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This podcast is designed to have engaging and inspirational conversations with some of the worlds leading experts in or relating to pre-hospital care. We hope you take a lot from the conversations both from a technical and non-technical perspective. Please rate and review the show as feedback helps ensure that the best information gets back to you throughout the project.
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Endurance

Mark Beaumont

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Welcome to the first series of the Endurance podcast with myself Mark Beaumont. I’m joined on many of the episodes by my friend and performance manager Laura Penhaul. We started recording these conversations as a research project for my new book, also called ‘Endurance’ & published by Global Cycling Network – so you can find many of these conversations written up in the ‘Wise Words’ sections of the book. The Endurance podcast is focussed on meeting the sports scientists, the support staff, t ...
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In this episode of the Pre-Hospital Care Podcast, we explore one of the most powerful yet often misunderstood drivers of excellence in emergency medicine: the culture of clinical leadership. From the early evolution of paramedicine to today’sIn complex, multidisciplinary systems, leadership has never been just about titles or hierarchy; it’s about …
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In this episode, we discuss an article by Dr. Sarah Spelsberg titled “HOCUS POCUS, the Magic of Point of Care Ultrasound in Remote and Rural Medicine.” The piece explores the transformative impact of Point of Care Ultrasound (POCUS) in austere, remote, and rural healthcare environments, with a particular focus on the Butterfly Ultrasound device. Dr…
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Today on the Pre-Hospital Care Podcast, we’re diving into one of the most critical and often misunderstood areas of pre-hospital care: defibrillation and the future of cardiac arrest management. We’re all familiar with the mantra of “shock early,” but how much of what we believe about defibrillation is grounded in evidence, and how much is myth car…
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Welcome to Best of 2025, Part 2. This collection of episodes reflects some of the most meaningful, challenging, and quietly powerful conversations of the year, the ones that sit at the intersection of clinical excellence, emotional labour, and human experience. We begin with After Death: Understanding Grief in Pre-Hospital Care with Liz Gleeson, Pa…
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As we close out this Best of 2025, these episodes represent far more than download numbers or chart positions. They reflect the conversations that resonated most with you, the ones that challenged practice, reinforced fundamentals, and reminded us why this work matters. From Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest with Mi…
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In today’s episode, we’re diving into one of the most misunderstood and essential foundations of effective teamwork: psychological safety. Our guest is Dr. Michaela Kerrissey, associate professor at the Harvard T.H. Chan School of Public Health and co-author of the recent Harvard Business Review article, “What People Get Wrong About Psychological S…
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In this episode of the Prehospital Care Podcast, we explore a compelling personal medical narrative by Dr Sarah Spelsberg titled “The Not Really an Asthma Attack.” The story centres on a challenging case encountered in a remote island emergency department and highlights the complexity of clinical decision-making when patients do not present in text…
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In February 2023, the National Guardian’s Office dropped a stark warning: the culture in ambulance trusts across England was putting both staff wellbeing and patient safety at risk. Fast forward to this year’s Culture Review of Ambulance Trusts, and the findings are just as sobering. According to the 2022 NHS Staff Survey, ambulance services scored…
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In this episode of the Pre-Hospital Care Podcast, we explore what effective paramedic mentorship should look like, drawing on Radu Venter’s article, “What Should Paramedic Mentorship Look Like?” The discussion examines the shortcomings of current orientation practices, highlighting how short and inconsistent programmes frequently leave newly qualif…
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On January 13th, 1982, Washington, DC, was paralyzed by a historic snowstorm when catastrophe struck, not once, but twice. Air Florida Flight 90 crashed into the 14th Street Bridge, sending wreckage and passengers plunging into the frozen Potomac River, while across the city, the Metro system suffered its first deadly derailment. Amid chaos and fre…
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We're joined again today by Radu Venter, Flight Paramedic and Substack blogger. Radu discusses the common sentiment that formal paramedic education is insufficient and that crucial learning happens only during on-the-job practice. Radu also acknowledges that this perspective holds some truth because schooling often overemphasises skills and backgro…
