MCHD Paramedic Podcast
180 episodes - English - Latest episode: 8 days ago - ★★★★★ - 250 ratingsThe MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.
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Episodes
Episode 170 - The MCHD EKG Manifesto - Part 2
July 14, 2024 00:00 - 39 minutes - 35.8 MBApplied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient. While an understanding of EKG foundational physiology is an absolute must, consideration of how to combine the 12-lead and patient presentation is vital as well. Join the podcast crew as they start at the end with the killer/"can't miss" EKG patterns and combine those with common chief complaints. Hopefully, this framework will click for you. I...
Episode 169 - Agitation Awareness - Fixed-Dose Ketamine
June 17, 2024 10:00 - 24 minutes - 22.8 MBWe've initiated a multi-pronged, system wide overhaul of our agitation management at MCHD. This included a move to fixed-dose ketamine for the severely agitated patients. Evidently we weren't the only ones thinking of this as there is exciting new data from Buffalo supporting this approach. Join the podcast crew as they review the recent literature and MCHD protocol changes. REFERENCES 1. O'Brien MC, Kelleran KJ, Burnett SJ, Hausrath KA, Kneer MS, Nan N, Ma CX, McCartin RW, Clemency BM. Fixe...
Episode 168 - The VTach FACTs
May 20, 2024 10:00 - 35 minutes - 32.8 MBWe've recently had several challenging, wide-complex tachycardia cases here at MCHD, so the podcast crew decided to bring forth some VT vs. SVT with aberrancy knowledge. Learn the V-Tach FACT, and you'll feel more comfortable with your next wide rhythm at a rate of 185. REFERENCES 1. https://litfl.com/vt-versus-svt-ecg-library/ 2. https://www.youtube.com/watch?v=UXh8PS9dtmo 3. Marill KA, Wolfram S, Desouza IS, Nishijima DK, Kay D, Setnik GS, Stair TO, Ellinor PT. Adenosine for wide-comple...
Episode 167 - Ketamine Only Intubations With Dr. Andrew Partain
April 22, 2024 10:00 - 27 minutes - 25 MBThe podcast crew is joined by a special guest, Dr. Andrew Partain, an EMS Fellow from UTSW in Dallas. We will dissect his recent data surrounding ketamine-only intubation from MedStar in Fort Worth. This is not just another boring data rehash. There are some vital and applicable pearls that must be applied to the world of prehospital airway management. REFERENCES: 1. Driver BE, Prekker ME, Reardon RF, Sandefur BJ, April MD, Walls RM, Brown CA 3rd. Success and Complications of the Ketamine...
Episode 166 - The MCHD EKG Manifesto - Part 1
March 25, 2024 10:00 - 35 minutes - 32.4 MBApplied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient. While an understanding of EKG foundational physiology is an absolute must, consideration of how to combine the 12-lead and patient presentation is vital as well. Join the podcast crew as they start at the end with the killer/"can't miss" EKG patterns and combine those with common chief complaints. Hopefully, this framework will click for you. ...
Episode 165 - Intracerebral Hemorrhage
February 26, 2024 11:00 - 32 minutes - 29.4 MBWe've spent countless hours (rightfully so) discussing ischemic stroke management over the past several years. Sometimes, the other 20% of strokes, the hemorrhagic version, can get neglected. No, we don't have stroke-mobiles at MCHD to diagnose an ICH in the field, but there are some patient care keys to emphasize for EMS when we suspect non-traumatic, acute intracranial bleeding. REFERENCES 1. Qureshi AI, Palesch YY, Barsan WG, Hanley DF, Hsu CY, Martin RL, Moy CS, Silbergleit R, Steiner T,...
Episode 164 - EMS HOCUS POCUS
January 29, 2024 11:00 - 29 minutes - 26.9 MBMCHD's POCUS program has definitely involved both forward progress and lessons learned. In this episode, we'll discuss some of the reasons POCUS can be a game changer in the prehospital setting. However, unintended consequences do exist. We've begun to make the move to utilizing carotid ultrasound in OHCA, and we'll tell you exactly why. REFERENCES 1. Badra K, Coutin A, Simard R, Pinto R, Lee JS, Chenkin J. The POCUS pulse check: A randomized controlled crossover study comparing pulse detect...
