This week, Aebhric O’Kelly talks with James Brogan, a UK paramedic and lecturer at Robert Gordon University, who discusses the unique challenges and opportunities in paramedicine, particularly in rural and remote areas of Scotland. He emphasises the importance of practice-based learning, the role of paramedics in public health, and the evolution of paramedic education towards a more academic and professionalised approach. Brogan also highlights the significance of decision-making skills in austere environments and offers advice for new paramedics entering the field.
Takeaways
James Brogan is a principal lecturer of paramedicine at Robert Gordon University.
The university focuses on rural and remote paramedicine education.
Practice-based learning is crucial for paramedic training.
Paramedics play a significant role in public health initiatives.
Austere medicine requires unique skills and decision-making abilities.
The evolution of paramedic education has led to a more academic approach.
Professionalisation of paramedics is essential for adapting to healthcare needs.
Future paramedics will need to be versatile in various environments.
Decision-making is more critical than just technical skills.
New paramedics should focus on evidence-based practice and holistic care.
Chapters
00:00 Introduction to Paramedicine in Scotland
02:22 The Unique Challenges of Rural and Remote Paramedicine
04:56 Practice-Based Learning and Its Importance
07:54 The Role of Paramedics in Public Health
10:13 Austere Medicine and Prolonged Field Care
13:05 The Evolution of Paramedic Education
15:32 The Professionalisation of Paramedicine
18:17 The Future of Paramedicine
20:55 Advice for New Paramedics
23:29 Conclusion and Reflections on Paramedicine
This week, we have another presentation from the Medicine in the Mediterranean conference from January 2025. Dr Matt Moront is a pediatric surgeon who provides an in-depth exploration of pediatric trauma care, emphasising the unique anatomical and physiological differences in children compared to adults. The speaker discusses common pediatric injuries, particularly in urban settings, and highlights the importance of airway management, weight estimation for medication dosing, and recognising signs of shock. Techniques for intubation and intravenous access in children are also covered, along with concerns regarding radiation exposure in pediatric imaging. The session concludes with key takeaways for healthcare providers working with pediatric patients.
Takeaways
Airway management is critical in pediatric patients.
Children are not just smaller adults; they have unique anatomical differences.
Most pediatric trauma cases involve motor vehicle accidents and falls.
Weight estimation is crucial for medication dosing in children.
Children can maintain blood pressure until a significant volume of blood is lost.
Intubation in children requires specific techniques and considerations.
Radiation exposure in children should be minimised due to their sensitivity.
Pediatric patients often present differently than adults in shock situations.
Using the right size equipment is essential for pediatric care.
Clinical indicators of shock in children are often visual rather than reliant on technology.
Chapters
00:00 Introduction to Pediatric Trauma Care
02:40 Understanding Pediatric Injuries in Urban Settings
05:23 Anatomical and Physiological Differences in Children
08:34 Airway Management in Pediatric Patients
11:21 Weight Estimation and Medication Dosing for Children
14:12 Assessing Pediatric Vital Signs and Shock Indicators
16:54 Intubation Techniques and Considerations for Children
20:08 Practical Tips for Pediatric Emergency Care
25:55 Intubation Techniques for Pediatric Patients
29:00 Medications in Pediatric Intubation
33:57 IV Access in Children
40:00 Radiation Considerations in Pediatric Care
This week, Aebhric O’Kelly talks with CoROM student Dmitry Vosnyak, who shares his experiences as a remote paramedic student currently completing clinical placements in Kilimanjaro, Tanzania. He discusses his background in emergency medicine, the challenges faced in chaotic environments, and the importance of practical training alongside theoretical knowledge. Dmitry reflects on a mass casualty incident he encountered, emphasising the need for effective pre-hospital care and communication. He also shares insights on how to prepare for such situations and his aspirations for further education in critical care.
Takeaways
Dmitry has extensive experience as a paramedic in various settings.
Studying alongside practical experience enhances learning.
The chaotic environment in emergency medicine requires adaptability.
Mass casualty incidents highlight the need for pre-hospital care.
Preparation and communication are crucial in emergencies.
Dmitry emphasises the importance of hands-on training.
