https://youtube.com/playlist?list=PLzOA-cPFPGEQ_X2oU41rngncIzCOw4obX 🚑 🧠 Hosted by a HEMS MICA paramedic and an ED doctor, Prehospital Nerds is your go-to podcast for sharp, real-world emergency care. We cover clinical pearls, cases, gear, procedures, and prehospital decision-making—all with evidence, personality, and the occasional ridiculous moment. 🚨 Join the nerd squad. 🌐 www.prehospitalnerds.com 📱 @prehospitalnerds on all socials. #PrehospitalNerds #FOAMed #EMS #HEMS #Paramedics #CriticalCare #TraumaCare #EmergencyMedicine #PrehospitalCare #EMT TV & Film Podsync generator (support us at https://github.com/mxpv/podsync) en-us Sun, 03 May 2026 12:59:55 +0000 Thu, 31 Jul 2025 02:45:52 +0000 https://i.ytimg.com/pl_c/PLzOA-cPFPGEQ_X2oU41rngncIzCOw4obX/studio_square_thumbnail.jpg?sqp=CPLp3M8G-oaymwEICOADEOADSFqi85f_AwYI4bGrxAY=&rs=AOn4CLDC6La-uXIkHBCzorah6v_uKqgIGQ https://youtube.com/playlist?list=PLzOA-cPFPGEQ_X2oU41rngncIzCOw4obX Prehospital Nerds Prehospital Nerds Podcast false FwFiE054MaM https://youtube.com/watch?v=FwFiE054MaM 🥳 We are thrilled to welcome Professor Phil Spinella, a pioneer in damage control resuscitation and a pediatric critical care specialist, to our show. He reveals the groundbreaking strategies that transformed trauma resuscitation in war zones—and how these principles can save more lives in civilian pre-hospital care. In this eye-opening episode, Phil shares what it’s really like caring for the most severely injured soldiers—handling injuries that combine head, chest, pelvis, and burns all at once—and how these brutal realities have shaped his approaches to blood product use, TXA administration, and damage control resuscitation. Discover the stark contrast between military and civilian trauma care, and learn how innovations such as whole blood transfusion, walking blood banks, and rapid bedside testing are revolutionizing patient outcomes. You'll find out: How military trauma protocols challenge conventional thinking on fluid resuscitation and the use of blood products. The surprising benefits of early whole blood transfusions and why civilian EMS should reconsider their approach to blood and TXA. Practical tips for pediatric airway management, blood volume administration, and the importance of asking “why” behind every decision. Plus, insights on overcoming regulatory hurdles to bring life-saving therapies faster into practice. Failure to adapt could mean more preventable deaths on the scene and in transit. With lessons from the front lines, this episode is essential for pre-hospital clinicians, trauma surgeons, and anyone committed to pushing trauma care beyond the limits of conventionality. If you’re ready to challenge dogma and make a real impact in emergency trauma, this is the episode for you. Phil Spinella is a renowned pediatric critical care physician and military trauma expert whose innovative research on blood products, TXA, and damage control resuscitation is reshaping modern trauma practices worldwide. His experience in Baghdad and his leadership in the Thor Network provide unmatched insights into what’s possible when you combine frontline experience with cutting-edge science. Tune in to unlock the future of trauma care—where rapid, creative, and evidence-based interventions save lives faster, and injuries once considered unsurvivable become manageable. #prehosiptalnerds #Paramedics #doctor #TraumaCare #PediatricTrauma #MilitaryMedicine #WholeBlood #TXA #DamageControlResuscitation Wed, 29 Apr 2026 09:17:10 +0000 Prehospital Nerds 🩸 From War to Ward - With Prof Phil Spinella - Transforming Trauma Care with Military Insights 43:26 false 1 VhvDPCecFys https://youtube.com/watch?v=VhvDPCecFys 🎉 Exciting News! 🎉 We are thrilled to be the FIRST podcast to host the brilliant minds behind the groundbreaking SWIFT trial! Join us as we dive deep with Professor Laura Green and Professor Ed Barnard, the authors of this ground breaking study on pre-hospital whole blood use. 