MCHD Paramedic Podcast artwork

MCHD Paramedic Podcast

180 episodes - English - Latest episode: 8 days ago - ★★★★★ - 250 ratings

The 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 122 - OHCA Literature Update

January 17, 2022 11:00 - 18 minutes - 25.5 MB

It’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...

Episode 121 - Burn Baby Burns

January 03, 2022 12:00 - 20 minutes - 28.6 MB

We sure do love myth busting on the MCHD Paramedic Podcast and there are definitely some persistent myths surrounding burn care in EMS. Join the podcast crew as they provide updates on burn staging, fluid resuscitation and the basics of burn wound care. This episode will keep you from getting burned during your next burn transport. REFERENCES 1. Parvizi D, Kamolz LP, et al. The potential impact of wrong TBSA estimations on fluid resuscitation in patients suffering from burns: things to kee...

Episode 120 - Live From Texas EMS - Respect The Lift Assist With Dr. Taylor Ratcliff

December 20, 2021 11:00 - 21 minutes - 29.5 MB

Join the podcast crew and Dr. Taylor Ratcliff as they discuss the dangers of the "Lift Assist" calls in EMS. These responses can be under-appreciated with hidden diagnoses such as sepsis, GI bleeding and even fractures. How can we better create checklists to better assess these calls? What are the warning signs in these patients? Do lift assists even require an ALS evaluation? Listen and get these answers and more! REFERENCES 1. Leggatt L, Van Aarsen K, Columbus M, et al. Morbidity and...

Episode 119 - Nitrous Oxide in EMS With Dr. Corrie Chumpitazi

December 06, 2021 11:00 - 24 minutes - 33.7 MB

In this episode, we’re lucky to have a special guest from Texas Children's Hospital, pediatric sedation and pain management expert, Dr. Corrie Chumpitazi. Nitrous oxide has been in our protocols here at MCHD for some time, but probably doesn’t get the recognition and appreciation that it deserves. We’ll discuss NO history, dosing, indications, contraindications, and side effects. Listen to learn why we all should be incorporating more Nitrous Oxide into our daily EMS practice. https://em...

Episode 118 - A Conversation on Clinical Consults

November 19, 2021 02:56 - 31 minutes - 43.5 MB

Within EMS, significant time is spent learning high risk, low frequency procedures and the pharmacology and physiology surround these events. In most EMS services consultations or checklist verifications are required in some fashion surrounding these events. Often times, though, we tend to overlook and fail to provide a structure for best practices in how to complete a clear and concise clinical consultation. MCHD District Chief, Ashley Fillmore, joins the podcast to discuss a framework fo...

Episode 117 - Prehospital IV Tylenol

November 08, 2021 11:00 - 23 minutes - 32.5 MB

With the recent transition of IV acetaminophen from patent to generic, it's a good time to discuss MCHD's 2021 NAEMSP abstract describing our prehospital experience with IV tylenol for pain. If you've not looked into bringing this tool into your service, listen today to be convinced why IV Tylenol is an option worth considering across EMS. REFERENCES 1. Mahshidfar B, Rezai M, et al. Intravenous Acetaminophen vs. Ketorolac in Terms of Pain Management in Prehospital Emergency Services: A Rand...

Episode 116 - Hyperacute T Waves

October 25, 2021 10:00 - 16 minutes - 22.2 MB

Everything occlusion MI isn't always STEMI. After a recent discussion of "STEMI equivalents" during MCHD continuing education, Dr. Patrick cared for a textbook hyperacute T wave patient in his emergency department practice. On this episode, we review some hyperacute T wave tips, in addition to addressing how to deal with resistant consultants. REFERENCES: 1. https://tinyurl.com/3aser4j5 2. Tzimas, Georgios et al. “Atypical Electrocardiographic Presentations in Need of Primary Percutaneous...

Episode 115 - Digging Up Droperidol

October 11, 2021 10:00 - 31 minutes - 43.9 MB

We’ve recently rolled out a new medication protocol here at MCHD. Join the medical directors to discuss the why, when, and how behind MCHD’s droperidol protocol. Like many pharmacologic treatments in emergency medicine, old becomes new again! REFERENCES 1. Page CB, Parker LE, et al. A Prospective Before and After Study of Droperidol for Prehospital Acute Behavioral Disturbance. Prehosp Emerg Care. 2018 Nov-Dec;22(6):713-721. 2. https://www.mchd-tx.org/wp-content/uploads/2022/08/MCHDPP-115...

