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Prehospital and Retrieval Medicine Podcast

Updated 4 days ago

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In memory of Dr John Hinds

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In memory of Dr John Hinds

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Wonderful

By BrandonBoshard - Aug 01 2012
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Great education for pre- hospital providers. Keep them coming.

Great podcast

By jvrbntz - May 28 2012
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Congratulations on your new podcast. Looking forward to high quality information as you have done in other podcasts.

iTunes Ratings

10 Ratings
Average Ratings
10
0
0
0
0

Wonderful

By BrandonBoshard - Aug 01 2012
Read more
Great education for pre- hospital providers. Keep them coming.

Great podcast

By jvrbntz - May 28 2012
Read more
Congratulations on your new podcast. Looking forward to high quality information as you have done in other podcasts.

Listen to:

Cover image of Prehospital and Retrieval Medicine Podcast

Prehospital and Retrieval Medicine Podcast

Updated 4 days ago

Read more

In memory of Dr John Hinds

PHARM Podcast 208 Ketamine controversy with Minneapolis Police

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Hi folks.
On todays episode I discuss prehospital ketamine research and controversy in Minneapolis.

show notes:

Minneapolis Police Department involvement in prehospital sedation – Office of Police Conduct Review July 2018

Hennepin Ketamine Study Raises Questions About Ethics And Consent

Shooting of Justine Damond

A listener, Duke Powell sent in this feedback comment to clarify the details of the police shooting of Justine Damond. Thanks Duke.

I retired as a paramedic from Hennepin County Medical Center a little less than 2 years ago and participated in at least one of the Ketamine studies mentioned in the Minneapolis news media.

I’ve gotten thru just a few minutes of your podcast on this issue and would like to comment on the tragic police shooting of Justine Damond by Officer Mohamed Noor before moving on to the Ketamine issue in a separate posting.

As you correctly stated, Damond had called for police thinking there may be a sexual assault occurring in the alley behind her home. Police responded as Damond apparently wandered into the alley to investigate further.

Alleys are typically narrow with shrubbery frequently planted on each side of the alleyway making it narrower still. At nighttime these are considered dangerous passageways for police, especially for calls of violence. It is not unusual for police to have their windows down and guns un-holstered while driving through an area such as this.

Apparently as the police slowly drove down the alley, they passed Damond not noticing her presence. As they proceeded she reportedly smacked the rear fender of the car and then walked up to the driver’s side window. She was immediately shot by Officer Noor who was sitting in the front passenger seat.

Both officers were placed on Administrative Leave which is normal in police involved shootings. An investigation was conducted and Officer Noor was charged with 3rd Degree murder and 2nd Degree Manslaughter. As soon as the charges were brought, he was terminated from the Minneapolis Police Dept. and jailed.

At a Court hearing, Noor was released after posting a bond of over $500,000. The legal process is on-going. While most would agree that Noor acted recklessly and his actions resulted in a senseless death of an innocent woman, it remains to be seen, under Minnesota law, if he can be found guilty.

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-08-01-219.mp3

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Aug 01 2018

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PHARM Podcast 214 Guns on the PHARM

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13,300 signatures already! Please continue sharing our letter to the NRA where we outline why #GunViolence is our lane.

We know that we're not done yet. #ThisIsOurLane #Enoughhttps://t.co/Wk0aMvCRLV

— AFFIRM Research (@ResearchAffirm) November 10, 2018


Hi folks.
On todays episode I discuss guns .

show notes:

Port Arthur mass shooting 1996

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-11-11-226.mp3

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Nov 11 2018

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PHARM Podcast 182 Prehospital Ketamine for Profound Agitation

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http://memecrunch.com/meme/26E0/got-any-ketamine


Hi folks

on todays episode I discuss a paper from Hennepin county, USA on EMS use of prehospital ketamine for profound agitation. Its a followup article from a prospective cohort study they did already and provides useful information on association with ED intubation, time to effective sedation and adverse events encountered

Here’s the abstract of article mentioned in podcast:

A prospective study of ketamine as primary therapy for prehospital profound agitation

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-10-20-190.mp3

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Oct 20 2017

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PHARM Podcast 201 Ketamine for suicidal ideation

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Hi folks.
On todays episode I discuss the role of ketamine in managing acutely suicidal states.

show notes:

Ketamine for Rapid Reduction of Suicidal Thoughts in Major Depression: A Midazolam-Controlled Randomized Clinical Trial.