🚑💉 https://www.nejm.org/doi/full/10.1056/NEJMoa2516043 Blood products are evolving—and a groundbreaking trial published in the New England Journal of Medicine is shifting the pre-hospital trauma care landscape. If you've ever wondered whether whole blood transfusions outperform standard component therapy in real emergencies, this episode is your inside look. Join top UK experts, Professor Laura Green and Prof Ed Barnard, as they unravel the secrets behind the SWIFT trial—the first of its kind evaluating pre-hospital whole blood use for bleeding trauma patients. Discover how logistics, safety, and clinical outcomes come together in this game-changing research, and why it could redefine trauma response worldwide.In this episode, you'll discover the intricate setup of the SWIFT trial, involving over 900 trauma patients across UK air ambulances, and why logistical challenges like blood transport and storage are just as critical as the clinical questions. Laura and Ed share their behind-the-scenes insights into the rapid deployment of a national trial, the importance of stakeholder collaboration, and the surprising findings that whole blood is, at best, non-inferior—not superior—to standard care. We break down the core outcomes: mortality, massive transfusion, and how logistics like response times impact survival—plus, what this means for future trauma protocols. Stay tuned for the upcoming health economic evaluations and implementation insights from the trial—crucial for decision-makers considering adopting whole blood in their systems. Whether you're a pre-hospital clinician, trauma researcher, or health policy enthusiast, this episode arms you with the knowledge to understand the nuances of blood transfusion strategies in the most critical moments. As the first trial to explore whole blood use at this scale, the SWIFT study underscores that, while whole blood isn't a silver bullet, it offers logistical and safety advantages worth exploring further. With longer pre-hospital times in the UK and innovative transport solutions, this research opens new doors—potentially improving outcomes in remote or complex settings worldwide. Stay curious, because the story of whole blood in trauma is far from over—and the lessons from SWIFT will shape trauma care for years to come. Perfect for trauma clinicians, emergency responders, and health systems planners eager to understand the future of blood transfusion in pre-hospital care—this episode is your essential briefing on cutting-edge trauma research. #SWIFTTrial #TraumaCare #WholeBlood #EmergencyMedicine #PreHospitalCare #TraumaResearch #BloodTransfusion #HealthPolicy #AirAmbulance #HEMS #prehosiptalnerds #Paramedics Mon, 20 Apr 2026 23:44:04 +0000 Prehospital Nerds 🩸The SWIFT trial - Whole Blood is not dead - With Prof Green and Prof Barnard 59:45 false 2 ENKyOJ84HiE https://youtube.com/watch?v=ENKyOJ84HiE Could most deaths from cardiac arrest be prevented? Maybe if everyone knew what really matters. In this eye-opening conversation, Associate Professor Ziad shares the latest breakthroughs in saving lives through early response, community involvement, and smarter technology. From Victoria’s impressive survival rates to the future of wearable detection, this episode unpacks how systems of care are transforming outcomes and why a simple shift in public response could save thousands of lives annually. Discover how Victoria's ambulance system now leads the world with nearly 45% survival rates for witnessed arrest cases, and what it took to get there. We break down the crucial role of early defibrillation, community AED access, and initiatives like firefighter responder programs that are making a real difference. You’ll learn why current AED placement strategies are insufficient and what innovative solutions could put lifesaving devices into homes — and hands — before paramedics arrive. We explore cutting-edge research, including dual-sequence defibrillation, and how the science behind pad placement and impedance is pushing the boundaries of emergency care. Hear about upcoming clinical trials that are set to revolutionise defibrillation effectiveness, and why the next decade could be the most exciting era in