At the dawn of the social media era, Belle Gibson became a pioneering wellness influencer - telling the world how she beat cancer with an alternative diet. Her bestselling cookbook and online app provided her success, respect, and a connection to the cancer-battling influencer she admired the most. But a curious journalist with a sick wife began asking questions that even those closest to Belle began to wonder. Was the online star faking her cancer and fooling the world? Kaitlyn Dever stars in the Netflix hit series Apple Cider Vinegar . Inspired by true events, the dramatized story follows Belle’s journey from self-styled wellness thought leader to disgraced con artist. It also explores themes of hope and acceptance - and how far we’ll go to maintain it. In this episode of You Can't Make This Up, host Rebecca Lavoie interviews executive producer Samantha Strauss. SPOILER ALERT! If you haven't watched Apple Cider Vinegar yet, make sure to add it to your watch-list before listening on. Listen to more from Netflix Podcasts .…
General Broadcast is a free online learning resource aimed at clinicians and students who have an interest in out of hospital, urgent and emergency care. Podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning. If you want to improve your knowledge and the care you provide to patients, then this podcast is for you!
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Documentation
1:02:00
1:02:00
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1:02:00On 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…
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Demystifying HCPC Hearings - With Andrea James
1:12:12
1:12:12
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1:12:12This 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…
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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…
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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 th…
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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 t…
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Renal Colic
1:10:46
1:10:46
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1:10:46Renal 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 complicat…
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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 p…
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Hypoglycaemia
1:13:43
1:13:43
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1:13:43This 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 me…
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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.generalbr…
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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.…
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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 c…
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Cardiac arrest is a situation that as paramedics and ambulance staff we are well prepared for. However, training can sometimes be limited around return of spontaneous circulation (ROSC). What is post ROSC syndrome? How much adrenaline should we give to support blood pressure? and what is the latest evidence around theraputic hypothermia? This month…
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Impact brain apnoea is the cessation or disruption of the inate breathing mechanism following a blow to the head. Its possible for this to result in the death of patients without any visible damage to the brain or surrounding blood vessels.This month we discuss this, the development of a hypoxic brain injury, the resultant catecholamine release or …
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Traumatic Cardiac Arrest
1:09:58
1:09:58
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1:09:58Prehospital Traumatic Cardiac Arrest (TCA) is a rare and particularly stressful presentation to paramedics and emergency clinicians. We should be comfortable with the different algorithm rescusers should use in resuscitation and understand the reasonings for modifications in these low output states in trauma. So, why dont we do chest compressions i…
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Pulmonary Embolism
1:07:05
1:07:05
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1:07:05Pulmonary Embolism is a common emergency presentation to paramedics and emergency medicine clinicians.We discuss why PEs cause right ventricular strain, the types of PE from massive, to submassive and subsegmental, how to work up and diagnose pulmonary embolism, how do D-Dimers work? and what are the high risk pulmonary embolism criteria.Find the r…
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Diving Emergencies
1:25:19
1:25:19
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1:25:19All diving represents a hazard, as humans we're not designed to live under water. The deeper divers go and the longer they dive for, the greater the potential risks. Although the bends or decompression sickness, arterial gas embolisims and other diving related emergencies arent the most common presentation to emergency care clinicians. We thought i…
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Error And Blame Culture with Andy Collen
1:00:39
1:00:39
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1:00:39We all make mistakes, its a natural part of the course of being human. What matters is that we're honest about these, learn from them and feel safe in a just culture where the focus will be on learning, rather than on puishment. We spoke with consultant paramedic Andy Collen, author of the fantastic book "Decision making in paramedic practice" and …
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Human Factors
1:00:05
1:00:05
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1:00:05Patient safety should be the key aim at the heart of any healthcare system, including the NHS. Yet we know that every single day, patients come to avoidable harm as a result of errors and mistakes. Human Factors and CRM have become increasingly common schools of thought after the tragic Elaine Bromley case.This month we look at the Human Factors at…
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Heroin Overdose
1:07:39
1:07:39
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1:07:39Heroin overdose or other opiate poisoning is an emergency that most paramedics and ambulance staff will be familiar with. However, there are some elements that can cause uncertainty for responders. What comes first CPR or naloxone? What are the signs of an opioid emergency? How much naloxone do you give to someone suffering from opioid toxicity? Th…
