ED JAM

Situational Awareness with Paramedic Theo

Situational Awareness is something that all Paramedics, Nurses and Doctors need to use on a daily basis. On this episode Theo outlines why it is so imperative in the current context to be situational aware and vigilant as a paramedic. Theo is a paramedic from Tasmania and also runs the "Student Paramedic" a large social media presents on both Instagram, tik tok and YouTube. He flipped his life from a botanist to a paramedic after some eye opening travels overseas. Check out the episode and don't forget to check out theo on instagram student paramedics

 

              Show notes  

* Student Paramedic - Youtube channel click link to follow

instagram. student paramedics click link to follow

* LACES - click link to read more

 

Spinal Cord Injury SCI - Dr Simon Haron Neurosurgical Registrar

This week I spoke with neurosurgical registrar Dr Simon Haron about Spinal Cord injury SCI. Simon spoke about the important structures of the spinal cord, anatomy/physiology and why prevention of a secondary injury is so important for patients that have suffered a spinal cord injury. Blood pressure targeting was a topic of discussion as well as central cord syndrome. 

 

                                                       Show notes 

 

-A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury and Central Cord Syndrome: Recommendations on the Timing (􏰀24 Hours Versus >24 Hours) of Decompressive Surgery 

- Early Surgical Decompression Improves Neurological Outcome after Complete Traumatic Cervical Spinal Cord Injury: A Meta-Analysis

- Early versus Delayed Decompression for Traumatic Cervical Spinal Cord Injury: Results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS)

- A Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Use of Methylprednisolone Sodium Succinate

- Mean Arterial Blood Pressure Correlates with Neurological Recovery after Human Spinal Cord Injury: Analysis of High Frequency Physiologic Data

- Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis

 

Epistaxis with Veena- ENT Registrar

Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency department. Understanding how to manage it is imperative for all emergency clinicians. This week ENT Registrar Veena , outlines her approach to Epistaxis .The episode we discussed the 5 pillars of epistaxis management Pressure, topicalisation, Visualisation, Packing and Surgical Treatment. The episode will leave you with a better understanding of epistaxis management. 

 

 

                                         Show notes 

-approach-to-the-adult-with-epistaxis - click to follow link  

- https://litfl.com/a-case-of-epistaxis/- click link to download - 2023

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Tips for education with host Benny Crook

On this weeks episode I (benny) did a solo session about my tips for education and how I am approaching education this year. Hope you like it. My aim is to encourage anyone in the teaching space.

Show notes 

High fives motivate: the effects of gestural and ambiguous verbal praise on motivation

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145712/

Paediatric Seizures with Dr Simon Potter

This week I had the privilege to discuss how Dr Simon Potter                            (Adult/paediatric emergency Consultant) approaches paediatric seizures. Simon gave away some gold in the episode and discussed some important points that all clinicians can take back to their workplace. Themes that were raised are below, 

* What to do when a child is having a seizures 

* Why Glucose and ECG's are important

* First line, second line and third line therapy in paediatric seizures. 

* Parental Education 

* When do we have permission to do nothing 

SHOW NOTES 

* Don't forget the bubbles click this to follow - dontforgetthebubbles.com

* Emergency treatment with levetiracetam or phenytoin in status epilepticus in children—the EcLiPSE study- click to follow 

* https://litfl.com/status-epilepticus-in-children/- click link to follow 

* https://www.schn.health.nsw.gov.au/find-a-service/health-medical-services/paediatric-epilepsy-network-nsw- PENNSW LINK 

 

A patient story- Chol Deng Emergency Nurse

Fleeing from a war and lost in the bush alone for 3 weeks at the age of 9 was only the start to Chol Dengs Life. Chol Deng an Emergency Nurse from Sydney describes his early life in africa and what lead to him needed a kidney transplant in 2022. The story will have you on the edge of your seats in disbelief. The podcast just shows you that giving up isn't an option for Chol Deng. 

 

                                               Show notes 

* Click link to read about dialysis - life in the fast lane 2023

* donatelife.gov.au click link to learn how to be a donor 

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Paramedic to Patient - with Sally

This week on the EDJAM podcast I sat down with intensive care paramedic Sally.  Four months ago whilst folding the washing Sally had a medical event, this event lead to Sal experiencing what it was like to be on the "other-side" of the stretcher. Sally talked through her recent diagnosis and how being a clinician opened her eyes to what patients experience everyday. 

 

Show notes 

* Atrial Septal Aneurysm- click here to read more

* A look at Atrial Septal Aneurysm- Journal of cardiology

*. Patent Foramen Ovale Closure for Stroke Prevention and Other Disorders

MTP - Massive Transfusion Protocol with ED CNC Daniel Van Vorst

On this weeks episode I sat down with Clinical Nurse Consultant Daniel Van Vorst to discuss the MTP (massive transfusion protocol). Daniel is an esteemed emergency nurse with over 12 years of experience in a large  tertiary hospital.  Within the podcast Dan spoke about the role of MTP, indications , challenges, and the benefits of having a blood coordinator role  during major resuscitations. Dan also unpacks an amazing case, and talks about the benefits of administering blood early and how the MTP can save lives. Dan also opens up and lets us know what motivates him and what keeps him fresh after working in a high stress environment . 

 

SHOW NOTES 

 

Presentation of the MTP- click link to follow 

MTP policy - click this link to read a policy on the MTP

Daniel QI project on the MTP- click this link to view

 

Hypotension With Dr Cliff Reid

On this episode I sat down with the amazing Dr Cliff Reid to discuss his approach to hypotension. Cliff is a senior Staff Specialist/retrevialist with a special interest in Resuscitation. On the episode we discussed diagnosis, treatment , vasopressors and fluid status. Cliff will leave you with an overload of extremely useful information that you can implement in your own environments. 

 

        Show Notes 

 

• Hypotension is usually bad: The significance of non-sustained hypotension in emergency department patients with sepsis 

 

• Causes of hypotension - and PEA cardiac arrest: the 3 plus 3 rule Lactate doesn’t always mean sepsis! click this link 

 

• Systolic blood pressure below 110mmHg is associated with increased mortality in blunt major trauma patients click this link 

Febrile Neonates- Dr Louis Traynor

This week I sat down and interviewed Dr Louis Traynor about febrile neonates. Louis is an Emergency Consultant with a keen interest in Emergency Paediatrics. On the episode we discussed neonatal fevers, how we manage/diagnose febrile neonates and why listening to parents is so important. The episode will leave you with a well rounded approach to febrile neonates. 

SHOW NOTES 

• (Don't forget the bubles.com )click here to be directed to the don't forget the bubbles website, it is an amazing resource
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• Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pantel et al , 2021
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• Updates on the Evaluation and Management of Febrile Neonates
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