Prehospital and Retrieval Medicine Podcast: Recent Episodes

Minh Le Cong, MD

In memory of Dr John Hinds

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For directors working in the health sector, there’s an important chapter on leading through crisis in my new book “Experiences of Health Workers in the COVID-19 Pandemic: In Their Own Words”. #AGS2022 #InTheirOwnWords https://t.co/iwZCZu9096 — Prof Marie Bismark FAICD (@mbismark) March 2, 2022 https://platform.twitter.com/widgets.js Hi folks! This episode I chat with Professor Marie Bismark onContinue reading "PHARM podcast Episode 240 Experiences of Health Workers in COVID-19 Pandemic with Professor Marie Bismark"

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pic.twitter.com/V1piqIoImQ — Seth Trueger (@MDaware) February 3, 2022 Hi folks! This episode I chat with an old friend of the show, Dr Seth Trueger. He tells a personal story of how his health has changed but his mind , spirit and work have not. Check out the show notes! Show notes: some personal health news:Continue reading "PHARM podcast Episode 239 Dr Seth Trueger I presume"

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Horse’s hoof v face causing a massive max-fax haemorrhage. “Anyone got any ideas?”#ATACC @ATACCfaculty pic.twitter.com/OymgZNhxUX — Kate Prior 💙 (@doctorwibble) September 4, 2021 https://platform.twitter.com/widgets.js Hi folks! This episode I discuss the prehospital care of severe facial trauma! Show notes: Management of facial trauma in emergency Facial packing – QAS Maxillofacial trauma : coping with theContinue reading "PHARM podcast Episode 238 Prehospital care of severe facial trauma"

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Hi folks! This episode I discuss the first RCT of ketamine vs haloperidol/lorazepam sedation for acute behavioural disturbance in a major tertiary hospital emergency department. Show notes: Efficacy of ketamine for initial control of acute agitation in the emergency department: A randomized study Podcast ( available here and on iTunes) Right Click and Choose Save-asContinue reading "PHARM podcast Episode 237 First RCT of ketamine in emergency department management of acute behavioural disturbance"

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Hi folks! This episode I discuss a new book by Dr Yumiko Kadota, telling her story through medical school and early surgical training, resulting in disabling depression. Her experiences of sexism, racism and workplace bullying are not singular as her book has captured the attention of many who have experienced similar. Show notes: EMOTIONAL FEMALEContinue reading "PHARM podcast Episode 236 Emotional Female by Dr Yumiko Kadota"

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Discussion Content Warning:sexcrimes,childexploitationHi folks! This episode I discuss some dark things like physicians involved in child exploitation and abuse. This is something I have been thinking over recently as a respected mentor of mine has pleaded guilty to crime of child exploitation. PLease tune off if this will be disturbing or distressing for you. ShowContinue reading "PHARM podcast Episode 235 There are Crocodiles"

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👇 pic.twitter.com/TBzq9toFBu — Dr David Berger #CovidIsAirborne STOP KILLING HCWs (@YouAreLobbyLud) January 31, 2021 https://platform.twitter.com/widgets.jsHi folks! . In this episode I chat with Dr David Berger @YouAreLubbyLud on a year of COVID in Australia and our government response to it. We chat on hotel quarantine and aerosol transmission. Show notes: Please share, retweet, paste upContinue reading "PHARM podcast Episode 234 Welcome to Planet Covid part 1 with Dr David Berger"

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I found the length it was!! pic.twitter.com/bpAXIo2d3e — Tricia Pendergrast (@traependergrast) January 3, 2021 https://platform.twitter.com/widgets.js Hi folks! . In this episode I chat with 2nd year medical student Tricia Pendergrast on her recent paper on online harassment/cyberbullying and the reported experiences of physicians. Show notes: Prevalence of Personal Attacks and Sexual Harassment of Physicians onContinue reading "PHARM podcast Episode 233 A study of Online physician harassment by Tricia Pendergrast"

