Pre-Hospital Care Podcast

In this episode, we'll delve into the organisational culture of ambulance services; and the unwritten rules, beliefs, and behaviours that shape how we work. From KPIs to mission statements to crew room dynamics, to the disparate social work hours of pre-hospital care. We unpack the insights of what truly makes this unique workplace tick. Joining me is Carl Betts, a fellow co-host of the Pre-Hospital Care Podcast and the Quality Improvement lead for a UK Ambulance Service. We hope you find this conversation both informative and helpful. 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 innovative designed product range please click here: ⁠https://www.pax-bags.com/en/⁠ This episode is sponsored by the International Critical Care Paramedic Group (ICCPG): The ICCPG are dedicated to advancing global Paramedicine through knowledge sharing and improved communication. Join their second conference on January 30, 2025, following the success of their 2022 event, which united over 600 paramedics worldwide. This virtual event will feature detailed case studies and in-depth clinical, training, leadership, and research discussions. Don't miss this opportunity to connect with peers and learn from international experts. For more details, contact Christian Wiggin at christian.wiggin@collegeofparamedics.co.uk This podcast is sponsored by the University of Hertfordshire. The University of Hertfordshire’s MSc Advanced Paramedic Practice offers flexible, part-time study with some online options. Students can choose between two pathways: Primary and Urgent Care or Emergency and Critical Care. The program includes modules in leadership, coaching, and independent prescribing. Expert, research-active staff with national and international profiles deliver innovative teaching using online, VR, and simulation technology. With over 25 years of heritage, the program promises excellent career prospects and opportunities for further research through Masters by research and PhDs. Please see here for further details: https://www.herts.ac.uk/courses/postgraduate-masters/msc-advanced-paramedic-practice2?utm_campaign=pg_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic

In this episode, we examine the upcoming Paramedic Norwegian Acute Stroke Prehospital Project (ParaNASPP), a stepped wedge randomised trial evaluating the use of the National Institutes of Health Stroke Scale (NIHSS) for stroke screening by paramedics in ambulances. The study aims to enhance early stroke identification and triage, potentially improving outcomes through faster, more accurate prehospital diagnosis and treatment initiation. By training paramedics to utilise the NIHSS, the project seeks to streamline the care pathway, ensuring stroke patients receive timely and appropriate care, thereby reducing the time to treatment and improving overall patient prognosis. To do this we have Dr. Maren Ranhoff with us. Maren is a consultant physician in neurology at Oslo University Hospital and an associate professor. She spearheads the Acute Brain Programme, a critical initiative aimed at enhancing neurological care. This programme is designed to streamline the entire process of neurological emergency care, from dispatch to on-scene assessment, triage, and seamless communication during patient handovers. Maren's leadership has been instrumental in fostering a multidisciplinary approach that improves patient outcomes and sets new standards in neurological emergency and pre-hospital management. In addition to her work with the Acute Brain Programme, Maren is deeply involved in stroke research and innovation. Her research focuses on developing advanced diagnostic tools and therapeutic strategies to improve the treatment and recovery of stroke patients. Dr. Maren's innovative work in stroke care includes the development of rapid response protocols and the integration of cutting-edge technology to enhance the precision of stroke diagnosis and treatment. In this podcast, we will delve into the team’s remarkable achievements and the profound impact of Maren's work in the field of neurology and pre-hospital care together with the ParaNASPP study. For more information see here: ⁠https://pubmed.ncbi.nlm.nih.gov/35120559/ This podcast is sponsored by the University of Hertfordshire. The University of Hertfordshire’s MSc Advanced Paramedic Practice offers flexible, part-time study with some online options. Students can choose between two pathways: Primary and Urgent Care or Emergency and Critical Care. The program includes modules in leadership, coaching, and independent prescribing. Expert, research-active staff with national and international profiles deliver innovative teaching using online, VR, and simulation technology. With over 25 years of heritage, the program promises excellent career prospects and opportunities for further research through Masters by research and PhDs. Please see here for further details: https://www.herts.ac.uk/courses/postgraduate-masters/msc-advanced-paramedic-practice2?utm_campaign=pg_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic

