Emergency services dedicated to providing out-of-hospital acute medical care and transport to definitive care
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In this episode of the Pre-Hospital Care Podcast, we had the privilege of speaking with Dr. Johannes Strobel, a leading figure in Pre-hospital Critical Care and a key driver of clinical innovation within Germany's renowned EMS system.Reflecting on his journey, Dr. Strobel shared the challenges and rewards of shaping EMS systems across diverse settings, offering invaluable lessons learned from years at the forefront of high-pressure pre-hospital emergency medicine. His experiences provided a compelling look into the evolution of Prehospital Care, from technology integration to education and training advancements.One of the key themes of this conversation was the role of AI, telemedicine, and simulation training in transforming pre-hospital care. Johannes offers insights into how these innovations are not just improving clinician decision-making but also shaping the future of prehospital emergency care in Germany.This podcast is sponsored by PAX.Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range, please click here:https://www.pax-bags.com/en/
In this episode of the Prehospital Care Research Forum's journal club, we take a deep dive into the 2024 Systematic Review of Evidence-Based Guidelines for Prehospital Care. From groundbreaking updates to practical applications, we'll explore how these guidelines are shaping the future of EMS. Join us to learn what's new, what's impactful, and how it all translates to better outcomes in the field. Don't miss this essential episode for EMS professionals striving to stay at the forefront of evidence-based care!https://www.tandfonline.com/doi/full/10.1080/10903127.2024.2412299#abstractPrehospital Guidelines Consortium: https://prehospitalguidelines.orgEMS Research Reading List: https://prehospitalguidelines.org/reading-list/
In this episode of the Doctors Hospital podcast, we take a deep dive into the world of emergency transport services with Emergency Medicine Consultant & Lead Physician for Prehospital Care & Rapid Response Training, Dr. William Seymour. Dr. Seymour explores how critical care is delivered under pressure, the critical role of paramedics and EMTs as well as the upcoming launch of a new service, the air ambulance. Listen, subscribe and share!
Plasma for TBI, dual sequential defibrillation, a new cardiac arrest “bundle,” distal femur IO, and comparable innovations will make EMS care in 10 years look much different than it does today. Back by popular demand, McCabe sits down with two of our most popular guests—Peter Antevy, MD, CEO and founder of Pediatric Emergency Standards and EMS medical director for several Florida agencies, and Charlie Coyle, division chief at Palm Beach County Fire Rescue—to look at what innovations are set to revolutionize prehospital care in the coming years. Follow EMS World on Facebook, X, and Instagram at @EMSWorldOFCL
David Anderson describes the current state of play with airway management in the prehospital setting. There are important differences between airway management in the prehospital environment and airway management in hospital. Prehospital intubation has been practiced for over 50 years and continues to evolve, with many techniques and procedures devised from prehospital use finding their way into ED and ICU practice. The main indications for prehospital intubation are cardiac arrest and severe TBI. 3 large studies show no evidence to support prehospital intubation in cardiac arrest and this practice should probably be reserved for specific cases. Prehospital RSI for TBI remains controversial as the evidence available to date is conflicting and isn't high quality. While scene time if often commented on, there is no evidence available prehospital RSI increases time to CT or OR for patients with a severe TBI. There is no evidence that any one craft group is better at intubation than any other. In order to make prehospital airway management as safe as possible, innovations such as checklists, kit dumps and pre-drawn syringes are common. Many prehospital services invest much more heavily in the training and maintenance of airway skills than in-hospital specialties. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/
The chain of survival for a cardiac emergency and stroke start the same: preparedness & recognition of an emergency; activation of EMS; delivery of Advanced Life Support; and transporting to the most appropriate facility. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.Why EMS should bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center. Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Connect with me:Website: https://passacls.com@PassACLS on X (formally known as Twitter)@Pass-ACLS-Podcast on LinkedInGive back via PayPal Good luck with your ACLS class!
