BASICS Scotland Podcast (BASICS Scotland)
Explorez tous les épisodes de BASICS Scotland Podcast
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| 16 May 2022 | Damon Powell – Roles, Responsibilities and Capabilities of MRT | 00:25:14 | |
Damon, Chair of Scottish Mountain Rescue, chats us through the roles, responsibilities and skillsets of the volunteer rescue teams that the organisation represents. As part of our multi-agency series, which gives us some insight into the organisations that we may meet as responders in the field. Top 3 Points from this podcast:
Damon grew up to the north of Manchester and, having trained as a mathematician, eventually managed to avoid the repeated Friday night drives up the M6 by moving to Scotland permanently. Since moving to Scotland Damon and his wife have been running a holiday cottage business and an energy conservation consultancy. Damon has been involved in Mountain Rescue in Scotland since he moved here and was Team leader in Oban for 12 years before becoming chair of SMR 4 years ago.
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| 22 Nov 2021 | Lucy Powls - Obstetric Emergencies in the Pre-hospital Environment | 00:23:02 | |
Lucy talks us through the obstetric emergencies of shoulder dystocia and cord prolapse, and how to treat these in the pre-hospital environment.
Top 3 tips: 1. Be aware of the signs and symptoms of shoulder dystocia and cord prolapse 2. Call for help as soon as possible and make sure the receiving maternity unit is pre-alerted to the emergency you are bringing in 3. The debrief is very important for these emergencies, considering the parents, the responders and the hospital staff in this emergency About LucyLucy is currently the Educational Lead for the Scottish Multiprofessional Maternity Development Programme (SMMDP) Lucy qualified as a midwife in 1984 and has worked in a variety of clinical posts throughout the UK and joined SMMDP in June 2017. SMMDP are part of NHS Education for Scotland and are Scotland’s leading provider of maternity and neonatal clinical skills training. SMMDP provide affordable, post-registration courses to any professional group who request training. Lucy is married to Andrew and they have a daughter Samantha who is studying at Glasgow University. Lucy also has a greyhound called Indy, who keeps her fit and active whatever the weather.
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| 20 Sep 2021 | LisaJane Naidoo - Scottish Ambulance Services pathways around child protection | 00:22:51 | |
LisaJane chats us through the pathways for identifying and supporting children at risk, how this fits into the Getting it Right For Each Child (GIRFEC) model and how this fits into a multi-agency approach for that child.
Biography Lisa Jane is the clinical effectiveness lead for child protection at the Scottish ambulance service.
Top 3 tips 1) Go with your gut, if you are feeling stressed or intimidated in an environment, imagine how a child feels within that environment 2) Don’t ever assume that someone else will escalate a concern on your behalf. It doesn’t matter how many refferals are made they are still all relevant and there is power within those referrals 3) If you have any dubiety then escalate it, don’t ever disregard your own feelings in any situation.
Resources/links Child Protection Guidance for Health Professionals (www.gov.scot) | |||
| 31 May 2021 | Cliff Reid – The Zero Point Survey | 00:38:50 | |
Cliff, based in Australia, talks us through the zero-point survey, why it is important and how we use it for the emergency setting. Top 3 Points from this podcast:
Zero Point Survey: A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness. REID, C., BRINDLEY, P., HICKS, CARLEY, S., RICHMOND, C., LAURIA, M., & WEINGART, S., 2018. Clinical and Experimental Emergency Medicine. 5(3), pp 139-143. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166036/ About Cliff:Cliff works for New South Wales Ambulance as one of the retrieval physicians with Sydney HEMS. He also works in emergency medicine and intensive care. He is fascinated by the factors that optimise team performance in resuscitation. | |||
| 25 Jan 2021 | Christine Proudfoot - Dementia and related diseases in the emergency setting | 00:26:43 | |
Christine talks us through dementia, what is it? What common forms may we come across and how does delirium differ? And how do we best manage and treat patients with dementia in the pre-hospital emergency setting?
Top 3 tips: • Stay calm, a smile and touch is reassuring, maintain eye contact. • Use words which ask for a simple answer • Engage with relevant others where possible to ensure wishes are supported and the person feels safe
Links and resources:
Information on section 47 https://www.gov.scot/publications/section-47-certificate/
Dementia MKN http://www.knowledge.scot.nhs.uk/dementia/organisations.aspx
Think capacity, think consent (link for further learning) https://www.nes.scot.nhs.uk/media/fqca5enl/capacity_and_consent-interactive.pdf
Dementia standards Standards for care for dementia in Scotland
Alzheimers Scotland
Adults with incapacity Act (2000) https://www.legislation.gov.uk/asp/2000/4/contents
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| 07 Mar 2022 | Gail Topping - Are you OK? | 00:27:48 | |
Top 3 tips
Resources
https://www.mind.org.uk/news-campaigns/campaigns/blue-light-programme/
https://royalfoundation.com/mental-health/
https://drdavidhamilton.com/the-5-side-effects-of-kindness/
Books The Mental Health And Wellbeing Of Healthcare Practitioners - Esther Murray and Jo Brown (includes a chapter on our campaign) The Little Book Of Kindness - Dr David Hamilton
Biography I've worked in the SAS for over 22 years, initially in ACC before moving to operational duties and I've been based in West Lothian ever since. My mental health has been negatively affected by some harrowing incidents I have responded to and I became frustrated by the lack of support sometimes being offered afterwards, so Ruth Anderson and I developed a campaign for informal peer support. It was called “R U OK?”, based on the Australian mental health charity, and I hope it helped promote conversations about mental health and well-being within the SAS. | |||
| 23 May 2022 | John Aitchison - Scottish Fire and Rescue Service - Who are they and what do they do? | 00:20:39 | |
John chats us through the skills, roles and responsibilities of the Scottish Fire and Rescue Service, what can they do on scene, how they can help with the patients, and how this all fits into the multi-agency working to bring the best care to the patient. Top tips 1) Visit your local Scottish fire and rescue station and get to know and train with the crews 2) Remember the hierarchy of safety, your safety is paramount. Wear correct PPE and follow any briefs given/discussed 3) Don’t be afraid to ask for help at a job, the crews are trained and willing to help where they can.
Bio: I have two children, Lewis and Eilidh, and am married to a very understanding wife Alison. I joined Grampian Fire Brigade (later to become Grampian Fire and Rescue Service and eventually Scottish Fire and Rescue service) in January 2003 and was posted to Altens Fire Station. Over the years I have also served at Central Fire Station and North Anderson Drive, all in Aberdeen city. For the past 10 years I have been an Instructor for the service and now run a small team looking after Aberdeen city stations training. My whole-time job is extremely varied involving many disciplines including Breathing apparatus, Fire Behaviour, road traffic collision, recruitment selection and training for new recruits, Incident command, trauma care, Urban search and rescue, safe working at heights and their assessment, as well as the training and accreditation of new Instructors. I moved to the village of Gourdon on the north east coast in 2008 and joined the nearest retained duty Fire Station of Inverbervie. I now run this station as Watch Commander and I'm on call to respond to a variety of incidents whenever I'm not performing my whole-time role. For the past 11 years I have been a member of the United Kingdom International Search and Rescue team, on call 6 months of the year for international disasters deployed by the Foreign Commonwealth Development Office and accredited by the International Search and Rescue Advisory Group which is part of the United Nations. The team specialises in heavy to light urban search and rescue and has been deployed many times all over the world. I was deployed to Nepal after the 2015 earthquake. I have been involved in the humanitarian aid charity Operation Florian since 2007, delivering Search and Rescue training in Macedonia and Nepal, raising money for projects, and collecting unused fire service kit and sending it to countries that do not have access to fire and rescue equipment. I have keen interest in trauma care and its advancements, I love learning new techniques and working closely with paramedics, nurses, and doctors to improve my own knowledge on the subject and allow me to pass this on to my colleagues in SFRS and my work overseas. | |||
| 23 Aug 2021 | Stuart Manwell - The Scottish Major Trauma Network and the Major Trauma Triage Tool | 00:29:40 | |
Stuart chats us through the Scottish Trauma network, what a major trauma centre is and the major trauma triage tool, helping us get the right patient to the right place at the right time.
BIOGRAPHY
Stuart is a Paramedic with the Scottish Ambulance Service (SAS) based in Paisley and is currently the Project Lead Major Trauma Triage Tools (MTTT). Stuart started his SAS career as a Community First Responder with Neilston and Uplawmoor First Responders who were awarded the Queen’s Award for Voluntary Service in 2018. Stuart has been involved since the group was established and is still hugely involved with their work. Stuart was appointed as Project Lead Major Trauma Triage Tools (MTTT) at the start of the year to roll out the MTTTs. “The Scottish Ambulance Service is a fundamental part of the STN and this is a really exciting time for us as the MTTTs will allow paramedics and technicians to triage patients to definitive care wherever possible”.
3 TOP TIPS
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| 15 Feb 2021 | Alison Gallagher - Cave rescue, who are they and what do they do? | 00:18:59 | |
Alison chats us through cave rescue in Scotland, what are the team skills, capabilities and responsibilities and how are they tasked?
Top 3 Points from this podcast:
About Alison Alison is a GP based in Dundee, and also works in Ninewells ED as a GP with a specialist interest in emergency medicine. She is a team doctor for Tayside Mountain Rescue and medical officer for the Scottish Cave Rescue Organisation.
She enjoys adventures above and below ground, often with her husband and two sons. | |||
| 28 Apr 2021 | Iain Craighead – A Responders Perspective | 00:21:52 | |
In this podcast Iain Craighead gives the benefit of his experience as a BASICS Scotland Responder. He stresses the importance of getting to know your Sandpiper bag and equipment inside out, as well the benefits of building a strong relationship with your local ambulance colleagues. Iain also urges patience with gaining experience as a Responder and becoming a really valuable local emergency resource. Top Tips:1 Know your kit inside out 2 Get to know your local ambulance colleagues and work closely with them 3 Stick with it! Be patient and take time to gain the experience! About IainDr Iain Craighead is a GP based in Dingwall and has been a BASICS Scotland Responder for the last 6 years. He qualified as a GP in 1996 and worked in West Oxfordshire before spending 5 years working with International Nepal Fellowship based at Green Pastures Leprosy and Rehabilitation Hospital in Pokhara. On returning to the UK he lived and worked in Kirkwall where he attended a PHEC course and together with Dr Kirsty Cole and the local ambulance manager Lyndon Sinclair, set up a BASICS Scotland Responder scheme covering the Orkney mainland. In 2016 he moved south and joined Dingwall Medical Group and the Highland PICT team just at the point when it introduced a paramedic crewed response car. He remains an active BASICS Scotland Responder whilst at home on the Black Isle. Dr Craighead has been a GP trainer for 10 years and is 1st team doctor for Ross County Football Club. | |||
| 17 Feb 2021 | Eric Pirie - Prolonged Care in the Field | 00:24:52 | |
As a longstanding member of Cairngorm Mountain Rescue Team, Eric Pirie talks through the issues arising from rescues that are protracted, and particularly focuses on prolonged care in the field, which may not be particularly familiar to BASICS Scotland Responders, but occurs fairly regularly in Mountain Rescue. Key points from this podcast:
St Emlyns Blog for the H.I.T.M.A.N mnemonic and other useful info. ProlongedFieldCare.org – A useful website, very military in nature, excellent principles. SHEEPVOMIT nursing mnemonic described in the NSOCM Manual (NATO Special Operations Combat Medic) Course run by the ISTC SOF – International Special Training Center About EricEric is an International Mountain Guide (IFMGA), Mountain Instructor Certificate holder, Wilderness EMT and Paramedic, who has 25 years of experience working to the highest levels in the outdoors worldwide. Eric joined the Cairngorm Mountain Rescue Team in 1982 and is still an active team member. Whilst working as an Instructor at Glenmore Lodge, The Scottish National Outdoor Training Centre, Eric was head of Rescue for 10 years. He also worked as a senior ski patroller, on Cairngorm for 7 seasons, when there was snow! He has been involved in numerous rescues both in Scotland and worldwide, gaining experience in longer term patient care whilst seconded to the National Park Service as a mountaineering/medical volunteer ranger, on patrol for a season, on Denali, Alaska. Eric now works full time for The Scottish Ambulance Service based from home in Grantown-on-Spey.