In this episode, we delve into the Ten Second Triage Tool (TST) to understand its performance in action. We explore the development and impact of the NHSE Major Incident Triage Tools (MITT & TST), designed to prioritise life-saving interventions quickly and effectively. Our guest provides insights into how these tools are transforming emergency response, training for responders, and real-world applications. Discover how these advancements are setting new standards in trauma care and emergency preparedness.   Joining us is Dr. Philip Cowburn, Consultant in Emergency Medicine, Medical Director for South Western Ambulance Service, and co-author of the new 10-second triage tool for mass casualty incidents. Phil is a consultant in Emergency Medicine working at both Trusts in Bristol and co-founded the Great Western Air Ambulance service. With over a decade of experience in ambulance service medical directorate roles, he also serves as the medical advisor for the National Ambulance Resilience Unit. Dr. Cowburn has been instrumental in implementing clinical practice changes from the Manchester Arena Inquiry recommendations and is active in the Faculty of Pre-Hospital Care in both Immediate Medical Care and Major Incident Management examinations. Here is an excellent episode from the Resus Room team on Major Incident Triage featuring Phil Cowburn: https://podcasts.apple.com/gb/podcast/major-incident-triage/id1090433226?i=1000659333727 TST resources can be found here: https://naru.s3.eu-west-2.amazonaws.com/wp-content/uploads/2023/05/03211731/naru-tst-non-clinical-responders-supplementary-information.pdf This podcast is sponsored by The University of Hertfordshire: The University of Hertfordshire offers both undergraduate and postgraduate courses in Paramedic Science, emphasising specialist teaching spaces, innovative simulation technology, and a dedicated paramedic teaching team. Students benefit from ambulance placements with LAS and EEAST ambulance services and the university's proximity to London and major transport links. The research-active staff, boasting national and international profiles, enhance the learning experience. The program, with over 25 years of heritage, uses cutting-edge online, VR, and simulation technology to support learning. Career prospects for graduates are excellent, with opportunities to pursue Masters by research and PhDs also available. Please see here for further details: https://www.herts.ac.uk/courses/undergraduate/paramedic-science https://www.herts.ac.uk/courses/postgraduate-masters/msc-paramedic-science-pre-reg

In this episode, we delve into The EXIT Project, an initiative founded by Tim Nutbeam and Rob Fenwick, aimed at improving spinal care, indications for spinal immobilisation and patient outcomes in road traffic incidents and other axial load injuries. The project employs scientific rigour and trial methodology to develop effective strategies for emergency medical services. By collaborating with a range of professionals, including researchers, medical practitioners, and emergency responders, The EXIT Project focuses on both research and practical applications to enhance road safety, clinical guidelines and ultimately clinical practice. Tim discusses the innovative approaches the project takes to tackle the complex challenges of post-collision care. This includes the implementation of advanced triage systems, the use of data analytics to identify patterns and improve response times, and the development of training programs for emergency personnel. The project’s findings have led to significant improvements in the way road traffic incidents are managed, ultimately saving lives and reducing the severity of injuries. Tim and Lisa also explore the broader impact of The EXIT Project's work, highlighting how their research and methodologies are being adopted by emergency services worldwide. The discussion provides insights into the importance of integrating scientific research with practical emergency response strategies, emphasising the project's role in shaping the future of road safety and emergency medical care. For more details, visit The EXIT Project. This episode is sponsored by the International Critical Care Paramedic Group (ICCPG): The ICCPG are dedicated to advancing global Paramedicine through knowledge sharing and improved communication. Join their second conference on January 30, 2025, following the success of their 2022 event, which united over 600 paramedics worldwide. This virtual event will feature detailed case studies and in-depth clinical, training, leadership, and research discussions. Don't miss this opportunity to connect with peers and learn from international experts. For more details, contact Christian Wiggin at christian.wiggin@collegeofparamedics.co.uk This podcast is sponsored by the University of Hertfordshire: The University of Hertfordshire offers both undergraduate and postgraduate courses in Paramedic Science, emphasising specialist teaching spaces, innovative simulation technology, and a dedicated paramedic teaching team. Students benefit from ambulance placements with LAS and EEAST ambulance services and the university's proximity to London and major transport links. The research-active staff, boasting national and international profiles, enhance the learning experience. The program, with over 25 years of heritage, uses cutting-edge online, VR, and simulation technology to support learning. Career prospects for graduates are excellent, with opportunities to pursue Masters by research and PhDs also available. Please see here for further details: Undergraduate Paramedic Science:  https://www.herts.ac.uk/courses/undergraduate/paramedic-science?utm_campaign=ug_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic MSc Paramedic Science Pre-Reg:  https://www.herts.ac.uk/courses/postgraduate-masters/msc-paramedic-science-pre-reg?utm_campaign=pg_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic

