Aaron is joined by Dr Dani Hall, an paedatric emergency medicine consultant from Dublin, Ireland. She is also the executive director of the FOAM website "Don't Forget the Bubbles". This is an amazing resource for information on paedatric emergency medicine. We can't recommend it enough.   Dani shares her insight and knowledge regarding paediatric trauma, and how we can become more confident and capable at managing these patients.   You can check out "Don't Forget the Bubbles" at   https://dontforgetthebubbles.com/

Aaron is joined by Dr Dani Hall, an paedatric emergency medicine consultant from Dublin, Ireland. She is also the executive director of the FOAM website "Don't Forget the Bubbles". This is an amazing resource for information on paedatric emergency medicine. We can't recommend it enough. Dani shares her insight and knowledge regarding paediatric trauma, and how we can become more confident and capable at managing these patients. You can check out "Don't Forget the Bubbles" at <a href="https://dontforgetthebubbles.com/" rel="nofollow" target="_blank">https://dontforgetthebubbles.com/</a>

45: Episode 45 - Paediatric Trauma with Dr Dani Hall 

Scott is immensely proud of his service in the US Marine Corps.   We know that he misses it.   He talks about this thing that he misses, this thing that since leaving the military he has never been able to find.     So what was this thing?     It was collective purpose.     The idea that every member of the team, those to your left, to your right, the leaders, the followers, everyone was collectively focused on the mission.     The collective purpose existed because they believed that someday there would be a moment where all the training, all the focus, all the sacrifice would be the difference between failure and success.   Success in that moment, would be one of the greatest accomplishments of one’s life.    Scott send us a quote of that moment, described by a young marine during the Battle of Peleliu in 1944.     We had a chat about it all one day, and decided we would release our chat as a podcast.

Scott is immensely proud of his service in the US Marine Corps.  We know that he misses it.  He talks about this thing that he misses, this thing that since leaving the military he has never been able to find.  So what was this thing?  It was collective purpose.  The idea that every member of the team, those to your left, to your right, the leaders, the followers, everyone was collectively focused on the mission.  The collective purpose existed because they believed that someday there would be a moment where all the training, all the focus, all the sacrifice would be the difference between failure and success.  Success in that moment, would be one of the greatest accomplishments of one’s life. Scott send us a quote of that moment, described by a young marine during the Battle of Peleliu in 1944.  We had a chat about it all one day, and decided we would release our chat as a podcast.

44: Episode 44 - Collective Purpose - The team, the mission and the moment

Peter Drew

Tonight we sit down with Peter Drew, a Critical Care Paramedic and PHD candidate from Queensland. Peter shares with us his work on occupational violence and his recent paper on mitigation strategies and recommendations for future practice.   Are all violent incidents the same? Does the idea of  "zero tolerance" fit in with why and how these violent incidents occur? Is there a place for body worn cameras? Where do we sit now with the emergence of chemical sedation into our practice? Does organisational self defense training work?  These are  just some of the ideas we explore.   If you would like to read more, you can access Peter's paper below.   "Paramedic occupational violence mitigation: a comprehensive systematic review of emergency service worker prevention strategies and experiences for use in prehospital care"   https://connect.jbiconnectplus.org/ViewSourceFile.aspx?0=19494

Tonight we sit down with Peter Drew, a Critical Care Paramedic and PHD candidate from Queensland. Peter shares with us his work on occupational violence and his recent paper on mitigation strategies and recommendations for future practice.  Are all violent incidents the same? Does the idea of  "zero tolerance" fit in with why and how these violent incidents occur? Is there a place for body worn cameras? Where do we sit now with the emergence of chemical sedation into our practice? Does organisational self defense training work? These are  just some of the ideas we explore.  If you would like to read more, you can access Peter's paper below.  "Paramedic occupational violence mitigation: a comprehensive systematic review of emergency service worker prevention strategies and experiences for use in prehospital care"  <a href="https://connect.jbiconnectplus.org/ViewSourceFile.aspx?0=19494" rel="nofollow" target="_blank">https://connect.jbiconnectplus.org/ViewSourceFile.aspx?0=19494</a>

43: Episode 43 - Occupational Violence in Paramedicine with Peter Drew

Today Nick sits down with Tori and Tammy, two communication officers from an Australian state service. We work with comms every day, we can't do our job without them, yet very few of us  really understand how they work.   Today we look at how call taking and dispatch works, how they deal with cognitive overload, and break down some common misconceptions.

