ED JAM

Tara talks about her experiences with mental health from over 20 years working as an intensive care paramedic. She shares her knowledge and some key turning points in her career that shaped her in the profession.

Tara spoke about her personal experience and how mental health assessments have changed. Topics that were raised were PTSD, mental health assessments, suicide risk and why duty of care is so important. 

Show Notes 

Mental Health Person Centred Approach

Tara instagram- click here to send her a Message 

On this week’s episode I sat down with Clinical midwife Consultant Amanda Rehayem to discuss hypertensive disorders in pregnancy.  Amanda unpacks the classifications, diagnostics, treatment and gives us some great clinical advice from her experience as a practicing midwife. From catching babies to preeclampsia, Amanda gives us useful insight into, how hypertensive disorders can really affect the person your treating. The episode will leave you with a buzz and may even tempt you, to pursue the career path to become a midwife. Topics such as HELLP syndrome and eclampsia were also discussed. 

Show Notes 

Hypertensive disorders in pregnancy - pre-eclampsia, click link below 👇 

https://litfl.com/pre-eclampsia-and-eclampsia/

Journal preeclampsia- bmj.com/content/366/bmj.l2381

On this weeks episode I sat down and chatted with the amazing and very talented Dr Charlotte Durand. Charlotte is an Emergency Doctor with a passion for exercise, sport and a true lover of the great outdoors. This episode was focused around the topic of Concussion and in my opinion is a great episode for not only clinicians but for parents, families an those interested. We talked about CTE, the history of CTE, brain neurochemistry and how we approach concussion in the ED. 

There is a trigger warning on this episode as Charlotte and myself do talk about themes such as suicide and domestic violence. 

Charlottes instagram 

https://www.instagram.com/chardurand/?hl=en

Charlotte podcast

https://www.acemprimarypodcast.com

Links 

* Boston Concussion Legacy Foundation

https://concussionfoundation.org/

On this weeks episode I sat down with Coby Wiseman and discussed his diagnosis of type 1 diabetes. Coby comes from a family of emergency clinicians with his mum a lecturer/trauma Nurse and father an Intensive Care Paramedic. The episode also features Professor Maria Craig who is an paediatric endocrinologist, who was Coby doctor when he was diagnosed with Type 1 diabetes. The episode talks through the pathophysiology, treatment, diagnosis and the impact that diabetes has had on coby life and still has on his life. 

Show notes

* International Society for Pediatric & Adolescent Diabetes

https://www.ispad.org/default.aspx?page=ISPADClinicalPract

* The Australasian Paediatric Endocrine Group (APEG) 

https://apeg.org.au/clinical-resources-links/guidelines-and-consensus-statements/

*20-year outcomes of childhood-onset type 1 diabetes: The CANDID incident cohort surveyhttps://doi.org/10.1111/dme.14473

*Associations between circulating inflammatory markers, diabetes type and complications in youth https://onlinelibrary.wiley.com/doi/10.1111/pedi.12913

*Royal children's Guidelines diabetes 

https://www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus/

On this episode I sat down with Dr John Mackenzie and discussed the complexities of hyperbaric medicine. John discussed indications for hyperbaric treatment, the physiology behind medicine, how the unit works and some interesting cases. DCI, air embolisms, CAGE and even carbon monoxide poising were but a few of the topics discussed on this weeks chat.    His reputation definitely proceeded him and let's just say I am sure this episode is going to be loved by all. If you haven't heard of John Mackenzie you are about to listen to a living Legend. 

Dr John Mackenzie resources 

* hyperbaric-medicine- Click link

* http://hboevidence.wikis.unsw.edu.au/Home

* procedures videos Dr John Mackenzie - check this out if you have not already they are amazing. https://emergencyprocedures.medapps.com.au/procedure/575192

* Life in the fast lane https://litfl.com/hyperbaric-oxygen/

This episode was an informal conversation with ED CNE Brad and ICU RN Tino on the topic of sepsis. Themes that were discussed included , definitions, management, fluid administration, iv antibiotics, vasopressors and Inotropes. Brad and Tino shared some stories and clinical experience from their time as Intensive care and Emergency nurses. 