This special edition of the PHCP podcast for International Paramedic Day explores the diverse and evolving landscape of the paramedic field. Our hosts delve into the growth of roles, changes in triage systems, community engagement, interdisciplinary collaboration, technological advancements, mental health support, and future predictions. This comprehensive discussion aims to highlight the essential role of paramedics in healthcare and the continuous evolution of the profession. We hope you enjoy. More information on International Paramedics Day can be found here: https://www.internationalparamedicsday.com/ 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 innovative designed product range please click here: ⁠https://www.pax-bags.com/en/⁠ This episode is sponsored by the International Critical Care Paramedic Group (ICCPG): The ICCPG are dedicated to advancing global Paramedicine through knowledge sharing and improved communication. Join their second conference on January 30, 2025, following the success of their 2022 event, which united over 600 paramedics worldwide. This virtual event will feature detailed case studies and in-depth clinical, training, leadership, and research discussions. Don't miss this opportunity to connect with peers and learn from international experts. For more details, contact Christian Wiggin at christian.wiggin@collegeofparamedics.co.uk This podcast is sponsored by the University of Hertfordshire: The University of Hertfordshire offers both undergraduate and postgraduate courses in Paramedic Science, emphasising specialist teaching spaces, innovative simulation technology, and a dedicated paramedic teaching team. Students benefit from ambulance placements with LAS and EEAST ambulance services and the university's proximity to London and major transport links. The research-active staff, boasting national and international profiles, enhance the learning experience. The program, with over 25 years of heritage, uses cutting-edge online, VR, and simulation technology to support learning. Career prospects for graduates are excellent, with opportunities to pursue Masters by research and PhDs also available. Please see here for further details: Undergraduate Paramedic Science:  https://www.herts.ac.uk/courses/undergraduate/paramedic-science?utm_campaign=ug_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic   MSc Paramedic Science Pre-Reg:  https://www.herts.ac.uk/courses/postgraduate-masters/msc-paramedic-science-pre-reg?utm_campaign=pg_maincycle24&utm_medium=pre_hosp_care_podcast&utm_source=podcast&utm_id=paramedic

In this conversation, we will examine and explore the anatomy of work that a Sydney HEMS Registrar sees within their time at one of the most progressive and dynamic Air Ambulance services in the southern hemisphere. We dig into the day-to-day life, the clinical governance, the case mix and indeed the debrief that occurs within the Sydney HEMS team. We also examine some of the most significant challenges that our guest has experienced as part of that team, a team that is striving to improve and foster innovation and safer patient care. To do this we have Sam Bulford with us, Sam is a Sydney HEMS Registrar and indeed the host of the Sydney HEMS debrief podcast. You can listen to the Sydney HEMS debrief podcast here: https://podcasts.apple.com/no/podcast/podcasts-greater-sydney-area-hems/id602038154 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 innovative designed product range please click here: ⁠https://www.pax-bags.com/en/⁠ This episode is sponsored by the International Critical Care Paramedic Group (ICCPG): The ICCPG are dedicated to advancing global Paramedicine through knowledge sharing and improved communication. Join their second conference on January 30, 2025, following the success of their 2022 event, which united over 600 paramedics worldwide. This virtual event will feature detailed case studies and in-depth clinical, training, leadership, and research discussions. Don't miss this opportunity to connect with peers and learn from international experts. For more details, contact Christian Wiggin at christian.wiggin@collegeofparamedics.co.uk

