https://parapodcast.show/weekly1.0 https://parapodcast.show/aboutmonthly0.7 https://parapodcast.show/episodesweekly0.9 https://parapodcast.show/guestsweekly0.9 https://parapodcast.show/blogweekly0.8 https://parapodcast.show/researchmonthly0.7 https://parapodcast.show/cpdweekly0.8 https://parapodcast.show/testimonialsmonthly0.6 https://parapodcast.show/resourcesmonthly0.6 https://parapodcast.show/organisationsmonthly0.6 https://parapodcast.show/bookmonthly0.7 https://parapodcast.show/contactmonthly0.5 https://parapodcast.show/episodes/NBIxsKVTmGE2024-12-03T10:42:30Zmonthly0.8https://i.ytimg.com/vi/NBIxsKVTmGE/hqdefault.jpgFrom University to the Ambulance — Our Journey Into ParamedicineFrom University to the Ambulance — Our Journey Into Paramedicine. 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A ParaPodcast conversation with Dr. Magano Akuaake.https://www.youtube.com/embed/CnGrCCR0XAI2025-11-08T06:21:39Z https://parapodcast.show/episodes/4KnsUG-V9Wo2025-11-08T06:21:35Zmonthly0.8https://i.ytimg.com/vi/4KnsUG-V9Wo/hqdefault.jpgAI in African Healthcare & Digital Health InnovationAI in African Healthcare & Digital Health Innovation. A ParaPodcast conversation with Dr. Magano Akuaake.https://www.youtube.com/embed/4KnsUG-V9Wo2025-11-08T06:21:35Z https://parapodcast.show/episodes/v1xTTi_PU242025-11-29T04:32:00Zmonthly0.8https://i.ytimg.com/vi/v1xTTi_PU24/hqdefault.jpgA Paramedic’s Journey Through Emergency Care, Leadership & ResearchA Paramedic’s Journey Through Emergency Care, Leadership & Research. A ParaPodcast conversation with Justin Thomas.https://www.youtube.com/embed/v1xTTi_PU242025-11-29T04:32:00Z https://parapodcast.show/episodes/2Vzx5rlrJoI2025-12-13T05:10:47Zmonthly0.8https://i.ytimg.com/vi/2Vzx5rlrJoI/hqdefault.jpgFrom Paramedic to Leader — Charlotte Pillay’s Inspiring JourneyFrom Paramedic to Leader — Charlotte Pillay’s Inspiring Journey. A ParaPodcast conversation with Charlotte Pillay.https://www.youtube.com/embed/2Vzx5rlrJoI2025-12-13T05:10:47Z https://parapodcast.show/episodes/QCWWGFzbZ9g2026-01-10T08:16:10Zmonthly0.8https://i.ytimg.com/vi/QCWWGFzbZ9g/hqdefault.jpgFrom Trauma to Triumph — My Journey as a ParamedicFrom Trauma to Triumph — My Journey as a Paramedic. A ParaPodcast conversation with Nokubonga Thomas.https://www.youtube.com/embed/QCWWGFzbZ9g2026-01-10T08:16:10Z https://parapodcast.show/episodes/we8Kf8AKmII2026-01-26T13:36:11Zmonthly0.8https://i.ytimg.com/vi/we8Kf8AKmII/hqdefault.jpgPAWPER Tape & Paediatric Weight EstimationPAWPER Tape & Paediatric Weight Estimation. A ParaPodcast conversation with Prof Goldstein & Wells.https://www.youtube.com/embed/we8Kf8AKmII2026-01-26T13:36:11Z https://parapodcast.show/episodes/DtWO3rxSkUw2026-02-08T12:07:23Zmonthly0.8https://i.ytimg.com/vi/DtWO3rxSkUw/hqdefault.jpgFrom Paramedic to Health HOD in Gauteng — EMS Leadership in South AfricaFrom Paramedic to Health HOD in Gauteng — EMS Leadership in South Africa. A ParaPodcast conversation with Arnold Malotana.https://www.youtube.com/embed/DtWO3rxSkUw2026-02-08T12:07:23Z https://parapodcast.show/episodes/HkX9nt8o8VQ2026-02-27T19:28:49Zmonthly0.8https://i.ytimg.com/vi/HkX9nt8o8VQ/hqdefault.jpgParamedicine Challenges, Regulation & The Future of Nigerian EMSParamedicine Challenges, Regulation & The Future of Nigerian EMS. A ParaPodcast conversation with Micah Iduitua.https://www.youtube.com/embed/HkX9nt8o8VQ2026-02-27T19:28:49Z https://parapodcast.show/episodes/OuM2rxeSCIs2025-07-30T20:00:15Zmonthly0.8https://i.ytimg.com/vi/OuM2rxeSCIs/hqdefault.jpgWaveform Capnography in South African Paramedicine — Summary of Wylie et al. (AfJEM 2019)Waveform Capnography in South African Paramedicine — Summary of Wylie et al. (AfJEM 2019). A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/OuM2rxeSCIs2025-07-30T20:00:15Z https://parapodcast.show/episodes/BQcuKq4ZB9g2025-06-17T19:32:10Zmonthly0.8https://i.ytimg.com/vi/BQcuKq4ZB9g/hqdefault.jpgExploring Workplace Violence in Emergency Care in South AfricaExploring Workplace Violence in Emergency Care in South Africa. