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Welcome back to The Sydney HEMS Debrief, now on episode 13. Today we are talking about the PreCare trial, currently underway here in Sydney. This feasibility trial – a first for Sydney – concerns placing patients suffering out of hospital cardiac arrest onto potentially life-saving extracorporeal membrane oxygenation (ECMO) therapy in the field, be…
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Welcome back to The Sydney HEMS Debrief. After an extended New Year break, we return with episode 12. We are joined this week by Sydney HEMS Staff Specialist Dr Ian Ferguson. Ian is the lead author on a recently published randomised control trial assessing the haemodynamic effects of adding fentanyl to an induction regime of ketamine and rocuronium…
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Welcome to episode 11 – likely our last episode of the year! The feedback has been fantastic – thank you to all who have taken the time to let me know your thoughts, and for helping to shape the episodes into what they are. In this end of year episode, we are joined by Sydney HEMS Staff Specialist Dr Ruby Hsu. Ruby and I sat down for a chat with no…
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Join for the second part of Dr Brian Burns’ episode, as we continue to discuss mimics of shock in our trauma population. See some show notes below for more resources. Thanks for listening! Show notes: Reference on pulmonary embolism: https://emcrit.org/pulmcrit/eight-pearls-for-the-crashing-patient-with-massive-pe/ Reference on pulmonary contusion:…
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In the ninth episode of the Sydney HEMS Debrief series, we have the first half of a two-part episode! Join us as Sydney HEMS Senior Staff Specialist Dr Brian Burns discusses the recognition, aetiology and treatment of different types of shock in our pre-hospital trauma patients. Whilst pre-hospital clinicians may have a natural bias towards hypovol…
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Welcome back to the Sydney HEMS debrief! In this episode 8, we are joined by the extraordinary Dr Nat Kruit. Dr Kruit is a Sydney HEMS Consultant, Cardiac Anaesthetist, and ECMO Specialist. Given the increasing global chatter around ECMO, and to give it its full name, extracorporeal membrane oxygenation is going to be the focus of this episode. Joi…
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In the seventh episode of the Sydney HEMS Debrief series, Sydney HEMS CCP and Educator Jackie Buckthought shares a challenging case from her training. Jackie discusses how this case has affected her work flow, resilience, and more recently her perspective as an educator. It’s a cracker! As ever, any feedback is welcome – please get in touch, and un…
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Welcome back to the Sydney HEMS debrief – this is episode 5. Dr Robbie Lloyd has spent his past 12 months as a Sydney HEMS Registrar, and has been intent on making quality assurance and clinical governance ‘cool’. By harnessing the learning from our daily ‘coffee and cases’ team chat, he has led a fantastic project wherein snippets of learning are …
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In Episode 4 of the series, Sydney HEMS Critical Care Paramedic Sam Immens joins HEMS Physician Dr Samuel Bulford to discuss a pragmatic and practical reflection tool which has helped him navigate his clinical workflow. Working as a Critical Care Paramedic with NSW Ambulance and the Toll Rescue Helicopter has been a lifelong personal and profession…
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