In this episode, we explore “Leaving Room for Rougher Edges in EMS” by Radu Venter, a powerful reflection on perfectionism in paramedicine. Radu is a Flight Paramedic based in Canada. He challenges the unrealistic pursuit of flawless performance in an unpredictable, high-pressure environment and asks when “good enough” should truly be enough.
We discuss how flexibility, honesty, and self-compassion can replace self-criticism, and how embracing imperfection can actually strengthen team culture and patient care. Join us as we explore the realities of being human in emergency medicine.
Read the full article here: https://substack.com/home/post/p-116881333
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
In this episode, we delve into one of the most universal and often misunderstood experiences: grief. Whether it's supporting families after a sudden loss, witnessing trauma firsthand, or coping with personal emotional impacts, grief is an ever-present companion in pre-hospital care.
Joining us is Liz Gleeson, a highly respected psychotherapist, educator, and specialist in grief. Liz is the creator of the internationally acclaimed Shapes of Grief podcast and training program, and she lectures widely on grief and loss. With a background in somatic therapies and a PhD in progress on Forest Therapy and bereavement, Liz brings a compassionate, embodied, and deeply informed perspective to the conversation.
We’ll explore key models of grief, including Kübler-Ross’s Five Stages, the Dual Process Model, Attachment Theory, and Continuing Bonds. We’ll also discuss the art of listening, cultural competence, caregiver compassion and burnout, and ethical challenges in grief support. This conversation is for anyone navigating the emotional complexities of pre-hospital work and seeking ways to respond with presence, professionalism, and care in moments of profound human vulnerability.
You can find Liz's podcast "Shapes of Grief' podcast here: https://podcasts.apple.com/gb/podcast/shapes-of-grief/id1450116449
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life. PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
In this audio blog, Carl Betts employs the analogy of a traditional dry stone wall to explain the principles of healthcare improvement. Carl suggests that just as these walls rely on the careful placement and interconnection of unique stones without mortar, healthcare systems depend on the relationships between processes, people, and policies. A key point is that a single failure or "slippage" in either the wall or the system can cause a cascading disruption.
The blog advocates for a thoughtful approach to improvement, stressing that rebuilding requires assessment and learning rather than simply replacing components. Ultimately, the source frames the dry stone wall as a blueprint for success in healthcare, emphasising connection, resilience, and the value of incremental progress.
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
In this episode, we’re diving into the journey of Zoe Boswell, a dedicated paramedic, mother, and community volunteer with the Great Western Air Ambulance Charity (GWAAC). Zoe brings over a decade of experience as a road paramedic, all while balancing the demands of family life and volunteering with the GWAAC Heartstarters program.
Zoe’s story is a powerful example of resilience, progression, and passion within the pre-hospital care world. Her ability to manage complex clinical challenges on scene, train at an advanced level, and still give back to the community through CPR education speaks volumes about her commitment to the profession.
In our conversation, we explore her motivations, her aspirations from road to critical care paramedic, the emotional impact of high-acuity cases, and the unique perspective she brings as a parent working on the front line. Whether you’re a student paramedic, a seasoned clinician, or just curious about the realities of life on the HEMS pathway, Zoe’s insights are both inspiring and deeply grounded in the realities of modern pre-hospital care. Let’s dive into this episode with Zoe Boswell.
This episode is brought to you by IndieBase.
IndieBase is the smart, simple, and budget-friendly Electronic Patient Record (EPR) system designed specifically for the demands of HEMS and pre-hospital care. Whether you're responding solo, working within a flexible team, or managing care across a larger organisation, IndieBase is built to support you. It runs seamlessly on laptops, tablets, or smartphones, and crucially, it operates offline, ensuring you can document care wherever you are, even in the most remote environments. Developed from the proven platform of HEMSbase by Medic One Systems, IndieBase offers a familiar, intuitive interface with the rock-solid reliability clinicians need. It's ready for everything from festival medical cover to high-acuity critical care transfers.
Key features include full integration with all major pre-hospital monitors, case review, and clinical governance modules, making it an ideal solution for teams preparing for CQC registration. A patient feedback module also helps drive service improvement and meaningful engagement. For clinicians working across multiple organisations, IndieBase provides a personal logbook that combines your data and links directly with your existing HEMSbase logbook.