The Effect of a Single Dose of Intravenous Ketamine on Suicidal Ideation: A Systematic Review and Individual Participant Data Meta-Analysis.

And for something more conservative not involving ketamine..

Suicidality: prevention, detection and intervention https://t.co/BgEBwYu1B8

— AustralianPrescriber (@AustPrescriber) June 12, 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-06-13-212.mp3

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Jun 14 2018

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PHARM Podcast 195 Paralytic first intubation – does the end justify the means?

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http://memecrunch.com/meme/26E0/got-any-ketamine


Hi folks.
On todays episode I discuss paralytic first RSI, CPR induced awareness, dogma in critical care and ethical airway management.

Kathryn shares her traumatic experience after residual anaesthetic drugs were not flushed from her lines and cannulae following surgery. Please share with your colleagues. #PatientSafety https://t.co/OT3EBK7bsL https://t.co/Mrl4fV0RBD

— NHS Improvement (@NHSImprovement) April 12, 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-04-12-203.mp3

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Apr 12 2018

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PHARM Podcast 180 What year is this? Intubation checklist year?

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Hi folks

on todays episode I discuss a recent paper in regard to intubation checklist and its role if any in emergency department intubations. I did a public debate with Tim Leeuwenberg in 2014 at SMACCGOLD on this topic.

 Here is the full text article

A multicenter, randomized trial of a checklist for endotracheal intubation of critically ill adults

Some more reading on topic:

BET 2: SHOULD REAL RESUSCITATIONISTS USE AIRWAY CHECKLISTS?

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-09-20-188.mp3

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Sep 21 2017

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PHARM Podcast 183 When to intubate the Hulk

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Hi folks

on todays episode I discuss intubation decision on the Hulk

Show notes:

The Acutely Agitated Patient in a Remote Location
Assessment and Management Guidelines – a consensus statement by Australian aeromedical retrieval services.

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-11-05-191.mp3

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Nov 06 2017

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PHARM Podcast 207 Prehospital research Bonanza!

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Hi folks.
On todays episode I discuss prehospital research published in July : PARAMEDIC2, COMBAT, PAMPer. All prehospital RCTs with findings relevant to daily prehospital care around the world. So tune in and listen to my summary and read the Twitter Moment for online commentary from world leading experts and the study authors themselves!

show notes:

“Prehospital Research July 2018”https://t.co/xdfQUsZnTp

— Minh Le Cong (@ketaminh) July 27, 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-07-27-218.mp3

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Jul 27 2018

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PHARM Podcast 200 Rib fractures

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Hi folks.
On todays episode I discuss prehospital rib fracture management including pneumothorax and pulmonary contusion

show notes:

Rib fracture management 2015

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-06-11-211.mp3

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Jun 11 2018

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PHARM Podcast 181 The hot months on the PHARM

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Hi folks

on todays episode I discuss health issues in the Outback prehospital care related to heat, hot weather and climate change.

Here’s the abstracts  of articles mentioned in podcast:

Extreme heat threatens the health of Australians

Thunderstorm asthma outbreak of November 2016: a natural disaster requiring planning

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-10-14-189.mp3

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Oct 14 2017

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PHARM Podcast 194 The State of High Threat Medicine in Australia with Matt Pepper

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Hi folks.
On todays episode I chat with Matt Pepper, President of the Australian Tactical Medicine Association about high threat medicine in Australia and the need to bolster and maintain preparedness for low frequency high consequence events in our region. He mentions a conference that will be run on this topic in Brisbane this year. check out links below.

There is a free registration ticket to be won for one lucky listener/reader. Tweet or email (use email button on PHARM homepage) me the name of the cafe involved in the Martin Place siege that Matt mentions in the podcast to go into the competition to win the free ticket! Winner will be announced end of April via Twitter and email.

Show notes:

Australian Tactical Medicine Conference 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-04-10-202.mp3

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Apr 11 2018

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PHARM Podcast 205 Prehospital ultrasound guided nerve blocks a RCT

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Hi folks.
On todays episode I discuss prehospital ultrasound guided nerve blocks in a RCT compared with IV sedation-analgesia for management of limb injury pain and reduction of joint dislocations.

show notes:

Prehospital ultrasound-guided nerve blocks improve reduction-feasibility of dislocated extremity injuries compared to systemic analgesia. A randomized controlled trial

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-07-18-216.mp3

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Jul 18 2018

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PHARM Podcast 177 South Africa ditches the hard collar!

