This week, we have another MiM25 presentation from Dr John Quinn discussing Damage Control Resuscitation in large-scale combat operations, particularly in Ukraine. He shares insights from his extensive experience in emergency medicine and highlights the unique challenges faced in combat medicine, including medical logistics, terminology, and telemedicine. Dr. Quinn emphasises the importance of training, clinical governance, and the need for effective blood supply management in austere environments. The conversation also touches on the evolving practices in casualty care and the impact of modern warfare on medical operations.

Takeaways

Ukraine has surpassed NATO in counterinsurgency experience.

Effective medical planning is crucial for combat operations.

Telemedicine enhances clinical decision-making in remote areas.

Logistical challenges significantly impact casualty evacuation.

Understanding the terminology is essential for interoperability.

Innovations like RBOA are being utilised in combat medicine.

Training and capacity building are vital for partner forces.

Blood supply issues are critical in combat settings.

Tourniquet management is a significant concern in Ukraine.

Plasma is being used due to a lack of blood supply.

Chapters

00:00 Introduction to the CoROM Podcast

00:45 Dr. John Quinn's Background and Experience

02:13 Key Assumptions in Damage Control Resuscitation

03:42 Medical Planning in Large-Scale Combat Operations

05:11 Challenges in Medical Logistics and Command

07:35 Understanding Terminology and Echelons of Care

09:58 Tactical Combat Casualty Care and Innovations

11:52 Telemedicine's Role in Combat Medicine

13:47 Challenges in Casualty Evacuation

15:40 Logistical Challenges in Blood Supply

17:34 Wounding Patterns and Weapon Systems

19:50 Medical Evacuation in Challenging Environments

22:35 Training and Capacity Building in Ukraine

24:59 Clinical Governance and Standards in Ukraine

27:39 Transfusion Practices and Challenges

30:54 Addressing Tourniquet Issues and Training

33:39 Plasma Use and Blood Supply Challenges

36:51 Conclusion and Future Directions

This week, Aebhric OKelly talks with Leandra Lynn, a combat medic and Divers Alert Network (DAN) professional, who shares her experiences and insights into the world of diving medicine. She discusses her journey from being a linguist to a combat medic, the critical role of DAN in dive safety, and the challenges faced in handling emergency calls related to diving injuries. Leandra emphasises the importance of proper medical guidance for divers, the varying standards of diving medicine across the globe, and the benefits of DAN membership for divers. She also advises new medics entering the field of diving medicine, highlighting the significance of utilising available resources and seeking expert guidance.

Takeaways

Leandra Lynn is a combat medic and works with DAN.

DAN provides a 24-hour emergency hotline for divers.

Diving procedures vary by region due to different medical standards.

Barotrauma is the most common diving injury reported to DAN.

DAN membership offers benefits like medical evacuation and insurance.

Divers should consult dive medicine specialists for complex medical histories.

Learning to dive in challenging conditions prepares divers for emergencies.

DAN assists with global non-emergency dive safety questions.

Effective communication is crucial in handling diving emergencies.

New medics should leverage resources and ask questions for better outcomes.

Chapters

00:00 Introduction to Leandra Lynn and Her Work

03:01 Diving into the Role of a Combat Medic

05:51 Understanding Divers Alert Network (DAN)

09:02 Challenges in Diving Medicine Calls

12:02 Diving Procedures and Medical Standards Worldwide

14:57 The Importance of DAN Membership

17:50 Common Diving Emergencies and Injuries

20:46 Resources for Diving Medicine

24:01 Advice for New Medics in Diving Medicine

This week, we have another MiM25 presentation. Dr Trevor Abela discusses the unique role of nurses in Malta's emergency services, the historical context of nursing in the region, and the importance of holistic care and building trust in nursing practice. Dr Abela emphasises the need for nurses to focus on the patient as a person rather than just a set of medical needs and highlights the significance of context in providing effective care.

Takeaways

Malta has a unique nurse-led ambulance service.

Historical context is crucial for understanding current nursing practices.

Nurses should focus on the person, not just on medical tasks.

Building trust with patients is essential for effective care.

Holistic care includes addressing social and psychological factors.

Emergency care must go beyond basic medical priorities.

Nursing education should emphasise patient-centred care.

The relationship between nurse and patient impacts treatment outcomes.

Nurses play a vital role in community health beyond hospitals.

Clinical outcomes do not solely define success in nursing.

Chapters

00:00 Introduction to the Quorum Podcast

00:44 Nursing in Malta: A Unique Perspective

03:11 Historical Context of Nursing in Malta

06:34 The Role of Nurses in Emergency Services

11:37 Understanding Nursing: Capital N vs. Small n

18:02 The Importance of Context in Nursing Care

25:42 Holistic Care in Pre-Hospital Settings

34:19 Building Trust and Relationships in Nursing

40:48 Conclusions and Reflections on Nursing Practice