IndieBase EPR made simple, wherever you are.
Find out more at https://indiebase.net/
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
This blog podcast unpacks an article titled "Beyond the Summit: Why Human Factors and Crew Resource Management Matter in Expeditions," written by Ryan Atkinson on 22 September 2025. Ryan asserts that while competence and experience are crucial for expeditions, human factors (HF), the psychological, social, and organisational influences on performance are often the difference between success and disaster.
Ryan highlights that stressors like fatigue, ambition, and cognitive biases like Groupthink and Social Proof amplify risk in extreme environments, citing the Tunnel Creek avalanche as an example. To mitigate these risks, the author advocates for the adoption of Crew Resource Management (CRM), an aviation-inspired safety framework focusing on practices like closed-loop communication, checklists, shared situational awareness, and flattened authority gradients.
Ultimately, successful expedition teams must evolve from fragile flash teams into structured evolved teams that prioritise collective safety through understanding human limitations and working together. You can read Ryan's blog here: https://ryanatkinson.tv/2025/09/22/beyond-the-summit-why-human-factors-and-crew-resource-management-matter-in-expeditions/
Today, we're diving into one of the most challenging scenarios any EMS provider faces: paediatric cardiac arrest. The figures are challenging, with only a 4.9% survival rate for infants and neurologically intact survival rates as low as 1-4% nationally. These calls have long been considered to have poor outcomes.
But what if I told you that one fire department completely rewrote the playbook and achieved neurologically intact survival rates of 46%? What if they did it by breaking conventional rules and staying on scene longer, not shorter?
Today, we're joined by Medical Director Paul Banerjee from Polk County Fire Rescue in Florida, where they've transformed paediatric cardiac arrest outcomes through changing the protocols that challenge everything we thought we knew about pre-hospital resuscitation. From their "NO/NO/GO" dispatch system to permissive hypercarbia post-intubation, from mechanical CPR to aggressive on-scene airway management, Polk County has proven that with the right approach, we can dramatically improve outcomes in this patient cohort.
*** Please note, this podcast is for information purposes only. You must stay within your scope and remit of practice and service SOPs at all times ***
This podcast is sponsored by BlueRoomXR
When lives are on the line, training needs to feel real. That’s where BlueRoom comes in, the world’s most advanced mixed-reality training simulator. No bulky controllers or gimmicks, just your hands, your kit, and a level of immersion that places you straight into the mission. From the cockpit of a Blackhawk to the chaos of a combat zone, BlueRoom delivers pressure-filled environments without real-world risk.
With Mission Control, instructors can shift conditions, change patient vitals, and dial up intensity instantly. And thanks to Garmin biometrics, the system even responds to your physiology in real time, adapting as your stress and heart rate rise.
Born in Australia and now trusted across five continents, BlueRoom is redefining readiness for military, medical, and frontline professionals. This isn’t the future of training; it’s training transformed.
👉 For truly immersive training, step inside the BlueRoom. Visit BlueRoomXR.com to request your demo today.
This is the second audio blog, written by Dr. Will Duffin, detailing medical considerations and avoidance techniques for leeches, bullet ants, and mosquitoes, which are common threats in tropical environments.
This guide provides practical advice on managing bites and highlights the importance of malaria prophylaxis and insect repellent for effective expedition planning. You can read the blog here:
https://worldextrememedicine.com/blog/jungle-medicine-posts/jungle-survival-guide/
World Extreme Medicine has given kind permission to use this blog post.
This podcast is sponsored by BlueRoomXR
When lives are on the line, training needs to feel real. That’s where BlueRoom comes in, the world’s most advanced mixed-reality training simulator. No bulky controllers or gimmicks, just your hands, your kit, and a level of immersion that places you straight into the mission. From the cockpit of a Blackhawk to the chaos of a combat zone, BlueRoom delivers pressure-filled environments without real-world risk.
With Mission Control, instructors can shift conditions, change patient vitals, and dial up intensity instantly. And thanks to Garmin biometrics, the system even responds to your physiology in real time, adapting as your stress and heart rate rise.
Born in Australia and now trusted across five continents, BlueRoom is redefining readiness for military, medical, and frontline professionals. This isn’t the future of training; it’s training transformed.