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Hi folks

on todays episode I discuss a recent paper in regard to hard cervical collars

Here’s the full open access paper:

Cervical collars and immobilisation: A South African best practice recommendation

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-08-09-185.mp3

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It is time to throw away the hard cervical collar – PRO: Darren Braude,CON: Karim Brohi – DAS SMACC hahaha Trump won https://t.co/mmt0z5DxIX

— Minh Le Cong (@ketaminh) August 9, 2017

Aug 09 2017

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PHARM Podcast 198 MedEd Confidential series Pt1 with Dr Viren Kaul

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Hi folks.
On todays episode I chat with Dr Viren Kaul @virenkaul about entry into medical school and residency training in India, USA and Australia. This is the start of a series, entitled MedEd Confidential, in which we explore the similarities and differences in medical training culture across these three nations in the hope of understanding the various stressors placed on physicians right from the start of training and all the way through into their careers. We will cover it all, the good and bad stories, the hopeful and despairing tales. Along the way we might talk to others on the same journey or who have been there and done that and reflect upon a career.

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-05-16-208.mp3

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May 17 2018

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PHARM Podcast 176 Live tweeting by ambulance services: a growing concern

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Some joker on Twitter called Chrimes took this at Aspen, Colorado

Hi folks

on todays episode I discuss a recent paper in regard to live tweeting and paramedic conduct

Here’s the abstract:

Live tweeting by ambulance services:live tweeting article

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-07-14-184.mp3

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Jul 15 2017

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PHARM Podcast 179 The Australian Snake Bite Project

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CC0, Link

Hi folks

on todays episode I discuss a recent paper in regard to Australian snake bites

Here’s the abstract:

The Australian Snakebite Project, 2005–2015 (ASP-20)

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-08-17-187.mp3

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Aug 17 2017

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PHARM Podcast 206 Surviving Sedation – Triumph, Tragedy and Controversy

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Hi folks.
On todays episode I discuss an update on the Thai cave rescue sedation, a coronial inquest into a death in custody after administration of IM midazolam and finally a controversy about prehospital ketamine sedation research in USA

show notes:

Thai cave doctor trained divers how to administer dangerous sedative to kids.https://t.co/L9vQi52amw

— ABC News (@abcnews) July 26, 2018

“It was an estimate to start with and the first child was an experiment in a way, so it was a good guess with a lot of other specialists.” – Dr Richard Harris on being asked how difficult it was to get the dosage right for boys’ sedation

— Rachel Hayter (@_rachelhayter) July 24, 2018

Dr Harris on boys’ sedation: “I’ve never done it in the back of a cave on malnourished, skinny, dehydrated Thai kids before so that for me was the most frightening part of the week.” #ThaiCaveRescue

— Rachel Hayter (@_rachelhayter) July 24, 2018

CONFIRMATION THAT KETAMINE USED IN RESCUE! Repeated IM injections no less!! Wow! what a demonstration of safety of ketamine !https://t.co/vZVeWR2sR9#Ketamine4Win

— Minh Le Cong (@ketaminh) July 27, 2018

With great thanks to @ketaminh for the wording! pic.twitter.com/rPeW3cimVN

— Dr. Howie Mell (@DrHowieMell) July 27, 2018

(WARNING OF DISTRESSING VIDEO CONTENT)

‘I can’t breathe’: footage shows David Dungay’s death in custody – video https://t.co/iBmXdWEI3t

— The Guardian (@guardian) July 16, 2018

News: Guardian Australia and 2Ser launch podcast series ahead of coronial inquest into David Dungay https://t.co/1w9iM78H09 /via @mumbrella /cc @acast #press

media.info UK print (@minfoUKprint) July 14, 2018

Federal complaint filed over prehospital ketamine research https://t.co/1CD3ACg46e pic.twitter.com/pIRux8fV2q

— EMS1 (@EMS1) https://twittJuly 25, 2018

Complaint Filed Over Prehospital Ketamine Research Without Prior Consent https://t.co/ejiuNufGjQ #ems #fire #firefighter

— Fire, EMS, PD News (@FireInfo1) July 25, 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-07-27-217.mp3

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Jul 27 2018

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PHARM Podcast 203 Burnout

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Be there for others, but never leave yourself behind. – Dodinsky #quote pic.twitter.com/sxkYSJDQCZ RT @gary_hensel #TuesdayThoughts #mindset #selfcare #selfrespect #selflove #Health #burnout #Happiness #parenting #teachers