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| 11 Apr 2022 | Mark Worrall - Seizures in the Paediatric Patient | 00:21:05 | |
Mark chats us through seizures in the paediatric patient from febrile convulsions to status epilepticus Top Tips:
Biography: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder and Co -Director for pre-Hospital care for BASICS Scotland. His interests include the management of critically unwell children anywhere. | |||
| 12 Jul 2021 | Murdo Macauley - Why & how do we search - HM Coastguard Agency | 00:27:38 | |
Murdo explains the reason effective Search Management is vital when looking for missing people. Discussing the rational and some of the techniques behind the decisions that are made supported by in-depth research. Additionally, the role that BASICS and other medical responders may find themselves playing. Tips
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| 24 Mar 2021 | Tom Quinn – The Paramedic 2 Trial | 00:30:44 | |
This week’s podcast from BASICS Scotland is with Tom Quinn, who explains the findings of the Paramedic 2 trial. Paramedic 2 has been described as a landmark study, the results of which have challenged conventional methods used to prioritise restarting the heart during an out of hospital cardiac arrest. Key points from this podcast:
PARAMEDIC-2 trial main paper https://www.nejm.org/doi/pdf/10.1056/NEJMoa1806842 Repeated adrenaline doses and survival https://www.resuscitationjournal.com/article/S0300-9572(19)30007-3/fulltext ILCOR systematic review on vasopressors in cardiac arrest https://www.resuscitationjournal.com/article/S0300-9572(19)30122-4/fulltext 2019 Consensus on Science and Treatment Recommendations (ILCOR) https://www.resuscitationjournal.com/action/showPdf?pii=S0300-9572%2819%2930665-3 Video of a talk I gave on the PARAMEDIC-2 trial https://www.youtube.com/watch?v=6aRd1iB0Hnw Presentation at the European Society of Cardiology annual Congress, Paris, 2019. https://esc365.escardio.org/Congress/ESC-CONGRESS-2019/New-insights-into-cardiopulmonary-resuscitation/187252-time-to-abandon-adrenaline-in-out-of-hospital-cardiac-arrest About TomTom is a cardiac nurse with 40 years’ experience (he started training as an orthopaedic nurse in 1979). His NHS career has taken him from the bedside – general medicine and cardiac care units at both secondary and tertiary centres including Bart’s and the National Heart Hospital in London, and in York – to central Government where he was section head of the Department of Health policy team responsible for the National Service Framework for Coronary Heart Disease. Along the way he played a significant role in establishing the Defibrillators in Public Places Initiative and later was involved in the development of England’s national programme to provide primary angioplasty (attending and speaking at the initial meeting with the Prime Minister’s Delivery Unit). He subsequently worked strategically at regional level on cardiovascular issues, including 4 years in an ambulance service as a consultant cardiac nurse/regional head of cardiovascular, stroke and research. During this time he became a visiting professor at Coventry University, subsequently moving to the University of Surrey in 2009 as a full professor. While at Surrey he was Associate Dean for Health & Medical Strategy, leading development of a 10-year strategy for the institution with NHS partners. On moving to the Joint Faculty at Kingston & St George’s, University of London as Professor of Nursing, Tom took up a leadership role as Associate Dean for Research & Director of the Centre for Health & Social Care Research. On completing this term he became Professor of Cardiovascular Nursing, leading a new Emergency, Cardiovascular & Critical Care Research Group and is now also a BASICS Scotland trustee. | |||
| 07 Apr 2021 | Lisa Artis – The importance of Sleep | 00:26:09 | |
Lisa Artis discusses sleep: the importance of it, the differences in individuals when it comes to the ability to have a good, restful sleep, as well as busting myths around caffeine! Key points from this podcast:
The Sleep Council – https://sleepcouncil.org.uk/ About LisaLisa is a qualified children’s sleep practitioner and experienced sleep advisor, and has worked in the realm of sleep for more than nine years. Heading up the day to day running of The Sleep Council, Lisa has a passionate interest in sleep, how it affects health and wellbeing and is campaigning for sleep to be taken seriously on the Public Health agenda. She shares advice and tips through the Sleep Council website, on the radio and at workshops / events and plays a proactive role in awareness raising campaigns. | |||
| 25 Apr 2022 | James Stevenson - Major Incidents | 00:32:29 | |
A slight departure from our usual format. This weeks podcast is an excerpt for 2022's virtual conference. The first of twelve experts on the theme of "THE BASICS OF CHALLENGING SCENES AND SITUATIONS" If you are interested in hearing further fantastic content from our panels sign up here: https://basics-scotland.org.uk/basics-scotland-virtual-conference-2022/ ------------ James takes a look at Major Incidents, the definition, roles of the first doctor on scene and some case discussions following his involvement as a medical incident officer at two recent major incidents.
Aims of the podcast 1) To define a major incident 2) To consider the expectations for the first doctor on scene 3) To discuss some cases involving major incidents
Biography James is a consultant in emergency medicine based in Crosshouse Hospital, Kilmarnock. Since 2010 he has also had a sessional commitment as a consultant in pre-hospital and retrieval medicine with the Emergency Medical Retrieval Service (EMRS), the adult component of ScotStar, the National Retrieval Service. Prior to starting with EMRS James also worked as a consultant in Emergency Medicine for a 3-year period in Adelaide, South Australia, working both in the Emergency Department of the Royal Adelaide Hospital and with the South Australian Retrieval Service. Following his return from Australia James successfully completed a Masters degree in Aviation Medicine incorporating a Postgraduate Diploma in Aeromedical Retrieval and Transport Medicine at the University of Otago, New Zealand.
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| 18 Oct 2021 | James Hale - Permissive Hypotension | 00:38:29 | |
James clarifies what the process of permissive hypotension is and how and why to use it as a temporary management strategy. Top 3 tips: 1. Try not to think about a specific number in these patients but look at the bigger picture. Assess for multiple signs of shock when deciding how to treat these patients. 2. Think about the patient’s journey - how far do they need to go, how you are going to get there and how long will it take? Patient’s requiring a longer journey may require more resuscitation that those undergoing a shorter journey. 3. Think carefully before giving large amounts of crystalloid to these patients, it may be the only option in some patients but there are negative effects to its use. Biography:
James is an anaesthetic registrar based in Edinburgh. He has worked for a number of pre-hospital organisations around the UK and is currently a fellow with the Emergency Medical Retrieval Service in Glasgow. He has completed sub-speciality training in Pre-hospital Emergency Medicine (PHEM) and holds the Fellowship in Immediate Medical Care (FIMC). His main interests inside medicine include trauma, from scene to theatre, and retrieval medicine. Outside of work he spends most of his time baking bread, enjoying mountains and looking after his 3 children. Links and resources: RCT comparing immediate vs delayed fluid resuscitation for patients with penetrating torso trauma. Bickell WH, Wall MJ, Pepe PE, Martin RR, Ginger VF, Allen MK, et al. Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. New England Journal of Medicine 1994;331(17):1105-9. Cochrane Review relating to timing and volume of fluid resuscitation in patients with bleeding. Kwan I, Bunn F, Chinnock P, Roberts I. Timing and volume of fluid administration for patients with bleeding. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD002245. DOI: 10.1002/14651858.CD002245.pub2. Systematic Review of animal trials regarding fluid strategies in trauma. Mapstone J, Roberts I, Evans P. Fluid resuscitation strategies: a system- atic review of animal trials. J Trauma. 2003;55:571–589. Correlation of SBP and pulse location in hypovolaemic shock. Charles D Deakin, J Lorraine Low. Accuracy of the advanced trauma life support guidelines for predicting systolic blood pressure using carotid, femoral, and radial pulses: observational study. BMJ 2000;321:673–4. Rat model of TBI and Haemorrhage comparing no fluid vs fluid. Talmor D, Merkind V, Artru AA, et al. Treatment to support blood pressure increases bleeding and/or decreases survival in a rat model of closed head trauma combined with uncontrolled hemorrhage. Anesth Analg. 1999;89:950–956. Secondary analysis of PAMPER trial showing benefit of FFP over crystalloid in TBI. Danielle S. Gruen, Francis X. Guyette, Joshua B. Brown et al. Association of Prehospital Plasma With Survival in Patients With Traumatic Brain InjuryA Secondary Analysis of the PAMPer Cluster Randomized Clinical Trial. JAMA Netw Open. 2020;3(10):e2016869. doi:10.1001/jamanetworkopen.2020.16869. | |||
| 10 Mar 2021 | Paul Rees – ROSC – Post Resuscitation Care | 00:23:35 | |
This week Paul Rees discusses ROSC and post resuscitation care, including post cardiac arrest syndrome and prognostication after cardiac arrest. Key points from this podcast:
Resus Council post-ROSC care – https://www.resus.org.uk/resuscitation-guidelines/post-resuscitation-care/#circulation About PaulPaul Rees is a military interventional cardioloist at Barts Heart Centre in London, with a special interest in circulatory support and resuscitation. He is also a HEMS consultant, flying for East Anglian Air Ambulance. As a Surgeon Commander in the Royal Navy, he is their Consultant Advisor in Medicine, as well as Reader in the Academic Department of Military Medicine. He chairs the Defence Resuscitation Committee, leads the Defence Endovascular Resuscitation Group and has recently designed and delivered a new capability for treating battlefield haemorrhage. He co-leads the new British Cardiovascular Intervention Society group looking at out of hospital cardiac arrest, and teaches as invited faculty on a number of international endovascular resuscitation workshops. Paul’s military background includes active service with submarines, combat deployment with Commando forces, being the airborne MERT consultant in Afghanistan and numerous humanitarian and disaster relief missions including work in an Ebola treatment unit in Africa.
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| 19 Apr 2021 | Dr Karyn Webster - Recognising and managing possible child abuse and children at risk | 00:19:52 | |
Karyn talks us through what constitutes child abuse and what we can do to assess and manage the situation.
Top Tips: 1) If you think there is something wrong, think why 2) communicate these concerns early 3) Know your local procedures and pathways
Resources: National Guidance for child protection in Scotland https://www.gov.scot/publications/national-guidance-child-protection-scotland/pages/3/ Getting it right for every child https://www.gov.scot/policies/girfec/
Biography Dr Karyn Webster is a GP primarily; she works in Forth Valley Emergency Department as a Senior Specialist and is the current Forth Valley GP Out of Hours clinical lead. She also teaches regularly with Basics Scotland and has developed the Adult and Paediatric Tele-education program. In addition to this she is the current Chair for the Pre-hospital Paediatric Life Support Group run by ALSG and is a course director for both PHPLS and APLS. Passionate about education and support for our Pre-hospital providers. Her career started off in Grampian and quickly evolved into a mix of general practice and emergency medicine with an interest in remote and emergency care. Heavily involved in tele-medicine delivering healthcare to the remote areas of Grampian without the need for travel and later supporting Oil Rig platforms and Ship to Shore work. Her twitter handle is @kittyabdn | |||
| 10 May 2022 | Stuart Braithwaite – RNLI | 00:23:11 | |
Stuart chats us through the roles, responsibilities and skill set of the voluntary emergency service the Royal National Lifeboat Institution (RNLI), including not only their role of saving lives at sea but also their involvement with patient transfer, education and other lesser known about duties. Key points from this podcast:
RNLI Website: www.rnli.org Respect the Water Campaign: https://rnli.org/safety/respect-the-water About StuartStuart is a doctor with experience in Anaesthetics and Emergency Medicine. He has worked on Search & Rescue Aircraft in both Alaska and New Zealand. He is a full-time Winchman Doctor and Crew Resource Management (CRM) Trainer with Rescue Bond 1 Search & Rescue Helicopter based in Aberdeen. He has been involved with the RNLI for over 16 years in various roles as All-Weather & Inshore Lifeboat Crew, All-Weather Lifeboat Mechanic and member of the RNLI National and International Flood Rescue Teams. He has been based predominantly in Aberdeen and North Kessock. | |||
| 08 Jan 2021 | Lucy Powls - Maternal Hypertension and Pre-eclampsia | 00:20:16 | |
Introduction: Lucy talks us through the risk factors, signs and symptoms of maternal hypertension, the long term management and prehospital emergency treatments including that of eclamptic seizures.
Top 3 tips:
1) Pre-eclampsia is quite common and blood pressure and urinalyses should be checked at every available opportunity 2) Severe hypertension requires urgent management so if systolic greater than 160mmHg 3) Management of eclampsia involves basic ABC support and Magnesium Sulphate is the drug of choice for seizure activity
Links and Resources
Maternity NEWS charts
NICE guidelines for hypertension in pregnancy https://www.nice.org.uk/guidance/ng133
Want to find out more about BASICS Scotland?
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| 17 Mar 2021 | Paul Rees – Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) | 00:22:56 | |
This week Paul Rees returns to discuss the trans specialty procedure of REBOA. He looks at why it isn’t commonly used in PHEM but talks about the situations where it could usefully be incorporated into the pre hospital emergency environment. Key points from this podcast:
Norwegian HEMS REBOA paper (open access) – https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014394 About PaulPaul Rees is a military interventional cardioloist at Barts Heart Centre in London, with a special interest in circulatory support and resuscitation. He is also a HEMS consultant, flying for East Anglian Air Ambulance. As a Surgeon Commander in the Royal Navy, he is their Consultant Advisor in Medicine, as well as Reader in the Academic Department of Military Medicine. He chairs the Defence Resuscitation Committee, leads the Defence Endovascular Resuscitation Group and has recently designed and delivered a new capability for treating battlefield haemorrhage. He co-leads the new British Cardiovascular Intervention Society group looking at out of hospital cardiac arrest, and teaches as invited faculty on a number of international endovascular resuscitation workshops. Paul’s military background includes active service with submarines, combat deployment with Commando forces, being the airborne MERT consultant in Afghanistan and numerous humanitarian and disaster relief missions including work in an Ebola treatment unit in Africa.