Episode 114 - COVID And Asystole?

September 27, 2021 10:00 - 26 minutes - 35.8 MB

It seems as though each week brings some crazy and bizarre COVID-19 related news. MCHD Cpt. Megan Powell joins the podcast to spread the word about a harrowing COVID related case that made us all stop and do a literature search. Listen and in and learn yet another clinical consideration when caring for complex COVID-19 patients. REFERENCES 1. Wang Y, Wang Z, Tse G, Zhang L, Wan EY, Guo Y, Lip GYH, Li G, Lu Z, Liu T. Cardiac arrhythmias in patients with COVID-19. J Arrhythm. 2020 Jul 26;36...

Episode 113 - The "AHORA" Stroke Scale With Dr. Remle Crowe

September 13, 2021 10:00 - 19 minutes - 27.2 MB

**NOTE - THIS EPISODE WAS RECORDED PRIOR TO THE DELTA SURGE** The MCHD clinical crew (Pre-Delta, obviously)attended an actual in-person EMS meeting – EAGLES 2021. One of the most interesting talks was by friend of the podcast/EMS research superstar, Dr. Remle Crowe. Join Dr. Patrick and Dr. Crowe as they discuss the “AHORA” stroke tool and how it has the potential to positively impact prehospital stroke care. REFERENCES 1. Keenan KJ, Kircher C, McMullan JT. Prehospital Prediction of Large...

Episode 112 - Awake And Paralyzed...BEWARE

August 30, 2021 10:00 - 28 minutes - 39.6 MB

Join the podcast crew as they discuss a recent study investigating the risk of being awake while paralyzed when intubated in the emergency department setting. This is definitely an under-discussed topic in the EMS world, especially considering the recent swing from succinylcholine to rocuronium for prehospital medication assisted intubation. This conversation should make us all a bit nervous and better focused the next time we intubate. REFERENCES 1. https://www.annemergmed.com/article/S0...

Episode 111 - Attacking Pandemic ED Wall Time Delays

August 16, 2021 10:00 - 24 minutes - 33.5 MB

Like the rest of the country and world, our Montgomery County hospital partners and ED's have been under severe strain due to a myriad of factors related to the COVID-19 pandemic. This had led to a significant increase in EMS wall times which, in turn, places that severe strain back on the prehospital system. The podcast crew takes an operational turn with MCHD Chief of Operations, Jacob Shaw, to discuss some of our operational adaptations to try and combat our ED delays. We'd love for thi...

Episode 110 - EMS Charting Pearls And Pitfalls

August 02, 2021 10:00 - 28 minutes - 39.7 MB

Charting is one of the more neglected skills from an EMS educational emphasis standpoint. As a result, what the medical director ends up reading during chart review is often wildly variable. Join the MCHD Paramedic Podcast team as they discuss some charting pitfalls to avoid and some specific tips on improving your ePCR narratives.

Episode 109 - Bradycardia Breakdown

July 19, 2021 10:00 - 23 minutes - 32.6 MB

The best clinical discussions always stem from real-life cases. MCHD paramedic Jarrett Kenning had a run of recent bradycardia patients and developed the idea for a bradycardia breakdown with the podcast crew. Bradycardia treatment can vary wildly depending on the underlying cause(s). Joint Jarrett and Dr. Patrick as they discuss several bradycardia cases and present a framework for creating your differential the next time you run on a patient with a pulse in the 30's. REFERENCES http...

Episode 108 - EMS Worldwide - The French Perspective

July 05, 2021 10:00 - 26 minutes - 36.3 MB

Join Dr. Dickson as he discusses all things French emergency medicine, EMS and prehospital care with Dr. Eric Revue - Emergency Department and EMS Chief - Louis Pasteur Hospital. Docs on ambulances...what???