In this podcast episode we want to introduce you to our BCEN Friend Kris Ramos. Kris Ramos is a master's prepared registered nurse and paramedic with a broad base of critical care experience including ground and air ambulance prehospital care, adult and pediatric emergency departments, pediatric cardiovascular intensive care, PICU, NICU, hemodialysis, and leadership roles. He currently serves as the Base Hospital Coordinator at Phoenix Children's. Kris's daily focus is to improve prehospital care for children by bringing Phoenix Children's expertise to emergency responders through continuing education, patient follow-up, and operations consultations. Kris is the founder and chair of the Phoenix Children's Annual EMS conference which provides prehospital providers with current pediatric trauma and emergency care continuing education. Kris also serves as vice chair of the Arizona Department of Health Services' Pediatric Advisory Council for Emergency Services, a committee that plays a lead role within Arizona's EMS and trauma community to improve pediatric care. Come along as Michael Dexter and Hollye Briggs talk with Kris about his career in prehospital medicine and nursing. Kris has been instrumental in moving the benchmarks for pediatric prehospital care and offering the most up-to-date continuing education. This episode is called “Walking the Line for quality pediatric prehospital care.” Kris Ramos can be reached via LinkedIn @Kris-Ramos and through the Phoenix Children's EMS and Prehospital Care Conference website (ems.phoenixchildrens.org).
If you want to know how to deliver a high performance approach to your role in the emergency and prehospital space, then this episode is for you. Dr Jamie Moran Emergency and Prehospital physician, discusses his approach to delivering high performance care to patients in any sphere. Themes such as people/culture, individualality, world class basics and being authentic were raised. The episode will leave you with some points to take home and develop in your own context. SHOW NOTES *Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. Intensive Care Medicine, 47, 49-59. click this link to read *Why are bleeding trauma patients still dying? click link to read * /the-high-performance-podcast/- click link to follow
The chain of survival for a cardiac emergency and stroke start the same: 1. preparedness & recognition of an emergency; 2. activation of EMS; 3. delivery of Advanced Life Support; and 4. transporting to the most appropriate facility. Depending on where you live, Emergency Medical Services (EMS) may provide prehospital Advanced Life Support (ALS). ALS ambulances are staffed with paramedics who have training in ACLS skills. Paramedics can perform an assessment, obtain a medical history, and provide life-saving care within minutes of recognition. Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference. ACLS's timed benchmarks for: point of first medical contact to PCI for ST elevation MI; door to tPA for ischemic stroke; and onset of symptoms to EVT for LVO strokes.EMS may bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center; because time is heart muscle or brain cells.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!
The chain of survival for a cardiac emergency and stroke start the same:preparedness & recognition of an emergency; activation of EMS; delivery of Advanced Life Support; and transporting to the most appropriate facility. Depending on where you live, Emergency Medical Services (EMS) may provide prehospital Advanced Life Support (ALS). ALS ambulances are staffed with paramedics who have training in ACLS skills. Paramedics can perform an assessment, obtain a medical history, and provide life-saving care within minutes of recognition. Why EMS "Destination Protocols" for suspected stroke and STEMI make a difference. ACLS's timed benchmarks for: point of first medical contact to PCI for ST elevation MI; door to tPA for ischemic stroke; and onset of symptoms to EVT for LVO strokes.EMS may bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center; because time is heart muscle or brain cells.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!
Happy EMS Week!!! PEC Journal Volume 27 Number 2 In this episode, the PEC podcast team brings you sprint podcast #2 of 3 for EMS week. This episode covers the Prehospital Emergency Care Journal Volume 27 Number 2. We talk about engaging manuscripts in this journal like: Medication Errors in Pediatric Patients after Implementation of a Field Guide with Volume-Based Dosing & Epidemiology and Prehospital Care of Pediatric Unintentional Injuries Among Countries with Different Economic Status in Asia: A Cross-National, Multi-Center Observational Study Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
So in this episode we're going to be covering crush injury. When you think about it, visions of falling rocks, industrial accidents and high speed RTCs may come to mind, but actually a crush injury can be sustained in a huge variety of ways without such vivid circumstances. Definitions according to the Faculty of Prehospital Care are that; ‘A crush injury is a direct injury resulting from crush. Crush syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing' So in the episode we're going to run through all of the bits that we normally cover, from pathophysiology, to presentation and onto treatment. We'll also be looking at the controversy and evidence behind tourniquet use, fluid therapy, electrolyte management and much, much more! Once again we'd love to hear any comments or questions either via the website or social media. Enjoy! Simon, Rob & James
Have you always wanted to go on an ambulance ride? Here is the chance to get a sneak peak at what happens to our patients who are brought in by ambulance. Listen in as Mike Linares from Simple Nursing thoughtfully (and humorously!) recounts stories from his time as an EMT.Check out Nicole Kupchik's exam reviews and practice questions at nicolekupchikconsulting.com. Use the promo code UPMYGAME20 to get 20% off all products.Up My Nursing Game is partnering with VCU Health Continuing Education to offer FREE continuing education credits for registered nurses. Click here to obtain nursing credit (1.00).See the show notes at upmynursinggame.com.
