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

Eine durchschnittliche Folge dieses Podcasts dauert 37m. Bisher sind 49 Folge(n) erschienen. Dieser Podcast erscheint alle 1 Monate.

Gesamtlänge aller Episoden: 1 day 9 hours

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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


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 April 16, 2018  28m
 
 

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


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 February 9, 2018  51m
 
 

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: Tranexamic Acid


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 January 18, 2018  37m
 
 

Episode 25: Tension pneumothorax 2


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. The Three Kings: George Clooney’s recommended approach to decompression … Continue reading Episode 25: Tension pneumothorax 2


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 December 1, 2017  28m
 
 

Episode 24: Tension pneumothorax 1


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: A tension pneumothorax exists when the air in the pleural cavity … Continue reading Episode 24: Tension pneumothorax 1


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 December 1, 2017  42m
 
 

Episode 23: Intraosseus access


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 access … Continue reading Episode 23: Intraosseus access


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 November 14, 2017  49m
 
 

Episode 22: BASICS & FPHC Conference 2017 – Part 2


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


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 November 7, 2017  35m
 
 

Episode 21: BASICS & FPHC Conference 2017 – Part 1


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


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 October 6, 2017  34m
 
 

Episode 20: End Tidal Carbon Dioxide


Guest contributor: Lauren Weekes 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 … Continue reading Episode 20: End Tidal Carbon Dioxide


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 September 6, 2017  39m
 
 

Episode 19: Surgical Airway


  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 working group. British Journal … Continue reading Episode 19: Surgical Airway


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 July 6, 2017  25m