149-MiM25 Needle D with Sean Bilodeau

149-MiM25 Needle D with Sean Bilodeau

CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. · 2025-06-27
28:33

In this episode of the CoROM Podcast, Dr. Sean Bilodeau discusses the intricacies of pre-hospital medicine, focusing on thoracostomy techniques and the challenges paramedics face in emergency medical services. Through case studies, he highlights the importance of evidence-based practices in needle decompression and the need for improved training methods for paramedics. The conversation emphasises the critical role of paramedics in saving lives and the ongoing efforts to enhance their skills and knowledge in trauma care.

Takeaways

The importance of thoracostomy in pre-hospital settings.

Challenges faced by paramedics in emergency situations.

Case studies illustrate the complexities of needle decompression.

Evidence supports the effectiveness of pre-hospital interventions.

Training methods for paramedics need to be improved.

The role of paramedics is crucial in trauma care.

Understanding the anatomy is essential for successful procedures.

Finger thoracostomy may be more effective than needle decompression.

There is a need for ongoing research in emergency medical practices.

Collaboration between EMS and hospital staff is vital for patient outcomes.

Chapters

00:00 Introduction to Pre-Hospital Medicine

01:28 Understanding Needle Thoracostomy

06:04 Case Studies in Needle Decompression

13:11 Evidence-Based Practice in EMS

21:00 Teaching Techniques for Paramedics

CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.

Hosted by Aebhric O'Kelly, a critical care paramedic and former Green Beret, CoROM Cast explores wilderness medicine, austere healthcare, tropical diseases, emergency medicine, and remote medical practice. Weekly discussions feature global experts on Prolonged Field Care, Austere Critical Care, disaster medicine, humanitarian response, military pre-hospital care, tropical medicine, expedition healthcare, medical innovation, and practical solutions for healthcare in resource-limited environments.

Published by CoROM Press
www.corom.edu.mt

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