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/BQcuKq4ZB9g2025-06-17T19:32:10Z https://parapodcast.show/episodes/MTSjHjbkXGI2025-07-13T06:30:21Zmonthly0.8https://i.ytimg.com/vi/MTSjHjbkXGI/hqdefault.jpgBlind bougie first-pass success in endotracheal intubationBlind bougie first-pass success in endotracheal intubation. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/MTSjHjbkXGI2025-07-13T06:30:21Z https://parapodcast.show/episodes/37JuswTUOHc2025-06-07T18:41:26Zmonthly0.8https://i.ytimg.com/vi/37JuswTUOHc/hqdefault.jpgAI on the Ambulance in Namibia — Practical? Feasible?AI on the Ambulance in Namibia — Practical? Feasible?. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/37JuswTUOHc2025-06-07T18:41:26Z https://parapodcast.show/episodes/ndgyRrOqNOU2025-10-01T19:51:30Zmonthly0.8https://i.ytimg.com/vi/ndgyRrOqNOU/hqdefault.jpgPediatric Weight Estimation Crisis — Are Paramedics Using the Wrong Methods?Pediatric Weight Estimation Crisis — Are Paramedics Using the Wrong Methods?. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/ndgyRrOqNOU2025-10-01T19:51:30Z https://parapodcast.show/episodes/Za3EQhm6FnQ2025-12-25T05:06:29Zmonthly0.8https://i.ytimg.com/vi/Za3EQhm6FnQ/hqdefault.jpgIs Ketamine associated with haemodynamic stability in critically ill patients?Is Ketamine associated with haemodynamic stability in critically ill patients?. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/Za3EQhm6FnQ2025-12-25T05:06:29Z https://parapodcast.show/episodes/RY3I21OZqJk2025-12-31T12:15:32Zmonthly0.8https://i.ytimg.com/vi/RY3I21OZqJk/hqdefault.jpgShould emergency responders nap on the job?Should emergency responders nap on the job?. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/RY3I21OZqJk2025-12-31T12:15:32Z https://parapodcast.show/episodes/6QLmhOroGp02025-11-01T06:11:09Zmonthly0.8https://i.ytimg.com/vi/6QLmhOroGp0/hqdefault.jpgA review of the Emergency Medical Care Newsletter — South Africa | HPCSAA review of the Emergency Medical Care Newsletter — South Africa | HPCSA. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/6QLmhOroGp02025-11-01T06:11:09Z https://parapodcast.show/episodes/HTYSI1qwl6g2025-02-05T22:01:26Zmonthly0.8https://i.ytimg.com/vi/HTYSI1qwl6g/hqdefault.jpgUnderstanding the Impact of ResearchUnderstanding the Impact of Research. A ParaPodcast conversation with Malusi Mtetwa.https://www.youtube.com/embed/HTYSI1qwl6g2025-02-05T22:01:26Z https://parapodcast.show/episodes/3AyTvmN2MBs2026-03-10monthly0.8https://i.ytimg.com/vi/3AyTvmN2MBs/hqdefault.jpgConversation on EMS in KenyaAfter our conversation with Dr Wachira, we wanted to hear the perspective of a paramedic from Kenya and we caught up with Benson Kamau. In this episode, we explore the challenges and insights of emergency medical services (EMS) in Nakuru County, Kenya, through the experiences of paramedic Benson Kamau with specific focus on his research. Kamau shares his journey from Kenya to Germany, highlighting the differences in EMS systems and the critical gaps in infrastructure, human resources, and community engagement in Kenya. Would be grateful to hear your thoughts, what did you think of the conversation ?https://www.youtube.com/embed/3AyTvmN2MBs2026-03-10T10:43:40Z https://parapodcast.show/episodes/DVHsD4q_5xA2026-03-19monthly0.8https://i.ytimg.com/vi/DVHsD4q_5xA/hqdefault.jpgECMO in the Pre-hospital settingWe catch up with Martin Ellis who is currently a medical Student and ECP with special interest in ECMO. We break down the different ECMO configurations—VV and VA and how how each supports the patient’s unique needs, and explore the logistical and technical challenges of transporting ECMO patients via helicopter and ambulance. Martin highlights the current disparities in access across South Africa, revealing how resource limitations influence patient selection and care strategies. Ever wondered about the