This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in-hospital care providers through clinician interviews and expert clinical commentary.
…
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A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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Prehospital Emergency Care Podcast
Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, Leshmi Kumar
This is the Prehospital Emergency Care Podcast, the official Podcast for the National Association of EMS Physician's (NAEMSP) journal, Prehospital Emergency Care. This bimonthly podcast contains in-depth interviews with manuscript authors and engaging commentary from EMS physicians Dr. Hawnwan Moy, Dr. Scott Goldberg, Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, Dr. Lekshmi Kumar.
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The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 4
1:01:26
1:01:26
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This month, we were live from the Chagrin Valley Fire Department. We discussed air medical care with Kyle Schnarrs, Flight Nurse, and Nathan Brazytis, Flight Paramedic, from the UH AirMed critical care transport system. We talk how to become a flight paramedic/nurse, day-in-the-life, as well as just how much goes on in preparation for flight, plus …
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Air Methods Prehospital EDucation Podcast Ep. 41: The Calm Before the Storm
40:11
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Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch fr…
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Air Methods Prehospital EDucation Podcast Ep. 41: The Calm Before the Storm
40:11
40:11
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40:11
Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch fr…
…
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1
Helicopter Critical Care Transportation - Part of the EMS Team, Part 3
44:43
44:43
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44:43
In Part 3 of our discussion with crew members of UH AirMed, They wind up the recorded sessions discussion catching up on loose ends of the discussion, cricothyrotomy, laryngoscopy, the various drugs the helicopter carries and the use of blood on the aircraft.De către University Hospitals of Cleveland EMSi
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 2
46:31
46:31
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UH MedAir's Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic continue to talk about the airmedical transport system. First, they address the medical brief that can be helpfu to the communications specialists and the flight crew, distinctions between VFR flying and IFR flying for the crew, patients needing LVAD transportation as wel…
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Helicopter Critical Care Transportation - Part of the EMS Team, Part 1
47:11
47:11
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This month, we welcome Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic from the UH AirMed critical care transport system. In the first of a 4-part series, they discuss how to become a flight paramedic/nurse as well as answer many questions about air medical transport including a day-in-the-life-of!…
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Field Termination and DOA for EMS, Part 4 - The Live Show
1:14:12
1:14:12
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This month we discuss field termination and DOA situations with Dr. Donald Spaner. We will dive into what the medical control physician is looking to hear from the field provider's report, the importance of the care of the family members on scene, and DNRs. Recorded at the Madison Township Fire Department.…
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Field Termination and DOA for EMS, Part 3
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22:43
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In this 3rd part of our discussion of field termination of care and DOA situations, the crew and Dr. Spaner talk about the Do Not Resuscitation situations. DNR does NOT mean do NOTHING! Anything that gives the patient comfort can be utilized on a patient under a DNR order.De către University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 40: MacGyver and Medicine
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When our team is dispatched in the middle of the night to a hospital that almost never calls them requesting air transport for a case of an obstructed airway that doesn't, at first blush, seem like it warrants it, our team approaches with caution and curiosity. When they arrive, something doesn't add up and they first opt to phone the on-call docto…
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Air Methods Prehospital EDucation Podcast Ep. 40: MacGyver and Medicine
39:14
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39:14
When our team is dispatched in the middle of the night to a hospital that almost never calls them requesting air transport for a case of an obstructed airway that doesn't, at first blush, seem like it warrants it, our team approaches with caution and curiosity. When they arrive, something doesn't add up and they first opt to phone the on-call docto…
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Field Termination and DOA for EMS, Part 2
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The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.…
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Field Termination and DOA for EMS, Part 1
26:01
26:01
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26:01
The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.De către University Hospitals of Cleveland EMSi
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Extra Monday Episode - UH EMS Airway Series, Part 2
47:52
47:52
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47:52
As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demon…
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Ep. 140 National Assessment of EMS Performance
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47:28
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47:28
Dr. Maia Dorsett and our newest PEC Podcast member, Dr. Rachel Stemerman, explore the manuscript A National Assessment of EMS Performance at the Response and Agency Level with the authors Michael Redlener MD Medical Director of Emergency Medicine Mount Sinai West & Remle Crowe PhD Director of Clinical and Operational Research at ESO Click here to d…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 4 - Live
1:03:22
1:03:22
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The podcast is on the road at Kent Fire Department. Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!De către University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 39: Don't Let the Perfect Be the Enemy of the Good
35:02
35:02
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35:02
Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This ep…
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1
Air Methods Prehospital EDucation Podcast Ep. 39: Don't Let the Perfect Be the Enemy of the Good
35:02
35:02
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35:02
Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This ep…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 3
