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Science & Medicine
Medicine

Prehospital and Retrieval Medicine Podcast

Updated 10 days ago

Science & Medicine
Medicine
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In memory of Dr John Hinds

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In memory of Dr John Hinds

iTunes Ratings

10 Ratings
Average 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

Updated 10 days ago

Read more

In memory of Dr John Hinds

Rank #1: 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 #2: 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 #3: 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 #4: 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 #5: PHARM Podcast 175 Battlefield fluid resuscitation in 2017

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Hi folks

on todays episode I discuss a recent paper in regard to battlefield analgesia

Here’s the abstract:

Fluid Resuscitation in Tactical Combat Casualty Care: Yesterday and Today

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-06-20-183.mp3

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Jun 21 2017
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Rank #6: PHARM Podcast 174 Battlefield analgesia in 2017

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

Hi folks

on todays episode I discuss a recent paper in regard to battlefield analgesia

Here’s the abstract:

Battlefield Analgesia in Tactical Combat Casualty Care

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-06-15-182.mp3

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Jun 16 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 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 #9: PHARM Podcast 170 Prehospital intubation for traumatic brain injury

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Hi folks

on todays episode I discuss a recent paper on prehospital intubation and TBI.

Here’s the abstract:

Prehospital Intubation is Associated with Favorable Outcomes and Lower Mortality in ProTECT III

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-06-10-178.mp3

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Jun 10 2017
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Rank #10: PHARM Podcast 171 Prehospital RSI -who’s got the biggest laryngoscope?

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Hi folks

on todays episode I discuss a recent paper in regard to the eternally vexatious question of who should be doing prehospital RSI : doctor or paramedic/nurse?

Here’s the abstract:

Nonphysician Out-of-Hospital Rapid Sequence Intubation Success and Adverse Events: A Systematic Review and Meta-Analysis

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-06-10-179.mp3

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Jun 10 2017
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Rank #11: 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 #12: PHARM Podcast 173 Awake Cricothyrotomy: A Novel Approach to the Surgical Airway in the Tactical Setting

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Control -Cric kit from Pulmodyne, designed by Dr Levitan

Hi folks

on todays episode I discuss a recent paper in regard to awake surgical cric.

Here’s the abstract:

Awake Cricothyrotomy: A Novel Approach to
the Surgical Airway in the Tactical Setting

Podcast ( available here and on iTunes)

http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2017-06-13-181.mp3

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Jun 14 2017
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Rank #13: 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 #14: 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 #15: 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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