pre-hospital heart attack treatment. This episode isn’t just about survival — it’s about turning responders into heroes, system gaps into opportunities, and saving more lives than ever before. Designed for paramedics, health professionals, and anyone passionate about emergency response, this episode will leave you inspired and equipped with the knowledge to act better, faster, and smarter in a cardiac crisis. Ready to see how simple innovations and systems thinking could change everything? Hit play and be part of the lifesaving revolution. #CardiacArrest #EmergencyResponse #SaveLives #Defibrillation #HealthInnovation #CommunityAED #PreHospitalCare #LifeSavingTech #MedicalBreakthrough #PreHospitalNerds #Paramedics #ems #emt Fri, 17 Apr 2026 01:08:55 +0000 Prehospital Nerds 🚨 Ep 14 - Cardiac Arrest - Past, Present, Future With A/Prof Ziad Nehme 35:34 false 3 dMYgCUiBmBw https://youtube.com/watch?v=dMYgCUiBmBw Summary In this engaging discussion, Mel Bruce shares her extensive experience as a paramedic and shift worker, exploring how to optimise health and performance through understanding circadian rhythms, nutrition, and tailored rostering strategies. The conversation offers practical tips for shift workers to improve sleep, diet, and overall well-being. This is the first of many episodes, in a series on shift work. Try ShiftFocus Health product, on https://shiftfocus.com.au/ Use prehospital10 for a 10% discount Keywords shift work, health, circadian rhythms, sleep tips, nutrition, rostering, paramedics, night shifts, fatigue management Key Topics * Impact of shift work on health and metabolism * Strategies for improving sleep and recovery * The role of chronotypes in shift work adaptation Guest Name Mel Bruce Sound Bites * "Creatine monohydrate has fantastic cognitive benefits" * "Avoid high carb, high sugar snacks on night shift" * "Everyone's different, find what works for you" Chapters 00:00 Introduction to Mel B and her shift work journey 01:32 Mel's early experiences and transition to paramedicine 03:02 Research and strategies for shift work health 05:03 Development of shift focus supplements 07:06 The benefits of creatine and collagen for shift workers 09:03 Understanding chronotypes and biological clocks 10:53 Assessing your own chronotype with a quiz 12:59 Optimal times for mental alertness and decision-making 15:07 System-level solutions for shift work challenges 16:46 Practical tips for sleep hygiene and recovery 20:08 Nutrition and hydration strategies during night shifts 22:58 Managing fatigue and family life with shift work 26:07 Rostering flexibility and individual preferences 30:00 The importance of individual routines and self-monitoring 33:56 Future products and innovations for shift workers 36:46 Summary of key tips and closing remarks Mon, 06 Apr 2026 08:34:32 +0000 Prehospital Nerds 😴💪 Mastering Shift Work - Part 1 - With Mel Bruce 43:33 false 4 SrjhCLC1jXQ https://youtube.com/watch?v=SrjhCLC1jXQ Kids don’t crash the way adults do — and that’s exactly what makes paediatrics so dangerous. In this episode, we sit down with Dr Claire Wilkin, a paediatric emergency medicine specialist and director of a retrieval service, to unpack what really matters when managing sick children on the frontline. From the pre-hospital environment to interfacility transfers, this is a deep dive into how experienced clinicians think when the stakes are high and the margin for error is tiny. We explore why children can look deceptively well right up until they suddenly aren’t, and how to spot the subtle cues that precede deterioration. The paediatric assessment triangle, serial exams, and clinical gestalt are brought to life with real-world insights — not just what the guidelines say, but what actually works when you’re standing at the bedside (or roadside). This episode goes beyond assessment. We break down the physiology that makes paediatrics different, the common traps clinicians fall into, and how to approach critical decisions like “can this child stay, or do they need retrieval?”