Trauma — Archives — General BroadCAST

Burns

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

Emergency Care, Paediatrics, TraumaJoshua BarkerDecember 7, 2024burns, fire, trauma, burn, scald, flame, injury, fluid, childrenComment

Traumatic Cardiac Arrest

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.

Cardiac Arrest, Trauma, Emergency CareJoshua BarkerJanuary 14, 2024Traumatic, Cardiac Arrest, Trauma, TCA, LOST, HypotensionComment

Ankle Injury

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.

Minor Injuries, TraumaJoshua BarkerMarch 10, 2023ankle, soft tissue injury, fracture, trauma, open fracture, joint, TraumaComment

Epistaxis

This month we're taking a look at Epistaxis. It's a common presentation with a varied degree of severity.
You might not thing 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.

Emergency Care, Geriatrics, TraumaJoshua BarkerOctober 1, 2022Nose Bleed, Epistaxis, Elderly, Bleeding, Trauma, Silver TraumaComment

Pre-Hospital Emergency Anaesthesia (PHEA)

This month’s episode is very much not a how-to PHEA podcast. This is designed to give a bit of awareness to what’s happening if you’re part of one and how you can support the wider team if you find yourself looking after a patient receiving an anaesthetic.

Critical Care, TraumaJoshua BarkerJune 27, 2022PHEA, Anaesthetic, RSI, Critical Care, Headinjury, Anaesthesia, ParamedicComment

Silver Trauma

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.

Emergency Care, Trauma, Chronic Conditions, GeriatricsJoshua BarkerApril 17, 2022Trauma, Geriatrics, Silver Trauma, Primary Survey, TARN, ISSComment

Road Traffic Collision: Injury Experience Pt2

In this episode we discuss to assess the scenes of Road Traffic Collisions, how car safety features work and how thinking about the injury experience during a collision can support our practice and care for injured patients.

Emergency Care, Critical Care, Trauma, RTCJoshua BarkerOctober 21, 2020Comment

Road Traffic Collision: Injury Experience

In this episode we discuss to assess the scenes of Road Traffic Collisions, how car safety features work and how thinking about the injury experience during a collision can support our practice and care for injured patients.

Emergency Care, Critical Care, Trauma, RTCJoshua BarkerOctober 21, 2020 Comments