An award-winning cannabis podcast for women, by women. Hear joyful stories and useful advice about cannabis for health, well-being, and fun—especially for needs specific to women like stress, sleep, and sex. We cover everything from: What’s the best weed for sex? Can I use CBD for menstrual cramps? What are the effects of the Harlequin strain or Gelato strain? And, why do we prefer to call it “cannabis” instead of “marijuana”? We also hear from you: your first time buying legal weed, and how ...
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Content provided by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
Similar cu Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
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Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
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Unlocking Practice Changing Insights: A Paramedics Guide to Reviewing the Medical Literature
Manage episode 471098021 series 3417805
Content provided by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to discern the relevance and applicability of research findings. Dr. Li provides practical advice for critically appraising literature and emphasizes doing so in a way that is personally relevant to the listener's practice. This episode is essential for anyone in EMS or emergency medicine looking to deepen their understanding of medical research and how it impacts patient care. Enter to win Airpods, Cric-a-lot, and a belt buckle! Resources that can help
Guest-
Host- Ross Orpet, Will Berry
Catch up with us after the show
…
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Critical appraisal guides:
https://casp-uk.net/casp-tools-checklists/ (my personal favorite)
https://jbi.global/critical-appraisal-tools
Reporting guidelines (similar to appraisal guides, but more are standards for the investigators to use and follow):
https://www.equator-network.org/reporting-guidelines
00:00 Introduction and Priorities 00:34 Show Restructure Announcement 01:42 The Evolution of EMS Practices 03:57 Understanding Evidence-Based Medicine 05:23 Interview with Dr. Ben Lee 07:20 Approaching and Appraising Medical Studies 08:14 Challenges in EMS Research 13:47 Study Design and Hierarchy 31:33 Applying Research to Practice 39:26 Final Thoughts and Takeaways Resources- The Resus Tailor
- Enter to win Airpods, Cric-a-lot, and a belt buckle!
- Website show notes link
- Other episodes you might like:
- Podcast announcements
- Survey- Help us learn what content you want
- Good Stethoscope - https://amzn.to/3YJJrf2
- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls - https://amzn.to/3Z1X21J
- Sunglasses - https://frontline-optics.com/discount/EMSCAST15
- Books we recommend -
-
- The Dichotomy of Leadership - https://amzn.to/4fiCAjN
- Extreme Ownership - https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
- Thinking Fast and Slow - https://amzn.to/4fiJG85
- A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2
-
Guest-
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com
90 episoade
DistribuieManage episode 471098021 series 3417805
Content provided by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Ross Orpet, Paramedic turned EMS Physician, Ross Orpet, and Paramedic turned EMS Physician or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.
Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to discern the relevance and applicability of research findings. Dr. Li provides practical advice for critically appraising literature and emphasizes doing so in a way that is personally relevant to the listener's practice. This episode is essential for anyone in EMS or emergency medicine looking to deepen their understanding of medical research and how it impacts patient care. Enter to win Airpods, Cric-a-lot, and a belt buckle! Resources that can help
Guest-
Host- Ross Orpet, Will Berry
Catch up with us after the show
…
continue reading
Critical appraisal guides:
https://casp-uk.net/casp-tools-checklists/ (my personal favorite)
https://jbi.global/critical-appraisal-tools
Reporting guidelines (similar to appraisal guides, but more are standards for the investigators to use and follow):
https://www.equator-network.org/reporting-guidelines
00:00 Introduction and Priorities 00:34 Show Restructure Announcement 01:42 The Evolution of EMS Practices 03:57 Understanding Evidence-Based Medicine 05:23 Interview with Dr. Ben Lee 07:20 Approaching and Appraising Medical Studies 08:14 Challenges in EMS Research 13:47 Study Design and Hierarchy 31:33 Applying Research to Practice 39:26 Final Thoughts and Takeaways Resources- The Resus Tailor
- Enter to win Airpods, Cric-a-lot, and a belt buckle!
- Website show notes link
- Other episodes you might like:
- Podcast announcements
- Survey- Help us learn what content you want
- Good Stethoscope - https://amzn.to/3YJJrf2
- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls - https://amzn.to/3Z1X21J
- Sunglasses - https://frontline-optics.com/discount/EMSCAST15
- Books we recommend -
-
- The Dichotomy of Leadership - https://amzn.to/4fiCAjN
- Extreme Ownership - https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
- Thinking Fast and Slow - https://amzn.to/4fiJG85
- A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2
-
Guest-
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com
90 episoade
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1 Unlocking Practice Changing Insights: A Paramedics Guide to Reviewing the Medical Literature 41:02
41:02 Redare mai Târziu Redare mai Târziu Liste Like Plăcut41:02
Redare mai Târziu Redare mai Târziu Liste Like PlăcutLet's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to discern the relevance and applicability of research findings. Dr. Li provides practical advice for critically appraising literature and emphasizes doing so in a way that is personally relevant to the listener's practice. This episode is essential for anyone in EMS or emergency medicine looking to deepen their understanding of medical research and how it impacts patient care. Enter to win Airpods, Cric-a-lot, and a belt buckle! Resources that can help Critical appraisal guides: https://casp-uk.net/casp-tools-checklists/ (my personal favorite) https://jbi.global/critical-appraisal-tools Reporting guidelines (similar to appraisal guides, but more are standards for the investigators to use and follow): https://www.equator-network.org/reporting-guidelines 00:00 Introduction and Priorities 00:34 Show Restructure Announcement 01:42 The Evolution of EMS Practices 03:57 Understanding Evidence-Based Medicine 05:23 Interview with Dr. Ben Lee 07:20 Approaching and Appraising Medical Studies 08:14 Challenges in EMS Research 13:47 Study Design and Hierarchy 31:33 Applying Research to Practice 39:26 Final Thoughts and Takeaways Resources The Resus Tailor Enter to win Airpods, Cric-a-lot, and a belt buckle! Website show notes link Other episodes you might like: Podcast announcements Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Why Your EMS Bag Could Be Failing You: Essential Design Tips You Need 45:41
