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.
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
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.
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
Read MoreDiseases affecting the Aorta have been known for Centuries and were, historically, due to trauma or infectious disease. The Scientific advances of the 17th and 18th Centuries saw huge leaps in our understanding of anatomy, biology, medicine and germ theory and, as a result, the near disappearance of syphillitic aneurysms and an increasing understanding of how to successfully manage these conditions. But with the modern world comes modern problems - as our diets and lifestyles have changed, we have seen the emergence and rise of atherosclerotic degenerative aneurysms, inflammatory arterial disease and aortic dissection. These conditions, often misunderstood and misdiagnosed, can present a challenge 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.
Read MoreDischarging 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 MoreThis month we take a look at a paediatric condition...Bronchiolitis. We discuss the pathophysiology of the disease, how paramedics and ambulance staff can assess and manage these children and what the evidence suggests are the most appropriate treatment plans.
Read MoreUrinary 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!
This week we’re looking at feedback to students, both how to give on shift feedback. How to give “negative” feedback and how to manage the dreaded situation for every mentor, a failing student.
Read MoreThis month we’re examining mentorship, we’re looking at what things you can do to get you and your new student off to a good start and sharing some of our experiences of being both mentors and mentees.
Read MoreCocaine might be a drug you associate with the 1980s, however, a 2018 audit found that it was still the 2nd most used recreational drug within the UK. Deaths associated with cocaine doubled between 2015 and 2018. 2019 marks the highest deaths on record linked to cocaine use after 8 years of successive increase.
This month we’re looking at the pathophysiology of cocaine, the symptoms involved with toxicity and what we need to do to manage these patients.
Read MoreAffecting an estimated 80% of the population at some time in their lives, Lower back pain is a common presentation to ambulance crews. Often this will be muscular in origin, however there are many serious conditions that is im portant ambulance staff are able to recognise and diagnose. This month we’re looking at the assessment and managment of these varied differential diagnoses from Cauda Equina Syndrome to Discitis.
Read MoreIn 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.
Read MoreIn 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.
Read MoreEvery year in England and wales 1.4 million people attend A+E with a head injury.
Ultimately, 90% of people end up being diagnosed with a minor head injury and are discharged.
This week we’re tackling the assessment of Adult head injuries, we’ll go through some red flags to be aware of as well as how to appropriately safety net our patients.
Read MoreIn this episode we discuss logical fallacies and how they can lead to errors in clinical judgement, as well as some times in our practice we have displayed them and what if anything we can do to over come them.
Read MoreStarting life with the responsibility and pressure that comes with registration is always nerve wracking and we remember it well. So we've compiled some of the bits of advice we wish we could have given ourselves before we registered.
Read MoreIn this episode we are going to be covering the assessment of Transient Loss of Conciousness (T-LOC) and discussing some of the differentials that could be responsible, from the easily discharged to the potentially life threatening
Read MoreIn this second of a 2 part series we discuss; the managment of the peri-arrest patient, management of a hypothermic cardiac arrest, the modifications to standard ALS therapy, how we can best warm patients pre-hospitaly, what our priorities are in managing these patients, in hospital treatments, and finally we’re going to discuss guidance around confirming deathing in hypothermia.
Read MoreIn this episode we look at the pathophysiology behind hypothermia. We go through the stages of hypothermia from mild homeostatic changes to peri-arrest phenomena.
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