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Prehospital and Retrieval Medicine Podcast

In memory of Dr John Hinds

Weekly hand curated podcast episodes for learning

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

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 Right Click and Choose Save-as to Download the Podcast.

12 Apr 2018

Rank #1

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PHARM Podcast 208 Ketamine controversy with Minneapolis Police

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 Right Click and Choose Save-as to Download the Podcast.

1 Aug 2018

Rank #2

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PHARM Podcast 214 Guns on the PHARM

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 Right Click and Choose Save-as to Download the Podcast.

11 Nov 2018

Rank #3

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PHARM Podcast 201 Ketamine for suicidal ideation

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 Right Click and Choose Save-as to Download the Podcast.

14 Jun 2018

Rank #4

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

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 Right Click and Choose Save-as to Download the Podcast.

11 Apr 2018

Rank #5

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PHARM Podcast 207 Prehospital research Bonanza!

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 Right Click and Choose Save-as to Download the Podcast.

27 Jul 2018

Rank #6

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PHARM Podcast 200 Rib fractures

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 Right Click and Choose Save-as to Download the Podcast.

11 Jun 2018

Rank #7

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PHARM Podcast 205 Prehospital ultrasound guided nerve blocks a RCT

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 Right Click and Choose Save-as to Download the Podcast.

18 Jul 2018

Rank #8

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PHARM Podcast 192 Prehospital care in Fiji with Dr Anne Creaton

To help develop pre-hospital care & ambulance service, we teamed up with NFA Pacific Harbor & Navua stations to train their FFs. This also included donating a derelict vehicle & PH gear. Vinaka #AusAID – donated equipment to @VFRfiji continues to be utilised #TeamFiji #Fiji pic.twitter.com/JqKvXHoJxu — Volunteer First Responder (FIJI) (@VFRfiji) March 25, 2018 Hi folks on todays episode Dr Anne Creaton interviews  prehospital colleagues in Fiji, Dr Lemeki and Dr Ilikini who run a volunteer prehospital service called VFR Fiji EM physician volunteer Dr Lavinesh Raj pictured with Lemeki’s response vehicle and VFR training manual Dr Lemeki’s call sign, doing training at Pacific Harbour fire station where he began the VFR journey VFR team relaxing after a day training firefighters VFR team and Fijian firefighters after training exercise Extrication scenario Dr Anne Creaton teaching importance of bystander response and prehospital care in chain of survival Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-03-28-200.m4a Right Click and Choose Save-as to Download the Podcast.

28 Mar 2018

Rank #9

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PHARM Podcast 198 MedEd Confidential series Pt1 with Dr Viren Kaul

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 Right Click and Choose Save-as to Download the Podcast.

17 May 2018

Rank #10

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PHARM Podcast 190 Never Alone – a tribute to nurses in prehospital

Never alone: Gayle Woodford’s legacy to remote area nurses https://t.co/VHLcnuQTqL — RN – Radio National (@RadioNational) March 5, 2018 Hi folks. On todays episode I discuss 3 remarkable nurses with inspiring stories of overcoming adversity and personal challenges. This is to pay respect and tribute to remote area nurses and the murder of one of them in 2016, Gayle Woodford. Changes to the way nurses work in remote areas since the death of Gayle Woodford #AustralianStory https://t.co/JeY4mJaCj4 pic.twitter.com/M8sNUQ3JDk — Australian Story (@AustralianStory) March 5, 2018 Show notes: What would Mick Dundee do? Self-Management of an Inferior ST-Segment Elevation Myocardial Infarction | NEJM https://t.co/whyyPelo5o — andy johnston (@armycritcare) March 7, 2018 Knife first Midwife open tracheostomy with Stanley knife @ketaminh @drlauraduggan @TheAirwayApp https://t.co/WdJXH2eqLG — simon wilson (@gppocus) March 10, 2018 What a Cluster ! https://platform.twitter.com/widgets.js my first podcast https://essentiallycalcium.com/2018/03/13/my-first-podcast/ — Read on essentiallycalcium.com/2018/03/13/my-first-podcast/ Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-03-15-198.mp3 Right Click and Choose Save-as to Download the Podcast.

16 Mar 2018

Rank #11

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PHARM Podcast 206 Surviving Sedation – Triumph, Tragedy and Controversy

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 Right Click and Choose Save-as to Download the Podcast.

27 Jul 2018

Rank #12

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PHARM Podcast 191 The Power of Words

Above: Cameron Fox with Caldervale Station’s medical chest, which containedthe adrenaline that saved his life. Right: Dr Minh in the Cairns Base telehealthoffice where he took the call for help from Kimberley Rains Hi folks today, talking about art of effective communication in health care and also self care. Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-03-17-199.mp3 Right Click and Choose Save-as to Download the Podcast.

17 Mar 2018

Rank #13

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PHARM Podcast 203 Burnout

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 Right Click and Choose Save-as to Download the Podcast.

8 Jul 2018

Rank #14

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PHARM Podcast 212 For Tweets Sake!

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 Right Click and Choose Save-as to Download the Podcast.

27 Sep 2018

Rank #15

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PHARM Podcast 212 FOAMEd , Feminism and Fascism

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 Right Click and Choose Save-as to Download the Podcast.

20 Oct 2018

Rank #16

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PHARM Podcast 204 Prehospital sedation : INhale the chemicals and some cave diving

Hi folks. On todays episode I discuss prehospital inhaled sedation for acute agitation as well as some commentary on sedation and its use in recent Thai cave rescue show notes: Inhaled Loxapine for the Treatment of Psychiatric Agitation in the Prehospital Setting: A Case Series Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-07-15-215.mp3 Right Click and Choose Save-as to Download the Podcast.

16 Jul 2018

Rank #17

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PHARM Podcast 196 Kintsugi & celebrating damage

Hi folks. On todays episode I discuss a Japanese philosophical concept called Kintsugi and how it applies to critical thinking in medicine and life in general Show notes: Kintsugi We have a new publication in the Lancet – systematic review & meta-analysis on liberal vs conservative oxygen Rx in acutely ill adults:https://t.co/IE5jV4HJmk — Wellington ICU (@WellingtonICU) April 28, 2018 Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-04-28-204.mp3 Right Click and Choose Save-as to Download the Podcast.

28 Apr 2018

Rank #18

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PHARM Podcast 213 The path to expertise with Dr Stu Marshall

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) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-10-26-225.mp3 Right Click and Choose Save-as to Download the Podcast.

27 Oct 2018

Rank #19