Resources 

• Surviving_Sepsis_Campaign__International.21. click this link to read the article

Podcasts  

medspresso-podcast- check it out

Restart the heart, is exactly what Intensive Care Paramedics, Jeni and Harry are trained to do. However generally they are not expected to do it on their fellow paramedics. This episode is about Adam ( a paramedic) who was feeling unwell after a bike ride. Two intensive care paramedics and friends of Adams treated him, then whilst driving things turned south. Themes such as out of hospital Cardiac arrest, treatment of STEMI's, honnest debriefing and family input were raised throughout the episode. The episode will leave you in awe of friendship, a healthy respect for paramedics and a love for the wider healthcare community. 

Show Notes 

Ambulance.nsw.gov.au - Cardiac Arrest Registry - click here to view

restartaheart cardiac-arrest- Resources - click here to view

heartfoundation and cardiac-arrest- useful resources for the general Public

Life in the fast lane - cardiac Arrest 

This is helpful for anyone out there wanting to read about cardiac arrest and stay up-to-date. 

https://litfl.com/cardiac-arrest-literature-summaries/

News video and interview with channel 9 , about Adams storey. click here to watch

Chest decompressions in the dark, surgical airways with night vision goggles- a few of the things that Dr Dan Pronk has had to do whilst operating as a Special Operations Doctor in the military. This episode will leave you in awe for not only the people in the military but for all emergency services working under pressurised situations. Dan served the majority of his military career within Special Operations Units, including four tours of Afghanistan and over 100 combat missions. Dan was awarded the Commendation for Distinguished Service for his conduct in action on his second tour of Afghanistan. In this episode, I sat down with Dr Dan Pronk and talked through topics such as military trauma, PTSD and resilience. Dan talked about his experiences with, and management of, trauma patients in the field and what it was like working in these high intensity, high stress environments. Personal reflections on PTSD, loss of identity and purpose also lead to dan writing the resilience shield which was also discussed on this episode. 

To read and purchase Dan's book click the links below 

- https://resilienceshield.com/purchase-the-book/. click this link to purchase now !!!!

- Take the resilience survey 

Assess your resilience- Take the survey Now !!! click this link

- TACMED

- Tac Med - for all resources and medical equipment follow this link to the tac med website. click here !!

Arterial-Tourniquets-E-Book-Tacmed-Australia.pdf - awesome read

On this weeks episode I discussed Paediatric ECG's  with Dr Paul Gilhooly. Paul outlined and spoke about how to interpret Paeds ECG'S, in a systematic structured approach. Paul is an emergency advanced trainee choosing to specialise in adult and paediatric Emergency Medicine. On the episode we discuss four real paediatric ECG cases that are worth a listen and a look at, check the show notes for the ECGS. 

Case 1 

Link to the ECG 

Newborn case- bradycardia 

Case 2 

-3 month old poor feeding , with a vomit 

Case 3 

- 15 year old post pfizer with new chest pain 

case 4 

4 year old girl , with syncopal episodes, increasing lethargy. 

Click this link for access to all 4 ECG , click here

SHOW notes - ECG Resources 

Paeds ECG resources- click this link

Evans WN, Acherman RJ, Mayman GA, Rollins RC, Kip KT. Simplified pediatric electrocardiogram interpretation. Clin Pediatr (Phila). 2010 Apr;49(4):363-72. doi: 10.1177/0009922809336206. Epub 2010 Jan 28. PMID: 20118092.

This episode was a discussion with Dr Maddie Reynolds about intubation and drugs. On the episode we spoke about how Maddie approaches intubation as an anaesthetic registrar. Maddie also spoke about some important things that she does that I think all Clinicians should take a listen to. Get ready to jump into some detailed pharmacology as Mads unpacks agents like Suxamethonium, Propofol  Rocuronium and the one and only ketamine.. Mads also talks about what she has learnt on the job and her personal reflections on medicine. 

Clickable links below 

Emergency Airway Management Part 3: Intubation – the procedure 

Structure and function of the upper airways- deranged Physiology 

Direct-laryngoscopy - Life in the fast lane 2022

Rapid-sequence-intubation- RSI - Life in The Fast Lane

Propofol - Life in the fast Lane

Succinylcholine vs. Rocuronium: Battle of the RSI Paralytics