He values the connections made with local medical teams.
Continuous learning is essential for paramedics.
Dmitry aims to improve his skills in critical care.
He encourages new paramedics to study and gain practical experience.
Chapters
00:00 Introduction to Dmitry Vosnyak's Journey
04:50 The Importance of Practical Training
10:53 Clinical Placements and Skill Development
17:35 Mass Casualty Incident Experience
23:55 Reflections on Improvement and Preparation
30:37 Future Aspirations in Critical Care
43:03 Advice for new paramedics
This week, Dr. Slaven Bajic we have another presentation from our Medicine in the Mediterreanean conference from January 2025. In this lecture, Slaven discusses the importance of ultrasound in pre-hospital settings, its advantages, limitations, and a case study demonstrating its application in trauma care. The discussion emphasises the need for clinical judgment alongside ultrasound findings and the growing role of ultrasound in modern emergency medicine.
Takeaways
Focused ultrasound is revolutionising emergency medicine.
The FAST protocol is essential for trauma assessment.
Ultrasound can be more effective than traditional methods.
Rapid identification of unstable patients is critical.
FAST exams must be repeated to ensure accuracy.
Ultrasound is a non-invasive and portable technology suitable for field use.
Clinical judgment is crucial when interpreting FAST results.
Ultrasound can facilitate prompt decision-making in emergency situations.
Training and practice are vital for effective ultrasound use.
Ultrasound technology is becoming indispensable in emergency settings.
Chapters
00:00 Introduction to Focused Ultrasound in Emergency Medicine
02:27 Understanding the FAST Protocol
04:40 Advantages of FAST in Pre-Hospital Settings
07:28 Limitations and Challenges of FAST
09:49 Case Study: Application of FAST in Trauma
17:32 Conclusion and Future of Ultrasound in Emergency Medicine
This week, Aebhric O’Kelly talks with Bryony Palmer, who shares her unique journey as a nurse who transitioned to sailing and humanitarian work. She discusses her experiences in offshore medicine, the challenges of providing medical care at sea, and her efforts to improve training and safety within the sailing community. Bryony also recounts a harrowing incident involving her husband's dislocated shoulder during a storm, highlighting the importance of preparation and adaptability in emergency situations. Throughout the discussion, she emphasises the need for better training and resources for sailors, as well as the value of thinking outside the box in medical practice.
Takeaways
Bryony Palmer is a nurse specialising in offshore and wilderness medicine.
She aims to improve medical training in the sailing community.
Bryony coordinated a humanitarian response with 65 sailing vessels after a hurricane.
She emphasises the importance of preparation and training for sailors.
Dealing with medical emergencies at sea requires adaptability and quick thinking.
Bryony faced a challenging situation when her husband dislocated his shoulder at sea.
She highlights the need for better medical resources on sailing vessels.
Training for medical emergencies should include context-specific scenarios.
Bryony encourages future sailors to practice solo sailing before embarking on long journeys.
She believes in thinking outside the box to improve healthcare delivery.
Chapters
00:00 Introduction to Bryony Palmer and Her Journey
02:48 Background in Nursing and Transition to Sailing
06:41 Coordinating Humanitarian Aid in Disaster Response
08:56 Training and Preparation for Sailing
13:42 Dealing with Medical Emergencies at Sea
36:59 Lessons Learned and Advice for Future Sailors
This week, we have another presentation from the Medicine in the Mediterranean conference, held in January 2025. CoROM faculty member Vish Rajan delves into the intricacies of hyperbaric medicine, exploring its history, types of chambers, notable accidents, and the human factors that contribute to safety and efficacy in treatment.
Takeaways
Hyperbaric medicine has a rich history dating back centuries.
Regulations in hyperbarics often arise from tragic accidents.
Different types of hyperbaric chambers serve various medical purposes.
Key accidents highlight the importance of safety protocols.
Human factors play a significant role in hyperbaric treatment outcomes.
Training and proper maintenance are crucial for chamber safety.
Case studies reveal systemic issues in hyperbaric practices.
Communication failures can lead to catastrophic results in emergencies.
Recommendations for improving safety include regular training and audits.
