Pre-Hospital Care Podcast

In this episode Caroline Philips speaks with Stacey Robinson, prehospital midwife about challenges and emergencies of early pregnancy. They discuss bleeding, termination of pregnancy, and miscarriage. Stacey addresses why bleeding occurs and how to assess for it in the first trimester; inclusive of the subjective terms of 'light' and 'heavy' bleeding. They also discuss the potential risks and the atypical presentations that can occur within the first trimester. Stacey discusses some of the nuisances of care that can be provided to this cohort of patients, together with the hidden signs of bleeding.  Stacey also discusses the psychosocial aspects of care around bereavement and loss which can occur around this pathology. Stacey reinforces the importance of psychological reassurance and care which are vitally important to this patient group.  Relevant links that are useful for this episode can be found here:  https://www.miscarriageassociation.org.uk/wp-content/uploads/2019/08/Ambulance-Crews-first-responders-Good-Practice-Gude.pdf https://www.miscarriageassociation.org.uk/information/for-health-professionals/e-learning/ https://nbcpathway.org.uk/professionals We hope you find this interview valuable with an insightful and engaging guest.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.

In this episode Caroline Philips interviews Stacey Robinson; pre-hospital midwife, on a variety of maternity and newborn topics that pre-hospital providers might face on scene. Having embedded herself within an ambulance service, Stacey gives a unique and insightful perspective on common myths, unique presentations, and healthy fundamental baselines of maternal and newborn care. This is a four part series, in this episode Stacey unpacks her role, the 'normal labour' scenario and deviation in physiology to be expected in pregnancy. They look at why physiology changes and some of the important details around history and examination. They also examine some of the non-pharmacological methods of optimising birth (skin to skin, micturition, non-technical skills, drying).  Here are some useful links for this mini series:  https://cprguidelines.eu/assets/guidelines/RESUS-8907-NLS.pdf https://nbcpathway.org.uk/professionals https://www.miscarriageassociation.org.uk/information/for-health-professionals/e-learning/ https://www.miscarriageassociation.org.uk/wp-content/uploads/2019/08/Ambulance-Crews-first-responders-Good-Practice-Gude.pdf https://www.tommys.org/baby-loss-support Please enjoy this episode with a truly insightful guest and experienced midwife.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.

This session will be the first of a mini-series examining the first-hand accounts of clinicians at some of the most well-known major incidents in the past 20 years. We will start the series by looking at the London bombings from both my perspective and a paramedic Team Leader now Critical Care Paramedic Ken Murphy. We will examine from our anecdotal experience how the scene unfolded and how it became apparent that 3 other bombs had detonated in quick succession. We will walk through some of the thoughts, recollections and structural components and just how it felt to be part of the largest coordinated terrorist attack that the UK has ever seen. In the episode we examine: Our day up until that point The initial call to Kings Cross for a reported power surge The confirmation down in Aldgate East Arrival on scene and what met us The triage and extrication CSCATTT and closer look at the 3 Ts Transfer of patients to the Royal London Hospital  Kings Cross – the casualty clearing station and transfer of patients  I hope you enjoy this first hand account that examines the difficulties and realities of major incidents.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.

In this episode I speak with GP Natalie Taylor and Paramedic Jamie Patterson on Expedition Medicine. We examine the skills, schemes, teams and courses that are helpful to prepare you for this dynamic environment. We will dive into our guests experiences to see what has worked for them and how they have navigated previous expedition trips. A special thanks goes out to World Extreme Medicine as we all met through this platform and have indeed all worked for WEM throughout our careers. We take a look at: The diversity of experience of both guests Main themes of expedition medicine – % of non-medical issues, Human Factors, self-care, self admin, primary care Group / team dynamics and how psychological health also plays a part Trauma on expedition Education and experience needed to go on the trips Rate limiting steps on all expeditions and things to be minded of as a clinician The casevac - nuances and tips  Some of Nat and Jamie’s most amazing highlights from expedition I hope you enjoy the episode. You can find more from World Extreme Medicine, courses and everything expedition here: https://worldextrememedicine.com To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team. https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.