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Hi folks! . In this episode I share some pearls of wisdom and hard learnt lessons of 15 yrs of prehospital airway management! Show notes: THIS IS THE WAY Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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Hi folks! . In this episode I announce my resignation after 15yrs with Royal Flying Doctor Service, Queensland section. I chat about a prehospital ketamine study from QUeensland as well as the upcoming Diploma in Prehospital and Retrieval Medicine Show notes: Diploma in Prehospital and Retrieval medicine Ketamine as a rescue treatment for severe acuteContinue reading "PHARM podcast Episode 231 15yrs as a Royal Flying Doctor"

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Hi folks! . In this episode I have a good chat to Dr Tony Harrington, a retired emergency physician, on the 1980s era in Queensland and evolution of retrieval medicine & emergency medicine. Show notes: Dr Tony Harrington MBBS, FRACGP, DA,RCS (Eng) FACEM, OAM (Retired) It is interesting to reflect and see how farContinue reading "PHARM podcast Episode 230 Queensland retrieval medicine in the 1980s with Dr Tony Harrington"

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Hi folks! . In this episode I have a good chat to Dr Marcus Kennedy about his new fictional book The Cut and his career in retrieval medicine in Australia. Show notes: Click here to go to author website and read more about The Cut! Click here to read more about Oxford Specialist handbook ofContinue reading "PHARM podcast Episode 229 The Cut by Dr Marcus Kennedy"

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Hi folks! Dr Anne Creaton talks to Dr Ilikini Naitini  on the development of retrieval medicine in Fiji . Show notes:   Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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All the feels in Australia right now…2020 has been tough and it’s only April Passing the baton of hope #Covid_19australia #bushfires Artwork credit:https://t.co/GfkMwAeKJy pic.twitter.com/zdAfi7XfiZ — Dr Alyce Wilson (@AlyceNWilson) April 9, 2020 https://platform.twitter.com/widgets.js Hi folks! I chat about the new world order of COVID19 and how its affected me and others on the PHARM .Continue reading "PHARM podcast Episode 227 Life on the PHARM in time of COVID19"

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Hi folks! I chat to Flight MICA paramedic Darren Hodge about his new book : A Life on the Line Show notes: Links: info@darrenhodge.com Web: https://www.darrenhodge.com Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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Hi folks! I chat about penetrating trauma in remote care this episode Show notes: The slides to go with podcast Penetrating torso trauma in remote Oz Podcast ( available here and on iTunes) [https://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2019-10-16-237.mp3] Right Click and Choose Save-as to Download the Podcast.

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Hi folks!Long time friend of the show, paramedic Ben Gilmour is back to talk about his new book! Show notes: (From Ben) Some links, I guess these: Review of The Gap in the Canberra Times https://www.canberratimes.com.au/story/6344752/the-gap-is-a-poignant-glimpse-into-the-trials-of-an-ambos-life/ Article on paramedic mental health in SMH here https://www.google.com.au/amp/s/amp.smh.com.au/national/what-keeps-emergency-workers-going-can-help-us-all-20191006-p52y44.html Many different ways to read The Gap https://www.penguin.com.au/books/the-gap-9781760890209 And myContinue reading "PHARM Podcast 224 The Gap with Benjamin Gilmour"

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The colleagues of Loretto Harvey, who died while competing in the Townsville Triathlon Festival last weekend say she was caring and selfless. The 50-year-old was well known for her nursing role at the Rural Flying Doctor Service. Report on 7NEWS at 6pm. #7NEWS pic.twitter.com/mVIhEwxPLk — 7NEWS Townsville (@7NewsTownsville) August 30, 2019 https://platform.twitter.com/widgets.js Hi folks ,Continue reading "PHARM Podcast 223 Fear of flying in aeromedical retrieval and a dedication to Loretto Harvey"

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Oh! I got this script as a tattoo. Sorry my scars kind of show in the image, I didn’t realize they would. Anyway…I love this idea. @silv24 gave it to me. “You should know you’re not alone.” pic.twitter.com/T0VowF5qsx — Mitochondrial Eve (@browofjustice) July 16, 2019 Hi folks! Show notes: Burnout recognised by WHO in newContinue reading "PHARM Podcast 222 Burnout with The Brow of Justice"

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Hi folks! Show notes: Addendum to podcast : Thankyou for providing me the opportunity! I have listened to the podcast and there is one amendment needing to be made which relates to the errors- syringe swap what I meant to say was… Routine practice is to prepare Rocuronium (100 mg) in a 10 ml syringe,Continue reading "PHARM Podcast 221 SCRAM"