Understanding the risks associated with hyperbaric treatment is essential for practitioners.
Chapters
00:00 Introduction to Hyperbarics and Accidents
02:07 History and Development of Hyperbaric Medicine
04:48 Approved Indications and Misuse of Hyperbaric Therapy
06:28 Types of Hyperbaric Chambers
07:06 Key Accidents in Hyperbaric History
12:28 Case Study: Apollo 1 Incident
18:50 Case Study: Hanover Chamber Incident
25:25 Case Study: Malta Diving Incident
30:00 Analysis of Human Factors in Hyperbaric Accidents
33:02 Recommendations for Safe Hyperbaric Practices
This week, Aebhric O’Kelly talks with Andy Bell, Deputy Director of Paramedicine for St. John's Ambulance in Western Australia, who shares his extensive experience in paramedicine, discussing the evolution of the profession, the role of critical care paramedics, and the challenges faced in remote healthcare settings. He emphasises the importance of academic advancement in paramedicine and the need for a mindset shift towards prolonged field care in austere environments. Bell also provides insights into the future of paramedicine, highlighting the growing role of community paramedics and the integration of evidence-based practices in patient care.
Takeaways
Andy Bell is originally from New Zealand and has extensive experience in paramedicine.
Paramedics in Australia are now registered medical health professionals under APRA.
The critical care paramedics have the most advanced scope of practice in Australia.
There is a significant push for academic advancement in paramedicine.
Evidence-based practice is essential for the future of paramedicine.
Prolonged field care is a common practice in remote areas of Australia.
Communication and coordination are crucial in managing patients in remote locations.
Community paramedics are becoming increasingly important in the healthcare system.
New practitioners should focus on mastering the basics of patient care.
A mindset shift is necessary for effective, prolonged field care.
Chapters
00:00 Introduction to Andy Bell and His Background
03:30 Understanding Paramedicine in Australia
08:15 The Role of Critical Care Paramedics
12:39 The Evolution of Paramedicine and Academia
18:02 The Future of Academic Paramedicine
22:42 Prolonged Field Care in Remote Areas
29:10 Challenges in Patient Management in Remote Locations
35:46 Advice for New Practitioners in Austere Medicine
In this episode of the CoROM Podcast, Dr. Sean Bilodeau discusses the intricacies of pre-hospital medicine, focusing on thoracostomy techniques and the challenges paramedics face in emergency medical services. Through case studies, he highlights the importance of evidence-based practices in needle decompression and the need for improved training methods for paramedics. The conversation emphasises the critical role of paramedics in saving lives and the ongoing efforts to enhance their skills and knowledge in trauma care.
Takeaways
The importance of thoracostomy in pre-hospital settings.
Challenges faced by paramedics in emergency situations.
Case studies illustrate the complexities of needle decompression.
Evidence supports the effectiveness of pre-hospital interventions.
Training methods for paramedics need to be improved.
The role of paramedics is crucial in trauma care.
Understanding the anatomy is essential for successful procedures.
Finger thoracostomy may be more effective than needle decompression.
There is a need for ongoing research in emergency medical practices.
Collaboration between EMS and hospital staff is vital for patient outcomes.
Chapters
00:00 Introduction to Pre-Hospital Medicine
01:28 Understanding Needle Thoracostomy
06:04 Case Studies in Needle Decompression
13:11 Evidence-Based Practice in EMS
21:00 Teaching Techniques for Paramedics
This week, Aebhric O’Kelly talks with Alan O'Brien, OB, who is a paramedic from Ireland with a military background; they discuss his journey from the Irish Army to becoming a paramedic. He shares insights into the evolution of paramedic training in Ireland, the importance of academic pathways for military medics, and the significance of the NATO Special Operations Combat Medic (NSOCM) programme. The conversation also touches on the role of drones in modern combat medicine and the need for standardised medical training across NATO countries. In this conversation, OB discusses various aspects of military medical training, focusing on the NATO SOMT course, the future of the NSOCM programme, and the challenges faced in sustainment training for medics. He shares insights into the Irish Army Ranger Wing and the Nordic programme's impact on medical training. OB also outlines his aspirations for developing a master's programme in security and defence medicine and offers valuable advice for new medics entering the field.