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutWe discuss the importance of equipment design in EMS with Adam LaChapelle, founder of The Resus Tailor. Together we delve into the impact that effective design has on performance and patient outcomes, exploring principles such as reducing friction and visual checklists. Adam shares compelling stories and practical tips on organizing your equipment to enhance efficiency and care. The episode also includes a special giveaway announcement for listeners. SPECIAL GIVEAWAY- AirPods, Cric-a-lot, Belt Buckle 00:00 Introduction to Bag Design Challenges 00:44 Real-Life Emergency Scenario 02:33 The Importance of Equipment Layout 03:15 Exciting Announcements and Rebranding 04:00 Meet the Hosts and Today's Guest 05:27 Adam LaChapelle's Journey and Passion 11:32 The SCRAM Bag and Its Impact 16:20 Principles of Effective Design 21:42 Innovative Bag Design for Quality Care 22:19 The Importance of Iteration in EMS Gear 23:49 Key Considerations for Bag Design 28:05 Reducing Friction in Emergency Response 30:46 Challenges and Solutions in EMS Bag Design 35:33 Customizing Bags for Specific Needs 36:54 Practical Tips for EMS Providers 39:40 Partnering with Recess Tailor for Custom Solutions 42:45 Exciting Giveaway Announcement 44:03 Summary and Key Takeaways Resources SPECIAL GIVEAWAY- AirPods, Cric-a-lot, Belt Buckle The Resus Tailor Website show notes link Podcast announcements- NEW NAME, Loud & Clear: EMS Guiding Principles Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Adam LaChapelle, Founder and CEO of The Resus Tailor Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emsloudandclear YouTube- @emsloudandclear Website- www.emspodcast.com Creative Commons - Attribution 3.0 Unported - CC BY 3.0 Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic…
Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey. Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing you valuable continuing education through our podcast, originally named EMS Cast. Each year we have become more and more dedicated to our mission. However, as time passed, it became clear that our name didn't quite capture the essence of what we stand for—our mission or our identity as educators in the EMS field. Will and I devoted significant effort into clarifying our mission this last year. Determining how we could create a framework to help you navigate the inevitable uncertainties in EMS, to put an emphasis on what truly and what principles will guide you through the uncertainty. This framework is going to allow us to bring you even better content with clearer messaging. We wanted a name that resonates with our commitment to provide in-depth discussions that extend beyond paramedic school learning but yet never loses sight of the fundamentals and guiding principles that actually matter. After months of brainstorming and reflection, Loud & Clear: EMS Guiding Principles felt like the perfect match—an embodiment of our dedication to make every lesson resonate strongly and clearly with you, the listener. In the world of EMS, ‘loud and clear’ is a phrase many of us know very well, whether you’re checking in with dispatch over the radio at the start of your shift or confirming the receiving hospital can clearly understand you. It signifies that there is clarity and understanding in the message that is received. We aim to bring this clarity to every topic we discuss. Reinforcing our commitment to delivering information that is easy to comprehend and apply in real-life EMS situations, even when uncertainty abounds. While our name may have changed and our episode framework has evolved, our mission has not. We will continue to provide high level education, seeking to teach you principles that enrich your knowledge beyond the textbooks you read in paramedic school, preparing you for the unexpected scenarios you’ll face in the field. You won’t find cookie-cutter approaches here—we’re dedicated to helping you understand and fall back on an understanding of fundamental principles that allow you to navigate the uncertainty and chaos with confidence. Each episode of Loud & Clear will present high-level discussions about pathophysiology and treatment options. But more than that, every episode will guide you back to those time-tested EMS principles crucial for effective decision-making. This year promises ever more engaging content rich episodes, with an updated name, cover art, social media presence, and more as we embrace this exciting transition. We can't wait to embark on this new journey with you, our dedicated listeners. Thank you for your support and enthusiasm. Remember—we’re here to ensure your learning experience is loud and clear.…
1 Unlocking Syncope: A Harbinger of Hidden Perils, Differentiating Benign from Life-Threatening Causes 59:01
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutSyncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the high-risk patients and why. The episode covers the guiding principles syncope- a good history, physical exam findings, and the ECG. It also delves into common presentations, risk stratifying strategies, and real-world cases to equip EMS providers with the knowledge needed to manage syncope calls effectively. 00:00 Intro 01:07 Welcome to EMS Cast, host and guest introductions 04:51 Guiding Principles for Syncope Assessment 07:22 High-Risk Syncope Patients 09:14 Initial Approach to Syncope Patients 15:15 Syncope vs. Seizure 20:08 Physical Exam and EKG Importance 25:14 Identifying Arrhythmias in Syncope Patients 26:37 Understanding Wolf Parkinson White Disease 27:46 QT Prolongation and Its Implications 29:49 Left Ventricular Hypertrophy and Its Risks 31:28 Recognizing Brugada Pattern 32:02 Arrhythmogenic Right Ventricular Dysplasia 33:04 Bifascicular Block and Its Dangers 35:00 EKG Interpretation and Syncope Risk Stratification 39:53 Emergency Department Workups for Syncope 55:49 Case Studies and Memorable Syncope Calls Resources The Resus Tailor EMS Cast Syncope Blog Post Other episodes you might like: Wide Complex Tachycardia Podcast announcements- WE'RE RENAMING THE SHOW TO, LOUD & CLEAR: EMS GUIDING PRINCIPLES Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Matt Mendes, EM doc, Resident didactics coordinator, former EMS Cast Co-Host Hosts- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com Creative Commons - Attribution 3.0 Unported - CC BY 3.0 Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic…