The chain of survival for a cardiac emergency and stroke start the same:1. preparedness & recognition of an emergency;2. activation of EMS;3. delivery of Advanced Life Support; and4. transporting to the most appropriate facility.Depending on where you live, Emergency Medical Services (EMS) may provide prehospital Advanced Life Support (ALS).ALS ambulances are staffed with paramedics who have training in ACLS skills. Paramedics can perform an assessment, obtain a medical history, and provide life-saving care within minutes of recognition.Why EMS "Destination Protocols" for suspected stroke and STEMI make adifference.ACLS's timed benchmarks for:point of first medical contact to PCI for ST elevation MI;door to tPA for ischemic stroke; andonset of symptoms to EVT for LVO strokes.EMS may bypass a close hospital to transport a STEMI or suspected stroke patient to a hospital capable of 24/7 PCI or a certified stroke center; because time is heart muscle or brain cells.Check out the Pod Resource page at passacls.com for links to the "EMS On Air" podcast for links to episodes that look at EMS's role in stroke outcomes in the rural vs urban area.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!
Ben Shopland is the Paramedic Manager for the In Home Advanced Care Paramedic team at UPMC. Ben and his team of EMS professionals are flipping the equation when it comes to taking care of patients and making sure that they stay OUT of the Emergency Department when possible. The team is functioning 2 shifts each day in Allegheny County but the plan is to expand the service.
As a follow requested from many here is a brief breakdown of the more specific data for a comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped.This data supported and steered the work of Tim Nutbeam and the EXIT project from episode 173.The article can be found in long form HEREThe EXIT project which has spent years working with the NFCC, UKRO the College of Paramedics and Faculty or Prehospital Care to produce evidence-based guidelines / principles for the extrication of patients trapped in motor vehicles.There is also summary video available through UKRO clicking HEREPlease support the podcast and its future by clicking HERE and joining our Patreon CrewA big thanks to our partners for supporting this episode.William Wood WatchesHAIX FootwearRosenbauerDuty Crew CoffeePlease subscribe to the podcast on YoutubeEnter our monthly giveaways on social platformshttps://linktr.ee/the_firefighters_Listen to every episode & Debrief ever made, get full access to discounts & more HEREPlease support the podcast and its future by clicking HERE and joining our Patreon Crew
Dr Tim Nutbeam is a consultant in Emergency Medicine & Lead Consultant Devon Air Ambulance. He is also one of the leads of the EXIT project which has spent years working with the NFCC, UKRO the College of Paramedics and Faculty or Prehospital Care to produce evidence-based guidelines / principles for the extrication of patients trapped in motor vehicles. There is also summary video available through UKRO clicking HERELINKS TO PAPERS:A comparison of the demographics, injury patterns and outcome data for patient injured in motor vehicle collisions who are trapped compared to those patients who are not trapped HERESex-disaggregated analysis of the injury patterns, outcome data and trappedstatus of major trauma patients injured in motor vehicle collisions: aprespecified analysis of the UK trauma registry (TARN) HEREDo entrapment, injuries, outcomes and potential for self-extrication vary with age? A pre-specified analysis of the UK trauma registry (TARN) HEREThe role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision - a biomechanical study using healthy volunteers HEREAssessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers HEREMaximum Movement and Cumulative Movement (Travel) to Inform our Understanding of Secondary Spinal Cord Injury and its Application to Collar use in Self-extrication HEREA biometrical study to compare spinal movement in a healthy volunteer during extrication, between ‘chain cabling' and ‘roof-off' methods of extrication HEREUnderstanding people's experiences of extrication while being trapped in motor vehicles: a qualitative study HEREA Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision HEREListen to every episode & Debrief ever made, get full access to discounts, insider info & support the ongoing work of the podcast by clicking HEREA big thanks to our partners for supporting this episode.William Wood WatchesHAIX FootwearRosenbauerDuty Crew CoffeePlease subscribe to the podcast on YoutubePlease support the podcast and its future by clicking HERE and joining our Patreon Crew
Paul chats us through some of the services available on the NHS 24 service and how it all fits into the prehospital world. Top 3 Points from this podcast: Remember the telephone number 111 for NHS 24 NHS 24 has lots of services outside of the telephony line 111. Go to NHS inform – Scottish health information you can trust | NHS inform to find out more NHS 24 is on Social Media too Resources: NHS Inform About Paul: Dr Paul Perry works as an Associate Medical Director at NHS 24, and also as an Out of Hours GP for NHS Lothian. Prior to this he taught postgraduate students at the University of Dundee, worked as a GP Partner in General Practice in Edinburgh, and was a Remote and Rural Fellow on the Isle of Skye. Outside of work he has a young family which keeps him on his toes, and if he's not in the hills walking and climbing can be found on his road bike cycling around Edinburgh.