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UBC professor finds ketamine alleviates acute pain during ambulance rides – UBC Faculty of Medicine https://t.co/wQyU9JcNAZ — Minh Le Cong (@ketaminh) June 20, 2019 Hi folks! Show notes: Media coverage – ketamine for pain Prehospital Analgesia With Intranasal Ketamine (PAIN-K): A Randomized Double-Blind Trial in Adults Follow these authors of this paper on podcast onContinue reading "PHARM Podcast 220 Prehospital intranasal ketamine analgesia"

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Hi folks! A reading of an article on thiopentone at Pearl Harbour! Show notes: The Legacy of the Anaesthesia ‘Events’ at Pearl Harbor, 7th December 1941. Med Ed Stuff and Nonsense podcast Follow @inquisitveGyn and @GongGasGirl Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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Vera Scantlebury (later Scantlebury-Brown) and Rachel Champion (later Shaw) were two of the first women graduates of the University of Melbourne Medical School. They are pictured here serving at London’s Endell Street Military Hospital, in WW1. Picture: Imperial War Museum . This image and contents of podcast are reproduced here under this Creative Commons licenceContinue reading "PHARM Podcast 218 The Women Doctors who fought to serve"

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Hi folks! A select reading of chapter 1 of DUstfall by Dr Michelle Johnston. Show Notes: Michelle Johnston’s blogsite about Dustfall and more Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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Hi folks! welcome back to the PHARM for the first episode in 2019! We are going back to Fiji and Dr Anne Creaton to talk about a new prehospital training course that has been setup there. I also make a few quick mentions and shoutouts to folks on medtwitter and about ketamine! Show Notes: CHeckContinue reading "PHARM Podcast 216 More from Fiji Prehospital care with Dr Creaton!"

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Hi folks. On todays episode I discuss the pitfalls of privacy and boundaries on Twitter , based on my own 7 yr experience on the platform. Show Notes: TWITTER RULES Social Media’s Dark Side: Learning to Set Boundaries Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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13,300 signatures already! Please continue sharing our letter to the NRA where we outline why #GunViolence is our lane. We know that we're not done yet. #ThisIsOurLane #Enoughhttps://t.co/Wk0aMvCRLV — AFFIRM Research (@ResearchAffirm) November 10, 2018 Hi folks. On todays episode I discuss guns . show notes: Port Arthur mass shooting 1996 Podcast ( available hereContinue reading "PHARM Podcast 214 Guns on the PHARM"

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Let me share a few tales about how juniors learn from SoMe.It's not by reading the evidence but by listening to (and maybe not fully understanding) the loudest voices.Dreyfus' model of expertise states novices need rules- that's what they're looking for and what they absorb pic.twitter.com/3Zf7t6RT4V — Stu Marshall (@hypoxicchicken) October 22, 2018 Hi folks.Continue reading "PHARM Podcast 213 The path to expertise with Dr Stu Marshall"

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Hi folks. On todays episode I discuss FOAMEd and its current health. What is its relevance and value now after 6yrs? SHow notes: Are you already feeling sad about #FIX18 ending? What can you do to keep this momentum going? 1) Blog about your experience or something you’re passionate about + submit to https://t.co/cTwA9lWWTp 2)Continue reading "PHARM Podcast 212 FOAMEd , Feminism and Fascism"

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Hi folks. On todays episode I discuss twitter and ethical conduct of ambulance professionals using it to promote their services work. I’ve talked about this already last year show notes: 🚑 Another night shift awaits myself and Mandy tonight, booked on unti 0600hrs. 🚑 So far we’ve been to a elderly faller, fell due toContinue reading "PHARM Podcast 212 For Tweets Sake!"

