The Critical Clinician

In this part 3 of 3 episode, we talk about the final type of shock. Sources • https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen. • https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2 • https://www.ncbi.nlm.nih.gov/books/NBK513297/ • https://www.ncbi.nlm.nih.gov/books/NBK470316/#:~:text=In%2...

Part 2 of 3 talking about the different prehospital types of pathophysiological shock. • https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen. • https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2 • https://www.ncbi.nlm.nih.gov/books/NBK513297/ • https://www.ncbi.nlm.nih.gov/books/NBK470316/#:...

Part 1 of 3 talking about the different prehospital types of pathophysiological shock. Sources • https://www.mayoclinic.org/first-aid/first-aid-shock/basics/art-20056620#:~:text=Shock%20is%20a%20critical%20condition,getting%20enough%20blood%20or%20oxygen. • https://pmc.ncbi.nlm.nih.gov/articles/PMC6323133/#s2 • https://www.ncbi.nlm.nih.gov/books/NBK513297/ • https://www.ncbi.nlm.nih.gov/books/NBK4...

In this Crib Chat episode, we talk about a widely used tool in prehospital care, the glasgow coma scale.

In this episode Steph discusses a case study and pathophysiology around cellulitis, a common presentation in the prehospital environment. Sources: https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0021/219045/cpg_cellulitus.pdf https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-causes/syc-20370762 https://www.healthline.com/health/cellulitis#fa-qs https://www.ncbi.nlm.nih.gov...

This episode was made in conjunction to last week's episode 'Anaphylaxis and severe allergies'. We discuss the pharmacology of adrenaline in a paramedic scope. Sources: https://www.sciencedirect.com/topics/neuroscience/sympathomimetic-drug https://www.sciencedirect.com/topics/medicine-and-dentistry/sympathomimetic https://study.com/learn/lesson/alpha-beta-receptors.html https://www.ambulance.qld.g...

In our first pathophysiology episode for the year, I talk about a brief case study relating to an anaphylactic presentation and the pathophysiology. Sources: https://emedicine.medscape.com/article/135065-overview#a3 https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0019/219043/cpg_anaphylaxis-and-allergy.pdf   https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/c...

Plans for 2025, catchup from the holidays and reintroduction for new listeners.

Part 2 of 2 discusses CPD (continued professional development) and [the well awaited] "wildest story as a paramedic".

Join me as I sit down with Victorian MICA flight paramedic, Cat Mackay. In this part 1 of 2 episode, we talk all things MICA application process, training and aspects to the job. Part 2 to be released mid next week.

In part 2, George talks about her ebook 'Shift Work - a guide', discussing the acute and accumulative psychological and physiological effects of shift work. TW: Mental health, PTSD Lifeline : 13 11 14 Beyond Blue : 1300 22 4636

I had the pleasure of interviewing George Mitchell, prior rural paramedic with the New South Wales Ambulance, and current naturopathic student. In part 1, she discusses her journey into paramedicine. TW: Mental health, PTSD Lifeline : 13 11 14 Beyond Blue : 1300 22 4636  

TW: Suicide, homicide, self harm, mental health In part 2, Emily details her experience as a paramedic at an open-cut mine in Northern Queensland, the struggles the mining industry faces and her future career objectives. Lifeline : 13 11 14 Beyond Blue : 1300 22 4636

I interview one of my best mates, Emily Lydeamore-Walker, as she recounts her journey to become a mine-site paramedic in Northern Queensland. In part 1, she details her university experience and her London Ambulance Service Exchange program.

TW: Mental health, suicide, self harm. This part 2 of 2 episode dives into the mental status assessment (MSA), sedation assessment tool (SAT) and emergency examination authorities (EEA).

TW: Mental health, suicide, self harm. In this episode, we do a deep dive into the methods of de-escalation, and also the types of questions to ask a mental health patient.

YIKES! What's worse than having a UTI? Nothing, I say! This episode dives into a case and pathophysiology of a UTI. Sources: https://www.yalemedicine.org/news/urinary-tract-infection-uti#:~:text=Women%20likely%20experience%20UTIs%20significantly,travel%20to%20reach%20the%20bladder . https://my.clevelandclinic.org/health/symptoms/24400-nitrite-positive-urine https://www.mayoclinic.org/diseases-cond...

New kid on the block! In this episode, I'm discussing the brand new drug introduced to the ACP2 scope in Queensland, Cefazolin. Sources: https://go.drugbank.com/drugs/DB01327 https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0018/219141/cpg_limb-injury.pdf https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0027/308835/DTP_Cefazolin.pdf https://www.mims.com/philippines/drug/info/cefazoli...

In this episode we discuss the concepts of DCR, in addressing the components of the lethal triad; hypothermia, acidosis and coagulopathy. We would love to hear your thoughts! Sources: Damage Control Resuscitation - Joint Trauma System . (2023). Health.mil. https://jts.health.mil/index.cfm/PI_CPGs/damage_control Yasumitsu, M. (2017). Damage control resuscitation: a practical approach for severely h...

This is part 2 of 2, discussing the second acute aortic syndrome presentation, abdominal aortic aneurysm (AAA). Sources: Tsai, T. T., Nienaber, C. A., & Eagle, K. A. (2005). Acute Aortic Syndromes. Circulation, 112(24), 3802–3813. https://doi.org/10.1161/circulationaha.105.534198 Acute Aortic Syndrome: Causes, Symptoms &Treatment. (2022, October 5). Cleveland Clinic. https://my.clevelandcl...

In this part 1 of 2 episode, we will be discussing Acute Aortic Syndromes (AAS). This week we will be discussing acute aortic dissection (AAD). Sources: Tsai, T. T., Nienaber, C. A., & Eagle, K. A. (2005). Acute Aortic Syndromes. Circulation, 112(24), 3802–3813. https://doi.org/10.1161/circulationaha.105.534198 Acute Aortic Syndrome: Causes, Symptoms &Treatment. (2022, October 5). Clevelan...

Are you familiar with the Paediatric Assessment Triangle (PAT)? Source: AAP American Academy of Paediatrics, (2013). Pediatric Education for Prehospital Professionals (PEPP). 3rd Edition. Jones & Bartlett, Sudbury, MA. Fernández A, Ares MI, Garcia S, Martinez-Indart L, Mintegi S, Benito J. (2017). The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pe...

In this episode, we discuss a tension pneumothorax presentation. Sources: Huan, N.-C., Sidhu, C., & Thomas, R. (2021). Pneumothorax. Clinics in Chest Medicine, 42(4), 711–727. https://doi.org/10.1016/j.ccm.2021.08.007 Ruchi Jalota Sahota, & Sayad, E. (2024, January 30). Tension Pneumothorax. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559090/ Weiser, T. G. (2024,...

In this episode, we will discuss a case involving an acute dystonic reaction and its aetiology. Symptom clusters include: Oculogyric - Upward or lateral deviation of eyes Boccolingual - Facial grimacing +/- dysarthria and/or dysphagia Torticollic - Spasms of neck musculature Tortipelvic - Abdominal wall musculature spasms Opisthotous - tetanic spasm where spine and extremities are bent forward Sou...

In this episode, we will be discussing acute coronary syndromes, in particular unstable angina. Sources: Anonymous. (2022). Acute Coronary Syndrome. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/acute-coronary syndrome/symptoms-causes/syc-20352136 • Goyal, A. Zeltser, R. (2022) Unstable Angina. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK442000/#:~:text=Unstable%20angina%20is%2...