This week we are talking with Dr. Brian Burns about the range of Pre-hospital cases seen in NSW Australia. In the episode, we will explore the prevalence of trauma versus acute medical pathology, the types and patterns of injury encountered, the range and efficacy of interventions in pre-hospital care delivered and the utility of each. We will also examine the challenges of cases that are unique to Australia and also the trends that are seen within the country around blunt versus penetrating traumatic disease. We will also examine some of the challenging cases that Brian has encountered and the interplay between skills required in the pre-hospital and hospital environment. Brian Burns is a Trauma Consultant at Royal North Shore Hospital, a clinical professor at the University of Sydney and Macquarie University and an Honorary Senior Lecturer at Queen Mary University London. Importantly, Brian is a Staff Specialist in Prehospital and Retrieval Medicine in Aeromedical Operations, NSW Ambulance.

Join me as I speak with Rob Pupelis, CEO of Spectros Medical Devices, about the latest advancements in tissue oximetry and the future of this medical technology. Rob is a leader in the development of non-invasive sensing and remote monitoring in healthcare, with a focus on shedding light on tissue health and diseases related to vascular performance. During our discussion, we cover a range of topics, including Rob's background and involvement in this area of innovation, the current problems and leverage points in the industry, and how modern clinical practice informs future priorities regarding tissue oximetry monitoring. We also delve into Rob's innovations within tissue oximetry and how they might advance clinical and critical care, as well as the results and themes that emerged in the data when looking at tissue oxygenation. Rob also unpacks the T-Stat Tissue Oximeter and explains why it is both more sensitive and real-time in its readings. We explore the main domains of medicine served by Spectros Medical Devices and how they could impact critical care transfers and high acuity transfers in pre-hospital care. Finally, Rob shares some take-home points that he advocates in regard to tissue oximetry monitoring. Don't miss out on this insightful conversation about the future of medical technology. To find out more about the T-Sat Tissue Oximeter see here: https://www.spectros.com/#:

In this conversation, the author of Designing for Healthcare: The human-centred Approach, Craig Joseph joins us to discuss design processes, workflows, operations, and technologies around the person-to-person interaction which fundamentally lies at the heart of healthcare and human factors. Craig states that currently chronic disease management, medical bankruptcy, and equitable outcomes are just a few areas that need a major overhaul within healthcare (within the US). Craig posits that a human-centred approach to managing health, preventing disease, and treating illness can create a more effective and equitable system. In the conversation, we also examine the in-built biases that we can carry through to our decision-making, as well as 6 key principles that Craig advocates to enable safer patient care and mitigate human factors. You can find the book here: https://www.nordicglobal.com/what-we-think/insights/designing-for-health PHCP Question Time: We are collecting your questions to discuss on upcoming episodes. Please use this email to email the show and we will discuss your questions: ⁠Prehospitalcarepodcast@hotmail.com⁠ This Podcast is now live on YouTube, please find the interview here: ⁠https://www.youtube.com/channel/UCLAvKkahY34gXTJ5JjLw7DA⁠ 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 percentage and growth of females in Pre-Hospital Emergency Medicine (PHEM). We also examine the diversity within the UK context and how this has slowly but surely grown and affected the workforce for the better within pre-hospital care. We also discuss the hierarchy of competence, barriers to entry and some of the covert and overt challenges that women have faced to enter PHEM. To do this I have Ffyon Davis with me. Ffyon is an emergency medicine registrar and expedition doctor with a special interest in PHEM. She is also a World Extreme Medicine (WEM) faculty member and avid explorer. The empirical paper mentioned within the episode on outcome data can be found here: https://pubmed.ncbi.nlm.nih.gov/37647075/ 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/⁠ PHCP Question Time: We are collecting your questions to discuss on upcoming episodes. Please use this email to email the show and we will discuss your questions: Prehospitalcarepodcast@hotmail.com To watch this episode on YouTube please see here: https://youtu.be/R6MIhCFYfYg