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Pain is one of the most immediate and universal experiences of trauma, yet in emergency and pre-hospital care, it remains surprisingly under-treated. Despite decades of awareness, oligoanalgesia, the inadequate treatment of acute pain, continues to affect patients in the very moments when compassionate, effective care matters most. Too often, the focus in emergency systems has been on processes: whether a drug was given, which medication was used, or how quickly it was administered. But from the patient's perspective, the real question is much simpler: did their pain actually get better?In this episode, we explore a powerful shift in thinking: what if pain management wasn't something that happened later in care, but something that started immediately, from the very first patient contact? What if analgesia were treated as a core patient-centred outcome rather than an optional add-on?Joining us today are Luca Carenzo and Urs Pietsch, whose recent editorial challenges us to rethink how and when we deliver analgesia in trauma. We'll discuss the concept of “pain first,” the growing role of non-intravenous analgesics such as transmucosal fentanyl and inhaled agents, and what this means for paramedics, HEMS teams, and pre-hospital systems worldwide. Find the editorial here: https://pubmed.ncbi.nlm.nih.gov/41673878/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
När familjen Pritchard flyttar in i ett vanligt radhus i den engelska staden Pontefract anar de inte vad som väntar. Märkliga knackningar, föremål som rör sig av sig själva och en mörk gestalt klädd i en svart munkkåpa förvandlar deras hem till ett av Storbritanniens mest omtalade poltergeistfall.
Welcome back to the Hangar Z Podcast brought to you by Vertical HeliCASTS and in partnership with Valor Plus. Today's episode is a special collaboration with our friends from the Valor Flight Crew Podcast, and we're tackling a topic that impacts every one of us in aviation — fatigue. Joining us for this outstanding panel discussion are the hosts of the Valor Flight Crew Podcast, Mike Fadale and Blake Shrider. We are also honored to welcome a highly respected aviator with decades of experience, former HEMS pilot Woody McClendon. Fatigue is truly the danger you can't see. Unlike weather, mechanical issues, or other operational hazards, fatigue can quietly affect our judgment, decision-making, situational awareness, and overall performance long before we recognize its impact. Whether you're a pilot, TFO, crew member, mechanic, dispatcher, or supervisor, fatigue affects all of us. And in public safety aviation, the demands of shift work can make managing fatigue an even greater challenge. The reality is that fatigue is not a possibility — it is an inevitability. The question is not if fatigue will contribute to an incident or accident in public safety aviation, but when. That is why open and honest conversations like this one are so important. In this episode, we'll discuss safety initiatives designed to mitigate fatigue, the role of flight risk assessment tools, crew readiness, organizational responsibility, and personal accountability. Most importantly, our panel shares real-world experiences and lessons learned from careers spent operating in demanding environments where fatigue was often a constant factor. This is a candid, informative, and thought-provoking discussion that every aviation professional should hear. So settle in and join us as we explore one of the most significant — and often overlooked — threats to aviation safety. This is the Hangar Z Podcast in collaboration with the Valor Flight Crew Podcast, and the conversation starts right now. Read the related article by Tania Glenn - Sleep Under Stress in the Spring 2026 issue of Valor Plus.Thank you to our sponsors Metro Aviation, Robinson Helicopter and SHOTOVER Systems.
Welcome back to the Hangar Z Podcast brought to you by Vertical HeliCASTS and in partnership with Valor Plus. Today's episode is a special collaboration with our friends from the Valor Flight Crew Podcast, and we're tackling a topic that impacts every one of us in aviation — fatigue. Joining us for this outstanding panel discussion are the hosts of the Valor Flight Crew Podcast, Mike Fadale and Blake Shrider. We are also honored to welcome a highly respected aviator with decades of experience, former HEMS pilot Woody McClendon. Fatigue is truly the danger you can't see. Unlike weather, mechanical issues, or other operational hazards, fatigue can quietly affect our judgment, decision-making, situational awareness, and overall performance long before we recognize its impact. Whether you're a pilot, TFO, crew member, mechanic, dispatcher, or supervisor, fatigue affects all of us. And in public safety aviation, the demands of shift work can make managing fatigue an even greater challenge. The reality is that fatigue is not a possibility — it is an inevitability. The question is not if fatigue will contribute to an incident or accident in public safety aviation, but when. That is why open and honest conversations like this one are so important. In this episode, we'll discuss safety initiatives designed to mitigate fatigue, the role of flight risk assessment tools, crew readiness, organizational responsibility, and personal accountability. Most importantly, our panel shares real-world experiences and lessons learned from careers spent operating in demanding environments where fatigue was often a constant factor. This is a candid, informative, and thought-provoking discussion that every aviation professional should hear. So settle in and join us as we explore one of the most significant — and often overlooked — threats to aviation safety. This is the Hangar Z Podcast in collaboration with the Valor Flight Crew Podcast, and the conversation starts right now. Read the related article by Tania Glenn - Sleep Under Stress in the Spring 2026 issue of Valor Plus.Thank you to our sponsors Bell, BLR Aerospace and Wysong Enterprises.
Tony & Niclas pratar om den senaste spökjakten "Hemsökta ölstugan" vad är det som rör sig i byggnaden? Vad är det för ljud vi fånga?
