General Broadcast is a free online learning resource aimed at clinicians and students who have an interest in out of hospital, urgent and emergency care. Podcasts are short summaries of topics designed to refresh memories and provide links to other resources for further learning. If you want to improve your knowledge and the care you provide to patients, then this podcast is for you!
Management of atrial fibrillation with rapid ventricular response depends on haemodynamic stability, reversible drivers and the ECG rather than rate alone, with particular caution around pre-excited atrial fibrillation, cardioversion for instability and timely stroke and bleeding risk assessment.
Prehospital, emergency and toxicology clinicians get a practical framework for organophosphate, nerve-agent and other cholinergic exposures. SLUDGE features, the killer B findings, CBRNE scene safety, airway support, suction, atropine and early pralidoxime are tied to recognition and escalation.
Prolonged entrapment, long lie or severe limb pain after compression needs more than a trapped-limb mindset. This prehospital trauma item links rhabdomyolysis, acute kidney injury, hyperkalaemia, shock and compartment syndrome with rapid safe extrication, analgesia, haemorrhage control and 0.9% sodium chloride.
Food sticking after a meal becomes an emergency when saliva will not go down or perforation signs appear. This is a clear acute care listen on separating oesophageal obstruction from choking, asking about bones or sharp material, and not leaning on hyoscine butylbromide, glucagon or benzodiazepines.
Sudden distress during a meal, drooling, or unilateral wheeze after suspected aspiration should make choking the working diagnosis until proved otherwise. This is the best first listen because it clarifies partial versus complete obstruction, occult aspiration, and why airway inspection matters before advanced airway steps.
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