criteria for starting ECMO? Or how multidisciplinary teams coordinate to save lives on the move? This episode covers the emerging research backing ECMO’s efficacy, the vital importance of early identification, and the future potential for paramedics to play a more active role—possibly even in pre-hospital ECMO application. Visit Martin Ellis Profile here https://www.linkedin.com/in/martin-ellis-4a5b23219/ ATTRIBUTION LIST FOR VIDEO CREDITS Major Organizations/Channels: 1. Mayo Clinic — ECMO cannulation procedures and 3D animations 2. Medtronic — ECMO oxygenator animations and cannulation videos 3. ROCKET HEMS — Helicopter emergency medical services footage 4. Netcare 911 — South African emergency services footage 5. Carte Blanche — South African investigative journalism (M-Net) 6. eNCA — South African news network 7. Harefield Hospital — ECMO simulation footage 8. UC Davis Health — ECMO educational animations 9. Aarons CGI — 3D medical animations...https://www.youtube.com/embed/DVHsD4q_5xA2026-03-19T13:11:33Z https://parapodcast.show/episodes/IzkyJdbJvdQ2026-04-13monthly0.8https://i.ytimg.com/vi/IzkyJdbJvdQ/hqdefault.jpgBeyond the Amputation — Anthony’s Paramedic Journey of GritDue to network troubles, we have experienced audio and visual asynchrony, but we did not allow that to get in the way of bringing this story to you. In this episode, we catch up with Anthony Carr, a paramedic whose story defines the very essence of resilience and professional grit. Born in Namibia and raised in Cape Town, Anthony's passion for pre-hospital care led him to pursue a National Diploma and later a BTech in Emergency Medical Care (EMC) at CPUT. However, his life took a drastic turn in 2015 while he was working operationally in Port Elizabeth. On a wet, rainy Friday night while responding to a call, Anthony's vehicle aquaplaned on the N2, leading to a horrific accident where a road barrier pierced his car, resulting in the traumatic amputation of his right leg. Showing incredible courage and professional presence of mind even in his darkest moment, Anthony self-extricated from the wreckage and reportedly attempted to apply a tourniquet to his own stump while instructing a bystander on how to set up an IV before help arrived. Despite this life-altering injury, Anthony refused to let his career in paramedicine end. He showed immense grit by returning to his studies to complete his BTech qualification as an amputee and eventually transitioned into academia and high-level research. Today, he serves as a research paramedic for the Epic Trauma Study, contributing to vital longitudinal research that is improving trauma outcomes across the Western Cape. This video explores his journey from the frontlines to the research lab, alongside a deep dive into the systemic challenges of EMS, including paramedic fatigue, road safety, and the urgent need for support structures for disabled first responders. TIMESTAMPS: 00:00 Introduction to the Para Podcast and guest Anthony Carr 01:34 Anthony's background: From Namibia to Cape Town and his early interest in EMS 06:56 The Accident: A wet night in Port Elizabeth and the mechanics of the N2 crash 14:14 Survival and Grit: Self-https://www.youtube.com/embed/IzkyJdbJvdQ2026-04-13T16:23:18Z https://parapodcast.show/episodes/UhlU5dOuG7Q2026-04-30monthly0.8https://i.ytimg.com/vi/UhlU5dOuG7Q/hqdefault.jpgFrom Mthatha to the HPCSA Council Chamber — Acting HoD at CPUTThe Paramedic Who Refused to Fail. 🚑 Dr Simpiwe Sobuwa was the first African to pass South Africa's National Diploma in Emergency Medical Care in one go — entering CPUT in 2005, qualifying in 2007, while 40 of his classmates fell away in the first year. Today he is the Acting Head of the Department of Emergency Medical Sciences at CPUT, Vice-President of the HPCSA, and chair of its Professional Board for Emergency Care. He has supervised three doctoral students — all black paramedic candidates to completion. In this conversation, Dr Sobuwa talks about his journey from boarding school in Grahamstown, the daily commute from Observatory to Tygerberg as a first-year, the move to DUT, the move home for his daughter, mentorship under Prof Lehana Thabane at McMaster, and a decade of governance at the HPCSA. 