Nate "Kiwi" Jaenichen joins Nik for an inside look at helicopter emergency medical services, from base operations and single-pilot flying to the reality of a seven-on/seven-off schedule. Drawing on his military rotor-wing background, he shares what led him to air ambulance flying and what the transition into HEMS was really like. Nate also discusses the lifestyle, including family considerations and location flexibility. The conversation closes with an honest look at the rewards of the job, the people it serves, and the balance between a passion for flying and a meaningful mission. CONNECT WITH US Are you ready to take your preparation to the next level? Don't wait until it's too late. Use the promo code "R4P2026" and save 10% on all our services. Check us out at www.spitfireelite.com! If you want to recommend someone to guest on the show, email Nik at podcast@spitfireelite.com, and if you need a professional pilot resume, go to www.spitfireelite.com/podcast/ for FREE templates! SPONSOR Are you a pilot just coming out of the military and looking for the perfect second home for your family? Look no further! Reach out to Marty and his team by visiting www.tridenthomeloans.com to get the best VA loans available anywhere in the US. Be ready for takeoff anytime with 3D-stretch, stain-repellent, and wrinkle-free aviation uniforms by Flight Uniforms. Just go to www.flightuniform.com and type the code SPITFIREPOD20 to get a special 20% discount on your first order. #Aviation #AviationCareers #aviationcrew #AviationJobs #AviationLeadership #AviationEducation #AviationOpportunities #AviationPodcast #AirlinePilot #AirlineJobs #AirlineInterviewPrep #flying #flyingtips #PilotDevelopment #PilotFinance #pilotcareer #pilottips #pilotcareertips #PilotExperience #pilotcaptain #PilotTraining #PilotSuccess #pilotpodcast #PilotPreparation #Pilotrecruitment #flightschool #aviationschool #pilotcareer #pilotlife #pilot
In pre-hospital care, few environments demand more precise and timely judgment than within a HEMS system. Decisions are made rapidly, often with incomplete information, within dynamic and unforgiving conditions. It is an operational space where clinical urgency intersects with aviation risk, and where each intervention requires a careful balance between decisive action and the principle of doing no harm.Today's guest, Adele Dobler, works at this exact interface. With thousands of flight hours spanning urban HEMS, remote medical evacuation, and high-risk environments, from central London to the deserts and high-altitude regions of Kenya, she brings exceptional depth of experience in high-stakes decision-making. Her operational background includes flying aircraft such as the H135 and H145, frequently at night, under night vision goggles (NVG), and within complex, evolving mission profiles across diverse global settings.In this episode, we examine the realities of decision-making in HEMS, including cognitive load, inherent biases, operational trade-offs, and the critical inflection points that shape outcomes. The discussion focuses on dynamic judgment, risk management, and professional accountability in an environment where decisions must be made in real time, with minimal scope for error. This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
Communication under pressure is one of the most critical and most fragile skills in pre-hospital care. When it fails, the consequences can be immediate and profound. In this episode, we explore why communication breaks down in high-stress environments, what that costs us clinically, and, crucially, what we can do to improve it. Joining me is Dr Stephen Hearns, one of the most influential figures in emergency and retrieval medicine. A consultant in emergency and aeromedical retrieval medicine, he is the founding force behind Scotland's Emergency Medical Retrieval Service (EMRS), a government-funded critical care organisation delivering advanced pre-hospital care across some of the UK's most remote and challenging environments. With over 30 years of experience spanning HEMS, mountain rescue, expedition medicine, and medico-legal practice, Stephen is a globally recognised authority on human performance under pressure. He is an Honorary Senior Lecturer at the University of Glasgow, has published extensively on human factors in acute care, and has played a key role in developing postgraduate education in retrieval and transfer medicine.Further reading relevant to this episode from Stephen can be found here: https://corecognition.co.uk/performance-infographics/8-tools-to-improve-communication-under-pressureLearn more about Core Cognition:https://corecognition.co.uk/
Bienvenidos a este nuevo episodio de Emergencia24-7. En esta oportunidad conversaremos de Helicópteros de Emergencias Médicas junto a Jorge Prieto. Él es enfermero y trabaja en este servicio en España. Jorge nos cuenta de: Los objetivos de atención de unidades especializadas como estásCual es el rol del Enfermero dentro del equipo de atención•¿ Qué elementos de seguridad del helicóptero podemos aprender y traspasar a la atención clínica. ?Para mi ha sido un tremendo privilegio poder conversar con Jorge y aprender más aún de esta interesante labor. Espero que este contenido te sea de utilidad si es así compártelo con alguien que necesite conocer esta información.Recuerda que está disponible nuestra Masterclass "Reanimación Cardiopulmonar Extrahospitalaria de Alta Calidad - Actualización 2025"Son tres videos con más de 2 horas de contenido de este apasionante tema.Tendrás acceso a los artículos científicos con los cuales se ha confeccionado esta Masterclass.Te dejo el link de inscripción.https://emergencia24-7.flycrew.com/e/8cb079d06b15ce08/registerQue tengan linda semana. David Larrondo Fonseca
Send us Fan MailWelcome to The Helicopter Podcast, brought to you by Vertical HeliCASTS!In this episode, Halsey Schider sits down with Roy Knaus of Heli Austria to discuss the company's journey from a small family operation to one of Europe's most established helicopter operators.Roy shares the history of Heli Austria, founded by his father in the 1980s, and reflects on the growth that has taken the company from a fleet of just three helicopters to nearly 40 aircraft supporting a wide range of missions. The conversation explores how the company has expanded beyond Austria into international markets, including operations in Iceland and Chile, while maintaining a focus on safety, customer service, and operational excellence.They also discuss the realities of growing a helicopter business, building strong local partnerships, navigating different regulatory environments, and creating opportunities in sectors ranging from HEMS and firefighting to utility work and heli-skiing.Throughout the conversation, Roy offers lessons learned from decades in the industry, emphasizing adaptability, continuous learning, and the importance of building a motivated team capable of taking on new challenges.This episode is a look at what it takes to grow a helicopter company over the long term and how strong partnerships, vision, and persistence can create opportunities far beyond where the journey began.Thank you to this episode's sponsors, Enstrom Helicopter Corporation, Airbus and Hillsboro Heli Academy.
In Part 3, Captain Troy Clarke discusses flight instruction, standards flying, STARS Air Ambulance operations, and his decision to return to the RCAF after leaving military service.
Today's guest is Kodey Bogart, a pilot whose career bridges frontline combat aviation and the demanding, safety-critical environment of civilian helicopter operations. Dr. Kodey Bogart, AvD., is a former United States Army Warrant Officer and aviator who flew the Black Hawk on medical evacuation missions. A decorated combat veteran, she has been awarded two Air Medals and the prestigious Sikorsky Rescue Award. She also made history as the first female Pilot in Command in the Florida Army National Guard, qualified for day, night, and night vision goggle (NVG) combat operations.Kodey's experience spans aviation safety, flight instruction, maintenance, test flying, Helicopter Emergency Medical Services (HEMS), and aviation law enforcement. She brings both technical depth and operational insight to every mission she undertakes.In this episode, we explore the realities behind high-stakes decision-making in HEMS, how crews manage risk under pressure, where safety systems hold up or fall short, and what pilots and clinicians can learn from each other in critical moments.Beyond aviation, Kodey contributes to public service through Operation Helo, a charity addressing gaps in disaster response, and is the author of a children's book series introducing young readers to various aviation missions, including air ambulance. Both can be found here: Kodey's children's book on Air Ambulance helicopter pilots can be found here: https://www.helogirls.com/Operation Helo: https://www.operationhelo.org/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
Tony & Niclas pratar om den sensate spökjakten. Vad är det Niclas hör på åkern innan han startar sin session? Vad är det för ljud som ekar i den gamla ladan?
Hvordan ser fremtidens diagnostikk i akuttmedisinen ut – og hvilke verktøy gir faktisk bedre pasientbehandling ute i felt? I denne episoden av Akuttjournalen møter vi Fridtjof Heyerdahl til en samtale om utviklingen innen avansert diagnostikk i HEMS. Med utgangspunkt i temaet «Should I stay or should I go?» utforsker vi hvordan ny teknologi kan hjelpe helsepersonell med å ta raskere og mer presise beslutninger – uten at det går på bekostning av tid, klinisk skjønn og behandling.Vi ser nærmere på hvordan kunstig intelligens allerede brukes sammen med ultralyd, hvilke muligheter som ligger i mikrobølgebasert diagnostikk for å oppdage blødninger og slag, og hvilken rolle teknologier som NIRS og transkraniell doppler kan få i fremtidens prehospitale tjenester. Samtidig diskuteres de praktiske og faglige grensene: Når er avansert diagnostikk et nyttig beslutningsverktøy – og når blir det bare enda en dings som tar oppmerksomheten bort fra pasienten?