— Beth Frates, MD (@BethFratesMD) June 26, 2018


Hi folks.
On todays episode I discuss burnout .

show notes:

Here is an excellent article about burnout in the medical profession from this week’s MJA: https://t.co/DFQ2BMxqdy

— AMA Victoria (@amavictoria) June 22, 2018

MJA Podcasts 2018 Episode 47: Burnout, with Prof Michael Baigent and Dr Ruth Baigent

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-07-07-214.mp3

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Jul 08 2018

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PHARM Podcast 212 For Tweets Sake!

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Some joker on Twitter called Chrimes took this at Aspen, Colorado


Hi folks.
On todays episode I discuss twitter and ethical conduct of ambulance professionals using it to promote their services work. I’ve talked about this already last year

show notes:

Another night shift awaits myself and Mandy tonight, booked on unti 0600hrs.

So far we’ve been to a elderly faller, fell due to alcohol intoxication.

Another allocation took us to a C1 13yo choking.

Luckily their parents knew first aid which saved her life. pic.twitter.com/G6RMJkMoKG

— Adam Lote (@wmasadamlote) September 22, 2018

https://platform.twitter.com/widgets.js

This is an official WMAS tweet which has had concerns raised. The ACAO has been made aware via screenshots so those raising concerns can rest assured that the matter has been raised within WMAS to review the tweets and map against WMAS social media policy.

— Dhushy SurendraKumar (@DhushyKumar) September 23, 2018

https://platform.twitter.com/widgets.js

Update – initial review – it meets policy. WMAS were already watching as is an official tweeter so knows the rules. Remember – The rules actually allow quite a lot of information to be in the public domain. Whilst many find this unsettling, it is allowed.

— Dhushy SurendraKumar (@DhushyKumar) September 23, 2018

https://platform.twitter.com/widgets.js

Another case this evening took us to a lady with chest palpitations. They were known & resolved before crew arrival, patient had a care plan in place

Before we left, we managed to get cuddles with their really cute dog, say hello to Lottie who’s a ‘Shar pei’ pic.twitter.com/XCuJbeLoMa

— Adam Lote (@wmasadamlote) September 23, 2018

https://platform.twitter.com/widgets.js

Guidance on Social Media policy (UK)

Social media remains a powerful tool in sharing knowledge and promoting best practice, however must be used professionally and with integrity. It should never be used at the detriment of public trust, confidence, or right to confidentiality. Our guidance: https://t.co/y4oAGFPqOo pic.twitter.com/aTi7MHaCUH

— College of Paramedics (@ParamedicsUK) September 27, 2018

https://platform.twitter.com/widgets.js

Ambulance Service of NSW 2009 guidelines on the use of social networking sites

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-09-26-223.mp3

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Sep 27 2018

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PHARM Podcast 212 FOAMEd , Feminism and Fascism

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Hi folks.
On todays episode I discuss FOAMEd and its current health. What is its relevance and value now after 6yrs?

SHow notes:

Are you already feeling sad about #FIX18 ending? What can you do to keep this momentum going?
1) Blog about your experience or something you’re passionate about + submit to https://t.co/cTwA9lWWTp
2) Book your hotel for #FIX19 Sept 15-17 Grand Hyatt NYC, tickets on sale 2/1/19

— FemInEM (@feminemtweets) October 18, 2018

Today we are happy to announce that registration for #GirlMedLive2018 is officially… LIVE! You can register directly at the link below! For a full breakdown of prices and conference schedule, please visit our website! https://t.co/k3Y5cAhRya

— Girl Med Media (@GirlMedMedia) July 26, 2018

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-10-19-224.mp3

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Oct 20 2018

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PHARM Podcast 226 A life on the line with Darren Hodge

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Hi folks! I chat to Flight MICA paramedic Darren Hodge about his new book : A Life on the Line

Show notes:
Links:

info@darrenhodge.com

Web: https://www.darrenhodge.com

Podcast ( available here and on iTunes)

[https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-11-22-238.mp3]

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Nov 23 2019

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PHARM Podcast 225 Penetrating torso trauma in remote care

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Hi folks! I chat about penetrating trauma in remote care this episode

Show notes:
The slides to go with podcast
Penetrating torso trauma in remote Oz PHARM version

Podcast ( available here and on iTunes)

[https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-10-16-237.mp3]

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Oct 16 2019

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PHARM Podcast 224 The Gap with Benjamin Gilmour

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Hi folks!Long time friend of the show, paramedic Ben Gilmour is back to talk about his new book!