👉 For truly immersive training, step inside the BlueRoom. Visit BlueRoomXR.com to request your demo today.
This week, we’re shining a spotlight on an incredible initiative from the student paramedics at Liverpool John Moores University.
The LJMU Paramedic Society is bringing back their award-winning 24-hour CPR Marathon — raising awareness of lifesaving skills and vital funds for the North West Air Ambulance Charity.
From 6pm Friday the 24th, to 6 pm Saturday the 25th of October, teams will perform continuous CPR for 24 hours straight inside the Student Life Building — alongside CPD sessions, emergency service demonstrations, and free CPR training open to everyone.
Last year, they raised over £3,000, and this year they’re aiming to do it again, supporting a charity that receives no government or NHS funding but delivers advanced critical care across the North West every single day.
If you’d like to help keep the Air Ambulance flying, you can donate here: https://www.justgiving.com/page/ljmu-paramedic-society-3?utm_medium=FR&utm_source=CL
💛 The LJMU CPR Marathon, 24 hours, one lifesaving mission.
In today’s episode, we’re exploring the evolving role of women in Helicopter Emergency Medical Services (HEMS) and pre-hospital critical care, inspired by insights from Critical Care Doctor Sophie MacDougall. Sophie highlights both the unique challenges and the incredible rewards that come with working in this demanding, fast-paced environment, one that remains largely male-dominated but is gradually becoming more diverse.
We’ll hear from guests who share their journeys into HEMS and air ambulance work, reflecting on what the job gives back to them every day and how they have navigated their career paths within GWAAC. From overcoming barriers and difficult moments to the importance of mentors, whether male or female, our guests reveal the critical lessons they’ve learned along the way.
This episode also delves into the steps needed to encourage more women to join HEMS teams, breaking down stereotypes and showing that this field is not just a “men’s world.” We’ll discuss how initiatives like the GWAAC ‘Fem in PHEM’ event are making a difference and how ongoing support and visibility can inspire the next generation of female critical care professionals.
Whether you’re a clinician, a student, or simply curious about pre-hospital care, this conversation offers valuable perspectives on resilience, aspiration, and inclusion in one of healthcare’s most challenging specialties.
This podcast is sponsored by BlueRoomXR
When lives are on the line, training needs to feel real. That’s where the BlueRoom Simulator comes in, the world’s most advanced mixed-reality medical simulator. No bulky controllers or gimmicks, just your hands, your kit, and a level of immersion that places you straight into the mission. From the cockpit of a Blackhawk to the side of a cliff, BlueRoom delivers pressure-filled environments without real-world risk.
With a Mission Control dashboard, instructors can shift conditions, change patient vitals, and dial up intensity instantly. And thanks to Garmin biometrics, the system even responds to your physiology in real time, adapting as your stress and heart rate rise. Born in Australia and now trusted across five continents, BlueRoom is redefining readiness for military, medical, and frontline professionals. This isn’t the future of training; it’s training transformed.
👉 For truly immersive training, step inside the BlueRoom. Visit www.blueRoomxr.com to request your demo today.
This week, we’re shining a spotlight on an incredible initiative from the student paramedics at Liverpool John Moores University.
The LJMU Paramedic Society is bringing back their award-winning 24-hour CPR Marathon — raising awareness of lifesaving skills and vital funds for the North West Air Ambulance Charity.
From 6pm Friday the 24th, to 6 pm Saturday the 25th of October, teams will perform continuous CPR for 24 hours straight inside the Student Life Building — alongside CPD sessions, emergency service demonstrations, and free CPR training open to everyone.
Last year, they raised over £3,000, and this year they’re aiming to do it again, supporting a charity that receives no government or NHS funding but delivers advanced critical care across the North West every single day.
If you’d like to help keep the Air Ambulance flying, you can donate here: https://www.justgiving.com/page/ljmu-paramedic-society-3?utm_medium=FR&utm_source=CL
💛 The LJMU CPR Marathon, 24 hours, one lifesaving mission.
This blog post, written by Dr Will Duffin, addresses the benefits of in-situ wilderness simulation training for medical professionals working in remote environments.