In this special three-part series, we move beyond the acute management of cardiac arrest and into the far less frequently discussed phase of survival: what comes after return of spontaneous circulation. While clinical focus often centres on early defibrillation, high-quality CPR, and post-resuscitation care, these episodes explore a different but equally important question: what does recovery actually look like for patients and families once they leave the resuscitation bay?Across three conversations, we hear from survivors whose cardiac arrests occurred in dramatically different contexts, yet whose recovery journeys share striking common themes: uncertainty, identity change, psychological impact, and the long shadow of a life-threatening event. We also explore the role of bystanders, pre-hospital clinicians, and system-level coordination in shaping not only survival, but long-term outcomes.In Part 1, Paul Swindell reflects on his sudden cardiac arrest in 2014, the immediate pre-hospital response, and the complex recovery that followed. Paul discusses the physical rehabilitation process alongside the less visible psychological challenges, including adjustment to a new baseline of health and the development of advocacy work through Sudden Cardiac Arrest UK.https://podcasts.apple.com/ee/podcast/surviving-cardiac-arrest-part-1-paul-swindell-and/id1441215901?i=1000680776156In Part 2, Zoe Hitchcock shares her experience of a cardiac arrest in central London caused by underlying cardiomyopathy, resulting in ventricular fibrillation. Zoe walks through the events leading up to her collapse on Oxford Street, the coordinated pre-hospital response, including HEMS involvement, and her transfer to St Mary's Hospital. She reflects on the long-term emotional impact, shifts in perspective, and the way her understanding of family, health, and resilience has evolved since the event.https://podcasts.apple.com/de/podcast/surviving-cardiac-arrest-part-2-zoe-hitchcocks-story/id1441215901?i=1000681711888In Part 3, Noah Baron Cohen, joined by his father Erran Baron Cohen, recounts a sudden collapse during exercise at school in North London in 2016. The episode reconstructs the timeline from initial collapse through resuscitation, emergency response, and subsequent hospital care. Erran provides a parallel perspective as a parent navigating the immediate crisis and the prolonged rehabilitation journey that followed. Together, they explore recovery, family impact, and the enduring psychological and emotional consequences of sudden cardiac arrest.https://podcasts.apple.com/us/podcast/surviving-cardiac-arrest-with-noah-and-erran/id1441215901?i=1000567431898Taken together, these episodes reinforce a central principle of resuscitation medicine: survival is a system outcome. Yet beyond the system lies the individual experience, complex, non-linear, and often underrepresented in clinical discourse. This series aims to bridge that gap by bringing survivor voices into the foreground of the cardiac arrest narrative.
– Detta är en repris från 2018 –Vad passar bättre att lyssna på en vårkväll än läskiga berättelser? I det här avsnittet så blir det det bästa av två världar: hemsökta platser blandat med en uppföljning av oförklarliga ljud. Vågar du lyssna? Ämnen: Linns spökupplevelse, Adventsmordet, Valla torg, Glimmingehus, Oförklarliga inspelningar Musik”Nikol S. & Symphonic band – The shadows of horror (symphonic song)” av Nikol S. (Luna sounds)Drones av Standingwavecreativecommons.org/licenses/by/3.0/KontaktFacebook: SpöktimmenInstagram: @spoktimmenSnapchat: spoktimmenMail: spoktimmenpodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.
Send us Fan MailWelcome to The Helicopter Podcast, brought to you by Vertical HeliCASTS!In this episode of The Helicopter Podcast, Halsey Schider sits down with Jesse Munns, founder of Awakened, Iron and Soul, to talk about career transitions, mental health, and the realities of stepping back in aviation.Jesse shares his experience working in HEMS, describing the buildup of fatigue and burnout that led to a moment where he recognized he couldn't keep going at the same pace. The conversation centers on what it actually looks like to make that call, how it impacts your career, and why those decisions are often avoided in aviation.They also dig into the broader issue of mental health in the industry—why it's still difficult to talk about, how it's often misunderstood, and the gap in support for pilots dealing with stress, anxiety, or burnout. Jesse explains how his work now focuses on helping aviation professionals navigate those transitions and rebuild with a healthier foundation.This episode is an honest discussion about recognizing limits, making difficult decisions, and changing how the industry approaches mental health and career longevity.Thank you to this episode's sponsors, Airbus, Sellacopter and Robinson Helicopter.
In pre-hospital care, timing isn't just important; it's everything. The difference between a good outcome and a devastating one can come down to minutes and decisions, and few decisions are more critical than knowing when to bring advanced critical care to the scene. In this episode, we're joined by Critical Care Paramedic Callum Sutton from Great Western Air Ambulance Charity (GWAAC) to explore a question that sits at the heart of pre-hospital medicine: when does HEMS truly add value? This isn't about calling early for the sake of it; it's about understanding the patients, the physiology, and the interventions that can change trajectories.But just as important is what happens before the helicopter lands. From optimising access and monitoring to anticipating procedures like pre-hospital emergency anaesthesia, small actions on the ground can translate into critical time saved. This is a conversation about foresight, teamwork, and marginal gains, and how, in the right moments, those gains can mean everything.This episode is supported by the Great Western Air Ambulance Charity (GWAAC).GWAAC's Clinical Symposium takes place on Friday, 16 October 2026, at Ashton Gate Stadium, Bristol, with this year's theme: Innovation. The event will focus on practical, implementable ideas shared by GWAAC's Critical Care Team and guest speakers, designed for clinicians to take directly back into practice and apply quickly, rather than years down the line.Limited availability: ~120 tickets onlyTickets on sale from June 2026Early interest sign-up is available nowAlso includes updates on other GWAAC clinical engagement eventsFind out more and register interest: https://gwaac.com/symposiumThis episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
Send us Fan MailWelcome to The Helicopter Podcast, brought to you by Vertical HeliCASTS!In this episode of The Helicopter Podcast, Halsey Schider sits down with Steve Soliz from Bell to discuss the evolving landscape of helicopter emergency medical services.Steve brings a global perspective to the conversation, breaking down how HEMS operations are adapting through advancements in avionics, autopilot systems, and data-driven mission planning. The discussion focuses on how these tools are reducing pilot workload while improving situational awareness and overall mission safety.They also explore the differences between North American and European EMS operations, including how regulatory environments, aircraft selection, and medical protocols are shaped by data and operational constraints. Steve highlights the importance of crew resource management, emphasizing how communication and trust between pilots and medical crews play a critical role in preventing incidents and managing risk.This episode is a grounded look at how technology, human factors, and decision-making continue to shape safer, more effective EMS operations worldwide.Thank you to this episode's sponsors, Hillsboro Heli Academy, Precision Aviation Group and Metro Aviation.