. There’s a strong focus on communication too — both within the team and with families — because in paediatrics, how you say things matters just as much as what you do. If you’re a paramedic, ED clinician, or anyone involved in acute care, this is a practical, experience-driven guide to getting paediatrics right when it counts. 🔑 What you’ll take away How to recognise the quietly deteriorating child A practical mental model for “sick vs not sick” in paediatrics Why kids compensate… until they suddenly don’t Key considerations before retrieval and transfer Real-world tips for communication, teamwork, and decision-making under pressure Children often hide how sick they are — until they don’t. This episode gives you the mental models, clinical cues, and retrieval insights to recognise deterioration early and act decisively. 🧠 TL;DR Children often hide how sick they are — until they don’t. This episode gives you the mental models, clinical cues, and retrieval insights to recognise deterioration early and act decisively. #Paediatrics #EmergencyMedicine #Paramedics #PrehospitalCare #CriticalCare #ems #emt #nurse #doctor #RetrievalMedicine #FOAMed #MedEd #SickNotSick #PaediatricEmergency #Resus #ClinicalReasoning #MedPodcast #PrehospitalNerds Wed, 25 Mar 2026 23:19:35 +0000 Prehospital Nerds 👶 Ep 12 - With Dr Claire Wilkin - "Tiny Humans, High Stakes: Mastering Paediatric Emergencies" 53:17 false 5 NjnsO3Zpm6Q https://youtube.com/watch?v=NjnsO3Zpm6Q Most clinicians will tell you: if a patient looks sick, they probably are. But what if the real skill is recognising someone who appears well but is actually heading for trouble? In this episode, Alex Olaussen and Matt Shepherd delve into the nuanced art of sick vs. not sick. They reveal the surprisingly simple yet crucial signs that can mean the difference between quick intervention and missed deterioration—like skin pallor, altered consciousness, or subtle breathing cues—and how experience shapes your judgment in those critical moments. You'll discover: the key indicators that tell you a patient is truly unwell versus just appearing normal on the surface, including core principles like perfusion, respiration, and the importance of trend observation. They break down practical frameworks such as ABC assessments and the value of early escalation based on subtle changes. Plus, they explore how a slight decline in a patient's condition can be a warning sign for worsening deterioration, and why understanding this trend is vital for pre-hospital and emergency care. This episode also offers insight into why quickly identifying the sick from the not sick isn’t just about clinical signs—it’s about confident decision-making, managing resources, and advocating for patients before they slip further. Whether you're a seasoned paramedic or in a hospital setting, learning to spot the warning signs early could save lives and prevent unnecessary escalation. Perfectly suited for clinicians, students, or anyone involved in urgent care, this chat arms you with the mindset—and the practical eye—for making the call that matters. Don't miss these expert tips on turning intuition into action when every second counts. #prehosiptalnerds #Healthcare #Paramedics #EmergencyCare #SickVsNotSick #PatientCare #MedicalTraining #ClinicalJudgment #UrgentCare #PreHospital #MedicalPodcast #HealthInsights #PatientAdvocacy #MedicalEducation #EmergencyMedicine #PodcastEpisode Thu, 12 Mar 2026 20:27:26 +0000 Prehospital Nerds 🤮 Ep 11 - Sick Vs Not Sick - How to recognise serious illness IMMEDIATELY - #prehospitalnerds 26:40 false 6 -Xy6wUaN_20 https://youtube.com/watch?v=-Xy6wUaN_20 Ambulance ramping. Corridor care. Emergency departments gridlocked before the shift even begins. If you’ve ever stood beside a patient waiting on a stretcher outside a full ED, you know this isn’t just a workflow issue — it’s a system under strain. In this episode of Prehospital Nerds, Matt Shepherd and Alex Olaussen unpack one of the most pressing challenges facing Australian healthcare: ramping. And we go beyond the headlines. We explore why ramping isn’t an “ED problem” — it’s a whole-of-system