Episode 163 - Back Pain Beware
January 02, 2024 11:00 - 35 minutes - 32.3 MBMCHD paramedic Wes Hall joins the podcast crew to discuss a recent seemingly mundane back pain call. Please listen to find out how avoidance of premature closure, a thorough exam, and professional patient advocacy led to an excellent outcome in a SCARY case. REFERENCES 1. https://www.mchd-tx.org/wp-content/uploads/2023/12/Image-Episode-163.jpg
Episode 162 - Post-ROSC Pressor Choice
December 04, 2023 11:00 - 30 minutes - 28.1 MBWe recently made a significant vasopressor protocol change at MCHD, prioritizing norepinephrine in all shock situations except anaphylaxis and bradycardia. The evidence supporting norepinephrine in septic and even cariogenic shock is relatively solid. However, recent data has emerged suggesting norepinephrine may be safer in post-ROSC shock as well. REFERENCES 1. Bougouin W, Slimani K, Renaudier M, et al; Sudden Death Expertise Center Investigators. Epinephrine versus norepinephrine in card...
Episode 161 - MMQ#9 - The Angioedema Airway
November 06, 2023 11:00 - 32 minutes - 30.2 MBMCHD District Chief April Currie joins the podcast crew to discuss an angioedema case that repeatedly left more questions than answers. Dr. Patrick was tasked with managing the airway and definitely has some lessons learned to share with the listeners.
Episode 160 - ST Elevation in aVR With Diffuse ST Depression
October 09, 2023 10:00 - 23 minutes - 21.9 MBThe podcast crew dives deep into one of the early "STEMI equivalent" ECG patterns: ST elevation in aVR with diffuse ST depression. What does the evidence say about this pattern? Is there a FOAM lesson to be learned? How should we incorporate this ECG into our practice? REFERENCES 1. Harhash AA, Huang JJ, Reddy S, Natarajan B, Balakrishnan M, Shetty R, Hutchinson MD, Kern KB. aVR ST Segment Elevation: Acute STEMI or Not? Incidence of an Acute Coronary Occlusion. Am J Med. 2019 May;132(5):62...
Episode 159 - MMQ#8 - The Head and the Heart
September 11, 2023 10:00 - 25 minutes - 23.3 MBDr. Dickson leads the discussion with recent cases involving the PECARN pediatric head injury decision rule and some super sneaky toxicology. There is some high-level detective work happening during this episode. Listen so you don't miss vital clues in your clinical practice. REFERENCES 1. Kuppermann N, Holmes JF, Dayan PS, et al; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma:...
Episode 158 - Terrible Tracheostomy 2023
August 14, 2023 10:00 - 21 minutes - 20 MBThe podcast crew is joined by MCHD In-Charge Paramedics, Ben Breaux, and Jesus Contreras to discuss a critical case that demonstrates why continuing education and intentional mental reps are vital in emergency care. We've discussed the "how-to" when approaching the crashing tracheostomy patient. Let's add an actual MCHD case and a little review on top of that previous foundation. REFERENCES 1.https://www.tracheostomy.org.uk/storage/files/NTSP_GREEN_Tracheostomy_Algorithm.pdf
Episode 157 - Cardiac Arrest During EMS Care - Making MOVES
July 17, 2023 10:00 - 23 minutes - 21.7 MBThere is nothing more stressful than seeing EMS peri-arrest progress to pulseless. CARES data suggest that cardiac arrest during transport is not an uncommon event. Additionally, there is new evidence that these patients may not be as difficult to recognize as we might've thought. Join the podcast crew as we introduce the MCHD "MOVES" algorithm for a proactive approach to providing a safety net before transporting our critical patients. REFERENCES 1. Clemency BM, Murk W, Moore A, Brown L...
