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Prehospital and Retrieval Medicine Podcast

Updated 13 days ago

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In memory of Dr John Hinds

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In memory of Dr John Hinds

iTunes Ratings

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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.
Cover image of Prehospital and Retrieval Medicine Podcast

Prehospital and Retrieval Medicine Podcast

Latest release on Jul 18, 2020

The Best Episodes Ranked Using User Listens

Updated by OwlTail 13 days ago

Rank #1: 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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Rank #2: 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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Rank #3: 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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Rank #4: 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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Rank #5: 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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Rank #6: 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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Rank #7: 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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Rank #8: 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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Rank #9: 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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Rank #10: 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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Rank #11: 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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Rank #12: 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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Rank #13: 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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Rank #14: 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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Rank #15: 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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Rank #16: 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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Rank #17: 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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Rank #18: PHARM Podcast 204 Prehospital sedation : INhale the chemicals and some cave diving

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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

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Jul 16 2018

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Rank #19: 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)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-10-26-225.mp3

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Oct 27 2018

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Rank #20: PHARM Podcast 199 When physicians harm

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My disgust at USAG is beyond expression. Intentionally covering up for Larry when abuse allegations arose. Had they done the right thing, I would never have had to do what I did, and so many victims saved. They knew they lied, and never even said “sorry”https://t.co/sjB0aHpqO1

— Rachael Denhollander (@R_Denhollander) May 24, 2018


(Trigger warning for content describing sexual assault)


Hi folks.
On todays episode I answer a question posed by Dr Amy Walsh in regard to David Newman and the academic work he achieved prior to his sex crimes conviction.

Show notes :

In my own career, I have struggled with if/how to share the work of David Newman, who was extremely well regarded in Emergency Medicine until allegations that he sexually assaulted patients while they were sedated for procedures.

— Amy Walsh (@docamyewalsh) May 26, 2018

My Divorce from SMACC

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-05-26-210.mp3

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May 27 2018

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