failure. When inpatient beds are blocked, primary care is fragmented, aged care can’t absorb complexity, and community services are stretched thin, pressure builds. Like heart failure physiology, preload increases, afterload rises, and eventually the system decompensates. In fact, we build a clear pathophysiological analogy throughout the episode — mapping ED flow to cardiac physiology — to help make sense of the chaos. Preload becomes ambulance arrivals. The ED is the ventricle. Afterload is inpatient bed block. When contractility fails, everything backs up. It’s a framework that helps clinicians, administrators and policymakers visualise why quick fixes rarely work — and why system design matters. We break down: The real drivers behind hospital overcrowding Why adding capacity alone won’t fix the problem The hidden consequences for patient safety, paramedics, and workforce burnout What smarter dispatch and alternative care pathways can achieve How telehealth, community paramedicine, aged care integration and improved flow can relieve pressure upstream and downstream We also challenge the culture around emergency access. Do we need better triage — or better “triage of triage”? What role do funding models and policy levers play? And how do we shift from reactive crisis management to deliberate system redesign? Featuring insights from experienced emergency physicians and health system strategists, this conversation blends frontline realities with big-picture thinking. It’s practical, honest, and solution-focused. If you’re a clinician navigating ramping daily, a health leader grappling with flow, or someone who cares about the future of emergency care in Australia — this episode is essential listening. Because fixing ramping isn’t about moving stretchers faster. It’s about understanding the physiology of the system — and treating the cause, not just the symptoms. 🎧 Hit play and join the conversation. Sun, 01 Mar 2026 23:29:49 +0000 Prehospital Nerds 🚑 Ep 10 - Ambulance Ramping and Congestive Health Failure (CHF) - Prehospital Nerds - Matt and Alex 29:34 false 7 X8vVWEAvKMU https://youtube.com/watch?v=X8vVWEAvKMU Keywords Transfusion medicine, pre-hospital care, blood products, PAMPer trial, whole blood, crystalloids, transfusion reactions, trauma care, blood delivery, research outcomes Summary In this engaging conversation, Matt Shepherd and Alex Olaussen discuss the intricacies of transfusion medicine with expert Prof Mark Yaser. They delve into the PAMPer trial (which Prof Yazer was a key part of), the importance of pre-hospital blood transfusions, and the various types of blood products available. Mark shares insights on the role of crystalloids, the management of transfusion reactions, and the significance of timely blood administration in trauma care. The discussion also touches on the future of blood delivery through drones and the challenges of research outcomes in transfusion medicine. Takeaways The PAMPer trial demonstrated better outcomes with plasma transfusions. Whole blood provides balanced resuscitation for trauma patients. Crystalloids may not be beneficial in trauma care. Transfusion reactions are often mild and manageable. Timely blood administration can significantly impact survival rates. Drones may revolutionize blood delivery in the future. Research outcomes should focus on early survival rates. Whole blood is preferred for unknown patient conditions. Transport time is critical in pre-hospital care. Collaboration across specialties enhances patient care. Links: https://www.nejm.org/doi/full/10.1056/NEJMoa1802345 Chapters 00:00 Introduction to Transfusion Medicine 03:03 The PAMPer Trial and Pre-Hospital Blood Transfusions 06:11 Understanding Blood Products 08:56 Whole Blood vs. Component Therapy 11:50 The Role of Crystalloids in Trauma Care 15:01 Temperature Control and Blood Transport 17:50 Future Directions in Pre-Hospital Blood Transfusion 30:45 Hollywood and Whole Blood: A Unique Connection 32:10 The Future of Drone Delivery in Healthcare 35:12 The Importance of Pre-Hospital Blood Transfusion 