Pre-Hospital Care Podcast

In this episode, we will examine the fundamentals of training and education of high-performing teams. We discuss the role of real-world scenarios and high-fidelity training simulations in better-preparing trainees. We'll also discuss the role of high-fidelity simulation in enhancing the learning experience and the metrics used to evaluate training effectiveness. We will share strategies for continuously improving training programs and offer take-home points on harnessing those crucial one percent improvements in training.   To do this we have Dr. Clare Richmond with us. Clare is a Retrieval Specialist and the Director of Emergency Medicine Training at Sydney HEMS. She also serves as a State Retrieval Consultant for NSW Ambulance and as an Emergency Physician VMO at Royal Prince Alfred and Canterbury Hospitals. A graduate of Sydney University, Dr. Richmond trained in Emergency Medicine at Royal Prince Alfred Hospital and completed a fellowship at the Sydney Clinical Skills and Simulation Centre. She has taught and worked in PHEM in diverse locations including Sydney, Alice Springs, and London. Clare mentions a number of resources in the interview, this is the podcast on debriefing that she mentions: https://debrief2learn.org/blended-approaches/ Sydney HEMS publish a debrief podcast that can be found here: https://sydneyhems.com/category/podcasts/ More can also be found here: https://sydneyhems.com/ Podcast Recommendation:  Join Steve Wood on the Tac Medic Whiskey Podcast. The Podcast is for up-to-date information on all things Tactical Medicine, Pre-Hospital Medicine and more. The podcast explores life-saving techniques, and real-world experiences, and discusses strategies for handling high-pressure situations. Whether you're a seasoned professional, an aspiring tac medic, or just curious about this critical field, this podcast offers expert insights, practical tips, and stories from the front lines. Listen here:  https://www.podbean.com/pu/pbblog-v4wd8-12cb369

This is the third and final part of the PTSD series looking at the empirically proven talking therapies. In this episode we examine CBT with Seth Gillihan. Seth J. Gillihan is a clinical psychologist, best-selling author, podcast host, and creator of the Think Act Be Online School. He specialises in mindfulness-centered Cognitive Behavioural Therapy (CBT). In this episode, we define what CBT is, and examine anxiety both from its origins and common patterns. We also look at some of the fundamental components of CBT to offset anxiety and restoration of equilibrium. We speak about the power of being present and living a content life with uncertainty. We look at some of the cognitive distortions and thinking errors that can occur in our day-to-day lives and how we can address these. We finish by looking at some anecdotal experiences and cases from Seth’s perspective and what he's learnt as a consequence. We take the examples from Seth's new book: The CBT Deck for anxiety, rumination and & worry - where he gives 108 strategies to tackle the practical issues of worry. I hope you enjoy the episode as much as I enjoyed speaking with Seth as he is both insightful and engaging as a guest and author. Seth's new book can be found here: https://sethgillihan.com/books/the-cbt-deck-for-anxiety-rumination-worry/ More on Seth can be found here: https://sethgillihan.com/

In this conversation, we will examine the important and often overlooked aspect of paramedicine—caring for elderly patients in care homes. As the population ages, more and more paramedics are being called to care homes to respond to complex medical emergencies involving frail, elderly patients. These scenarios present unique clinical, ethical, and logistical challenges that demand specialised skills and approaches. In this episode, we'll be talking to Lance A. Slatton about the specific issues paramedics face in care homes, including effective communication with care staff, managing chronic conditions, and the ethical complexities surrounding end-of-life care. We'll also explore best practices and discuss how we can improve the pre-hospital experience for both paramedics and elderly patients in these settings. As the population ages, paramedics are increasingly called to these settings, facing unique challenges that demand specialised skills and approaches. In our discussion, we explored the specific issues paramedics encounter, such as effective communication with care staff, managing chronic conditions, and the ethical complexities of end-of-life care. Lance A. S. , the host of the Award-Winning podcast and YouTube show All Home Care Matters, shared invaluable insights based on his role as a senior case manager at Enriched Life Home Care Services in Livonia, MI. His remarkable achievements, including being named a 50 under 50 for 2023 and recognition as the 'Top Influencer for Healthcare and Advocacy for 2024', underscore his expertise in the field. Together, we explored best practices to enhance the pre-hospital experience for paramedics and elderly patients in care home settings.