1 Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS 37:04
37:04 Redare mai Târziu Redare mai Târziu Liste Like Plăcut37:04
Redare mai Târziu Redare mai Târziu Liste Like PlăcutLet's discuss the pressing issue of mental health among first responders, particularly within the EMS community. Will gets vulnerable and shares a personal story of trauma on the job to highlight the urgent need for mental health resources and support. Unfortunately, his story is not unique, we will all experience some level of emotional trauma while on the job. This episode features Jessica Nelson, the coordinator of the groundbreaking program and first of its kind state legislation, PATH4EMS. PATH4EMS provides free and confidential mental health care for EMS professionals. We delve into strategies for normalizing mental health conversations, the importance of trauma-informed care, and the benefits of proactive mental health practices. The discussion also covers the need for tailored, evidence-based resources and the unique challenges faced by rural first responders. Tune in to learn about the vital steps being taken to ensure the well-being of those who brave the front lines. 00:00 The Struggles of First Responders 00:53 A Personal Story of Trauma 04:57 The Turning Point: Seeking Therapy 05:42 Introduction to EMScast 06:34 Meet Jessica Nelson: A Pioneer in EMS Mental Health 09:54 The Importance of Confidentiality and Specialized Care 12:17 Effective Mental Health Practices for EMS Providers 19:54 Path for EMS: A Groundbreaking Initiative 30:37 Future Directions and Final Thoughts Resources PATH4EMS website Today's Sponsor- The Resus Tailor Today's episode blog post Podcast announcements- We're rebranding! New name will be- Loud & Clear: EMS Guideline Principles. Look out for the changes coming soon. Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Jessica Nelson, PATH4EMS coordinator Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Wide Complex Tachycardia: Get Comfortable With Uncertainty 1:00:02
1:00:02 Redare mai Târziu Redare mai Târziu Liste Like Plăcut1:00:02
Redare mai Târziu Redare mai Târziu Liste Like PlăcutLearn a systematic approach to management of wide complex tachycardia that doesn't rely on exact rhythm identification or scoring systems with guest Dr. Kevin Butler. By understanding the physiology rather than memorizing a score or algorithm you can use Kevin's approach and ABCD mnemonic to help differentiate between ventricular tachycardia, SVT with aberrancy, and other arrhythmias. Learn how not to miss the vital mimics with his SPAM filter. And finally by understanding which treatments are safe and which treatments potentially dangerous you can understand how to move forward even when you're not exactly sure what the arrhythmia is. Whether you're an EMT, paramedic, or emergency physician, this episode provides the essential principles and stepwise strategies to ensure effective and safe patient management. 00:00 Introduction to Arrhythmia Management 00:29 Personal Anecdote: Lessons from Paramedic School 02:04 Introducing Dr. Kevin Butler 02:16 Sponsor Message: The Recess Tailor 03:35 Welcome to EMS Cast 04:04 Understanding Wide Complex Tachycardia 05:37 Approach to Arrhythmia Management 07:02 Principles of Managing Wide Complex Tachycardia 08:39 Pathophysiology of Wide Complex Tachycardia 18:30 Identifying and Treating Mimics 26:55 Regular vs. Irregular Wide Complex Tachycardia 29:59 Understanding Torsades and Its Management 30:25 Identifying Atrial Fibrillation with Pre-Excitation 32:14 Treatment Considerations for AFib with WPW 35:02 Distinguishing Between VT and SVT with Aberrancy 37:09 Physiological Approach to ECG Interpretation 40:24 ABCD Mnemonic for VT Diagnosis 47:49 EMS Treatment Protocols for Wide Complex Tachycardia 51:54 Pre-Hospital Cardioversion Tips 55:22 Emergency Department Approach to Wide Complex Tachycardia 58:00 Final Thoughts and Key Takeaways Resources The Resus Tailor Episode Blog Post with EKG examples Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Dr. Kevin Butler, Emergency Physician, Lead Instructor for DHREM's EKG didactic curriculum Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life. To change an outcome that would have otherwise been catastrophic if you weren’t there. There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “A” then “do B” but what do you do when "A” wasn’t in the book. We need to get away from the algorithmic thinking and instead shift to understanding the principles behind WHY if A then B. The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you. If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends. We are your hosts, Ross Orpet & Will Berry and this is EMS Cast. Come on this journey with us to mastering emergency medicine. We will cover topics in more depth than you learned in paramedic school, we will teach one step further and talk about what will happen to that patient in the Emergency Department after you drop them off. And we will connect all of this back to the principles that will guide you not just on this call but on all the calls. These principles will allow you to answer the question, at the end of the day, what’s really important to me, the paramedic, in the field, in that moment. You may not feel ready, you may not feel like you know enough, but you can understand the principles and that will make all the difference. Because what you do matters.…
1 From Novice to Navigator: Mastering the Art of EMS Field Training 1:06:34