Episode 156 - MMQ#7 A Shocking Save And Sneaky Serial Killer
June 19, 2023 10:00 - 23 minutes - 21.8 MBSometimes it's easy on the individual level to miss the positive drift within EMS as systems of care evolve and change toward positive innovation. Dr. Patrick hits the hot seat on this episode to discuss two recent cases where some of MCHD's favorite initiatives come together to improve patient outcomes and diagnostic recognition. REFERENCES: 1. Dickson RL, Crowe RP, Patrick C, Crocker K, Aiken M, Adams A, Gleisberg GR, Nichols T, Mason C, Panchal AR. Performance of the RACE Score for the P...
Episode 155 - MMQ#6 - A Rapid AFib Riddle
May 22, 2023 10:00 - 29 minutes - 26.7 MBJoin the podcast crew as they discuss one of the more sticky situations in all of emergency care: stable vs. unstable narrow complex tachycardia. 1. How do we even define unstable? 2. Is it cardiac versus an underlying illness? 3. How do we approach undifferentiated rapid atrial tachycardia in the ED setting?
Episode 154- Death Notification Lessons Learned
April 24, 2023 10:00 - 21 minutes - 19.8 MBThe concept of emphasizing, discussing, and training on giving prehospital death notification is, unfortunately for medics and our patient's families, a relatively new concept. Additionally, newer evidence shows that an increased frequency of fatality exposure increases EMS burnout rates. So...everyone wins by an increased focus on improving our skills and comfort with telling families that their loved ones have died. We were initially leery of doing an episode on death notification as The...
Episode 153 - MMQ#5 From The PNW - Spokane Frozen Solid
March 27, 2023 10:00 - 30 minutes - 27.6 MBThe Podcast Crew is joined by Spokane Valley Fire Paramedic Noah Martinez to discuss a recent patient that he delivered to Dr. Patrick. After you hear what Noah found on the scene, this story will likely not end exactly how you expect. Learn some foundational hypothermia management pearls AND why early emergency neuro-prognostication can be exceedingly difficult.
Episode 152 - The MCHD SNORES Sedation Safety Bundle
March 13, 2023 10:00 - 29 minutes - 27.1 MBChemical sedation is one of the riskiest decisions made in EMS clinical care, period. We've been working overtime at MCHD over the past couple of years to decrease the risk and improve our safety profile for the entire clinical package when we sedate patients for severe agitation in Montgomery County. Join us to learn about the MCHD SNORES safety bundle based on the 5 P's and how you can easily implement this into your service. • Partnerships • Preparation • Pharmacology • Positioning • Po...
Episode 151 - MMQ#4 - Dr. Dickson's Strokes
February 27, 2023 11:00 - 38 minutes - 35.5 MBJoin us as Dr. Dickson brings a couple of extremely difficult recent emergency department cases to take a hard look in his own clinical mirror. These will highlight the difficult and often dynamic nature of assessing airway patency and protection in real time. Speaking of dynamic, vascular emergencies like stroke and STEMI often progress unexpectedly. REFERENCES 1. Nørskov AK, Rosenstock CV, Wetterslev J, Astrup G, Afshari A, Lundstrøm LH. Diagnostic accuracy of anaesthesiologists' predi...
Episode 150 - Hyperkalemia, BRASH syndrome, And Amiodarone BEWARE
February 13, 2023 11:00 - 30 minutes - 41.9 MBMCHD paramedic, Lily Trosclair, joins the podcast to discuss some in-depth hyperkalemia treatment details, including BRASH syndrome. We'll also pivot to the dangers of giving amiodarone to a hyperkalemic patient that's mistaken for ventricular tachycardia. REFERENCES 1. https://emcrit.org/pulmcrit/brash-syndrome-bradycardia-renal-failure-av-blocker-shock-hyperkalemia/ 2. https://www.youtube.com/watch?v=UXh8PS9dtmo&t=2s 3. McArthur R, Rafique Z, Ward B, Rodriguez L, Dickson R, Patrick C....