🕒 CHAPTERS 00:00 Cold open — ParaPodcast intro 00:14 Welcome & host introductions 00:32 Meet the guest — Dr Simpiwe Sobuwa 04:43 Origins — Mthatha to Grahamstown to Cape Town 08:25 The first African to pass DipEMC in one go 11:25 Becoming a lecturer 14:00 The DUT years — growing the department 16:48 Coming home — for his daughter 18:33 Graeme College — Head of First Aid 26:40 Student success research 27:15 Team science — collaboration is the name of the game 32:33 Observatory to Tygerberg — the first-year commute 33:30 "Don't suffer in silence" 42:45 Time as currency 43:16 Mentorship — Prof Lehana Thabane, McMaster 46:39 The daily routine 56:21 HPCSA Board service — two terms, 2015–2025 1:03:01 HPCSA leadership — committees chaired 1:09:50 Closing — career arc & what comes next 🔗 GUEST — Dr Simpiwe Sobuwa Acting HoD, Emergency Medical Sciences · CPUT Vice-President, HPCSA · Chair, Professional Board for Emergency Care LinkedIn: https://za.linkedin.com/in/simpiwe-sobuwa-28a88377 ResearchGate: https://www.researchgate.net/profile/Simpiwe-Sobuwa Google Scholar: https://scholar.google.co.za/citations?user=eGs6UvYAAAAJ ORCID: https://orcid.org/0000-0002-8652-7756 📚 SELEChttps://www.youtube.com/embed/UhlU5dOuG7Q2026-04-30T19:19:33Z https://parapodcast.show/episodes/7O6uH3LIqO02026-05-13monthly0.8https://i.ytimg.com/vi/7O6uH3LIqO0/hqdefault.jpgThree Decades in EMS — A Lecturer’s JourneyNicole de Montille has been a paramedic, lecturer, and clinical governance leader across three decades of South African EMS. In this conversation she walks Malusi, Tulani, and Elias through her career — from the suck-it-up paramilitary days at Technikon Witwatersrand to the compassion-led education she now believes in, from her first ALS post at Boksburg Fire to her current work building first-year paramedics' foundations at Netcare. She also speaks openly — and with rare honesty — about losing her husband to suicide, the cost of paramilitary culture on EMS mental health, and the cases that still stay with her years later. This is the lecturer who actually taught some of us. It's a special one. 🕐 Chapters 0:00 Cold open & introductions 3:00 Benoni, boarding school, and the Charlize Theron connection 5:30 What Malusi was like as a paramedic student 13:00 "Learning is never meant to be a space where you're afraid" 15:30 A year in Wyoming, and choosing paramedicine over medicine 19:00 Technikon Witwatersrand — the paramilitary years 24:00 How EMS education evolved — from "suck it up" to compassion 31:00 Being a woman in EMS in the 90s 41:00 Boksburg Fire — first ALS post and the white badge 47:00 Becoming a lecturer at Technikon Natal in 2002 49:00 Building the rescue centre at Currie's Fountain 55:00 What an EMC curriculum redesign should look like 59:30 ER24, Netcare, and the foundation of first-year teaching 1:04:30 Mental health in EMS, and losing her husband 1:08:00 The cases that stay with you 1:11:50 TikTok, YouTube, and learning in home languages 1:13:00 Three decades, today: ACLS, PALS, mentorship 1:15:00 Closing 🎙 About The Para Podcast The Para Podcast is conversations with the people who built — and are still building — pre-hospital emergency care across Africa and the diaspora. Hosted by Malusi Mtetwa (Australia), Tulani Sibanda (Qatar), and Elias Thomas (UAE). #ParaPodcast #EmergencyMedicalServices #Paramedic #EMSEducation #SouthAfricanEMS #ParamedicStohttps://www.youtube.com/embed/7O6uH3LIqO02026-05-13T03:49:35Z https://parapodcast.show/episodes/IeLAGLPHdmM2026-06-09monthly0.8https://i.ytimg.com/vi/IeLAGLPHdmM/hqdefault.jpgYou Don’t Have to Change Who You Are to BelongWhen Busisiwe Nkabinde boarded a plane to