Clinical Practice Radio (CPR) – Détails, épisodes et analyse

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Clinical Practice Radio (CPR)

Megan Currie, Nick Overington, Andy Bell

Forme & Santé

Fréquence : 1 épisode/34j. Total Éps: 10

St John WA has launched its first ever public podcast, Clinical Practice Radio (CPR). Designed by clinicians for clinicians, the show discusses a range of clinical and management topics using the latest evidence-based research and inviting subject matter experts to share their insights. Hosted by St John WA Deputy Director of Paramedicine Andy Bell alongside Clinical Leads Megan Currie and Nick Overington.

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🇬🇧 Grande Bretagne - medicine
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https://doi.org/10.1186/s13054-024-05048-1
2 partages
https://greatwesternairambulance.com/what-we-do/education/clinical-engagement/stab-5/
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https://doi.org/10.1177/0018720819868409
2 partages

https://www.youtube.com/watch?v=irHXrNqRbcY
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Clinical Practice Radio - Episode One - Penetrating Trauma

Saison 1 · Épisode 1

mardi 27 mai 2025 • Durée 29:36

In this episode, the team dives into the high-acuity, low-occurrence world of penetrating trauma, a critical but often under-practiced area in pre-hospital care. They explore how limited exposure can impact clinical confidence —and discuss how cognitive overload can affect approaches during major trauma situations.

The conversation introduces the “STAB-5” approach, a UK-based system designed to guide clinicians through scene safety, triage, assertive management, bleeding control, and rapid transport, all within a targeted five-minute scene time. Emphasis is placed on early recognition of time-critical injuries, prioritising rapid transport over prolonged on-scene treatment, and using tools like direct pressure, arterial tourniquets, wound packing, and chest seals effectively.

The team also reflects on the importance of balancing interventions with the urgency to move, highlighting the role of mentation and physical appearance over vital signs in assessing perfusion. It’s a practical, engaging episode for anyone looking to sharpen their skills in managing life-threatening penetrating trauma in the field.

References

Winter E, Hynes AM, Shultz K, Holena DN, Malhotra NR, Cannon JW. Association of Police Transport With Survival Among Patients With Penetrating Trauma in Philadelphia, Pennsylvania. JAMA Netw Open. 2021;4(1):e2034868. doi:10.1001/jamanetworkopen.2020.34868

Roberts I, Shakur H, Coats T, Hunt B, Balogun E, Barnetson L, Cook L, Kawahara T, Perel P, Prieto-Merino D, Ramos M, Cairns J, Guerriero C. The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients. Health Technol Assess. 2013 Mar;17(10):1-79. doi: 10.3310/hta17100. PMID: 23477634; PMCID: PMC4780956.

Robinson, M., Rath, F., Sutton, C. et al. STAB-5: an aide-mémoire for the efficient prehospital management of penetrating trauma by emergency medical services. Crit Care 28, 261 (2024). https://doi.org/10.1186/s13054-024-05048-1

Figure 1 https://greatwesternairambulance.com/what-we-do/education/clinical-engagement/stab-5/

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Clinical Practice Radio - Episode 2 - Human Factors

Saison 1 · Épisode 2

mercredi 25 juin 2025 • Durée 32:35

In this episode, the team unpack the vital topic of human factors—the skills and attributes beyond the technical that shape effective clinical performance. They explore how elements like situational awareness, communication, stress management, and decision-making influence paramedic practice in unpredictable environments. The conversation dives into the cognitive load faced on scene, how preparation and routine can enhance performance, and the importance of stress inoculation and reflective practice.

Listeners will gain insight into how experienced clinicians filter variables more efficiently, why adaptability is key, and how good habits—like staying hydrated, being physically prepared, and knowing your kit—can reduce mental strain. The team also highlights how human factors can be developed through deliberate practice and how leadership style must flex to support team members' different learning and feedback needs. Whether you're new to the field or a seasoned paramedic, this episode offers practical strategies and relatable reflections to sharpen your non-technical skills and support better patient care.

References

Think Again, the power of knowing what you don’t know. Adam Grant.

The Paramedic Mindset. Leigh Anderson (2024).

The Captain Class, A new theory of Leadership. Sam Walker.

Crameri, L., Hettiarachchi, I., & Hanoun, S. (2021). A Review of Individual Operational Cognitive Readiness: Theory Development and Future Directions. Human Factors, 63(1), 66-87. https://doi.org/10.1177/0018720819868409

The Monarch Human Performance Podcast - https://podcasts.apple.com/au/podcast/monarch-human-performance-podcast/id1520556844?i=1000531171251

https://podcasts.apple.com/au/podcast/monarch-human-performance-podcast/id1520556844?i=1000537193186

Clinical Practice Radio - Episode 3 - Post-ROSC

Saison 1 · Épisode 3

mercredi 30 juillet 2025 • Durée 32:32

In this episode, the team dive into the critical but often under-discussed phase of post-ROSC (Return of Spontaneous Circulation) care in non-traumatic adult cardiac arrest. Achieving ROSC is a major win, but it's just the beginning. What comes next can be the difference between survival and meaningful recovery. They break down the essential steps for optimising airway, ventilation, circulation, and neurological outcomes in the immediate post-arrest period, all through a practical and prehospital lens. From optimal positioning and end-tidal monitoring to fluid strategies and medication titration, this episode is packed with tips to help you stabilise and support your patient when it matters most.

