General BroadCAST General BroadCAST

Cardiac arrest is a situation that as paramedics and ambulance staff we are well prepared for. However, training can sometimes be limited around return of spontaneous circulation (ROSC). What is post ROSC syndrome? How much adrenaline should we give to support blood pressure? and what is the latest evidence around theraputic hypothermia?

This month we're looking at the phase after cardiac arrest, and how we as paramedics and emergency clinicians should be managing it.

Find the article and our other episodes at www.generalbroadcast.org.uk

Impact brain apnoea is the cessation or disruption of the inate breathing mechanism following a blow to the head. Its possible for this to result in the death of patients without any visible damage to the brain or surrounding blood vessels.
This month we discuss this, the development of a hypoxic brain injury, the resultant catecholamine release or catacholamine "storm" and what ambulance crews and emergency clinicians can do to help treat these patients.

find the article and other podcasts at https://www.generalbroadcast.org.uk/

Prehospital Traumatic Cardiac Arrest (TCA) is a rare and particularly stressful presentation to paramedics and emergency clinicians.
We should be comfortable with the different algorithm rescusers should use in resuscitation and understand the reasonings for modifications in these low output states in trauma.
So, why dont we do chest compressions in a traumatic cardiac arrest? Should TCA's be given adrenaline and what does HOTT Stand for? We've got the answers to all this and more.

Find references and the article at www.generalbroadcast.org.uk

Pulmonary Embolism is a common emergency presentation to paramedics and emergency medicine clinicians.
We discuss why PEs cause right ventricular strain, the types of PE from massive, to submassive and subsegmental, how to work up and diagnose pulmonary embolism, how do D-Dimers work? and what are the high risk pulmonary embolism criteria.

Find the references and other episodes at www.generalbroadcast.org.uk

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All diving represents a hazard, as humans we're not designed to live under water. The deeper divers go and the longer they dive for, the greater the potential risks. Although the bends or decompression sickness, arterial gas embolisims and other diving related emergencies arent the most common presentation to emergency care clinicians. We thought it would be good to revise this medical presenation.
In partnership with our colleagues at HM Coastguard we've developed this CPD podcast. We talk to a Deepwater technical dive instructor from purpleturtle diving, and a dive doctor from DDRC healthcare.

With thanks to Toni from https://www.purpleturtlediving.com/
and Felix from https://www.ddrc.org/

We all make mistakes, its a natural part of the course of being human. What matters is that we're honest about these, learn from them and feel safe in a just culture where the focus will be on learning, rather than on puishment.
We spoke with consultant paramedic Andy Collen, author of the fantastic book "Decision making in paramedic practice" and medicines and prescribing project lead for the college of paramedics.

In this podcast we discussed making mistakes, blame culture, accountability, and how we can feel safe in our practice.