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In today's episode of the Prehospital Care Podcast, we explore the complex intersection of adolescent male violence, social media's influence, and its profound impact on the medical professionals responding to these incidents. We're honoured to welcome Dr Naomi Murphy, one of the UK's most respected forensic clinical psychologists and recently appo…
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In this episode of the Pre-Hospital Care Podcast, we explore Radu Venter’s insightful article “EMS Decision-Making”, which challenges the deeply held belief that faster is always better in emergency medicine. Venter questions the culture of constant urgency in EMS, the idea that every decision must be made in seconds, and argues that this mindset c…
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In this episode, we take a deeper look at the many faces of grief that pre-hospital professionals may encounter in the field, often in subtle, complex, and deeply human ways. While grief is commonly associated with death, it extends far beyond, touching every kind of loss: from separation and divorce to anticipatory grief, perinatal loss, and the u…
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In this episode of the Pre-Hospital Care Podcast, we explore Radu Venter’s powerful piece “No One Dies From Pain”, written under his pseudonym The Paramedic Philosopher. The article challenges one of the most common sayings in Emergency Medical Services (EMS), the idea that “no one dies from pain.” While the phrase may have originated from a focus …
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In this episode, we bring together a remarkable group of guests to discuss an often overlooked but incredibly important condition, Spontaneous Coronary Artery Dissection (SCAD). Joining us today are a SCAD survivor, the clinician who treated her, and an advocate working to raise awareness and improve patient outcomes. Together, they share their pow…
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In this episode, we explore “Leaving Room for Rougher Edges in EMS” by Radu Venter, a powerful reflection on perfectionism in paramedicine. Radu is a Flight Paramedic based in Canada. He challenges the unrealistic pursuit of flawless performance in an unpredictable, high-pressure environment and asks when “good enough” should truly be enough. We di…
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In this episode, we delve into one of the most universal and often misunderstood experiences: grief. Whether it's supporting families after a sudden loss, witnessing trauma firsthand, or coping with personal emotional impacts, grief is an ever-present companion in pre-hospital care. Joining us is Liz Gleeson, a highly respected psychotherapist, edu…
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In this audio blog, Carl Betts employs the analogy of a traditional dry stone wall to explain the principles of healthcare improvement. Carl suggests that just as these walls rely on the careful placement and interconnection of unique stones without mortar, healthcare systems depend on the relationships between processes, people, and policies. A ke…
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In this episode, we’re diving into the journey of Zoe Boswell, a dedicated paramedic, mother, and community volunteer with the Great Western Air Ambulance Charity (GWAAC). Zoe brings over a decade of experience as a road paramedic, all while balancing the demands of family life and volunteering with the GWAAC Heartstarters program. Zoe’s story is a…
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This blog podcast unpacks an article titled "Beyond the Summit: Why Human Factors and Crew Resource Management Matter in Expeditions," written by Ryan Atkinson on 22 September 2025. Ryan asserts that while competence and experience are crucial for expeditions, human factors (HF), the psychological, social, and organisational influences on performan…
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Today, we're diving into one of the most challenging scenarios any EMS provider faces: paediatric cardiac arrest. The figures are challenging, with only a 4.9% survival rate for infants and neurologically intact survival rates as low as 1-4% nationally. These calls have long been considered to have poor outcomes. But what if I told you that one fir…
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This is the second audio blog, written by Dr. Will Duffin, detailing medical considerations and avoidance techniques for leeches, bullet ants, and mosquitoes, which are common threats in tropical environments. This guide provides practical advice on managing bites and highlights the importance of malaria prophylaxis and insect repellent for effecti…
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In today’s episode, we’re exploring the evolving role of women in Helicopter Emergency Medical Services (HEMS) and pre-hospital critical care, inspired by insights from Critical Care Doctor Sophie MacDougall. Sophie highlights both the unique challenges and the incredible rewards that come with working in this demanding, fast-paced environment, one…
