ThePTN podcast: Recent Episodes
ThePTN
ThePTN is a website, podcast and videocast designed to share learning across the Peninsula trauma network. Dr Tim Nutbeam picks the brains of various guests across various specialties to deliver the latest knowledge on all things trauma.
Dr Matt Warner, consultant in EM and PHEM, BASMU medical director, Derriford Hospital Plymouth | Physiology alterations | Comorbidities | Intubation and ventilation considerations | Pharmacology
Ms Sian Falder Consultant in burns and plastic surgery, Alder Hey Children's Hospital, Liverpool | Burn grading | Early management | TBSA | Burn resuscitation
Dr Tom Scorer, Consultant Haematologist and transfusion lead, Derriford Hospital, Plymouth | History of transfusion in trauma | Blood products | Massive Transfusion | Targeted transfusion
Dr Clare Bosanko EM & PHEM working with Devon Air Ambulance and Devon BASICS, experience in paediatric retrieval and transfer | Epidemiology and incidence of paediatric major trauma | alterations to adult protocols
Dr John Hulmes; Intensivist, anaesthetist, PHEM consultant in Birmingham | Analgesic options | Experience of pain | Non-pharmacological elements
Dr Ben Ivory ICM and Anaesthetics consultant at Torbay Hospital and National Education Lead for Organ Donation NHS Blood & Transplant | Potential donor types | How, when and where to have the conversation | Role of ICU admission.
Prof Ian Roberts is a Professor of Epidemiology and Public Health at the London School of Hygeine & Tropical Medicine. Internationally renowned for his work on TXA, Prof Roberts was lead investigator in the CRASH2 and heavily involved in the WOMAN and CRASH3 trials. Tim discussed the history and current evidence with the use of TXA in trauma.
Paediatric radiologist Dr Jude Foster runs through the use of imaging in the paediatric trauma population. Topics include selectivity in patient groups, focussed regional imaging vs. pan scanning and the utility of imaging modality.
A sad necessity of working in trauma is the fairly frequent need to inform patients or their loved ones about the injuries they have sustained and often, that they are unlikely to survive. Dr Annette Rickard offers her experience in how to approach these situations.
Guest: Dr Matt Wiles, consultant Anaesthetist and Intensivisty working in Sheffield Teaching Hospitals NHS Trust discusses the use of vasopressors in the setting of traumatic hypotension. Topics include: is traumatic hypotension is purely hypovolaemia? choice of vasopressors, how to use and end points to guide us.
Dr Matt Warner, consultant in Emergency Medicine and Prehospital Emergency Medicine, ED Major Trauma lead at Derriford Hospital (and Medical Director for the British Antarctic Survey Medical Unit) dicusses the management of the patient in traumatic cardiac arrest. Definition and recognition, atempts to reverse and then moving onto resuscitative thoracotomy following the HOTT protocol.
Caroline Leech joins the podcast to discuss important considerations in management of trauma in the pregnant patient. Covering physiology, changes to normal management and obstetric injuries.
Prof Jason Smith joins the podcast in this episode. We cover what 'traditional teaching' classifies as the primary survey and reflects on how this has changed over time. Discussions centre on how some of these traditional elements may not be relevant and how we might change how we make use of the primary survey itself depending on the patient in front of you.
We go through the introduction of trauma systems into the UK and how this came about, focussing specifically on the Peninsula Trauma Network. Finish up with overview of the trauma call and how we manintain best practice across the network.
We talk about the move away from the historical paradigm of triple immobilisation for all suspected C-spine injuries. Then, we discuss the patterns of injury spinal cord injury seen and how to manage these patients.
Podcast covering both the 'big C and little c' of C-ABcDE: haemorrhage control, both catastrophic and otherwise. This is a huge topic covering haemostatic agents, blood products and other circulatory adjuncts. Make sure to listen to our other podcasts to support this one.
Edited version. The podcast covers all things traumatic brain injury! From initial assessments, life-saving interventions to buy time until definative neurosurgical management and all the way to rehabilitation and follow up. Includes expert tips on accurate assessment of GCS (Glasgow Coma Score).
Full version. The podcast covers all things traumatic brain injury! From initial assessments, life-saving interventions to buy time until definative neurosurgical management and all the way to rehabilitation and follow up. Includes expert tips on accurate assessment of GCS (Glasgow Coma Score).
Tim is joined by Lou Mitchell, David McConnell and Tony Kehoe to discuss all things leadership in trauma. Bringing experience from the entire range of trauma care, from pre-hospital, trauma units and MTCs, with the added extra of extensive experience with the Royal Navy and British armed forces in locations including Camp Bastion in Afghanistan.
Topics include developing leadership and a leadership style, how we go about training our future leaders and how the vast majority of leadership (in trauma) is developed away from the resus bay and from the trauma call!
Miss Juliana Hughes, Consultant Plastic Surgeon and Miss Clare Taylor Consultant Orthopaedic Surgeon lead us through the orthoplastics management of open fractures. "Do's" and "Don'ts" of open fracture management from field to Resus, the importance of timelines and an understanding of how energy transfer are key topics discussed.
Ash Lowther chats to Tim today as they take us through the stages in preparing for the trauma call: pre-alert, bay preparation, trauma team briefing, patient arrival and handover. This is the first podcast in the series specifically covering the learning areas for the level 1 and 2 Major Trauma Nursing compotencies.
Following on from our chest trauma podcast, this episode goes through the inpatient management of trauma. Topics covered include regional anaesthetic blocks, analgesia bundles, incentive spirometry and monitoring of these patients.
UK Trauma triage tools are built using data from high-energy trauma in young patients. However, the majority of trauma patients are older adults who suffer different injury patterns which are typically 'low-energy' mechanisms. This podcasts looks into some of the difficulties this poses and tries to offer some ways of working around these difficulties.
Lt Col Scott Adams talks us through pelvic injuries, discussing how mechanism of injury helps us understand damage patterns and the function of the pelvic binder. We gain insight into the risks and benefits of the pelvic binder, when to remove it and importantly when to keep it on! Through the entire podcast Lt Col Adams reminds us to appreciate the unstable patient vs. the unstable pelvis.
David Ashton-Clearly is the guest on the podcast this episode as he introduces Retrieve: the critical care service for the South West. Discussions centre on the clinical need to standardise transfer services and the roles played by referring, transferring and receiving teams.
This podcast focusses on the importance of early analgesia, intercostal drains and the need for surgical fixation. Make sure to check out the second of two podcasts on chest injury management.
Rapid sequence induction in trauma is often performed in a 'hostile environment', whether done pre-hospitally or in resus. Key elements include indications, drug choice and anticipation, rather than correction, of cardiovascular effects.
Clare Bosanko gives us her insights into the elements of human performance that impact working within the trauma team, both as the TTL and as a functioning member of the trauma team.
Tim talks to Lou Mitchell, David McConnell and Tony Kehoe about being a trauma team leader.