Eoin Walker is the HEMS segment promoter for Airbus, and host of The Pre-Hospital Care Podcast. With years of experience as a flight paramedic, Eoin has seen firsthand how good communication cools even the most heated scenarios.In this conversation, Eoin will let us in on how he's been able to harness his communication through his life and career, and what we can do to follow suit. How we can "be the thermostat, not the thermometer."
Tänk er att bo i ett hus där varje rum döljer något paranormalt. I detta avsnitt går vi igenom rum för rum för att måla upp ett hemsökt hus - i ett hem där du ska känna dig som tryggast. Berättelserna i avsnittet från Tiktok: sammyyandcreepy, aly, itssavanadarlingBerättelserna i avsnittet från Reddit: https://www.reddit.com/r/Paranormal/comments/ljlkms/it_likes_the_kitchen/https://www.reddit.com/r/Paranormal/comments/1m2cqiz/the_ghost_in_the_bathroom/ https://www.reddit.com/r/Paranormal/comments/1jcyfj6/i_havent_slept_in_my_room_in_over_a_year/Sociala medier: Den Andra Sidan Podcast. Mail: denandrasidanpodcast@gmail.com. Musik av BurghRecords, SoundGalleryByDmitryTaras, SavannaMusic, geoffharvey samt Deck, astrofreq, Ashot-Danielyan-Composer, ArctSound, Marcos Molina, unfa, Ievgen Poltavskyi, Smusev från Pixabay, samt ”Silent Horror” av Rafael Krux. Publicerat på Lynne Publishing. Källa: https://www.neosounds.com/songs/16781
Fall 1:Djupt inne i skogarna i Tjeckien ligger ett slott. Ett slott som inte liknar något annat. För till skillnad från andra borgar ser det inte ut att vara byggt för att försvara sig mot yttre hot. Istället verkar de kraftigaste murarna vara riktade inåt. Som om hela slottet inte byggdes för att hålla fiender ute, utan istället för att hålla någonting inne.Fall 2:Ett vitt, till synes oskyldigt hus, omringat av gröna böljande kullar och täta skogar. Vid första anblick ser det helt vanligt ut, nästan idylliskt. Men under ytan döljer sig något betydligt mörkare. För det verkar inte bara vara huset, eller marken det står på, som är hemsökt, utan hela staden det ligger i. Och det där vita, oskyldiga huset anses av många vara det mest hemsökta av dem alla.Det har blivit dags att rysa ordentligt, för vi ska prata hemsökta platser. Fall: Houska slott & Hinsdale House. [REKLAM] Länk Patreon: https://www.patreon.com/spoktimmen Källor: https://www.spoktimmen.se/220 Musik”Requiem Demo (Horror)” av ianchenmusic”Come out and play” av DesperateMeasurez”Nikol S. & Symphonic band – The shadows of horror (symphonic song)” av Nikol S. (Luna sounds)https://creativecommons.org/licenses/by/3.0/ KontaktInstagram: @spoktimmen@linnek@jennyborg91 Facebook: Spöktimmen Mail: spoktimmenpodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.
HEMS er trent for det ekstreme – men den største sårbarheten sitter ofte i menneskene, ikke i maskinene. I denne episoden snakker vi med psykolog Karina Damsgaard, som forsker på psykisk belastning i akuttmedisinske miljøer og har jobbet tett med den danske legehelikoptertjenesten.Vi går bak forestillingen om at det er de dramatiske oppdragene som sliter mest, og ser nærmere på det daglige, akkumulerte presset – «dråpen som sliper steinen». Hvordan påvirker meningsløshet, strukturelle utfordringer og eksistensielle møter oss over tid? Hvorfor er ikke psykisk belastning først og fremst et individproblem, men et systemansvar?Dette er en samtale om kultur, språk, meningsfullhet og profesjonalisme – og om hvorfor det å dele ikke er svakhet, men en forutsetning for bærekraft i HEMS.
In this episode of the St Emlyn's Podcast, we're joined by Nigel Ruddell, Medical Director of the Northern Ireland Ambulance Service, recorded live at the BASICS Conference. This is a conversation about Helicopter Emergency Medical Services (HEMS) — but not in the way you might expect. It's not really about aircraft. It's about people. Nigel talks us through the long, often uncomfortable journey to building Air Ambulance Northern Ireland. From early fundraising attempts in the 2000s, through the influence and legacy of Dr John Hinds, to the eventual partnership between charity and the statutory ambulance service that made a doctor–paramedic HEMS model possible. We explore: • Why the helicopter isn't the intervention — the team is • The charity–NHS partnership model in Northern Ireland • Geography, rurality, and the realities of serving 1.9 million people • Dispatch challenges and the use of video triage (including the GoodSAM platform) • Cross-border working with the National Ambulance Service of Ireland • The cultural work required to convince colleagues that HEMS is not a “Cinderella service” • Humility, leadership, and the people who quietly build systems We also reflect on John Hinds's legacy and how his passion catalysed change, including the significance of the Delta 7 callsign. This is a thoughtful conversation about system design, pre-hospital care, and what it actually takes to introduce enhanced critical care capability into a region that has never had it before. If you enjoy thinking about pre-hospital medicine, trauma systems, and the future of emergency care, you may also want to look at: the IncrEMentuM Conference and Tactical Trauma And if you want to go deeper into the evidence behind the conversations we have on this podcast, explore MedPod Learn — now hosting nearly 5,000 medical podcast episodes with linked multiple-choice questions to support structured learning. As always, thanks for listening.
In this episode of The Independent School Podcast Juliet Corbett is joined by Alex Hems, Executive Head of The Aldenham Foundation since 2022.In this thoughtful and honest conversation, they reflect on what it takes to lead well when the pace is intense and the stakes are high, and why creating space to think - both individually and collectively - can be one of a leader's most powerful tools.Together they explore:What ‘slow down to speed up' really means in senior leadershipHow leaders make good decisions when there's no clear right answerThe role of intuition, judgement and self-awareness under pressureWhy slowing the pace can strengthen teams and improve buy-inHow leaders balance urgency with long-term stewardshipThis episode is for you if you're a senior leader navigating complexity, feeling the pressure to move fast, and wondering how to create better decisions, stronger teams, and clearer direction without burning yourself out or rushing to the wrong answer.Episode Links'Slow Productivity' by Cal NewportThank you so much for listening to The Independent School Podcast. I would be grateful if you could spare a couple of minutes to send me some feedback here. This helps me make the podcast as helpful as possible to listeners. Thank you!
