Urinary tract infections (UTIs) are an extremely common presentation to both primary and secondary care services. The term UTI encompasses a wide range of clinical conditions so we need to be confident in assessing and diagnosing them. This month we look at UTIs!

Urinary Tract Infection (UTI)

Discharging a patient is one of the riskier areas of practice for paramedics and ambulance clinicians, so it is essential that we appropriately safety net our patients and do this well, to protect them and ourselves. In This months podcast we look at how we can make discharging out patients safer.

Read the article at: https://www.generalbroadcast.org.uk/

Safe Discharge

Whilst Aortic Pathologies may not be the most common emergency condition paramedics are presented with, they are most definitely among the most devastating.  Atherosclerotic degenerative aneurysms and aortic dissection are often misunderstood and misdiagnosed and they can present a number of challenges to clinicians in the pre-hospital arena. So, this month, we're looking at some Aortic disease pathologies and everything you aorta know about them.

Aortic Pathologies

When you think of Paediatrics medicine, the presentation of fever is probably not far behind. This is a common finding by paramedics and ambulance staff need to be confident in their assessment and management of this patient group. 

Thats why this month we're tackling paediatric fever, with the help from paediatrics consultant Dr Wajeeh Khattam.
Find the Article at www.generalbroadcast.org.uk

Paediatric Fever

COPD is a terminal condition believed to affect as much as 4% of the UK populace. These patients often present to ambulance crews with an exacerbation in symptoms. 
In this episode, we look at the pathophysiology of COPD, causes and diagnosis as well as the assessment of acute shortness of breath in these patients. 


Find the article and our other podcasts on https://www.generalbroadcast.org.uk/

Chronic Obstructive Pulmonary Disease Part 1

This is the second episode in a two-part series on COPD. 
In this episode, we look at the differential diagnosis to consider to a simple exacerbation, the ambulance management as well as recent changes to national paramedic guidelines, and the management options. 

Find the article and our other podcasts on www.generalbroadcast.org.uk/

Chronic Obstructive Pulmonary Disease Pt 2

Silver trauma is the term that is most commonly used to describe trauma in older patients. It is often used to refer to major trauma in this patient group and rates of major trauma in the over 65s are rising. 
This month we're looking at the physiological changes that occur with ageing and trying to understand how these impact our older patients who suffer trauma. 

Check out the article and previous episodes at www.generalbroadcast.org.uk

Silver Trauma

Frailty is a term we commonly encounter in urgent and emergency care, but can you actually define it? Have you been taught to use frailty scores, and do you know what they're for?
This month we've partnered with the fantastic MDTea podcast to look at the subject. 

As always, find the article at www.generalbroadcast.org.uk
and check out the other fantastic resources from the MDTea at: http://thehearingaidpodcasts.org.uk/mdtea-podcast/

Frailty

Pre-Hospital Emergency Anaesthesia, or PHEA for short, is the term used to describe a rapid sequence induction, or anaesthetic, in the pre-hospital emergency environment.
 its important that the team performing it, are familiar with the procedure. Of course, the PHEA team does not just stop at the critical care providers who carry the drugs… Every paramedic, technician and care assistant on the job is integral to the smooth running and quick delivery of the PHEA.


That’s why this month we’re taking a look at this rarely encountered procedure, to help you the next time you encounter it. We’re going to look at why its done, touch on some of the drugs that are used but most importantly, we’re going to discuss the practical steps involved and how you can prepare your patient and your scene for delivery of an anaesthetic. 
Find the article and other podcasts at: www.generalbroadcast.org.uk

PHEA

This month we're back from our break and we're tackling a topic that is known to make even the most experienced practitioners a bit flustered...Tracheostomy emergencies. The number of Tracheostomies and Larnygectomies in the UK is increasing and so is our chance of being called to a Tracheostomy emergency. These can be high-stress situations, that require time-critical intervention, thats why this month we're speaking to an expert and founder of the National Tracheostomy Safety Project Dr Brendan Mcgrath.
Find further learning at www.generalbroadcast.org.uk

Tracheostomy Emergencies

This month we're taking a look at Epistaxis. It's a common presentation with a varied degree of severity. 
You might not think there's much to learn about managing a nose bleed, but that's where you'd be wrong. There's a number of things we need to consider when assessing these patients and several treatment options to consider. 

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

Epistaxis

This month we're looking at headaches, this is a condition with a wide range of causes, from the seemingly benign migraines and tension headache to more sinister causes such as the infamous " thunder clap headache"
Find the article and other episodes at www.generalbroadcast.org.uk

Headache

This month we discuss how to get the best out of remote clinical support or "top cover" calls. There are a number of human factors issues that can be at play for paramedics making emergency and urgent care clinical support phone calls, and as we discuss, optimising the situation so that advisors can provide the best advice, starts with those who are asking. 

find the article and other episodes at www.generalbroadcast.org.uk

Remote Clinical Support and Top Cover

Its a topic that's been in the news a lot recently. This year is seeing a particularly high number of Strep A infections in the UK, this naturally translates to a higher number of complications and cases of invasive group A strep. 