the UAE, her one-year-old daughter stopped breastfeeding at the airport. She wouldn't see her again for nine months. This is the story of what it really costs to become a paramedic — and what it takes to change the system once you're in it. Busisiwe, an Emergency Care Practitioner, sits down with the ParaPodcast team to talk about leaving her child to build a better life, living hand-to-mouth, fighting a training system she calls "segregation built into the system," and rising to the highest qualification in her field — without ever changing who she is. Raw, funny, and deeply inspiring — this one's for every student, every mother, and every person who was told they didn't belong. ▶ CHAPTERS 0:00 — Cold open 0:49 — Meet Busisiwe Nkabinde 2:58 — Four years in the UAE: saving for a dream 5:59 — The hardest goodbye: leaving her baby 10:05 — Coming home to qualify 14:04 — The first Black female lecturer she ever saw 23:43 — The swimming test that didn't add up 25:39 — "The segregation was built into the system" 33:01 — Equality vs equity in paramedic training 38:36 — Mental health in emergency services 42:06 — Four countries, one profession 48:53 — Being a mother and a paramedic 54:11 — "The world doesn't owe you anything" 57:07 — Black excellence 62:53 — Her message to the next girl in the field 64:53 — Fitness, resilience & mental health 👤 ABOUT THE GUEST Busisiwe Nkabinde is an Emergency Care Practitioner (ECP) — the highest clinical level in pre-hospital emergency care — and a passionate advocate for equity and representation in EMS. 🎙 ABOUT PARAPODCAST ParaPodcast brings you honest conversations with the people behind emergency medicine. EMS · Inspiring Care spotlights the practitioners who are changing the profession — one story at a time. Hosted by Elias Thomas, Malusi Mtetwa & Thulani Sibanda. 💛 If Busisiwe's story moved you, leave a comment and share it with someone who needs to hear it. ⚠️ Content note: this episode https://www.youtube.com/embed/IeLAGLPHdmM2026-06-09T13:15:39Z https://parapodcast.show/episodes/CuWjhbDn7402026-06-20monthly0.8https://i.ytimg.com/vi/CuWjhbDn740/hqdefault.jpgRunning EMS in the Western CapeCraig Wylie, Director of EMS for the Western Cape Government, joins us to talk about leading one of the busiest emergency services in South Africa — the urban–rural divide, the EpiC findings, knife and trauma loads, violence against crews and the "red zones," and what it takes to build and keep a skilled workforce. Hosted by Malusi Mtetwa, Elias Thomas & Thulani Sibanda. #ParaPodcast #EMS #Paramedic #WesternCape #EmergencyMedicinehttps://www.youtube.com/embed/CuWjhbDn7402026-06-20T14:23:45Z https://parapodcast.show/episodes/o69Bk7SLPbI2026-06-27monthly0.8https://i.ytimg.com/vi/o69Bk7SLPbI/hqdefault.jpgTransforming Emergency Medical Care in AfricaProf. Willem Stassen made associate professor at 35, has published 135+ papers, and runs the PhD programme in emergency medicine at the University of Cape Town. But the bigger mission is this: building an evidence base for emergency care that's actually made in Africa, for Africa. In this episode he sits down with the ParaPodcast team on why he left the road to fix the system instead of the shift, how UCT is opening postgraduate study to short-course paramedics, why prehospital research is so brutally hard, and what it really takes to turn a paramedic into a researcher who changes policy. ⏱️ CHAPTERS 0:00 Cold open + intro 2:23 The early years: Joburg to a Stellenbosch–Karolinska PhD 5:40 Leaving the road for research 9:47 Inside UCT's programmes — and a way in for paramedics 18:17 The barriers that stop paramedics advancing 26:12 Turning research into impact 32:03 Wins, losses & hard lessons: failed trials, retrieval & HEMS 40:11 The systems researcher 52:50 Educating the next generation 59:09 Advice & what comes next 🔑 WHAT WE GET INTO • Why he chose to fix the system, not just the shift • UCT's five postgraduate EM