Episode 107 - "My Legs Won't Work" - MCHD Case of the Quarter Q2 2021

June 21, 2021 10:00 - 28 minutes - 39.7 MB

We’re going to attempt a new recurring podcast series based around the amazing pathology seen on a daily basis by MCHD medics. Cpt. Travis Clay joins the podcast to discuss the current MCHD “Case of the Quarter”. Listen in and learn how to approach the patient with acute, bilateral lower extremity paraplegia and pain. REFERENCES 1. https://www.ems1.com/patient-assessment/articles/i-cant-feel-or-move-my-legs-mchd-critical-case-report-eVk3jFR1l6DPbwGS/

Episode 106 - Whole Blood Down Under

June 07, 2021 11:00 - 35 minutes - 48.4 MB

There may not be any hotter topic in EMS right now than whole blood administration for patients with hemorrhagic shock. Dr. Patrick is joined on today’s episode by Joe Cuthbertson from St. John Ambulance Service in western Australia. St. John's serves the largest land mass of any EMS service worldwide and they are on the forefront of international prehospital whole-blood administration. REFERENCES 1. https://clinical.stjohnwa.com.au/medications/packed-red-blood-cells

Episode 105 - Should We Delay EKG Post-ROSC? The PEACE Study

May 24, 2021 10:00 - 18 minutes - 25.5 MB

There has been significant development and change surrounding which patients are best served by immediate revascularization post-ROSC over the past 12-18 months. On that note, we discussed the COACT study previously on the podcast, but uncertainty still exists. OHCA and post-ROSC patients are wildly heterogenous and one size will never fit all. What if we could simply change the timing of our post-ROSC ECG and better select those with true acute coronary occlusions that warrant emergent ca...

Episode 104 - EMS Provider Mental Health Awareness

May 10, 2021 10:00 - 38 minutes - 53.1 MB

May is Mental Health Awareness Month, so the podcast crew decided to dedicate an entire episode to discussing EMS provider mental health issues and resources. Dr. Patrick and Sean Simmonds are joined by Justin Farris from Cypress Creek Behavioral Health Hospital. Topics range from recognizing mental health warning signs in your partner, to accessing proper mental health resources through programs such as "Honor Strong" at Cypress Creek Hospital. REFERENCES: https://www.cypresscreekhospita...

Episode 103 - The Artist Formerly Known As Pseudoseizure - An EMS Perspective

April 26, 2021 10:00 - 25 minutes - 34.4 MB

We have all been guilty of caring for labeling and judging “pseudoseizures.” First of all, this term is outdated, and this episode looks at a study examining the mortality in psychogenic seizure patients. This is a debilitating disease that needs more attention and improved treatment options. Come, have your prior assumptions shattered, and leave a better and more empathetic provider. REFERENCES: 1. https://n.neurology.org/content/95/6/e643

Episode 102 - MCHD Ventilator Roundup - First Do No Harm

April 12, 2021 10:00 - 32 minutes - 44.8 MB

This episode was directly drawn from a recent MCHD educational need surrounding ventilator management and a summary of our approach to using the vent in the EMS setting. We've touched on aspects of many of these topics before, but this is our first effort at providing a true "MCHD ventilator overview." Join Dr. Patrick and Dr. Dickson as they discuss a stepwise approach to EMS ventilator management and how to first and foremost prevent patient harm.

Episode 101 - Rules of the Road for New Medics

March 29, 2021 10:00 - 40 minutes - 56.3 MB

Is there a more daunting time than those first few shifts as a new paramedic? Yes, clinical knowledge and operational knowledge are key, but how are new medics supposed to synthesize this mountain of information? Dr. Patrick is joined by Cpt. Michael Wells-Whitworth to discuss some "Rules of the Road" for new paramedics. TOP TEN RULES OF THE ROAD FOR NEW MEDICS 1. Be on time 2. Failing to prepare, is preparing to fail 3. Know your protocols 4. Pour a solid BLS foundation 5. Be like a lampr...

The Valentine's Blizzard of 2021 - SPECIAL EPISODE

March 01, 2021 11:00 - 51 minutes - 70.3 MB

Dr. Dickson and Patrick are joined on this special episode by EMS Medical Directors from across Texas to discuss the recent winter storm that ravaged the state. We discuss the varying ways the disaster impacted each service, multiple lessons learned statewide, several unexpected operational and clinical developments, and steps everyone plans to make to improve moving forward. Thanks to Jeff Jarvis, Jason Pickett, and Veer Vithalani for helping arrange this last-minute recording. REFERENCES...