This week we have a chat to Nathan Burns, a paramedic who founded 'Backpacker Medics'. We discuss what it is like working as a paramedic in humanitarian aid and now in post-disaster recovery in developing countries. This was an incredible chat about the difference in pre-hospital care across different applications. Backpacker Medics DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own.See omnystudio.com/listener for privacy information.
In this episode, Chandler got to chat with Dr. Ekey, a local EM doc, to learn about his involvement with the local EMS agency and how he takes his talents to provide care outside of the hospital. He also shares how doctors can easily get involved in prehospital care in their own communities. Check us out on instagram if you are interested in finding out more about us! @prnmedpodcast
PHARM podcast Episode 238 Prehospital care of severe facial trauma
Natalie May talks to critical care helicopter paramedic Libby Hanrahan about prehospital care to ask the all important question: what should we do if we stumble across a prehospital patient? Should we stop? Should we help? And how should we conduct ourselves? Like this content? Join us in person! Visit the website at resuscitology.com to find out more.
In this episode, PEC Podcasts hosts Dr. Maia Dorsett and Dr. Jeremiah Escajeda have a conversation with Dr. Molly McCann Dr. Melody Glenn (@MGlennEM) Dr. Jeremy Cushman (@hws96) about their manuscripts Refusals After Prehospital Administration of Naloxone during the COVID-19 Pandemic and Degree of Bystander-Patient Relationship and Prehospital Care for Opioid Overdose EMS Chain of Survival while discussing the idea of utilizing a Chain of Survival for patients suffering from opioid use disorder. Click here to download today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH (@gradyMED1)
WELCOME BACK TO SEASON 2! Today is an incredible episode, where Jess and Darren share their experience of the same story. Jess is an Ambulance Victoria Paramedic who found herself requiring emergency care. Darren was one of the MICA crew who ended up looking after Jess. Strap yourself in for an incredible episode where Darren and Jess talk about their experience with one another for the first time since that day. DISCLAIMER: all of the opinions of each of the individuals on 'The Student Paramedic Podcast' are their own.See omnystudio.com/listener for privacy information.
What can Prehospital and Retrieval Medicine teach us about life? Natalie May reflects on lessons learned at Sydney HEMS - from the practical to the philosophical. For more head to: codachange.org/podcasts
I share how setting up an emergency department at a public tertiary hospital resulted in contributing to improving a district primary care system improvement program in Malawi. The linkage between performance of a health system can affect the community's health seeking behaviour is discussed. Insight to how improving patient care pathways can assist in creating patient centred efficient and effective emergency care provision will be shared. For more head to: codachange.org/podcasts
Lecture SummaryThis podcast talks about disaster preparedness, how to prepare, the initial assessment, and the importance of reflection for constant improvement.Key Points- We are not prepared for disasters and emergencies. COVID19 made this very clear.- Preparing requires thinking through possible emergency scenarios, developing algorithms, training, gathering supplies, and periodically re-training.- The initial assessment represents an algorithm which can be used when responding to any emergency involving human casualties.- Having a written initial assessment and practicing its use is highly encouraged.- The acronym SAD LAB CATS describes the algorithm I use in my initial assessment.- It stands for scene safety, additional resources, disease protection, level of consciousness, airway, breathing, circulation, arterial bleeds, temperature, and spine.- Reflection following any emergency or disaster is key to improving outcomes in the future.ReferencesI have learned so much about this topic through wilderness first aid/responder courses, my emergency medical technician training and work, advanced wilderness life support, as well as my work in the hospital setting. I have read numerous sources including but not limited to The American Red Cross Wilderness and Remote First Aid Handbook, Auerbach's Wilderness Medicine, Wilkerson's Medicine for Mountaineering, Prehospital Care textbook through St. Louis Community College, and so many other books on the subject I have read throughout the years. However, most of this podcasts comes from personal experience.