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| 21 Feb 2022 | April Lochhead - Falls in the community | 00:28:56 | |
April talks us through falls in the community, how we can treat and refer these patients ensuring the right care at the time in the right place Top 3 tips:
Biography: April has 31 years of clinical background in NHS Scotland. April is a a trained Occupational Therapist and has worked in a variety of areas. Starting off in mental health then in-patients, stroke and care of the elderly and laterally her career has been in the evolution of discharge teams to community care and then with Health and Social care partnership Greater Glasgow and Clyde. Her interest in frontline services started with a specialist role in trauma orthpaedics , addressing supported discharge and admission avoidance. This work developed into A&E patient assessment, intermediate care and projects with the Scottish Ambulance Service. April is presently with The Scottish Ambulance Service on a 2 year secondment and believes that she is the first Occupational Therapist within the service. It is her hope to establish a sustainable model to support patients and crews to utilise and embrace all components of health and social care that can provide best outcomes to patients who present to the ambulance teams with falls and frailty. April is passionate about patients having the right care at the right place with informed choice, and embracing new and innovative options and models of practice.
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| 26 Apr 2021 | Pam Barker and Duncan McDonald - How SORT handle Chemical, Biological, Radiological, Nuclear and Explosive incidents | 00:22:24 | |
Pam and Duncan from SAS SORT team talk us through information on how to handle CBRNE events and what the roles and responsibilities of the SORT and other teams play in these events, and what we can do if first on scene.
Top Tips 1) Use the steps 1,2,3 approach, uphill, uphill, scene safety, by looking after yourself you are looking after the patients 2) Consider the remove, remove, remove approach 3) Tie in with the NARU tools as this keeps you up to date on chemicals and changes to them and this will help with e.g. toxic triage
Resources:
Toxbase WIRELESS Information System for Emergency Responders https://webwiser.nlm.nih.gov/getHomeData;jsessionid=33A01B8B55E62338F7234504E1BE9BF4 Remove, remove, remove https://naru.org.uk/remove-remove-remove-refreshed-ior-messaging-is-released-by-naru/ National Ambulance Resilience Unit (NARU) | |||
| 04 Oct 2021 | Dr Jonathan Hanson - Head Injuries | 00:27:25 | |
Jonathan chats us through head injuries, focusing on concussion, what to look for, how to assess, how to treat.
Top 3 tips:
Biography: As a teenager I was a pool lifeguard and played every sport going so I have always combined sports and emergency medicine. Sport and Exercise medicine became a speciality in 2007 and I am one of a handful of Consultants in Scotland where I work both in the NHS and for SportScotland with high performance athletes preparing for major games. I am based in the Emergency department in the Victoria hospital in Kirkcaldy having worked in remote and rural emergency medicine for 12 years on Skye. I have had an apprenticeship in rugby medicine over 15 years from Dr James Robson and currently look after Glasgow Warriors. I wrote and ran sports prehospital care courses for Scottish Rugby, Premier League football and World Rugby. I’m lucky enough to have worked with Team GB at three Olympics and travelled with England to the FIFA World Cup in Russia in 2018 - particularly to work on managing head injury and human factors around emergency situations where up to 300 million people could be watching! Finally I am the current chair of the Scottish Government Concussion advisory group who produced the first nation in the world to have a single concussion guideline for all grassroots sport.
Links and resources:
Scottish common concussion guidance for all sport. https://sportscotland.org.uk/media/3382/concussionreport2018.pdf
Second impact case story
Berlin concussion consensus document https://bjsm.bmj.com/content/51/11/838
NES PBSGL https://www.cpdconnect.nhs.scot/courses/
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| 10 May 2021 | PC Ben Gates - A patient’s perspective from a road traffic collision (RTC) | 00:29:47 | |
As a police officer Ben was seriously injured when involved in a series RTC at work, where the car he was travelling in crashed into a tree and caught on fire. Ben relates the incident, how he felt and what it feels like to be a patient but most importantly some hints and tips for responders and what they can do to help patients in the emergency setting. Biography: Ben is an Officer on the Bed, Cambs & Herts Roads Policing Unit who enjoys fishing and motorbikes. Ben has been a Police Officer for 6 years and has been on the Roads Policing Unit for 3 years.
Top 3 hints 1) Smile for the patient as this makes the patient feel better 2) Be yourself, being human Is a great quality 3) Be honest with your patients
Twitter: @pcbenOnTheMend | |||
| 24 May 2021 | Joel Symonds - The Advanced Practitioner in Critical Care APCC) Paramedic team what can they bring in terms of skills, medications and equipment to help you at a scene? | 00:25:37 | |
The second in a series of two, Joel continues his chat on the role of the Advanced Practitioner in Critical Care (APCC) and what they can bring to help you at different scenes and conditions.
Top tips 1) Maintain dialogue with the incoming APCC and make any stand down decisions a discussion 2) APCC are not just there for incidents you would consider a red team for, instead think of them as supporting you with any incidents that perhaps push your own boundaries and you need some help and support 3) When you meet the team, please engage, ask questions, have a look and kit and have a chat, they are there to support you in any way they can. About JoelJoel Symonds is an Advanced Practitioner in Pre-hospital Critical Care from Edinburgh. On leaving school he worked as a nanny, a pyrotechnician, a children’s actor and a civil servant. He joined the Ambulance Service in 2005 and was promptly told by a burned-out colleague – “The problem with joining the ambulance service is once you’ve become a paramedic there’s nowhere else to go”. Choosing to ignore this nihilism, Joel has spent his career exploring the opportunities available to staff with pre-hospital management skills. Since then, he has worked in international motor racing, desert search and rescue, hostile environment industrial health care, governance consultancy, education and research. He is regularly asked where he’ll be in five years’ time: he has no idea, but can’t wait to find out. Joel has a special interest in human factors, interactions and experience within emergency care, believing that everything we do ultimately hinges on the patients, care providers and bystanders involved. Joel lives in Edinburgh with his family, plays geeky board games and emerged from the 2020 pandemic as a runner and baker. He’ll probably have found something different next week. | |||
| 14 Feb 2022 | Winston de Mello - Prehospital management of burns | 00:39:45 | |
Winston chats to us about burns and the treatment of these in the prehospital environment
Top 3 tips:
Biography:
Dr de Mello undertook his medical training at Guy’s Hospital and Southampton. He served in the RAMC as a Regular and Reservist from 1976 to 2013 ending his military career as Colonel TA BATLS from 2007-2013. His NHS employment as an Anaesthetist and Pain Medicine Physician was at Mid Yorkshire and Manchester University Hospital. His clinical interests include pelvic pain, burns, pre-hospital care and trauma. He is a Founding Member of the Pre-Hospital Care Faculty at the Royal College of Surgeons Edinburgh and the College of Remote & Offshore Medicine at Malta. He retired in 2020 and is Trustee at the Vulval Pain Society UK and Chair of the Pre-hospital SIG at the British Burns Association.
Links and resources:
Clinical Pearls:
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| 06 Jun 2022 | Peter Lorrain-Smith – Police Scotland | 00:22:56 | |
Responders of all types are focused on saving life but what happens if the scene becomes a crime scene? What is a crime scene and how do we manage this? Peter takes us through the roles, responsibilities of the police and responders at the scene and what might happen post the event.
Key points from this podcast:
After working in the leisure industry for 12 years in a variety of locations including London, the West coast of Scotland and Saudi Arabia I joined Northumbria Police in 1997 starting in Newcastle upon Tyne then moving to the Scottish Borders. In 2008, fed up with spending so much time driving to the highlands to spend time in the mountains, I moved house to Perthshire joining Tayside Police, which has since morphed into Police Scotland. As well as being a Sergeant , I am also involved in training officers in multi-agency response to Chemical, Biological, Radiological and Nuclear (CBRN) incidents. I have also been involved in planning the policing of a number of large events including T in the Park and the Ryder Cup. I am currently working as Police Scotland Search and Rescue Coordinator, the strategic link between the mountain rescue teams in Scotland and Police Scotland, the coordinating authority for all land based search and rescue in the country. I am also a member of the Police Scotland (Tayside) Mountain Rescue Team, deploying to incidents involving lost, missing or injured members of the public in the hills and other difficult to access areas. When not a work I can often be found walking my two collie dogs in the hills or paddling on one of Scotland’s many lochs and rivers in an open canoe.
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| 16 Mar 2021 | Ed Barnard - What does the research tell us about traumatic cardiac arrest? | 00:23:06 | |
In this first episode of two, Ed delves into the difficulties in engaging with the survival rates in traumatic cardiac arrest (TCA), the thinking behind chest compressions, the HOT (Hypovolaemia, Oxygenation, Tension Pneumothorax) algorithm and the use of fluid resuscitation in TCA. Biography: Ed Barnard is a military emergency physician at Cambridge University Hospitals, a consultant in pre-hospital emergency medicine at East Anglian Air Ambulance, and a Senior Lecturer in the Academic Department of Military Emergency Medicine. He was previously a BASICS responder in the South West of England. During deployments to Iraq and Afghanistan, Ed became interested in the pre-hospital management of critical hypovolaemia and traumatic cardiac arrest (TCA). This led onto a PhD in endovascular resuscitation and TCA at the United States Air Force 59th Medical Wing, San Antonio, TX. Ed's academic interests are in the pre-hospital management of cardiac arrest (medical and TCA), endovascular resuscitation, and traumatic brain injury (including pre-hospital emergency anaesthesia). His twitter handle is @edbarn | |||
| 04 Apr 2022 | Mark Worrall - Paediatric Respiratory Emergencies part 2 | 00:20:02 | |
Mark chats us through commonly occurring respiratory disorders such as wheezing, asthma, breath stacking, pneumonia and COVID in the paediatric patient
Top Tips:
Resources: Resuscitation council UK Paediatric basic life support guidelines Paediatric basic life support Guidelines | Resuscitation Council UK
Biography: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder and Co-Director for pre-Hospital care for BASICS Scotland. His interests include the management of critically unwell children anywhere. | |||
| 01 Mar 2021 | Duncan Tripp - UK SAR | 00:23:54 | |
In this podcast Duncan explains the role of Coastguard operations including the interaction with the Emergency Services and BASICS Scotland Responders. Key points from this podcast:
Duncan spent 35 years in the RAF in various roles mainly as a Winchman Paramedic in the UK SAR Force. During this time he was a Qualified Helicopter Crewman Instructor and Winchman Training Officer responsible for the training and standards of UK SAR Winchman both in their operational and medical roles. As a member of the RAF Mountain Rescue Service he took part in various worldwide expeditions, some as Medical Director or Expedition Leader. With the responsibility for the UK SAR Force transferring to the MCA in 2015, Duncan left the RAF and continues to operate as a Winchman Paramedic, Instructor trainer and Base Clinical Lead. He has a long-standing involvement with BASICS Scotland going back to 1996. Duncan is the Vice-Chair of BASICS Scotland, an Instructor, Responder and a member of the Clinical Governance Working Group. He is married to a very tolerant and forgiving wife. | |||
| 17 May 2021 | Joel Symonds - The Advanced Practitioner in Critical Care (APCC) Paramedic role, who are they and what do they do? | 00:25:41 | |
The first in a series of two podcasts, Joel talks us through the roles, responsibilities, skills and capabilities of the APCC team, where they can be found and why and when we should use them.