Today, we’re joined by explorer, writer, and presenter Will Millard, whose incredible adventures have taken him to some of Earth's most remote and uncharted territories. From living with Indigenous tribes in Papua New Guinea to navigating the wild rivers of West Africa, Will has always sought to push the boundaries of exploration. But behind the thrill of discovery lies a more personal story, a story of how the pressures and isolation of his extreme travels culminated in a diagnosis of PTSD. In this episode, we’ll dive into the emotional and mental toll of a life on the edge, and how Will has navigated his journey toward healing. We’ll discuss the unique challenges that come with extreme exploration, the impact it had on his mental health, and the lessons he’s learned about resilience, survival, and recovery. Check out his content here: https://www.willmillard.com/ https://en.wikipedia.org/wiki/Will_Millard https://www.bbc.co.uk/programmes/profiles/Q24JrQYWGQTxswrrFCygBQ/will-millard Will's fantastic blogs can be found here: https://willmillardblog.wordpress.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

In this conversation, we will explore the critical topic of selecting prehospital clinicians for high-stakes environments. We explore the traditional methods used in clinician selection and why they may fall short in the unpredictable world of pre-hospital care. We'll discuss the need to re-define performance criteria to better suit high-pressure situations and identify which mental and physical attributes are key indicators of reliable performance in challenging settings. We will touch on the role of personality inventories and whether it's more advantageous to choose clinicians with diverse personalities or specific traits. We will also look at effective teamwork as an essential pre-requisite in prehospital care, how to assess a clinician's potential for collaboration and whether prioritising leadership or followership—or a balance of both, yields the best results. To do this I have Dr Chris Denny with me. Chris is an Emergency Medicine Specialist at the Auckland City Hospital. Additionally, he holds key roles as Medical Director of Northern Rescue (Auckland Rescue Helicopter Trust) and he is a member of the New Zealand Medical Assistance Team (WHO Emergency Medical Team). Chris has expertise spanning acute care, leadership, and education, and has been helping to advance both emergency medicine and prehospital and retrieval medicine (PHRM) in New Zealand. To see more of Chris's work please see here: https://codachange.org/on-the-selection-of-prehospital-clinicians 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 podcast is sponsored by Wel Medical. Wel Medical, is a leading provider of life-saving medical equipment. Known for their cutting-edge defibrillators, including the widely trusted iPAD SP1, Wel Medical is dedicated to making emergency tools accessible in public spaces, schools, and businesses. Their defibrillators are designed for ease of use, with clear voice prompts and visual aids, empowering anyone to help in a cardiac emergency. Wel Medical also offers a comprehensive range of first aid supplies and provides expert training, ensuring that organisations are well-prepared for any emergency. For more information, visit ⁠welmedical.com⁠ and discover how to make your environment and workplace safer today.

In this episode, we talk with Dr. Abigail Pamich, an experienced clinical psychologist with over 20 years of experience in therapy and mental health. Dr. Abigail runs a private practice in the UK, leading a team of 12 skilled therapists who offer remote therapy to clients nationally and internationally. She also has a growing YouTube channel where she explores different types of therapy, making mental health support more accessible to a wider audience. One of the therapeutic approaches Dr. Abigail and her team offer is EMDR (Eye Movement Desensitisation and Reprocessing) therapy. In our conversation, we explore exactly what EMDR therapy is and why it has become an important tool in addressing trauma and anxiety. Dr. Abigail breaks down some of the fundamental components of EMDR, including the process of bilateral stimulation, and explains how it can be effectively applied both in the consultation room and remotely. We also discuss how Dr. Abigail discovered EMDR and examine its empirical support within research. Throughout the episode, she compares EMDR with other therapeutic methods, highlighting its unique effectiveness. Dr. Abigail shares compelling case studies and her own experiences with EMDR, offering insights into the profound impact it can have on mental health. Enjoy the episode. Here are links to Abigails work: Private Practice Clinic www.malvernhillsprivatepractice.co.uk contact@malvernhillsprivatepractice.co.uk Accepting self-referrals via our online form Dr Abigail Pamich, Consultant Clinical Psychologist www.doctorabigail.co.uk abigail@doctorabigail.co.uk YouTube Channel - Dr Abigail Pamich https://www.youtube.com/channel/UCammqAR04gMcZ2zxjFj4lPw 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/⁠

In this conversation, we will examine and explore the complex dynamics of teamwork in UK healthcare. Effective teamwork is crucial for delivering safe, high-quality patient care, yet numerous factors can either enable or hinder its success. In this episode, we delve into the findings of a comprehensive study commissioned by the General Medical Council (GMC), uncovering the key enablers, such as effective communication, leadership, and a positive culture, as well as the barriers, including hierarchies, workload pressures, and lack of role clarity. We examine the unique challenges faced by different healthcare professionals, including junior doctors, international medical graduates, and those in emerging roles. Join us as we explore strategies to foster supportive, cohesive teams across the UK health systems. I am joined by the authors of the study, Paul Crampton and Millie Kehoe.  You can read the study here: https://www.gmc-uk.org/about/what-we-do-and-why/data-and-research/research-and-insight-archive/teamworking---understanding-barriers-and-enablers-to-supportive-teams-in-uk-health-systems 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 podcast is sponsored by Wel Medical. Wel Medical, is a leading provider of life-saving medical equipment. Known for their cutting-edge defibrillators, including the widely trusted iPAD SP1, Wel Medical is dedicated to making emergency tools accessible in public spaces, schools, and businesses. Their defibrillators are designed for ease of use, with clear voice prompts and visual aids, empowering anyone to help in a cardiac emergency. Wel Medical also offers a comprehensive range of first aid supplies and provides expert training, ensuring that organisations are well-prepared for any emergency. For more information, visit welmedical.com and discover how to make your environment and workplace safer today.