Today, we're diving into an increasingly urgent and complex area of frontline medicine: novel psychoactive substances and synthetic drugs. Over the past decade, the drug landscape has shifted dramatically. Potent synthetics, unpredictable chemical variants, and rapidly evolving supply chains are creating new clinical challenges for ambulance crews, HEMS teams, and frontline responders. These substances don't play by traditional rules; presentations can be extreme, toxidromes atypical, and responses to treatment unpredictable. To help us understand this shifting landscape, I'm joined byDr Caroline Copeland, Senior Lecturer in Pharmacology and Toxicology at King's College London and Director of the National Programme on Substance Use Mortality. Caroline is one of the UK's leading experts in drug-related harms, combining pharmacology, epidemiology, and innovative data science to better understand emerging substances and their real-world impact. She advises national bodies, contributes to the ACMD's Novel Psychoactive Substances Committee, and leads national surveillance programmes shaping policy and practice. Today, she helps us unpack what clinicians need to know, what's changing, and how we can better protect patients in a rapidly evolving drug landscape. Caroline's work and publications can be found here: https://www.kcl.ac.uk/people/caroline-copelandThis episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
In this episode, Sarah Spelsberg speaks with Luca Carenzo and Laura Leuci from Humanitas University in Milan about their research into the pre-hospital management of accidental hypothermia across Italy's helicopter emergency medical services (HEMS).Their nationwide survey, published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, offers a detailed look at how hypothermia is managed before hospital arrival—revealing system-wide gaps, training opportunities, and practical steps for improving patient outcomes.In this episode:How a medical student led a nationwide HEMS research projectWhy hypothermia management must start before hospital arrivalThe biggest equipment and training gaps identifiedThe role of the “burrito wrap” in field insulationHow to balance standardisation with adaptabilityWhy education, simulation, and consistent training are key to progressRead the full open-access paper:Pre-Hospital Management of Accidental Hypothermia: A Nationwide Survey Among Italian HEMSScandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2025)
In this episode of the St Emlyn's Podcast, Iain Beardsell and Simon Carley talk with Caroline Leech at the BASICs Conference about resuscitative hysterotomy following maternal cardiac arrest. This is a calm, evidence-led discussion of a rare, high-stakes intervention that most clinicians will encounter once, if at all — and still need to get right. What we cover Why the term resuscitative hysterotomy has replaced perimortem caesarean section The physiological rationale: relieving aortocaval compression to improve maternal resuscitation What the evidence actually shows about timing, maternal survival, and neonatal outcomes Findings from Caroline's systematic review of out-of-hospital cardiac arrest in pregnancy Why the “4–5 minute rule” does not reflect real-world pre-hospital care Neonatal survival at far longer timelines than traditionally taught Practical decision-making in pre-hospital and emergency department settings Who should perform the procedure, and why speed matters more than seniority Aftercare challenges: open abdomen, placenta management, bleeding (or lack of it) Team cognitive load, role allocation, and when termination at scene is appropriate The emotional and professional impact on clinicians and families Key takeaways Maternal survival after out-of-hospital arrest is rare, but not zero Neonatal survival is higher than often appreciated, even with prolonged timelines Delaying purely to reach hospital or a specialist may reduce benefit The hardest part is not the incision — it is the decision, coordination, and aftermath Training should focus as much on judgement and communication as on technical skill This episode is not about heroics. It is about realism, evidence, and being prepared for one of the most confronting moments in emergency care. About MedPod Learn MedPod Learn is a medical podcast player designed to help turn listening into structured learning, with tools to support reflection, CPD, and appraisal. Available on the App Store and Google Play. IncrEMentum 2026 - April 22 - 24 IncrEMentuM was born to revolutionise how we approach emergency medicine. It's not a traditional conference — it's an immersive experience that pushes professionals to act, think, and make decisions in real time. Our mission is to bring together healthcare providers, experts, and emergency personnel from around the world to share experiences, train in realistic scenarios, and test their skills under extreme pressure. In 2026, we return with an even more intense and lifelike edition — all with one clear goal: to prepare you for what cannot be predicted. Tactical Trauma - April 22 - 24 This is an international conference covering various aspects of working in high-stakes environments, primarily related to pre-hospital trauma and critical care, with a tactical twist. Our program is rich and diverse, featuring state-of-the-art lectures from world-class speakers. We aim to bring together all organisations working with pre-hospital trauma in tactical/hostile environments, including physicians, HEMS, EMS, police anti-terror units, military, fire and rescue services and more.
Understanding Trusts: A Deep Dive into Legal ArchitectureThis lecture delves into the complexities of trusts and estates, focusing on the transition from wills to trusts, the various types of trusts, their formation, and the critical roles of trustees. It emphasizes the dynamic nature of trusts, the importance of fiduciary duties, and the legal frameworks governing trust modifications and terminations. The discussion also highlights the significance of tax planning and the protective measures available for trustees.Imagine a legal tool that not only manages property but also adapts to changing laws and personal circumstances. Welcome to the world of trusts, a cornerstone of estate planning that offers flexibility, protection, and strategic tax advantages.The Anatomy of a Trust: At its core, a trust is a three-way relationship that splits ownership between the settlor, trustee, and beneficiary. The settlor creates the trust, the trustee manages it, and the beneficiary enjoys its benefits. This division of legal and equitable title is what makes trusts a powerful legal invention.Types of Trusts: Trusts can be broadly categorized into revocable and irrevocable. Revocable trusts offer flexibility, allowing the settlor to amend or revoke them, while irrevocable trusts provide robust asset protection and tax planning benefits. Additionally, testamentary trusts arise from wills, and inter vivos trusts are created during the settlor's lifetime.Trustee Duties and Responsibilities: Being a trustee involves serious responsibilities, including the duty of loyalty, prudence, and impartiality. Trustees must act in the best interest of beneficiaries, avoid conflicts of interest, and manage the trust's assets with care. Failure to adhere to these duties can result in personal liability.Modification and Flexibility: Modern law recognizes the need for flexibility in trust management. Tools like the Connecticut Uniform Trust Code (CUTC) provide pathways for modification and termination, ensuring that trusts can adapt to unforeseen circumstances while preserving the settlor's intent.Conclusion: Trusts are more than just legal documents; they are dynamic tools that redefine ownership and offer strategic advantages in estate planning. Whether you're looking to avoid probate, protect assets, or plan for future generations, understanding the intricacies of trusts is essential. Subscribe now to stay informed on the latest in trust law and estate planning.TakeawaysTrusts represent a shift from a death-centric focus to ongoing property management.The fiduciary relationship is central to trust law.Trusts require continuous management and adherence to fiduciary standards.There are two major classifications of trusts: express and implied.Resulting trusts are based on presumed intention, while constructive trusts are remedies for wrongdoing.Revocable trusts offer flexibility, while irrevocable trusts provide asset protection and tax benefits.Pour-over wills serve as a safety net for assets not included in a trust.HEMS standards guide trustee distributions to avoid tax traps.Trust modification can occur through various judicial paths under the CUTC.Trustees must adhere to strict duties to protect themselves from liability.trusts, estates, law school, fiduciary, revocable trust, irrevocable trust, pour-over will, tax planning, trustee duties, modification
