The PREMED Podcast

References

• Maternity Marmite Series – Breech Birth (Mansfield, 2016) #webinar
• Maternity Marmite Series – Cord Prolapse (Mansfield, 2016) #webinar
• Maternity Care for Paramedics (e-LfH, 2018) #e-learning
• Royal College of Obstetricians & Gynaecologists 'Green Top' guidelines
• Baby Loss Awareness
• Mariposa Trust (for patients)
• Sands | Stillbirth and neonatal death charity (for patients)
• Sands training (for healthcare staff)
• Resuscitation and support of transition of babies at birth (Wyllie et al, 2015) #RCUKGuidelines

Sound recordist

• Jack Neuman

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In this episode Silas spoke with Rob, a MICA Paramedic and educator with Ambulance Victoria, about paramedic-led RSI (rapid sequence induction of anaesthesia).

If you have any feedback, please email us at: [email protected]

References:

1. Prehospital Rapid Sequence Intubation by Intensive Care Flight Paramedics (Delorenzo et al, 2018) [link]
2. Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest (Wang et al, 2018) [link]
3. Drug-free tracheal intubation by specialist paramedics (critical care) in a United Kingdom ambulance service: a service evaluation (Houghton Budd et al, 2021) [link]

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References

• The National Ambulance Resilience Unit (NARU) Education Centre
• Ambulance HART website
• Paramedic Insight: the training to become a HART paramedic (Clark, 2017)
• How to become a HART paramedic: Hannah's story

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

Silas

References

• Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like? (Glouberman and Zimmerman, 2002)
• Iatrogenic intracranial placement of nasopharyngeal airway after trauma (Swanson, Nickele, and Kuo, 2015)
• Busting Top Trauma Myths (Collopy et al, 2015)
• Rapid Sequence Intubation (Lafferty, 2020)
• The AIRWAYS-2 Trial (Benger et al, 2018)
• The success of pre-hospital tracheal intubation by different pre-hospital providers: a systematic literature review and meta-analysis (Crewdson et al, 2017)
• Prehospital endotracheal intubation: elemental or detrimental? (Pepe, Roppolo, and Fowler, 2015)
• Advanced airway management during adult cardiac arrest: A systematic review (Granfeldt et al, 2019)
• International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (Soar et al, 2019)
• A Critical Reassessment of Ambulance Service Airway Management in Pre-Hospital Care (JRCALC Airway Working Group, 2008)
• Airway management policy and procedure (London Ambulance Service, 2018)
• Paramedic Intubation Consensus Statement (College of Paramedics, 2018)
• The PART Trial (Wang et al, 2018)

Sound recordist

• Jack Neuman

Hosted on Acast. See acast.com/privacy for more information.

Episode three already! And a bit of a longer one this time...

In a bit of a one-off, I got in touch with Ben Paul, student Critical Care Paramedic and Senior Lecturer, about COVID-19 in pre-hospital critical care. You're probably sick of hearing about it, but on the off-chance you're not we put together this episode to try and provide some clarity to those of us working outside of hospital.

To be clear... Neither of us are experts and clearly the knowledge of COVID-19 is changing daily but we have managed to muddle through the wealth of literature out there to bring a summary of what we think is useful for people to know. Our discussion encompassed R-nought, pathophysiology, diagnosis, treatment of respiratory failure and OHCA, and (of course) PPE.

Hopefully you find this useful. And if you do, please subscribe / rate / share - you know the drill! Thanks,

--

Silas

References

• Background and pathophysiology:
  • Coronavirus Disease 2019 (COVID-19) overview (Medscape, 2020)
  • COVID-19 risk factors (NHS, 2020)
  • COVID-19 Insights: cytokine storm / massive immunomodulation (Drbeen, 2020)
  • COVID-19 (Internet Book of Critical Care, 2020) #Pulmcrit
  • Innate vs adaptive immunity (Khan Academy)
  • Cytokine storm and sepsis disease pathogenesis (Chousterman et al, 2017)
  • Berlin Criteria for Acute Respiratory Distress Syndrome (MDCalc)
• Diagnosis:
  • COVID-19: guidance for ambulance trusts (Public Health England, 2020)
  • Anosmia in COVID-19 (ENT UK, 2020)
  • COVID:Diabetes (Diabetes UK, 2020)
  • Binding of SARS coronavirus to its receptor damages islets and causes acute diabetes (Yang et al, 2010)
  • Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area (Richardson et al, 2020)
• Aerosol Generating Procedures:
  • TBC
• Treatment (respiratory failure):
  • CPAP for COVID-19 (NHS England / Improvement, 2020)
  • Guidance for Prone Positioning of the Conscious COVID Patient (Intensive Care Society, 2020)
  • Treatment of ARDS With Prone Positioning (Scholten et al, 2017)
  • Prone Position and Mechanical Ventilation (Nickson, 2020) #LITFL
  • Effects of vertical positioning on gas exchange and lung volumes in acute respiratory distress syndrome (Richard et al, 2006)
  • Endocrinology in the time of COVID-19: Management of adrenal insufficiency (European Society of Endocrinology, 2020)
• Treatment (cardiac...