PHEMCAST

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

https://phemcast.co.uk

subscribe
share


 
 

      Episode 25: Tension pneumothorax 2


      https://phemcast.files.wordpress.com/2017/12/tp2-final-11_11_2017-00-30.mp3

      Where can you undertake decompression of a pneumothorax?

      Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. For example, here are the locations identified as ‘2nd ICS mid clavicular line’ amongst 25 EM physicians in a 2005 EMJ paper.

      From http://emj.bmj.com/content/22/11/788

      The ...


      share





      n/a
       

      Episode 24: Tension pneumothorax 1


      https://phemcast.files.wordpress.com/2017/12/tp-1-fin-11_11_2017-00-08.mp3

      Firstly, go and read Simon and Tim Harris’ great 2005 paper on the subject which we reference repeatedly in the podcast. It is available free open access here.

      A pneumothorax exists when air accumulates in the potential space between the visceral and parietal pleura:

      From: www.wisdomjobs.com

      A tension pneumothorax exists when the air in the pleural cavity is ...


      share





      n/a
       

      Episode 23: Intraosseus access


      https://phemcast.files.wordpress.com/2017/11/io-fin-10-11-2017-22-41.mp3

      The various devices which Tony discusses are:

      This video shows the rapidity of infusion entering the circulation from a humeral IO.

      This is the paper mentioned by Tony, which shows the stepwise improvement in mortality amongst combat casualties from military conflict 2003-2012, including the ‘unicorn’ graph:

      Anatomy of bones and the humerus related to intraosseus ...


      share





      n/a
       2017-11-14

      Episode 22: BASICS & FPHC Conference 2017 – Part 2


      https://phemcast.files.wordpress.com/2017/11/basics-2-07112017-08-42.mp3


      share





      n/a
       2017-11-07

      Episode 21: BASICS & FPHC Conference 2017 – Part 1


      https://phemcast.files.wordpress.com/2017/10/basics-fhec-06102017-20-17.mp3


      share





      n/a
       2017-10-06

      Episode 20: End Tidal Carbon Dioxide


      Guest contributor: Lauren Weekes

      https://phemcast.files.wordpress.com/2017/09/et-06092017-16-24.mp3

      What is ETCO2?

      % or partial pressure of carbon dioxide measured somewhere near the mouth at the end of a normal exhalation (hence end tidal, end of tidal volume breath) To get a measurement the following systems need to be functioning: Metabolically active tissue to produce CO2 Circulation & cardiac output to carry that CO2 to the lungs in blood Transfer of CO2...


      share





      n/a
       2017-09-06

      Episode 19: Surgical Airway


      https://phemcast.files.wordpress.com/2017/07/surg.mp3

       

      The West Midlands surgical skills course offers cadaveric training for PHEM and EM practitioners on rare life saving procedures. Click here to go straight to their page.

      Anatomy

      The Guidelines

      Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. C. Frerk et al. Difficult Airway Society: Intubation guidelines ...


      share





      n/a
       2017-07-06

      Episode 18: The Ventilator Part 2


      https://phemcast.files.wordpress.com/2017/06/vent-final.mp3

      Many apologies for the delay in the release of this podcast!

      A second apology is due for the sound quality – it was recorded at a ‘live’ HEMS base – this has led to lots of background noise I am afraid. We have done our best to edit this out / reduce its effect but I’m afraid we are not experts in this area!

      This podcast is part 2 of this series on the ventilator – and you...


      share





      n/a
       2017-06-04

      Episode 17: Broken? Impact on the rescuer


      https://phemcast.files.wordpress.com/2017/03/broken.mp3

      This episode has been compiled over a year – many thanks to our four contributors, who have shared their stories and knowledge. They were interviewed at TraumaCare 2016, TraumaCare 2017 and the BASICS/FPHC Conference 2016.

      If you ever need to talk about the impact of stresses and work experiences on you, please find a friend, colleague, GP, work Occupational Health Service, or one of the charities listed...


      share





      n/a
       2017-03-28

      Episode 16: “Blood”


      https://phemcast.files.wordpress.com/2017/01/blood-final-27012017-11-55.mp3

       

      There is the potential for significant controversy in this month’s episode – and we would really appreciate the feedback of the prehospital community on this one.

      We have held the ‘no clear fluids’ mantra close to our hearts for most of our prehospital careers. We ‘know’ that giving sea water to our patients, and diluting all of blood’s ‘good bits’ can’t be healthy. We believed in permi...


      share





      n/a
       2017-02-23