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutJoined by Josh, Cody, and Moose from the AlertMedicOne podcast, we explore key principles of good training, leadership, and the importance of making mistakes in a safe learning environment. We discuss strategies to foster critical thinking, introspection, and continuous improvement among trainees in the EMS field. A big part of EMS is learning to be a leader and a teacher no matter what level you are at so whether you are a trainee, a field trainer, teach students during their rides, or merely work with a partner there's something for everyone to learn in this one. Tune in for an insightful discussion on how to develop and become excellent EMS professionals through solid training and leadership. 00:00 Whitewater Rafting Adventure 00:25 The Importance of Training 01:02 Creating a Safe Learning Environment 01:43 Introducing the AlertMedicOne Podcast 02:06 Meet the Hosts 04:37 Whitewater Rafting Lessons for EMS 05:48 Encouraging Autonomy in Training 08:01 Balancing Guidance and Independence 10:25 The Role of Field Training Officers 15:03 Ownership and Leadership in EMS Training 24:50 Handling Mistakes and Failures 31:33 Striving for Continuous Improvement 34:11 Embracing Continuous Improvement 34:34 Learning from Experienced Paramedics 35:35 The Importance of Preparation 36:47 Humility and Self-Awareness 38:23 Handling Mistakes and Growth 40:12 Training and Mental Health 41:54 Effective Preceptorship 43:13 Teaching Techniques in Action 45:12 Building Confidence in Trainees 47:21 The Role of a Trainer 01:03:06 Final Thoughts and Reflections Resources Contact The Resus Tailor Watch this episode on YouTube Read the blog post for this episode Other episodes you might like: Values Driven Leadership with Chris Pfingsten from EMS 20/20 podcast 10 lessons from a real austere rescue How to Master the Resuscitation - EMCRITs Scott Weingart Podcast announcements- Big news coming in 2025! Stay Tuned! Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Josh, Cody, Moose Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 The Difference Between Equal and Equitable Care 16:12
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutExplore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani from The EMS Show podcast, highlighting the importance of focusing on outcome-driven quality improvement projects and addressing disparities in care. Learn how different demographics face unique barriers to healthcare, and why recognizing these differences is essential to improving outcomes across various communities. Watch as real-life examples illustrate the need for equitable interventions and the systemic factors that contribute to inequities in EMS. 00:00 Introduction: Equal vs. Equitable Care 00:23 Case Study: CPR Training Disparities 01:09 Understanding Barriers to Equitable Care 03:31 Guest Introduction: Ritu Sani from EMS Show Podcast 04:33 Interactive Exercise: Demonstrating Inequity 06:36 Quality Improvement: Focusing on Outcomes 08:09 Challenges in Achieving Equitable Care 09:25 Diversifying EMS Workforce 10:11 Systemic Factors and Data-Driven Solutions 11:03 Starting with Equitable Care 11:17 Key Areas to Focus On 11:26 Analyzing Data for Disparities 12:12 Addressing Provider Reactions 13:00 Implementing Quality Improvement 13:35 Implicit Bias and Introspection 14:17 Patient Outcome Driven Approach 14:33 Challenges and Structural Abnormalities 15:16 Conclusion and Final Thoughts Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Ritu Sani, MD and Co-host of The EMS Show podcast Host- Ross Orpet, Chris Pfingsten from EMS 20/20 Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Life Over Limb: Field Amputation, Preparing for the Unthinkable 15:26
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutDr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Adler shares insights from real-life cases and emphasizes the critical need for planning and knowing the resources available in urgent scenarios. 00:00 Emergency Field Amputation: A Real-Life Scenario 00:25 The Reality of Unlikely Medical Emergencies 02:04 Introducing Today's Episode and Guest 04:26 Dr. Eric Adler's Experience and Protocol Development 05:46 Indications and Procedures for Field Amputation 10:50 Challenges in Creating a Field Amputation Protocol 14:23 Final Thoughts and Preparedness Resources Website show notes link (picture of the kit and copy of the protocol): https://emspodcast.com/life-over-limb-field-amputation-preparing-for-the-unthinkable/ Other episodes you might like: Episode 31- You Were Taught Wrong, Traumas Not Algorithmic Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend - The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Erik Adler Host- Ross Orpet, Avery Mackenzie Catch up with us after the show Instagram- @emscast Website- www.emspodcast.com…
1 The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope 16:31
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutIn this episode, we discuss the profound impact that one patient's organ donation can have on society. Even when not every patient gets to go home, the ability to donate organs can positively affect up to 80 people, multiplying our impact and service to the community. Guest Chris Meeks, a critical care flight paramedic and organ recovery coordinator discusses the ethical considerations and the surprising impact EMS has on the potential for organ donation, even in cases that appear to be 'lost causes'. Tune in to understand how your work in EMS may have more far-reaching positive effects than you realize. 00:00 Introduction: The Impact of EMS on Organ Donation 00:43 Ethical Considerations in Organ Donation 01:10 Current Research and EMS's Role 02:04 Guest Introduction: Chris Meeks 05:04 Ethical Dilemmas and Future Directions 08:25 Organ Donation Criteria and Processes 13:28 Conclusion: The Importance of EMS in Organ Donation Guest/Cast/Crew information- Guest- Chris Meeks, Critical Care Flight Paramedic, Organ Recovery Coordinator Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Values-Driven Leadership Within A Just Culture- Chris Pfingsten from EMS 20/20 17:36
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutCreating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fostering supportive relationships with staff and avoiding fear-based management. Additionally, Chris shares his journey from paramedic to Field Training Officer, offering advice on effective training and mutual support. This episode is packed with valuable insights for anyone in the EMS field aiming to enhance performance, commitment, and team dynamics. Don't forget to check below for further resources on just culture and motivational learning. Guest/Cast/Crew information- Guest- Chris Pfingsten, Co-host of EMS 20/20 Host- Ross Orpet, Will Berry Resources Other episodes you might like Ep. 72 From Errors to Excellence with Geoff Murphy, Master Your Medics Books Just Culture- https://amzn.to/4eOMN7w Crucial Conversations- https://amzn.to/3BRBnRI YouTube Videos- Why do Errors Happen? How can we prevent them? How can a system get organized for improvement? Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Are They Choking? Esophageal Foreign Body 39:44
