General BroadCAST

This month we're looking at Crush Syndrome, this is the presentation of Traumatic Rhabdomyolysis, Hyperkalaemia, Hypovolaemia and Compartment syndrome following a prolonged entrapment . We look at the faculty of prehospital cares consensus statement examining the physiology involved, our managment such as whether torniquets are still needed and where calcium may or may not fit in as well as pr...

In our choking podcast we discussed the differential diagnosis of Oesophageal food bolus. In this breif episode Simon talks us through exactly what this condition is, how to recognise it and what treatments work (and dont work) to help manage this condition. Find our other work at www.generalbroadcast.org.ukThis Podcast is supported by GEEKY MEDICS. Check out their range of online revision materia...

This month we're taking a look at the management of the most time critical airway emergency... choking. You might think there's not much to talk about here, but we wanted to share really practical tips for how paramedics, EMS workers and other emergency clinicians can deal with this time critical problem. From assessment of true choking, threatened or partial obstructions, to tips for supp...

Alcohol Withdrawal Syndrome (AWS) remains one of the most frequently encountered yet potentially life-threatening presentations in acute and pre-hospital medicine. While it may initially present with tremor or anxiety, it exists on a spectrum that includes seizures and delirium tremens (DTs), both associated with significant morbidity and mortality and something paramedics and EMS staff need to be...

Late yes! But very much worth the wait.... Not ones to be left out, this month we're jumping on the resuscitation bandwagon and discussing the most recent updates to the UK resuscitation guidelines 2025. Join us as we discuss whats new, what we're adopting into our practice, and what we're going to take with a pinch of salt. Check out our other episodes and the supporting article for t...

With over 400,000 type 1 diabetics living with the disease in the UK, the likelyhood  paramedics and emergency responders will encounter a patient in crisis is quite high.  Diabetic ketoacidosis is undoubtably a problem that you will have encountered in your practice and effective prehospital recognition and management is key to starting a potentially life saving pathway of care. This month we’re...

In this Episode we reflect on a case of Beta Blocker overdose, we examine the pharmacology with toxicity, look at specific drugs like propanolol and how these differ, as well as the evidence behind the treatment and management of patients who present with beta blockade toxicity. Check out our other episodes and the supporting article for this podcast on heck out our other episodes at www.generalbr...

This throwback TMT is a segment from our podcast interviewing the head of the national tracheostomy safety project Dr Brendan Mcgrath. In this segment he describes how to effectively oxygenate and ventilate patients with tracheostomies. Find the full episode here: https://open.spotify.com/episode/6hbE3h2DPxJb6nTHqfbXdw?si=408c7f2439954c4c and the article at www.generalbroadcast.org This Podcast is...

This is the second in our 2 part podcast looking at Newborn Life support. In the second episode we look at a real time run through of the NLS algorithm applying the theory from the first part as well as giving handy tips to make these situations easier to manage. Make sure you've listened to the first episode where we talk about the differences in anatomy and physiology of the newborn baby as...

This is the first of our 2 part podcast looking at Newborn Life support. We talk about the differences in anatomy and physiology of the newborn baby as well as the changes involved in transition after birth, why newborns may struggle and go into cardiovascular collapse and the theory of NLS. In the second episode we look at a real time run through of the NLS algorithm applying the theory from the...

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Douglas Anthony Chamberlain, CBE, OStJ, KSG was a British cardiologist who founded the first paramedics in the United Kingdom which at the time was the paramedic unit in Europe, revolutionising pre-hospital care. We wanted to take a moment to reflect on the story of the man who founded the profession and career that we love. His story is written and narrated by Nat Le Blanq a paramedic and visitin...

This is a throwback episode looking at a key learning point from Episode 10 - Lower back pain. Check out the full episode here: https://open.spotify.com/episode/3NT6CoVEDEVkGkhdy16RpF?si=2c72965d65b54529 Find the article here: https://www.generalbroadcast.org.uk/blog/atraumatic-lower-back-pain This Podcast is supported by GEEKY MEDICS. Check out their range of online revision material at  www.geek...

