Pre-Hospital Care Podcast

In this conversation, we will look at the relationship between Paramedic theory and practice with Vince Clarke. We will dig into Vince’s doctorate in Education on the subject, various frameworks for the acquisition of skills through simulation, reflective models of learning, the progression from novice to expert, directive versus facilitative learning, theory/practice conceptual frameworks, and finally, student views and where they perceive learning originates.   To do this I have Vince Clarke with me, Vince has been a paramedic since 1998, progressing on to an IHCD tutor. As well as completing an undergraduate degree in Paramedic Science, he has completed a master’s degree in health law and ethics in Practice and a Doctorate in Education.  He is currently the principal lecturer at Hertfordshire University Paramedic Science Program, the trustee for education with the College of Paramedics, and an external advisor to several organisations. Vince's thesis can be found here: https://uhra.herts.ac.uk/bitstream/handle/2299/21089/99008890%20Clarke%20Vince%20final%20version%20of%20submission.pdf?isAllowed=y&sequence=1 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 look at the life of an Advanced Clinical Practitioner (ACP). We will dig into what the training looks like, the autonomy involved, the various specialisms you can take, what Dan has learnt along the way and much more. As more and more alternative career pathways are opening, we explore if this one is an attractive option. We also look at the alignment to the Royal College of Emergency Medicine (RCEM) curriculum and how this shapes Dan's practice, skills and clinical decision making. ACPs play a vital role in the delivery of emergency care across the UK. They now make up over 10% of the college membership. There are over one thousand ACP members and this number is rapidly increasing. ACPs are represented on all major RCEM Committees. We also examine some of the educational expectations outside of the RCEM curriculum to fulfil the role as an ACP and also some of the various clinical backgrounds that ACPs come from. To find out more about the ACP role you can visit the RCEM website, menu, - training / careers/ Advanced Clinical Practitioner https://rcem.ac.uk/emergency-care-advanced-clinical-practitioners/  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, I will be speaking with Jay Baldwin. At 26 Jay had suffered bilateral leg amputations from an IED whilst serving in the British army in Afghanistan. He was medically discharged from the UK military at 28, divorced at 32 and battled and won cancer at 33. Since being medically discharged from the Army, the dad of six has learned to walk on prosthetic limbs, has retrained as a fitness instructor and has truly inspired many. He is currently the UK’s only double amputee personal trainer. You can find Jay on social media @ https://twitter.com/NoLeggedNinja1

Join us for an insightful conversation with Robbie Maiden, a lifeboat coxswain, as he shares his journey from being embedded in a culture from a young age to becoming a leader in the austere lifeboat setting. With no formal leadership training, Robbie has developed his skills through experiential learning and personal growth. Robbie has held the position of coxswain for 27 years but has life boating in his blood. In today’s episode, we will discuss what skill set you need to lead volunteer crews in the austere environment of the North Sea when the chips are down and how previous experiences have formed and morphed Robbie’s leadership style and skill set over the years. Robbie's storytelling skills shine through as he offers listeners words of wisdom from his experiences, both good and bad. 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 discuss the future of pre-hospital maternity care with three leading consultant midwives from UK NHS ambulance services. Dawn Kerslake, Stephanie Heys, and Camella Main are experts in their field and will provide valuable insights into this critical area of pre-hospital care. During the podcast we explore the education and training of paramedics in maternal care, current governance systems, and patient follow-up and support mechanisms in place. We also discuss the necessity and dearth of pre-hospital maternity research. This is an excellent opportunity to learn from the best and gain insights into the future of pre-hospital maternity care. The educational resources and research that are mentioned in the episode can be found here: https://pubmed.ncbi.nlm.nih.gov/36531803/ https://www.promptmaternity.org/pre-hospital-prompt https://www.ncbi.nlm.nih.gov/books/NBK525996/ 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 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/