Prehospital Care

Part one of the HALO series examines how to learn the physical skills needed for high-acuity, low-occurrence procedures. It compares training models, including task trainers and cadaver courses, and stresses the importance of practising what happens after the initial incision.

A review of a paper from the European Heart Journal looking at the prehospital use of troponin in patients with low risk chest pain.

Iain and Simon review the January 2023 blog posts, with discussion of dual sequence defibrillation and concussion. The episode also includes an update on the plans for St Emlyn's WILD at the time.

A critical look at the EXIT study's 2022 consensus statements on extrication after road traffic collisions. The review considers self-extrication, gentle handling and time-critical care, alongside questions about expert selection and the modified Delphi process used to reach agreement.

Natalie May reports from day three of ICEM 2022 in Melbourne. Lessons from major incidents in Manchester, New Zealand, Beirut and Tonga sit alongside sessions on prehospital retrieval, human factors and shared leadership.

A 2022 appraisal of RePHILL, comparing prehospital packed red cells and freeze-dried plasma with saline for traumatic haemorrhagic shock. It examines the neutral trial result, composite outcomes and patient selection, and asks what questions remain about prehospital transfusion.