Top tips 1) Maintain dialogue with the incoming APCC and make any stand down decisions a discussion 2) APCC are not just there for incidents you would consider a red team for, instead think of them as supporting you with any incidents that perhaps push your own boundaries and you need some help and support 3) When you meet the team, please engage, ask questions, have a look and kit and have a chat, they are there to support you in any way they can. About Joel Joel Symonds is an Advanced Practitioner in Pre-hospital Critical Care from Edinburgh. On leaving school he worked as a nanny, a pyrotechnician, a children’s actor and a civil servant. He joined the Ambulance Service in 2005 and was promptly told by a burned-out colleague – “The problem with joining the ambulance service is once you’ve become a paramedic there’s nowhere else to go”. Choosing to ignore this nihilism, Joel has spent his career exploring the opportunities available to staff with pre-hospital management skills. Since then, he has worked in international motor racing, desert search and rescue, hostile environment industrial health care, governance consultancy, education and research. He is regularly asked where he’ll be in five years’ time: he has no idea, but can’t wait to find out. Joel has a special interest in human factors, interactions and experience within emergency care, believing that everything we do ultimately hinges on the patients, care providers and bystanders involved. Joel lives in Edinburgh with his family, plays geeky board games and emerged from the 2020 pandemic as a runner and baker. He’ll probably have found something different next week. | |||
| 14 Mar 2022 | Caitlin Wilson - Hyperventilation Syndrome | 00:30:26 | |
Caitlin Chats us through hyperventilation syndrome, classically referred to as “panic attack” and how we can spot it and treat the syndrome
Top 3 tips:
Biography: Caitlin Wilson is a paramedic for North West Ambulance Service NHS Trust and conducted a research study on Hyperventilation Syndrome (HVS) as part of her MSc Clinical Research Methods in 2015/16. Caitlin went on to publish findings from her research and was involved in updating the JRCALC guidelines for HVS. Currently, Caitlin is undertaking a PhD in prehospital feedback at the University of Leeds funded by the NIHR Yorkshire and Humber Patient Safety Translational Research Centre. Links and resources: Wilson, C., Harley, C., & Steels, S. (2020). How accurate is the prehospital diagnosis of hyperventilation syndrome?. Journal of Paramedic Practice, 12(11). doi:10.12968/jpar.2020.12.11.445 Wilson, C. (2018). Hyperventilation syndrome: diagnosis and reassurance. Journal of Paramedic Practice, 10(9), 370-375. doi:10.12968/jpar.2018.10.9.370 Wilson, C., Harley, C., & Steels, S. (2018). Systematic review and meta-analysis of pre-hospital diagnostic accuracy studies. Emergency Medicine Journal, 35(12), 757-764. doi:10.1136/emermed-2018-207588
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| 02 Aug 2021 | JP Loughrey - Major Incidents - Part 2 | 01:08:20 | |
Over the next few weeks we will run a series of podcasts on Major incidents. Throughout the series Dr JP Loughrey talks through how the services prepare, what resources are available, some of the lessons learned from major incidents and communication and triage.
Top tips
Resources and links
Twitter handle @Jploughrey
Stephen pinker The better angels of our nature https://stevenpinker.com/publications/better-angels-our-nature
EMRS app https://www.emrsscotland.org/news/2015/5/14/emrs-app
Prometheus app https://www.prometheusmedical.co.uk/news/prometheus-methane-app-now-free
OS locate app https://shop.ordnancesurvey.co.uk/os-locate-faq/
JESSIP app https://www.jesip.org.uk/jesip-app
National Ambulance Resilience Unit - Triage sieve http://naru.org.uk/wp-content/uploads/2014/02/NARU-TRIAGE-SIEVE-JU5A304D.pdf
NHS England - Clinical Guidelines for Major Incidents
Biography JP is a Consultant in EM in the QEUH Glasgow, and Retrieval Medicine with EMRS in the West of Scotland, with a particular interest in major incidents, As the ScotSTAR lead for Major Incident planning he has been involved in several large-scale incidents and training exercises. He keeps himself exceedingly busy, between his working life and his energetic young family! | |||
| 18 Apr 2022 | Caitlin Wilson - Prehospital Feedback | 00:28:14 | |
Top 3 points:
About Caitlin: Caitlin Wilson (Twitter: @999_Caitlin) is a paramedic for North West Ambulance Service NHS Trust and is currently undertaking a PhD on prehospital feedback at the University of Leeds funded by the NIHR Yorkshire and Humber Patient Safety Translational Research Centre. Her final PhD study is an online diary study exploring predictors and effects of prehospital feedback for patient-facing ambulance staff in the UK. The study is open to recruitment until end of August 2022 and more details can be found at http://bit.ly/prefeed-diary
Relevant publications:
Wilson, C., Howell, AM., Janes, G and Benn, J. (2022) The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Services Research, 296 (2022).https://doi.org/10.1186/s12913-022-07676-1
Wilson, C., Janes, G., Lawton, R. and Benn, J. (2021) The types and effects of feedback received by emergency ambulance staff: a systematic mixed studies review with narrative synthesis. British Paramedic Journal, Vol. 5 No. 4, pp. 68-69. https://doi.org/10.29045/14784726.2021.3.5.4.68
Wilson, C., Janes, G., Lawton, R. and Benn, J. (2021) The types and effects of feedback received by emergency ambulance staff: protocol for a systematic mixed studies review with narrative synthesis. International Journal of Emergency Services, Vol. 10 No. 2, pp. 247-265. https://doi.org/10.1108/IJES-09-2020-0057
Wilson C, Janes G, Lawton R and Benn, J. (2021) PP24 Prehospital feedback in the United Kingdom: protocol for a review of current practice using a realist approach. Emergency Medicine Journal 2021;38:A10-A11.
Caitlin Wilson PhD Student & Paramedic University of Leeds / North West Ambulance Service NHS Trust Email: hc15c2w@leeds.ac.uk Twitter: @999_Caitlin
Recent Publications Wilson, C., Howell, AM., Janes, G. et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res 22, 296 (2022). https://doi.org/10.1186/s12913-022-07676-1 | |||
| 14 Jun 2021 | Karyn Webster - The deteriorating paediatric patient and the PEWS score | 00:35:00 | |
Karyn chats us through the deteriorating patient, what to look for and how to treat these patients and the PEWS score system and function
Top Tips
1) Remember that you are assessing a point in time 2) Be very aware of where they have been and where you think they are going when carrying out the examination 2) If you think the child is ok to return home, coach the family so that they know what to look for and how to access the necessary healthcare if things change
Resources and links: Paediatric Early Warning Score (PEWS) ScotSTAR paediatric Retrieval Service https://www.snprs.scot.nhs.uk/
Dr Karyn Webster is a GP primarily; she works in Forth Valley Emergency Department as a Senior Specialist and is the current Forth Valley GP Out of Hours clinical lead. She also teaches regularly with Basics Scotland and has developed the Adult and Paediatric Tele-education program. In addition to this she is the current Chair for the Pre-hospital Paediatric Life Support Group run by ALSG and is a course director for both PHPLS and APLS. Passionate about education and support for our Pre-hospital providers. Her career started off in Grampian and quickly evolved into a mix of general practice and emergency medicine with an interest in remote and emergency care. Heavily involved in tele-medicine delivering healthcare to the remote areas of Grampian without the need for travel and later supporting Oil Rig platforms and Ship to Shore work. Her twitter handle is @kittyabdn | |||
| 14 Apr 2021 | Andy Elwood – It’s Good to Talk | 00:29:28 | |
Andy is an experienced paramedic who predominately worked on search and rescue helicopters, where he encountered many experiences that had a significant effect on his mental health. In this podcast he discusses his journey through PTSD which led him to head up a mental health first aid campaign, Andy’s Landie, designed to stamp out the stigma of mental health issues and improve the well-being of those in the emergency services and responder community. Andy talks about his challenges and motivators, and gives really useful information on developing coping strategies and listening skills. He is optimistic that the barriers to discussing mental health are receding – the overall message is its good to talk! Top tips from this podcast:
Find out more at www.AndyElwood.com 5-a-day for #mentalstrength blog – https://www.andyelwood.com/2020/05/01/lockdown-survival-kit/ Other resourceshttps://www.nhsinform.scot/healthy-living/mental-wellbeing SHOUT UK and you can text BLUELIGHT to 85258 Samaritans 116123 About AndyAndy saves lives. His approach is different, refreshing and unique. He campaigns, speaks and is a Mental Health First Aid instructor. Andy sparks conversations which enables culture change regarding Mental Health and Wellbeing for individuals and organisations. He creates safety and trust by sharing his own vulnerability and gives a unique ‘behind the scenes’ insight into life and death situations on Search and Rescue helicopters, on the Afghanistan battlefields during military service and to the potential downward spirals due to 21st Century pressures. Andy has a male focus and believes that mental health deserves parity with physical health. His unique approach to communicating with men is driven by the fact that men are three times more likely than women to end their life by suicide. After 18 years working on rescue helicopters around the world, he believes that focusing on mental health will save more lives than continuing to dangle under helicopters, as a paramedic. Andy’s Search and Rescue career began with the Royal Air Force and was completed in the Coastguard, where he led Clinical Governance for half of the UK. Despite Andy’s various awards for physical courage, he believes his bravest action has been to talk openly about his own struggles and vulnerability, in order to find a way through three very different challenges during his lifetime. Andy brings people together by normalising the conversation and encouraging others to join his eye-catching campaigns, such as #itsoktotalk ‘Big22’ video (45,000 views), founding #MenDoLunchDay 2018, & driving his 1973 Land Rover around Northern England and Scotland promoting a Wellbeing and Resilience Framework for a national organisation. (A short film of this tour will be released 2020). Future projects include ‘Chinwag Curry Club’ & retreats for men. Since HRH Duke of Cambridge attended Andy’s Mental Health workshop, at the UK Search and Rescue National Conference in 2018, he has been engaged as a speaker by organisations such as University of Cambridge Medical School; Jacobs (construction industry); Scottish Mountain Rescue; Emergency Services Show (NEC) and Mind Blue Light Programme. Other interests: College of Paramedics National Mental Health & Wellbeing Steering group; Human Factors training to provide increased safety & efficiency, from the aviation industry into a healthcare setting; delivering face-to-face and online medical training for responders treating civilian casualties in the Syrian crisis. | |||
| 26 Jul 2021 | JP Loughrey - Major incidents | 00:48:40 | |
Over the next few weeks we will run a series of podcasts on Major incidents. Throughout the series Dr JP Loughrey talks through how the services prepare, what resources are available, some of the lessons learned from major incidents and communication and triage.
Top tips
Resources and links
Twitter handle @Jploughrey
Stephen pinker The better angels of our nature https://stevenpinker.com/publications/better-angels-our-nature
EMRS app https://www.emrsscotland.org/news/2015/5/14/emrs-app
Prometheus app https://www.prometheusmedical.co.uk/news/prometheus-methane-app-now-free
OS locate app https://shop.ordnancesurvey.co.uk/os-locate-faq/
JESSIP app https://www.jesip.org.uk/jesip-app
National Ambulance Resilience Unit - Triage sieve http://naru.org.uk/wp-content/uploads/2014/02/NARU-TRIAGE-SIEVE-JU5A304D.pdf
NHS England - Clinical Guidelines for Major Incidents
Biography JP is a Consultant in EM in the QEUH Glasgow, and Retrieval Medicine with EMRS in the West of Scotland, with a particular interest in major incidents, As the ScotSTAR lead for Major Incident planning he has been involved in several large-scale incidents and training exercises. He keeps himself exceedingly busy, between his working life and his energetic young family! | |||
| 23 Jun 2021 | Lucy Powls – Normal birth and neonatal resus | 00:27:40 | |
Lucy Powls describes the process of normal birth, including the mechanisms of labour. She then looks at newborn assessment and takes us through the neonatal resuscitation algorithm. Top 3 Points from this podcast:
Lucy is currently the Educational Lead for the Scottish Multiprofessional Maternity Development Programme (SMMDP) Lucy qualified as a midwife in 1984 and has worked in a variety of clinical posts throughout the UK and joined SMMDP in June 2017. SMMDP are part of NHS Education for Scotland and are Scotland’s leading provider of maternity and neonatal clinical skills training. SMMDP provide affordable, post-registration courses to any professional group who request training. Lucy is married to Andrew and they have a daughter Samantha who is studying at Glasgow University. Lucy also has a greyhound called Indy, who keeps her fit and active whatever the weather. | |||
| 27 Jan 2021 | Jon McCormack – Paediatric Cardiac Arrest | 00:39:21 | |
Consultant Paediatric Anaesthetist, Jon McCormack, explores the rare occurrence of paediatric cardiac arrest; he talks through the CRASH algorithm and emphasises the importance of cognitive aids and good airway positioning. He also explains why, with a couple of caveats, in these situations it’s ok to see children as small adults. Key points from this podcast:
Paediatric TCA paper: https://emj.bmj.com/content/35/11/669.long 30/60/90 reference guideline for resus in drowning (Credit: National Operation Guidance on Water Rescue & Flooding) About JonJon is a Consultant Paediatric Anaesthetist at the Royal Hospital for Sick Children in Edinburgh. He graduated from Dundee University in 1998 before completing his Anaesthetic training in South East Scotland and a Paediatric Anaesthetic Fellowship in Vancouver. He is a Clinical Lead for Paediatric Trauma in the South-East Scotland Trauma Network and a member of the Scottish Trauma Network Paediatric Core Group and the national Mass Casualty-Major Incident planning group. Jon is also the Deputy Lead Examiner for the Diploma in Retrieval and Transfer Medicine (RCSEd) and is on the EMRS organising committee of the annual Retrieval Conference. His three children, generally keep him busy out of work but whenever time allows Jon is a keen cyclist and whenever snow allows, a very keen skier. | |||
| 16 Aug 2021 | Fiona Stevenson - Child protection in the community | 00:18:45 | |
Fiona talks us through our responsibilities to the child in the community, what red flags to look for and what we can do about our concerns.