Episode 100 - What Have We Learned Through 100 Episodes?

February 12, 2021 11:00 - 37 minutes - 51.8 MB

After 100 episodes and almost 3 years, the podcast crew decided to celebrate a little bit and look back on our successes and failures thus far. Why did we start the podcast in the first place? How has MCHD used the Paramedic Podcast within the EMS service? What have been the most successful episodes and what are the "Take home Points?" Join Dr. Dickson and Dr. Patrick as they discuss the MCHD Paramedic Podcast past, present, and future.

Episode 99 - Pediatric General Assessment Triangle

February 12, 2021 11:00 - 34 minutes - 47.2 MB

Nothing scares an emergency provider quite as much as the “sick infant.” During today’s episode, Dr. Patrick and Dr. Dickson walk through the pediatric general assessment triangle and discuss the finer points that make up each side. They’ll also discuss the singular/#1 Law of the Pediatric Exam. Your next pediatric run will be a breeze after this review. REFERENCES: 1. Leeper, Christine M. MD, MS; McKenna, Christine MSN; Gaines, Barbara A. MD Too little too late: Hypotension and blood tra...

Episode 98 - EMS Legal Questions With Andrew James

February 01, 2021 11:00 - 42 minutes - 59.1 MB

Emergency medical providers are comfortable in the chaos of a crashing medical or trauma patient. We know how to systematically address dangerous medical conditions like hypotension, hypoxia and bradycardia. However, when asked to dip our toes into the legal realm, we are often paralyzed with fear. On this episode, the podcast crew is joined by local legal expert, Andrew James. Mr. James is the vehicular crimes chief with the Montgomery County DA's office, and he has extensive experience ...

Episode 97 - Autism And EMS

January 18, 2021 11:00 - 41 minutes - 57.7 MB

Anytime we arrive on scene with blaring sirens and flashing lights, this can be exceedingly stressful on patients and families. This is especially true for our patients with autism. We're lucky to have Jennifer Dantzler on the podcast today to discuss autism basics along with some tools that we can use in the prehospital setting to better care for and communicate with our autistic patients. Jennifer is the director of the Including Kids Autism Center and a true expert in the field of autis...

Episode 96 - Medical Director Myths - Part 1

January 04, 2021 11:00 - 23 minutes - 32.5 MB

Around the MCHD Clincial Department we’ve had some recurrent themes pop up over the past few months that always make the medical directors shake their heads. During this episode, Dr. Dickson and Dr. Patrick take a shot at dispelling some “medical director myths."

Episode 95 - ECMO ALERT! The ARREST Trial

December 21, 2020 12:00 - 27 minutes - 37.7 MB

Electrical storm has dismal outcomes. It is most frustrating because we know the cause is very likely coronary occlusion (~75%)! We have added esmolol to our tool belt here at MCHD to try and improve refractory VF outcomes. Others are trying early ECMO in this patient population. Prior eCPR studies have all been retrospective. Join the podcast crew as they discuss a recent Lancet article looking at eCPR vs. standard ACLS in refractory VF. Randomized, prospective, and quite amazing. REF...

Episode 94 - Freestanding ED Mythbusters

December 05, 2020 11:00 - 21 minutes - 30.1 MB

Freestanding emergency departments are becoming more and more common across the United States. Here at MCHD, we feel that EMS transport to these sites can be beneficial to both our system and the community as well. During today's episode, Dr. Patrick is joined by multiple hospital partners for some enlightening FSED myth-busting.

Episode 94 Freestanding ED Mythbusters

December 05, 2020 11:00 - 21 minutes - 30.1 MB

Freestanding emergency departments are becoming more and more common across the United States. Here at MCHD, we feel that EMS transport to these sites can be beneficial to both our system and the community as well. During today's episode, Dr. Patrick is joined by multiple hospital partners for some enlightening FSED myth-busting.