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutWe delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as 'Steakhouse Syndrome,' and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there's any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases. Resources and links This episode was inspired by an article on EMSAirway.com - Friday Night Lights- Shift 9 Steak Night EMScast15 - code for 15% off an awesome pair of sunglasses Help Us By Filling Out Our Audience Survey Medic Box - awesome medical gear shipped directly to your door Articles- American Society for Gastrointestinal Endoscopy- Guidelines for ingested foreign bodies Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis . Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial Conservative management of oesophageal soft food bolus impaction Esophageal Food Impaction: A Retrospective Chart Review Food Bolus Impaction- Question and Answer Review Guest/Cast/Crew information- Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com 00:00 Introduction to Esophageal Foreign Bodies 00:43 Audience Survey and Sunglasses Giveaway 01:46 Interview with Contest Winner 06:11 A Choking Incident at Mile High Stadium 09:02 Discussion on Esophageal Obstructions 11:46 Life-Saving Story at Denver International Airport 13:28 A Life-Saving Outcome 14:11 The Choking Incident at the Tavern 14:57 Assessing the Patient's Condition 19:38 Understanding Esophageal Food Impaction 21:49 Treatment Options and Challenges 29:01 The Role of Endoscopy 37:45 Managing Esophageal Impactions in the Field 39:32 Final Thoughts…
1 10 Lessons From A Real Austere Rescue That Apply To You, No Matter Where You Work 32:49
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutDelve into a real-life rescue mission conducted by the U.S. Air Force Pararescue Jumpers (PJs) in the North Atlantic Ocean and learn ten crucial lessons for enhancing EMS practice. Dr. Michael Lauria shares these ten critical lessons from this challenging scenario that are essential for medical professionals working in any prehospital environment. From the importance of preparation and the power of a small team, to the significance of continuous learning and the dynamic nature of safety, these insights are invaluable for enhancing clinical practice. Tune in to learn how these lessons can be applied to improve how you approach the job. EMScast15 - code for 15% off an awesome pair of sunglasses Tell us about you and how we can make this show better Medic Box - awesome medical gear shipped directly to your door Guest/Cast/Crew information- Guest- Dr. Mike Lauria Host- Ross Orpet, Will Berry Resources Other episodes you might like Third-party websites where you can learn more Podcast announcements Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 Bonus: A Better BVM? How I Built This EMS Cast Style- A Crazy Story About an Emergency Nurses Invention and Battle to Save Lives and Prevent Harm. 32:06
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutIn this special bonus episode of EMS Cast, we delve into the story of Bobby Sue McCollum, an emergency nurse turned inventor. Learn about the critical issue of over ventilation in emergency medicine, the innovative VT Select device designed to address this problem, and the crazy inspiring journey of its creation. With discussions on the challenges of finding the optimal ventilation rates and volumes, the episode balances medical data and personal narrative. Bobby Sue shares the highs and lows of her entrepreneurial path, from initial prototype development to eventual licensing, offering valuable insights for aspiring inventors in the medical field. Resources Mentioned in the Show- VT Select Bag Valve Mask A Review of Ventilation in OHCA Pediatric BVM Delivers More Ideal Volumes in Mannequins Small BVMs Lead to Decreased Survival in a Small Real World Study 00:00 The Problem with Overventilation 00:53 Introduction to the VT Select Device 02:01 Meet the Inventor: Bobby Sue McCollum 05:06 The Journey of Invention 12:10 How the VT Select Works 14:04 Challenges and Triumphs 27:37 Advice for Aspiring Inventors 31:15 Conclusion and Final Thoughts…
1 The Critical Four Minutes: AMAX4 framework for Anaphylaxis 30:27
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutExplore anaphylaxis care from the basics to the critical approach to managing severe anaphylaxis with Bruce Hoffman, FlightBridge ED senior educator. Find out what it means to be aggressive with anaphylaxis care explained through the AMAX4 framework. Learn how the framework can help reverse anaphylactic shock and prevent catastrophic outcomes. Hear the impactful story behind the framework and gain insight into the most effective practices for treating unresponsive anaphylactic and asthmatic patients. Special thanks to the McKenzie family for their mission-driven educational work. Resource links Episode Blog Post / Show Notes AMAX4 website Anaphylaxis deep dive Updated Anaphylaxis Definition EMScast15 - code for 15% off an awesome pair of sunglasses Help us learn how to make this show better for you Medic Box - awesome medical gear shipped directly to your door Guest/Cast/Crew information- Guest- Bruce Hoffman- Goodwin University Program Director and Assistant Professor, FlightBridgeED senior educator, Bay State Health Critical Care RN and Paramedic Host- Ross Orpet, Will Berry Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 From Errors to Excellence: Master Your Medics Geoff Murphy on the role of mistakes in EMS education 25:06
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutThe Power of Embracing Mistakes- Special guest Geoff Murphy, founder of Master Your Medics, shares how acknowledging and learning from mistakes can save lives in the field of prehospital medicine. Recorded at the Fast 24 conference, this episode emphasizes the importance of cultivating a culture of safety, vulnerability, and continuous learning within EMS teams. Discover actionable strategies to foster a psychologically safe environment where mistakes are openly discussed and used as invaluable learning tools to enhance professional development and patient care. This insightful discussion is a must-watch for anyone looking to elevate their skills and create a high-performing EMS team. EMScast15 - code for 15% off an awesome pair of sunglasses Enter to Win a FREE Pair of Frontline Optics Sunglasses Medic Box - awesome medical gear shipped directly to your door Guest/Cast/Crew information- Guest- Geoff Murphy, founder of Master Your Medics Host- Ross Orpet, Will Berry Resources Ep. 31 You Were Taught Wrong, Traumas Not Algorithmic MasterYourMedics.com Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com 00:00 Introduction: The Power of Discussing Mistakes 00:38 Welcome to EMS Cast 00:52 Today's Topic: How Mistakes Can Save Lives 01:16 Embracing Failure: Insights from Jeff Murphy 01:37 Creating a Culture of Safety and Vulnerability 06:29 The Fearless Organization: High vs. Low Performing Teams 11:49 Personal Stories: Learning from Mistakes 19:15 Master Your Medics: The Journey and Vision 23:43 Conclusion: The Path to Mastery…
