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PHEMCAST

Tim Nutbeam and Clare Bosanko

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A UK Prehospital Emergency Medicine Podcast. This podcast and associated website aims to: - Share knowledge and expertise in the field of prehospital medicine with specific reference to the UK working environment - Make this content relevant to all professional prehospital practitioners
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This podcast is designed to have engaging and inspirational conversations with some of the worlds leading experts in or relating to pre-hospital care. We hope you take a lot from the conversations both from a technical and non-technical perspective. Please rate and review the show as feedback helps ensure that the best information gets back to you throughout the project.
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Social Distancing Diaries

Social Distancing Diaries

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A space for musicians to share their experiences and insights during the Coronavirus pandemic. Each episode is an intimate audio diary, documenting personal stories and stunning acoustic performances. Featuring artists from across the globe and in every genre; from rising talents like Arlo Parks, JC Stewart, and Joy Crookes, to indie legends such as Idlewild and Mystery Jets.
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Medical chats, interviews and case discussions relating to prehospital, resuscitation and emergency medicine. Brought to you by PREMED. All views expressed herein are those of the hosts or guest(s) and do not necessarily represent the views of their respective employers or affiliate organisations. Hosted on Acast. See acast.com/privacy for more information.
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In this conversation, we will examine the percentage andgrowth of females in Pre-Hospital Emergency Medicine (PHEM). We also examine the diversity within the UK context and how this has slowly but surely grown and affected the workforce for the better within pre-hospitalcare. We also discuss the hierarchy of competence, barriers to entry and some o…
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This week we are talking with Dr. Brian Burns about therange of Pre-hospital cases seen in NSW Australia. In the episode, we will explore the prevalence of trauma versus acute medical pathology, the types and patterns of injury encountered, the range and efficacy of interventions in pre-hospital care delivered and the utility of each. We will also …
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Join me as I speak with Rob Pupelis, CEO of Spectros Medical Devices, about the latest advancements in tissue oximetry and the future of this medical technology. Rob is a leader in the development of non-invasive sensing and remote monitoring in healthcare, with a focus on shedding light on tissue health and diseases related to vascular performance…
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In this conversation, the author of Designing for Healthcare: The human-centred Approach, Craig Joseph joins us to discuss design processes, workflows, operations, and technologies around the person-to-person interaction which fundamentally lies at the heart of healthcare and human factors. Craig states that currently chronic disease management,med…
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In this episode, I will be speaking with Ani Naqvi. Ani is an Executive Transformation Expert and Mentor who guides leaders towards productivity, self-care, and finding purpose. Her remarkable experiences, including surviving the 2004 tsunami, have shaped her holistic approach to personal and professional growth. Ani's remarkable personal experienc…
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Welcome back to The Sydney HEMS Debrief, now on episode 14! Today, we are joined by Retrieval and Anaesthetic Staff Specialist Dr Jess Devlin, who talks us through one of her most challenging and rewarding cases. Using the case as a springboard, we go on to discuss some of the nuances around, and approaches towards, multi-casualty scenes and consid…
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In this conversation, we will examine the utility andinnovation of virtual reality training as a tool for paramedic practice. We will examine the engagement with VR technology, which areas of education it can support, the reflections from students, Virtual Reality versus reality in an academic sense, the assessment process online and much more. To …
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In this episode, we have the privilege of interviewing Jack Mannings, the Spinal Injury Association (SIA) support coordinator for London. Jack shares his authentic story of having a spinal cord transection at C5 from a road traffic incident that left him tetraplegic. He speaks from his experience both pre and post-injury, shedding light on his reha…
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Preventing dementia and Alzheimer’s disease is apriority for many. According to the World Health Organisation (WHO) there are currently more than 55 million people suffering from dementia worldwide, and nearly 10 million new cases each year. It is also currently the seventh leading cause of death and one of the major causes of disability and depend…
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In this conversation, we will examine what is involvedwith the application and benefits of becoming a University Ambulance NHS Trust. As of the start of April of this year, the Trust is now known as the Welsh Ambulance Services University NHS Trust. The sought-after status has been granted by the Welsh Government in recognition of WAST’s commitment…
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In this episode, we dig into the life of a fast jet pilot with Paul Heasman. Paul speaks candidly about Crew Resource Management (CRM), the line between training and instinct, OODA loops, decision making, and much more. Paul joined the Air Force in 1999 and went through training through various aircraft types. Paul then flew the Tornado F3 from RAF…
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In this conversation, we will examine the role of AIwithin pre-hospital care. We will also look at how AI is being embedded within the systems and processes from dispatch algorithms to diagnostics to demand profiling. We also look at the future of AI and where it might support patientcare. To do this I have Nico Preston with me, Nico is ascientist …
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In this conversation, we will examine Patient Liaisonand follow-up. Pre-hospital clinicians are often just the first point of medical contact, so checking in throughout the rehabilitation allows clinicians and patients to close the loop on any unanswered questions and often is a chance to learn about things from the patient’s perspective. This fost…
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Join me in this episode where I speak with Mike Donal. We unpack his journey through growing up, dropping out of school, drug use, mental health, self-harm, suicidal attempts, steroid use, sex, and mental health section in a hospital, all before 21 years old. We also look at Mike’s journey through the gym, alcohol, relationships, tattoos, and stero…