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Hanging
1:03:13
1:03:13
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1:03:13Content WarningThis podcast features discussion of suicide and hanging. Hanging is one of the most common methods of suicide in the western world. Ambualnce crew are likely to come across these cases in the course of their work and so it is important that we understand the pathophysiology and managment of them. This month we discuss how hanging cau…
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Ankle Injury
1:03:07
1:03:07
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1:03:07Ankle injuries present to ambulance staff across a wide spectrum, from the minor soft tissue injury that can be discharged on scene, to the fracture dislocation. We need to be confident in assessing and managing the full spectrum of these injuries, This month we talk about manipulating fractures, prophylactic antibiotics, as well as how to decide w…
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Asthma is the most common lung pathology in the UK. Managing exacerbations of the disease is something paramedics and emergency teams should be well versed in. In this months episode we review the pathophysiology, look at the different severities of exacerbation that may present to ambulance crews, discuss what types of patient are suitable for dis…
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Its a topic that's been in the news a lot recently. This year is seeing a particularly high number of Strep A infections in the UK, this naturally translates to a higher number of complications and cases of invasive group A strep. Thats why this month we're taking a deep dive into all of it, we'll cover how to recognise strep throat and scarlet fev…
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Remote Clinical Support and Top Cover
1:00:10
1:00:10
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1:00:10This month we discuss how to get the best out of remote clinical support or "top cover" calls. There are a number of human factors issues that can be at play for paramedics making emergency and urgent care clinical support phone calls, and as we discuss, optimising the situation so that advisors can provide the best advice, starts with those who ar…
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Headache
1:09:57
1:09:57
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1:09:57This month we're looking at headaches, this is a condition with a wide range of causes, from the seemingly benign migraines and tension headache to more sinister causes such as the infamous " thunder clap headache"Find the article and other episodes at www.generalbroadcast.org.ukDi General BroadCAST
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Epistaxis
1:06:52
1:06:52
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1:06:52This month we're taking a look at Epistaxis. It's a common presentation with a varied degree of severity. You might not think there's much to learn about managing a nose bleed, but that's where you'd be wrong. There's a number of things we need to consider when assessing these patients and several treatment options to consider. Find the article and…
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Tracheostomy Emergencies
1:26:57
1:26:57
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1:26:57This month we're back from our break and we're tackling a topic that is known to make even the most experienced practitioners a bit flustered...Tracheostomy emergencies. The number of Tracheostomies and Larnygectomies in the UK is increasing and so is our chance of being called to a Tracheostomy emergency. These can be high-stress situations, that …
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Pre-Hospital Emergency Anaesthesia, or PHEA for short, is the term used to describe a rapid sequence induction, or anaesthetic, in the pre-hospital emergency environment. its important that the team performing it, are familiar with the procedure. Of course, the PHEA team does not just stop at the critical care providers who carry the drugs… Every p…
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Frailty
1:00:07
1:00:07
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1:00:07Frailty is a term we commonly encounter in urgent and emergency care, but can you actually define it? Have you been taught to use frailty scores, and do you know what they're for?This month we've partnered with the fantastic MDTea podcast to look at the subject. As always, find the article at www.generalbroadcast.org.ukand check out the other fanta…
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Silver Trauma
1:26:03
1:26:03
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1:26:03Silver trauma is the term that is most commonly used to describe trauma in older patients. It is often used to refer to major trauma in this patient group and rates of major trauma in the over 65s are rising. This month we're looking at the physiological changes that occur with ageing and trying to understand how these impact our older patients who…
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Chronic Obstructive Pulmonary Disease Pt 2
1:02:34
1:02:34
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1:02:34This is the second episode in a two-part series on COPD. In this episode, we look at the differential diagnosis to consider to a simple exacerbation, the ambulance management as well as recent changes to national paramedic guidelines, and the management options. Find the article and our other podcasts on www.generalbroadcast.org.uk/…
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COPD is a terminal condition believed to affect as much as 4% of the UK populace. These patients often present to ambulance crews with an exacerbation in symptoms. In this episode, we look at the pathophysiology of COPD, causes and diagnosis as well as the assessment of acute shortness of breath in these patients. Find the article and our other pod…
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Paediatric Fever
1:22:32
1:22:32
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1:22:32When you think of Paediatrics medicine, the presentation of fever is probably not far behind. This is a common finding by paramedics and ambulance staff need to be confident in their assessment and management of this patient group. Thats why this month we're tackling paediatric fever, with the help from paediatrics consultant Dr Wajeeh Khattam.Find…
