The Secondary Survey

The Secondary Survey

An in depth look into the pre-hospital care provided by all responders, practitioners and medics. Produced by Irish pre-hospital care paramedics. We will bring you regular episodes on patient care, case studies, interesting scientific journal articles all mixed with a unique Irish take on all things out of hospital. follow us on twitter @secondarysurvey


May 11, 2023 15 mins

A short little episode in which Viv talks about Abdominal Pain & Assessment in the prehospital setting.

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Join @stevefla for Decembers episode on Hypothermia. 


see the emcrit blog post on hypothermia for more information on the stages and effects of hypothermia.

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October 10, 2022 55 mins

Part 2 of this month's episode has focused on the mental health and support available to the First responder. Steve chats to Dr. Ann Payne about Acute stress disorder and when to seek help. Also Steve speaks with Brian Doyle from who talks about CISM in Dublin Fire brigade and how his experience there led to the Hugs at Home project funded by the Movember Charity. Brian and the rest of the team are actively recrui...

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October 1, 2022 46 mins
This Month's Episode for International Mental Health Month @stevefla sits down with Dr. Ann Payne, Consultant Psychiatrist to chat about mental health patients.    We discuss some of the different presentations, bust some myths and discuss how to assess risk in a patient presenting with a mental health disorder.  Show notes for the episode were compiled by Dr. Ann Payne and are contained here
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September 1, 2022 20 mins

This month we speak  a bit about Diabetes. We speak about what it is, hyper and hypo glycaemia as well as Diabetic Keto Acidosis (DKA).

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July 1, 2022 22 mins

Seeing as this month,  the 25th July is International Drowning Prevention Day, we decided to record an episode on Drowning. Viv, Steve and Joe speak about this topic which claims the lives of an estimated over a quarter of a million people each year globally.


World Health Organisation Drowning Statistic 27 April 2021,death%2C%20mo...

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June 1, 2022 25 mins

This month, Kevin and Joe go through Obstetrics and Gynaecology..... the call everyone in prehospital care dreads!! Hopefully, this episode will help allay the fears and answer some questions you may have about these particular patient presentations.

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May 1, 2022 19 mins

We talk about poisoning and overdoses this month and how to recognise and treat those that we can in the prehospital environment. 

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April 1, 2022 60 mins

In this episode we go through Organised Structured Clinical Examinations, better known as OSCEs for the EMT Level. Joe speaks with PJ Commins from EMT CPC Ireland about the exams and gets a few tips for those due to sit the OSCEs.

Check out EMT CPC at

or on their Facebook Page. 

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March 1, 2022 40 mins

This month we talk about Telemedicine in Ireland.

Telemedical support for Ireland's Statutory Services, Defense Forces and for all vessels on our waters is provided by Medico Cork out of The Emergency Department at Cork University Hospital (CUH). Viv will be speaking with Medico Cork's Clinical Lead, Dr. Jason van der Velde about this essential service. 

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February 1, 2022 41 mins

In this month’s episode we are exploring major and catastrophic bleeding. Death from haemorrhages represents approximately 35% of all traumatic deaths. Lessons learned from the experiences of the military, tragic mass shootings, violent crimes and terrorist attacks, have lead to the adoption of techniques, such as tourniquets, wound packing and the use of haemostatic gauze being adopted into civilian prehospital practice. These tec...

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January 28, 2022 2 mins

We planned on releasing this as a Supplemental Episode to our upcoming Haemorrhage Control Episode, but we decided to release it as a Teaser Episode instead.

Keep your eyes and ears out for the full episode on 1st February 2022!!!

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In this episode, we go through some of the updates to The Prehospital Emergency Care Councils new Clinical Practice Guidelines. We will talk about some of these changes and speak about the new medications added to them. It’s important to point out that these new CPGs are not to be used until you have undergone training and have been privileged by  your PHECC Organisation, be that voluntary services or state prehospital providers.


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December 1, 2021 39 mins

Welcome to The Secondary Survey episode on Chest Pain.

In this episode, we take a look at ACS and some of the Non-ACS causes of chest pain. 

Think Aorta Global Meet Up

Bilateral blood pressure differential as a clinical marker for acute aortic dissection in the emergency department

Sung Wook Um , Robert Ohle , Jeffrey J Perry 

Emerg Med J 2018 S...

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November 1, 2021 46 mins

Welcome to the Secondary Survey. This Month's episode looks at Scene Safety, something that all Pre-Hospital care providers, EMT, Paramedics and First Responders should appreciate and be mindful off. A phrase often uttered at the beginning of an OSCE but sometimes under appreciated.  Thanks for listening and stay safe. 


please find some links to the material we discussed during this months episode.

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October 20, 2021 12 mins

It is finally here!  The Secondary Survey launches on the 1st of November. An Irish podcast all about the world outside the hospital. We will look at topics that will interest everyone who provides pre-hospital care from the Community First Responder to the Advanced Paramedic and beyond.  

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