This week, Aebhric O’Kelly talks with CoROM student Dmitry Vosnyak, who shares his experiences as a remote paramedic student currently completing clinical placements in Kilimanjaro, Tanzania. He discusses his background in emergency medicine, the challenges faced in chaotic environments, and the importance of practical training alongside theoretical knowledge. Dmitry reflects on a mass casualty incident he encountered, emphasising the need for effective pre-hospital care and communication. He also shares insights on how to prepare for such situations and his aspirations for further education in critical care.TakeawaysDmitry has extensive experience as a paramedic in various settings.Studying alongside practical experience enhances learning.The chaotic environment in emergency medicine requires adaptability.Mass casualty incidents highlight the need for pre-hospital care.Preparation and communication are crucial in emergencies.Dmitry emphasises the importance of hands-on training.He values the connections made with local medical teams.Continuous learning is essential for paramedics.Dmitry aims to improve his skills in critical care.He encourages new paramedics to study and gain practical experience.Chapters00:00 Introduction to Dmitry Vosnyak's Journey04:50 The Importance of Practical Training10:53 Clinical Placements and Skill Development17:35 Mass Casualty Incident Experience23:55 Reflections on Improvement and Preparation30:37 Future Aspirations in Critical Care43:03 Advice for new paramedics
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153-MiM25 Austere Ultrasound with Dr Slaven Bajić
This week, Dr. Slaven Bajic we have another presentation from our Medicine in the Mediterreanean conference from January 2025. In this lecture, Slaven discusses the importance of ultrasound in pre-hospital settings, its advantages, limitations, and a case study demonstrating its application in trauma care. The discussion emphasises the need for clinical judgment alongside ultrasound findings and the growing role of ultrasound in modern emergency medicine.TakeawaysFocused ultrasound is revolutionising emergency medicine.The FAST protocol is essential for trauma assessment.Ultrasound can be more effective than traditional methods.Rapid identification of unstable patients is critical.FAST exams must be repeated to ensure accuracy.Ultrasound is a non-invasive and portable technology suitable for field use.Clinical judgment is crucial when interpreting FAST results.Ultrasound can facilitate prompt decision-making in emergency situations.Training and practice are vital for effective ultrasound use.Ultrasound technology is becoming indispensable in emergency settings.Chapters00:00 Introduction to Focused Ultrasound in Emergency Medicine02:27 Understanding the FAST Protocol04:40 Advantages of FAST in Pre-Hospital Settings07:28 Limitations and Challenges of FAST09:49 Case Study: Application of FAST in Trauma17:32 Conclusion and Future of Ultrasound in Emergency Medicine
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150-PFC in Australia with Andy Bell
This week, Aebhric O’Kelly talks with Andy Bell, Deputy Director of Paramedicine for St. John's Ambulance in Western Australia, who shares his extensive experience in paramedicine, discussing the evolution of the profession, the role of critical care paramedics, and the challenges faced in remote healthcare settings. He emphasises the importance of academic advancement in paramedicine and the need for a mindset shift towards prolonged field care in austere environments. Bell also provides insights into the future of paramedicine, highlighting the growing role of community paramedics and the integration of evidence-based practices in patient care.TakeawaysAndy Bell is originally from New Zealand and has extensive experience in paramedicine.Paramedics in Australia are now registered medical health professionals under APRA.The critical care paramedics have the most advanced scope of practice in Australia.There is a significant push for academic advancement in paramedicine.Evidence-based practice is essential for the future of paramedicine.Prolonged field care is a common practice in remote areas of Australia.Communication and coordination are crucial in managing patients in remote locations.Community paramedics are becoming increasingly important in the healthcare system.New practitioners should focus on mastering the basics of patient care.A mindset shift is necessary for effective, prolonged field care. Chapters00:00 Introduction to Andy Bell and His Background03:30 Understanding Paramedicine in Australia08:15 The Role of Critical Care Paramedics12:39 The Evolution of Paramedicine and Academia18:02 The Future of Academic Paramedicine22:42 Prolonged Field Care in Remote Areas29:10 Challenges in Patient Management in Remote Locations35:46 Advice for New Practitioners in Austere Medicine
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149-MiM25 Needle D with Sean Bilodeau
In this episode of the CoROM Podcast, Dr. Sean Bilodeau discusses the intricacies of pre-hospital medicine, focusing on thoracostomy techniques and the challenges paramedics face in emergency medical services. Through case studies, he highlights the importance of evidence-based practices in needle decompression and the need for improved training methods for paramedics. The conversation emphasises the critical role of paramedics in saving lives and the ongoing efforts to enhance their skills and knowledge in trauma care.TakeawaysThe importance of thoracostomy in pre-hospital settings.Challenges faced by paramedics in emergency situations.Case studies illustrate the complexities of needle decompression.Evidence supports the effectiveness of pre-hospital interventions.Training methods for paramedics need to be improved.The role of paramedics is crucial in trauma care.Understanding the anatomy is essential for successful procedures.Finger thoracostomy may be more effective than needle decompression.There is a need for ongoing research in emergency medical practices.Collaboration between EMS and hospital staff is vital for patient outcomes.Chapters00:00 Introduction to Pre-Hospital Medicine01:28 Understanding Needle Thoracostomy06:04 Case Studies in Needle Decompression13:11 Evidence-Based Practice in EMS21:00 Teaching Techniques for Paramedics
About CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
Hosted by Aebhric O'Kelly, a critical care paramedic and former Green Beret, CoROM Cast explores wilderness medicine, austere healthcare, tropical diseases, emergency medicine, and remote medical practice. Weekly discussions feature global experts on Prolonged Field Care, Austere Critical Care, disaster medicine, humanitarian response, military pre-hospital care, tropical medicine, expedition healthcare, medical innovation, and practical solutions for healthcare in resource-limited environments.
Published by CoROM Press
www.corom.edu.mt
Listen to CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine., Founder's Story and many other podcasts from around the world with the radio.net app
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