Welcome to Sports Med Res’ this week in review podcast where we highlight the news in sports medicine research from the week ending on July 10, 2020. This week’s podcast focused on electrocardiogram screening criteria among college athletes. * When Performing ECG Screenings, the Screening Criteria Matters * Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury * Position Statement of the Royal Spanish Football Federation for the Resumption of Football Activities After the COVID-19 Pandemic (June 2020) * American College of Sports Medicine Expert Consensus Statement to Update Recommendations for Screening, Staffing, and Emergency Policies to Prevent Cardiovascular Events at Health Fitness Facilities * Navigating Athletic Training Position Statements: The Strength of Recommendation Taxonomy System RSS Feed, Apple Podcasts, or Google Play Evidence-Based CEU Courses from Sports Med Res and Human Kinetics (3-10 EBP CEUs/course) The post Are You Positive About Your Pre-Participation Electrocardiogram Screening Criteria? appeared first on Sports Medicine Research.
Dr. Kara Radzak interviews Dr. Brianna Mills, Ron Courson, Dr. James Ellis, and Dr. Stanley Herring about their recent papers titled "Consensus Recommendations on the Prehospital Care of the Injured Athlete With a Suspected Catastrophic Cervical Spine Injury" and "Best Practices and Current Care Concepts in Prehospital Care of the Spine-Injured Athlete in American Tackle Football." Dr. Brianna Mills is a Research Scientist at the Harborview Injury Prevention and Research Center at the University of Washington. Dr. Mills was responsible for leading the the consensus building process and served as the first authors of the consensus paper discussed in this video. Ron Courson has served as Director of Sports Medicine with the University of Georgia Athletic Association since 1995. He previously served as Director of Rehabilitation at the University of Alabama from 1991-1995 and Director of Rehabilitation with Samford University from 1989-1991. Courson received his undergraduate degree in education/physical education from Samford University, performed two years of graduate work at the University of Tennessee-Chattanooga, and graduated with honors from the Medical College of Georgia with a degree in physical therapy. Courson is a national registered advanced emergency medical technician as well as a certified strength and conditioning specialist by the National Strength and Conditioning Association. Stanley A. Herring, MD, is senior medical advisor and co-founder of The Sports Institute at UW Medicine, medical director of Sports, Spine and Orthopedic Health for UW Medicine, and co-medical director of the Sports Concussion Program, a partnership between UW Medicine and Seattle Children's. Dr. James Ellis specializes in emergency medicine in Greenville, SC and has over 35 years of experience in the field of medicine. He graduated from Louisiana State University School Of Medicine In New Orleans with his medical degree in 1985. He is affiliated with numerous hospitals in South Carolina and more, including Ghs Greenville Memorial Hospital.
Anne Weaver is a consultant in Emergency Medicine & Prehospital Care at The Royal London Hospital and Lead Clinician for London’s Air Ambulance. In this talk she shares her experience of caring for the ever-increasing number of stabbing victims in the United Kingdom. There is a disconnect between what adult trauma surgeons and paediatric trauma...
In this special podcast, Mike McCabe interviews Director of Student Assessment from the UCLA School of Medicine, Heather Davis and Program Director Katie O'Connor of the UCLA Center for Prehospital Care about best practices in EMS training and simulation.Follow EMS World on Twitter, Facebook, LinkedIn, and Instagram. EMS World Expo will be held Sept. 14–18, 2020 in Las Vegas!
Claire is a Consultant in Prehospital Care with London’s Air Ambulance (aka London HEMS) and in Anaesthesia, Critical Care and Trauma at Kings College Hospital. She also has 19 years of military experience, including numerous operational deployments, and has been the Clinical Governance Lead for the Medical Emergency Response Team (MERT). International experience of prehospital care and trauma systems, including fellowships in Baltimore, and in both military and civilian environments, have given her extensive experience to bring to her current roles and in addition as the Medical Adviser to the armed police in London.
Lessons from the Front - Prehospital Care of the Trauma Patient by UC Department of Emergency Medicine
PHARM Podcast 216 More from Fiji Prehospital care with Dr Creaton!