27:56
27:56
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27:56
As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 2
36:16
36:16
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This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?De către University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 19 - SANE - A Discussion of Sexual Assault Cases Part 1
30:02
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This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…
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Air Methods Prehospital EDucation Podcast Ep 38: Going the Distance No Matter What
39:29
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39:29
By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess t…
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Ep. 139: Deep Dive Chest compressions and Football Pads
21:59
21:59
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21:59
Everyone witnessed the tragic event of Damar Hamlin's cardiac arrest during an NFL Football game. While he had a great outcome, there remains a paucity of algorithms in managing cardiac arrest emergencies in equipment-laden athletes. Expert consensus begins with research in the field of cardiac arrest for equipment laden athletes. In this deep dive…
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Air Methods Prehospital EDucation Podcast Ep 38: Going the Distance No Matter What
39:29
39:29
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39:29
By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess t…
…
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Prehospital Paradigm Podcast, Episode 18 - Psychiatric Emergencies - Live
59:44
59:44
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59:44
This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.De către University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 3
20:42
20:42
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20:42
When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…
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Review of Psychiatrics Emergencies - Part 2
22:11
22:11
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The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.De către University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 1
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21:10
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This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.De către University Hospitals of Cleveland EMSi
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Ep. 138 Deep Dive Under and Over Triage Field Triage Guidelines
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29:20
The Field Triage Guidelines (FTG) are used across North America to identify seriously injured patients for transport to appropriate-level trauma centers. We should aim for an under-triage rate of 5% and an over-triage rate of 25-35%. But how faithful are we to these recommendations? In this podcast, we interview the lead author Joshua Lupton MD MPH…
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Prehospital Paradigm Podcast, Episode 16 - Part 4, STEMI Live
1:07:23
1:07:23
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We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!De către University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep 37: Asking for Help Isn't Giving Up
45:15
45:15
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When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, b…
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Air Methods Prehospital EDucation Podcast Ep 37: Asking for Help Isn't Giving Up
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45:15
When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, b…
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When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …
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Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…
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Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…
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Extra Monday Episode - UH EMS Airway Series, Part 1
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All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…
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Air Methods Prehospital EDucation Podcast Ep 36: Sometimes the Solution Is Obscure
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Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help an…
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Air Methods Prehospital EDucation Podcast Ep 36: Sometimes the Solution Is Obscure
37:47
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37:47
Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help an…
…
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1
Prehospital Paradigm Podcast, Episode 15 - Post ROSC Live
58:27
58:27
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58:27
Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…
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CPR and ROSC Episode, Part 3 - Rapid Fire Questions for ROSC
24:19
24:19
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It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!De către University Hospitals of Cleveland EMSi
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Episode 137: The Prehospital Pediatric Readiness Project
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The Prehospital Pediatric Readiness Project In this episode, the PEC podcast team joins the Pediatric EMS Podcast- Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney-to talk to you about the National Prehospital Pediatric Readiness Project (PPRP). What is it? What do we do about it? And what does it achieve? We will be joined by two pivotal EMS physi…
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Episode 136: Tribute to Brooke Lerner
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A Tribute to Brooke Lerner PhD With the dawn of a new year, we all know that the 2024 NAEMSP Conference is approaching. While we are excited to see friends and colleagues from afar, we must acknowledge the void of someone who contributed so much to prehospital medicine, Dr. Brooke Lerner. Dr. Lerner was a prolific researcher, passionate paramedic, …
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CPR and ROSC Episode, Part 2 A Mixed Bag Discussion
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The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.De către University Hospitals of Cleveland EMSi
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CPR and ROSC Episode, Part 1 - Stay and Play
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Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.De către University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep 35: Hope Is a Good Thing...
54:37
54:37
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54:37
As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team a…
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Air Methods Prehospital EDucation Podcast Ep 35: Hope Is a Good Thing...
54:37
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54:37
As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team a…
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