Written by Dr. Will Duffin, this blog post unpacks his experience providing medical cover for the TV show Survivor to illustrate how practicing emergency scenarios on-site helps teams improve emergency management skills, foster team bonding, and 'battle test' equipment and processes before real incidents occur. The article explicitly links this training methodology to the World Extreme Medicine organisation, highlighting their range of specialised medical courses and academic programs focused on various extreme and remote settings like polar, space, and ocean medicine.
Ultimately, the blog is an informative piece advocating for low-stakes, context-specific simulation training while simultaneously serving as a promotional tool for the organisation's educational offerings and conferences. You can read the blog here: https://worldextrememedicine.com/blog/extreme-medicine-posts/train-hard-fight-easy-the-benefits-of-in-situ-wilderness-simulation-training/
World Extreme Medicine has given kind permission to use this blog post.
This podcast is sponsored by BlueRoomXR
When lives are on the line, training needs to feel real. That’s where BlueRoom comes in, the world’s most advanced mixed-reality training simulator. No bulky controllers or gimmicks, just your hands, your kit, and a level of immersion that places you straight into the mission. From the cockpit of a Blackhawk to the chaos of a combat zone, BlueRoom delivers pressure-filled environments without real-world risk.
With Mission Control, instructors can shift conditions, change patient vitals, and dial up intensity instantly. And thanks to Garmin biometrics, the system even responds to your physiology in real time, adapting as your stress and heart rate rise.
Born in Australia and now trusted across five continents, BlueRoom is redefining readiness for military, medical, and frontline professionals. This isn’t the future of training; it’s training transformed.
👉 For truly immersive training, step inside the BlueRoom. Visit BlueRoomXR.com to request your demo today.
In pre-hospital care, paramedics regularly encounter patients with a wide range of mental health conditions. From anxiety and depression to psychosis and self-harm, the ability to quickly assess and manage these conditions is crucial in ensuring the best possible outcome for the patient. But how do paramedics navigate the complexities of mental health?In the field, where resources are limited and time is critical.
In this episode, we explore the most encountered mental health pathologies in pre-hospital care, focusing on how paramedics assess, manage, and provide care for these patients under high-pressure circumstances. From acute anxiety attacks to bipolar disorder episodes, we discuss the unique challenges paramedics face when dealing with patients experiencing severe psychological distress.
We’ll also delve into the importance of collaboration between paramedics, mental health crisis teams, and other emergency responders (Multi-Disciplinary Team/MDT approaches). How do these teams work together to ensure a seamless care pathway for patients who may need urgent mental health support?
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
This is the second installment from Ryan Atkinson's blog post, "Let's talk about climate hypocrisy and carbon democracy…," which addresses the common accusation of hypocrisy faced by environmental activists.
Ryan, a filmmaker focusing on conservation, acknowledges his own air travel, which contributes to global CO2 emissions, yet argues it is necessary for communicating and effecting systemic change. He frames such criticism as a personal attack designed to shut down debate, suggesting that living a perfectly non-hypocritical life within a carbon-dependent society is nearly impossible for those seeking to make an impact. Instead, he advocates for embracing perceived hypocrisy as a starting point for dialogue about climate change and the pervasive influence of the carbon economy.
Ultimately, the blog champions the idea that individual actions, even imperfect ones, can contribute to larger structural change if they serve a greater purpose. You can read the blog post here: https://ryanatkinson.tv/2020/03/02/lets-talk-about-climate-hypocrisy-and-carbon-democracy/
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
Today, we are joined by Dr Celestine Weegenaar, the first female PHEM trainee at Great Western Air Ambulance Charity (GWAAC). Originally from Amsterdam and now firmly rooted in the South West of England, Celestine brings a wealth of experience from emergency departments across the region – and even from the skies of Australia, where she flew with LifeFlight.
We talk about her journey into pre-hospital emergency medicine, what drew her to the field, and how she’s navigating the challenges and rewards of her current role. From the adrenaline of high-acuity pre-hospital care to the quiet moments of learning and growth alongside GWAAC’s critical care team, Celestine reflects on the reality of life as a trainee in this dynamic and demanding specialty.