In this months episode, we explore one of the most challenging aspects of paramedic practice — discontinuing resuscitation and how to deliver that news with compassion and clarity. Breaking bad news following a cardiac arrest is a crucial skill, yet often done poorly. We discuss who should take the lead, how to manage dynamic prehospital environments, and how to tell families their loved one has d...

On the back of our last episode looking at fitness to practice and keeping ourselves safe, we thought it would be a good opportunity to reflect on the way we write medical notes and how its changed over our time as paramedics. It's also a vital part in the transition and onwards of care patients. Check out our other episodes at www.generalbroadcast.org.uk This Podcast is supported by GEEKY MEDICS....

This month we were lucky enough to sit down with Andrea James, a lawyer who specialises in defending paramedics in HCPC fitness to practice hearings. We spoke to Andrea about what is involved with fitness to practice hearings and how we can protect ourselves with quality documentation. She hands out her tips on what makes practice easy and difficult to defend. Check out our other episodes at www.g...

Cauda Equina is one of the most litigious areas in emergency medical practice, as if it's missed, it can have devastating effects for patients. Cauda Equina (CES) was mentioned in a recent update to JRCALC as a condition with specific prehospital actions that all paramedics in the UK must be aware of. So we thought it would be a good opportunity to do some revision. Want a slightly more in-depth d...

Burns represent a special form of severe trauma which can negatively affect nearly every organ system. Despite huge advances in the care of these patients, severe burns are still associated with high morbidity and mortality long term….. and due to long hospitalization, rehabilitation, and extensive scar treatment, severe burn injuries rank among the most expensive traumatic injuries with regard as...

Autonomic dysreflexia is listed in JRCALC as a condition with specific prehospital treatments, meaning it is something that emergency clinicians and ambulance crews need to be aware of. This month we take a look at what is happening with this unposed sympathetic activity, how spinal injury patients develop autonomic dysreflexia and what we can do to lower bloodpressure. Find the references and our...

Renal colic is one of those conditions, that if you've had it you'll never forget it, and if you've seen it, you'll probably be able to recognise it the next time you come across it. However, it isn't without risks. Renal colic has several mimics which are life threatening emergencies, indeed the disease itself can have a wide spectrum of complications. This month we look at the diagnosis and asse...

Along with our regular content, we will be releasing a short, less than 10 minute episode on a variety of topics. Perfect for a short commute to work, walk between lecture halls or frantic revision enroute to a call. This month we look at Paracetamol Overdose, what happens, why it's so toxic and what treatment involves. Find the references and our podcasts at www.generalbroadcast.org.uk This Podca...

This month we look at managing hypoglycaemia, the perfect episode to listen to if you're just starting your educational journey as a student paramedic! But don't think this is only for newbies, theres loads of information in there for experienced medical students and qualified emergency practitioners alike. Learn about the physiology of Diabetes mellitus, how drugs like glucagon work as well as wh...

Along with our regular content, we will be releasing a short, less than 10 minute episode on a variety of topics. Perfect for a short commute to work, walk between lecture halls or frantic revision enroute to a call. This month we look at Arterial torniquets, and how can perfect our use of them. Find the references and our podcasts at www.generalbroadcast.org.uk Like the podcast? help keep it free...

This month we take a look at nitrate poisoning. It may not be the most common emergency case to present to prehospital clinicians, but cases of it do appear to be on the rise. So join us as we talk about methaemaglobinemia, safety on scene and protecting rescuers and the assessment and care of these patients. Find the article and references at www.generalbroadcast.org.uk

In this second part looking at care of patients who have gained a return of Spontaneous Circulation, we discuss; reassessment and changing airway needs, how we can optimise ventilation for these patients. We look at the latest evidence in hyperoxia and temperature management as well as discussing inotropes, post ROSC adrenaline and blood pressure control. Find previous episodes and the references...