1 Poisons of the Sea: Not Just a Coastal Problem 1:04:19
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutThink you only need to worry about toxicities that exist in the sea if you live by an ocean? Think again. No matter where you are fish may be on the menu, or there may be a zoo nearby, or a marine enthusiast with an elaborate home aquarium. These toxicities can be seen in Colorado. They can be in Australia or in the US. No matter where you are you have the potential to see one or many of these. From scombroid poisoning to puffer fish, irukandji syndrome, jellyfish, and sea snakes- tune in to this week's episode to learn all about the various poisons that come from the sea with toxicologist Nik Matsler. Website show notes link EMScast15 - code for 15% off an awesome pair of sunglasses Enter to Win a FREE Pair of Frontline Optics Sunglasses Medic Box - awesome medical gear shipped directly to your door Guest/Cast/Crew information- Guest- Dr. Nik Matsler Host- Dr. Ross Orpet and Critical Care Paramedic Will Berry Resources Other episodes you might like Episode 26: Snake Bites Episode 25: Cocaine Overdose Third-party websites where you can learn more Marine Envenomations Journal Article 5 Step Approach to Marine Envenomations Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com…
1 The Critically Sick Runner: Unraveling the Mystery at an Ultra-endurance Event with Dr. Whitney Barrett 54:25
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutDr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, discusses the critical considerations for EMS providers when encountering sick runners during endurance events. Insights on managing ultra-endurance athletes, focusing on conditions such as hyponatremia, dehydration, electrolyte imbalances, and the unique challenges presented by high-altitude races. Learn about effective rehydration and cooling strategies, and the critical role of context in diagnosing and treating affected runners. EMScast15 for 15% Off Frontline Optics Sunglasses Enter to Win a FREE Pair of Frontline Optics Sunglasses Blog Post and Critical Runner Algorithm- The Critical Care of the Sick Runner 00:00 Introduction and Hosts 00:39 Conference Recap 01:03 Guest Introduction: Dr. Whitney Barrett 01:29 Understanding the Sick Runner 02:29 Medical Considerations for Ultra Marathons 08:15 Common Issues in Ultra Runners 12:45 Responding to Sick Runners 19:42 Fluid Management and Hyponatremia 35:10 Handling Hyperthermia and Hypothermia 44:05 Dealing with Collapsed Runners 53:36 Final Thoughts and Takeaways…
1 EMCRITs Scott Weingart on How to Master the Resuscitation 22:18
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutEMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental simulation, embracing challenges, handling crises efficiently, and continuous self-improvement. We conclude our discussion by exploring the philosophy 'Amor Fati' and underscore the broader impact EMS professionals can have beyond simply saving lives. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- How to Master the Resuscitation…
1 Building Better Providers: Eric Bauer, Lessons from FlightBridgeED 28:01
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutWill and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers, including Eric Bauer, one of the original founders of FlightBridgeED. In today's episode, we delve into Eric's journey in EMS education, how FlightBridgeED was conceived, and the importance of continuous learning. We also discuss the challenges of becoming an expert in the field and tips on improving your skills incrementally. Join us as we explore these valuable insights and look forward to upcoming episodes featuring more stellar guests from FAST24! Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- Building Better Providers…
1 Mushrooms: The Perils and Pleasures with Toxicologist Dr. Nik Matsler 47:40
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutIn this episode, we delve into the fascinating and often perilous world of mushrooms. Join us as we explore with Dr. Nik Matsler how these fungi can be a culinary delight, a source of psychedelic experiences, or a deadly hazard. We discuss the challenges of identifying mushrooms, even for experts, and why toxicologists rely on mycologists for accurate identification. We'll break down the different types of mushrooms—non-toxic edible varieties, toxic species, and psilocybin-containing "magic mushrooms." Learn the practical tips for EMS professionals on managing mushroom poisoning, including supportive care strategies and specific interventions for severe cases. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Episode Blog Post- The Perils and Pleasures of Mushrooms…
1 Electrical Injuries and Lightning strikes 1:05:27
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutDerek Miller, outreach coordinator for the UNC JC Burn Center, joins us again to explore electrical injuries and lightning strikes. We discuss the various types of electrical injuries, the mechanisms behind these injuries, and the essential steps EMS providers must take to ensure their safety and provide effective patient care. Through real-life case studies and expert insights, this episode delves into the complexities of managing electrical burn patients, the importance of immediate interventions, and the potential long-term sequelae of such injuries. Tune in for practical advice and essential knowledge to enhance your skills in handling electrical emergencies. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- Electrical Injuries and Lightning Strikes Here are some additional resources: Electrical Injuries Overview- Nice overview, though not limited to EMS specifically. The references list at end is also a good jumping off spot for those wanting more. Photo examples- Variety of pictures As mentioned at the end, fireworks safety- https://www.safefireworksnc.com/…
1 Stroke Care on the Streets, What Actually Matters? Bridging Research and Real-World EMS 59:46