Thats why this month we're taking a deep dive into all of it, we'll cover how to recognise strep throat and scarlet fever, as well as what we need to do if we suspect our patients have it. Find the write up, further reading and other episodes at www.generalbroadcast.org.uk

Strep-A & Scarlet Fever

Asthma is the most common lung pathology in the UK. Managing exacerbations of the disease is something paramedics and emergency teams should be well versed in. In this months episode we review the pathophysiology, look at the different severities of exacerbation that may present to ambulance crews, discuss what types of patient are suitable for discharge as well as looking at the treatments we can offer from the mild asthma attack to the life threatening.

Asthma

Ankle injuries present to ambulance staff across a wide spectrum, from the minor soft tissue injury that can be discharged on scene, to the fracture dislocation. We need to be confident in assessing and managing the full spectrum of these injuries, 
This month we talk about manipulating fractures, prophylactic antibiotics, as well as how to decide which injuries need an x-ray and what advice to give those patients that don't. |

Find the references that we used at www.generalbroadcast.org.uk. 

Please dont forget to give us a review on which ever platform you're listening to this podcast on and tell others about the podcast. It helps us keep making free CPD for everyone. |

Ankle Injury

Content Warning
This podcast features discussion of suicide and hanging. 

Hanging is one of the most common methods of suicide in the western world. Ambualnce crew are likely to come across these cases in the course of their work and so it is important that we understand the pathophysiology and managment of them. 

This month we discuss how hanging causes cardiac arrest, clarrify commonly used terms, discuss the managment as well as emotional support for family and staff involved in these cases.
Make sure you debrief the incident, take care of your own emotional and mental health after incidents such as these. The ambulance staff crisis phone line is 0300 373 0898. Look after your health and that of your colleagues.

Hanging

Heroin overdose or other opiate poisoning is an emergency that most paramedics and ambulance staff will be familiar with. However, there are some elements that can cause uncertainty for responders. What comes first CPR or naloxone? What are the signs of an opioid emergency? How much naloxone do you give to someone suffering from opioid toxicity? 

This month we look at all that and more! 
Find the article and our other episodes at www.generalbroadcast.org.uk

Heroin Overdose

Patient safety should be the key aim at the heart of any healthcare system, including the NHS. Yet we know that every single day, patients come to avoidable harm as a result of errors and mistakes. Human Factors and CRM have become increasingly common schools of thought after the tragic Elaine Bromley case.
This month we look at the Human Factors at play in a pre-hospital RTC case study and consider how ambulance clinicians and first responders might be affected by these. We discuss Startle and Suprise, Amigdyla highjack, Bandwidth, Leadership and heirarchies within teams, communication skills and graduated language. 

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

Human Factors

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.

Error And Blame Culture with Andy Collen

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/

Diving Emergencies

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

Dont forget to follow or subscribe to the podcast for free medical education and CPD.

Pulmonary Embolism

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

Traumatic Cardiac Arrest

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/

Impact Brain Apnoea

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

ROSC - Part 1

General Broadcast is a free online learning resource aimed at UK based student paramedics. The podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning.  

This Episode focuses on Elderly fallers and our assessment as ambulance clinicians. We hope to dispel some myths, look at gold standard assessment and cover falls prevention. 

Read the article at www.generalbroadcast.org.uk

Episode 1 - Fall non-injury

Fall Non-injury

In this episode we look at the pathophysiology behind hypothermia. We go through the stages of hypothermia from mild homeostatic changes to peri-arrest phenomena.
Read the article here: http://www.generalbroadcast.org.uk

General Broadcast is a free online learning resource aimed at UK based student paramedics and newly qualified paramedics. The podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning.

Hypothermic Cardiac Arrest Pt 1

This is the second part of our 2 part podcast on hypothermia. In this podcast we look at managment of the critically unwell hypothermic patient and modifications to the hypothermic cardiac arrest algorithm. 
Read the article and part one here: www.generalbroadcast.org.uk

General Broadcast is a free online learning resource aimed at UK based student paramedics and newly qualified paramedics. The podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning.

General BroadCAST Podcast

Hypothermic Cardiac Arrest Pt 2

In this episode we discuss Transient loss of Conciousness. The presentations, assessments involved and potential causes, as well as some case studies we've encountered in our practice.

Read the article here: www.generalbroadcast.org.uk

General Broadcast is a free online learning resource aimed at UK based student paramedics and newly qualified paramedics. The podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning.

Transient Loss of Conciousness

Every year in England and wales 1.4 million people attend A+E with a head injury, this makes up just over 6.5% of the presentations that Emergency departments see with 20% of them being admitted.  Prehospital clinicians can have a difficult time assessing these patients often without the luxuries that come with seeing these patients in hospital. This week we look at the assessment, managment and how to safely discharge adult headinjuries. 

Find the article at www.generalbroadcast.org.uk
(article not yet available)

General BroadCAST Podcast 

Adult Head Injury

General Broadcast is a free online learning resource aimed at clinicians  and students who have an interest in out of hospital urgent and emergency care. Podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning. If you work in pre-hospital emergency care then this podcast is for you.

GeneralBroadCAST

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