Show notes:
(From Ben) Some links, I guess these:

Review of The Gap in the Canberra Times
https://www.canberratimes.com.au/story/6344752/the-gap-is-a-poignant-glimpse-into-the-trials-of-an-ambos-life/

Article on paramedic mental health in SMH here https://www.google.com.au/amp/s/amp.smh.com.au/national/what-keeps-emergency-workers-going-can-help-us-all-20191006-p52y44.html

Many different ways to read The Gap
https://www.penguin.com.au/books/the-gap-9781760890209

And my website
www.benjamingilmour.com

WATCH PARAMEDICO HERE!

Paramedico – Around the World by Ambulance from PARAMEDICO on Vimeo.

Podcast ( available here and on iTunes)

[https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-10-15-236.mp3]

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Oct 16 2019

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PHARM Podcast 223 Fear of flying in aeromedical retrieval and a dedication to Loretto Harvey

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The colleagues of Loretto Harvey, who died while competing in the Townsville Triathlon Festival last weekend say she was caring and selfless. The 50-year-old was well known for her nursing role at the Rural Flying Doctor Service. Report on 7NEWS at 6pm. #7NEWS pic.twitter.com/mVIhEwxPLk

— 7NEWS Townsville (@7NewsTownsville) August 30, 2019

https://platform.twitter.com/widgets.js

Hi folks , this episode dedicated to memory of a friend and nurse colleague Loretto Harvey .

Show notes:
Anxiety in adult fixed-wing air transport patients

FEARFUL FLYERS INCREASING IN NUMBER: SURVEY

Podcast ( available here and on iTunes)

[https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-08-30-235.mp3]

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Aug 31 2019

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PHARM Podcast 222 Burnout with The Brow of Justice

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Oh! I got this script as a tattoo. Sorry my scars kind of show in the image, I didn’t realize they would. Anyway…I love this idea. @silv24 gave it to me. “You should know you’re not alone.” pic.twitter.com/T0VowF5qsx

— Mitochondrial Eve (@browofjustice) July 16, 2019


Hi folks!

Show notes:
Burnout recognised by WHO in new ICD11 as workplace/occupational syndrome NOT a medical condition

I will not Cry by Mitchondrial Eve ( aka The Brow of Justice)

So thinking more about that guy. The one who blocked me and said I’m anonymous on twitter because I’m afraid of the nursing board.

It’s true there’s a lot of stigma against medical professionals who have mental illness.

— Mitochondrial Eve (@browofjustice) May 4, 2019

<

I had a baby halfway through med school; my third child. I took one week off school and then returned to my academic activities. I started clerkship on time with my classmates.

What I didn’t know was that this choice would have major effects on my career. 1/ pic.twitter.com/39ddWHDJkw

— Kay M. D. (@CanadianKayMD) June 30, 2019

Podcast ( available here and on iTunes)

[https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-07-29-234.mp3]

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Jul 29 2019

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PHARM Podcast 221 SCRAM

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Hi folks!

Show notes:

Addendum to podcast : Thankyou for providing me the opportunity! I have listened to the podcast and there is one amendment needing to be made which relates to the errors- syringe swap what I meant to say was… Routine practice is to prepare Rocuronium (100 mg) in a 10 ml syringe, and Ketamine (200 mg) in a 20 ml syringe. In one observed error, Rocuronium (200 mg) was prepared in a 20 ml syringe, and subsequently incorrectly labelled as Ketamine. This could have resulted in a neuromuscular drug being administered without prior anaesthesia, exposing the patient to harm. (Paul Swinton)