Bio I am a Registered Mental Health Nurse. I specialised in adult addiction and the impact this has on children and young people. I have worked across both statutory and non-statutory agencies including Youth Justice and was the lead nurse for child protection across Glasgow city addiction services and then the Lead Officer for Glasgow Child Protection committee. My focus of keeping children safe from harm began over 20 years ago when I took on the role of working with children and families affected by substance misuse. I am currently a consultant in Child Protection with a children’s charity in Scotland and recently became a short-break foster carer and Independent Foster Panel Member. Top 3 tips
Resources/links Getting it right for every child (GIRFEC) https://www.gov.scot/policies/girfec/ | |||
| 27 Sep 2021 | Andy Elwood – It’s Good to Talk | 00:29:28 | |
Andy is an experienced paramedic who predominately worked on search and rescue helicopters, where he encountered many experiences that had a significant effect on his mental health. In this podcast he discusses his journey through PTSD which led him to head up a mental health first aid campaign, Andy’s Landie, designed to stamp out the stigma of mental health issues and improve the well-being of those in the emergency services and responder community. Andy talks about his challenges and motivators, and gives really useful information on developing coping strategies and listening skills. He is optimistic that the barriers to discussing mental health are receding – the overall message is its good to talk! Top tips from this podcast:
Find out more at www.AndyElwood.com 5-a-day for #mentalstrength blog – https://www.andyelwood.com/2020/05/01/lockdown-survival-kit/ Other resourceshttps://www.nhsinform.scot/healthy-living/mental-wellbeing SHOUT UK and you can text BLUELIGHT to 85258 Samaritans 116123 About AndyAndy saves lives. His approach is different, refreshing and unique. He campaigns, speaks and is a Mental Health First Aid instructor. Andy sparks conversations which enables culture change regarding Mental Health and Wellbeing for individuals and organisations. He creates safety and trust by sharing his own vulnerability and gives a unique ‘behind the scenes’ insight into life and death situations on Search and Rescue helicopters, on the Afghanistan battlefields during military service and to the potential downward spirals due to 21st Century pressures. Andy has a male focus and believes that mental health deserves parity with physical health. His unique approach to communicating with men is driven by the fact that men are three times more likely than women to end their life by suicide. After 18 years working on rescue helicopters around the world, he believes that focusing on mental health will save more lives than continuing to dangle under helicopters, as a paramedic. Andy’s Search and Rescue career began with the Royal Air Force and was completed in the Coastguard, where he led Clinical Governance for half of the UK. Despite Andy’s various awards for physical courage, he believes his bravest action has been to talk openly about his own struggles and vulnerability, in order to find a way through three very different challenges during his lifetime. Andy brings people together by normalising the conversation and encouraging others to join his eye-catching campaigns, such as #itsoktotalk ‘Big22’ video (45,000 views), founding #MenDoLunchDay 2018, & driving his 1973 Land Rover around Northern England and Scotland promoting a Wellbeing and Resilience Framework for a national organisation. (A short film of this tour will be released 2020). Future projects include ‘Chinwag Curry Club’ & retreats for men. Since HRH Duke of Cambridge attended Andy’s Mental Health workshop, at the UK Search and Rescue National Conference in 2018, he has been engaged as a speaker by organisations such as University of Cambridge Medical School; Jacobs (construction industry); Scottish Mountain Rescue; Emergency Services Show (NEC) and Mind Blue Light Programme. Other interests: College of Paramedics National Mental Health & Wellbeing Steering group; Human Factors training to provide increased safety & efficiency, from the aviation industry into a healthcare setting; delivering face-to-face and online medical training for responders treating civilian casualties in the Syrian crisis.
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| 22 Mar 2021 | Ed Barnard Part 2 - What does the research tell us about traumatic cardiac arrest? | 00:24:27 | |
In this second episode of two, Ed turns his attention to the use of adrenaline in TCA, and in ROSC (return of spontaneous circulation), when to cease resuscitation and what TCA management might look like in the future
Three top tips 1. The first is a reiteration from Richard Lyon, which is to know and practice the HOT algorithm - I find a good way to remember the actual components is: oxygenate, decompress, and fill. This gives you an immediate action drill when under stress. 2. TCA is not futile, but the way that data are reported makes it seem that survival is similar to medical arrest - this is unlikely to be the case, and almost all of the patients who are truly in TCA pre-hospital will be pronounced life extinct at scene. 3. Form a mental model of when you would and would not perform closed chest compressions - discuss these with colleagues and during training. The time to get this right in your head is not when faced with a TCA. This can be a very difficult situation pre-hospital in terms of working together / human factors; the default is to deliver chest compressions whilst reducing risk to rescuers.
Biography: Ed Barnard is a military emergency physician at Cambridge University Hospitals, a consultant in pre-hospital emergency medicine at East Anglian Air Ambulance, and a Senior Lecturer in the Academic Department of Military Emergency Medicine. He was previously a BASICS responder in the South West of England. During deployments to Iraq and Afghanistan, Ed became interested in the pre-hospital management of critical hypovolaemia and traumatic cardiac arrest (TCA). This led onto a PhD in endovascular resuscitation and TCA at the United States Air Force 59th Medical Wing, San Antonio, TX. Ed's academic interests are in the pre-hospital management of cardiac arrest (medical and TCA), endovascular resuscitation, and traumatic brain injury (including pre-hospital emergency anaesthesia). His twitter handle is @edbarn | |||
| 25 Oct 2021 | Kevin Rooney – Sepsis | 00:20:36 | |
Kevin chats us through what sepsis is and how to treat and manage sepsis patients. Top 3 Points from this podcast:
Kevin Rooney was appointed as a consultant in Intensive Care and Anaesthesia at the Royal Alexandra Hospital in Paisley in July 2003. He is the Clinical Director for Critical Care in Clyde Sector of Greater Glasgow & Clyde Health Board. Between January 2011 and February 2020, Kevin was Professor of Care Improvement at the Institute for Research in Healthcare Policy and Practice within the University of the West of Scotland. He continues to practice in Intensive Care & Anaesthesia at the Royal Alexandra Hospital where he can pursue his interests of patient safety, clinical critical care research and healthcare quality improvement. Between 2012-17, Professor Rooney was the Clinical Lead for the Acute Adult Workstream of the Scottish Patient Safety Programme for Healthcare Improvement Scotland and led their breakthrough series collaborative on Sepsis, which resulted in a sustained relative risk reduction of 21% in sepsis mortality across Scotland, as well as a 27% reduction in cardiac arrests. Kevin is a Fellow for the Scottish Patient Safety Programme and a Founding Member of the Q initiative for the Health Foundation and the National Health Service. As critical care faculty for the Institute for Healthcare Improvement (IHI) he has taught quality improvement for IHI in the Hospitais da Universidade de Coimbra project (Portugal), “Patientsikkert Sygehus” (Danish Patient Safety Programme), the Improvement Science in Action Course for the National Guard Health Affairs in Saudi Arabia, the Best Care Always Programme for the Hamad Medical Corporation in Qatar and finally the Salus Vitae programme in Brazil. Recent awards include Doctor of the Year Award in the Scottish Health Awards 2015, the Scottish Health Award 2014 for Innovation and a NHS Greater Glasgow & Clyde Chairman’s Gold Award for excellence in clinical practice in 2014. In April 2018, Kevin was recognised by The Herald newspaper as one of the 70 NHS heroes to commemorate 70 years of NHS Scotland. | |||
| 24 Feb 2021 | Ian Scott – Hypothermia & ECMO | 00:37:40 | |
Ian Scott discusses Extracorporeal Membrane Oxygenation (ECMO) and its role in hypothermia. Ian looks at the severe end of hypothermia and the management and pathways for these patients. Top 3 Points from this podcast:
Hypothermia Protocol Hospital PDF About IanIan is currently a critical care consultant and director of the respiratory ECMO service for Scotland. He is based in Aberdeen. He became a consultant in 2015. He graduated from Dundee University and undertook most of his training in the North East of Scotland. He has also spent time in the Brompton in London and worked for Sydney HEMS just after he finished his training. Ian has an interest in pre-hospital care and also spent some time working for EMRS North. During his training, he became interested in using ECMO as a way to rewarm hypothermic patients. He has had several near misses while winter climbing as a student. Ian’s spare time is spent with his family. His 2 young daughters and my his understanding wife Kim. Ian also enjoys cycling and being in the mountains when time allows. | |||
| 13 Jun 2022 | Bernd Wallner & Hermann Brugger - CPR with restricted patient access. | 00:37:37 | |
Bernd and Hermann talk us through their research into performing CPR with restricted patient access.
Three top tips
1 - In an asphyxiated patient start ventilation as soon as possible 2 - In a situation of restricted patient access, don't think about standard CPR, start ventilation asap, even if in a really awkward or alternative position. 3 - Even minimal training makes a difference so regular training and practice of CPR is crucial and should be included in other training, such as avalanche training courses.
Biographies:
Hermann Brugger MD, born in Bruneck / Bolzano / Italy, December 30th, 1951; married to the painter Elfriede Gangl, 1978; children: Franz, Johanna. MD at the University Vienna, Austria, 1978; Medical assistant at the Hospital Sisters of Charity, Linz, Austria, 1979-1983. General Practitioner at the National Health Service, Bruneck, Italy, from 1983 to 2017. Emergency physician for the Emergency Medical System and mountain rescue physician of the Mountain Rescue Organization of South Tyrol from 1983 to 2017. Eduard Wallnöfer Prize Tyrolean Industry, 1992; Georg Grabner Prize University Vienna, 1995; Research Award of the Wilderness Medical Society USA, 2012; Paul Auerbach Award Wilderness Medical Society USA, 2016. Member of the Board of the Italian Society of Mountain Medicine, 1999-2005; Member of the Board of the Medical Commission of the Union Internationale des Associations d’Alpinisme UIAA MEDCOM, 2001-2009; President of the International Commission for Mountain Emergency Medicine ICAR MEDCOM, 2001-2009; Member of the Board of the International Society of Mountain Medicine ISMM, from 1999; President of the International Society of Mountain Medicine ISMM, from 2016; Member of the International Commission for Mountain Emergency Medicine ICAR MEDCOM, from 1991; Associate Editor of High Altitude Medicine and Biology, from 2001; Guest lecturer University Padova, from 1999; Associate Professor and lecturer at the Innsbruck Medical University, from 2006; Founder and head of the EURAC Institute of Mountain Emergency Medicine at the European Academy Bolzano, Italy, from 2009. President of the International Society of Mountain Medicine ISMM, from 2016.
Around 60 book chapters, 280 publications (current cumulative IF [2020-10-27]: 869) in emergency medicine.
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| 21 Jun 2021 | Les Gordon – Primary survey overview and practical considerations | 00:52:00 | |
Les chats us through some interesting aspects of the primary survey
Top 3 Points from this podcast:
Evolution and Development of the Advanced Trauma Life Support (ATLS) Protocol: A Historical Perspective https://pubmed.ncbi.nlm.nih.gov/22495839/ The Birth of Advanced Trauma Life Support (ATLS) https://pubmed.ncbi.nlm.nih.gov/16764202/ Battlefield Trauma Life Support: Its Use in the Resuscitation Department of 32 Field Hospital Dring the Gulf War https://pubmed.ncbi.nlm.nih.gov/8840795/ ABC to ABC: Redefining the Military Trauma Paradigm https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579588/ About Les:Les Gordon is an experienced anaesthetist, whose special interest is in difficult airway management, and he instructs on the national Training in Emergency Airway Management course for this. He started Mountain Rescue eleven years ago in the Lake District and has attended about 450 rescues. His special interest is accidental hypothermia, about which he has published several papers, written chapters in two books, given presentations at National and International conferences, and has drawn up and regularly updates Mountain Rescue England & Wales Hypothermia protocols | |||
| 29 Mar 2021 | Catherine Buckland - Diving injuries and insults - The water phase | 00:35:31 | |
Catherine talks us through some of the physiology to consider if dealing with a diving or post diving incident and chats us through some insults and injuries which may occur during or after a dive trip and how to assess and treat these as well as possible pathways for the patient. Key points:
Links and Resources
The Scottish Hyperbaric emergency helpline 0345 408 6008 The British Hyperbaric emergency helpline 07831 151 523 Both are 24hrs, rescue of course can be initiated through 999/ VHF CH 16.
