten Second Triage Tool (TST) with Claire Park. The Pre-Hospital Airway with John Chatterjee. Pelvic Trauma with Ash Vasireddy. High-Fidelity Training with Neel Bhandari. These conversations were 5 of the ten most downloaded episodes of 2023. Needless to say, I learnt a lot from every guest on the podcast and feel privileged to have interviewed some great clinicians, guests and professionals on the podcast. Please feel free to reach out to me with feedback on the podcast and also feel free to rate, review and subscribe to the podcast wherever you get your podcasts. My thanks again for a great year and all the engagement along the way. If you have any feedback, suggestions and/or comments, please feel free to reach out to be at eoinwalker@hotmail.com Merry Christmas to everyone! Eoin

In this conversation, we will examine some of the contemporary reflections on the Ukraine crisis with David and Shawn. We will examine what it is currently like on the ground, some of the emerging needs and how David and Shawn believe they can be met. We will also dig into David and Shawn’s background in Ukraine and how this has evolved. We will look at our guest's anecdotal reflections on the conflict currently and some of the main factors that have changed and some that have remained over time such as the Ukrainian resiliency and mindset. To support Medics 4 Ukraine please see here: https://worldextrememedicine.com/blog/humanitarian-medicine-posts/medics4ukraine-fundraising-appeal/

In this conversation, we will be looking at the current guidelines on the pre-hospital management of drowning and the academic research that underpins these principles. We will explore the epidemiology of drowning and examine patient outcomes as a group. We will also discuss the important wider efforts in public awareness and prevention. To do this, we have Mike Tipton with us. Mike is a household name in the surf lifesaving community and is one of the leading UK academics on drowning. He currently leads the extreme environmental laboratory at the University of Portsmouth. He has spent over 40 years working in thermoregulation, environmental and occupational physiology. This includes as a survival and thermal medicine consultant to the RAF and UK Sport. He has been heavily involved in the RNLI for many years, as a consultant advisor to the medical directorate. In 2018 he was awarded an MBE for services to physiological research in extreme environments.