Today Nick sits down with Tori and Tammy, two communication officers from an Australian state service. We work with comms every day, we can't do our job without them, yet very few of us  really understand how they work.  Today we look at how call taking and dispatch works, how they deal with cognitive overload, and break down some common misconceptions.

42: Episode 42 - The world of comms, a vital piece of the pie, with Tori and Tammy

Aaron sits down with three fantastic academics to delve into the world of tertiary paramedic education.   Andy Bell, Georgina Sanger and Sandy Macquarrie work to design, deliver and develop university curriculum's within Australia.   How do we design a course when we are still searching for our identity?  What would the ideal course look like?  Why it's ok for students to fail.  We would love to hear your thoughts on this topic.

Aaron sits down with three fantastic academics to delve into the world of tertiary paramedic education.  Andy Bell, Georgina Sanger and Sandy Macquarrie work to design, deliver and develop university curriculum's within Australia.  How do we design a course when we are still searching for our identity? What would the ideal course look like? Why it's ok for students to fail. We would love to hear your thoughts on this topic.

41: Episode 41 - The paramedic education paradigm with Andy, Sandy and Georgina

We had the privilege of sitting down with David Krygger, an extended care clinician from Queensland. David is passionate about this area of paramedic practice, and its potential for growth within our profession. We thoroughly enjoyed this conversation.

40: Episode 40 - Extended care practice, a model for the future with David Krygger

Today the team take us through hyperkalemia, a tricky and potentially deadly electrolyte imbalance. From physiology to examination and treatment, we summarise  the key points that will help you to better manage these patients in your future practice.

39: Episode 39 - Hyperkalemia, let's get to the heart of it - Clinical Pearls 

Scott sits down with Ryan and Nicole Levinson all the way from the tiny island nation of French Polynesia.     Ryan has a rare form of muscular dystropy, but after 10 years as an EMT in California, Ryan and his wife Nicole chose to not let the diagnosis slow them down. Instead they began a new adventure sailing across the pacific.    Today's episode is all about overcoming life's challenges, choosing your attitude and not letting anything get in the way of your dreams.  I can safely say, this is our best podcast yet. What a remarkable duo, Ryan you're our hero  You can check them out on their youtube channel, TwoAfloat.

Scott sits down with Ryan and Nicole Levinson all the way from the tiny island nation of French Polynesia.    Ryan has a rare form of muscular dystropy, but after 10 years as an EMT in California, Ryan and his wife Nicole chose to not let the diagnosis slow them down. Instead they began a new adventure sailing across the pacific.   Today's episode is all about overcoming life's challenges, choosing your attitude and not letting anything get in the way of your dreams. I can safely say, this is our best podcast yet. What a remarkable duo, Ryan you're our hero You can check them out on their youtube channel, TwoAfloat.

38: Episode 38 - Overcoming adversity with Two Afloat 

Aaron and Scott sit down with a very special guest, Sunny Whitfield.  Sunny shows us how paramedicine can take you to places you never thought possible. From Nepal, to the south pacific and even Mars. Making a difference doesn't mean you have to work for an state ambulance service and that any idea can grow, as long as you have a pen and a napkin.

Aaron and Scott sit down with a very special guest, Sunny Whitfield.  Sunny shows us how paramedicine can take you to places you never thought possible. From Nepal, to the south pacific and even Mars. Making a difference doesn't mean you have to work for an state ambulance service and that any idea can grow, as long as you have a pen and a napkin.