Background:   SCRAM (Structured CRitical Airway Management), invented by Paul Swinton and Neil Sinclair, was designed and developed to improve the time and safety of the delivery of pre-hospital emergency anaesthesia and tracheal Intubation.   Following the success of the Adult SCRAM there has been strong demand from the community for a Paediatric version of SCRAM. This however, comes with different challenges because one needs to take into account the broader size range of equipment required to cover the paediatric body size spectrum, ranging from around 3kg at birth to 50kg at adolescence, and at the same time have an optimal ergonomic design that improves task utilisation of equipment. Paul Swinton, Dr Jon McCormack and Neil Sinclair undertook this challenge to invent a paediatric version of SCRAMwhich is now available (distributor link below).   Distributors:   We currently have distributors in UK, Australia and soon the USA and Canada.  If you require any further information please do not hesitate to contact – Marianne Murphy marianne.murphy@shil.co.uk or info@shil.co.uk Inventors Twitter Handles:   Paul Swinton – https://twitter.com/paswinton   Neil Sinclair – https://twitter.com/neilsincl   Dr Jon McCorack –  https://twitter.com/jonmcckResources:My Blog  – The purpose of this blog is to explore and share my thoughts on how innovative design can enhance healthcare.  – https://paulswinton.com/ Product information:   Adult SCRAM : https://www.shil.co.uk/uploads/tinymce/SCRAM%202.0%20A4.pdf   Paediatric SCRAM line : https://www.shil.co.uk/uploads/tinymce/SCRAM_EMS_A4_Final.pdfVideo:   Demonstration video: https://www.youtube.com/watch?v=a0sOwFbKzzE&feature=youtu.beManufactures:   OpenHouse: https://www.openhouseproducts.com/product-category/off-the-shelf-bags/scram-bags/ References:   1. Swinton P, Corfield AR, Moultrie C, Percival D, Proctor J, Sinclair N, Perkins ZB. Impact of drug and equipment preparation on pre-hospital emergency Anaesthesia (PHEA) procedural time, error rate and cognitive load. Scandinavian journal of trauma, resuscitation and emergency medicine. 2018 Dec;26:82 2. Schyma BM, Wood A, Sothisrihari S, Swinton P. Optimising Airway Management Kit Dump Using the SCRAM Bag. Poster presented at: Difficult Airway Society Annual Scientific Meeting; 2018 Nov 28-30; Edinburgh, UK.

Podcast ( available here and on iTunes)

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Jul 02 2019

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PHARM Podcast 220 Prehospital intranasal ketamine analgesia

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UBC professor finds ketamine alleviates acute pain during ambulance rides – UBC Faculty of Medicine https://t.co/wQyU9JcNAZ

— Minh Le Cong (@ketaminh) June 20, 2019

The Gene Benoit


Hi folks!

Show notes:
Media coverage – ketamine for pain
Prehospital Analgesia With Intranasal Ketamine (PAIN-K): A Randomized Double-Blind Trial in Adults

Follow these authors of this paper on podcast on twitter @mededgene and @gandalfattoNV

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Jun 22 2019

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PHARM Podcast 219 Fatal Plus in Hawaii

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Hi folks! A reading of an article on thiopentone at Pearl Harbour!

Show notes:
The Legacy of the Anaesthesia ‘Events’ at Pearl Harbor, 7th December 1941.

Med Ed Stuff and Nonsense podcast
Follow @inquisitveGyn and @GongGasGirl

Podcast ( available here and on iTunes)

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May 31 2019

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PHARM Podcast 218 The Women Doctors who fought to serve

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Vera Scantlebury (later Scantlebury-Brown) and Rachel Champion (later Shaw) were two of the first women graduates of the University of Melbourne Medical School. They are pictured here serving at London’s Endell Street Military Hospital, in WW1. Picture: Imperial War Museum . This image and contents of podcast are reproduced here under this Creative Commons licence
Hi folks! A reading of an essay from University of Melbourne on Australian Women Doctors in World War One
Show Notes:
THE WOMEN DOCTORS WHO FOUGHT TO SERVE

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May 01 2019

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PHARM Podcast 217 Dustfall by Dr Michelle Johnston

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Hi folks! A select reading of chapter 1 of DUstfall by Dr Michelle Johnston.

Show Notes:

Michelle Johnston’s blogsite about Dustfall and more

Podcast ( available here and on iTunes)

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Apr 15 2019

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PHARM Podcast 216 More from Fiji Prehospital care with Dr Creaton!

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Hi folks! welcome back to the PHARM for the first episode in 2019!
We are going back to Fiji and Dr Anne Creaton to talk about a new prehospital training course that has been setup there.
I also make a few quick mentions and shoutouts to folks on medtwitter and about ketamine!

Show Notes:

CHeck out EMUGS CONFERENCE in Noosa, Australia 2019!
Also their network for clinician delivered ultrasound EMUGS

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-03-15-228.mp3

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Mar 16 2019

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PHARM Podcast 215 Navigating the boundaries of Twitter

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Some joker on Twitter called Chrimes took this at Aspen, Colorado


Hi folks.
On todays episode I discuss the pitfalls of privacy and boundaries on Twitter , based on my own 7 yr experience on the platform.

