mpact brain apnoea is the cessation or disruption of the inate breathing mechanism following a blow to the head. Its possible for this to result in the death of patients without any visible damage to the brain or surrounding blood vessels.
This month we discuss this, the development of a hypoxic brain injury, the resultant catecholamine release or catacholamine "storm" and what ambulance crews and emergency clinicians can do to help treat these patients.
Prehospital Traumatic Cardiac Arrest (TCA) is a rare and particularly stressful presentation to paramedics and emergency clinicians.
We should be comfortable with the different algorithm rescusers should use in resuscitation and understand the reasonings for modifications in these low output states in trauma.
So, why dont we do chest compressions in a traumatic cardiac arrest? Should TCA's be given adrenaline and what does HOTT Stand for? We've got the answers to all this and more.
Pulmonary Embolism is a common emergency presentation to paramedics and emergency medicine clinicians.
We discuss why PEs cause right ventricular strain, the types of PE from massive, to submassive and subsegmental, how to work up and diagnose pulmonary embolism, how do D-Dimers work? and what are the high risk pulmonary embolism criteria.
All diving represents a hazard, as humans we're not designed to live under water. The deeper divers go and the longer they dive for, the greater the potential risks. Although the bends or decompression sickness, arterial gas embolisims and other diving related emergencies arent the most common presentation to emergency care clinicians. We thought it would be good to revise this medical presenation.
In partnership with our colleagues at HM Coastguard we've developed this CPD podcast. We talk to a Deepwater technical dive instructor from purpleturtle diving, and a dive doctor from DDRC healthcare.
With thanks to Toni from www.purpleturtlediving.com/
and Felix from www.ddrc.org/
Patient safety should be the key aim at the heart of any healthcare system, including the NHS. Yet we know that every single day, patients come to avoidable harm as a result of errors and mistakes. Human Factors and CRM have become increasingly common schools of thought after the tragic Elaine Bromley case and the great work coming from the clinical human factors group.
This month we look at the Human Factors at play in a pre-hospital RTC case study and consider how ambulance clinicians and first responders might be affected by these. We discuss Startle and Suprise, Amigdyla highjack, Bandwidth, Leadership and heirarchies within teams, communication skills and graduated language.
Heroin overdose or other opiate poisoning is an emergency that most paramedics and ambulance staff will be familiar with. However, there are some elements that can cause uncertainty for responders. What comes first CPR or naloxone? What are the signs of opiate toxicity? How much naloxone antidote do you give to someone to reverse opiate induced respiratory arrest?
Read More**This podcast features discussion of suicide and hanging**
Hanging is one of the most common methods of suicide in the western world. Ambualnce crew are likely to come across these cases in the course of their work and so it is important that we understand the pathophysiology and managment of them.
This month we discuss how hanging causes cardiac arrest, clarrify commonly used terms, discuss the managment as well as emotional support for family and staff involved in these cases.
Make sure you debrief the incident, take care of your own emotional and mental health after incidents such as these. The ambulance staff crisis phone line is 0300 373 0898. Look after your health and that of your colleagues.
Ankle injuries present to ambulance staff across a wide spectrum, from the minor soft tissue injury that can be discharged on scene, to the fracture dislocation. We need to be confident in assessing and managing the full spectrum of these injuries,
This month we talk about manipulating fractures, prophylactic antibiotics, as well as how to decide which injuries need an x-ray and what advice to give those patients that don't.
Asthma is the most common lung pathology in the UK. Managing exacerbations of the disease is something paramedics and emergency teams should be well versed in. In this months episode we review the pathophysiology, look at the different severities of exacerbation that may present to ambulance crews, discuss what types of patient are suitable for discharge as well as looking at the treatments we can offer from the mild asthma attack to the life threatening.
Read MoreIts a topic that's been in the news a lot recently. This year is seeing a particularly high number of Strep A infections in the UK, this naturally translates to a higher number of complications and cases of invasive group A strep. That’s why this month we're taking a deep dive into all of it.
Read MoreSeeking remote clinical advice is a cornerstone of advanced decision-making. Shared decision-making for the benefit of patients is becoming more common within ambulance practice, this month we look at how to get the most out of phoning a friend.
Read MoreThis month we're looking at headaches, this is a condition with a wide range of causes, from the seemingly benign migraines and tension headaches to more sinister causes such as Sub-aracnoid bleeds and the infamous "thunder clap” headache presentation.
Read MoreThis month we're taking a look at Epistaxis. It's a common presentation with a varied degree of severity.
You might not thing there's much to learn about managing a nose bleed, but that's where you'd be wrong. There's a number of things we need to consider when assessing these patients and several treatment options to consider.
Tracheostomy Emergencies can be high-stress situations, that require time-critical intervention, that’s why this month we're speaking to an expert and founder of the National Tracheostomy Safety Project Dr Brendan Mcgrath.
Read MoreThis month’s episode is very much not a how-to PHEA podcast. This is designed to give a bit of awareness to what’s happening if you’re part of one and how you can support the wider team if you find yourself looking after a patient receiving an anaesthetic.
Read MoreFrailty is a term we commonly encounter in urgent and emergency care, but can you actually define it? Have you been taught to use frailty scores, and do you know what they're for?
This month we've partnered with the fantastic MDTea podcast to look at the subject.
As always, find the article at www.generalbroadcast.org.uk
and check out the other fantastic resources from the MDTea at: thehearingaidpodcasts.org.uk/mdtea-podcast/
Silver trauma is the term that is most commonly used to describe trauma in older patients. It is often used to refer to major trauma in this patient group and rates of major trauma in the over 65s are rising.
This month we're looking at the physiological changes that occur with ageing and trying to understand how these impact our older patients who suffer trauma.
This is the second episode in a two-part series on COPD.
In this episode, we look at the differential diagnosis to consider to a simple exacerbation, the ambulance management as well as recent changes to national paramedic guidelines, and the management options
COPD is a terminal condition believed to affect as much as 4% of the UK populace. These patients often present to ambulance crews with an exacerbation in symptoms.
In this episode, we look at the pathophysiology of COPD, causes and diagnosis as well as the assessment of acute shortness of breath in these patients.
When you think of Paediatrics medicine, the presentation of fever is probably not far behind. This is a common finding by paramedics and ambulance staff need to be confident in their assessment and management of this patient group.
Thats why this month we're tackling paediatric fever, with the help from paediatrics consultant Dr Wajeeh Khattam
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