37: Episode 37 - Altruism on a napkin, with Sunny Whitfield

Andy Bell

Today's episode comes from our first education night in Ipswich. Nick sits down with Andy Bell to talk all things mentoring. We have all been mentored, will mentor at some stage in our career. How do we do this well?

36: Episode 36 - Mentoring with Andy Bell - Free Radicals Live

The paramedic world is like finishing school. You have already achieved so much, but still young and full of potential. The pre-hospital world is a big one. We are just four blokes trying to make sense of it. Free radicals is about sharing our love of this world, through education, ramblings and debate. Join the team and their guests as we look at the present, contemplate the future, and examine the controversy.

I am still in my paramedic program in NC (USA) and have been listening to this podcast for the past year! Hyped that you guys put out some new amazing podcasts! listening to the traumatic arrest podcasts this morning. Phenominal. I just finished a paper on the trauma triad yesterday and this hits it along with many other good notes well. Thanks for everything you guys! You provide me with a better outlook on my patients and my treatment plans daily. - Matt

Awesome!

Great podcast for paramedics/EMS providers anywhere.

Love it

Free Radicals Paramedic Podcast

This is the first installment in our series on clinical assessment. Red flags refer to signs and symptoms found in the patients history of examination which are clinical indicators of possible underlying serious disease. This week it is all about headaches. Aaron takes us through primary and secondary headaches, common features and of course the red flags.  Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

This is the first installment in our series on clinical assessment. Red flags refer to signs and symptoms found in the patients history of examination which are clinical indicators of possible underlying serious disease. This week it is all about headaches. Aaron takes us through primary and secondary headaches, common features and of course the red flags.  Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

6: Episode 6 - Headache Red Flags

The coronary reperfusion package is arguably the most influential clinical intervention on patient outcomes.  Today we look at this package, and how we go about delivering it well.   It comes down to three principles of excellence.  Accuracy, Efficiency, Safety.

The coronary reperfusion package is arguably the most influential clinical intervention on patient outcomes.  Today we look at this package, and how we go about delivering it well.   It comes down to three principles of excellence.  Accuracy, Efficiency, Safety.

10: Episode 10 - Pre-hospital Reperfusion. Principles of Excellence

Aaron takes us through a number of cases this week and asks "What are your clinical priorities?" Today is a more based on opinion and experience, which always makes for a good debate.  Topics include STEMI's, multi-system trauma, and sepsis.  Music by Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

Aaron takes us through a number of cases this week and asks "What are your clinical priorities?" Today is a more based on opinion and experience, which always makes for a good debate.  Topics include STEMI's, multi-system trauma, and sepsis.  Music by Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

9: Episode 9: Clinical Priorities

Part 1: Tonight we hear from Scott and Nick as we discuss "The OMI Manifesto". For about the topic and to download the original article go to Dr. Smith's ECG Blog http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html Music by @iksonofficial or https://soundcloud.com/ikson

Part 1: Tonight we hear from Scott and Nick as we discuss "The OMI Manifesto". For about the topic and to download the original article go to Dr. Smith's ECG Blog <a href="http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html" rel="nofollow" target="_blank">http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html</a> Music by @iksonofficial or <a href="https://soundcloud.com/ikson" rel="nofollow" target="_blank">https://soundcloud.com/ikson</a>

2: Episode 2: Re-Thinking Coronary Occlusion: The OMI Manifesto Part 1

Today is all about back pain. There are a fair few generic red flags for this complaint. These are the big take home points! Saddle Anesthesia Bowel or Urinary dysfunction or loss of control Lower limb weakness or neurology Vulnerable clients (immuno-compromised, cancer, steroid users, IVDU,  Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

Today is all about back pain. There are a fair few generic red flags for this complaint. These are the big take home points! Saddle Anesthesia Bowel or Urinary dysfunction or loss of control Lower limb weakness or neurology Vulnerable clients (immuno-compromised, cancer, steroid users, IVDU,  Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

7: Episode 7: Back Pain Red Flags

Today the boys interview Dr Minh Le Cong.  Minh is a rural generalist with the Royal Flying Doctor's Service in Queensland, Australia, with a keen interest in all things pre-hospital.   He is also the creator and host of the PHARM podcast, and blog  https://prehospitalmed.com/about/  Today we chat about the challenges of the pre-hospital environment, education, social media and what the future may hold.