Episode 149 - Finding Joy In The Common
January 30, 2023 11:00 - 27 minutes - 24.9 MBThis may seem like a curveball-type episode upon your initial listen, but this topic should be core material for all emergency medical clinicians. Too much time and emphasis within paramedic education are placed on rare presentations. Dr. Dickson and Dr. Patrick expand on a recent medical podcast/article (see links below), stressing the need to embrace learning and teaching the most common conditions we care for. REFERENCES 1. https://podcasts.apple.com/us/podcast/episode-19-juan-lessing-...
Episode 148 - ET3 And Beyond With Dr. Gerad Troutman
January 16, 2023 11:00 - 35 minutes - 32.5 MBThe podcast crew is joined, live at Texas EMS 2022, by Dr. Gerad Troutman to discuss the world of alternate destination EMS transports, EMS-facilitated telehealth, nurse navigation, and "hospital at home." Dr. Troutman leads the ET3 initiative and is the National Medical Director for Innovative Practice at GMR, so this episode is full of successes, road bumps, and shared experiences with the implementation and execution of each of these leading-edge concepts within prehospital care.
Episode 147 - MMQ#3 - CAB For The Win
January 02, 2023 11:00 - 36 minutes - 33.3 MBMCHD medics Kelcie Adams and Rich Serra join the podcast to discuss a critically ill trauma patient they delivered to Dr. Patrick in the emergency department. Our default is so often airway, airway, airway first, but prioritizing circulation first was likely life-saving. This is an excellent "Monday Morning Quarterback" case to look back on and dissect with tons of educational pearls.
Episode 147 - MMQ - CAB For The Win
January 02, 2023 11:00 - 36 minutes - 33.3 MBMCHD medics Kelcie Adams and Rich Serra join the podcast to discuss a critically ill trauma patient they delivered to Dr. Patrick in the emergency department. Our default is so often airway, airway, airway first, but prioritizing circulation first was likely life-saving. This is an excellent "Monday Morning Quarterback" case to look back on and dissect with tons of educational pearls.
Episode 146 - NTG In RVMI With Matt Wilkinson-Stokes
December 19, 2022 11:00 - 36 minutes - 33 MBSpecial guest alert!! We're lucky to have superstar Aussie medic and University of Melbourne Ph.D. candidate Matt Wilkison-Stokes, on this episode to discuss his recent paper looking at the risk of hypotension with nitroglycerin administration in acute MI. Where is NTG really more likely to cause hypotension in AMI? When is it safest? How often do isolated RVMI's occur, and what are the correct diagnostic criteria? Dr. Patrick changed his practice based on Matt's work and knowledge. See ...
Episode 145 - Where Do We Look? Who Do We Trust?
December 05, 2022 11:00 - 34 minutes - 47 MBWe have MCHD Cpt. Megan Powell to thank for this episode as she posed an excellent question about where and how to look for trusted educational information as a practicing paramedic interested in continuing clinical growth and progression. With the amazing and immense amount of free online textbook, blog, and podcast resources available, trying to keep up can be totally daunting. Join Megan and the podcast crew as they discuss tips and strategies to manage the waterfall of open-access EMS ...
Episode 144 - The TBI "H-Bombs" With Dr. Al Lulla
November 21, 2022 11:00 - 34 minutes - 47.9 MBJoin this discussion of some of the recent literature surrounding EMS care of traumatic brain injury with Dr. Al Lulla. This is the perfect confluence of advancing evidence, relatively straightforward interventions, and a patient population where we can definitely improve prehospital outcomes. See where the literature, education, and protocol implementation can meet to improve TBI outcomes in your EMS service. REFERENCES 1. Spaite DW, Hu C, Bobrow BJ, et al. Optimal Out-of-Hospital Blood...