Takeaways
Alan O'Brien is a paramedic with a military background.
He transitioned from the Irish Army to paramedic training.
The paramedic training programme in Ireland has evolved significantly.
Academic pathways are crucial for military medics post-service.
The NSOCM programme standardises medical training across NATO.
Drones are becoming increasingly influential in combat medicine.
The gap between paramedic and advanced paramedic roles is decreasing.
Military medics need academic recognition for their training.
Standardised training improves interoperability among NATO forces.
Understanding modern threats is essential for medical training. The NATO SOMT course is based on the Canadian SOMT program.
SOMTs are support medics skilled in advanced medical techniques.
NSOCM is evolving to include advanced medical skills training.
Time constraints are a significant challenge for medics.
Clinical placements are crucial for maintaining skills.
The Irish Army Ranger Wing was established for counterterrorism.
The unit is modeled on tier one special operations forces.
The Nordic program enhances medical training across countries.
A master's program in security and defence medicine is in development.
New medics should take ownership of their skill set.
Chapters
00:00 Introduction to Alan O'Brien and His Background
02:59 Transition from Military to Paramedic Training
05:56 The Evolution of Paramedic Training in Ireland
08:54 Academic Pathways for Military Medics
12:03 The NSOCCM Program and Its Importance
16:50 The Role of Drones in Modern Combat Medicine
25:47 Understanding the NATO SOMT Course
28:11 The Future of NSACM and Advanced Medical Skills
32:21 Challenges in Sustainment Training for Medics
34:28 Designing an Effective NSOCCM Sustainment Course
41:12 Insights into the Irish Army Ranger Wing
46:07 The Nordic Program and Its Impact
48:20 Future Aspirations and Advancements in Medical Training
52:16 Advice for New Medics and Medical Personnel
This week, we have another Medicine in the Mediterranean Conference speaker from January 2025. Our Vice Dean Eric Bauer talks about the PHACTORS mnemonic for
managing patients in the post-intubation phase, emphasising the importance of understanding and addressing post-intubation hypotension, the role of positive pressure ventilation, and the need for ongoing resuscitation efforts. The discussion highlights various factors that can impact patient outcomes, including the transfer phase and the importance of proactive care in emergency medical settings.
Takeaways
Post-intubation hypotension remains a significant challenge.
The 'Platinum 10' refers to the critical 10 minutes post-intubation.
Positive pressure ventilation can negatively impact haemodynamics.
Hypoxia must be evaluated continuously after intubation.
The transfer phase is often overlooked but crucial for patient care.
Ongoing resuscitation is essential and should not stop after intubation.
Good BLS and ALS care can significantly improve outcomes.
Understanding the patient's history is vital for effective management.
Proactive airway management leads to better patient outcomes.
Continuous education on ventilation techniques is necessary.
Chapters
00:00 Introduction to Post-Intubation Management
01:14 Understanding Post-Intubation Hypotension
03:49 Factors Affecting Post-Intubation Outcomes
10:10 The Role of Positive Pressure Ventilation
14:19 Evaluating Hypoxia and Its Causes
19:15 The Importance of Transfer Phase
23:09 Ongoing Resuscitation and Pharmacology
28:57 Final Thoughts on Post-Intubation Care
This week, Aebhric O’Kelly talks with Dr Matias Nocetto, the Vice President of Divers Alert Network (DAN), who shares his journey from Argentina to becoming a key figure in diving medicine. He discusses DAN's unique operations, the importance of understanding diving-related medical issues, and the challenges faced in diagnosing and treating divers. Dr. Nocetto emphasises the significance of training in diving medicine and offers advice for new medical professionals looking to enter this field.
Takeaways
Dr. Nochetto's journey reflects a lifelong passion for diving and medicine.
DAN serves as a global resource for divers experiencing medical issues.
The hotline operates 24/7, providing critical support to divers worldwide.
Understanding the symptoms and history is crucial for diagnosing diving-related conditions.
Decompression sickness is often misunderstood; cardiac events are a significant risk.
In-water recompression is a controversial practice with many risks.