The UK Hyperbaric association
The British Diving Safety Group, who aim to collaborate with all the agencies on safety matters in diving, have produced this helpful information on Preparation for a return to dive UK sites and seas. | |||
| 19 May 2021 | Mary Leroy – Understanding the autistic patient in the emergency setting | 00:26:26 | |
Mary chats us through aspects of the autistic conditions, shining a light on the challenges but also some providing top tips on how to help manage patients from this group in an emergency situation including approach and communication strategies. Top 3 Points from this podcast:
The Scottish strategy for autism Part 5, adults with incapacity act About MaryMary is a Nursing Officer for the Mental Welfare Commission Scotland. She has many years of experience in both learning disability and mental health nursing. One of her specific areas of interest is working with autistic people. Mary has been involved in Supporting families of autistic children, working with both the child and parents, she has worked jointly with a Speech and Language therapist in the provision of Social Skills training for young autistic adults. The most recent project involving her interest and passion for autism was ” The Mental Welfare Commissions Autism themed visit” across Scotland. This was Mary’s first time that the Commission had undertaken a visit specifically looking at support for people with autism. This project generated recommendations to improve care and treatment for this population. In her spare time, she enjoys walking in the great outdoors, running and yoga. she is an accomplished cook and loves to eat too!
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| 01 Nov 2021 | Tim Leeuwenburg – What Basics/Sandpiper are doing in Oz | 00:27:21 | |
Tim chats us through what it is like to be a rural doctor in Australia Top 3 Points from this podcast:
Kangaroo island doctor blogging about rural medicine in Australia SANDPIPER AUSTRALIA ACRRM PHEC https://www.acrrm.org.au/courses/face-to-face/pre-hospital-emergency-care-phec About Tim:Tim Leeuwenburg is a Rural Generalist on Kangaroo Island, South Australia – he started off as an ED/ICU trainee in Adelaide before realising the heady mix of medicine that an RG encompasses. For the past twenty years he’s been in probate practice on Kangaroo Island, providing primary care, emergency medicine and anesthetic services through clinic and hospital, as well as prehospital care of SA’s Rural Emergency Responder Network (RERN) Now semi-retired, he and partner Trish spend time rehabilitating orphaned wildlife and sea kayaking; Tim still collects pocket money working as a retrieval consultant for the Central Australian Retrieval Service and doing the odd anesthetic locum. More importantly he now has time to help out as Chair of Sandpiper Australia in the hope that we can overcome the ’tyranny of distance’ by establishing rural responder networks across the various States & Territories in Australia. twitter @kangaroobeach | |||
| 12 May 2021 | David Whalley – Big incidents, the effects and how we can look after ourselves | 00:25:02 | |
David “Heavy” Whalley with his plethora of civilian and military search and rescue experience chats us through the effects events such as the Lockerbie disaster has had on him. He discusses the culture and attitude change to the effects these incidents have on the responder, what to look for and how to create healthy coping systems and networks. Key points from this podcast:
Personal Website – www.heavywhalley.com About DavidDavid’s love of the mountains was inspired by his parents, a member of the RAF Mountain Rescue (MR) for 37 years in the roles of Team Leader of RAF Leuchars, RAF Kinloss and Deputy Team leader at RAF Valley in North Wales. He spent his last four years working in the ARCC Aeronautical Rescue Co-ordination Centre at RAF Kinloss. With over 1000 mountain and 80 aircraft incidents, David was also the Senior team leader at the Lockerbie disaster. As a member of the Scottish Mountain Rescue Executive Team for over 20 years, he fulfilled roles as the Chairman, Accident Statistician and Torridon Mountain Rescue Team member. He was awarded the BEM, MBE and the Distinguished Service Award for Service to Mountain Rescue Heavy is retired now and is in the process of writing a book and lecturing on Mountain Rescue and Mountain Safety in the UK and overseas.
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| 11 Oct 2021 | Dr Paul Perry – What is NHS 24 and how can it help in prehospital care? | 00:19:58 | |
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:
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. | |||
| 06 Sep 2021 | Pete Davis - Damage control resuscitation | 00:19:16 | |
Pete talks us through the definition of damage control resuscitation and the application of this concept to critically injured patients in the pre-hospital setting. The discussion ranges from the practicalities of delivery to novel therapies sitting on the horizon. Top 3 tips:
Biography: Pete qualified in medicine in 1987 and has served in the UK Defence Medical Services ever since, apart from a nine-year sabbatical in New Zealand during which time he trained in helped to produce three children, trained in Emergency Medicine and explored the Southern Alps. He is a Consultant in Emergency Medicine and Retrieval Medicine, working between the Queen Elizabeth University Hospital in Glasgow and the Emergency Medical Retrieval Service (a component of the Scottish Specialist Transfer And Retrieval Service - ScotSTAR) when not deployed on Regimental duties. A climber and skier since his teenage years, these sports have taken him on adventures throughout the world and continue to foster his passion for Wilderness Medicine. | |||
| 05 Jul 2021 | Mark Worral - Management of the Return of Spontaneous Circulation (ROSC) in the paediatric patient | 00:18:48 | |
Mark talks us through the process of managing ROSC in the paediatric patient.
Bio: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder support clinician for BASICS Scotland. His interests include the management of critically unwell children anywhere.
Top Tips:
1) Do the basics well and use the ABCDE approach you would in the adult approach and just tweak the equipment and maneuvers to suit 2) IO access may be very valuable in children where IV access can be more tricky to gain and think about the needle sizes 3) Phone a friend for top-down cover and discuss the pathway and help available
Resources: EasyIO Intraosseous vascular access system https://www.teleflex.com/usa/en/clinical-resources/ez-io/index | |||
| 28 Jun 2021 | Les Gordon - Primary survey, some special considerations | 00:42:14 | |
Les talks us through the primary survey in some special circumstances, some kit considerations and some human factors to think about.
Top 3 tips
1) Most importantly when you are delivering the primary survey don’t get side tracked to non-life threatening issues 2) Expect to repeat the primary survey at least once and probably more times, reassessment is crucial 3) Practice, practice, practice
Resources and links
Experience in Prehospital Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-analysis https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0141034.t003
Prehospital endotracheal intubation vs extraglottic airway device in blunt trauma https://pubmed.ncbi.nlm.nih.gov/25963681/
The Impact of Prehospital Endotracheal Intubation on Outcome in Moderate to Severe Traumatic Brain Injury
Prehospital intubations and mortality: a level 1 trauma center perspective https://pubmed.ncbi.nlm.nih.gov/19608824/
Difficult Intubation due to Penetrating Trauma from a Crossbow Bolt https://pubmed.ncbi.nlm.nih.gov/32690309/
Management of the Traumatized Airway https://pubmed.ncbi.nlm.nih.gov/26517857/
Resident manual of Trauma to the Face, Head and Neck https://www.entnet.org/content/resident-manual-trauma-face-head-and-neck
Systematic review of the anaesthetic management of non-iatrogenic acute adult airway trauma https://academic.oup.com/bja/article/117/suppl_1/i49/1744426
Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5402666/
When do trauma patients lose temperature? - a prospective observational study https://pubmed.ncbi.nlm.nih.gov/29315468/
Battlefield Trauma-Induced Hypothermia: Transitioning the Preferred Method of Casualty Rewarming
Predictors of Hypothermia upon Trauma Center Arrival in Severe Trauma Patients Transported to Hospital via EMS
Biography: Les Gordon is an experienced anaesthetist, whose special interest is in difficult airway management, and he instructs on the national Training in Emergency Airway Management course for this. He started Mountain Rescue eleven years ago in the Lake District and has attended about 450 rescues. His special interest is accidental hypothermia, about which he has published several papers, written chapters in two books, given presentations at National and International conferences, and has drawn up and regularly updates Mountain Rescue England & Wales Hypothermia protocols | |||
| 30 Jun 2021 | Helene Marshall – The physiology of pregnancy and assessment and treatment of Post-Partum haemorrhage | 00:36:21 | |
Helene chats us through the physiological changes in the pregnant women and post-partum haemorrhage assessment and management
Top 3 Points from this podcast:
Scottish Multi-professional Maternity Development Programme (SMMDP) BASICS Scotland Portfolio Project The animation discussed in the podcast(Requires download) About HeleneHelene has been a midwife since 1982 and has held several clinical roles, she has been the Director of the Scottish Multiprofessional programme (SMMDP) for the last 13 years. She worked in Zambia (Africa) as a midwife in the early 80’s and met her husband a fellow scot there, she has 3 grown-up children. She has on the SAS clinical advisory group for maternity and has a great interest for remote and rural services and pre-hospital care. Helene was on the board of directors for the Royal College of midwives for 6 years. She and her husband have a boat on Loch Linnhe so is often seen in those parts with Dougal an intrepid sea dog SMMDP are part of NHS Education for Scotland and are Scotland’s leading provider of maternity and neonatal clinical skills training. SMMDP provide affordable, post-registration courses to any professional group who request training.
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| 07 Jun 2021 | Paul Savage – The benefits of realistic simulation when training in clinical skills and scenarios | 00:52:01 | |
Return podcast guest Paul Savage talks to the BASICS about the benefits of moulage in training scenarios. https://www.saviourmedical.com/ Twitter / Instagram : @saviourmedical Savour Medical Simulation Service – Wound Catalogue Saviour Medical – Zero-Hero Medical Moulage and Simulation Course
BIOGRAPHY Mr Paul Savage OBE BSc SRP – Managing Director Saviour Medical Ltd with a mixed portfolio. Paul walked into a Lifeboat station on his 17th birthday and never left, initially volunteering at Poole and now at Tower Lifeboat in London. With his interest in remote and maritime paramedical medicine he joined the RNLI full time in 2005 as the Clinical Operations Manager and Head of Operational Medicine. He was responsible for the operational medical response of all of the UK and Eire’s Lifeboat crew, Lifeguards and Flood Response teams, as well as the architect and custodian of the Clinical Governance of the RNLI. He advised on all matters casualty care related - from kit carried, casualty care course design to casualty-friendly boat design. For a complete step change of maritime medicine around the UK, Paul was awarded an OBE in December 2013. Since 2014 as a self employed consultant, Paul has a mixed portfolio of pre-hospital medical related work, including check card based learning resources, Clinical Governance of HM Coastguard and University Lecturing. Paul is Chairman of the UK Search and Rescue Medical Group which shapes the future and direction of UK SAR medicine, and is a member of the Main Advisory Board and the Training and Standards Board of the Faculty of Pre-Hospital care of the Royal College of Surgeons (Edinburgh). He is also an instructor for specialist elite sections of the UK Military.
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| 21 Mar 2022 | Mark Worrall - Anaphylaxis in the paediatric child | 00:19:26 | |
Introduction: Mark chats us through anaphylaxis in children and how we can treat them
3 Top Tips:
Resources: Resuscitation council Guidance for healthcare proifessionals : anaphylaxis
Biography: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder and Co -Director for pre-Hospital care for BASICS Scotland. His interests include the management of critically unwell children anywhere. | |||
| 10 Feb 2021 | Paddy Morgan – Assessment, Treatment and Management of Accidental Hypothermia in the Prehospital Environment | 00:52:42 | |
Dr Paddy Morgan talks to us about accidental hypothermia, what is it? How can we recognise it and how can we treat it in the prehospital environment. Top 3 Points from this podcast:
Accidental Hypothermia – an update Accidental hypothermia Part 1- an update Effect of Hypoglycaemia on Thermoregulatory Responses Severe Hypoglycaemia Reduces the Shivering Threshold Gale paper on hypothermia and hypoglycaemiaAbout Paddy Paddy is a Consultant Anaesthetist and Trauma Team Leader based in Bristol (UK), and Consultant with Emergency Medical Retrieval and Transfer Service (EMRTS) Cymru, and Great Western Air Ambulance. Prior to his medical studies, Paddy worked summer seasons as a surf lifeguard and went onto to instruct and mentor at a national level, retaining an active role in flood/swift water rescue. He is the honorary medical advisor to Surf Lifesaving GB, member of the UK governments Search and Rescue (UKSAR) Advisory Medical Group, previously sat on the Royal National Lifeboat Institute’s Medical & Survival Committee, is a member of the International Life Saving Federation’s (ILS) medical advisory committee, an Invited Honorary Member of the International Drowning Research Alliance (IDRA), and is Medical Director for HM Coastguard. As a postgraduate student and independent medical officer for the Extreme Environment Laboratory at the University of Portsmouth, his areas of research interest include drowning, the cardio-respiratory responses to immersion and submersion in cold-water, hypothermia and the response of the human body in extreme environments. He has lectured internationally and has several publications related to these subjects. | |||
| 22 Feb 2021 | Paul Savage - Check Card Medicine | 00:35:43 | |
Paul chats us through the theory behind using checklists in the prehospital environment, why it is an important culture shift we should be moving to and how and why this method can reduce the pressure when you are operating under demanding conditions.