Episode 143: Adrenal Crisis in EMS
November 07, 2022 11:00 - 34 minutes - 46.9 MBWhen it comes to exciting educational topics in EMS, oftentimes, the endocrine system, specifically the adrenal glands, can be left off the list. Dr. Patrick is joined by one of our local emergency/trauma nurses, Melanie Gander, to discuss her journey as a parent of a child with congenital adrenal hyperplasia. We'll review basic adrenal physiology and discuss the caveats on how to recognize and treat adrenal crises in the field. REFERENCES 1. https://united4rare.org/ 2. https://caresfoun...
Episode 142 - Reducing Medication Errors
October 24, 2022 10:00 - 33 minutes - 46.5 MBAcross the world of health care, everyone is wrestling with how to reduce medication errors. With the decision in the Vanderbilt case, there is now the added fear of potential prosecution for giving an incorrect medication. Join the podcast crew as they try to better define the various types of medication errors while looking at what the literature says about medication errors in EMS. REFERENCES 1. Walker D, Moloney C, SueSee B, Sharples R, Blackman R, Long D, Hou XY. Factors Influencing...
Episode 141 - Podcast Q&A
October 10, 2022 10:00 - 24 minutes - 34 MBJoin the Podcast Crew as they answer some recent questions submitted to [email protected]. We discuss a wide range of topics including epinephrine drips, IV Tylenol for pain, Knee-BOA, whole blood in EMS, the green whistle (methoxyflurane), and an awesome "S" for our loss of airway protection teaching files. Thanks to all our listeners out there!! REFERENCES 1. O'Dochartaigh D, Picard CT, Brindley PG, Douma MJ. Temporizing Life-Threatening Abdominal-Pelvic Hemorrhage Using Proprietary De...
Episode 140 - MMQ#2 - A TBI Conundrum
September 26, 2022 10:00 - 24 minutes - 33.1 MBThe Podcast Crew is joined by MCHD District Chief, Spencer Hall, to discuss a recent trauma patient that Chief Hall delivered to Dr. Patrick's ED care. This one encapsulates many of our recent podcast topics including the tenets of DSI and the importance of maintaining oxygenation and blood pressure in TBI patients.
Episode 139 - Anchoring Bias In EMS
September 12, 2022 10:00 - 35 minutes - 49.2 MBThe MCHD Paramedic Podcast would like to welcome EM/EMS physician Dr. Katherine Luu, to Montgomery County. Dr. Luu joins the podcast to discuss anchoring bias and how this impacts medics in the field. Listen and learn how to describe, recognize, and prevent anchoring bias in your practice. REFERENCES 1. https://onlinelibrary.wiley.com/doi/epdf/10.1197/aemj.9.11.1184 2. https://www.amazon.com/Thinking-Fast-Slow-Daniel-Kahneman-ebook/dp/B00555X8OA/ref=sr_1_1?crid=24FYPXSEKVE8Y&keywords=thi...
Episode 138 - Beware of the BRUE - MCHD COTQ Q2 2022
August 29, 2022 10:00 - 19 minutes - 27 MBBrief resolved unexplained what?? MCHD paramedic, Cpt. Clayton Smith, joins Dr. Dickson to discuss an EMS approach to BRUE's. These can often be falsely reassuring to prehospital providers because the event, by definition, has resolved prior to EMS arrival. But don't get too comfortable because up to 4-5% of BRUE's can have severe underlying diagnoses as the cause. We can never talk too much "sick peds" material on the podcast. This episode will make the approach to your next BRUE a breez...
Episode 137 - Monday Morning Quarterback - STEMI vs. OMI/NOMI
August 15, 2022 10:00 - 33 minutes - 46.1 MBThe Podcast crew is joined by MCHD In-Charge Paramedic Brady Walding to discuss a recent difficult STEMI case that intersected with Dr. Patrick in the ED. How do we best communicate with our consultants when we disagree? What happens when a paradigm shift is occurring without our consultants (STEMI vs. OMI/NOMI)? We are excited about our new Monday Morning Quarterback Series, where Dr. Patrick and Dickson review their cases with the MCHD medics involved. Hopefully, you will enjoy it as we...
