In this episode we are joined by Consultant anaesthetist Lauren Weekes (Devon air ambulance, BASICS Devon, University Hospitals Plymouth) Topics covered in this episode: -epidemiology -pathophysiology -assessment + management in pre-hospital setting -Primary + Secondary Brain injury -pre-hospital critical care interventions Twitter @Medicmiddle @WeekesLauren

Hello! Welcome back to the show. In this Episode, James Yates (GWAAC, Resus Room, soNAR) Joins us to discuss Neonatal Management and transition of the newborn at birth. Topics covered include: - What is soNAR? - Neonate definition - Pre term birth - Neonate assessment and management - Fetal + newborn circulation - Stabilisation at birth (DCC, Thermal Care) - Assessing and managing a newborn - Neonatal Life Support/ Post Transitional care Twitter @medicmiddle

Welcome back to Medic in The Middle, in this episode we speak to YAS HART Critical Care Paramedic Jonathan Bush to talk about Drownings In this Episode expect to hear about - Drowning definition + Epidemiology - Drowning Physiology - The 'Metabolic Ice box' - Scene safety and scene management - When is resuscitation futile ? - ALS considerations during cardiac arrest

Welcome back to Medic In the Middle!  In this episode we are joined by West Midlands Care Team  The West Midlands Central Accident, Resuscitation & Emergency team is a charitable organisation who respond to serious medical incidents within the West Midlands, UK providing enhanced clinical care to critically ill patient's. For more information on WM CARE head to https://wmcareteam.com/wmct/ Featuring: Dr Emir Battaloglu Dr Steph Cowan CCP Pete Bowles In this episode we discuss Road traffic collisions, extrication, pelvic injuries, and management of pelvic injuries. Twitter Handle @medicmiddle

Welcome back to Medic in the Middle. In this episode we were lucky enough to catch up via a long distance call with Firefighter/EMT Jordyn Goddard, based in Virginia - USA. In this episode we discuss the Day to day life of an American Firefighter/EMT and how EMS systems are structured in the USA. We also discuss the similarities and differences to USA vs UK EMS systems plus much more! Many thanks again to Jordyn for featuring on the show! Twitter @medicmiddle

Hello!  Welcome back to Medic in The Middle. On this episode we are joined by Midlands Air Ambulance Critical care paramedic Ryan Ferris.  We discuss Brain impact apnoea and discuss if isolated head injury can be the cause of cardiovascular collapse in trauma patients.  Covered in this episode:  - Overview  - Pathophysiology + differences to TBI - Prevalence of Brain Impact Apnoea - Assessment and Mangement Strategies - Cardiovascular collapse associated with Brain impact apnoea

In this Episode we discuss LVAD (Left ventricular assist Devices) with LVAD Specialist Nurse and Heart+Lung transplant Co-ordinator Philippa Doherty. Topics covered in this episode; - LVAD definition - LVAD epidemiology - Assessing an LVAD patient  - Complications in LVAD patients  - The unconscious + acutely unwell LVAD patient  - Rhythm Management/Cardio-version/Defibrillation  - Cardiac arrest considerations + management Twitter: @MedicMiddle

Welcome back to Medic in The Middle!  As winter dawns and it is starting to get a bit chilly, We thought it would be rather fitting to delve into the topic of Hypothermia! Joined by Rob Fenwick ACP EM (The Resus Room) we together tackle this subject and recap on some key points when managing Hypothermic patients. Covered on this show; - Definition of Hypothermia and Incidence - Primary + Secondary Hypothermia - Mechanisms of heat loss + Homeostasis - Pathophysiology associated with Hypothermia  - Considerations to Treatment - Considerations of Extreme Hypothermia and Cardiac arrest.

Welcome back to Medic in the Middle, in this episode Critical Care Paramedic Ryan joins us for part 2 of 'Haemorrhage'. In this episode we cover: - Hypovolemia in trauma (Fluid management) - TXA  - Oxygenation   Follow on Twitter - @MedicMiddle  Music Composed and performed by Tom Alderson.

'Medic In The Middle' is a podcast series hosted by registered Paramedic, Tom Alderson. Medic In The Middle aims to explore a range of different topics, issues and articles based around Pre - hospital emergency medicine. This first series will feature guests from a range of different Pre hospital and in hospital specialties. On this show HEMS CCP Ryan Ferris Joins us again to talk about haemorrhage and principles of haemorrhage control. Follow the show on twitter '@Medicmiddle' Show notes/references are below: https://www.traumacare.org.uk/ - External Haemorrhage Control Presented by Paul Parker (Tournequets + improvised haemorrhage control techniques) https://persysmedical.com/blog/hypothermia-prevention/trauma-triad-of-death/ https://www.jems.com/patient-care/three-reasons-not-to-use-saline-or-crystalloids-in-trauma/ https://phemcast.co.uk/ https://go.drugbank.com/ https://pubmed.ncbi.nlm.nih.gov/23477634/ Trauma Care Webinar: Fractured Neck Of Femur Presented by Martyn Parker https://www.tarn.ac.uk/