They also explore the importance of tactical pauses, human factors, and mindset shifts that help crews transition from the chaos of resuscitation to focused post-arrest care. You’ll hear about the role of targeted temperature management, post-ROSC ECG interpretation, and real-world considerations like agitation, sedation, and hospital destination decisions. Whether you're a new clinician or an experienced provider, this episode will give you practical, evidence-based strategies to help keep your post-ROSC patients alive and thriving. Don’t just aim for ROSC—plan for what comes after.

References

Crewdson, K., Lockey, D., Voelckel, W., & others. (2019). Best practice advice on pre-hospital emergency anaesthesia & advanced airway management. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 27(6). https://doi.org/10.1186/s13049-018-0554-6
Life in the Fast Lane. (n.d.). Post-resuscitation syndrome. https://litfl.com/post-resuscitation-syndrome/
Stub, D., Bernard, S., Duffy, S. J., & Kaye, D. M. (2011). Post cardiac arrest syndrome: A review of therapeutic strategies. Circulation, 123(13), 1428–1435. https://doi.org/10.1161/CIRCULATIONAHA.110.988725

Clinical Practice Radio - Episode 4 - STORC

Saison 1 · Épisode 4

mercredi 27 août 2025 • Durée 33:32

Trigger Warning: This episode discusses birth experiences, including potentially distressing or sensitive content. Listener discretion is advised.

In this episode, the team is joined by the incredible Mel Gardiner, a highly experienced paramedic with over 20 years on the road and a passion for improving maternal care in the pre-hospital space. Mel talks through the nuances of maternal assessment, highlighting the unique challenges paramedics face when providing care to mothers and babies outside of hospital.

The team dive into STORC (State Obstetrics Referral Call) — an innovative program Mel has helped develop. STORC connects paramedics with registered midwives trained specifically in pre-hospital care, offering immediate expert support, guidance, and even life-saving interventions over the phone. With WA’s vast and often remote geography, this program has been a game-changer for families and clinicians alike, bridging gaps between the community, paramedics, and maternity wards.

Whether you’re a paramedic, student, or simply curious about how critical maternal care is delivered in the field, this episode provides practical insights, valuable learning, and an inspiring look at how collaboration can transform patient outcomes.

References

Findlay, H. J., Anderson, J. K., Francis, K. L., Clegg, L. M., & Maria, S. J. (2023). The significance of paramedic communication during women’s birth experiences: A scoping review. Women and Birth, 36(5), e491–e501. https://doi.org/10.1016/j.wombi.2023.02.003
Hill, M., Miles, A., Flanagan, B., Mills, B., & Hopper, L. (2022). Out-of-hospital births and the experiences of emergency ambulance clinicians and birthing parents: A scoping review protocol. BMJ Open, 12(5), e062313. https://doi.org/10.1136/bmjopen-2022-062313
Keedle, H., Keedle, W., & Dahlen, H. G. (2022). Dehumanized, violated, and powerless: An Australian survey of women's experiences of obstetric violence in the past 5 years. Violence Against Women, 30(9), 2162–2184. https://doi.org/10.1177/10778012221140138

Clinical Practice Radio - Episode 5 - ECG in Syncope

Saison 1 · Épisode 5

mercredi 24 septembre 2025 • Durée 31:54

In this episode, the team is joined by Greta Hammer, a Clinical Lead Paramedic, to unpack red flag ECG findings in syncope.

Greta has a special interest in cardiology and the nuances of ECGs, a passion that began during her years working under a cardiologist here in Perth, before transitioning to her career as a paramedic with St John WA. Since then, she has been involved in educating new paramedics and developing ECG tools tailored for the pre-hospital setting, all with the goal of enhancing clinical excellence in the field.

Together, the team explores key warning signs that shouldn’t be missed and shares practical tools to help identify potentially life-threatening conditions. Greta also introduces a simple mnemonic – “ABCDE Left Right” – designed to make recognising these findings easier in the field.

Whether you’re a student, volunteer, or seasoned clinician, this episode is full of valuable insights to elevate your patient care.

References:

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Clinical Practice Radio - Episode 6 - Out-of-Hospital Cardiac Arrest

Saison 1 · Épisode 6

mercredi 29 octobre 2025 • Durée 32:15

In this episode, the team is joined by Jason Belcher, Resuscitation Improvement Specialist at St John WA, to explore what makes the biggest difference in surviving an Out-of-Hospital Cardiac Arrest (OHCA).

With a background in paramedicine, research and education, Jason’s work focuses on strengthening the entire chain of survival, from community recognition and bystander CPR through to high-performance resuscitation and clinical decision-making in the field.

Together, the team discusses the critical role of early recognition, the impact of community defibrillators and first responder apps, and why mastering the fundamentals of CPR remains the most powerful intervention for saving lives.