Training opportunities in diving medicine are available for various medical professionals.
DAN offers CME courses for those interested in diving medicine.
Collaboration and support from the diving community are vital for DAN's mission.
Following one's passion can lead to unexpected and fulfilling career paths.
Chapters
00:00 Introduction to Dr. Matias Nochetto and DAN
02:52 The Journey into Diving and Medicine
10:55 Day-to-Day Operations at DAN
19:47 Understanding Diving Medicine and Decompression Sickness
30:08 In-Water Recompression: Risks and Considerations
36:15 Training Opportunities in Diving Medicine
41:59 Advice for New Medical Professionals in Diving Medicine
This week, Aebhric O'Kelly speaks with Jason Jarvis, a former Special Forces medic and current PhD student, about his experiences in military medicine, the evolution of prolonged field care, and the development of the 'SHEEP VOMIT' mnemonic for patient care in austere environments. They discuss the importance of nursing care, the practical applications of medical knowledge in the field, and the challenges medical practitioners face in remote settings. This conversation delves into critical aspects of patient care, particularly in prolonged field care settings. It emphasises the importance of managing pressure points, understanding vital signs, monitoring core temperature, maintaining oral hygiene, preventing DVT, and ensuring proper input and output monitoring. The discussion also highlights the significance of turning, coughing, and deep breathing for patient recovery, culminating in the legacy of the 'sheep vomit' concept in medical training.
Takeaways
Jason Jarvis has a master's in infectious disease and is pursuing a PhD.
Military experiences shaped his interest in tropical medicine.
Prolonged field care is a systematic approach to patient care in remote settings.
The 'SHEEP VOMIT' mnemonic was developed to aid in prolonged field care.
Skin protection is crucial in austere environments.
Hypothermia prevention is a key focus in field care.
Patient mobility and exercises are essential for recovery.
Checklists help ensure comprehensive patient care.
The evolution of medical mnemonics reflects advancements in field medicine.
Pressure sores develop in specific areas when supine.
Vital signs must be documented and trended over time.
Core temperature is crucial for assessing trauma patients.
Oral hygiene prevents infections that can lead to pneumonia.
DVT prevention is essential for immobilised patients.
Urine output is a key indicator of hydration and health.
Turning and coughing help maintain lung function.
The 'SHEEP VOMIT' concept aids in prolonged field care training.
Training should prepare providers for practical challenges.
Community impact is a goal of medical training.
Chapters
00:00 Introduction to Jason Jarvis
00:46 Jason Jarvis: Background and Current Work
02:37 Military Experiences and Deployments
05:58 Transitioning to Civilian Life and DMI
09:52 Prolonged Field Care: Concepts and Evolution
13:45 Developing the Sheep Vomit Mnemonic
18:35 Understanding the Sheep Vomit Mnemonic
21:58 Practical Applications of Prolonged Field Care
26:12 Exercises and Patient Mobility
29:35 Managing Pressure Points in Patient Care
30:05 Understanding Vital Signs and Their Importance
31:10 The Role of Core Temperature in Patient Assessment
32:40 Oral Hygiene and Its Clinical Significance
36:02 Preventing Deep Vein Thrombosis (DVT) in Immobilised Patients
40:44 Monitoring Input and Output: A Vital Sign
49:04 The Importance of Turning, Coughing, and Deep Breathing
55:00 The Legacy of Sheep Vomit in Medical Training
This week, Aebhric O’Kelly talks with Professor Enrico Brunetti about his extensive experience with ultrasound in infectious diseases and tropical medicine. He shares insights into the evolution of ultrasound technology, its applications in clinical practice, and the importance of education in this field. The discussion also covers the short course he developed at the University of Pavia, the challenges faced in tropical medicine, and advice for new medics interested in ultrasound.
Takeaways
Ultrasound has been a clinical tool since the 1980s.
There are continuous advancements in ultrasound applications.
Training is crucial for effective ultrasound use.
The short course aims to broaden understanding of ultrasound in tropical medicine.
Postgraduate certification is available for online courses.
Ultrasound can diagnose and treat various tropical diseases.
Networking and collaboration are key in medical education.
