The SWORBHP Podcast

The SWORBHP Podcast

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The SWORBHP Podcast episodes

  • Cardiac Ischemia

    In this episode, Dr. Sarah Cocco (Emergency medicine resident) and Tristen Hovius (Prehospital Care Specialist) take a deep dive into the Cardiac Ischemia medical directive and the realities of identifying and treating suspected cardiac ischemia in the prehospital setting. Moving beyond textbook chest pain, they explore anginal equivalents, atypical presentations, ECG limitations, and the evidence behind early interventions like ASA and nitroglycerin. Through practical discussion and case-based examples, this episode emphasizes a low-threshold, evidence-based approach to suspected cardiac ischemia, while helping paramedics build confidence navigating the gray areas of the directive.

    20 min
  • Trauma Resuscitation Theory: Team Cognition in Acute Care Action Teams

    Dr. Colin Evans, newly minted staff emergency physician here in London, joins us to discuss prehospital care from the lens of one of his five careers, as a Paramedic with Middlesex London Paramedic Service.

    He is also one of the founding members of the PreHospital and Retrieval Medicine (PHARMers) group, with the goal to provide education to optimize prehospital care. Their first meeting was based on optimizing trauma resuscitation.

    In his latest career, as an academic emergency medicine physician, he has a strong research interest in optimizing and measuring team cognition in acute care action teams.

    In today’s podcast, he lends his knowledge and multiple career experience, to takes us through optimizing prehospital trauma care though team cognition and developing mental models.

     

    Disclaimer: Dr. Evans takes us through how he would optimize prehospital care in trauma and gives some examples throughout. His practice now includes in-hospital management which may differ from prehospital management. The Please follow the BLS PCS and ALS PCS care direction. Example: Dr. Evans discusses judicious fluid administration after the patient becomes normotensive. As a reminder, the OBHG Companion Document highlights that, “Once a bolus has been initiated, a minimum volume of 100 ml in pediatrics and 250 ml in adults may be administered prior to discontinuing the fluid bolus should the patient become normotensive.”

    1 hr 9 min
  • CPAP for Asthma?

    In this episode of The SWORBHP Podcast, Dr. Lauren Valdis, Medical Director of Education at SWORBHP and Dr. Jakob Domm (PGY-4 FRCPC Emergency Medicine resident at Western) review the current medical directive for CPAP use in Ontario, asthma physiology, and discuss why CPAP or BiPAP is sometimes used for asthma exasperation in the hospital setting but is not indicated in the prehospital setting, in Ontario.

    Show Notes

    25 min
  • A Conversation on BH Audits with Dr. Doran and Dwayne Cottel

    It’s no secret that receiving an audit from SWORBHP can spark a lot of anxiety, but should it? Dr. Sean Doran (Local Medical Director) and Dwayne Cottel (Prehospital Care Specialist) discuss this in our latest podcast.

    A variety of topics are discussed, including:

    • Why self-reporting is the best option and the importance of it
  • The auditing process and how things work behind the scenes
  • Feedback requests, why we reach out and the value in a prompt response

    • These questions and answers cover most of what you, as a Paramedic, should know about auditing and its process. We hope you enjoy and learn a lot from this great conversation!

    If you have any other topics you want to see discussed on the SWORBHP Podcast, let us know by submitting them through our website: SWORBHP Podcasts – Southwest Ontario Regional Base Hospital Program (SWORBHP)

    19 min
  • Trauma in Pregnancy

    In this episode of our SWORBHP Webinar series Dr. Lauren Valdis talks to Dr. Erfun Hatam about Trauma in Pregnancy as it relates to the prehospital world.

     

    Caution: This subject matter, Trauma in Pregnancy, may be upsetting or distressing to some viewers. Please keep this in mind prior to watching.

    31 min
  • Pediatric Trauma

    Caution:


    This subject matter, pediatric trauma, may be upsetting or distressing to some listeners. A theoretical case of a pediatric patient who experienced a traumatic injury is discussed to help frame important learning points. Please keep this in mind prior to listening.


    Description:

    In this episode of the SWORBHP Podcast Dr. Lauren Valdis is joined by our special guest Dr. Brett Plouffe, a Pediatric EM Fellow. This episode discusses pediatric trauma as it pertains to your practice.


    References:

    1. Harcke, H. T., Lawrence, L. L., Gripp, E. W., Kecskemethy, H. H., Kruse, R. W., & Murphy, S. G. (2019). Adult tourniquet for use in school-age emergencies. Pediatrics, 143(6).

  • Ross, E. M., Mapp, J. G., Redman, T. T., Brown, D. J., Kharod, C. U., & Wampler, D. A. (2018). The tourniquet gap: a pilot study of the intuitive placement of three tourniquet types by laypersons. The Journal of Emergency Medicine, 54(3), 307-314.

  • Cunningham, A., Auerbach, M., Cicero, M., & Jafri, M. (2018). Tourniquet usage in prehospital care and resuscitation of pediatric trauma patients—Pediatric Trauma Society position statement. Journal of Trauma and Acute Care Surgery, 85(4), 665-667.

  • Russell, R. T., Esparaz, J. R., Beckwith, M. A., Abraham, P. J., Bembea, M. M., Borgman, M. A., ... & Spinella, P. C. (2023). Pediatric traumatic hemorrhagic shock consensus conference recommendations. Journal of Trauma and Acute Care Surgery, 94(1S), S2-S10.

  • Sokol, K. K., Black, G. E., Azarow, K. S., Long, W., Martin, M. J., & Eckert, M. J. (2015). Prehospital interventions in severely injured pediatric patients: rethinking the ABCs. Journal of trauma and acute care surgery, 79(6), 983-990.
    • 31 min

About The SWORBHP Podcast

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An educational podcast covering a wide variety of topics for the paramedics of the Southwestern Ontario Region.

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