Episode 93 - COVID-19 Vaccine Update

November 23, 2020 16:29 - 33 minutes - 46.7 MB

Thankfully, we finally have some positive COVID-19 news to discuss. Join the medical directors for a discussion of vaccine basics and some of the specific issues EMS and public health will likely encounter with COVID-19 vaccine administration. REFERENCES 1. https://podcasts.apple.com/us/podcast/stimulus/id1501107371?i=1000494006283 2. https://www.chop.edu/centers-programs/vaccine-education-center/making-vaccines/prevent-covid 3. https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19...

Episode 92 - Resilience in EMS With Kris Kaull

November 09, 2020 13:38 - 41 minutes - 56.5 MB

We’ve discussed burnout on the podcast in the past. When thinking about ways to combat burnout, a word that often comes up is resilience. Emergency care was stressful enough, then 2020 decided to add COVID to the mix. Join the podcast crew and special guest Kris Kaull as we talk about ways to foster resilience as an EMS provider which will hopefully extinguish burnout before it spreads. REFERENCES 1. https://www.kevinmd.com/blog/2020/08/7-habits-of-highly-resilient-physicians.html 2. h...

Episode 91 - SVT Updates

October 26, 2020 10:00 - 19 minutes - 27.1 MB

Sometimes in medicine, we do things just because they’ve always been done that way, which is terrible reasoning. Valsalva maneuver followed by the two-syringe technique for adenosine administration has been standard practice in PSVT management for decades. Recent data suggests that both of these approaches may have better alternatives. Join Dr. Patrick and Brad Ward as they provide updates on both non-pharmacologic and pharmacologic management of PSVT. REFERENCES 1. McDowell M et al. Sin...

Episode 90 - Bolus Dose Nitroglycerin With Mike Perlmutter

October 12, 2020 10:46 - 45 minutes - 62.1 MB

If there is one topic that we love at MCHD, it’s discussing bolus dose nitroglycerin in acute pulmonary edema patients. We’re lucky to have more positive evidence supporting it’s use thanks to Mike Perlmutter and his colleagues from North Memorial in Minneapolis. Join Dr. Patrick and Mike as they geek out over high dose nitrate use in EMS. REFERENCES 1. https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/prehospital-treatment-of-acute-pulmonary-edema-with-in...

Episode 89 - Oral Boards Breakdown

September 28, 2020 10:00 - 26 minutes - 35.8 MB

When thinking of what strikes fear in paramedics, most would think of answers like pediatric arrests, precipitous deliveries, and unstable bradycardias. A hidden source of misery here at MCHD is the fear of the oral scenario exams for advancement. Yes, these are artificial and do not always reflect reality, but they are a necessary evil. Join Dr. Dickson and Dr. Patrick as they try and provide some framework for attacking and succeeding when taking oral scenario exams. REFERENCES https://...

Episode 88 - End Tidal Capnography - Back To The Basics

September 14, 2020 10:00 - 24 minutes - 33.2 MB

The capnography tracing is an excellent tool that gives us insight into cellular metabolism, perfusion, and ventilation. This can yield vital information in multiple critical patient care decision processes. Join Dr. Patrick and Dr. Dickson as they walk through some ETCO2 interpretation basics. We are limited on the amount of objective information available during prehospital care, don’t ignore this vital piece of our puzzle. REFERENCES 1. https://www.cambridge.org/core/journals/prehospi...

Episode 87 - COVID Worldwide

August 29, 2020 10:00 - 55 minutes - 76.2 MB

Join Dr. Dickson and our esteemed colleagues from across the globe to hear how their systems have responded to the COVID-19 pandemic and what they have learned from the experience thus far. Dr. Colin Graham is an EM specialist from Hong Kong who practiced there for the first SARS outbreak and is now tackling Corona Part 2. Additionally, we’ll be joined by Dr. Al Meyer, an EM specialist in Melbourne, Australia. This episode truly gives us a worldwide COVID-19 perspective. Colin Graham qual...