As the new Chair of the Pre-Hospital Emergency Medicine Trainees’ Association (PHEMTA), she also shares her vision for increasing inclusivity in the field, breaking down barriers, and supporting more women to pursue careers in PHEM. Whether you're an aspiring critical care clinician or simply interested in the people behind the patch, this episode offers a personal and inspiring look into the life and values of a rising leader in pre-hospital care.
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
Ryan Atkinson's "Local Loss in a Global Crisis" explores the disconnect between Western perceptions of climate change and its tangible effects on vulnerable communities, specifically in the Langtang Valley of Nepal. Ryan reflects on his personal carbon footprint and the ethical implications of his travels while witnessing the devastation caused by the 2015 earthquake, exacerbated by climate change.
Ryan highlights the resilience and enduring spirit of the local people, who face immense challenges despite having contributed little to the global crisis. The piece ultimately underscores the profound impact of global environmental issues on local lives, compelling Ryan to advocate for these stories. You can read the blog post here: https://ryanatkinson.tv/2020/02/22/local-loss-in-a-global-crisis/
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
Every year, thousands of lives are lost to suicide, and emergency responders are often the first line of support during these critical moments. In this episode, we explore the vital role that the London Ambulance Service (LAS) plays in suicide prevention and risk assessment. From the moment a call comes into the control room to the interaction on the frontline, paramedics are trained to recognise the signs of suicidal ideation and act quickly to prevent harm.
We’ll dive into the clinical and operational aspects of suicide risk management, discussing how paramedics assess high-risk patients and work alongside police, mental health crisis teams, and hospitals to ensure the best possible care. You’ll learn about the collaborative efforts that help create a seamless response for those in the most vulnerable states, as well as the challenges involved in coordinating care across various agencies.
This episode offers a candid look at the realities of suicide prevention in pre-hospital care and the steps that can be taken to save lives.
In this episode, we reflect on the article “Asking Why. Telling Stories. Owning Accountability” and its lessons for both the diving community and pre-hospital care. The piece explores how adverse events are too often met with blame and silence, when what’s needed is open storytelling, systemic accountability, and visible learning. Drawing on three academic theses, the author argues for a shift from backward-looking, individual blame towards forward-looking, relational accountability approaches that foster trust, resilience, and safer systems.
Barriers such as fear of reputational harm and legal concerns frequently stifle honest reflection. Yet, the article suggests that structured, context-rich narratives can create a culture of genuine learning and justice, allowing organisations to adapt and prevent future harm.
For pre-hospital care, the parallels are striking. Just like in diving, providers face high-stakes environments where “first stories” may oversimplify, overlooking the complex contexts in which clinicians operate. Whether in remote environments, critical incidents, or everyday EMS work, learning requires moving past blame and toward systems thinking. Transparent communication, structured debriefs, and the courage to challenge norms are as vital to paramedics and pre-hospital teams as they are to divers and expedition leaders.
By embracing this approach, telling richer stories, strengthening feedback loops, and redefining accountability, we can better support both patients and providers in the moments when things go wrong. Read the blog post here: https://www.thehumandiver.com/blog/asking-why-telling-stories-and-owning-accountability-lessons-for-diving
You can contact Gareth Lock here: https://www.thehumandiver.com/contact-us-2025
Today, we’re exploring some of the complexities of real-life palliative care cases that frontline staff have faced in practice. Joining me are four members of the London Ambulance Service’s dedicated Palliative and End-of-Life Care Team: Karina Catley, Natalie Nabunya, Rowena Rickson, and Jodie Grace. Together, we’ll examine real-life case studies that illustrate the unique challenges of caring for patients and their families during their final moments.
From managing uncontrolled seizures in the community to supporting a family’s cultural and spiritual wishes after death, these stories highlight the difficulties of decision-making when time is limited, documentation is incomplete, and emotions are intense. Along the way, we’ll explore key principles such as the doctrine of double effect, the role of shared decision-making, and the importance of recognising dying in the field. We’ll also discuss how clinicians can communicate compassionately, respect cultural values, and navigate the legal and public health frameworks that guide this care.
This is a conversation about dignity, humanity, and the privilege of supporting people at the end of their lives, offering lessons for all of us working in pre-hospital care.
This episode dives into a critical article arguing that the diving industry too often fails to learn effectively from fatalities, not because of individual mistakes, but due to systemic shortcomings. It distinguishes between “first stories”, simple narratives that assign blame, and “second stories”, deeper explorations into context, drift from safety standards, and the normalisation of deviance.
