https://phemcast.co.uk/wp-content/uploads/2017/06/vent-final.mp3 Many apologies for the delay in the release of this podcast! A second apology is due for the sound quality – it was recorded at a ‘live’ HEMS base – this has led to lots of background noise I am afraid. We have done our best to edit this out / reduce its effect but I’m afraid we are not experts in this area! This podcast is part 2 of this series on the ventilator – and you should be familiar with the first in this series before pro...
Jun 04, 2017•34 min
https://phemcast.co.uk/wp-content/uploads/2017/03/broken.mp3 This episode has been compiled over a year – many thanks to our four contributors, who have shared their stories and knowledge. They were interviewed at TraumaCare 2016, TraumaCare 2017 and the BASICS/FPHC Conference 2016. If you ever need to talk about the impact of stresses and work experiences on you, please find a friend, colleague, GP, work Occupational Health Service, or one of the charities listed below. Tony’s article describin...
Mar 28, 2017•1 hr 15 min
https://phemcast.co.uk/wp-content/uploads/2017/01/blood-final-27012017-11-55.mp3 There is the potential for significant controversy in this month’s episode – and we would really appreciate the feedback of the prehospital community on this one. We have held the ‘no clear fluids’ mantra close to our hearts for most of our prehospital careers. We ‘know’ that giving sea water to our patients, and diluting all of blood’s ‘good bits’ can’t be healthy. We believed in permissive hypotension – we were pr...
Feb 23, 2017•47 min
https://phemcast.co.uk/wp-content/uploads/2017/01/end-of-year-30122016-16-33.mp3 Paediatric Trauma TARN report: Severe Injury in Children Simulation ATACC:The Anaesthesia Trauma and Critical Care course Thanks to Mark Forrest (@ObiDoc) for sharing these videos: References Spurr J, Gatward J, Joshi N, Carley SD. Top 10 (+1) tips to get started with in situ simulation in emergency and critical care departments. EMJ. 2016. Bredmose PP, Habig K, Davies G, Grier G, Lockey D. Scenario based outdoor si...
Jan 04, 2017•29 min
https://phemcast.co.uk/wp-content/uploads/2016/12/final-thora.mp3 Details of the surgical skills course mentioned in the podcast can be found here: https://wmstc.co.uk/portfolio/phem-ess/ The Sydney HEMS Traumatic Cardiac arrest operating procedure can be viewed on their website, and there are a number of useful references within the document: Policies and Procedures An excellent ‘how to do it’ paper, published in 2005, by the London HEMS team, can be accessed via the link below: Click to access...
Dec 12, 2016•37 min
https://phemcast.co.uk/wp-content/uploads/2016/12/vent-final.mp3 Ventilation – a dark art. Difficult to be a master, easy to be average (or terrible)! This is “part 1”, which includes some of the basic (and not very basic) concepts behind ventilation. We recorded over 60 minutes of excellent content with George – we will post more below as soon as it is edited. . Check out Georges powerpoint – its excellent! introduction-to-mechanical-ventilation-11nov2016-podcast...
Dec 02, 2016•30 min
https://phemcast.co.uk/wp-content/uploads/2016/09/breaking-bad-final.mp3 YouTube videos: From the police officer’s perspective: https://www.youtube.com/watch?v=toaA_TNwcxg From the mother’s perspective: https://www.youtube.com/watch?v=0KJZXOKStao The paper about watching resuscitation is this one: http://www.nejm.org/doi/full/10.1056/NEJMoa1203366#t=article This is a section taken from the London Ambulance Service clinical bulletin, from 2011, which includes the SPIKES mnemonic: The alternative ...
Sep 19, 2016•32 min
https://phemcast.co.uk/wp-content/uploads/2016/07/final-gentle-patient-handlig.mp3 The paper we mentioned by Jonathan Benger and Jules Blackham can be accessed here: https://sjtrem.biomedcentral.com/articles/10.1186/1757-7241-17-44 Stable versus unstable spinal injury The location of an injury and involvement of different structures defines the stability of a spinal injury. Anterior column: anterior longitudinal ligament and the anterior half of the vertebral body/disc. Middle column: posterior ...
Jul 14, 2016•33 min
https://phemcast.co.uk/wp-content/uploads/2016/06/stress-2.mp3 Big thanks to Anand Swaminathan @EMSwami, Chris Nickson @precordialthump, Jesse Spurr @Inject_Orange, Chris Hicks @HumanFact0rz, and Tom Evens @doctomevens Their pre-workshop reading/listening recommendations: http://stemlynsblog.org/englishman-south-africa-robert-lloyd-st-emlyns/ http://emcrit.org/podcasts/toughness-michael-lauria-i/ Bandwidth Visualisation tips:...
