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The Resus Room

Chemical Burns, Maternal arrest, Amputation and Mental Toughness; BASICSFPHC18 Day 2

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 23 November 2018

⏱️ 30 minutes

🧾️ Download transcript

Summary

We were delighted to be back to cover the joint Faculty of Prehospital Care and BASICS conference, day 2,  held at the Royal College of Surgeons of Edinburgh. Again we were absolutely spoilt for choice when it came to content for the podcasts but we managed to catch up with:

• Dr Anne Weaver – a consultant in Emergency Medicine and Prehospital Care working for the Royal London Hospital and London HEMS. She talked to us about chemical burns and a novel treatment for managing these injuries.
• Dr Virginia Beckett – an Obstetrics and Gynaecology consultant who is a member of the mMOET working group and has recently published on the topic of cardiac arrest in pregnancy. She was talking on the topic of resuscitative hysterotomy.
• Sam Cooper – a Critical Care Paramedic from Derbyshire, Leicestershire and Rutland Air Ambulance who discussed a case of prehospital amputation and the learning points that arose from it.
• Dr Rob Lloyd – an Emergency Medicine trainee, blogger and fellow podcaster who has an interest in performance psychology. He talked about Mental Toughness, framed by his experiences working in a hospital deep in a South African township.

Once again, our thanks to Caroline Leech for being instrumental in the organisation of today and inviting us up. We’re already looking forward to next year….

Enjoy!

SimonRob & James

References

PonderMed

Diphoterine

A video showing a similar demonstration to the one at the conference showing why Diphoterine works and the limitations of water

Pre-hospital Obstetric Emergency Training; POET

VA Beckett, M Knight, P Sharpe, 2017, 'The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study', BJOG: An International Journal of Obstetrics & Gynaecology, vol. 124, no. 9, pp. 1374-1381

Realtime simulation of peri-mortem c-section; Bradford Teaching Hospital

K. M. Porter, 2010, 'Prehospital amputation', Emergency Medicine Journal, vol. 27, no. 12, pp. 940-942

Caroline Leech, Keith Porter, 2016, 'Man or machine? An experimental study of prehospital emergency amputation', Emergency Medicine Journal, vol. 33, no. 9, pp. 641-644

 

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the recess room podcast.

0:03.9

Five, four, three, two, one, fire.

0:13.4

So, hi and welcome back to Edinburgh and the Joint Faculty of Breast Hospital Care and Basics Conference.

0:19.8

I am here with...

0:20.6

Rob Femmerick. And Simon is still in Bristol growing his moustache. So if you didn't listen

0:26.4

into day one then please take a time to check out that podcast. It was a fantastic day, some

0:32.4

really interesting topics and some really great speakers. So coming up then, more fantastic

0:37.3

speakers summarising their

0:38.9

talks and a little bit of input from Rob and I when we can think of something to add to what

0:44.1

they've said that might actually bring some educational benefit. We'll try and think of something

0:48.8

that might be useful for you. We will. Let's give it a go. So first up today, we were able to catch up with Anne Weaver, and Anne is an emergency medicine

0:57.6

consultant at the Royal London and works with London's Air Ambulance, and she was talking to us

1:02.6

about chemical incidents.

1:04.6

So my interest started about 18 months ago.

1:06.6

I work in an East London emergency department and do pre-hospical care, and I was fortunate to learn about a product called diphterring, which I'd never heard of before.

1:16.7

It prompted me to read around the product and read some background papers and learn quite a lot.

1:22.1

I was quite a surprise that I'd never heard of this product.

1:25.3

Whilst doing my reading, I learned that actually the UK has one of the highest

1:29.4

rates of corrosive attacks in the world, and corrosive attacks refers to not just acid,

1:34.6

which we might think is the commonest type of injury, but acid, alkali, oxidising, reducing

1:39.6

agents, solvents, and collating agents. These attacks account for about 3% of all burns in the UK,

1:45.8

but actually 30% of deaths, and most of those deaths are due to ingestion in children.

...

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