Whether you’re a student, volunteer, or experienced clinician, this episode offers practical, evidence-based insights to help you deliver the best possible outcomes for patients in cardiac arrest.

References:

Clinical Practice Radio - Episode 7 - Mass Casualty Incidents

Saison 1 · Épisode 7

mercredi 3 décembre 2025 • Durée 30:36

In this episode, the team takes a deep dive into Mass Casualty Incidents (MCIs) — one of the most complex and confronting scenarios in pre-hospital care.

They explore what truly defines an MCI, why early recognition and declaration using tools like METHANE is critical, and how structured command and communication can bring order to chaotic scenes.

The team also breaks down modern triage approaches, including 10-Second Triage, and discuss how prioritising rapid decision-making and simple algorithms can save lives when resources are overwhelmed.

Whether you’re new to practice or an experienced clinician, this episode offers clear, practical insights to help you navigate MCIs with confidence and purpose.

References:

Vassallo, J., Cowburn, P., Park, C., Bull, D., Harris, S., Moran, C. G., & Smith, J. E. (2024). Ten second triage: A novel and pragmatic approach to major incident triage. Trauma, 26(1), 3-6.
Davidson, L., Vassallo, J., Cowburn, P., Bull, D., Moran, C., & Carter, H. (2025). Evaluating Ten Second Triage: A Novel Multi‐Agency Prehospital Triage Tool for Major Incidents. Journal of Contingencies and Crisis Management, 33(1), e70025.
Gebhart, M. E., & Pence, R. (2007). START triage: does it work?. Disaster Management & Response, 5(3), 68-73.
Kuriyama, A., Urushidani, S., & Nakayama, T. (2017). Five-level emergency triage systems: variation in assessment of validity. Emergency Medicine Journal, 34(11), 703-710.

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Clinical Practice Radio - Episode 8 - Myth Busting

Saison 1 · Épisode 8

mercredi 28 janvier 2026 • Durée 28:11

In this episode, the team tackles some of the most enduring myths in emergency medical services and asks a simple question: are we still doing things because they work, or because it’s how they’ve always been done?

Topics include analgesia and pain management, soft tissue injuries and the RICE principle, oxygen use in COPD patients, ketamine and haemodynamic effects, tourniquet use, and other long-held assumptions in pre-hospital care.

Through evidence, physiology and reflective practice, the conversation highlights how clinical practice continues to evolve and why staying curious and adapting to new evidence is essential for delivering high-quality patient care.

A thought-provoking listen for clinicians at any stage of their career.

References:

April, M. D., Arana, A., Schauer, S. G., Davis, W. T., Oliver, J. J., Fantegrossi, A., ... & NEAR Investigators. (2020). Ketamine versus etomidate and peri‐intubation hypotension: a national emergency airway registry study. Academic Emergency Medicine, 27(11), 1106-1115.
Kamran, H., Salciccioli, L., Kumar, P., Pushilin, S., Namana, V., Trotman, S., & Lazar, J. (2010). The relation between blood pressure changes induced by passive leg raising and arterial stiffness. Journal of the American Society of Hypertension, 4(6), 284-289.
ICED! The illusionary treatment option. Gary Rein
Dubois, B., & Esculier, J. F. (2020). Soft-tissue injuries simply need PEACE and LOVE. British journal of sports medicine, 54(2), 72-73.
Walsh B, Cone DC, Meyer EM, Larkin GL. Paramedic attitudes regarding prehospital analgesia. Prehosp Emerg Care. 2013 Jan-Mar;17(1):78-87. doi: 10.3109/10903127.2012.717167. Epub 2012 Sep 12. PMID: 22971168.
Oxygen and Carbon Dioxide Retention in COPD • LITFL • CCC Respiratory
Abdo WF, Heunks LM. Oxygen-induced hypercapnia in COPD: myths and facts. Crit Care. 2012 Oct 29;16(5):323. doi: 10.1186/cc11475. PMID: 23106947; PMCID: PMC3682248.
https://doi.org/10.1016/j.ajem.2023.08.040

Clinical Practice Radio - Episode 9 - Burns

Saison 1 · Épisode 9

mercredi 25 février 2026 • Durée 29:17

In this episode, the team turns their focus to major burns, one of the most complex and confronting presentations in pre-hospital care.

They discuss what defines a major burn, the systemic cascade that follows large TBSA injuries, and key priorities including early cooling, analgesia, fluid management, airway considerations, hypothermia prevention and transport decisions.

A practical refresher for clinicians who may not see major burns often but need to manage them well when they do.

References:

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Clinical Practice Radio (CPR) – Détails, épisodes et analyse

Détails du podcast

Classements récents

Apple Podcasts

Spotify

Liens partagés entre épisodes et podcasts

Other24

Apple Podcast2

Youtube1

Qualité et score du flux RSS

Historique des publications

Derniers épisodes publiés

Podcasts et contenus similaires

Podcasts Similaires Basées sur le Contenu

Apple Podcasts

Spotify

Podcasts Similaires Basées sur le Contenu

Other24

Apple Podcast2

Youtube1