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This blog post, written by Dr Will Duffin, addresses the benefits of in-situ wilderness simulation training for medical professionals working in remote environments. Written by Dr. Will Duffin, this blog post unpacks his experience providing medical cover for the TV show Survivor to illustrate how practicing emergency scenarios on-site helps teams …
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In pre-hospital care, paramedics regularly encounter patients with a wide range of mental health conditions. From anxiety and depression to psychosis and self-harm, the ability to quickly assess and manage these conditions is crucial in ensuring the best possible outcome for the patient. But how do paramedics navigate the complexities of mental hea…
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This is the second installment from Ryan Atkinson's blog post, "Let's talk about climate hypocrisy and carbon democracy…," which addresses the common accusation of hypocrisy faced by environmental activists. Ryan, a filmmaker focusing on conservation, acknowledges his own air travel, which contributes to global CO2 emissions, yet argues it is neces…
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Today, we are joined by Dr Celestine Weegenaar, the first female PHEM trainee at Great Western Air Ambulance Charity (GWAAC). Originally from Amsterdam and now firmly rooted in the South West of England, Celestine brings a wealth of experience from emergency departments across the region – and even from the skies of Australia, where she flew with L…
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Ryan Atkinson's "Local Loss in a Global Crisis" explores the disconnect between Western perceptions of climate change and its tangible effects on vulnerable communities, specifically in the Langtang Valley of Nepal. Ryan reflects on his personal carbon footprint and the ethical implications of his travels while witnessing the devastation caused by …
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Every year, thousands of lives are lost to suicide, and emergency responders are often the first line of support during these critical moments. In this episode, we explore the vital role that the London Ambulance Service (LAS) plays in suicide prevention and risk assessment. From the moment a call comes into the control room to the interaction on t…
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In this episode, we reflect on the article “Asking Why. Telling Stories. Owning Accountability” and its lessons for both the diving community and pre-hospital care. The piece explores how adverse events are too often met with blame and silence, when what’s needed is open storytelling, systemic accountability, and visible learning. Drawing on three …
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Today, we’re exploring some of the complexities of real-life palliative care cases that frontline staff have faced in practice. Joining me are four members of the London Ambulance Service’s dedicated Palliative and End-of-Life Care Team: Karina Catley, Natalie Nabunya, Rowena Rickson, and Jodie Grace. Together, we’ll examine real-life case studies …
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This episode dives into a critical article arguing that the diving industry too often fails to learn effectively from fatalities, not because of individual mistakes, but due to systemic shortcomings. It distinguishes between “first stories”, simple narratives that assign blame, and “second stories”, deeper explorations into context, drift from safe…
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Mental health crises are one of the most complex and sensitive challenges faced in pre-hospital care. The London Ambulance Service (LAS) plays a critical role in responding to these emergencies, from the moment a 999 call is made to frontline crews delivering urgent interventions. But how does the system work as a whole? How are these calls assesse…
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This blog is a personal reflection from Advanced Paramedic Wayne Auton, who shares how he has recently embraced what he describes as a “position of yes.” This mindset involves being open and willing to accept opportunities as they arise, often at short notice, and focusing on the positive potential that each opportunity may bring. Wayne acknowledge…
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Today, we're diving into the high-stakes intersection of tactical medicine, crisis negotiation, and pre-hospital care with Eric Acevedo, a seasoned professional operating at the front lines of some of Virginia's largest emergency response operations. Eric brings a rare blend of experience across tactical EMS, hostage negotiation, and field-based cr…
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In this special series, we’re bringing insightful and thought-provoking blog posts to life in audio form, exploring the human side of pre-hospital and emergency care. Today’s piece reflects on Esprit de Corps, the pride, loyalty, and belonging that exists within high-performing teams, and how it is built, tested, and lived out in some of the most d…