Today the boys interview Dr Minh Le Cong. Minh is a rural generalist with the Royal Flying Doctor's Service in Queensland, Australia, with a keen interest in all things pre-hospital. He is also the creator and host of the PHARM podcast, and blog  <a href="https://prehospitalmed.com/about/" rel="nofollow" target="_blank">https://prehospitalmed.com/about/</a> Today we chat about the challenges of the pre-hospital environment, education, social media and what the future may hold.

13: Episode 13 - A Morning with Minh

Part 2: Tonight we hear from Scott and Nick as we discuss "The OMI Manifesto". For about the topic and to download the original article go to Dr. Smith's ECG Blog http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html Music by @iksonofficial or https://soundcloud.com/ikson

Part 2: Tonight we hear from Scott and Nick as we discuss "The OMI Manifesto". For about the topic and to download the original article go to Dr. Smith's ECG Blog <a href="http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html" rel="nofollow" target="_blank">http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html</a> Music by @iksonofficial or <a href="https://soundcloud.com/ikson" rel="nofollow" target="_blank">https://soundcloud.com/ikson</a>

3: Episode 2: Re-Thinking Coronary Occlusion: The OMI Manifesto - Part 2

Episode 11  Recorded live from SMACC Sydney 2019,  Today is summary of our leanings from the conference.  Non haemorrhagic causes of shock in trauma and their red flags  Bougie versus stylet for intubation  Sepsis   The sick asthma patient  and more!

Episode 11 Recorded live from SMACC Sydney 2019, Today is summary of our leanings from the conference. Non haemorrhagic causes of shock in trauma and their red flags Bougie versus stylet for intubation Sepsis  The sick asthma patient and more!

11: Episode 11 - SMACC Summaries

Last week at the Australian Tactical Medical Conference, Nick caught up with Jeremy from TacMed Australia, to talk tips and tricks surrounding external limb and junctional haemorrhage control.   External haemorrhage is a PREVENTABLE cause of death in trauma. Simple measures can make a HUGE difference.   Basics will save lives.   Check out ATMA and TacMed below at  https://www.atma.net.au/ https://tacmedaustralia.com.au/

Last week at the Australian Tactical Medical Conference, Nick caught up with Jeremy from TacMed Australia, to talk tips and tricks surrounding external limb and junctional haemorrhage control.  External haemorrhage is a PREVENTABLE cause of death in trauma. Simple measures can make a HUGE difference.  Basics will save lives.  Check out ATMA and TacMed below at <a href="https://www.atma.net.au/" rel="nofollow" target="_blank">https://www.atma.net.au/</a> <a href="https://tacmedaustralia.com.au/" rel="nofollow" target="_blank">https://tacmedaustralia.com.au/</a>

15: Episode 15 - Stop the bleed with TacMed

Today we discuss the article "15 things Mattis taught me about real leadership" https://taskandpurpose.com/gen-mattis-no-mad-dog-told-1st-marine-division-proves  These relate not only to military but to pre-hospital clinicians as well.  Key points  "Train train train" "Failure is learning, support the team when we make a mistake" "Never be too big to do the small things when they need to be done" "Attitude is a weapon"  "Engage your brain before you engage your trigger" From Us! "Believe in the mission – if you believe, your team will too" "Be the change you want to see" "Everyone can be a leader" Music  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

