S4 Ep8: End of Life and Palliative Care Discussions w/ Amy Gomes

Welcome back to 'The Student Paramedic Podcast'. This week we have a conversation with Dr Josh Allison from Unique Expeditions.  Josh is an Expedition and Wilderness Medicine Doctor based in London. Over the years he has gained field experience across the globe, where he provides medical support for teams heading into remote and austere environments. Whether navigating 7,000m Andean mountains, American deserts or dense tropical jungles, he’s done it all whilst looking after teams of intrepid explorers. Josh also spends much of his time training the future Wilderness Medical Specialists as the medical lead for Unique Expeditions and various other organisations. When not in the wilderness Josh works in a busy Emergency Department and spends his spare time rock climbing and cycling.  We gain some insight into what expedition medicine entails and how to get involved in this aspect of medicine.   DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.

Sam is a Hazardous Area Response Team (HART) paramedic with a passion for adventure. He has been involved in expeditions and adventures across the world in the role of a paramedic. This week we have a chat about his experiences, what it means to be a paramedic on a expeditions, some of the various clinical challenges and how to navigate scope of practice etc. Examples of courses:  https://www.r2rinternational.com/ https://wms.org/ https://worldextrememedicine.com/world-extreme-medicine-conference/?gad=1&gclid=Cj0KCQjwrfymBhCTARIsADXTabmfxg1xV9wteIa2XPJZhvb2WpYFaxWmBy_PsRxGhOUuurqQyaorF9MaAqmyEALw_wcB DISCLAIMER: All of the opinions of each individual on ‘The Student Paramedic Podcast’ are their own.  See omnystudio.com/listener for privacy information.

This week we have a chat to Jim Davies. Jim has an extensive career in the adventure business from white water rafting, pack rafting, canyoning etc. Jim moved from Australia to Scotland and created Ace Adventures. He then decided to become a paramedic, having recently finished his course. In today's episode we talk about the anecdotal benefits of adventure for the first responder community.  DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.

Welcome back to another episode of 'The Student Paramedic Podcast'. To follow on from the most previous episode, we have a chat to Carl Dowling about his alternative paramedic pathway experience. From Carl: “I am currently an active paramedic who works primarily as clinical educator in the United Kingdom delivering resuscitation training to healthcare staff for the NHS Trust. In my spare time I assist in the delivery of CPD/CME education to health care workers around the world. I have a background of 12 years in the Ambulance Sector, working on the frontline, event medicine, rapid response, emergency medical dispatch and delivering training. I have achieved a bachelor’s degree in Paramedic Science. I also volunteer in my spare time to help progress current research articles by peer reviewing upcoming manuscripts for international journals and I have been fortunate enough to  published papers on Covid-19, effects of Vaccinations, Health Education and barriers to managing emergency paediatric patients in the prehospital setting.” DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.

This week we have a chat to Andy Bell, currently the lead paramedic of the RFDS, about what a career in paramedicine can look like. He discusses the skill set and attributes that make paramedics desirable in various roles and roles that paramedics can do outside of the traditional roles.   DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.

This week we have a chat with Silas Houghton Budd about the elusive ECG/EKG. Silas is a critical care / HEMS paramedic with experience in NHS critical care and motorsport medicine roles. He has professional interests in airway management, resuscitation and ECG interpretation, and research experience in paramedic airway management. Silas has been teaching ECG interpretation for nearly ten years and has a DipECG from the Society for Cardiological Science & Technology.  We go through the importance of ECG's as part of our prehospital assessment, when to do it, how to approach it and some challenges that may be faced when making a pPCI referral.  USE CODE TSPP23 for 20% OFF at ECG COURSE DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.

This week we have a chat with Amy Gomes, Critical Care Paramedic and A/Clinical Support Officer, educator and co-founder of Paramedic Education Australia. We have a discussion about 'End of Life' care and navigating the challenging aspects of this in the prehospital world.  Amy Gomes Linkedin Free QUT End of Life Resource DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. Please follow your local policies, procedures and legislation.  See omnystudio.com/listener for privacy information.

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This week we have a chat to accredited practising dietitian and director of Bite Me Nutrition Jonathan Steedman. We have a chat about how to approach nutrition for shift work, the impacts on our bodies and hunger levels, fuelling during the awkward shift times and how to approach nutrition in general.  DISCLAIMER: All of the opinions of each individual on ‘The Student Paramedic Podcast’ are their own.  See omnystudio.com/listener for privacy information.

This week we have a chat to Dr David Convissar, Cardiac Anesthesiologist, SICU & CTICU Intensivist, clinical instructor at Harvard Medical and creator of 'Count Backwards From 10'.  We go through some common cardiovascular terms such as blood pressure, mean arterial pressure, preload, afterload and contractility before talking about cardiogenic shock. This is often a forgotten and misunderstood shocked state, so Dr Convissar gives us the step by step on what it is, its clinical presentation and treatments.  DISCLAIMER: All of the opinions of each individual on 'The Student Paramedic Podcast' are their own. See omnystudio.com/listener for privacy information.