Welcome to Best of 2025, Part 2. This collection of episodes reflects some of the most meaningful, challenging, and quietly powerful conversations of the year, the ones that sit at the intersection of clinical excellence, emotional labour, and human experience.We begin with After Death: Understanding Grief in Pre-Hospital Care with Liz Gleeson, Part 2. This episode gave language to something many clinicians carry but rarely articulate: the weight of loss, the presence we hold for families after life has ended, and the cumulative impact that grief has on those working on the frontline. It was a reminder that what happens after death matters just as much as the care delivered before it.From there, we move into one of the most high-stakes scenarios in medicine with Paediatric Cardiac Arrest featuring Paul Banerjee, Paediatric Series Part 3. This conversation explored not only the clinical complexities and time-critical decision-making involved, but also the emotional intensity of managing cardiac arrest in children, and the importance of preparation, teamwork, and reflection in some of the most difficult calls we face.The focus then shifts to leadership, representation, and culture with Women in Critical Care: The Journey, Challenges, and Successes in HEMS with Sophie MacDougall, GWAAC Series Part 2. This episode highlighted the realities of working in high-performance, high-pressure environments, the barriers that still exist, and the progress being made. It was an honest and necessary discussion about inclusion, mentorship, and what strong, compassionate leadership looks like in modern critical care.We then turn to one of the most urgent issues facing pre-hospital services with Suicide Prevention on the Frontline, Mental Health Part 2. This episode addressed the role clinicians play not only in crisis intervention, but in recognising risk, having difficult conversations, and understanding our own emotional responses. It reinforced the idea that suicide prevention is not confined to mental health services; it is part of everyday frontline care.We close Part 2 with Spontaneous Coronary Artery Dissection: The Condition We Often Miss. This conversation challenged assumptions, highlighted diagnostic blind spots, and reminded us that not all chest pain fits the patterns we expect. It was a powerful example of how listening carefully, maintaining curiosity, and questioning heuristics can directly change patient outcomes.Taken together, these episodes reflect the depth and diversity of modern pre-hospital and emergency care, from grief to resuscitation, from equity and leadership to mental health and diagnostic precision. They are conversations that stayed with many of you long after the episode ended. Thanks again to PAX Bags, our long-term sponsor of the podcast. Best-in-class medical bags from PAX can be found here: https://www.pax-bags.com/en/
An up-and-coming director, a cast of veterans alongside actors on the verge of their big breaks, an ethereal tinkling piano score and muddy hems! The 2005 adaptation of “Pride and Prejudice” is one of the most loved versions of Jane Austen's work. What makes it stand out from the many adaptations that came before it? Screenwriter Deborah Moggach gives us a behind-the-scenes look into what it took to get the iconic novel onto the big screen like never before.
Listener discretion is advised.
In today's episode of the Prehospital Care Podcast, we explore the complex intersection of adolescent male violence, social media's influence, and its profound impact on the medical professionals responding to these incidents. We're honoured to welcome Dr Naomi Murphy, one of the UK's most respected forensic clinical psychologists and recently appointed Honorary Professor of Psychology at Nottingham Trent University. Naomi brings over 25 years of clinical experience working with complex trauma, particularly among young men who have experienced childhood adversity and gone on to display violent behaviour.The rising tide of youth violence presents unique challenges for prehospital care providers who witness its devastating consequences firsthand. As medical professionals, we often focus on treating physical trauma without fully addressing the psychological dimensions, both for our patients and ourselves. Throughout our conversation, we'll examine the psychological foundations of youth violence, explore how digital platforms have altered its expression, and discuss evidence-based approaches for supporting both victims and the medical professionals who care for them. Dr Murphy's groundbreaking trauma-focused therapy work within high-security settings offers valuable insights for emergency responders experiencing vicarious trauma. You can find Naomi's work here: https://www.centrefortherapy.com/therapists/naomi-murphy/This episode is brought to you by IndieBase.IndieBase is the smart, simple, and budget-friendly Electronic Patient Record (EPR) system designed specifically for the demands of HEMS and pre-hospital care. Whether you're responding solo, working within a flexible team, or managing care across a larger organisation, IndieBase is built to support you. It runs seamlessly on laptops, tablets, or smartphones, and crucially, it operates offline, ensuring you can document care wherever you are, even in the most remote environments. Developed from the proven platform of HEMSbase by Medic One Systems, IndieBase offers a familiar, intuitive interface with the rock-solid reliability clinicians need. It's ready for everything from festival medical cover to high-acuity critical care transfers.Key features include full integration with all major pre-hospital monitors, case review, and clinical governance modules, making it an ideal solution for teams preparing for CQC registration. A patient feedback module also helps drive service improvement and meaningful engagement. For clinicians working across multiple organisations, IndieBase provides a personal logbook that combines your data and links directly with your existing HEMSbase logbook.IndieBase EPR made simple, wherever you are.Find out more at https://indiebase.net/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
EPISODE SUMMARY How can entrepreneurs build million-dollar businesses without sacrificing their health, relationships, or happiness? In this episode, Niko Hems, Growth Lead at Berlin-based longevity company YEARS, shares his insights on preventive health, debunks wellness myths, and explains how a data-driven approach can optimize both life and business. From cutting through hype to implementing science-backed habits, Niko reveals the strategies high-achievers can use to thrive, not just survive. We talk about - Busting wellness myths that waste your time & money - Data-driven habits for longevity & high performance - Building thriving businesses & a healthy life EPISODE NOTES Niko Hems is Growth Lead at YEARS, a Berlin-based longevity company redefining preventive health. He's known for cutting through hype, calling out wellness nonsense, and bringing data and critical thinking back into the longevity conversation. With a background in data science and business, and currently studying an Executive Master's in Longevity, he works at the intersection of health, technology, and system change. LINKS https://nikohems.de/ https://de.linkedin.com/in/niko-hems/de Newsletter: https://nikohems.substack.com/ ----------- Click this link to listen on your favorite podcast player and if you enjoy the show, please leave a rating & review: https://linktr.ee/wiredforsuccess ------------------ Music credit: Vittoro by Blue Dot Sessions (www.sessions.blue) ----------------- Disclaimer: Podcast Episodes might contain sponsored content.
In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Leif Rognås (consultant anaesthetist and clinical lead with the Danish Air Ambulance) and Karina Damsgaard (psychologist specialising in emergency medicine and resilience in high-performance teams).Together, they unpack the concept of Compassionate Debriefing, an approach designed to replace traditional “honest debriefs” with something more supportive, psychologically safe, and effective for learning.The discussion explores:Why traditional debrief models can fall short in complex, high-stakes environmentsHow compassionate debriefing fosters resilience, retention, and psychological safetyPractical steps for shifting from critique to care in post-mission reflectionsWhat further research is needed to embed this approach into HEMS and beyondA must-listen for clinicians, leaders, and anyone interested in the future of healthcare culture, wellbeing, and team performance.You can read Karina's paper 'Common Mental Health Symptoms in Personnel Working in Helicopter Emergency Medical Services: A Systematic Review' here.
