Pre-Hospital Ultrasound in Trauma: Practice, Governance, and Lessons Learnt with Mike Palmer. Part 2

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 application. Our discussion covers the
translation of emergency ultrasound skills into the unpredictable
pre-hospital environment, with a focus on simulation training,
image recognition, logbook development, and internal image
review.


We explore how services are addressing the challenges of
competency, governance, and quality assurance when deploying
ultrasound in the field. We also tackle the practical and
operational hurdles, how to obtain clear, actionable images in
chaotic or resource-limited environments, manage the risks of
false positives and missed diagnoses, and use ultrasound findings
to guide critical decisions around triage and treatment.


Finally, we hear personal and professional reflections from years
of frontline experience. From the traditional model of “see one,
do one, teach one” to knowing when it’s better to keep the probe
in your pocket, this episode offers real-world insights into the
benefits, limitations, and evolving role of ultrasound in
pre-hospital emergency care.





This episode is brought to you by IndieBase.


IndieBase is the smart, simple, and budget-friendly Electronic
Patient Record (EPR) system designed specifically for the
demands of HEMS and pre-hospital care. Whether you're
responding solo, working within a flexible team, or managing care
across a larger organisation, IndieBase is built to support you.
It runs seamlessly on laptops, tablets, or smartphones, and
crucially, it operates offline, ensuring you can document care
wherever you are, even in the most remote environments. Developed
from the proven platform of HEMSbase by Medic One Systems,
IndieBase offers a familiar, intuitive interface with the
rock-solid reliability clinicians need. It's ready for everything
from festival medical cover to high-acuity critical care
transfers.


Key features include full integration with all major pre-hospital
monitors, case review, and clinical governance modules, making it
an ideal solution for teams preparing for CQC registration. A
patient feedback module also helps drive service improvement
and meaningful engagement. For clinicians working across multiple
organisations, IndieBase provides a personal logbook that
combines your data and links directly with your existing HEMSbase
logbook.


IndieBase EPR made simple, wherever you are.


Find out more at https://indiebase.net/