Challenges in tropical medicine require innovative solutions.
Patience is essential for mastering ultrasound skills.
The global movement for ultrasound in emergency medicine is growing.
Chapters
00:00 Introduction to Professor Enrico Brunetti
05:02 The Evolution of Ultrasound in Clinical Practice
10:04 Ultrasound Applications in Infectious Diseases
15:03 The Short Course in Ultrasound and Tropical Medicine from Pavia
19:48 Postgraduate Certification and Online Learning
24:52 Challenges and Opportunities in Tropical Medicine
29:49 Advice for New Medics in Ultrasound Practice
This week, we have another MiM25 presentation from Dr John Quinn discussing Damage Control Resuscitation in large-scale combat operations, particularly in Ukraine. He shares insights from his extensive experience in emergency medicine and highlights the unique challenges faced in combat medicine, including medical logistics, terminology, and telemedicine. Dr. Quinn emphasises the importance of training, clinical governance, and the need for effective blood supply management in austere environments. The conversation also touches on the evolving practices in casualty care and the impact of modern warfare on medical operations.
Takeaways
Ukraine has surpassed NATO in counterinsurgency experience.
Effective medical planning is crucial for combat operations.
Telemedicine enhances clinical decision-making in remote areas.
Logistical challenges significantly impact casualty evacuation.
Understanding the terminology is essential for interoperability.
Innovations like RBOA are being utilised in combat medicine.
Training and capacity building are vital for partner forces.
Blood supply issues are critical in combat settings.
Tourniquet management is a significant concern in Ukraine.
Plasma is being used due to a lack of blood supply.
Chapters
00:00 Introduction to the CoROM Podcast
00:45 Dr. John Quinn's Background and Experience
02:13 Key Assumptions in Damage Control Resuscitation
03:42 Medical Planning in Large-Scale Combat Operations
05:11 Challenges in Medical Logistics and Command
07:35 Understanding Terminology and Echelons of Care
09:58 Tactical Combat Casualty Care and Innovations
11:52 Telemedicine's Role in Combat Medicine
13:47 Challenges in Casualty Evacuation
15:40 Logistical Challenges in Blood Supply
17:34 Wounding Patterns and Weapon Systems
19:50 Medical Evacuation in Challenging Environments
22:35 Training and Capacity Building in Ukraine
24:59 Clinical Governance and Standards in Ukraine
27:39 Transfusion Practices and Challenges
30:54 Addressing Tourniquet Issues and Training
33:39 Plasma Use and Blood Supply Challenges
36:51 Conclusion and Future Directions
This week, Aebhric OKelly talks with Leandra Lynn, a combat medic and Divers Alert Network (DAN) professional, who shares her experiences and insights into the world of diving medicine. She discusses her journey from being a linguist to a combat medic, the critical role of DAN in dive safety, and the challenges faced in handling emergency calls related to diving injuries. Leandra emphasises the importance of proper medical guidance for divers, the varying standards of diving medicine across the globe, and the benefits of DAN membership for divers. She also advises new medics entering the field of diving medicine, highlighting the significance of utilising available resources and seeking expert guidance.
Takeaways
Leandra Lynn is a combat medic and works with DAN.
DAN provides a 24-hour emergency hotline for divers.
Diving procedures vary by region due to different medical standards.
Barotrauma is the most common diving injury reported to DAN.
DAN membership offers benefits like medical evacuation and insurance.
Divers should consult dive medicine specialists for complex medical histories.
Learning to dive in challenging conditions prepares divers for emergencies.
DAN assists with global non-emergency dive safety questions.
Effective communication is crucial in handling diving emergencies.
New medics should leverage resources and ask questions for better outcomes.
Chapters
00:00 Introduction to Leandra Lynn and Her Work
03:01 Diving into the Role of a Combat Medic
05:51 Understanding Divers Alert Network (DAN)
09:02 Challenges in Diving Medicine Calls
12:02 Diving Procedures and Medical Standards Worldwide
14:57 The Importance of DAN Membership
17:50 Common Diving Emergencies and Injuries
20:46 Resources for Diving Medicine
24:01 Advice for New Medics in Diving Medicine
This week, we have another MiM25 presentation. Dr Trevor Abela discusses the unique role of nurses in Malta's emergency services, the historical context of nursing in the region, and the importance of holistic care and building trust in nursing practice. Dr Abela emphasises the need for nurses to focus on the patient as a person rather than just a set of medical needs and highlights the significance of context in providing effective care.