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Hi folks. On todays episode I discuss 3 things : ketamine study for TBI, portable fluid warmers and a new videolaryngoscope that promises to be as close to sub $100 device I’ve been dreaming of! show notes: Effect of sedative agent selection on morbidity, mortality and length of stay in patients with increase in intracranialContinue reading "PHARM Podcast 211 Spring on the PHARM"

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Hi folks. On todays episode I discuss dishwasher related trauma and cardiac injuries! show notes: Child impaled in freak dishwasher accident Emergency thoracotomy in the pre-hospital setting: a procedure requiring clarification Emergency thoracotomy: “how to do it” Crack to Cure ( EMCRIT Thoracotomy) Podcast ( available here and on iTunes) Right Click andContinue reading "PHARM Podcast 210 Dishwashers and Cardiac Injury"

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Hi folks. On todays episode I discuss show notes: https://t.co/6taQIoIHL2 @PatMcGorry @ian_hickie @DrMukeshH @drHelenschultz @agwalker01 @PeninsulaHealth @venessb @beyondblue @georgie_harman @docs4docs @aml1384 my take on ‘repaired’Drs and urgent need to increase funding and resources — Geoff Toogood (@gdtoogood) August 6, 2018 Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download theContinue reading "PHARM Podcast 209 Scarred healers"

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Hi folks. On todays episode I discuss prehospital ketamine research and controversy in Minneapolis. show notes: Minneapolis Police Department involvement in prehospital sedation – Office of Police Conduct Review July 2018 Hennepin Ketamine Study Raises Questions About Ethics And Consent Shooting of Justine Damond A listener, Duke Powell sent in this feedback comment to clarifyContinue reading "PHARM Podcast 208 Ketamine controversy with Minneapolis Police"

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Hi folks. On todays episode I discuss prehospital research published in July : PARAMEDIC2, COMBAT, PAMPer. All prehospital RCTs with findings relevant to daily prehospital care around the world. So tune in and listen to my summary and read the Twitter Moment for online commentary from world leading experts and the study authors themselves! showContinue reading "PHARM Podcast 207 Prehospital research Bonanza!"

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Hi folks. On todays episode I discuss an update on the Thai cave rescue sedation, a coronial inquest into a death in custody after administration of IM midazolam and finally a controversy about prehospital ketamine sedation research in USA show notes: Thai cave doctor trained divers how to administer dangerous sedative to kids.https://t.co/L9vQi52amw — ABCContinue reading "PHARM Podcast 206 Surviving Sedation – Triumph, Tragedy and Controversy"

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Hi folks. On todays episode I discuss prehospital ultrasound guided nerve blocks in a RCT compared with IV sedation-analgesia for management of limb injury pain and reduction of joint dislocations. show notes: Prehospital ultrasound-guided nerve blocks improve reduction-feasibility of dislocated extremity injuries compared to systemic analgesia. A randomized controlled trial Podcast ( available here andContinue reading "PHARM Podcast 205 Prehospital ultrasound guided nerve blocks a RCT"

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Hi folks. On todays episode I discuss prehospital inhaled sedation for acute agitation as well as some commentary on sedation and its use in recent Thai cave rescue show notes: Inhaled Loxapine for the Treatment of Psychiatric Agitation in the Prehospital Setting: A Case Series Podcast ( available here and on iTunes) Right Click andContinue reading "PHARM Podcast 204 Prehospital sedation : INhale the chemicals and some cave diving"

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Be there for others, but never leave yourself behind. – Dodinsky #quote pic.twitter.com/sxkYSJDQCZ RT @gary_hensel #TuesdayThoughts #mindset #selfcare #selfrespect #selflove #Health #burnout #Happiness #parenting #teachers — Beth Frates, MD (@BethFratesMD) June 26, 2018 Hi folks. On todays episode I discuss burnout . show notes: Here is an excellent article about burnout in the medical professionContinue reading "PHARM Podcast 203 Burnout"

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Hi folks. On todays episode I discuss surgical airway in terms of its similarities to chest drain insertion.     Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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Hi folks. On todays episode I discuss the role of ketamine in managing acutely suicidal states. show notes: Ketamine for Rapid Reduction of Suicidal Thoughts in Major Depression: A Midazolam-Controlled Randomized Clinical Trial. The Effect of a Single Dose of Intravenous Ketamine on Suicidal Ideation: A Systematic Review and Individual Participant Data Meta-Analysis. And forContinue reading "PHARM Podcast 201 Ketamine for suicidal ideation"

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Hi folks. On todays episode I discuss prehospital rib fracture management including pneumothorax and pulmonary contusion show notes: Rib fracture management 2015 Podcast ( available here and on iTunes) Right Click and Choose Save-as to Download the Podcast.