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In this episode, we speak with Professor Mark Wilson about the forthcoming SIS trial. This randomised study aims to compare the safety and patient outcomes of the current spinal immobilisation practice versus a more flexible "movement minimisation" approach for suspected spinal injury patients. The findings could inform future clinical guidelines. …
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In this conversation, we will look at the relationship between Paramedic theory and practice with Vince Clarke. We will dig intoVince’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 learni…
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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 opti…
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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 w…
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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 po…
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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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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 t…
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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 enab…
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In this conversation, we will unpack the International Journal of Paramedicine and the original vision for the journal. We willalso 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 invo…
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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 o…
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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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In this conversation we will examine the current stateof 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…
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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…
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In this conversation, we will examine how trauma is both managed and reported on throughout Scotland. The Scottish Ambulance Service (SAS) receives over 1.5 million calls a year and responds to over 500,000 emergency incidents per year. In the episode, we will discuss The Scottish Trauma Audit Group (STAG) as a national audit group within the Scott…
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This is a selection of 10 of the most downloaded episodes of 2023. In this episode, we hear from: Major Incident Management with Keir Rutherford and Alec Wilding. The future state of Pre-Hospital Care with Jason Killens. Safe Sedation of Acute Behavioural Disturbance with Tim Edwards. Addiction part 3 with Dr Brian Hall. Paramedic Burnout with Liz …
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This is a selection of 10 of the most downloaded episodes of 2023. In this episode we hear from: The UKISAR deployment to the Turkey earthquake disaster with Deb Swann. The Ten Second Triage Tool (TST) with Claire Park. The Pre-Hospital Airway with John Chatterjee. Pelvic Trauma with Ash Vasireddy. High-Fidelity Training with Neel Bhandari. These c…
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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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In this conversation, we will examine some of the contemporary reflections on the Ukraine crisis with David and Shawn. We will examine what it is currently like on the ground, some of the emerging needs and how David and Shawn believe they can be met. We will also dig into David and Shawn’s background in Ukraine and how this has evolved. We will lo…
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In this conversation, we will be looking at the currentguidelines on the pre-hospital management of drowning and the academic research that underpins these principles. We will explore the epidemiology of drowning and examine patient outcomes as a group. We will also discuss the important wider efforts in public awareness and prevention. To do this,…
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In this conversation, we will explore some of the lessons learned through years of major incident attendance in Scotland from theEmergency Medical Retrieval Services (EMRS). We examine the Scottish Trauma Network, the demographics of healthcare in Scotland, and some of the recent and seminal major incidents that have informed EMRS’s approach. We al…
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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 this conversation, we will examine the concept andthe reality of psychological burnout among Paramedics. The effects of burnout are estimated to cost over $300 billion annually, with the WHO forecasting a burnout pandemic in the next decade. Within pre-hospital organisations, burnout can generate reduced quality, high absenteeism, increased turn…
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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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In the conversation, we examine the definition of addiction,the meta-substances (stimulants, sedatives, opioids), the time horizon of an addicted person (instant gratification), the triggers of addiction, the diagnosis of dependence, what dependence means, and the types of addictions (work, sex, drugs, diet, exercise). We explore two of the most ad…
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In this conversation, we will explore some of the nuances and challenges of Exercise Associated Collapse (EAC) with Luca Carenzo. The basis of this interview was the recent publication in the Journal of Science and Medicine in Sport of An Unusual Case of Marathon-related Exercise-associated Collapse: Case Report and Some Considerations for Medical …
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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 this conversation, we will examine whether point-of-care ultrasound is a reliable predictor of outcome during Traumatic Cardiac Arrest (TCA). We will dig into the recently published systematic review on the topic with Tim Harris, who is one of the authors of the paper. We will examine why the authors decided to look at TCA and POCUS, the number …
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In this conversation, we will look at the research examining methods of safe sedation by Advanced Paramedic Practitioners within London and examine the research published on this looking at sedation of Acute Behavioural Disturbance (ABD). We will examine; what the retrospective cohort study of pre-hospital agitation management showed regarding the …
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In this episode, we will explore why Thrombectomy is considered a leading stroke intervention and can contribute to the early rehabilitation and treatment of ischemic stroke. This is especially important if recognised within pre-hospital care. This is due to its effectiveness in rapidly restoring blood flow to the brain and improving patient outcom…
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