Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. Anaesthesia: Vol 77, No S1. The European guidel

TXA – an update

Nov 28th, 2022 35m 42s

Read more about the Cochrane injuries group: https://injuries.cochrane.org/about-us-0 Have a listen to the earlier TXA podcast here: https://phemcast.co.uk/2018/01/18/episode-26-tranexamic-acid/ Do you want to revise your clotting pathways and

Extrication

Sep 15th, 2022 1h 9m

Road traffic collisions are a leading cause of death and injury. Following a road traffic collision many patients will remain trapped in their vehicle. Extrication is the process by which injured or potentially injured people are removed from t

Pain (& analgesia)

Apr 11th, 2022 52m 47s

This is the book Jon quotes, “Pain is a symphony…” The International Association for the Study of Pain’s revised definition of pain is available here. If you’d like to read more about ‘nocebo’ i.e. the non-pharmacological adverse effects of an

RePHILL

Mar 29th, 2022 46m 36s

Before you listen to this new podcast, we encourage you to go back and have a listen to Episode 16: Blood which we released in 2017 outlining the available evidence about prehospital blood, and the background to the RePHILL trial. The RePHILL (

Cold Injury

Feb 7th, 2022 47m 39s

This podcast is dedicated to the memory of Emmanuel Cauchy. George’s adventures! Grading frostbite The GELOX study The Hyperbaric oxygen study described by Carron is now in print and available here. Guidelines The guidelines mentioned by Chris

Ultrasound

Jul 27th, 2021 49m 20s

Some useful videos: Hopefully you found the podcast interesting, but since this is quite a visual topic we have put together some videos to demonstrate some of the pathologies discussed and what they look like on ultrasound: How does ultrasound

Acute behavioural disturbance

Jun 27th, 2021 45m 24s

Definitions UK definition (RCEM): It describes the sudden onset of aggressive and violent behaviour and autonomic dysfunction, typically in the setting of acute on chronic drug abuse or serious mental illness. Australian definition (NSW Health)

The Jungle

May 10th, 2021 55m 13s

This was a joint podcast with our friends & colleagues at WEMCast – to hear more from them, have a look at their podcast back catalogue, and there’s more information on the World Extreme Medicine website. Mosquito born disease Malaria is transm

Intubation

Apr 21st, 2021 39m 14s

Guidance documents College of Paramedics Statement on Intubation, available here. AAGBI Safer Prehospital Anaesthesia 2017, available here. Positioning Recommended Rich Levitan resources Airway axes Epiglottoscopy Bimanual Laryngoscopy Further

Altitude

Mar 18th, 2021 50m 17s

From: https://www.bbc.co.uk/news/uk-wales-46441129 From: https://www.ultimatekilimanjaro.com/blog/should-i-use-supplemental-oxygen-on-kilimanjaro/ Want to know more? This is one of the organisations Lucy mentions: British Exploring And this is

Drowning

Feb 25th, 2021 50m 49s

Some facts Drowning is important: 1,000 people drown every day, 2 every 3 minutes, 41 per hour. It is the world’s 3rd leading cause of accidental death: 3.6 million people over 10 years. Disease of youth 64% < 30 years old 43% < 15 years old 25

Episode 36: COVID-19

May 3rd, 2020 1h 2m

Case definition Current case definition for COVID-19 can be accessed here. Risk stratification This is the Emergency Medicine Specialty guide we discussed in the podcast, which includes use of the NEWS and 40 step test (edit: since recording th

Episode 35: The collapsed infant

Sep 25th, 2019 28m 51s

A: Optimal airway position for infants Note how a rolled towel is placed under the baby’s shoulders to allow space for the occiput and avoid flexion of the neck and airway. ‘B’ assessment Video links to examples of children with signs of respir

Episode 34: Back pain

Jul 12th, 2019 27m 21s

So, where is the Cauda Equina? From Core EM How does a herniated disc cause CES? This fab infographic summarising the key points about the CES guidance was produced by @DrLindaDykes and @saspist. Here is the full guideline from The Society of B

Episode 33: Psychosomatic Illness

Mar 31st, 2019 31m 51s

Many thanks to Suzanne O’Sullivan for her time in putting this podcast together. Her excellent books “It’s all in your head” and “Brainstorm” are well worth a read. It is certainly one of the PHEMcast recordings which is going to change my ow

Episode 32: Ketamine

Mar 3rd, 2019 37m 27s

Huge thanks to the team at World Extreme Medicine and WEM Cast for sharing the interview with Richard Harris. Dosing These are a guide only, each patient will need a bespoke approach depending on their pre-existing condition, degree

Episode 31: Stroke & Dizziness

Jan 22nd, 2019 28m 32s

The Danish mnemonic to help remember the elements of a cerebellar neurological examination: There are lots of Youtube videos to demonstrate these signs, here are a few which I thought were particularly helpful: Disdiadochokinesis Ataxia Nysta

Episode 30: Head injury

Oct 29th, 2018 45m 58s

Quite a few of our previous podcasts include content which is relevant to this Head Injury one. Why not go back and have a listen to: Episode 3: Hyperoxia Episode 20: End Tidal Carbon Dioxide Episode 28: LOST (Low Output State in Trauma) Munroe

Episode 29: Major Incidents

Jul 4th, 2018 45m 43s

Another invitation to the Trauma Care Conference this year inspired us to combine two of the excellent speakers into this podcast considering major incidents. Thanks to both our speakers for sharing their talks from the conference. Trauma C

Episode 28: LOST

Apr 16th, 2018 28m 38s

Cardiac arrest is the end point, it is the symptom, not the diagnosis. The pathophysiological process varies, and this is particularly relevant in trauma vs medical. In medical cardiac arrest, the pathological processes tend to affect the hea

Episode 27: Checklists

Feb 9th, 2018 51m 40s

We recommend reading Atul Gawande’s book ‘The Checklist Manifesto’. It’s a well written, fascinating story about the introduction of the WHO Safer Surgery checklist and the impact it had. This link will take you straight to Amazon if you want t

Episode 26: Tranexamic Acid

Jan 18th, 2018 37m 26s

The paper which we discuss in the interview is available open access here How does tranexamic acid work? Critical appraisal aids To understand more about hierachy of evidence and how a systematic review fits into this please have a look at th

Episode 25: Tension pneumothorax 2

Dec 1st, 2017 28m 51s

Where can you undertake decompression of a pneumothorax? Be particularly careful when using the 2nd intercostal space mid-clavicular line that you are sufficiently lateral. For example, here are the locations identified as ‘2nd ICS mid clavicul

Episode 24: Tension pneumothorax 1

Dec 1st, 2017 42m 6s

Firstly, go and read Simon and Tim Harris’ great 2005 paper on the subject which we reference repeatedly in the podcast. It is available free open access here. A pneumothorax exists when air accumulates in the potential space between the viscer