In this episode I examine critical care communication and why this is so important within clinical practice. I look at definitions & statistics, the communication problem, the anatomy of communication, the patient, team and individual, leadership communication, empathetic communication, conflict management communication and finally crisis communication. I examine the approach to individual communication that can optimise both sent and received communication, the main facets of non-verbal, verbal and tonality that is needed to confer vital information.  I also look at a number of theories that have deconstructed the problem of communication, these are; communication theory, Millers Magic number 7, The communication triangle, signal detection theory, and finally meta-cognition. I break down some of the central concepts of the main aspects of critical care communication that are used on a day-to-day basis, that of, leadership, empathy, conflict and crisis. I hope you enjoy this topic. We are going to start mixing up the content on the podcast and feature more educational content, lecture sets as well as more traditional interviews and conversations with experts within their field of practice.  To apply for the Medics Academy Fellowship please apply here quoting 'PHC' for Pre-Hospital Care to let the team know you'd want to work with the podcast team.  https://www.medics.academy/courses/medics-academy-fellowship-programme-application You will acquire the digital skills to both create and harness cumulative attention to knowledge domains and speakers through the podcast platform and co-aligned spaces. As a Fellow you also gain access to Medics.Academy workshops, courses, resources, discounts and masters level accreditation. We are continuously developing the programme to make it a robust and exciting experience for those that are successful in joining. The Fellowship Programme is for a duration of 18 months and comprises three phases: ·  skill training and learning, ·  skill development ·  skill application The phases progress the fellow from a stage of independent working to small group and eventually large group production of a project. In each phase you will be mentored and guided by a specific individual within the company who has experience in producing aspects of the project. On average a fellow will spend 3-6 hours a week in producing the task and the timeframe for tasks will become more independently governed by the fellow as they progress into the next phases. This programme is ideal for individuals with other commitments as it provides a flexible working environment. As a Fellow you can enrol in the post graduate certification programme (PG Cert) in Clinical Practice, Management and Education. This programme is run by Medics.Academy and accredited by the University of Central Lancashire (UCLan) Medical School. The work you do as a Fellow will count towards the overall requirements of the PG Cert. For the joint Medics.Academy Fellowship Programme with postgraduate certificate we require the programme to be completed in 18 months with a potential for a six-month extension to complete programme assessments and elements.

In this session we examine some of the ways in which we have seen paramedics diversify through a multitude of roles within the healthcare economy. We chat with Gary Strong; Paramedic and CPD lead from the College of Paramedics and Caroline Phillips; my co-host, Paramedic and Palliative care Paramedic. The session is intended to unpack, examine our roles and journey through pre-hospital care and finally give insight into some of the positive and challenging aspects of diversification we have seen within paramedic practice in the contemporary climate. In the episode we discuss: The variety of roles that are open to Paramedics & ways in which Paramedicine is changing. We examine Gary’s path through Paramedicine, how he has got to where he is now and what got him there (education, roles and reflections). Caroline’s path through Paramedicine, from education, roles and reflections on current and past job titles within paramedic practice. My own (Eoin’s) path through Paramedicine, how I have got to where I am now and what got me there (education, roles, reflections) Final thoughts on pathways, education and the future of diversity and the role of a paramedic itself. As we see the diversity of roles within our expansive field of practice we reflect on where the profession has come from and how quickly it has adapted to new eco-systems of healthcare. We also reflect on some of the fundamental traits of paramedics around adaptability and flexibility as the DNA of what makes a paramedic so integrated and embedded within various domains of practice.  I hope you enjoy this wider ranging conversation on the evolution of the 'paramedic'.