programmes — PhD, MSc, MPhil, MMed, and the Postgraduate Diploma in Emergency Care • Recognition of Prior Learning: how a short-course paramedic gets into postgraduate study • The rule that every UCT project must be relevant to African emergency care • The pioneers who became the first emergency specialists in their countries • Resuscitation, dispatch, HEMS, discrete choice experiments, and palliative care in EMS • Why South Africa has only ever attempted three prehospital randomised trials — and he's been part of all three 👤 ABOUT THE GUEST Prof. Willem Stassen is an associate professor and emergency-care systems researcher at the University of Cape Town, where he convenes the PhD programme in emergency medicine. His work spans prehospital systems, resuscitation, dispatch, and health equity across Africa. 📚 135+ papers · 1,700+ citations · Google Shttps://www.youtube.com/embed/o69Bk7SLPbI2026-06-27T14:44:25Z https://parapodcast.show/episodes/KggUSURVBsc2026-08-07monthly0.8https://i.ytimg.com/vi/KggUSURVBsc/hqdefault.jpgWhy Good People Make Deadly Mistakes — Human Factors & Patient SafetyA Formula 1 car changes four tyres in 2.5 seconds. Prof Ken Catchpole asked a dangerous question: what if a hospital handover worked the same way? So his team took Great Ormond Street's cardiac surgeons to a Ferrari pit crew — and cut handover errors dramatically. In Ep 40 of The Para Podcast, human-factors engineer Prof Ken Catchpole (Medical University of South Carolina) traces a career spent making healthcare safer — from designing ambulance sirens you can actually locate, to open-heart surgery on 10-day-old babies, to why the smartest people in the room still miss the obvious. We get into the QWERTY trap, the "telephone game" of handovers, challenging hierarchy when a patient's life is on the line, the Elaine Bromiley case, cognitive load, and why looking after clinicians is looking after patients. If you work in EMS, nursing, medicine — or you just love a great "two worlds collide" story — this one's for you. 🕐 Chapters 0:00 Cold open + intro 1:13 Meet Ken — and the Formula 1 Pit Stop 3:07 What Is Human Factors Engineering 4:09 The Ambulance Siren PhD 10:24 Why Good Ideas Don't Spread — the QWERTY trap 13:43 Great Ormond Street → Ferrari 18:58 Handover Lessons for EMS 26:19 Work As Imagined vs Work As Done 27:48 Sustaining Skills in Small Teams 33:00 Challenging the Hierarchy — the heparin story 41:35 The Pit Stop for RSI & CPR 45:15 Cognitive Load & Crew Resource Management 51:30 Clinician Wellness & Burnout 56:52 What Shaped Ken 🎙 About The Para Podcast Conversations with the people building pre-hospital emergency care across Africa and the diaspora. Hosted by Malusi Mtetwa, Tulani Sibanda, and Elias Thomas. 🔔 Subscribe for new episodes. #ParaPodcast #HumanFactors #PatientSafety #Paramedic #EMS #Formula1 #Handover #Healthcare #KenCatchpolehttps://www.youtube.com/embed/KggUSURVBsc2026-08-07T08:21:01Z https://parapodcast.show/episodes/PDB0IC0Kjcc2026-08-24monthly0.8https://i.ytimg.com/vi/PDB0IC0Kjcc/hqdefault.jpgSnakebite: What Actually Saves Lives? — Venom, First Aid & SurvivalIn this episode of ParaPodcast, we sit down with Emergency Care Practitioner and snake educator Nick van der Walt to discuss snakebite, venom, first aid and emergency treatment. Together with Malusi Mtetwa, Elias Thomas and Thulani Sibanda, we explore: • Black mambas, puff adders, boomslangs and other snakes • Neurotoxic, cytotoxic and haemotoxic venom • Snake identification and clinical syndromes • Why snakebite is a medical emergency • Pressure immobilisation and the risks of tourniquets • Antivenom and choosing the appropriate hospital • Common and potentially dangerous first-aid myths • Venom exposure to the eyes • Nick’s own Uracoan rattlesnake bite • African snakebite research and prehospital guidelines We also discuss the importance of developing emergency-care education and clinical guidance that reflect African