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutExplore the nuances of stroke assessments, the challenges EMS professionals face in the field, and the impact of prehospital interventions on patient outcomes. Coco Wham, a former paramedic who's transitioned to a physician, and Dr. Layne Dylla, an associate professor of emergency medicine join us to dive into their ongoing research efforts aimed at defining what matters in prehospital stroke care and refining stroke response protocols. Hear firsthand how evidence-based practices are developed from the ground up in EMS settings. This episode is packed with valuable information to enhance your practice and understanding of stroke care in prehospital environments. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- Stroke Care on the Streets…
1 The Critically Burned Patient Part 2- What You learned About Fluids Was Wrong, A Simpler Approach 55:03
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutThis is Part 2. Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog post- The Critically Burned Patient Key Topics Covered Complexity of Burn Injuries: Derek begins by explaining why burn patients require a unique approach compared to other trauma patients. He highlights the potential for burns to mask other critical injuries, underscoring the necessity of a thorough and trauma-informed initial assessment. The 'Big Three' Considerations: The conversation shifts to what Derek refers to as the "big three" — polytrauma, airway loss, and inhalation injuries — which are crucial early considerations in burn care. He stresses the importance of recognizing these potentially life-threatening conditions alongside the burn injury itself. Fluid Resuscitation: A significant portion of the discussion is dedicated to fluid resuscitation, a critical aspect of burn care. Derek talks about the Parkland formula for calculating fluid needs based on the total body surface area affected by burns but a better simpler method is- 500 ml/hr for an adult (<13 yo) 250 ml/hr for a young kid (6-13 yo) 125 ml/hr for a child (<5 yo) Pain Management and Ethical Concerns: Derek addresses the ethical and practical aspects of pain management in burn victims. Effective pain control not only improves patient comfort but also aids in overall patient management and long term healing, making it a critical component of the initial response. Assessment Tools and Techniques: Various assessment tools such as the Rule of Nines and the Palmer Method are discussed. Derek explains their applications and limitations, emphasizing that while these tools are helpful for initial assessments, more detailed evaluations are typically conducted at specialized burn centers. A link from ABA that may be helpful: https://ameriburn.org/resources/burnreferral/ Includes brief overview of severity/depth (with diagrams, not pictures), Rule of Nines & Palmar Method, plus a link for ABA referral criteria. Here is another great article for a deeper dive into pros & cons of different methods of estimating TBSA, although not exhaustive, per se. Gretchen C., Burn size estimation: A remarkable history with clinical practice implications , Burns Open , Volume 8, Issue 2, 2024, Pages 47-52, ISSN 2468-9122 Evaluation and Optimization of the Wallace Rule of Nines for the Estimation of Total Body Surface Area in Obese and Nonobese Populations , The Journal of Emergency Medicine, Volume 65, Issue 4, 2023, Pages e320-e327. Burn depth estimates: There are free diagrams out there, but for actual real wound pictures, very little is open-license. UpToDate has a decent starting place, with four pictures embedded, and likely accessible for most. https://www.uptodate.com/contents/assessment-and-classification-of-burn-injury?search=burn%20depth&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1 Other Scientific papers mentioned- Burn resuscitation First article is an overview of evolution of burn fluid resuscitation formulas & philosophy – although again, not exhaustive, per se. Bacomo, F. K., & Chung, K. K. (2011). A primer on burn resuscitation . Journal of emergencies, trauma, and shock , 4 (1), 109–113. Next article underscores the risks of fluid creep. Starting too high, being reluctant to titrate down, and the fact that giving too much fluid can actually CAUSE an increased need for fluids (vicious cycle). Chung KK, Wolf SE, Cancio LC, Alvarado R, Jones JA, McCorcle J, King BT, Barillo DJ, Renz EM, Blackbourne LH. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma. 2009 Aug;67(2):231-7; discussion 237. doi: 10.1097/TA.0b013e3181ac68cf. PMID: 19667873.…
1 The Critically Burned Patient - Part 1 1:11:53
1:11:53 Redare mai Târziu Redare mai Târziu Liste Like Plăcut1:11:53
Redare mai Târziu Redare mai Târziu Liste Like PlăcutDerek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses **CORRECTION** In the summary at the end of the episode, the rule of 5's was inappropriately attributed to the pediatric population. Rule of Fives is meant for morbidly obese adults, not for kids. Lund-Browder is great tool for peds of different age ranges, though still doesn’t address body morphology (obese kids). Resource- Evaluation and Optimization of the Wallace Rule of Nines for the Estimation of Total Body Surface Area in Obese and Nonobese Populations , The Journal of Emergency Medicine, Volume 65, Issue 4, 2023, Pages e320-e327. Blog post- The Critically Burned Patient Key Topics Covered Complexity of Burn Injuries: Derek begins by explaining why burn patients require a unique approach compared to other trauma patients. He highlights the potential for burns to mask other critical injuries, underscoring the necessity of a thorough and trauma-informed initial assessment. The 'Big Three' Considerations: The conversation shifts to what Derek refers to as the "big three" — polytrauma, airway loss, and inhalation injuries — which are crucial early considerations in burn care. He stresses the importance of recognizing these potentially life-threatening conditions alongside the burn injury itself. Fluid Resuscitation: A significant portion of the discussion is dedicated to fluid resuscitation, a critical aspect of burn care. Derek talks about the Parkland formula for calculating fluid needs based on the total body surface area affected by burns but notes that real-time adjustments are often necessary to avoid complications like over-resuscitation. Pain Management and Ethical Concerns: Derek addresses the ethical and practical aspects of pain management in burn victims. Effective pain control not only improves patient comfort but also aids in overall patient management and long term healing, making it a critical component of the initial response. Assessment Tools and Techniques: Various assessment tools such as the Rule of Nines and the Palmer Method are discussed. Derek explains their