Top 3 tips:
1) Be robust, don’t be scared, don’t be scared to champion it and don’t be scared to defend it. 2) Try it, draw up your own check sheet and if you find it works for you, then champion it with your organisation. 3) Don’t be scared to use it on scene and revise it as you go along to make it work and honed to best version you can.
Resources:
https://www.saviourmedical.com/
BIOGRAPHY Mr Paul Savage OBE BSc SRP – Managing Director Saviour Medical Ltd with a mixed portfolio. Paul walked into a Lifeboat station on his 17th birthday and never left, initially volunteering at Poole and now at Tower Lifeboat in London. With his interest in remote and maritime paramedical medicine he joined the RNLI full time in 2005 as the Clinical Operations Manager and Head of Operational Medicine. He was responsible for the operational medical response of all of the UK and Eire’s Lifeboat crew, Lifeguards and Flood Response teams, as well as the architect and custodian of the Clinical Governance of the RNLI. He advised on all matters casualty care related - from kit carried, casualty care course design to casualty-friendly boat design. For a complete step change of maritime medicine around the UK, Paul was awarded an OBE in December 2013. Since 2014 as a self employed consultant, Paul has a mixed portfolio of pre-hospital medical related work, including check card based learning resources, Clinical Governance of HM Coastguard and University Lecturing. Paul is Chairman of the UK Search and Rescue Medical Group which shapes the future and direction of UK SAR medicine, and is a member of the Main Advisory Board and the Training and Standards Board of the Faculty of Pre-Hospital care of the Royal College of Surgeons (Edinburgh). He is also an instructor for specialist elite sections of the UK Military.
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| 02 May 2022 | Paddy Morgan – Drowning and cold water immersion | 00:45:59 | |
Dr Paddy Morgan talks us through what happens when your body meets cold water, what to do, not only as a casualty but also if you are called as a responder to deal with a suspected drowning event. Top 3 Points from this podcast:
https://www.youtube.com/watch?v=jncVb2onYC4 Management of the Drowning Patient About PaddyPaddy is a Consultant Anaesthetist and Trauma Team Leader based in Bristol (UK), and Consultant with Emergency Medical Retrieval and Transfer Service (EMRTS) Cymru, and Great Western Air Ambulance. Prior to his medical studies, Paddy worked summer seasons as a surf lifeguard and went onto to instruct and mentor at a national level, retaining an active role in flood/swift water rescue. He is the honorary medical advisor to Surf Lifesaving GB, member of the UK governments Search and Rescue (UKSAR) Advisory Medical Group, previously sat on the Royal National Lifeboat Institute’s Medical & Survival Committee, is a member of the International Life Saving Federation’s (ILS) medical advisory committee, an Invited Honorary Member of the International Drowning Research Alliance (IDRA), and is Medical Director for HM Coastguard. As a postgraduate student and independent medical officer for the Extreme Environment Laboratory at the University of Portsmouth, his areas of research interest include drowning, the cardio-respiratory responses to immersion and submersion in cold-water, hypothermia and the response of the human body in extreme environments. He has lectured internationally and has several publications related to these subjects.
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| 30 May 2022 | Pam Barker and Duncan McDonald - Role of the Scottish Ambulance Service Special Operations Response Team (SORT) | 00:26:33 | |
Pam and Duncan talk us through the roles, responsibilities and capabilities of the SORTs across Scotland. They detail what and when the SORT team can be of help and what their roles are in the scape of multiagency responses.
Top tips: 1) Gather information and details from the scene, the more information is passed back the more help can be targeted to the situation. 2) Work with other agencies and use their skills and resources 3) Don’t be afraid to ask for advice and help.
Resources: JESIP Principles https://www.jesip.org.uk/five-principles | |||
| 15 Nov 2021 | Dr Martin McCallum – How to treat stage 1 and 2 hypothermia in the pre-hospital environment | 00:16:13 | |
Martin chats us how to deal with those with more common and less severe Hypothermia at Stages I and II - in a presentation given as part of our International Hypothermia Conference Resources:BASICS Scotland Hypothermia Conference videos https://basics-scotland.org.uk/hypothermia/ About Martin:Martin is currently running Artemis Outdoors, a small company providing bespoke Safety and Medical Cover for outdoor and indoor events and Outdoor Instruction. He was previously a Field Guide with British Antarctic Survey and worked for several organisations who provided medical and safety cover in hostile environments. He is currently Deputy Leader of Lomond Mountain Rescue Team, was previously the National Training Officer for Scottish Mountain Rescue and has been involved in Mountain Rescue for over twenty years.
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| 09 Aug 2021 | Aebhric O’Kelly - Prolonged field care in remote areas | 00:28:09 | |
Aebhric focuses on some aspects and some hints and tips for delivering prolonged field care in remote areas
Biography
Aebhric is a former US Army Green Beret, a Psychologist and a board-certified Critical Care Paramedic. He is the dean for the College of Remote and Offshore Medicine Foundation which offers medical education programmes for the remote, austere and offshore industries. Aebhric taught on the NATO Special Operations Combat Medic course in Pfullendorf, Germany and taught Battlefield Advanced Trauma Life Support (BATLS) for the MoD. He has earned the Diploma Tropical Nursing from LSHTM and is currently writing a clinical doctorate from the University of Stirling.
Top tips
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| 13 Jan 2021 | Stephen Hearns - Peak Performance Under Pressure | 00:29:48 | |
Dr Stephen Hearns chats to us about the critical importance of how we perform when the pressure is on; he draws on his huge experience in Pre-Hospital medicine to show that staying at the peak of performance at a job is a trait that can be learnt and improves outcomes for the team and patient. He shares practical hints and tips on preparation, communications, controlling your stress and regaining your composure when the frazzle hits. Key points from this podcast:3 key points to improve performance under pressure-
For more information on Stephen and his publications, visit https://corecognition.co.uk/ About StephenStephen is a consultant in emergency and aeromedical retrieval medicine. He works with Scotland’s Emergency Medical Retrieval Service (EMRS). This aeromedical retrieval service delivers pre-hospital critical care for major trauma patients, rural hospital secondary retrievals and major incident responses. Inspired by experience gained working on London’s air ambulance and in Queensland Australia, Stephen led the establishment of this team from a small voluntary service in 2004 to what is now a fully government funded aeromedical retrieval organisation with an international reputation. Stephen has published a number of papers and book chapters relating to emergency medicine and pre-hospital care. | |||
| 30 Mar 2022 | Mark Worrall - Paediatric Respiratory Emergencies part 1 | 00:22:49 | |
Mark chats us through the commonly occurring respiratory disorders of choking, epiglottitis, croup and bronchiolitis.
Top Tips:
Resources: Resuscitation council UK Paediatric basic life support guidelines Paediatric basic life support Guidelines | Resuscitation Council UK
Biography: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder and Co-Director for pre-Hospital care for BASICS Scotland. His interests include the management of critically unwell children anywhere.
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| 07 Jul 2021 | Paul Watson - Palliative Care | 00:28:54 | |
Paul Watson, project lead for end of life care at the Scottish Ambulance Service talks about how the service is striving to bring better palliative care to patients across Scotland with some discussion around the areas of non-technical skills, “just in case” boxes, and the other tools that can be used to support these patients. Key points from this podcast:
https://www.palliativecareguidelines.scot.nhs.uk/ https://www.resus.org.uk/respect/ About PaulPaul is a Paramedic working for the Scottish Ambulance Service and is based in Glasgow. In July 2019 Paul was appointed to Project Lead for a joint partnership project between the Scottish Ambulance Service and Macmillan. The aim of this project was to pilot the requirements to improve our ability to deliver better End of Life Care for the patients attended to as part of normal practice. The project workload has included development of education packages, clinical guidelines and joint working with various Health Boards and palliative care interest groups. Paul looks forward to further developing the project nationally with a particular interest on how technology can be used to support both patients and clinicians. | |||
| 09 Jun 2021 | Alastair Beer – Aircraft crashes and the Royal Air Force Mountain Rescue Team | 00:17:04 | |
In this week’s podcast Alastair Beer talks about the role of the RAF Mountain Rescue; how it differs from the civilian Mountain Rescue and what capabilities it has. He highlights the dangers of air crash sites and the hazards that face responders who are tasked to air accidents. Key points from this podcast:
Guidance publication for Aircraft Post Crash Management – https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/919973/Guidance_Pub_version_High_amend.pdf About AlastairAlastair joined the RAF regiment in Oct 1999. Initially based at RAF Waddington as Ground Based Air Defence. In this role he was deployed to Oman, Kuwait and the Falkland Islands. Following that tour he spent 6 years at RAF Leeming in the Force Protection role in which he completed several tours of Iraq and Afghanistan and Belize. In 2010 he was posted to RAF Kinloss and Lossiemouth as a Force Protection instructor and his final tour with the RAF Regiment was as the machine gun specialist on 51 Squadron at Lossiemouth. His RAF Mountain Rescue career started in 2003 at RAF Leeming as a part time member of the team and continued following his posting to RAF Kinloss. Throughout this period his MRT and RAF Regiment careers ran in parallel. He was released from the RAF Regiment in 2017 and posted as Permanent Staff to RAF Lossiemouth MRT as the Medical Co-ordinator. In 2018 he became the Deputy Team Leader. His time in MRT has seen him conduct training across the UK, Norway, Europe and Hong Kong. Operational callouts have been very varied from responding to a helicopter crash in Devon through to recovering the bodies of 2 climbers on Scotland’s most northerly Munro, Ben Hope. | |||
| 31 Mar 2021 | Angela Lewis – Peer Support and Debriefing | 00:26:51 | |
This week’s podcast from BASICS Scotland explores the links between post incident support and crew resource management with Angela Lewis. Angela explains the operational improvements that are achievable when organisations develop a menu of different types of support for their personnel. She also looks at the problems with the “can do” mentality that is prevalent in those who work in pre hospital emergency care. Key points from this podcast:
The Sleep Council Website – www.sleepcouncil.org.uk National Wellbeing Hub – www.promis.scot LifeLines Scotland Website – www.lifelinesscotland.org International Critical Incident Stress Foundation – www.icisf.org PSA Limited Website – www.psa-ltd.com About AngelaAngela Lewis is the founder and MD of PSA Ltd, delivering training in the principles and practice of Crew Resource Management and post incident support in the UK/Europe. Serving 16 years in the RN’s Fleet Air Arm, as an Aircraft Commander in Sea King Helicopters, much of her military life was based at HMS Gannet with over 550 call outs on Search and Rescue duties. With a specialised interest in mitigating the impact of traumatic incidents on teams, Angela has trained extensively in Critical Incident Stress Management with ICISF in Baltimore, US, and Trauma Risk Management with the Royal Navy and Royal Marines. Angela delivers training regularly to support professionals at all levels in aviation, healthcare, ambulance, fire and police services, charities, staff care departments, education and the private sector in the UK and Europe. She is delighted to have had the opportunity to support teams from NHS Ayrshire & Arran, Greater Glasgow & Clyde, Lanarkshire, Lothian and Suffolk & Sussex Trust, NATS, Emergency Medical Retrieval Service, Scottish Ambulance Service, Mountain Rescue Service, Yorkshire Police and others. | |||
| 16 Jun 2021 | Adrian Kay - H.M. Coastguard | 00:16:57 | |
Adrian Kay, Senior Coastal Operations Officer for H.M. Coastguard, explains more about the 3 sections of the coastguard service, and how the 3000 volunteers make up the 400 UK crews. Understanding how these crews fit into the responder network, and what their roles, responsibilities and capabilities are, will allow BASICS Scotland Responders to make better use of these resources in the future. Top tips from this podcast:
Maritime & Coastguard Agency YouTube Channel HM Coastguard Operations Centres HM Coastguard website – www.mcga.gov.uk About AdrianAdrian initially moved to the West Highlands in 2000, to work for SNH on the Isle of Rum (population 25). This also give him his first experience of contact with HM Coastguard, as a volunteer on their small response team. He then joined Northern Constabulary, in various policing roles including CID, child protection and wildlife crime. He also served for four years on Benbecula and the Uists, which gave him a great insight into the challenges of remote rural policing. In 2006, he joined HM Coastguard as a Senior Coastal Operations Officer, training and supporting volunteer Coastguard Rescue Teams across the Argyll coast and islands. He ensures the teams maintain a high level of operational readiness, and is a technical instructor in water rescue, land search, casualty care and rope rescue techniques. Adrian has a particular interest in casualty care, and as well as introducing the enhanced Coastguard CERCC course locally and providing training support elsewhere on the coast, he is currently involved in the introduction of a robust clinical governance framework across the organisation. | |||
| 20 Jun 2022 | Johnny Will - Urgent Care | 00:30:43 | |
Johnny chats us through the urgent care section of the ambulance service
Top 3 tips
Biography Jonathon Will started his paramedic journey with London Ambulance Service before becoming the Lead Emergency Care Paramedic for Croydon University Hospital. After the loss of his wife aged just 39 (attributed to poor care in an overrun maternity unit and a strong driver for his passion to make NHS systems better), Jonathon returned home to Scotland and worked first as a Paramedic, then Specialist Paramedic, and Trainee Advanced Paramedic, before moving into the Clinical Directorate. Moving on, Jonathon is about to become an NHS National Improvement Adviser for the Scottish Government as part of the Redesign of Urgent Care program. He is also Tayside Mountain Rescue medical Officer, works with several events and expedition companies and is involved with teaching and assessing for SMR, WEMSI, MRT, UE, Wild Fitness and more. Jonathon is Co-Founder of the 'Healthiest Town' project and is also a Kick Boxing instructor and a single dad - as he puts it... a busy little human!
