In this months episode, we explore one of the most challenging aspects of paramedic practice — discontinuing resuscitation and how to deliver that news with compassion and clarity. Breaking bad news following a cardiac arrest is a crucial skill, yet often done poorly. We discuss who should take the lead, how to manage dynamic prehospital environments, and how to tell families their loved one has died after a cardiac arrest.

From delivering effective warning shots to preparing families for what to expect, we share practical advice and real-world experience to help emergency care professionals navigate this sensitive situation. Whether you're a paramedic, emergency doctor, or part of a resuscitation team, this episode offers invaluable insights to improve your communication skills and patient care.

This month we were lucky enough to sit down with Andrea James, a lawyer who specialises in defending paramedics in HCPC fitness to practice hearings.
We spoke to Andrea about what is involved with fitness to practice hearings and how we can protect ourselves with quality documentation. She hands out her tips on what makes practice easy and difficult to defend.

Burns represent a special form of severe trauma which can negatively affect nearly every organ system. Despite huge advances in the care of these patients, severe burns are still associated with high morbidity and mortality long term….. and due to long hospitalization, rehabilitation, and extensive scar treatment, severe burn injuries rank among the most expensive traumatic injuries with regard associated health care costs. They are also conditions where the early and effective emergency care we deliver can be incredibly impactful to outcomes, function and survivability.

This month we look at the treatment and assessment of burns for emergency clinicians and paramedics. We also cover the evidence behind certain areas of practice, like do you get ECG changes from electrical burns? and which symptoms are most likely to be features of airway burns

This month we look at managing hypoglycaemia, the perfect episode to listen to if you're just starting your educational journey as a student paramedic! But don't think this is only for newbies, theres loads of information in there for experienced medical students and qualified emergency practitioners alike. Learn about the physiology of Diabetes mellitus, how drugs like glucagon work as well as when we might need to consider refering a patient to the DVLA because of their hypo's.

This month we take a look at nitrate poisoning. It may not be the most common emergency case to present to prehospital clinicians, but cases of it do appear to be on the rise.
So join us as we talk about methaemoglobinemia, safety on scene, protecting rescuers and the assessment and care of these patients.