applications and limitations, emphasizing that while these tools are helpful for initial assessments, more detailed evaluations are typically conducted at specialized burn centers. A link from ABA that may be helpful: https://ameriburn.org/resources/burnreferral/ Includes brief overview of severity/depth (with diagrams, not pictures), Rule of Nines & Palmar Method, plus a link for ABA referral criteria. Here is another great article for a deeper dive into pros & cons of different methods of estimating TBSA, although not exhaustive, per se. Gretchen C., Burn size estimation: A remarkable history with clinical practice implications , Burns Open , Volume 8, Issue 2, 2024, Pages 47-52, ISSN 2468-9122 Burn depth estimates: Unfortunately, all of my favorite wound pictures for discussing 1st/2nd/3rd degree (superficial; both superficial & deep varieties of partial-thickness; full-thickness) are copyrighted, etc. There are free diagrams out there, but for actual real wound pictures, very little is open-license. UpToDate has a decent starting place, with four pictures embedded, and likely accessible for most. https://www.uptodate.com/contents/assessment-and-classification-of-burn-injury?search=burn%20depth&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1 Part 2: This is just part 1. Part 2 will be coming May 1st. We will simplify our approach to fluid resuscitation and dive into some nuances of burns and burn care. Other Scientific papers mentioned- Burn resuscitation First article is an overview of evolution of burn fluid resuscitation formulas & philosophy – although again, not exhaustive, per se. Bacomo, F. K., & Chung, K. K. (2011). A primer on burn resuscitation . Journal of emergencies, trauma, and shock , 4 (1), 109–113. Next article underscores the risks of fluid creep. Starting too high, being reluctant to titrate down, and the fact that giving too much fluid can actually CAUSE an increased need for fluids (vicious cycle). Chung KK, Wolf SE, Cancio LC, Alvarado R, Jones JA, McCorcle J, King BT, Barillo DJ, Renz EM, Blackbourne LH. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma. 2009 Aug;67(2):231-7; discussion 237. doi: 10.1097/TA.0b013e3181ac68cf. PMID: 19667873.…
1 Rethinking Priorities in Out-of-Hospital Cardiac Arrest - Which Comes First Epi or Airway? 38:31
38:31 Redare mai Târziu Redare mai Târziu Liste Like Plăcut38:31
Redare mai Târziu Redare mai Târziu Liste Like PlăcutWhich comes first epinephrine or airway? Out of hospital cardiac arrests involve critical and often complex decisions with sequence and timing of various procedure. What should you prioritize? We examine the nuances of advanced interventions, such as epinephrine and advanced airway placement, through the lens of recent studies, including a notable piece of research published recently in JAMA Network Open. Take a deep dive into the practicalities and philosophies that underpin prehospital cardiac arrest management, emphasizing the significance of basic life support skills and the role of advanced techniques in the pre-hospital setting. This episode engages, educates, and challenges EMS providers on the best practices that could potentially save lives during those critical first minutes of a cardiac emergency. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Articles- Sequence of Epinephrine and Advanced Airway Placement After Out-of-Hospital Cardiac Arrest . JAMA Netw Open. 2024 Feb 5;7(2):e2356863. doi: 10.1001/jamanetworkopen.2023.56863. Association of timing of epinephrine administration with outcomes in adults with out-of-hospital cardiac arrest. JAMA Netw Open . 2021;4(8):e2120176. doi: 10.1001/jamanetworkopen.2021.20176 Epinephrine in Out of Hospital Cardiac Arrest: A Network Meta-analysis and Subgroup Analyses of Shockable and Nonshockable Rhythms. Chest. 2023 Aug;164(2):381-393. DOI: 10.1016/j.chest.2023.01.033 A Randomized Trial of Epinephrine in Out of Hospital Cardiac Arrest. (PARAMEDIC2) New Eng J Med. DOI: 10.1056/NEJMoa1806842 The influence of time to adrenaline administration in the Paramedic 2 randomised controlled trial. Intensive Care Med . 2020;46(3):426-436. doi: 10.1007/s00134-019-05836-2…
1 Toxic Alcohols: Hidden Danger in Everyday Products and an Everyday Call 52:16
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Redare mai Târziu Redare mai Târziu Liste Like PlăcutToxicologist Dr. Nik Matsler teaches us the critical topic of toxic alcohol poisoning. The discussion sheds light on the dangers lurking in everyday household and industrial products that contain methanol, ethylene glycol, and isopropyl alcohol—substances not far removed from the alcohol found in beverages yet capable of causing severe, sometimes fatal, health issues. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- Toxic Alcohols…
1 Art of Laryngoscopy- The SALAD technique (Suction-Assisted Laryngoscopy and Airway Decontamination) 47:20
47:20 Redare mai Târziu Redare mai Târziu Liste Like Plăcut47:20
Redare mai Târziu Redare mai Târziu Liste Like PlăcutIn the high-stakes environment of prehospital medicine, the ability to perform a successful intubation on the first attempt is critical. The complexity of prehospital airway management cannot be understated, given the challenging conditions and the acuity of patients encountered. This episode delves into the strategies and techniques that can significantly improve the success rates of prehospital intubations, focusing on preparation, positioning, and the SALAD (Suction-Assisted Laryngoscopy and Airway Decontamination) method. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog post- Art of Laryngoscopy- The SALAD technique Additional Podcast Episode- Mac 3 vs 4 podcast episode Additional Resources- Youtube SALAD demonstration Published Article on the SALAD Technique YouTube video of the hypoepiglottic ligament in action Airway Jedi blog post Additional SALAD Resources…
1 The Truth about Mechanical CPR Devices: What the Data Really Says 17:41
17:41 Redare mai Târziu Redare mai Târziu Liste Like Plăcut17:41
Redare mai Târziu Redare mai Târziu Liste Like PlăcutDespite the allure of consistent compressions and reduced provider fatigue, does the data actually show that mechanical CPR devices improve outcomes? Tune in for a nuanced exploration of evidence-based practice in emergency medical services. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog Post- https://emspodcast.com/the-truth-about-mechanical-cpr-devices-what-the-data-really-says/ Original Article- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328162/…
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