The tragic death of Linnea Mills is used as a case study, showing how multiple factors, equipment incompatibility, insufficient supervision, and the challenges of a remote location, aligned to create a disaster. Rather than focusing only on compliance or individual error, the article calls for a systems-based approach to safety: stronger feedback loops, better emergency preparedness, and a culture where speaking up about risks is encouraged.
For divers, instructors, and responders, this also underscores the importance of effective pre-hospital care. Here are key resources:
By combining systemic safety improvements with robust pre-hospital care readiness, the industry can better prepare for emergencies and reduce the likelihood of preventable tragedies.
You can read the blog post here: https://www.thehumandiver.com/blog/we-don-t-learn-from-diving-fatalities-and-here-s-why
You can contact Gareth Lock here: https://www.thehumandiver.com/contact-us-2025
Mental health crises are one of the most complex and sensitive challenges faced in pre-hospital care. The London Ambulance Service (LAS) plays a critical role in responding to these emergencies, from the moment a 999 call is made to frontline crews delivering urgent interventions. But how does the system work as a whole? How are these calls assessed in the control room, and what role do specialist paramedics and mental health professionals play in shaping patient outcomes?
In this episode, we dive deep into Pre-Hospital Mental Health Response, exploring how the LAS manages real-time mental health incidents, the operational and clinical decision-making that happens behind the scenes, and the challenges of coordinating care across multiple agencies. We’ll hear about the evolving role of mental health-trained paramedics, case studies of successful interventions, and the key lessons learned from high-risk situations.
Joining us are colleagues from the London Ambulance Service Mental Health Team, who will share their experiences from both the frontline and the Emergency Operations Centre (EOC), giving us a full picture of how pre-hospital mental health care is delivered in one of the busiest ambulance services in the world.
This episode is a deep dive into how mental health services are integrated and embedded within an ambulance service as a fundamental part of emergency care service delivery to the population.
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
This blog is a personal reflection from Advanced Paramedic Wayne Auton, who shares how he has recently embraced what he describes as a “position of yes.” This mindset involves being open and willing to accept opportunities as they arise, often at short notice, and focusing on the positive potential that each opportunity may bring. Wayne acknowledges that it is a fortunate position to be in, but one that has significantly transformed his outlook and boosted his overall positivity.
For many years, Wayne found himself caught in a cycle of negative thinking. He often focused on what might go wrong, rather than what could go right. This tendency led to decreased confidence, increased caution, and a general reluctance to take risks. It was a mindset he found restrictive and disheartening.
He reflects on how he used to default to worst-case scenarios, frequently overlooking the possible benefits of a situation. Research supports this pattern; negative events tend to be more intense and memorable because they require greater mental effort to process (Taylor, 1991). Recognising this has helped Wayne shift his focus. By choosing to say yes more often, he has created space for growth, confidence, and optimism.
You’ll also hear an AI-narrated summary of this blog, bringing Wayne’s reflections to life through audio. You can read the blog here: https://wayneauton.blogspot.com/2021/03/say-yes-to.html
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/
Today, we're diving into the high-stakes intersection of tactical medicine, crisis negotiation, and pre-hospital care with Eric Acevedo, a seasoned professional operating at the front lines of some of Virginia's largest emergency response operations. Eric brings a rare blend of experience across tactical EMS, hostage negotiation, and field-based crisis response, offering a unique perspective on how communication, psychology, and calmness under pressure can save lives.
In this episode, we'll explore the foundational principles of crisis and the wider art of negotiation and how those same tools can be applied by EMS providers in their daily work, especially when it comes to de-escalating tense situations, communicating effectively with patients in distress, or persuading someone to accept lifesaving treatment.
We’ll also look at the human side of this work: emotional regulation, interdisciplinary collaboration, and lessons learned from real-world case studies where negotiation and medicine intersected in critical moments.
This episode is sponsored by PAX: The gold standard in emergency response bags.
When you’re working under pressure, your kit needs to be dependable, tough, and intuitive. That’s exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They’ve partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.
PAX doesn’t chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.
Learn more at https://www.pax-bags.com/en/