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PODCAST

The Critical Clinician

The Critical Clinician

Welcome to your go-to podcast for developing essential skills and knowledge as a budding paramedic. Each episode dives deep into the crucial aspects of emergency prehospital care. Our podcast covers everything from trauma management and medical emergencies to effective communication and critical decision-making🚑 There are no names, places, addresses or identifiable mentions within this podcast as to protect the anonymity and confidentially of all patients and physicians as per AHPRA requirements

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All Episodes

00:07:27

Acute aortic dissection (AAD) | PART 1

The Critical Clinician ·

2024/10/10

In this part 1 of 2 episode, we will be discussing Acute Aortic Syndromes (AAS). This week we will be discussing acute aortic dissection (AAD). Sources: Tsai, T. T., Nienaber, C. A., & Eagle, K. A. (2005). Acute Aortic Syndromes. Circulation, 112(24), 3802–3813. https://doi.org/10.1161/circulationaha.105.534198 Acute Aortic Syndrome: Causes, Symptoms &Treatment. (2022, October 5). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/24247-acute-aortic-syndrome US, M

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00:07:18

Paediatric Assessment Triangle (PAT) | CRIB CHAT

The Critical Clinician ·

2024/10/03

Are you familiar with the Paediatric Assessment Triangle (PAT)? Source: AAP American Academy of Paediatrics, (2013). Pediatric Education for Prehospital Professionals (PEPP). 3rd Edition. Jones & Bartlett, Sudbury, MA. Fernández A, Ares MI, Garcia S, Martinez-Indart L, Mintegi S, Benito J. (2017). The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department. Pediatric Emergency Care. 33(4), 234-238. doi:

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00:14:02

Tension pneumothorax

The Critical Clinician ·

2024/09/26

In this episode, we discuss a tension pneumothorax presentation. Sources: Huan, N.-C., Sidhu, C., & Thomas, R. (2021). Pneumothorax. Clinics in Chest Medicine, 42(4), 711–727. https://doi.org/10.1016/j.ccm.2021.08.007 Ruchi Jalota Sahota, & Sayad, E. (2024, January 30). Tension Pneumothorax. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559090/ Weiser, T. G. (2024, April 12). Pneumothorax (Tension). MSD Manual Professional Edition; MSD Manuals.

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00:13:16

Acute dystonic reactions

The Critical Clinician ·

2024/09/19

In this episode, we will discuss a case involving an acute dystonic reaction and its aetiology. Symptom clusters include: Oculogyric - Upward or lateral deviation of eyes Boccolingual - Facial grimacing +/- dysarthria and/or dysphagia Torticollic - Spasms of neck musculature Tortipelvic - Abdominal wall musculature spasms Opisthotous - tetanic spasm where spine and extremities are bent forward Sources: Queensland Ambulance Service . (2022). Clinical Practice Guideline: Medical / Acute

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00:18:05

Acute coronary syndrome (ACS)

The Critical Clinician ·

2024/09/12

In this episode, we will be discussing acute coronary syndromes, in particular unstable angina. Sources: Anonymous. (2022). Acute Coronary Syndrome. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/acute-coronary syndrome/symptoms-causes/syc-20352136 • Goyal, A. Zeltser, R. (2022) Unstable Angina. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK442000/#:~:text=Unstable%20angina%20is%20chest%20discomfort,up%20to%20a%20heart %20attack. Singh, A., Museedi, A. S., & Grossman, S

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00:16:29

Gibb's reflective cycle | CRIB CHAT

The Critical Clinician ·

2024/09/05

In this CRIB-CHAT episode, we discuss a method of self reflection. Sources: Gibbs’ Reflective Cycle. (2020, November 11). The University of Edinburgh. https://www.ed.ac.uk/reflection/reflectors-toolkit/reflecting-on-experience/gibbs-reflective-cycle Business, M. (2022, September 20). Gibbs Reflective Cycle: Feel the Benefit of Experiential Learning. Medium; Medium. https://makingbusinessmatter.medium.com/gibbs-reflective-cycle-feel-the-benefit-of-experiential-learning-87e2f0eaae59

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00:10:07

Methamphetamines | PART 2

The Critical Clinician ·

2024/08/29

In this part 2 of 2 episode, we will be discussing the pharmacodynamics of methamphetamine use and how it can cause cardiac arrests Lifeline Australia: 13 11 14 Sources: Logan, B. (n.d.). Methamphetamine - Effects on Human Performance and Behavior. http://www.biblioteca.cij.gob.mx/Archivos/Materiales_de_consulta/Drogas_de_Abuso/Articulos/methamphetamine.pdf DEA. (2024). Methamphetamine. DEA. https://www.dea.gov/factsheets/methamphetamine Alcohol and drug counselling ONLINE . (2024). How

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00:12:06

Post mortem changes and 'Rapid Discontinuation of...