In this episode Caroline Philips interviews Sarah Aldington; a Consultant Emergency Physician in Sydney, she is also a pre-hospital & retrieval specialist with Sydney HEMS. Sarah formerly worked in respiratory medicine in the UK before studying her PhD in New Zealand focusing on the prevalence of cannabis smoking induced COPD and lung cancer. Whilst in Wellington Sarah established a choir for COPD patients called 'Sing Your Lungs Out (SYLO)'.  In this interview Sarah gives a fantastic insight into advanced lung disease and a patient focused approach to this life limiting illness. Sarah recounts this amazing initiative that took on a life of its own and instilled a community of like minded sufferers. Sarah and Caroline share insightful perspectives on what truly matters to patients and how this initiative changed Sarah's perspectives on her approach to medicine. Please enjoy this episode with a fantastic guest. More on the choir they speak about can be found here: https://pubmed.ncbi.nlm.nih.gov/27650768/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294022/ https://pcnnz.co.nz/wp-content/uploads/2016/05/Health-Happiness-Community-Gayle-Williams.pdf https://givealittle.co.nz/org/sylo#:~:text=The%20Sing%20Your%20Lungs%20Out,living%20with%20chronic%20lung%20disease.&text=Neighbourhoods%20Fun%20Awareness-,The%20Sing%20Your%20Lungs%20Out%20(SYLO)%20Choir%20is%20a%20community,of%20life%20and%20lung%20function.

In this session Caroline Philips interviews two of the advanced paramedics in urgent care. The conversation includes; their role on a day to day basis, this structure of the scheme and how there time is spent. They also examine how previous pre-hospital roles (such as clinical advise, team leader/manager roles) have helped with the senior clinical role as an APPUC. Nikki and Andrew also catalogue the variety of patients that they see and the in-depth patient focussed history taking and nuanced risk/benefit analysis undertaken. They also discuss some of the skills that the scheme supports such as wound care assessment and closure methods, point of care tests, additional medications and utilisation of alternative referral pathways. Nikki and Andrew also denote the adjunctive education and skills that have been fostered within the APPUC scheme. As the prevailing percentage of demand within pre-hospital care are medical pathologies, this scheme has had bilateral benefit of supporting frontline paramedics and managing patients in the community and avoiding the transfer through to the emergency department where possible. They also denote the change in communication skills that Nikki and Andrew have both witnessed within their practice.  Please enjoy this fantastic episode with two insightful practitioners.

Claire is a registered Nurse and Paramedic working as a frailty coordinator at Brook Green Medical Centre, London (HAFP Primary Care Network) with Dr Anna Wilson (Lead GP) and Dr Emily Eve as part of a frailty team. She also sits on the College of Paramedics Committee for primary and urgent care specialist interest group. Claire works as a part community matron as well as a registered paramedic and receives referrals to both support and link the patient into appropriate care pathways.  In this episode Claire and Caroline discuss the definition of frailty, contributing factors and the sequelae of neurological disorders contributing to frailty. Clare also discusses baselines of health and the phenotype model and the cumulative deficit model. Caroline also talks about the fall decision tool and frailty syndrome. Please enjoy this episode with an insightful guest.  For more on frailty please see the links below: https://www.bgs.org.uk/ British Geriatric Society https://podcasts.apple.com/gb/podcast/the-mdtea-podcast/id1073719746 MDTea Podcast https://www.rcem.ac.uk/ Royal College of Emergency Medicine

Tony Underwood is a former English Rugby Union professional who played as a winger for both country and at club level. He made his England debut in October 1992 against Canada, and went on to win a total of 27 English performances/caps. Having trained as an airline pilot, went on to fly for Easy jet, Virgin Atlantic and Emirates. In this conversation we talk about resilience, high performing teams, relationship with failure and success, continual improvement & feedback mechanisms, transitioning & adaptation to change, meta-programs, co-aligned lessons with aviation and medicine and finally human factor mitigation. I hope you enjoy this interview with an insightful and interesting guest.  To find out more about Tony please head to: wordplaygroup.com Twitter: @underwood_tony