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My disgust at USAG is beyond expression. Intentionally covering up for Larry when abuse allegations arose. Had they done the right thing, I would never have had to do what I did, and so many victims saved. They knew they lied, and never even said “sorry”https://t.co/sjB0aHpqO1 — Rachael Denhollander (@R_Denhollander) May 24, 2018 (Trigger warningContinue reading "PHARM Podcast 199 When physicians harm"

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The #RFDS90 air pilgrimage is in flight from Cloncurry to Julia Creek, following the path of the first RFDS flight 90 years ago. pic.twitter.com/bDdgvzn0hw — Royal Flying Doctor (@RoyalFlyingDoc) May 16, 2018 Hi folks. On todays episode I celebrate the 90th birthday of the Iconic Australian service I have worked for for more than aContinue reading "PHARM Podcast 198 90th Birthday of Royal Flying Doctor Service"

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Hi folks. On todays episode I chat with Dr Viren Kaul @virenkaul about entry into medical school and residency training in India, USA and Australia. This is the start of a series, entitled MedEd Confidential, in which we explore the similarities and differences in medical training culture across these three nations in the hope ofContinue reading "PHARM Podcast 198 MedEd Confidential series Pt1 with Dr Viren Kaul"

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I’m getting excited seeing @amacdt and @DHAS_WA advertising #crazysocks4docs 😃😃😃 only 22 days to go until June 1 😃 #MH4Docs #mentalhealth #chloeslegacy @crazysocks4Docs pic.twitter.com/FtyJ0haNXi — Bubbly Junior Doc 🌈 (@jaz_medicine) May 9, 2018 Hi folks. On todays episode I discuss a day of awareness raising called #Carzysocks4Docs day, June 1st Show notes: CrazySocks4Docs DayContinue reading "PHARM Podcast 197 #CrazySocks4Docs day and the rise of depression"

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Hi folks. On todays episode I discuss a Japanese philosophical concept called Kintsugi and how it applies to critical thinking in medicine and life in general Show notes: Kintsugi We have a new publication in the Lancet – systematic review & meta-analysis on liberal vs conservative oxygen Rx in acutely ill adults:https://t.co/IE5jV4HJmk — WellingtonContinue reading "PHARM Podcast 196 Kintsugi & celebrating damage"

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Hi folks. On todays episode I discuss paralytic first RSI, CPR induced awareness, dogma in critical care and ethical airway management. Kathryn shares her traumatic experience after residual anaesthetic drugs were not flushed from her lines and cannulae following surgery. Please share with your colleagues. #PatientSafety https://t.co/OT3EBK7bsL https://t.co/Mrl4fV0RBD — NHS Improvement (@NHSImprovement) April 12, 2018Continue reading "PHARM Podcast 195 Paralytic first intubation – does the end justify the means?"

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Hi folks. On todays episode I chat with Matt Pepper, President of the Australian Tactical Medicine Association about high threat medicine in Australia and the need to bolster and maintain preparedness for low frequency high consequence events in our region. He mentions a conference that will be run on this topic in Brisbane thisContinue reading "PHARM Podcast 194 The State of High Threat Medicine in Australia with Matt Pepper"

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To help develop pre-hospital care & ambulance service, we teamed up with NFA Pacific Harbor & Navua stations to train their FFs. This also included donating a derelict vehicle & PH gear. Vinaka #AusAID – donated equipment to @VFRfiji continues to be utilised #TeamFiji #Fiji pic.twitter.com/JqKvXHoJxu — Volunteer First Responder (FIJI) (@VFRfiji) March 25, 2018Continue reading "PHARM Podcast 192 Prehospital care in Fiji with Dr Anne Creaton"

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Above: Cameron Fox with Caldervale Station’s medical chest, which contained
the adrenaline that saved his life. Right: Dr Minh in the Cairns Base telehealth
office where he took the call for help from Kimberley Rains

Hi folks

today, talking about art of effective communication in health care and also self care.

Podcast ( available here and on iTunes) http://media.blubrry.com/prehospitalpodcast/content.blubrry.com/prehospitalpodcast/PHARM-2018-03-17-199.mp3

Right Click and Choose Save-as to Download the Podcast.