In this episode, we're diving into the journey of Zoe Boswell, a dedicated paramedic, mother, and community volunteer with the Great Western Air Ambulance Charity (GWAAC). Zoe brings over a decade of experience as a road paramedic, all while balancing the demands of family life and volunteering with the GWAAC Heartstarters program.Zoe's story is a powerful example of resilience, progression, and passion within the pre-hospital care world. Her ability to manage complex clinical challenges on scene, train at an advanced level, and still give back to the community through CPR education speaks volumes about her commitment to the profession.In our conversation, we explore her motivations, her aspirations from road to critical care paramedic, the emotional impact of high-acuity cases, and the unique perspective she brings as a parent working on the front line. Whether you're a student paramedic, a seasoned clinician, or just curious about the realities of life on the HEMS pathway, Zoe's insights are both inspiring and deeply grounded in the realities of modern pre-hospital care. Let's dive into this episode with Zoe Boswell.This episode is brought to you by IndieBase.IndieBase is the smart, simple, and budget-friendly Electronic Patient Record (EPR) system designed specifically for the demands of HEMS and pre-hospital care. Whether you're responding solo, working within a flexible team, or managing care across a larger organisation, IndieBase is built to support you. It runs seamlessly on laptops, tablets, or smartphones, and crucially, it operates offline, ensuring you can document care wherever you are, even in the most remote environments. Developed from the proven platform of HEMSbase by Medic One Systems, IndieBase offers a familiar, intuitive interface with the rock-solid reliability clinicians need. It's ready for everything from festival medical cover to high-acuity critical care transfers.Key features include full integration with all major pre-hospital monitors, case review, and clinical governance modules, making it an ideal solution for teams preparing for CQC registration. A patient feedback module also helps drive service improvement and meaningful engagement. For clinicians working across multiple organisations, IndieBase provides a personal logbook that combines your data and links directly with your existing HEMSbase logbook.IndieBase EPR made simple, wherever you are.Find out more at https://indiebase.net/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
In today's episode, we're exploring the evolving role of women in Helicopter Emergency Medical Services (HEMS) and pre-hospital critical care, inspired by insights from Critical Care Doctor Sophie MacDougall. Sophie highlights both the unique challenges and the incredible rewards that come with working in this demanding, fast-paced environment, one that remains largely male-dominated but is gradually becoming more diverse.We'll hear from guests who share their journeys into HEMS and air ambulance work, reflecting on what the job gives back to them every day and how they have navigated their career paths within GWAAC. From overcoming barriers and difficult moments to the importance of mentors, whether male or female, our guests reveal the critical lessons they've learned along the way.This episode also delves into the steps needed to encourage more women to join HEMS teams, breaking down stereotypes and showing that this field is not just a “men's world.” We'll discuss how initiatives like the GWAAC ‘Fem in PHEM' event are making a difference and how ongoing support and visibility can inspire the next generation of female critical care professionals.Whether you're a clinician, a student, or simply curious about pre-hospital care, this conversation offers valuable perspectives on resilience, aspiration, and inclusion in one of healthcare's most challenging specialties.This podcast is sponsored by BlueRoomXRWhen lives are on the line, training needs to feel real. That's where the BlueRoom Simulator comes in, the world's most advanced mixed-reality medical simulator. No bulky controllers or gimmicks, just your hands, your kit, and a level of immersion that places you straight into the mission. From the cockpit of a Blackhawk to the side of a cliff, BlueRoom delivers pressure-filled environments without real-world risk. With a Mission Control dashboard, instructors can shift conditions, change patient vitals, and dial up intensity instantly. And thanks to Garmin biometrics, the system even responds to your physiology in real time, adapting as your stress and heart rate rise. Born in Australia and now trusted across five continents, BlueRoom is redefining readiness for military, medical, and frontline professionals. This isn't the future of training; it's training transformed.
Recorded at the BASICS Pre-Hospital Care Conference at Sketchley Grange, this episode explores one of the most experimental tools in civilian trauma care — the abdominal aortic and junctional tourniquet. Dr Ed Barnard joins us to discuss why this device was developed, how it works, and where it might — just might — save lives when all other options have failed. The conversation traces the problem of non-compressible haemorrhage, the leading cause of potentially survivable trauma death. Conventional limb tourniquets, pelvic binders and packing can't reach these deep bleeding sites. The AAJT offers a radical alternative: external aortic compression to buy a few crucial minutes until surgical control or REBOA is possible. Ed explains the mechanism — an inflatable, ratcheted belt that can occlude the aorta or major junctional vessels — and the evidence so far. Laboratory and volunteer data show that it can stop flow, but pain and tissue ischaemia make it difficult to tolerate for long. Clinical experience remains limited to small case series, mostly in military or research settings, and no human trials yet demonstrate a survival benefit. The discussion is candid about risk and realism. The AAJT is a last-resort device, to be used only within strict governance, with clear time limits and immediate plans for definitive haemorrhage control. It's not something you reach for on a normal shift — it's something you might need once in a career, and only if every other option has failed. Ed shares insights from ongoing research, including its potential role as a bridge to REBOA, and the governance frameworks that should surround any trial use. The episode ends with a look to the future: how civilian and military collaboration might refine indications, training, and data collection for this rare but potentially life-saving intervention. Surgeon Captain Ed Barnard Surgeon Captain Ed Barnard is a Consultant in Emergency Medicine at Addenbrooke's Hospital, Cambridge, and a Professor of Emergency Medicine with the Defence Medical Services. He also serves with East Anglian Air Ambulance as a HEMS doctor (having had many years as a BASICS responder). His academic work focuses on prehospital and military trauma care, with a portfolio spanning clinical trials, blood product innovation, and trauma system development. Ed's academic work focuses on improving survival from catastrophic bleeding, particularly non-compressible and junctional haemorrhage. He has published and presented widely on trauma resuscitation, traumatic cardiac arrest, and the evolving role of devices such as the abdominal aortic and junctional tourniquet (AAJT) and REBOA. He is a co-author of the 2025 BMJ Military Health systematic review examining the utility of the AAJT-S in military practice. He is also an experienced educator, contributing to trauma training for BASICS, HEMS, and Defence Medical Services, and continues to combine clinical work with research aimed at translating lessons from military to civilian trauma care. About BASICS: The British Association for Immediate Care (BASICS) is a UK charity uniting clinicians dedicated to pre-hospital emergency medicine. Founded in 1977, it supports regional immediate-care schemes, delivers national training, and hosts the annual BASICS Pre-Hospital Care Conference, bringing together experts in trauma, retrieval, and critical care — like this conversation with Dr Ed Barnard.
