PHEMCAST - Tim Nutbeam and Clare Bosanko

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Vasopressors in Trauma

Thursday, April 27, 2023 • Duration 48:58

Further reading Matt has kindly provided a list of references from his Trauma Care talk which this podcast is based on: Peri-operative and critical care management of the brain – current evidence. Anaesthesia: Vol 77, No S1. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition Vasopressors in Trauma: A … Continue reading Vasopressors in Trauma

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TXA – an update

Monday, November 28, 2022 • Duration 35:42

Read more about the Cochrane injuries group: https://injuries.cochrane.org/about-us-0 Have a listen to the earlier TXA podcast here: https://phemcast.co.uk/2018/01/18/episode-26-tranexamic-acid/ Do you want to revise your clotting pathways and the mechanism of action of TXA?! Here are some links to the excellent Life in the Fast Lane: https://partone.litfl.com/clotting.html https://partone.litfl.com/unclotting.html The Resus Room podcast which discusses Tim and … Continue reading TXA – an update

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Altitude

Thursday, March 18, 2021 • Duration 50:17

From: https://www.bbc.co.uk/news/uk-wales-46441129 From: https://www.ultimatekilimanjaro.com/blog/should-i-use-supplemental-oxygen-on-kilimanjaro/ Want to know more? This is one of the organisations Lucy mentions: British Exploring And this is the Global Health MSc The Wilderness Society Guidelines are available here. This is the link to the Wilderness Medical Society. Consensus statement from the UIAA on People with Pre-Existing Conditions Going to the Mountains, … Continue reading Altitude

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Drowning

Thursday, February 25, 2021 • Duration 50:49

Some facts Drowning is important: 1,000 people drown every day, 2 every 3 minutes, 41 per hour. It is the world’s 3rd leading cause of accidental death: 3.6 million people over 10 years. Disease of youth 64% < 30 years old 43% < 15 years old 25% < 5 years old Male: female ratio 2:1 In … Continue reading Drowning

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Episode 36: COVID-19

Sunday, May 3, 2020 • Duration 01:02:32

Case definition Current case definition for COVID-19 can be accessed here. Risk stratification This is the Emergency Medicine Specialty guide we discussed in the podcast, which includes use of the NEWS and 40 step test (edit: since recording the podcast yesterday (!) we’ve been made aware of the Sit to Stand test). Here is a … Continue reading Episode 36: COVID-19

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Episode 35: The collapsed infant

Wednesday, September 25, 2019 • Duration 28:51

A: Optimal airway position for infants Note how a rolled towel is placed under the baby’s shoulders to allow space for the occiput and avoid flexion of the neck and airway. ‘B’ assessment Video links to examples of children with signs of respiratory distress: Stridor Grunting Increased work of breathing ‘D’ assessment Example video showing … Continue reading Episode 35: The collapsed infant

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Episode 34: Back pain

Friday, July 12, 2019 • Duration 27:21

So, where is the Cauda Equina? From Core EM How does a herniated disc cause CES? This fab infographic summarising the key points about the CES guidance was produced by @DrLindaDykes and @saspist. Here is the full guideline from The Society of British Neurological Surgeons and The British Association of Spinal Surgeons. NICE guidance on Low back … Continue reading Episode 34: Back pain

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Episode 33: Psychosomatic Illness

Sunday, March 31, 2019 • Duration 31:51

Many thanks to Suzanne O’Sullivan for her time in putting this podcast together. Her excellent books “It’s all in your head” and “Brainstorm” are well worth a read. It is certainly one of the PHEMcast recordings which is going to change my own practice the most. We can all find these patient’s challenging … Continue reading Episode 33: Psychosomatic Illness

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Episode 32: Ketamine

Sunday, March 3, 2019 • Duration 37:27

Huge thanks to the team at World Extreme Medicine and WEM Cast for sharing the interview with Richard Harris. Dosing These are a guide only, each patient will need a bespoke approach depending on their pre-existing condition, degree of cardiovascular compromise, conscious level and drugs already administered. Clearly you … Continue reading Episode 32: Ketamine

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Episode 31: Stroke & Dizziness

Tuesday, January 22, 2019 • Duration 28:32

The Danish mnemonic to help remember the elements of a cerebellar neurological examination: There are lots of Youtube videos to demonstrate these signs, here are a few which I thought were particularly helpful: Disdiadochokinesis Ataxia Nystagmus Intention tremor If you would like to read more, there is a blog post Martin and I wrote … Continue reading Episode 31: Stroke & Dizziness

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PHEMCAST – Details, episodes & analysis

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PHEMCAST – Details, episodes & analysis

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