Episode 136 - Mythbusters 2022
August 01, 2022 10:00 - 39 minutes - 54.3 MBThe podcast crew welcomes newly transplanted Texan EMS physician, Dr. Louis Fornage, to join in on some rapid-fire mythbusting for 2022. We run the gamut from post-ROSC vasopressor evidence to whether or not saying "QUIET" affects emergency department volume. REFERENCES 1. https://www.nremt.org/News/National-Registry-of-EMT-s-Resource-Document-on-Sp#:~:text=NREMT's%20use%20of%20the%20term,most%20trauma%20patients%20is%20unproven 2. https://bmcinfectdis.biomedcentral.com/track/pdf/10.11...
Episode 135 - First There Matters
July 18, 2022 10:00 - 35 minutes - 49.3 MBJoin the podcast crew as they turn their attention from the EMS transport to the First Responders here in Montgomery County. We welcome MCHD FRO Coordinator Bryan Perry and Chief Ray Vaden from Porter Fire to discuss some recent FRO initiatives and advances. It wouldn't be the MCHD Paramedic Podcast if we also didn't slip in some recent CARES research highlighting improved OHCA outcomes when fire and police can initiate life-saving interventions. REFERENCES 1. Salhi RA, Hammond S, Lehrich ...
Episode 134 - All Things Anaphylaxis
July 05, 2022 10:00 - 26 minutes - 37 MBTrue anaphylactic shock can be one of the most harrowing calls in all of EMS and emergency medicine. However, as is true with much of our core clinical content, dogma and myths persist. MCHD District Chief Spencer Hall joins the podcast crew to discuss anaphylaxis diagnostic criteria, treatment, and much more. REFERENCES 1. Anagnostou K, Turner PJ. Myths, facts, and controversies in the diagnosis and management of anaphylaxis. Arch Dis Child. 2019 Jan;104(1):83-90. 2. Pumphrey RS. Lessons...
Episode 133 - MCHD Bike Team
June 20, 2022 10:00 - 19 minutes - 26.6 MBJoin Dr. Patrick and MCHD District Chief and Bike Team lead, Scott Sanders, as they discuss the MCHD Bike Team. What does it take to be an MCHD bike team medic? How does patient care differ from the truck vs. when on the bike? Learn how the MCHD Bike Team fills multiple invaluable roles in the county. Photo Link - https://www.mchd-tx.org/wp-content/uploads/2022/06/Bike-Team.jpg
Episode 132 - Xylazine Update
June 06, 2022 10:00 - 27 minutes - 37.2 MBFriend of the podcast emergency physician, addiction specialist, and toxicologist extraordinaire, Dr. Jerry Snow joins the podcast crew to discuss a scary and potentially deadly twist in the opiate crisis…xylazine. Dr. Snow will school us all about xylazine pharmacology and treatment tips and why EMS high-dose naloxone may not be ideal. REFERENCES 1. https://www.acep.org/tacticalem/newsroom/oct-2021/xylazine-an-emerging-adulterant/ 2. https://www.kxan.com/news/drug-responsible-for-recent-o...
Episode 131 - Nebulized Ketamine, What??
May 23, 2022 10:00 - 13 minutes - 18.5 MBThere is no possible way to improve ketamine, right? Join Dr. Patrick for a discussion of exciting recent literature investigating the effectiveness and safety of nebulized ketamine for emergency department analgesia. Everyone's favorite EMS medication may be primed for an enhanced delivery option. REFERENCES 1. Dove D, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-B...