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Whilst Aortic Pathologies may not be the most common emergency condition paramedics are presented with, they are most definitely among the most devastating. Atherosclerotic degenerative aneurysms and aortic dissection are often misunderstood and misdiagnosed and they can present a number of challenges to clinicians in the pre-hospital arena. So, th…
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Discharging a patient is one of the riskier areas of practice for paramedics and ambulance clinicians, so it is essential that we appropriately safety net our patients and do this well, to protect them and ourselves. In This months podcast we look at how we can make discharging out patients safer.Read the article at: https://www.generalbroadcast.or…
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Bronchiolitis
1:02:27
1:02:27
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1:02:27This month we take a look at a paediatric condition...Bronchiolitis. We discuss the pathophysiology of the disease, how paramedics and ambulance staff can assess and manage these children and what the evidence suggests are the most appropriate treatment plans. Read the article at www.generalbroadcast.org.uk General BroadCAST is a free online CPD po…
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Urinary Tract Infection (UTI)
1:00:19
1:00:19
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1:00:19Urinary tract infections (UTIs) are an extremely common presentation to both primary and secondary care services. The term UTI encompasses a wide range of clinical conditions so we need to be confident in assessing and diagnosing them. This month we look at UTIs!Di General BroadCAST
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This month we're tackling Failure: the difficult decisions, the awkward conversations but also the improvement and learning that can come out of it.Di General BroadCAST
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Mentorship
1:09:30
1:09:30
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1:09:30Becoming a mentor can be a bit of a mixed bag. Some trusts may insist their mentors sit a module on the topic at level 6 or higher, where as others may not even require them to have passed their NQP stage.Thats why this month we’re examining mentorship, we’re looking at what things you can do to get you and your new student off to a good start and …
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Cocaine might be a drug you associate with the 1980s, however, a 2018 audit found that it was still the 2nd most used recreational drug within the UK. Deaths associated with cocaine doubled between 2015 and 2018. 2019 marks the highest deaths on record linked to cocaine use after 8 years of successive increase.This month we’re looking at the pathop…
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Lower Back Pain
1:15:52
1:15:52
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1:15:52Affecting an estimated 80% of the population at some time in their lives, Lower back pain is a common presentation to ambulance crews. Often this will be muscular in origin, however there are many serious conditions that is im portant ambulance staff are able to recognise and diagnose. This month we’re looking at the assessment and managment of the…
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This is the Second part of our 2 part mini series looking at Road Traffic Collision. In this episode we put your questions to Adam Barrow, head of collision research at TRL. Is closing speed a useful thing to describe? 50mph + 50mph head on = 100mph crash...right? How do airbags influence injury? Do electric vehicles present a risk to the rescuer? …
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RTC Pt 1: The Injury Experience
1:15:02
1:15:02
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1:15:02In this Episode we speak to Adam Barrow the head of collision research for TRL. Adam talks to us about how he and his team assess the scenes of Road Traffic Collisions, how car safety features work and how thinking about the injury experience during a collision can support our practice and care for injured patients.…
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Every year in England and wales 1.4 million people attend A+E with a head injury, this makes up just over 6.5% of the presentations that Emergency departments see with 20% of them being admitted. Prehospital clinicians can have a difficult time assessing these patients often without the luxuries that come with seeing these patients in hospital. Thi…
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Logical Fallacies have been documented as far back as ancient greece. For over 2000 years we have been making logical errors, and in modern day paramedic practice, these errors in logic can affect our clinical decisions. This week we discuss times in our own practice where we have fallen short to logical fallacies and what if anything we can do to …
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This year, students are registering in unprecedentedly difficult times which is bound to lead to some anxieties. In this episode we discuss 10 bits of advice we wish we'd been told before registering as paramedics as well as several of our colleagues who have sent us some absolute pearls of wisdom. Read the article here: www.generalbroadcast.org.uk…
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Transient Loss of Conciousness
1:08:19
1:08:19
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1:08:19In this episode we discuss Transient loss of Conciousness. The presentations, assessments involved and potential causes, as well as some case studies we've encountered in our practice.Read the article here: www.generalbroadcast.org.ukGeneral Broadcast is a free online learning resource aimed at UK based student paramedics and newly qualified parame…
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This is the second part of our 2 part podcast on hypothermia. In this podcast we look at managment of the critically unwell hypothermic patient and modifications to the hypothermic cardiac arrest algorithm. Read the article and part one here: www.generalbroadcast.org.ukGeneral Broadcast is a free online learning resource aimed at UK based student p…
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In this episode we look at the pathophysiology behind hypothermia. We go through the stages of hypothermia from mild homeostatic changes to peri-arrest phenomena.Read the article here: http://www.generalbroadcast.org.ukGeneral Broadcast is a free online learning resource aimed at UK based student paramedics and newly qualified paramedics. The podca…
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