Episode 169 is David Givot. Our conversation includes his passion for EMS, how he became a fixer for EMS organizations, EMS leadership, becoming a Defense Attorney, and few legal tips. David graduated from the UCLA Center for Prehospital Care (formerly DFH) in June 1989 and spent most of the next decade working as a Paramedic responding to 911 calls in Glendale, CA, with the fire department. By the end of 1998, he was traveling around the country working with distressed EMS agencies. David earned his law degree and is a practicing Defense Attorney still looking to the future of EMS. In addition to defending EMS Providers, both on the job and off, he has created TheLegalGuardian.com as a vital step toward improving the state of EMS through information and education designed to protect EMS professional. David is a member of the EMS1 Editorial Advisory Board. Our conversation includes his passion for EMS, how we became a fixer for EMS organizations, becoming a Defense Attorney, and few legal tips.
SMACCForce: Command gradient error in Prehospital Care by Neil Jeffers
This talk from SOA2018 brings adaptive physiology to life. Mel Wilson is an Olympic Rowing Medallist. Watch the Rio race here https://www.youtube.com/watch?v=paRQ7IgYLhk Tom Evens is an Emergency Physician at Imperial College Healthcare, and also a consultant in Prehospital Care at Barts Health and London’s Air Ambulance. He leads the Human Performance workstream at London’s Air Ambulance, and is a convenor of the London Performance Psychology Symposium for the Institute of Prehospital Care. With a background in the sport of rowing, he has coached elite athletes in Australia and the UK. He has coached a World Cup Silver medal, and his athletes have gone on to win Olympic and World Championship medals. In the course of this work, he developed an interest in sports physiology, performance psychology, and ergonomics. Tom now works with UK Sport, the FA and other elite organisations to support coaches to apply the performance lessons from successful medical teams to their own work. Mark Homer - Following a brief career in teaching, Mark has worked for British Rowing for 11 years, supporting the team as a physiologist through 3 Olympic cycles and directly at the Beijing, London and Rio Games. During this time he completed a PhD titled ‘Determinants of Rowing Performance – Implications for Developing Rowers’. He has recently become the Head of High Performance Science & Medicine, tasked with leading the various support services and coordinating the research and innovation strategy in preparation for the Tokyo Games. Melanie Wilson - is a double Olympian, and won an historic silver medal in the Rio Olympic Games, rowing as part of the women’s eight. She studied medicine alongside her training for both Olympics, and now works at a hospital in North West London, with aspirations to train in anaesthetics. She’s interested in the cross over between sports and medicine, in particular teamwork and performance under pressure. She has presented at conferences focusing on using skills from different industries and applying them to clinical performance.
We were delighted to be back to cover the joint Faculty of Prehospital Care and BASICS conference, day 2, held at the Royal College of Surgeons of Edinburgh. Again we were absolutely spoilt for choice when it came to content for the podcasts but we managed to catch up with: • Dr Anne Weaver – a consultant in Emergency Medicine and Prehospital Care working for the Royal London Hospital and London HEMS. She talked to us about chemical burns and a novel treatment for managing these injuries. • Dr Virginia Beckett – an Obstetrics and Gynaecology consultant who is a member of the mMOET working group and has recently published on the topic of cardiac arrest in pregnancy. She was talking on the topic of resuscitative hysterotomy. • Sam Cooper – a Critical Care Paramedic from Derbyshire, Leicestershire and Rutland Air Ambulance who discussed a case of prehospital amputation and the learning points that arose from it. • Dr Rob Lloyd – an Emergency Medicine trainee, blogger and fellow podcaster who has an interest in performance psychology. He talked about Mental Toughness, framed by his experiences working in a hospital deep in a South African township. Once again, our thanks to Caroline Leech for being instrumental in the organisation of today and inviting us up. We’re already looking forward to next year…. Enjoy! Simon, Rob & James References PonderMed Diphoterine A video showing a similar demonstration to the one at the conference showing why Diphoterine works and the limitations of water Pre-hospital Obstetric Emergency Training; POET VA Beckett, M Knight, P Sharpe, 2017, 'The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study', BJOG: An International Journal of Obstetrics & Gynaecology, vol. 124, no. 9, pp. 1374-1381 Realtime simulation of peri-mortem c-section; Bradford Teaching Hospital K. M. Porter, 2010, 'Prehospital amputation', Emergency Medicine Journal, vol. 27, no. 12, pp. 940-942 Caroline Leech, Keith Porter, 2016, 'Man or machine? An experimental study of prehospital emergency amputation', Emergency Medicine Journal, vol. 33, no. 9, pp. 641-644