Today we discuss the article "15 things Mattis taught me about real leadership" <a href="https://taskandpurpose.com/gen-mattis-no-mad-dog-told-1st-marine-division-proves" rel="nofollow" target="_blank">https://taskandpurpose.com/gen-mattis-no-mad-dog-told-1st-marine-division-proves</a> These relate not only to military but to pre-hospital clinicians as well.  Key points  "Train train train" "Failure is learning, support the team when we make a mistake" "Never be too big to do the small things when they need to be done" "Attitude is a weapon"  "Engage your brain before you engage your trigger" From Us! "Believe in the mission – if you believe, your team will too" "Be the change you want to see" "Everyone can be a leader" Music  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

4: Episode 4 -Leadership

Episode 5 : Deadly Diarrhea and Vomiting.  Its not what you think, today we talk about cognitive bias and how it can affect our practice. We relate this back to a case of deadly D's and V's where bias played a role. Here is a great link on cognitive bias in medicine    https://first10em.com/cognitive-errors/  Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

Episode 5 : Deadly Diarrhea and Vomiting.  Its not what you think, today we talk about cognitive bias and how it can affect our practice. We relate this back to a case of deadly D's and V's where bias played a role. Here is a great link on cognitive bias in medicine    <a href="https://first10em.com/cognitive-errors/" rel="nofollow" target="_blank">https://first10em.com/cognitive-errors/</a> Music by  Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

5: Episode 5: Deadly D and V

Nick, Scott and Aaron are back, discussing a process of delivering bad news. A Death Script "A reproducible method of effectively telling someone that their loved one is dying or has died".  We discuss what makes up a death script, how we go about having this difficult conversation, and how to get better.  Music Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

Nick, Scott and Aaron are back, discussing a process of delivering bad news. A Death Script "A reproducible method of effectively telling someone that their loved one is dying or has died".  We discuss what makes up a death script, how we go about having this difficult conversation, and how to get better.  Music Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

3: Episode 3 - Death Scripts

This week is all about Followership. This is opposite of leadership but equally as important.  Today we touch on the different types of followers, and how this relates to the pre-hospital world. Music by Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 creativecommons.org/licenses/by-sa/3.0/ Music promoted by Audio Library youtu.be/SZkVShypKgM

This week is all about Followership. This is opposite of leadership but equally as important.  Today we touch on the different types of followers, and how this relates to the pre-hospital world. Music by Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 <a href="http://creativecommons.org/licenses/by-sa/3.0/" rel="nofollow" target="_blank">creativecommons.org/licenses/by-sa/3.0/</a> Music promoted by Audio Library <a href="http://youtu.be/SZkVShypKgM" rel="nofollow" target="_blank">youtu.be/SZkVShypKgM</a>

8: Episode 8: Followership

Resilience

This week Scott interviews the team on their experiences with resilience and burnout.   Have we wanted to quit at times?  Yes,   Have we ever been burnt out?  Yes,   How were these experiences, how did we push on and how do we build resilience for the future.

This week Scott interviews the team on their experiences with resilience and burnout.  Have we wanted to quit at times? Yes,  Have we ever been burnt out? Yes,  How were these experiences, how did we push on and how do we build resilience for the future.

12: Episode 12 - Resilience and Burnout 

Today we challenge the idea that working traumatic arrests is futile.   They are young, they are healthy and 5-7% will walk out of hospital neurologically intact.   Presenting ECG rhythm is not a good determinate of outcome.  Outside of cranial destruction, hemicorporectomy and incineration, there are no good indicators of futility.  So if in doubt, resuscitate these patients.

Today we challenge the idea that working traumatic arrests is futile.  They are young, they are healthy and 5-7% will walk out of hospital neurologically intact.  Presenting ECG rhythm is not a good determinate of outcome. Outside of cranial destruction, hemicorporectomy and incineration, there are no good indicators of futility. So if in doubt, resuscitate these patients.

14: Episode 14 - Traumatic Arrest - A Paradigm Shift. 

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