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| 05 May 2021 | Audra Starkey – The healthy shift worker | 00:38:08 | |
Audra, based in Brisbane, Australia and is a specialist in nutrition and wellbeing and her focus is on shift work, how it affects you and how you can look after yourself better while working shifts. Top 3 Points from this podcast:
Audra Starkey is a clinically trained nutritionist accredited trainer, shift work veteran and author of the best-selling book –Too Tired To Cook. After more than twenty years in the aviation industry, Audra decided to switch careers and complete a bachelor of health science degree, majoring in nutritional medicine, to gain a better understanding of the impact a disrupted sleep-wake cycle and poor dietary habits have on our health. With a particular interest in preventative health, Audrawent on to found The Healthy Shift Worker, a company that provides shift-work-specific wellness services for individuals, along with corporate wellness programs via her signature Healthy Shift Worker Workplace Wellness Seminars and online training programs.
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| 20 Jan 2021 | Richard Lyon - Management of Traumatic Cardiac Arrest | 00:38:43 | |
In this podcast Professor Lyon discusses Traumatic Cardiac Arrest; he looks at the rationale of the different management needed to medical cardiac arrest and talks through the practical application of the HOT algorithm, which he developed with colleagues to provide an effective tool for the management of Traumatic Cardiac Arrest. Key points from this podcast:
Traumatic Cardiac Arrest Algorithm About RichardProfessor Lyon is a Consultant in Emergency Medicine at The Royal Infirmary of Edinburgh, HEMS Consultant and Director of Research for Kent, Surrey & Sussex Air Ambulance and an Honorary Senior Clinical Lecturer at the University of Edinburgh. Prof Lyon has an established research portfolio in pre-hospital resuscitation, trauma care and emergency medicine with an extensive publication record. He has won numerous international awards including the top research award from the European Resuscitation Council. Prof Lyon was a lead doctor for the London 2012 Olympic Stadium and takes leading role in Event Medicine. He is an active member of the UK International Search & Rescue Team and has previous experience in the British Armed Forces. Prof Lyon is a current member of the Resuscitation Council (UK) Executive Committee and author of several international pre-hospital guidelines. | |||
| 03 Feb 2021 | Martin Esposito - Pain Relief | 00:36:40 | |
In this week’s podcast Martin Esposito talks about pain assessment and management. The discussion explores the definition of pain, and the biological and psychological complexities associated with something that is physical yet subjective in perception. Martin looks at the importance of ongoing pain assessment and explores the options in pre hospital pain relief; after discussing analgesia he sets out why pain control is more than medication administration. Key points from this podcast:
Transition from acute to chronic pain – BJA Education – https://academic.oup.com/bjaed/article/15/2/98/248869 Chronic Pain – Is it All in Their Head? – Daniel J. Clauw M.D – https://www.youtube.com/watch?v=B0EhNajqkdU About MartinMartin is the Clinical Effectiveness Lead for Major Trauma for the Scottish Ambulance Service. He has worked within ambulance services in the UK for over 23 years gaining a wealth of experience in a variety of roles. Since qualifying as a paramedic in 2000 he has worked as an Emergency Care Practitioner, was seconded to the Physician Response Unit in London as well spending time as a flight paramedic for London’s Air Ambulance. He has also spent a number of years in education and is an examiner on the Diploma in Immediate Care. Martin has a special interest in pain management and in 2018 completed an MSc in pain management at Cardiff University and has since become an Honorary Tutor on the Pain Management programme at Cardiff.
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| 28 Feb 2022 | Dave Strachan - Suspension Trauma | 00:26:42 | |
Our own Dave Strachan become the interviewee and discusses suspension trauma
Top 3 tips 1 Suspension trauma happens quickly so be aware! 2 We, the rescuers, are potentially the cause of some of this so in an MRT or technical rescue think about patient position and getting patients to move their limbs where possible 3 Look at the data! Understanding of this condition is changing rapidly as more research is carried out.
Resources and links https://www.wemjournal.org/action/showPdf?pii=S1080-6032%2820%2930070-3
https://www.wemjournal.org/action/showPdf?pii=S1080-6032%2819%2930164-4
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7346344/pdf/cureus-0012-00000008514.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602116/pdf/ham.2018.0089.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2658225/pdf/237.pdf
Biography:
Dave started working in pre hospital care in 2006 as an event medic and member of Tayside Mountain Rescue. When he finally graduated from Dundee in 2014 he had spent just enough of the intervening years not having fun in the hills to actually qualify as a Doctor. Currently a Captain in Royal Army Medical Corps, he now holds diplomas in Leadership, the Management of Conflict and Catastrophe and Immediate Medical Care. He has climbed and led expeditions on 5 continents and spent most of the past few years deployed on operational tours and military exercises around the world. At home in Pitlochry, Dave can be found responding for BASICS, playing ‘hide and seek’ with the rescue team or running (slowly) around the hills looking for things to climb.
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| 03 May 2021 | Mark Worral - Paediatric pain management in the pre-hospital environment | 00:21:42 | |
Mark chats us through pain assessment treatment in the age ranges and how we can best manage the whole situation when a child is in pain
Biography: Mark is a Paediatric Intensivist at Royal Hospital for Children in Glasgow, a consultant in Paediatric Critical Care Transport at ScotSTAR and a responder support clinician for BASICS Scotland. His interests include the management of critically unwell children anywhere.
Top Tips: 1) Treat pain management in the child as a team approach wherever possible, engage with their care givers for information and 2) Approach the pain in the psychological, emotional and physical management 3) Use your JRCALC as a guide and don’t be afraid to give opiods in a measured approach
Resources: Wong baker scale FLACC pain scale https://media.gosh.nhs.uk/documents/Revised_FLACC_Paperwork.doc.pdf
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| 26 May 2021 | Aravindan Veiraiah – Toxicology In Overdose And Poisoning | 00:38:54 | |
Today Aravindan discusses the best way to approach and treat patients who may be experiencing overdoses, poisonings and/or drug-related agitation Top 3 Points from this podcast:
Toxbase Website: www.toxbase.org.uk Edinburgh Clinical Toxicology: www.edinburghclinicaltoxicology.org National Poisons Information Service: http://www.npis.org About AravindanArvind is a Consultant in Acute Medicine and Toxicology at the Royal Infirmary of Edinburgh. In his toxicology role, he manages toxicology patients in a dedicated poisons ward and also reviews them in the Emergency Department and Intensive Care. He also provides telephone advice on the National Poisons Information Service (NPIS) and has an active role in editing TOXBASE, the online poisons information service of the NPIS. He has been involved in collaboratively developing protocols and guidance for the management of agitated and poisoned patients in all of the above roles. He also teaches about clinical pharmacology, toxicology and quality improvement.
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| 13 Sep 2021 | Mary Munro - Drug harm reduction and the naloxone - take home project | 00:27:19 | |
Mary chats to us about the interface between the emergency 999 services and the day to day problems associated with drugs and addiction
Top 3 tips 1) By understanding why someone may use substances, the importance of our use of language and knowledge of what services are available to support we can help people into a journey of recovery and stop preventable drug related deaths. 2) Harm Reduction is not about encouraging drug use, but allows people to use drugs in a safer way. 3) Take Home Naloxone saves life’s, you can’t recover if your dead! By carrying and providing a THN kit, we can keep people alive, create connections and help people to treatment and support services to help them into a journey or recovery.
Biography Mary Munro is the clinical effectiveness lead for drug harm reduction in the North of Scotland, for the Scottish Ambulance Service. Mary came to the Scottish Ambulance Service with experience in various substance use settings including: research, education, third sector and clinical inpatient and community nursing roles. People who use substances can often be seen and treated by society and health services as “less than” human, and we all have a part to play in changing these attitudes and cultures.
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| 21 Apr 2021 | Joel Symonds – The role of humour in pre-hospital emergency care | 00:39:08 | |
Joel Symonds talks us through humour in the prehospital care arena, when it is appropriate to use and when humour is not appropriate but perhaps most poignantly why it is important and its use in emotionally protecting responders and its role in mental resilience. Top 3 Points from this podcast:
Joel Symonds is an Advanced Practitioner in Pre-hospital Critical Care from Edinburgh. On leaving school he worked as a nanny, a pyrotechnician, a children’s actor and a civil servant. He joined the Ambulance Service in 2005 and was promptly told by a burned-out colleague – “The problem with joining the ambulance service is once you’ve become a paramedic there’s nowhere else to go”. Choosing to ignore this nihilism, Joel has spent his career exploring the opportunities available to staff with pre-hospital management skills. Since then, he has worked in international motor racing, desert search and rescue, hostile environment industrial health care, governance consultancy, education and research. He is regularly asked where he’ll be in five years’ time: he has no idea, but can’t wait to find out. Joel has a special interest in human factors, interactions and experience within emergency care, believing that everything we do ultimately hinges on the patients, care providers and bystanders involved. Joel lives in Edinburgh with his family, plays geeky board games and emerged from the 2020 pandemic as a runner and baker. He’ll probably have found something different next week. | |||
| 05 Apr 2021 | Peter Aitken - How do we manage patients with counterintuitive behaviour? | 00:33:54 | |
Peter talks us through managing patients that display counter intuitive behaviours. How can we look at causes but, more importantly, how can we safely manage patients who are violent, want to run away or who do not look at the responder as help.
Top tips
1) Always have and practice an exit strategy, identify who can help and where that person needs to be
2) Can you upskill to recognise a person who is vulnerable
3) Can you ask the right questions?
4) Listen well, this is an art but is fundamental in helping people with counterintuitive behavior
Biography
Dr Peter Aitken MRCGP FRCPsych is Director of Research & Development and executive lead for suicide prevention at Devon Partnership NHS Trust and Honorary Associate Professor, University of Exeter Medical School. He is chair of the Medical Committee at the RNLl, mental health adviser to the National Association of Primary Care, trustee at the Lions Barber Collective, and member of the steering group for Zero Suicide Alliance. He is a past chair of the Faculty of Liaison Psychiatry at the Royal College of Psychiatrists and Psychiatrist of the Year in 2016 for his work with NHS England leading the design and delivery of Core24 Liaison Psychiatry Services for all English Hospitals with an Emergency Department. As an executive and clinical leader, he trained in quality improvement with the US Institute for Health Improvement Patient Safety Program and the NHS program for Advanced Improvement in Quality & Safety. He has published in suicide prevention and has an experience of drawing learning from the national confidential inquiry into effective action for change in services and hard to reach communities. | |||
| 30 Aug 2021 | Pete Davis - Damage control resuscitation | 00:29:24 | |
Pete talks us through the definition of damage control resuscitation and the application of this concept to critically injured patients in the pre-hospital setting. The discussion ranges from the practicalities of delivery to novel therapies sitting on the horizon. Top 3 tips:
Biography: Pete qualified in medicine in 1987 and has served in the UK Defence Medical Services ever since, apart from a nine-year sabbatical in New Zealand during which time he trained in helped to produce three children, trained in Emergency Medicine and explored the Southern Alps. He is a Consultant in Emergency Medicine and Retrieval Medicine, working between the Queen Elizabeth University Hospital in Glasgow and the Emergency Medical Retrieval Service (a component of the Scottish Specialist Transfer And Retrieval Service - ScotSTAR) when not deployed on Regimental duties. A climber and skier since his teenage years, these sports have taken him on adventures throughout the world and continue to foster his passion for Wilderness Medicine. | |||
| 19 Jul 2021 | David Lauritsen – Role of the Scottish Fire And Rescue Service | 00:21:22 | |
David Lauritsen wears multiple hats living in a very rural community, in this podcast, he chats through the skills, communication strategies, teamwork and other aspects of the management of patients involved in a road traffic collision.
Top 3 Points from this podcast:
David works in a remote and very beautiful area in the North of Scotland and wears a number of hats in his community. He has been a member of the Scottish Fire and Rescue Service team for 22 years and has also worked for The Scottish Ambulance Service for 10 years, 5 of these as a paramedic. As well as being a married father of 2 David also volunteers as a BASICS responder in his spare time. | |||