title

PHEMCAST

Tim Nutbeam and Clare Bosanko

2
Followers
5
Plays
PHEMCAST

PHEMCAST

Tim Nutbeam and Clare Bosanko

2
Followers
5
Plays
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About Us

A UK Prehospital Emergency Medicine Podcast. This podcast and associated website aims to:- Share knowledge and expertise in the field of prehospital medicine with specific reference to the UK working environment- Make this content relevant to all professional prehospital practitioners

Latest Episodes

Episode 35: The collapsed infant

A: Optimal airway position for infants Note how a rolled towel is placed under the baby’s shoulders to allow space for the occiput and avoid flexion of the neck and airway. ‘B’ assessment Video links to examples of children with signs of respiratory distress: Stridor Grunting Increased work of breathing ‘D’ assessment Example video showing … Continue reading Episode 35: The collapsedinfant

-1 s2019 SEP 26
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Episode 35: The collapsed infant

Episode 34: Back pain

So, where is the Cauda Equina? From Core EM How does a herniated disc cause CES? This fab infographic summarising the key points about the CES guidance was produced by @DrLindaDykes and @saspist. Here is the full guideline from The Society of British Neurological Surgeons and TheBritish Association of Spinal Surgeons. NICE guidance onLow back … Continue reading Episode 34: Backpain

-1 s2019 JUL 13
Comments
Episode 34: Back pain

Episode 33: Psychosomatic Illness

Many thanks to Suzanne O’Sullivan for her time in putting this podcast together. Her excellent books “It’s all in your head” and “Brainstorm” are well worth a read. It is certainly one of the PHEMcast recordings which is going to change my own practice the most. We can all find these patient’s challenging … Continue reading Episode 33: PsychosomaticIllness

-1 s2019 MAR 31
Comments
Episode 33: Psychosomatic Illness

Episode 32: Ketamine

Huge thanks to the team at World Extreme Medicine and WEM Cast for sharing the interview with Richard Harris. Dosing These are a guide only, each patient will need a bespoke approach depending on their pre-existing condition, degree of cardiovascular compromise, conscious level and drugs already administered. Clearly you … Continue reading Episode 32: Ketamine

-1 s2019 MAR 4
Comments
Episode 32: Ketamine

Episode 31: Stroke & Dizziness

The Danish mnemonic to help remember the elements of a cerebellar neurological examination: There are lots of Youtube videos to demonstrate these signs, here are a few which I thought were particularly helpful: Disdiadochokinesis Ataxia Nystagmus Intention tremor If you would like to read more, there is a blog post Martin and I wrote … Continue reading Episode 31: Stroke &Dizziness

-1 s2019 JAN 23
Comments
Episode 31: Stroke & Dizziness

Episode 30: Head injury

Quite a few of our previous podcasts include content which is relevant to this Head Injury one. Why not go back and have a listen to: Episode 3: Hyperoxia Episode 20: End Tidal Carbon Dioxide Episode 28: LOST (Low Output State in Trauma) Munroe-Kellie Doctrine The Munroe-Kellie Doctrine is illustrated by the following pictures: Or, … Continue reading Episode 30: Headinjury

-1 s2018 OCT 29
Comments
Episode 30: Head injury

Episode 29: Major Incidents

Another invitation to the Trauma Care Conference this year inspired us to combine two of the excellent speakers into this podcast considering major incidents. Thanks to both our speakers for sharing their talks from the conference. Trauma Care offer more than the annual conference; there are monthly webinars and regional meetings too, click … Continue reading Episode 29: MajorIncidents

-1 s2018 JUL 5
Comments
Episode 29: Major Incidents

Episode 28: LOST

Cardiac arrest is the end point, it is the symptom, not the diagnosis.The pathophysiological process varies, and this is particularly relevant in trauma vs medical. In medical cardiac arrest, the pathological processes tend to affect the heart’s ability to pump: eg primary cardiac event, chemical/electrolyte abnormality, but full circulation. In trauma the process is … Continue reading Episode 28: LOST

-1 s2018 APR 17
Comments
Episode 28: LOST

Episode 27: Checklists

We recommend reading Atul Gawande’s book ‘The Checklist Manifesto’. It’s a well written, fascinating story about the introduction of the WHO Safer Surgery checklist and the impact it had. This link will take you straight to Amazon if you want to buy a copy (other internet retailers exist!!) To understand the how human factors failed … Continue reading Episode 27: Checklists

-1 s2018 FEB 9
Comments
Episode 27: Checklists

Episode 26: Tranexamic Acid

The paper which we discuss in the interview is available open access here How does tranexamic acid work? Critical appraisal aids To understand more about hierachy of evidence and how a systematic review fits into this please have a look at these resources available from the Cochrane group. http://consumers.cochrane.org/levels-evidence http://training.cochrane.org/path/grade-approach-evaluating-quality-evidence-pathway The CASP checklist can … Continue reading Episode 26: TranexamicAcid