Show Notes:

TWITTER RULES

Social Media’s Dark Side: Learning to Set Boundaries

Podcast ( available here and on iTunes)

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Dec 20 2018

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PHARM Podcast 214 Guns on the PHARM

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13,300 signatures already! Please continue sharing our letter to the NRA where we outline why #GunViolence is our lane.

We know that we're not done yet. #ThisIsOurLane #Enoughhttps://t.co/Wk0aMvCRLV

— AFFIRM Research (@ResearchAffirm) November 10, 2018


Hi folks.
On todays episode I discuss guns .

show notes:

Port Arthur mass shooting 1996

Podcast ( available here and on iTunes)

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Nov 11 2018

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PHARM Podcast 213 The path to expertise with Dr Stu Marshall

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Let me share a few tales about how juniors learn from SoMe.
It's not by reading the evidence but by listening to (and maybe not fully understanding) the loudest voices.
Dreyfus' model of expertise states novices need rules- that's what they're looking for and what they absorb pic.twitter.com/3Zf7t6RT4V

— Stu Marshall (@hypoxicchicken) October 22, 2018


Hi folks.
On todays episode I chat to Dr Stu Marshall (@hypoxicchicken) on learning via social media, the pitfalls and traps on the path to expertise!

show notes:

Let me share a few tales about how juniors learn from SoMe.
It's not by reading the evidence but by listening to (and maybe not fully understanding) the loudest voices.
Dreyfus' model of expertise states novices need rules- that's what they're looking for and what they absorb pic.twitter.com/3Zf7t6RT4V

— Stu Marshall (@hypoxicchicken) October 22, 2018

Decisions are rarely black and white unlike those portrayed in Twitter arguments.
If an experienced person makes a judgement call with all of the known evidence and a logical explanation, there’s probably a good reason for it.

…and yes, I fully recognise this thread is futile.

— Stu Marshall (@hypoxicchicken) October 22, 2018

The Five Stage model of Skill Acquisition by Dreyfuss

Podcast ( available here and on iTunes)

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Oct 27 2018

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PHARM Podcast 212 FOAMEd , Feminism and Fascism

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Hi folks.
On todays episode I discuss FOAMEd and its current health. What is its relevance and value now after 6yrs?

SHow notes:

Are you already feeling sad about #FIX18 ending? What can you do to keep this momentum going?
1) Blog about your experience or something you’re passionate about + submit to https://t.co/cTwA9lWWTp
2) Book your hotel for #FIX19 Sept 15-17 Grand Hyatt NYC, tickets on sale 2/1/19

— FemInEM (@feminemtweets) October 18, 2018

Today we are happy to announce that registration for #GirlMedLive2018 is officially… LIVE! You can register directly at the link below! For a full breakdown of prices and conference schedule, please visit our website! https://t.co/k3Y5cAhRya

— Girl Med Media (@GirlMedMedia) July 26, 2018

Podcast ( available here and on iTunes)

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Oct 20 2018

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PHARM Podcast 212 For Tweets Sake!

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Some joker on Twitter called Chrimes took this at Aspen, Colorado


Hi folks.
On todays episode I discuss twitter and ethical conduct of ambulance professionals using it to promote their services work. I’ve talked about this already last year

show notes:

Another night shift awaits myself and Mandy tonight, booked on unti 0600hrs.

So far we’ve been to a elderly faller, fell due to alcohol intoxication.

Another allocation took us to a C1 13yo choking.

Luckily their parents knew first aid which saved her life. pic.twitter.com/G6RMJkMoKG

— Adam Lote (@wmasadamlote) September 22, 2018

https://platform.twitter.com/widgets.js

This is an official WMAS tweet which has had concerns raised. The ACAO has been made aware via screenshots so those raising concerns can rest assured that the matter has been raised within WMAS to review the tweets and map against WMAS social media policy.

— Dhushy SurendraKumar (@DhushyKumar) September 23, 2018

https://platform.twitter.com/widgets.js

Update – initial review – it meets policy. WMAS were already watching as is an official tweeter so knows the rules. Remember – The rules actually allow quite a lot of information to be in the public domain. Whilst many find this unsettling, it is allowed.

