by Thomas Alderson
'Medic In The Middle' is a podcast series hosted by registered Paramedic, Tom Alderson. Medic In The Middle is a new podcast, exploring a range of different topics, issues and articles based around Para-medicine and the pre hospital environment. This first series will feature guests from a range of different Pre hospital and in hospital specialties. Music Composed and Performed by Tom Alderson.
Language
🇺🇲
Publishing Since
10/8/2020
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April 25, 2026
<p>In this episode of Medic in the Middle, </p><p>I’m joined by Jack Shacklady (SP, ACP in Emergency Medicine and trainee CCP with Lincs & Notts Air Ambulance). Together we dive into three trauma papers discussion Intubation, oxygenation, and thoracotomy decision making.</p><p><br></p><p>We break down the evidence, discuss what it actually means on the road and in critical care, and highlight the take-home points for prehospital and emergency clinicians.</p><p>Expect discussion around trauma systems, outcomes, and evolving evidence in major trauma care — including how where a patient goes and what interventions they receive can influence survival and recovery. </p><p><br></p><p><br></p><p><br></p><p>https://pubmed.ncbi.nlm.nih.gov/39657224/</p><p><br></p><p>https://pubmed.ncbi.nlm.nih.gov/41233917/</p><p><br></p><p>https://pubmed.ncbi.nlm.nih.gov/37657143/</p>
February 28, 2026
<p><strong>Human Factors & CRM </strong></p><p>In this episode of Medic in the Middle, I’m joined by Specialist Paramedic, university lecturer, and PhD doctoral candidate Jamie Hahn to explore the role of human factors and Crew Resource Management (CRM) in pre-hospital care.</p><p>We break down what human factors are, why they matter, and how they influence the decisions paramedics make. </p><p>We discuss the origins of CRM in aviation, and why its principles are just as relevant on the road as they are in the cockpit.</p><p>We also explore how communication, situational awareness, cognitive overload, hierarchy, fatigue, and decision-making pressures shape patient care in the unpredictable pre-hospital environment. </p><p>Jamie shares his academic and frontline perspective, bridging the gap between theory and practice, and highlighting how understanding human factors can make clinicians safer, more effective, and more resilient.</p><p><br></p><p>This episode is essential listening for paramedics, student paramedics, and any healthcare professional working in high-pressure environments who wants to better understand why mistakes happen and how we can reduce them.</p><p><strong>In this episode, we cover:</strong><br>• What human factors are and why they matter in pre-hospital care<br>• The aviation origins of Crew Resource Management (CRM)<br>• How CRM principles apply directly to paramedic practice<br>• Decision-making under pressure and cognitive load<br>• Communication, hierarchy, and team dynamics on scene<br>• How human factors awareness can improve patient safety</p><p>Whether you’re on the road, in training, or just interested in the science behind decision-making in emergency care, this episode offers practical insights grounded in real-world experience and current research.</p><p>🎙 Medic in the Middle - real conversations from the frontline of pre-hospital care.</p>
August 6, 2025
<p>In this episode, we sit down with Dr. Omar Khan - an Anaesthetist with <strong>Midlands Air Ambulance Charity (MAAC)</strong> to explore the realities of <strong>sedation in pre-hospital and critical care settings.</strong></p><p>We take a look at what safe and effective sedation looks like outside the hospital environment, and how Enhanced care teams approach it in the PHEM setting.</p><p>🔍 <strong>Topics covered include:</strong></p><ul><li>What sedation actually is in the context of pre-hospital care</li><li>The <strong>four principles of sedation</strong> and how they guide safe practice</li><li>Common <strong>indications for sedation</strong> in trauma and medical emergencies</li><li><strong>Contraindications</strong>, cautions, and red flags to watch for</li><li>A breakdown of <strong>sedative agents</strong>: what’s used, why, and when</li><li><strong>Monitoring standards</strong> during sedation – what’s essential and what’s ideal</li><li>The role of <strong>human factors</strong>, team communication, and decision-making</li><li>Balancing <strong>risk vs. benefit</strong> in dynamic and often unpredictable environments</li><li>Real-world insight into how sedation fits within <strong>critical care team operations</strong></li></ul><p><br></p><p>Whether you're working on the road, in the air, or building your knowledge as a junior clinician, this episode offers practical, experience-based insights from a leading pre-hospital provider</p><p><br></p><p>https://www.annemergmed.com/article/S0196-0644(25)00076-9/fulltext</p><p>https://www.midlandsairambulance.com/</p><p>Twitter - @MedicMiddle</p><p> </p>
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'Medic In The Middle' is a podcast series hosted by registered Paramedic, Tom Alderson.
Medic In The Middle is a new podcast, exploring a range of different topics, issues and articles based around Para-medicine and the pre hospital environment. This first series will feature guests from a range of different Pre hospital and in hospital specialties.
Music Composed and Performed by Tom Alderson.
This podcast updates bi-weekly.
This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
Yes, this podcast regularly features guests.
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