-1 s2018 JAN 19
Comments
Episode 26: Tranexamic Acid

Latest Episodes

Episode 35: The collapsed infant

A: Optimal airway position for infants Note how a rolled towel is placed under the baby’s shoulders to allow space for the occiput and avoid flexion of the neck and airway. ‘B’ assessment Video links to examples of children with signs of respiratory distress: Stridor Grunting Increased work of breathing ‘D’ assessment Example video showing … Continue reading Episode 35: The collapsedinfant

-1 s2019 SEP 26
Comments
Episode 35: The collapsed infant

Episode 34: Back pain

So, where is the Cauda Equina? From Core EM How does a herniated disc cause CES? This fab infographic summarising the key points about the CES guidance was produced by @DrLindaDykes and @saspist. Here is the full guideline from The Society of British Neurological Surgeons and TheBritish Association of Spinal Surgeons. NICE guidance onLow back … Continue reading Episode 34: Backpain

-1 s2019 JUL 13
Comments
Episode 34: Back pain

Episode 33: Psychosomatic Illness

Many thanks to Suzanne O’Sullivan for her time in putting this podcast together. Her excellent books “It’s all in your head” and “Brainstorm” are well worth a read. It is certainly one of the PHEMcast recordings which is going to change my own practice the most. We can all find these patient’s challenging … Continue reading Episode 33: PsychosomaticIllness

-1 s2019 MAR 31
Comments
Episode 33: Psychosomatic Illness

Episode 32: Ketamine

Huge thanks to the team at World Extreme Medicine and WEM Cast for sharing the interview with Richard Harris. Dosing These are a guide only, each patient will need a bespoke approach depending on their pre-existing condition, degree of cardiovascular compromise, conscious level and drugs already administered. Clearly you … Continue reading Episode 32: Ketamine

-1 s2019 MAR 4
Comments
Episode 32: Ketamine

Episode 31: Stroke & Dizziness

The Danish mnemonic to help remember the elements of a cerebellar neurological examination: There are lots of Youtube videos to demonstrate these signs, here are a few which I thought were particularly helpful: Disdiadochokinesis Ataxia Nystagmus Intention tremor If you would like to read more, there is a blog post Martin and I wrote … Continue reading Episode 31: Stroke &Dizziness

-1 s2019 JAN 23
Comments
Episode 31: Stroke & Dizziness

Episode 30: Head injury

Quite a few of our previous podcasts include content which is relevant to this Head Injury one. Why not go back and have a listen to: Episode 3: Hyperoxia Episode 20: End Tidal Carbon Dioxide Episode 28: LOST (Low Output State in Trauma) Munroe-Kellie Doctrine The Munroe-Kellie Doctrine is illustrated by the following pictures: Or, … Continue reading Episode 30: Headinjury

-1 s2018 OCT 29
Comments
Episode 30: Head injury

Episode 29: Major Incidents

Another invitation to the Trauma Care Conference this year inspired us to combine two of the excellent speakers into this podcast considering major incidents. Thanks to both our speakers for sharing their talks from the conference. Trauma Care offer more than the annual conference; there are monthly webinars and regional meetings too, click … Continue reading Episode 29: MajorIncidents

-1 s2018 JUL 5
Comments
Episode 29: Major Incidents

Episode 28: LOST

Cardiac arrest is the end point, it is the symptom, not the diagnosis.The pathophysiological process varies, and this is particularly relevant in trauma vs medical. In medical cardiac arrest, the pathological processes tend to affect the heart’s ability to pump: eg primary cardiac event, chemical/electrolyte abnormality, but full circulation. In trauma the process is … Continue reading Episode 28: LOST

-1 s2018 APR 17
Comments
Episode 28: LOST

Episode 27: Checklists

We recommend reading Atul Gawande’s book ‘The Checklist Manifesto’. It’s a well written, fascinating story about the introduction of the WHO Safer Surgery checklist and the impact it had. This link will take you straight to Amazon if you want to buy a copy (other internet retailers exist!!) To understand the how human factors failed … Continue reading Episode 27: Checklists

-1 s2018 FEB 9
Comments
Episode 27: Checklists

Episode 26: Tranexamic Acid

The paper which we discuss in the interview is available open access here How does tranexamic acid work? Critical appraisal aids To understand more about hierachy of evidence and how a systematic review fits into this please have a look at these resources available from the Cochrane group. http://consumers.cochrane.org/levels-evidence http://training.cochrane.org/path/grade-approach-evaluating-quality-evidence-pathway The CASP checklist can … Continue reading Episode 26: TranexamicAcid

-1 s2018 JAN 19
Comments
Episode 26: Tranexamic Acid
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