— Dhushy SurendraKumar (@DhushyKumar) September 23, 2018

https://platform.twitter.com/widgets.js

Another case this evening took us to a lady with chest palpitations. They were known & resolved before crew arrival, patient had a care plan in place

Before we left, we managed to get cuddles with their really cute dog, say hello to Lottie who’s a ‘Shar pei’ pic.twitter.com/XCuJbeLoMa

— Adam Lote (@wmasadamlote) September 23, 2018

https://platform.twitter.com/widgets.js

Guidance on Social Media policy (UK)

Social media remains a powerful tool in sharing knowledge and promoting best practice, however must be used professionally and with integrity. It should never be used at the detriment of public trust, confidence, or right to confidentiality. Our guidance: https://t.co/y4oAGFPqOo pic.twitter.com/aTi7MHaCUH

— College of Paramedics (@ParamedicsUK) September 27, 2018

https://platform.twitter.com/widgets.js

Ambulance Service of NSW 2009 guidelines on the use of social networking sites

Podcast ( available here and on iTunes)

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Sep 27 2018

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PHARM Podcast 211 Spring on the PHARM

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Hi folks.
On todays episode I discuss 3 things : ketamine study for TBI, portable fluid warmers and a new videolaryngoscope that promises to be as close to sub $100 device I’ve been dreaming of!

show notes:
Effect of sedative agent selection on morbidity, mortality and length of stay in patients with increase in intracranial pressure

You're hot then you're cold https://platform.twitter.com/widgets.js

I-View video laryngoscope from Intersurgical

Podcast ( available here and on iTunes)

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Sep 10 2018

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PHARM Podcast 210 Dishwashers and Cardiac Injury

Aug 25 2018

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PHARM Podcast 209 Scarred healers

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Self care talk in Chicago by Dr Tim Leeuwenburg, 2015


Hi folks.
On todays episode I discuss

show notes:

https://t.co/6taQIoIHL2 @PatMcGorry @ian_hickie @DrMukeshH @drHelenschultz @agwalker01 @PeninsulaHealth @venessb @beyondblue @georgie_harman @docs4docs @aml1384 my take on ‘repaired’Drs and urgent need to increase funding and resources

— Geoff Toogood (@gdtoogood) August 6, 2018

Podcast ( available here and on iTunes)

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Aug 08 2018

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PHARM Podcast 208 Ketamine controversy with Minneapolis Police

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Hi folks.
On todays episode I discuss prehospital ketamine research and controversy in Minneapolis.

show notes:

Minneapolis Police Department involvement in prehospital sedation – Office of Police Conduct Review July 2018

Hennepin Ketamine Study Raises Questions About Ethics And Consent

Shooting of Justine Damond

A listener, Duke Powell sent in this feedback comment to clarify the details of the police shooting of Justine Damond. Thanks Duke.

I retired as a paramedic from Hennepin County Medical Center a little less than 2 years ago and participated in at least one of the Ketamine studies mentioned in the Minneapolis news media.

I’ve gotten thru just a few minutes of your podcast on this issue and would like to comment on the tragic police shooting of Justine Damond by Officer Mohamed Noor before moving on to the Ketamine issue in a separate posting.

As you correctly stated, Damond had called for police thinking there may be a sexual assault occurring in the alley behind her home. Police responded as Damond apparently wandered into the alley to investigate further.

Alleys are typically narrow with shrubbery frequently planted on each side of the alleyway making it narrower still. At nighttime these are considered dangerous passageways for police, especially for calls of violence. It is not unusual for police to have their windows down and guns un-holstered while driving through an area such as this.

Apparently as the police slowly drove down the alley, they passed Damond not noticing her presence. As they proceeded she reportedly smacked the rear fender of the car and then walked up to the driver’s side window. She was immediately shot by Officer Noor who was sitting in the front passenger seat.

Both officers were placed on Administrative Leave which is normal in police involved shootings. An investigation was conducted and Officer Noor was charged with 3rd Degree murder and 2nd Degree Manslaughter. As soon as the charges were brought, he was terminated from the Minneapolis Police Dept. and jailed.

At a Court hearing, Noor was released after posting a bond of over $500,000. The legal process is on-going. While most would agree that Noor acted recklessly and his actions resulted in a senseless death of an innocent woman, it remains to be seen, under Minnesota law, if he can be found guilty.

Podcast ( available here and on iTunes)

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Aug 01 2018

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