environments, evidence and snake species. Learn more about Nick’s training organisation, Access Professional Development: https://accesspd.co.za/ FOLLOW PARAPODCAST: YouTube: https://www.youtube.com/@Parapodcast3 Instagram: https://www.instagram.com/parapodcast3/ TikTok: https://www.tiktok.com/@parapodcast3 Facebook: https://www.facebook.com/share/g/1CH8CM8dna/ Website: https://parapodcast.show/ CHAPTERS: 00:00 Fine until it isn’t — cold open 00:13 ParaPodcast introduction 00:23 Welcome and guest introduction 03:21 Nick’s journey into snake education 05:36 Snakebite symposiums and medical misinformation 09:49 The snakes Nick brought to university 10:53 What to do when a snake enters your home 14:57 Neurotoxic, cytotoxic and haemotoxic venom 18:29 Why snakebite is a medical emergency 19:50 What ambulance crews often get wrong 21:39 Nick’s Uracoan rattlesnake bite 28:00 Choosing the right hospital 30:51 The National Snakebite Advisory Group 33:40 Finding a trained snake catcher 34:51 Antivenom and snakebite syndromes 38:57 Puff adders, venom yield and tissue damage 47:00 Practical first aid and tourniquet cautions 49:17 What to do when venom enters thehttps://www.youtube.com/embed/PDB0IC0Kjcc2026-08-24T04:27:43Z https://parapodcast.show/episodes/Wxx4kRkhb602026-09-11monthly0.8https://i.ytimg.com/vi/Wxx4kRkhb60/hqdefault.jpgUnderstanding African Paramedicine — Breaking Myths and MisconceptionsThe ParaPodcast hosts challenge persistent assumptions about African paramedicine and look at the training, systems, research, and frontline innovation shaping emergency care across the continent.https://www.youtube.com/embed/Wxx4kRkhb602026-09-11T19:30:34Z https://parapodcast.show/episodes/QF6V6cTQJ6Q2026-09-25monthly0.8https://i.ytimg.com/vi/QF6V6cTQJ6Q/hqdefault.jpgCervical Collars Really Protect Patients? | Prof Tim Nutbeam on Spinal Care & ExtricationProf Tim Nutbeam discusses cervical collars, spinal motion restriction, self-extrication and patient-centred rescue after motor vehicle collisions.https://www.youtube.com/embed/QF6V6cTQJ6Q2026-09-25T09:48:24Z https://parapodcast.show/episodes/6_1K1Z5ID5I2026-10-04monthly0.8https://i.ytimg.com/vi/6_1K1Z5ID5I/hqdefault.jpgBan AI or Teach It? Judy Sheahan on Paramedic EducationJudy Sheahan joins the ParaPodcast team to discuss generative AI literacy, critical thinking, digital professionalism, accessible rescue training, and the future of paramedic education.https://www.youtube.com/embed/6_1K1Z5ID5I2026-10-04T13:50:15Z https://parapodcast.show/episodes/cMevbVNcyTw2026-10-12monthly0.8https://i.ytimg.com/vi/cMevbVNcyTw/hqdefault.jpgTXA: Every Minute Counts | Ian Roberts on CRASH, WOMAN & Trauma CareProf Ian Roberts discusses tranexamic acid, early treatment, the CRASH and WOMAN trials, HALT-IT and getting research into patient care. Complete the linked CPD activity for study-specific evidence notes and a knowledge assessment. Recorded 26 June 2026.https://www.youtube.com/embed/cMevbVNcyTw2026-10-13T14:33:45Z https://parapodcast.show/episodes/uCFQIKm3uqY2026-10-25monthly0.8https://i.ytimg.com/vi/uCFQIKm3uqY/hqdefault.jpgWhen the Ambulance Can’t Reach You | Athenkosi SobadaAthenkosi “Athie” Sobada joins Malusi Mtetwa and Thulani Sibanda to discuss community-led first response, crew safety and access to emergency care in Cape Town. The conversation explores first-aid education, community trust, the Green Corridor pilot, GoodSAM and the six functions of EMS.https://www.youtube.com/embed/uCFQIKm3uqY2026-10-27T03:08:52Z https://parapodcast.show/episodes/yn8LNTL3ijc2026-11-04monthly0.8https://i.ytimg.com/vi/yn8LNTL3ijc/hqdefault.jpgRwanda: Beyond the Ambulance | Dr Tsion FirewWhat does it take to build emergency care beyond the ambulance? Dr Tsion Firew joins ParaPodcast to discuss Rwanda’s progress, the gaps that remain, and why trained people, prevention and connected facilities matter together. From Kigali’s roads to district hospitals and community first