Episode 130 - A Super Cool Case - MCHD COTQ Q1 2022
May 09, 2022 10:00 - 23 minutes - 32 MBJoin the podcast crew, District Chief Kevin Mifflin and In-Charge Payden Seals as they discuss our MCHD Case of The Quarter for Q1 2022. This case is a prime example why field providers must keep wide differentials with a keen awareness of the initial scene situational factors. REFERENCES 1. https://coreem.net/core/hypothermia/ 2. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m4-curriculum/group-m4-environmental/hypothermia
Episode 129 - Serial Killer Series - Trauma
April 25, 2022 10:00 - 35 minutes - 48.7 MBThe medical directors revisit one of our old favorites "The Serial Killers Series" to discuss 5 trauma killers to keep in your front brain as you are preparing or caring for a sick trauma patient. If you've not considered your differential diagnosis until patient contact and initial evaluation then you're too late. Following this episode, you'll be ready to evaluate, act and prevent acute hemorrhage, obstructive shock, hypoxia, traumatic brain injury and DIC in your sickest trauma patients....
Episode 128 - MCI MCHD Style
April 11, 2022 10:00 - 26 minutes - 36.7 MBJoin Dr. Dickson and the podcast crew as they dive into the MCHD approach to mass casualty incidents. We're lucky to be joined by MCHD Safety and Preparedness Officer, Sean Simmonds and MCHD District Chief Ryan Davenport. These are field medics talking about actual logical field pearls for MCI management.
Episode 127 - Airway Patency Vs. Protection
March 28, 2022 10:00 - 36 minutes - 50.2 MBEpisode 127 - Airway Patency Vs. Protection by Montgomery County Hospital District
Episode 126 - Droperidol With Dr. Jeff Jarvis - Live From Texas EMS
March 14, 2022 10:00 - 28 minutes - 39.4 MBOn Episode 126, the podcast crew was able to catch up with the one and only Dr. Jeff Jarvis at Texas EMS in Austin. Dr. Jarvis is a longtime fan of droperidol for multiple uses in the prehospital setting ranging from acute headache treatment to sedation and as an anti-emetic. Let this be a warning, we're all droperidol zealots in this discussion. Listen and learn practical ways to implement droperidol into your EMS practice.
Episode 125 - Why No MCHD Whole Blood (Yet...)
February 28, 2022 11:00 - 43 minutes - 59.5 MBTexas has been the epicenter of the ground-based EMS integration of whole blood programs for hemorrhagic shock in the prehospital setting. The MCHD clinical staff have been watching the evidence closely and feeling the push from our own medics. Join Dr. Dickson and Dr. Patrick as they discuss the "why" behind no whole blood at MCHD (yet...). Send any requests, questions or ideas to [email protected] REFERENCES - https://bit.ly/3M6De5N
Episode 124 - Awful Asthma - MCHD COTQ Q4 2021
February 14, 2022 12:00 - 30 minutes - 42.3 MBJoin the podcast crew and MCHD medic Lily Trosclair as she discusses our MCHD Case of The Quarter for Q4 2021. This one began with a pediatric cardiorespiratory arrest but fortunately has a happy ending. REFERENCES 1. Heffner AC, Swords D, Kline JA, Jones AE. The frequency and significance of postintubation hypotension during emergency airway management. J Crit Care. 2012 Aug;27(4):417.e9-13. 2. http://www.emdocs.net/critical-asthma-patient-pearlspitfalls-of-management/
Episode 123 - Social Media and EMS - Live From Texas EMS
January 31, 2022 11:00 - 27 minutes - 37.3 MBWherever you turn in the world today, social media is present with constantly expanding visibility and influence. Join MCHD's Chief of EMS James Campbell and Public Information Officer Misti Willingham as they discuss some lessons and ground rules on how to successfully integrate an active social media program into your EMS service.
Episode 122 - OHCA Literature Update
January 17, 2022 11:00 - 18 minutes - 25.5 MBIt’s time to review some recent cardiac arrest literature. Both of today’s articles come from Resuscitation and address predictors of OHCA survival. Should we take a third attempt at intubating an OHCA patient, should we intubate OHCA at all? What about PEA arrest, can ETCO2 help identify pseudo-PEA? Listen to get some hot off the press OHCA literature updates. REFERENCES 1. Murphy DL et al. Fewer tracheal intubation attempts are associated with improved neurologically intact survival fo...