In this episode, we explore the history and development of ECG algorithms with a leading expert in the field. We'll cover the early days of ECG interpretation, the hurdles in creating automated algorithms, and how this essential technology has evolved. Our guest, with decades of experience, will discuss his role in establishing an ECG Core Laboratory for clinical trials and epidemiological studies. We'll also look at the globally used Glasgow ECG algorithm, which aids thousands of clinicians in interpreting 12 lead ECGs. Joining me is Professor Peter Macfarlane, Emeritus Professor and Honorary Senior Research Fellow at the University of Glasgow. His team's work, including the Glasgow ECG interpretation program, is renowned worldwide. Peter's research has focused on ECG variations across age, gender, and ethnicity, influencing international guidelines for diagnosing acute myocardial infarction. He founded an ECG Core Laboratory for both national and international clinical trials and studies. A Fellow of the Royal Society of Edinburgh, Macfarlane received a DSc in 2000, the 1998 Rijlant International Prize in Electrocardiology, and a CBE in January 2014 for his contributions to healthcare. to see more on the Glasgow ECG Program Research, see here: https://www.gla.ac.uk/schools/healthwellbeing/research/robertsoncentreforbiostatistics/electrocardiology/glasgowecgprogram/ Some of the publications mentioned in the interview can be seen here: https://www.sciencedirect.com/science/article/abs/pii/S0022073606000628 https://www.gla.ac.uk/schools/healthwellbeing/research/robertsoncentreforbiostatistics/electrocardiology/publications/#clinicaltrialsandstudies This podcast is sponsored by Wel Medical. Wel Medical are a leading provider of life saving medical equipment. Known for their cutting-edge defibrillators, including the widely trusted iPAD SP1, Wel Medical is dedicated to making emergency tools accessible in public spaces, schools, and businesses. Their defibrillators are designed for ease of use, with clear voice prompts and visual aids, empowering anyone to help in a cardiac emergency. Wel Medical also offers a comprehensive range of first aid supplies and provides expert training, ensuring that organizations are well-prepared for any emergency. With a strong focus on customer support, they are passionate about helping people feel confident in saving lives. Tune in to learn how Wel Medical is making a difference in emergency preparedness. For more information, visit welmedical.com and discover how you can make your environment and workplace safer today.

Cliff Reid, a physician with over 20 years in air ambulance and critical care, shares his expertise on Front of Neck Access (FONA) and the SALAD technique. He discusses the complexities and risks of FONA, especially for vulnerable patients like infants. The conversation reveals practical insights on mastering SALAD for contaminated airways using specialized techniques. Reid also emphasizes the importance of teamwork, effective feedback, and mindset shifts in emergency airway management, demonstrating how real-life scenarios influence critical decision-making.

In this conversation, we will examine the second part of the conversation with Krissie Stiles. In this episode, we look at the pain management, cooling, and safe transportation of burns. We then examine the complications, prevention strategies, coordination with burn centres, psychological impacts on patients and families, and continued care and rehabilitation in the conversation. We finally look at the training requirements, quality improvement processes, and memorable or challenging cases that our guest have treated and attended. As we delve into various aspects of pre-hospital burn care, from initial management to long-term outcomes, highlighting best practices, advancements, and real-world experiences.  To do this I am joined by Kristina Stiles. Kristina is a nurse with burns and plastic surgery qualifications since 2003 and an MSc in Burn Care since 2019. She has led quality improvement projects developing Clinical Practice Guidelines and patient information initiatives. Kristina founded the British Burn Association’s Pre-Hospital Special Interest Group, collaborating across various specialities. Her award-winning projects include "The Burns Game," "Family Oops and Burns First Aid," and the "Saving Lives is Not Enough" report. An advocate for patient voices, she has received awards for "Outstanding Patient Care," "Innovation in Care," and "Effective Burn Care," and is an Ambassador of the Children's Burns Trust. Here are the links to the burns charities: https://katiepiperfoundation.org.uk/https://dansfundforburns.org/https://cbtrust.org.uk/ For support for burn survivors:https://adultburnsupportuk.org/ Family Oops book:https://youtu.be/n7aDyugYJOM?si=l-h2d2dhdVB80g66https://cbtrust.org.uk/learning-zone/the-family-oops-and-burns-first-aid-ebook/ - Available for free on request from info@cbtrust.org.uk, but Krissie appreciates a donation in return. EMSB Course:https://www.britishburnassociation.org/emsb-courses/ 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/⁠