We were delighted to be invited to cover the joint Faculty of Prehospital Care and BASICS conference held at the Royal College of Surgeons of Edinburgh. This two-day prehospital extravaganza covered a broad range of topics and the content was delivered by some excellent speakers. As such, we were absolutely spoilt for choice when it came to content for the podcasts but we managed to catch up with: Dr Abi Hoyle – a paediatric emergency medicine consultant with a background in military and retrieval services. She gave us some key tips when dealing with paediatric patients. Ian Dunbar – a technical and medical rescue consultant with years of experience in the UK Fire and Rescue Service and ongoing involvement with British Touring Car Championship and the FIA. He did some myth busting around extrication from vehicles. Professor Mike Tipton – a leading figure in extreme physiology who is the Associate Head of Research at the Extreme Environments Laboratory in Portsmouth, is trustee/director of Surf Life Saving GB, sits on the medical committee for the RNLI and was awarded an MBE for services to physiological research in extreme environments. Mike spoke on the topic of drowning. Massive thanks to Dr Caroline Leech who put together this brilliant programme and extended the invitation to us. We hope you enjoy the podcast and extract some learning to inform your practice. Enjoy! Simon, Rob & James References Resus Council UK; Prehospital Resuscitation Michael J. Shattock, Michael J. Tipton, 2012, '‘Autonomic conflict’: a different way to die during cold water immersion?',The Journal of Physiology, vol. 590, no. 14, pp. 3219-3230 Faculty of Pre-Hospital Care and Basics Conference
This week we recorded a podcast inspired by a recent publication in the EMJ. Esther Murray aka @EM_Healthpsych is a psychologist working in London. Her recent paper on whether the experiences of medical students might precipitate moral injury during their pre-hospital experiences gives an insight into how we all cope with and respond to the clinical work we do. Some of the work we do is traumatic, painful and morally difficult to rationalise. We are witness to the very worst aspects of some of our patient's lives and there may be a price to pay. I was delighted to explore some of the concepts around moral injury in this podcast and would really recommend that you read the paper 1 and consider whether this is something that can affect ourselves and our colleagues. The paper is open access at the moment so there is no excuse not to
PHARM Podcast 192 Prehospital care in Fiji with Dr Anne Creaton
Trauma is an epidemic. It is globally the biggest killer in young people.This talk will outline the current deficits that exist in alerting and turning on the system in major trauma. I will outline how technology can not alone improve this but also improve response, add extra resources and moreover improve communication from roadside through to the resuscitation room.
The World Trauma Symposium: https://www.naemt.org/events/world-trauma-symposium NAEMT: http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/ ATLS 10th Edition Updates and the Implications of Prehospital Care and PHTLS v9 with Dr. Andrew Pollak @AndyPollak Dr. Pollak is the James Lawrence Kernan Professor of Orthopedics and chair of the Department of Orthopedics at the University Of Maryland School Of Medicine. He also serves as Chief of Orthopedics for the University of Maryland Medical System and was previously at the University of Maryland R. Adams Cowley Shock Trauma Center. Dr. Pollak has extensive experience in prehospital emergency care as a volunteer firefighter/EMT, EMS flight physician and fire surgeon. He serves as medical director of the Baltimore County Fire Department, Special Deputy US Marshal, and Commissioner for the Maryland Health Care Commission, and as an editor of EMS publications. Dr. Pollak has served on the American Academy of Orthopedic Surgeons Board of Directors, Orthopedic Trauma Association and the Maryland Orthopedic Association. Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org
Prehospital Care is evolving rapidly and is one of the most exciting and dynamic specialties to be involved with at the moment. As a reflection of it's progress the Faculty of Pre Hospital Care held its first scientific conference this week. We were lucky enough to be invited by Caroline Leech, EM & PHEM Consultant and the person responsible for organising this superb event, to interview some of the superb speakers at the event. Here are the speakers we were lucky enough to catch up with and the topics they discuss Matt Thomas – Hyperoxia: when oxygen is harmful Jo Manson – The hyperacute inflammatory response to trauma Rob Moss – FPHC Consensus Statement - Spinal Malcolm Russell – FPHC Consensus Statemnent – External Haemorrhage Tim Nutbeam – Pre-hospital research: what do we not know? David Menzies – Impact brain apnoea & motorsport Stacey Webster – Calcium in pre-hospital blood transfusion: the missing link Rod Mackenzie Injury prevention, control & recovery A huge thanks to all involved in the conference for having us at the conference and we hope to see you all next year! Simon, Rob & James References and links FPHC Consensus statement guidelines Ionised calcium levels in major trauma patients who received blood in the Emergency Department. Webster S. Emerg Med J. 2016 TOP-ART
The RAGE Podcast - The Resuscitationist's Awesome Guide to Everything
In this talk from the '2017 Performance Psychology in Medicine Conference' run by the Institute of Prehospital Care in London, Chris Nickson discusses these questions and more: What is elite performance? How is expertise developed? How can we use simulation to develop and maintain expertise, both individually and collectively?