Tracheostomies are increasingly common in both prehospital and critical care transport settings, but they come with unique challenges. In this podcast episode, we break down short-term and long-term complications you may encounter, and how to troubleshoot them in high-stakes environments. From occlusions and dislodgements to bleeding, we'll cover practical strategies to keep these vulnerable patients safe. Whether you're new to airway management or a seasoned clinician, this discussion will sharpen your approach to one of the most intimidating airways you'll encounter. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
What happens when resources are limited, transport is delayed, or you're forced to manage a critically ill patient far beyond the typical flight window? In this podcast episode, Brett Weiner and Dr. Tim Hurtado help us dive into the challenges and realities of prolonged field care in air medical transport. We'll explore clinical considerations, crew dynamics, and decision-making strategies that can help you maintain high-quality care when time isn't on your side. We're also excited to announce our new in-person course in collaboration with Anyone Not Ready. This immersive training opportunity is designed to push you beyond the textbook and prepare you for the complexities of prolonged care in austere or transport environments. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Estate planning isn't fun to think about, but skipping it can cost loved ones time, stress, and money. In this week's episode, Ari breaks down the essentials so you can take action with confidence.Learn the key differences between wills and trusts, which states make trusts especially valuable, and why even residents of “will-friendly” states might still need one. Explore the “dead box” strategy, an annual practice that keeps important info like passwords and funeral wishes accessible if something happens.Get clarity on overlooked tools like POD (Payable on Death) and TOD (Transfer on Death) designations, plus the risks of outdated paperwork through real-life client examples.The episode also covers power of attorney, healthcare directives, and how HEMS provisions can protect assets for beneficiaries with special needs or unique situations.Estate planning is about more than documents—it's about creating peace of mind. Start now to give your family clarity when it matters most.Listen to Part 1: Here's When A Will Is Sufficient And Trust Isn't NecessaryCreate Your Custom Early Retirement Strategy HereGet access to the same software I use for my clients and join the Early Retirement Academy hereAri Taublieb, CFP ®, MBA is the Chief Growth Officer of Root Financial Partners and a Fiduciary Financial Planner specializing in helping clients retire early with confidence.
Tranexamic Acid (TXA) is a lot like hot sauce: People put it on everything — especially for apparent or suspected acute blood loss. In this podcast episode, we dive into a drug that's been both praised and questioned in trauma and prehospital care. We break down what TXA is, how it works, and the evidence behind its use. From CRASH-2 to CRASH-3, we explore the key studies, the controversies, and the real-world implications. Whether you're administering TXA in the back of a rig or evaluating its role in your protocols, this episode helps you make sense of when, why, and how TXA might—or might not—stop the bleeding. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Joel has been flying HEMS for 15 years in Iowa, Colorado and Washington. He also spent time as a FF/EMT while learning how to fly a helicopter. Joel has a unique insight to air medical operations as well as observing culture and team dynamics. He shares anecdotes and lessons on being a good teammate, navigating shift work and how to elevate yourself to be the standard. We also uncover potential opportunity for future collaboration and talk through past technical issues with remote guests.This episode was recorded remotely with little to zero technical issues. This will open the door to expanding quests and topics across this platform. Only took me a year.....
Though evidence dictates much of what we do as emergency medical providers, some areas remain open to debate: How are we justifying stroke ambulances, CCT speciality teams, AHA guidelines, and our choice of crystalloids? How are we justifying what professionals are allowed to post on social media? And do we agree with the currently accepted norms? Who better to join us in this discussion than Mike Carunchio of The World's Okayest Medic Podcast. Diving into these and other controversial topics, we see if our two platforms can come to a consensus in a randomized, uncontrolled conversation. *Strong opinions were involved in this production. If something challenges your perspective, good—that's the point. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Wet or dry. Air in or out. Reactive or obstructive. The possibilities may seem endless when treating the pediatric patient with undifferentiated respiratory distress. It is confounded by the fact that pediatrics are outside the comfort zone of many novice critical care transport providers. In this podcast episode, neonatal/pediatric specialist Nate Brown eases your worries with concise and effective means of diagnostics and intervention. Primarily, we cover croup, bronchiolitis, and asthma disease processes. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Gruset knastrar under fötterna när du steg för steg tar dig upp för höjden där Löfstad slott står. Mellan trädens gröna valv kan du se den gula fasaden – ett bygge från stormaktstidens Sverige. Men Löfstad är inte ett vanligt slott, utan här finns gäster som under åren vägrat lämna. Om nätterna kan fotsteg höras i tomma korridorer och rum 13 är så hemsökt att det sägs vara omöjligt att sova i. Gatan är öde och tyst, där du kör längst gatan i Filippinernas huvudstad. Så ser du plötsligt någon längre fram. Det är en kvinna. Hennes ljusa kläder fångar strålkastarnas sken och reflekterar ett kallt vitt ljus. Hon vinkar, så du saktar in och erbjuder henne skjuts. Den mystiska kvinnan som hoppar in i ditt baksäte ger dig kalla kårar. Det är något med henne som inte stämmer. Trots det kör du nu vidare med henne i bilen. Men när du något senare stannar för att släppa av henne märker du att baksätet är tomt. Kvinnan är spårlöst borta. Det har blivit dags för hemsökta platser. I det här avsnittet så börjar vi i ett slott i Sverige, för att sedan förflytta oss till en hemsökt väg. Fall: Löfstad slott & Balete drive[REKLAM] Länk Patreon: https://www.patreon.com/spoktimmenRedditberättelsen: https://www.reddit.com/r/nosleep/comments/wfupbp/why_i_avoided_going_through_that_road/Musik”Come out and play” av DesperateMeasurezhttps://creativecommons.org/licenses/by-nc-nd/3.0/legalcodeKällor: https://www.spoktimmen.se/201KontaktInstagram: @spoktimmen@linnek@jennyborg91 Facebook: Spöktimmen Mail: spoktimmenpodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.
'Tis the season for trauma. (If there truly is a season.) Chest trauma, specifically, can vary in subtlety and severity, primarily due to the presence of multiple vital organs and vessels. In this podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should think twice before intervening. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: Heavy Lies the Helmet's content is for educational purposes only and does not constitute medical advice. Always follow local guidelines and consult qualified professionals before applying any information. The hosts and guests are not responsible for errors, omissions, or outcomes. Views expressed are their own and do not reflect their employers or affiliates. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Does your patient have high blood pressure? Are they seizing or showing other signs of a neurological disorder? It could be PRES! Unfortunately, Posterior Reversible Encephalopathy Syndrome (PRES) is difficult to diagnose unless you are aware of its existence. In this podcast episode, we discuss this infrequent condition and how can you appropriately diagnose and treat it. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
Do certifications accurately reflect an individual's qualifications? This is an ongoing argument depending on what side of the exam you are on. How much value should we on that piece of paper? And, regardless, how do we work towards obtaining and maintaining qualifications? In this podcast episode, we discuss it all including Dunning-Kruger Effect and Hierachy of Competence. We also delve into teaching strategies that can help newcomers gain their confidence after achieving whatever got them there in the first place. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com