40:02 Understanding Blood Transfusion Reactions 49:19 Research Outcomes in Blood Transfusion Trials Mon, 16 Feb 2026 10:34:40 +0000 Prehospital Nerds 🩸 Ep 9 - Prof Mark Yazer – “Bag the Saline. Bring the Blood.” All things blood transfusion 56:31 false 8 2uWmruMyVLA https://youtube.com/watch?v=2uWmruMyVLA Summary In this episode of Prehospital Nerds, James Oswald, a Clinical Practice Guidelines Specialist, discusses the importance of clinical guidelines in paramedicine. He explains the differences between guidelines and protocols, the flexibility of guidelines in practice, and the challenges faced in their implementation. The conversation also touches on the evidence to practice gap, the evolution of guidelines into living documents, and the role of technology in keeping paramedics updated. Oswald emphasizes the need for precise yet flexible guidelines that can adapt to the complexities of clinical practice. In this conversation, the speakers discuss the evolution and development of clinical guidelines, emphasizing the collaborative efforts involved in creating them. They reflect on past mistakes and the importance of learning from them, particularly in the context of patient care and escalation of care. The role of AI in improving clinical decision-making is also explored, highlighting the potential for more accurate assessments and better patient outcomes. Takeaways James Oswald is a CPG specialist and sits down with us Guidelines are systematically derived recommendations about clinical practice. Guidelines differ from protocols in that they allow for flexibility. The heavy lifting of justifiable decisions is done by guideline makers. The evidence to practice gap can take years to close. Living documents allow for more timely updates to guidelines. Paramedics should understand guidelines rather than memorize them. Guidelines should provide clarity without being overly prescriptive. There is a constant challenge in writing effective guidelines. Good guidelines need to balance precision with flexibility. The evolution of clinical guidelines has made them more accessible and understandable. Guideline development involves a collaborative effort from various stakeholders. Feedback from users is crucial in refining guidelines. Past mistakes in guideline implementation can lead to significant learning opportunities. The acute behavioral disturbance guideline serves as a key example of learning from errors. Escalation of care protocols help ensure patient safety and appropriate interventions. AI has the potential to enhance clinical decision-making by analyzing multiple variables. Organizations must balance risk thresholds when implementing escalation protocols. The importance of clinical judgment in conjunction with guidelines cannot be overstated. Future advancements in AI could revolutionize how we approach patient care. Chapters 00:00 Introduction to Clinical Guidelines and James Oswald 02:39 Understanding Guidelines vs. Protocols 05:48 The Flexibility of Guidelines in Practice 10:38 The Evidence to Practice Gap 12:04 Living Documents and Timely Updates 16:48 The Evolution of Clinical Practice and Technology 21:39 Challenges in Guideline Implementation 26:27 Striking a Balance in Guideline Precision 26:51 Evolution of Clinical Guidelines 31:20 Collaborative Efforts in Guideline Development 32:17 Learning from Past Mistakes 39:02 The Role of Guidelines in Escalation of Care 46:21 The Future of AI in Clinical Decision Making Fri, 28 Nov 2025 01:46:30 +0000 Prehospital Nerds 📝 Ep 8 - With James Oswald - Clinical Guidelines: Precision, Flexibility, and Safety: Rethinking CPG 48:49 false 9 N-B0Gx-bLJo https://youtube.com/watch?v=N-B0Gx-bLJo Pelvic binders have become a near-reflex in trauma care - but are we using them right, or just using them? In this episode, we explore the biomechanics and pathophysiology of pelvic trauma, the rationale behind pelvic binders, and whether they truly achieve their goal: pelvic tamponade. We break down: • The pathophysiological cascade of pelvic fractures — venous plexus injury, shear forces, and retroperitoneal bleed. • The principle behind binders: reducing pelvic volume to create mechanical tamponade. • When binders don’t work — malposition, overuse, or in the wrong fracture patterns. • Alternative strategies. Whether you’re on the road or in the trauma bay, this episode aims to sharpen your pelvic trauma decision-making and challenge a few sacred cows along the way. #emergencymedicine #hems #prehospitalnerds #paramedic #firefighter #ems #emt #medicine Tue, 18 Nov 2025 22:13:59 +0000 Prehospital Nerds 🦴 Ep 7 - Pelvic Pressure: Are We Binding or Blinding Ourselves? 