Takeaways
Malta has a unique nurse-led ambulance service.
Historical context is crucial for understanding current nursing practices.
Nurses should focus on the person, not just on medical tasks.
Building trust with patients is essential for effective care.
Holistic care includes addressing social and psychological factors.
Emergency care must go beyond basic medical priorities.
Nursing education should emphasise patient-centred care.
The relationship between nurse and patient impacts treatment outcomes.
Nurses play a vital role in community health beyond hospitals.
Clinical outcomes do not solely define success in nursing.
Chapters
00:00 Introduction to the Quorum Podcast
00:44 Nursing in Malta: A Unique Perspective
03:11 Historical Context of Nursing in Malta
06:34 The Role of Nurses in Emergency Services
11:37 Understanding Nursing: Capital N vs. Small n
18:02 The Importance of Context in Nursing Care
25:42 Holistic Care in Pre-Hospital Settings
34:19 Building Trust and Relationships in Nursing
40:48 Conclusions and Reflections on Nursing Practice
In this episode, Aebhric OKelly interviews Dr Ella Corrick and Dr Tom Mallinson to discuss their experiences at the SOMA Conference, focusing on the Wilderness Paramedic Workshop. They explore the common challenges faced in austere medicine, the significance of prolonged field care, and the preparation for the Wilderness Paramedic Certification exam. The conversation also delves into creating educational resources to enhance decision-making skills in wilderness medicine. In this conversation, Dr Tom and Dr Ella discuss their experiences and insights into wilderness medicine, focusing on exam preparation for the Wilderness Paramedic Certification (WP-C) and creating a revision guide tailored for practitioners in austere settings. They highlight the challenges of multiple-choice exams, the importance of distilling complex medical knowledge into practical applications, and the value of interactive learning experiences at conferences like SOMA. The discussion also emphasises the significance of networking, learning from peers, and embracing challenges in medical practice.
Takeaways
SOMA Conference fosters a welcoming environment for civilian practitioners.
Common challenges in austere medicine include distance to hospitals and limited resources.
Wilderness Paramedic Certification covers a broad curriculum that includes environmental medicine.
Exam preparation requires understanding both wilderness concepts and core medical principles.
Prolonged field care is essential for managing critically ill patients in remote settings.
Teaching decision-making in wilderness medicine is challenging but crucial.
Educational resources aim to bridge knowledge gaps for WPC candidates.
Collaboration between military and civilian practitioners enhances learning.
Experience in austere settings improves exam performance and patient care.
The integration of nursing and paramedic skills is beneficial in prolonged field care. The challenge was to distil down the knowledge needed for the exam.
Multiple choice exams can be misleading in complex scenarios.
The WPC revision guide focuses on core concepts for wilderness medicine.
Each chapter of the guide could be a whole textbook.
The workshop aims to address common blind spots in practice.
Exam techniques are crucial for success in certification.
Networking at conferences enhances learning opportunities.
Embracing challenges leads to better patient care.
Learning from others' mistakes accelerates professional growth.
Take opportunities that excite you for long-term benefits.
Chapters
00:00 Introduction to SOMA Conference and Wilderness Paramedic Workshop
02:52 Common Ground in Austere Medicine
06:03 Overview of Wilderness Paramedic Certification
09:12 Exam Insights and Preparation Strategies
11:57 Prolonged Field Care and Patient Management
14:48 Creating Educational Resources for WP-C
18:10 Challenges in Teaching Decision-Making in Wilderness Medicine
24:57 Distilling Knowledge for Exam Preparation
25:36 Challenges of Multiple-Choice Exams
This week, we have another Medicine in the Mediterranean conference presentation. We will hear from Tactical Medicine North, a volunteer medical unit operating in Ukraine. The discussion covers their formation, mission, and challenges in training combat medics on the frontlines. Key topics include injury patterns, trauma management, blood logistics, and improved training in prolonged casualty care. The presenters emphasise the importance of adapting medical practices to the unique challenges of combat situations in Ukraine.