Jun 13, 2016•20 min
https://phemcast.co.uk/wp-content/uploads/2016/06/maternal-collapse-06062016.mp3 Apologies for the quality of the sound – we recorded in a very echo-ey office! The Royal College of Obstetricians and Gynaecologists (RCOG) green top guideline is accessible here: https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_56.pdf We have talked about ramping previously, in Episode 6: Oxygenation. This is how a pregnant patient should be positioned for airway manoeuvres and interventions, for examp...
Jun 06, 2016•34 min
The recent resurgence in this method of suicide has put emergency responders at a significant increase of serious injury and death. This podcast discussed the current most frequent methods of attempted and successful inhalational suicide – keep safe. https://phemcast.co.uk/wp-content/uploads/2016/04/chem-final.mp3 There are a multitude of professional and advisory websites out there. We are keen not to raise awareness of specific combinations of chemicals / products....
Apr 19, 2016•34 min
https://phemcast.co.uk/wp-content/uploads/2016/04/ph-sepsis-10042016-08-56.mp3 We hope you enjoyed our sepsis podcast. It is obviously a huge topic and there is lots of information to cover; a couple of other recently released podcasts are available which are produced with the Emergency Medicine community in mind, but will no doubt expand your knowledge. St Emlyns Induction podcast on Sepsis . March 2016. A great summary of what to do when a patient with suspected sepsis first arrives in the ED....
Apr 10, 2016•36 min
To provide a bit of balance following our earlier hyperoxia podcast, this episode we are discussing circumstances when we want to deliver extra oxygen to patients and ways to do this effectively, including an interview with Sydney HEMS Consultant Yash Wilmalasena on apnoeic oxygenation. Hope you find it useful! https://phemcast.co.uk/wp-content/uploads/2016/03/oxygenation-16032016-15-25.mp3 Some of the stuff we talked about: Optimal patient positioning when managing the airway and assisting vent...
Mar 17, 2016•39 min
https://phemcast.co.uk/wp-content/uploads/2016/02/amputation.mp3 Welcome to PHEMCAST episode 5: Amputation One of the things we never want to have to do, but need to be prepared for. Have a listen, consider your kit, your top-cover arrangements, and when and how you may need to get this done. This podcast covers, which patients to consider, how to do it and discussion around consent, capacity and top-cover arrangements. This podcast features interviews with Professor Sir Keith Porter and Carolin...
Feb 02, 2016•38 min
https://phemcast.co.uk/wp-content/uploads/2016/01/chemical-incidents.mp3 We hope you enjoyed this PHEMCast. Please feedback your comments via the blog, twitter or email us on PHEMCAST@gmail.com . The NARU video we mention in the podcast can be accessed here: http://naru.org.uk/videos/ior-nhs/ And the paper we discuss is: Chilcott RP. Managing mass casualties and decontamination. Environmental International. 2014; 72: 37-45. This is the Step 1,2,3 tool described: For more information on the toxid...
Jan 06, 2016•42 min
https://phemcast.co.uk/wp-content/uploads/2015/12/episode-3-hyperoxia.mp3 Hello and welcome to our next episode – we hope you enjoy it. This episode concentrates on hyperoxia – the delivery of lots (often too much) oxygen and the harms it may cause our patients. We both had colds – many apologies for the blocked noses and many sniffs! We hope you find it useful. To follow: Dr Matt Thomas from the Great Western Air Ambulance discussing his groups work around reducing hyperoxia post-rosc. Further ...
Dec 06, 2015•24 min
Sorry for the slight delay releasing our “October” podcast – but here it is (note how it is cunningly labelled Episode 2)! This month we are reviewing the evidence for the pelvic binder and discussing scenarios in which it should (and should not) be used. https://phemcast.co.uk/wp-content/uploads/2015/09/pelvis-final-1.mp3 As always, please get in touch with questions and comments, either via the blog, twitter or email phemcast@gmail.com This is where the greater trochanters are: This is where a...
Nov 05, 2015•29 min
Here it is – our very first podcast, and guess what – it is on supraglottic airways! https://phemcast.co.uk/wp-content/uploads/2015/08/version-2-lma.mp3 This first episode reviews the history of the laryngeal mask airway and we discuss the relative benefits and risks of supraglottic airway devices. We’ve interviewed Dr Rob Moss, author of the Faculty of Prehospital Care (FPHC) Consensus Guidelines on pharmacologically assisted laryngeal mask (PALM) insertion. Click here for the link to the guide...
Aug 11, 2015•1 hr 10 min