34:50 false 10 AtAS8tZ_x4w https://youtube.com/watch?v=AtAS8tZ_x4w In this focused episode, we dive into a troubling surge: the increasing incidence of machete attacks and other penetrating trauma across the Melbourne area. We go through: • pathophysiology and clinical presentation of penetrating injuries — from entry wound to the cascade of haemorrhage, shock, contamination and soft-tissue destruction; • pre-hospital and emergency department management principles: rapid assessment (airway/breathing/circulation), external haemorrhage control, transport considerations, trauma team activation, early definitive surgery; • common pitfalls and “gotchas” in penetrating trauma care (for example, missed vascular injury, hidden compartment bleeding) • a clinical approach, which focuses on haemorrhage control and transport • evidence-based approaches Whether you’re working in ED, on the road as a paramedic or involved in trauma care - this episode will give you practical insight, evidence-based pointers and a structured framework to handle penetrating trauma cases with confidence. #emergencymedicine #hems #prehospitalnerds #airambulance #ambulance #ems #emt #paramedic Wed, 05 Nov 2025 08:21:34 +0000 Prehospital Nerds 🔪 Ep 6 - Machete Attacks: The Rising Tide of Machete and Penetrating Injuries in Melbourne 33:49 false 11 Ok3p6CTp2QQ https://youtube.com/watch?v=Ok3p6CTp2QQ In this episode, we dive into cervical spine immobilisation and spinal cord injury management — two of the most critical and debated areas in prehospital care. 🚑💥 We unpack when and why to immobilise, the evidence behind collars and boards, and share real-world decision-making tips from the field and ED. #PrehospitalNerds #HEMS #ParamedicPodcast #SpinalInjury #CSpine #TraumaCare #EmergencyMedicine #FOAMed Thu, 09 Oct 2025 22:44:27 +0000 Prehospital Nerds 🚨 Ep 5 - Hard or Soft? Cervical Spine Assessment and Management. Spinal Cord Injury 34:06 false 12 ShHanDfCaVs https://youtube.com/watch?v=ShHanDfCaVs Step inside the high-stakes world of helicopter emergency medicine! 🚨 In this episode, HEMS pilot ✈️ Aaron Topley joins us to reveal what it’s really like flying critical missions in the air. We explore: ✨ How to become a HEMS pilot 👨‍✈️ The role of an Air Crew Officer 🛡️ Safety features that protect crew & patients 🚑 What clinicians should consider before requesting HEMS 🚁 Plus — a full behind-the-scenes tour of the helicopter! Buckle up — this is your all-access ride into the cockpit, the crew room, and the lifesaving world of HEMS. www.prehospitalnerds.com #HEMS #HelicopterLife #PilotLife #AirAmbulance #Aviation #EmergencyMedicine #CriticalCare #Paramedic #PrehospitalCare #Resuscitation #MedicalPodcast #Vodcast #MedEd #BehindTheScenes #LifeInTheAir #InsideHEMS #LifeSavingMissions #FlightForLife #CrewStories #ChopperChat Fri, 03 Oct 2025 10:28:16 +0000 Prehospital Nerds 🚁 Ep 4 - Life Inside a HEMS Helicopter: Pilots, Crew & Critical Care in the Air 🚨 24:38 false 13 k8W7wmXKzqU https://youtube.com/watch?v=k8W7wmXKzqU In this episode, we unpack syncope — the sudden, transient loss of consciousness that can range from harmless to life-threatening. We discuss: - Common and dangerous causes - Do they need to come to hospital? - The role of cardiac auscultation - ECG pearls and pitfalls - Practical management strategies in the field and ED - And much more... Whether you’re a paramedic, doctor, nurse, or just curious about why people faint, we’ve got you covered. 