Todd Fraser, MD, speaks with Christopher W. Seymour, MD, MSc, about the article, Delays From First Medical Contact to Antibiotic Administration for Sepsis, published in Critical Care Medicine.
Todd Fraser, MD, speaks with Christopher W. Seymour, MD, MSc, about the article, Delays From First Medical Contact to Antibiotic Administration for Sepsis, published in Critical Care Medicine.
https://ampa.org/ http://www.atacc.co.uk/ Happy Monday of #EMSWeek2017! Roll up your sleeves and mentally prepare for getting your hands dirty. Chief Flight Physician of University of Wisconsin MedFlight, Dr. Mike Abernethy @FLTDOC1, gives an honest assessment of the current state of discongruity in EMS in America. An honest assessment of the intricacies of American Prehospital Care and efforts we can take to improve outcomes for all our patients. His Bio & Credentials: http://www.emed.wisc.edu/content/mike-abernethy-md @AmpaDocs #CCTMC17 Mark your calendars for #CCTMC18 April 9-11th 2018 Wyndham Riverwalk - San Antonio Texas Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org
This will be a panel discussion with a focus on the different styles of training and education in prehospital care.
Baxter Larmon is a Professor of Medicine at UCLA School of Medicine and the Director of UCLA's Center for Prehospital Care. After 35 years at UCLA, Baxter is retiring on July 1. Baxter has long history of EMS service and loves research and education. We talk about his astonishing career, some of his mentors and what he will be doing after he retires.
Ep #10 – Prehospital Care Research Forum – Annual Summit Recap with @davidpage. For more with Dave Page & the PCRF podcast: http://www.pcrfpodcasts.org/ FISDAP Research: http://www.fisdap.net/research For a quick introduction to research instructors can send students to www.fisdap.net/research101 a free online course. http://www.emsreference.com/ Round Table PCRF Summit: Alan Batt - Critical Care Paramedic Keith Widmeier BA, NRP, FP-C University of Cincinnati College of Medicine Christiana Corrado EMT-P Adjunct Professor Westchester Community College Ron Lawler BUS NRP Director Sanford Health EMS Education North Dakota State College Sciences Kelly Walsh, RN BSN PHRN EMS Academy Program Director Creighton University-Advanced Medical Transport of Central Illinois Paramedic Consortium Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org
Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More
Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More
Podcast 5.0 features pearls from Howie Mell's Grand Rounds talk "48 Tweets on 24 Topics" https://media.blubrry.com/coreem/content.blubrry.com/coreem/Core_EM_Podcast_5.m4a Download Leave a Comment Tags: Grand Rounds, Howie Mell Show Notes Ovarian Hyperstimulatoin Syndrome (OHSS) Braude P, Rowell P. ABC of subfertility – Assisted conception III – problems with assisted conception. BMJ 2003; 327: 920-923. PMC: 218823 Backboards ACEP Clinical Policy Statement: EMS Management of Patients with Potential Spinal Injury EM Cases: Episode 66 Backboard and Collar Nightmares from the Emergency Medicine Update Confernce. Tranexamic Acid (TXA) HIPPO EM: “Stop the Bleeding!” – TXA in Prehospital Care The Skeptics Guide to EM: SGEM#80: CRASH-2 (Classic Paper) INSERT LINK TO OUR CRASH 2 REVIEW Nasal Oxygen During Efforts Securing a Tube (NO DESAT) EP Monthly: NO DESAT! Read More
Karel Habig reveals exciting, emerging technologies that have the potential to revolutionise pre-hospital care.