Takeaways
Tactical Medicine North was formed out of necessity due to the war in Ukraine.
Training combat medics is crucial for effective frontline care.
Injury patterns in Ukraine reveal a high incidence of non-combat injuries.
TCCC is essential but needs adaptation to local conditions.
Blood management logistics are a significant challenge in combat zones.
Tourniquet use and wound management require more comprehensive training.
Prolonged casualty care is often neglected in training programs.
Collaboration with international organisations enhances training effectiveness.
Understanding the unique challenges of Russian casualties is important for medical personnel.
Future training must focus on nursing skills and prolonged care techniques.
Chapters
00:00 Introduction to Tactical Medicine in Ukraine
02:49 The Formation and Mission of Tactical Medicine North
05:12 Training and Challenges on the Frontline
09:51 Understanding Injury Patterns and Casualty Statistics
13:00 Trauma Challenges: TBI and Pre-Hospital Care
20:28 Blood Management and Logistics in Combat
23:43 Tourniquet Use and Wound Management
26:58 Challenges with Russian Casualties and Evacuation
30:23 Prolonged Casualty Care and Training Needs
34:41 Conclusion and Future Directions
This week, Aebhric OKelly talks with Cory Igo, who is an alumnus of the CoROM Remote Paramedic programme. Cory shares his journey from being a United States Marine to becoming a remote paramedic, highlighting his experiences in veteran rehabilitation through Brazilian Jiu Jitsu, the challenges of working in remote medical settings, and the lessons learned from his deployments in Ukraine. He discusses the importance of adaptability in medicine, especially in challenging environments, and offers insights into the future of rehabilitation for injured veterans.
Takeaways
Cory Igo is a former Marine turned remote paramedic.
Brazilian Jiu Jitsu aids in the rehabilitation of veterans.
The transition from military to medical work can be challenging.
Choosing the right paramedic program is crucial for practical skills.
Cory's first paid job involved a reality show in Tanzania.
Altitude sickness can affect individuals differently during climbs.
Ukrainians are innovating in medical practices amidst conflict.
3D printing is becoming significant in medical applications.
Learning to adapt is essential for new medical professionals.
Cory emphasises the importance of local knowledge in medicine.
Chapters
00:00 Introduction to Corey Igo
03:01 The Role of Brazilian Jiu Jitsu in Veteran Rehabilitation
06:04 Transitioning from Marine to Paramedic
08:57 Choosing the Right Paramedic Program
12:08 Experiences in Remote Paramedicine
15:07 First Paid Job as a Paramedic
17:57 Altitude Medicine and Climbing Kilimanjaro
21:08 Working in Ukraine and Lessons Learned
24:06 Future Aspirations in Rehabilitation
27:09 Advice for New Medical Professionals
This week, Dr Jon Christensen discusses the critical role of mindset in medical practice, particularly in remote and resource-limited environments. He emphasises the importance of psychological first aid, decision-making under stress, and building resilience through self-care practices. Drawing from personal experiences and historical examples, Dr Christensen illustrates how mindset can shape outcomes in personal and professional contexts, ultimately leading to better patient care and personal growth.
Takeaways
Mindset significantly influences personal and professional outcomes.
Understanding psychological first aid is crucial for first responders.
Resilience can be built through self-care and awareness practices.
Decision-making is often influenced by biases and heuristics.
Isolation can lead to increased mental health issues.
Nutrition and exercise play vital roles in mental well-being.
Meditation and mindfulness can help manage stress and improve focus.
Building connections and mentorship is essential for personal growth.
Understanding one's legacy can motivate personal change.
Success is defined by personal growth and the impact on others.
Chapters
00:00 Introduction to Mindset in Medicine
03:08 The Importance of Mindset
18:52 Risk and Decision-Making in Medicine
27:03 Psychological First Aid and Its Importance
33:10 Building Resilience and Self-Care
49:20 Personal Journey and Lessons Learned