🔊 Listen in for real-world tips, clinical reasoning, and case-based discussion that goes beyond the textbooks. #Syncope #EmergencyMedicine #Paramedics #ECG #Cardiac #MedicalEducation #PrehospitalNerds #prehospital Thu, 14 Aug 2025 21:17:29 +0000 Prehospital Nerds 😮 Ep 3 - Syncope: Why People Faint, How to assess and manage, and When to Worry! 23:52 false 14 UVdkJFCP9ms https://youtube.com/watch?v=UVdkJFCP9ms 🎥 Welcome to Prehospital Nerds! 🚑 🧠 We’re a HEMS MICA paramedic and an ED doctor who both love to teach... and dance. In this intro video, we share who we are, why we started this channel, and what we hope to build—a supportive, fun, evidence-based community for everyone passionate about prehospital and emergency medicine. This is just the beginning. Expect content that’s sharp, practical, and occasionally ridiculous. From clinical pearls to gear talk, real case breakdowns to how-tos, we’re here to bring high-yield education with personality. 💬 Let us know in the comments what you want to see next! 🔔 Subscribe to join the nerd squad. 🌐 Check out our website www.prehospitalnerds.com for updates, events & extras. 📱 Follow us on all socials: @prehospitalnerds #PrehospitalNerds #FOAMed #EmergencyMedicine #Paramedics #HEMS #CriticalCare #PrehospitalCare #EMS #AirwayManagement #IVAccess #CPR #MedicalEducation #EDDoctor #MICAParamedic #MedTwitter #TraumaCare Thu, 31 Jul 2025 02:45:52 +0000 Prehospital Nerds 🚨 Ep 1 - Intro to Prehospital Nerds 🚑 🧠 4:49 false 15 hHNk2s9--58 https://youtube.com/watch?v=hHNk2s9--58 More than a decade ago, we were among the first to define and systematically research CPR-induced consciousness (CPRIC) - a phenomenon where patients exhibit signs of awareness during ongoing chest compressions. Since then, what started as scattered case reports has evolved into international recognition, dedicated research, and incorporation into major resuscitation guidelines worldwide. In this episode, we dive into: • What CPRIC is—and why it matters • The origins of the term and our journey in defining it • What has changed in the past decade, including incidence and management strategies • How to manage CPR-induced consciousness • Ethical dilemmas, and operational challenges • Future directions for research and practice • And much more Whether you're a clinician, paramedic, educator or resus-nerd, this is a story of how observation became definition, and how curiosity became evidence. 📚 Our key publications on CPR-induced consciousness: 👉 Olaussen A, Shepherd M, Nehme Z, Smith K, Bernard S, Mitra B. Return of consciousness during ongoing cardiopulmonary resuscitation: a systematic review. Resuscitation. 2015 Jan 1;86:44-8. https://pubmed.ncbi.nlm.nih.gov/25447435/ 👉 Olaussen A, Nehme Z, Shepherd M, Jennings PA, Bernard S, Mitra B, Smith K. Consciousness induced during cardiopulmonary resuscitation: An observational study. Resuscitation. 2017 Apr;113:44-50. doi: 10.1016/j.resuscitation.2017.01.018. Epub 2017 Feb 1. PMID: 28161214. https://pubmed.ncbi.nlm.nih.gov/28161214/ 👉 Olaussen A, Shepherd M, Nehme Z, Smith K, Jennings PA, Bernard S, Mitra B. CPR-induced consciousness: A cross-sectional study of healthcare practitioners' experience. Australas Emerg Nurs J. 2016 Nov;19(4):186-190. doi: 10.1016/j.aenj.2016.07.002. Epub 2016 Jul 29. PMID: 27478148. https://pubmed.ncbi.nlm.nih.gov/27478148/ 👉 Howard J, Lipscombe C, Beovich B, Shepherd M, Grusd E, Nudell NG, Rice D, Olaussen A. Pre-hospital guidelines for CPR-Induced Consciousness (CPRIC): A scoping review. Resusc Plus. 2022 Nov 28;12:100335. doi: 10.1016/j.resplu.2022.100335. PMID: 36465817; PMCID: PMC9713363. https://pubmed.ncbi.nlm.nih.gov/36465817 🎧 Available on Spotify, YouTube, and wherever you get your podcasts. 🔗 Subscribe for more deep dives into prehospital and emergency medicine. #CPRIC #consciousness #resuscitation #prehospitalcare #emergencymedicine #cpr #paramedic #podcast #prehospitalnerds #cardiacarrest #nurse #doctor #ems #emt Thu, 31 Jul 2025 02:45:52 +0000 Prehospital Nerds 🚨 Ep 2 CPR-Induced Consciousness (CPRIC)🫀 🧠 From our humble curiosity to international evidence 33:12 false 16