St Emlyn's Podcast: Season 11 Finale and Highlights in Emergency Medicine In this season-ending episode of the St Emlyn's podcast, Iain Beardsell and Simon Carley come together in Zermatt, Switzerland, to discuss recent studies and updates. They highlight a randomized control trial on early exercise in blunt chest wall trauma, revealing its limited impact on recovery outcomes. Additionally, they explore the long-term safety of intraosseous access based on new evidence from Denmark. The episode also provides insights into updated imaging guidelines for pediatric trauma and broad considerations on the growing role of AI in healthcare, especially in emergency settings. There are closing remarks on recent blog posts about toxic alcohol poisoning and the Difficult Airway Society meeting, while looking forward to upcoming conferences in Spain and Vienna. 00:00 Welcome to St Emlyn's Podcast 00:31 Exploring the Big Sick Conference in Zermatt 01:25 Evidence-Based Medicine: Early Exercise in Blunt Chest Wall Trauma 04:30 Intraosseous Access: Long-Term Complications 06:37 Imaging Decisions in Pediatric Trauma 09:17 The Promise and Perils of Artificial Intelligence in Healthcare 13:10 Toxic Alcohol Poisoning: A Critical Review 16:17 Conference Highlights and Future Events 19:19 Season 11 Finale and Looking Ahead to Season 12

Nathalie Pattyn, a military physician and neuroscientist, shares her expertise on skills fade in emergency medicine. Drawing from her unique experiences, including a lengthy clinical deployment in Antarctica, she highlights how low workloads impact cognitive and psychomotor skills. The discussion contrasts aviation's rigorous recertification with medical practices and advocates for better reintegration policies for returning professionals. Nathalie emphasizes the need for evidence-based guidelines to maintain proficiency, ultimately benefiting both healthcare providers and patient care.

Welcome to our first episode recorded at the London Trauma Conference 2024. In this episode, hosts Iain Beardsell and Natalie May are joined by Matt Hooper from Adelaide to discuss his unique career path, from emergency medicine to pre-hospital and retrieval medicine, intensive care, and more recently, palliative and end-of-life care. The conversation centres around the principles of end-of-life care, particularly in acute and traumatic scenarios, and how these can be integrated with life-saving efforts. Key points include the challenges of shifting focus from survival to quality of death, the importance of recognizing and supporting witnesses and caregivers, and the concept of 'compassionate resuscitation.' Practical tools such as the 'pause' are also explored, aiming to humanize highly charged medical environments and potentially prevent burnout and PTSD among healthcare providers. 00:00 Introduction and Guest Welcome 01:00 Key Messages on Death and Palliative Care 02:12 Challenges in End-of-Life Care 03:20 Improving Quality of Death and Relationships 04:32 Emotional Impact on Care Providers 06:41 Navigating End-of-Life Conversations 12:17 Practical Applications in Intensive Care 16:41 The Pause: A Tool for Reflection 21:58 Conclusion and Final Thoughts The Guest - Matt Hooper Matt is an accomplished intensive care specialist with a diverse background in emergency medicine, prehospital & retrieval medicine, and palliative care. Notable for his leadership in developing critical care service models, he founded South Australia’s MedSTAR Emergency Medical Retrieval Service. He has also co-authored a highly regarded case-based text book and held key teaching and examining roles nationally and internationally in prehospital and retrieval medicine. With a strong focus on high-performance teams working within high acuity, high consequence environments, Matt's expertise has also extended to human factors in healthcare, cardiothoracic intensive care, ECMO, and clinical ultrasound. More recently however, he has pivoted towards palliative and end of life care, pursuing a Master's degree at Cardiff University and consulting at Mary Potter Hospice in Adelaide. He is passionate about exploring new and innovative ways to prevent potentially avoidable suffering and enhance end of life outcomes for patients in acute care clinical environments.

In this engaging chat, Sean Brayford Harris, a paramedic and interoperability development officer, reveals the groundbreaking 10-second triage tool designed for high-stress emergency situations. He discusses the flaws of traditional triage methods and the importance of cross-agency collaboration among emergency services. Harris highlights how this intuitive tool assists non-medical responders in assessing casualties swiftly and effectively, ultimately improving outcomes and reducing distress for all involved.

The conversation dives into the challenges faced by emergency departments amidst winter chaos. They spotlight the upcoming Big Sick Conference in Zermatt and the Incrementum conference in Spain, both promising valuable networking. The importance of cultivating a learning culture is discussed, highlighting psychological safety and effective communication. They also examine recent medical studies on chest tube efficacy and arterial monitoring during cardiac arrest. Finally, the need for kindness and professionalism in high-pressure environments is emphasized to combat negative behaviors.

Dive into the world of likelihood ratios, a powerful tool for emergency medicine diagnostics. Discover how these ratios enhance the evaluation of chest pain and inform clinical decisions, utilizing practical examples like the Smith Calculator. Explore the intersection of Bayesian reasoning and diagnostic probabilities, and grasp how pretest and post-test evaluations can shift treatment strategies. With insights on interpreting ECGs and assessing varying patient risks, this discussion is vital for improving patient care in critical situations.

Dive into a range of thrilling medical topics this month! Discover alarming trends in toxicology, focusing on high-potency opioids and innovative treatments for benzodiazepine overdoses. Learn about the Green ED project addressing climate change's impact on healthcare. New insights on the best ventricular fibrillation pad placements and the role of tranexamic acid in trauma care are also explored. Plus, find out how to maintain positivity in challenging times, emphasizing small victories and the joys of emergency medicine!

The podcast dives into insights from the London Trauma Conference, emphasizing advancements in trauma and cardiac arrest management. Discussions reveal evolving prognostication methods and the importance of defibrillation techniques. The speakers highlight the crucial role of wellness in emergency medicine, featuring experts on psychosocial care. They also address representation challenges in medical conferences and the significance of palliative care. Overall, it's a celebration of innovation and collaboration in the medical field.

Chris Bishop, a clinical research fellow at the Centre for Trauma Sciences, dives deep into veno-arterial ECMO and its critical role in trauma situations. He discusses current practices and challenges in the adoption of ECMO, compared to its more established pediatric use. The conversation highlights patient selection criteria and the importance of multidisciplinary decision-making. Innovative techniques like selective aortic arch perfusion and emergency preservation are explored, showcasing the future of trauma resuscitation in critical care.

Explore the hidden dangers of bad behavior within high-performing medical teams. Discover how subtle actions like eye-rolling can jeopardize patient safety just as much as overt harassment. The importance of psychological safety and self-awareness is emphasized for fostering a healthier team environment. Learn about the roles individuals play in team dynamics, and the necessity of authenticity and empathy. Practical advice highlights the significance of seeking honest feedback to enhance interpersonal relationships.