The Critical Clinician ·

2024/08/22

In this part 1 of 2 episode, we will be talking about the Rapid Discontinuation of Cardiopulmonary Resuscitation criteria and the bodily changes following death. Lifeline Australia: 13 11 14 Sources: Queensland Ambulance Service (2022). Clinical Practice Guidelines: Resuscitation/ General guidelines. Queensland Ambulance Service. https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0020/219107/cpg_resuscitation_general-guidelines.pdf Baker (2023) Illicit drug use involved in nearly one

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00:10:33

Acute cholecystitis

The Critical Clinician ·

2024/08/15

In this episode, we talk about acute cholecystitis. Sources: · Adachi, T., Eguchi, S., & Muto, Y. (2021). Pathophysiology and pathology of acute cholecystitis: A secondary publication of the Japanese version from 1992. Journal of Hepato-Biliary-Pancreatic Sciences, 29(2). https://doi.org/10.1002/jhbp.912 · John Hopkins Medicine. (2022). Cholecystitis. Hopkins Medicine https://www.hopkinsmedicine.org/health/conditions-and diseases/cholecystitis#:~:text=Cholecystitis%20is%20a%20redness%20and ·

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00:20:56

Preparing for your first placement | CRIB CHAT

The Critical Clinician ·

2024/08/09

In this CRIB-CHAT episode, we discuss the things to take and conversations to have on your first on-road placement. {02:55}{Equipment to take} {04:50}{The morning of your first shift} {08:45}{The 'expectations' chat} {13:10}{Enroute to your first job} {15:30}{Difficult mentors} {17:15}{Asking for feedback}

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00:09:17

Hypoglycaemia

The Critical Clinician ·

2024/07/27

Thankyou for listening once again. This episode explores a case and pathophysiology relating to hypoglycaemia. Sources: • Hamdy, O. (2024, July 18). Hypoglycemia: Practice Essentials, Background, Pathophysiology. Medscape.com; Medscape. https://emedicine.medscape.com/article/122122-overview • Mathew, P., & Deepu Thoppil. (2022, December 26). Hypoglycemia. Nih.gov; StatPearls Publishing.

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00:09:48

Sepsis

The Critical Clinician ·

2024/07/22

We discuss the pathophysiology for a case with the hallmark symptoms of sepsis. Sources: Queensland Ambulance Service. (2021). CPG Medical/Sepsis. Queensland Ambulance Service. https://www.ambulance.qld.gov.au/__data/assets/pdf_file/0019/219052/cpg_sepsis.pdf Remi, Neviere, MD. (2024). Pathophysiology of Sepsis. Up to Date. https://www.uptodate.com/contents/pathophysiology-of-sepsis#:~:text=It%20involves%20the%20activation%20of Ryding, S. (2018, September 9). Sepsis Pathophysiology. News-Medical

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00:11:18

Laryngeal trauma

The Critical Clinician ·

2024/07/12

In this episode we talk about the treatment and pathophysiology of laryngeal trauma in a *bizarre* case. TW: brief mention of suicide. Sources: Knipe, H. (n.d.). Laryngeal trauma | Radiology Reference Article | Radiopaedia.org. Radiopaedia. Retrieved July 11, 2024, from https://radiopaedia.org/articles/laryngeal-trauma#:~:text=Cases%20and%20figures- Malvi, A.,& Jain, S. (2022). Laryngeal Trauma, Its Types, and Management. Cureus. https://doi.org/10.7759/cureus.29877 Philadelphia, T. C. H.

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00:02:47

Welcome!

The Critical Clinician ·

2024/07/12

Welcome to the first episode of The Critical Clinician, your go-to podcast for paramedic cases, consolidation and critiquing. Join us on the never ending journey of learning.

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