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In this episode of the Pre-Hospital Care Podcast, we’re joined by Critical Care Practitioner Mike Palmer to explore the evolving role of ultrasound in trauma care outside the hospital setting. We dive into the realities of training, drawing on insights from a bespoke HEMS hybrid ultrasound program that bridges classroom learning with frontline appl…
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In this episode, we speak with Carl, one of our podcast co-hosts, about his deeply reflective article, ‘Normal or numb – that is the question, but what is the answer!’ Carl shares the personal experience that inspired the piece, attending a call to a deceased patient, which triggered a cascade of questions about emotional detachment, coping strateg…
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In this episode, we explore the expanding role of ultrasound in pre-hospital trauma care. Once limited to hospital settings, ultrasound is now a vital tool in frontline emergency response, helping clinicians make rapid, informed decisions on scene. We begin by unpacking the physics of ultrasound, how concepts like frequency and resolution influence…
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CarlBetts, a co-host of this podcast, authored a reflective piece titled "Where Critical Analysis Becomes Critically Unhealthy," published in 2023 in the College of Paramedics’ Hindsight magazine. In this episode, we delve into Carl’s motivations for writing the article and examine its central themes. The piece discusses how critical analysis, whil…
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Today’s episode dives into lived experience with cystic fibrosis through the remarkable journey of Paul  Butler. Diagnosed at two and warned he wouldn’t reach twenty. Paul’s childhood revolved around twice-daily chest physiotherapy, three-daily nebulisers, and a mass of hospital admissions for infections that chipped away at his fragile lungs. By h…
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In this episode, we dive into The PITT, a powerful new medical drama that lays bare the raw, unfiltered reality of life in the emergency department. This conversation serves as a commentary on an AI-generated adaptation of Dr. Sarah Spelsberg’s original blog post, and it began with an interview. We first sat down with Sarah to gain deeper context a…
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Today’s episode explores one of the most profound and humbling themes in medicine: what the dying and those who’ve been brought back to life can teach us about living. Dr. Matt Morgan is an intensive care consultant, researcher, and author of A Second Act, a book inspired by the hundreds of patients he’s met who have crossed the threshold of death …
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In this series, we are bringing blog posts to life by interviewing the authors. Also, by generating AI audio conversations of the blog to make them accessible in audio format. I then summarise the audio in conclusion. We begin this episode by interviewing Dr. Sarah Spelsberg to add context and personal insight behind an AI‑generated adaptation of h…
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In this episode of the Pre-hospital Care Podcast, we explore a cutting-edge innovation that’s transforming how HEMS clinicians are trained for high-stakes, life-saving procedures, such as thoracotomy, resuscitative hysterotomy, and other HALO interventions. We’re joined by Jamie, founder of Maxres, and Lily, a Critical Care Doctor, to discuss how i…
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In this episode of the Pre-hospital Care Podcast, we delve into the origins and current structure of the Hazardous Area Response Team (HART), a specialist unit within UK pre-hospital care. We explore why the HART model was specifically chosen in the UK and how it compares to Urban Search and Rescue (USAR) counterparts internationally. The conversat…
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In Part 3 of The Dying Patient: Palliative and End of Life Care, we delve into the complexities ambulance clinicians face when supporting patients in their final days and hours. Often the first to recognise when someone is dying, paramedics work within a system where community engagement may be limited, making their role crucial in identifying sign…
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In Part 3 of our Decision Making series, we explore the power of "slow time" thinking with Detective Superintendent Ahenkora Bediako of the Metropolitan Police. With a distinguished career managing high-risk public protection departments and international investigations, Ahenkora brings deep insight into how intentional, non-biased decisions are ma…
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Today, we’re diving into a critical yet often overlooked subject: rehabilitation for pre-hospital staff. The physical and mental demands of frontline work are relentless. Paramedics, HEMS crews, and pre-hospital teams operate in high-stress environments, managing unpredictable situations, heavy workloads, and repeated exposure to trauma. But what h…
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