responders, this conversation explores workforce development, access, medical drone delivery and the Africa Health Sciences University model. We follow three hypothetical scenarios from the referenced commentary to make the system challenges easier to understand. Guest: Dr Tsion Firew. Hosts: Malusi Mtetwa, Thulani Sibanda and Elias Thomas. Recorded 14 October 2026. Unlisted team-review draft. CHAPTERS 0:00 People and getting the system right 0:18 ParaPodcast theme 0:28 Welcome 2:21 Meet Dr Tsion Firew 5:04 Rwanda: prevention and emergency care 8:24 Beyond Kigali 9:52 Building the workforce 15:12 The AHSU model and four pillars 18:10 Right treatment, right time 20:07 Training beyond the capital 21:04 Medical drone delivery 23:52 Ambulance capacity and access 27:50 Frameworks and workforce reform 30:34 Care scenarios and coordinated response 32:43 Investing in connected systems 35:05 The community response chain 37:47 Getting the system right 40:38 Keep the conversation moving PAPERS AND PRIMARY REFERENCES Firew T et al. The role of emergency care systems in health systems strengthening: the Africa Health Sciences University model. Rwanda Medical Journal 2026;83(SI):5–8. Commentary; the three patient scenarios are hypothetical. https://doi.org/10.4314/rmj.v83i2.9s https://www.rwandamedicaljournal.org/uploads/1/2/2/1/122149944/sp.26.16.pdf Rwanda SAMU study (2025): https://link.springer.com/article/10.1186/s12245-025-00853-z Abuja Declaration (2001), paragraph 26: https://au.int/sites/default/files/pages/32894-file-2001-abuja-declaration.pdf WHO Basic Emergency Care: https://www.who.int/publications/i/item/9789241513081 WHO emergency care system framework: https://www.who.int/publicatihttps://www.youtube.com/embed/yn8LNTL3ijc2026-11-04T06:20:53Z https://parapodcast.show/episodes/o5eowRHSPR82026-11-14monthly0.8https://i.ytimg.com/vi/o5eowRHSPR8/hqdefault.jpgDSED: What Comes After Shock Three? | Dr Sheldon Cheskes on DOSE VF & Refractory VFWhat do you do when ventricular fibrillation is still there after three shocks? Dr Sheldon Cheskes, Medical Director of the Sunnybrook Centre for Prehospital Medicine, Professor at the University of Toronto and lead investigator of the DOSE VF trial, joins Malusi Mtetwa, Thulani Sibanda and Elias Thomas for a masterclass on double sequential external defibrillation (DSED), vector change, and why pad position matters. In this episode: - The 28-year-old patient whose case led to the DOSE VF trial - Anterior-lateral vs anterior-posterior pads, and what "vector change" means - How DSED is performed: two defibrillators, two shocks, sequential not simultaneous - What DOSE VF found, and why ILCOR, AHA and ERC read it differently - One defibrillator, paddles-only and low-resource options - The defibrillator-damage question - Four steps to implement DSED in your service CHAPTERS 0:00 The case that started DOSE VF 1:08 Welcome and the size of the problem 2:44 The stadium scenario 5:28 Pad position: AL vs AP 8:29 Why DOSE VF happened 11:13 When prehospital research changes hospital practice 13:26 Rolling it out with paramedics 17:01 Guidelines and bias 20:14 Case reports vs randomised trials 24:48 One defibrillator, paddles and low-resource settings 28:07 Current, coverage and the device-damage myth 32:12 Implementing DSED in your service 38:32 Closing thoughts 39:52 About Dr Sheldon Cheskes 40:05 DSED in 60 seconds: key takeaways EARN CPD Complete the CPD activity for this episode: https://parapodcast.show/cpd TRAINING VIDEOS Dr Cheskes shared the DSED training videos produced by Peel Regional Paramedic Services: https://first60.ca/education/dsed/ REFERENCES - Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med 2022;387:1947-1956. doi:10.1056/NEJMoa2207304 - Cheskes S, et al. The impact of defibrillation current and pad position on return of spontaneous circulation during refractory ventricular fibrillation. 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