Episode 86 - Red Lights and Sirens With Dr. Jeff Jarvis

August 17, 2020 23:21 - 40 minutes - 55.4 MB

We're joined by a special guest, Dr. Jeff Jarvis, to talk about his recent PEC manuscript investigating potential life-saving interventions in the prehospital setting and their association with "lights and sirens" usage. Be prepared for some dogma challenging discussion! REFERENCES: https://www.tandfonline.com/doi/abs/10.1080/10903127.2020.1797963

Episode 85 - COVID-19 Summer Roundup

August 03, 2020 10:00 - 33 minutes - 45.3 MB

The firehose of information that is COVID-19 has slowed somewhat since we last discussed the pandemic, but the first wave has obviously persisted. On this episode, Dr. Patrick and Dr. Dickson address some of the recent COVID developments in treatment, return-to-work policy updates from the CDC and crazy complications seen in pediatric patients. REFERENCES 1. https://www.cebm.net/covid-19/what-is-the-effectiveness-of-protective-gowns-and-aprons-against-covid-19-in-primary-care-settings/ 2. h...

Episode 84 - TXA For GI Bleeds: The HALT-IT Study

July 20, 2020 10:00 - 16 minutes - 23.2 MB

We’ve discussed TXA, both for trauma and for epistaxis, on the podcast previously. Medics often ask about TXA in the acute GI bleed patients who are in hemorrhagic shock...“What can it hurt? It’s worth a try, right?” While TXA may seem like a harmless hail Mary, on this episode, Dr. Patrick reviews the HALT-IT study and discusses why TXA for acute GI bleeds is likely harmful and probably dead in the water as a treatment option. REFERENCES: 1. https://www.thelancet.com/journals/lancet/articl...

Episode 83 - Stupidity In EMS With Kris Kaull

July 06, 2020 19:28 - 36 minutes - 49.8 MB

This episode tackles the definition of "stupidity" and how this relates to prehospital medical care. Dr. Patrick is joined by Kris Kaull to discuss the definition of stupid, risk factors for making stupid moves and how to possibly prevent these in the EMS setting. REFERENCES 1. Episode inspiration - https://fs.blog/2019/01/how-not-to-be-stupid/ 2. Checklist Manifesto - http://atulgawande.com/book/the-checklist-manifesto/ https://www.amazon.com/gp/product/0312430000/ 3. Avalanche TedX tal...

Episode 82 - Serial Killer Series - Altered Mental Status

June 22, 2020 11:18 - 30 minutes - 41.4 MB

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not goin...

Episode 81 - Serial Killer Series - Abdominal Pain

June 09, 2020 16:31 - 23 minutes - 31.6 MB

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not goin...

Episode 80 - Serial Killer Series - Shortness of Breath

May 25, 2020 10:00 - 21 minutes - 30.2 MB

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not goin...

Episode 79 - Serial Killer Series - Chest Pain

May 12, 2020 10:00 - 33 minutes - 45.7 MB

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic chest pain scene with unstable vitals then filter to a differential of #1 PE, #2 ACS, #3 TAD is often quite challenging. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagno...

Episode 78 - The MCHD COVID-19 PPE Experience

April 28, 2020 15:37 - 40 minutes - 55 MB

For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with a discussion of our PPE/COVID-19 experience. We share our lessons learned and wish list for the future. Take a listen and please hit us up at [email protected] if you have questions or experiences you'd like to share! REFERENCES: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

HydroSnowvid 19 FINAL

April 15, 2020 15:44 - 32 minutes - 44.2 MB

HydroSnowvid 19 FINAL by Montgomery County Hospital District

Episode 77 - Hydroxycholoroquine Gone Bad With Dr. Jerry Snow

April 15, 2020 15:44 - 32 minutes - 44.2 MB

Unless you live under a rock, you've heard discussions of the pros and cons of using hydroxychloroquine (HCQ) when treating COVID-19 patients. On this episode, Dr. Patrick is joined by our favorite toxicologist, Dr. Jerry Snow, to talk about what happens in a HCQ ingestion situation. With the increased publicity of this drug, we must be on high alert in the prehospital setting for potential accidental and intentional overdoses. Listen and learn what to expect and how to treat someone who's...

Episode 76 - Part 2 - COVID Airway

April 01, 2020 17:57 - 17 minutes - 24.5 MB

We've had continued rapid local and national developments surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the MCHD specific airway algorithm in the era of COVID-19. REFERENCES: https://www.mchd-tx.org/wp-content/uploads/2020/04/MCHD-COVID-19-FINAL-AIRWAY-.pdf

Guests

Jeff Jarvis
3 Episodes