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PushDoseMedic Podcast

23 episodes - English - Latest episode: almost 3 years ago - ★★★★ - 15 ratings

Providing education to bridge the gap from classroom to clinical setting for the beginner paramedic.

Medicine Health & Fitness Science
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Episodes

Aortic Dissection- The thunderclap of the chest

May 14, 2021 10:00 - 16 minutes - 13 MB

Dissections occur when the tunica intima and tunica media layers of the aorta weaken and tear causing blood to create a false lumen. Different classifications determine severity and treatments. ——Standford Classification—— Type A- Ascending aorta and can continue to the arch and/or the descending aorta. Type B- Involves the descending aorta distal of the left subclavian artery. ——Risk factors/Presentation—— HTN, tissue disorders, Marfans syndrome, age, and male gender. These patients will ...

Wolff-Parkinson-White

May 09, 2021 10:00 - 13 minutes - 11 MB

Remember the WPW Triad 1. Short PR Interval 120ms 3. Delta Wave *This is WPW pattern, patients that present symptomatic then have WPW syndrome.* Image Sources   WPW EKG- Notice the slight upstroke into the QRS complex, that's the delta wave! Image Sources   Treatments-  Most people will be asymptomatic with just WPW pattern, monitor for any tachycardia and hypo perfusion. Symptomatic patients receive synchronized cardioversion, remember UNSTABLE GETS THE CABLE!   WPW does not re...

Talking LVADs with Dillon Wenberg

December 28, 2020 11:00 - 40 minutes - 32 MB

Ventricular assist devices can be confusing and scary to manage. Having knowledge can increase your confidence and the care delivered to your patient. I talked with Dillon Wenberg, IA MED critical care instructor and co-author of the NEW IA MED MCAD course/book. We discussed all of the commonly asked questions about LVADs in prehospital settings. MyLVAD.com

The Prehospital PE

July 25, 2020 20:00 - 19 minutes - 15.7 MB

Join us today as we discuss pulmonary embolisms. This is a common diagnosis you will need to identify and treat within the prehospital setting. Check out some resources below. Enjoy, and don't forget to subscribe on iTunes and leave a rating.    SUBSCRIBE AND LEAVE A RATING ON ITUNES!!!   If you have any questions please feel free to contact me at [email protected] The Push Dose Medic website is live!!!  www.pushdosemedic.com Merchandise is available through the store. Remember t...

What is hyperkalemia??

April 27, 2020 15:12 - 21 minutes - 17.3 MB

Join in today's episode with a overview of hyperkalemia. Like most topics in paramedic school, this is one that "you don't really need to know". Well turns out its pretty darn important. Check out some resources below and infographics on topics discussed.   Check out LITFL for some awesome hyperkalemia EKG examples https://litfl.com/hyperkalaemia-ecg-library/  Check out IAMED on facebook on Thursdays at 1900 CST for some great updates on COVID-19 and awesome weekly topics with the industr...

DKA vs HHNS Part 2

March 22, 2020 13:00 - 10 minutes - 8.28 MB

In this series we looked at DKA and HHNS, two common hyperglycemic calls a paramedic may encounter in the prehospital setting. Part 2 discusses HHNS. How is this different than DKA, and how do we treat it. Tune in and find out.    THANK YOU TO ALL OF OUR PARAMEDICS, EMTS, NURSES, PHYSICIANS, RESPIRATORY THERAPISTS AND MORE. EVERYONE IN HEALTHCARE RIGHT NOW IS FACING A PANDEMIC WITH COVID19. STAY STRONG WE CAN DO IT. WE WILL ALL LEARN FROM THIS. STAY SAFE!   SUBSCRIBE AND LEAVE A RATING ...

DKA vs HHNS Part 1

March 11, 2020 00:40 - 17 minutes - 14.3 MB

Hyperglycemia is a common call a provider will encounter, wether in the prehospital setting or the emergency room.  As a prehospital provider our interventions are limited, but it is still important to understand the pathophysiology of this disease.  In this two part series lets break down two manifestations of hyperglycemia, DKA and HHNS.     FlightBridgeEd Episode- Know your labs, diagnosing DKA using beta-hydroxybutyrate     SUBSCRIBE AND LEAVE A RATING ON ITUNES!!! If you have a...

A deeper look into antihypertensives

March 04, 2020 19:40 - 19 minutes - 26.5 MB

Join me today as we take a deeper look into antihypertensive medications. We go over some of the most common medications you may see including, beta blockers, CCB, ARB's, and more.      SUBSCRIBE AND LEAVE A RATING ON ITUNES!!! Follow us on Twitter- @pushdosemedic If you have any questions please feel free to contact me at [email protected] The Push Dose Medic website is live!!!  www.pushdosemedic.com Merchandise is now available through the store. Remember that 50% of proceeds ...

Intro to RAAS!

December 12, 2019 14:24 - 11 minutes - 9.11 MB

  Let’s break down the RAAS system! It’s super simple and easy to understand! So the renin-angiotensin-aldosterone-system is a complex pathway and regulatory system, that responds to decreased pressure and volume within the body. This system is important for blood pressure management but can be altered in chronic medical conditions. This system involves multiple organs and enzymes including the kidneys, liver, lungs, and heart.    I recommend taking a look below at this nephron to famili...

Capnography 101

December 01, 2019 15:28 - 45 minutes - 36.8 MB

Today we take a look at capnography! Capnography is a useful tool used mainly in the prehospital setting, that reveals a plethora of information. Now we all know that we use capnography on our respiratory patients, but how else can we use it? Ever heard of monitoring perfusion status while pacing? Check out this weeks episode as I sit down with John Carrico. John Carrico is a flight paramedic who is passionate about anything and everything respirtory. We sit down today to talk all things ca...

PART 2 of Pediatric Care with Dr. Antevy

October 04, 2019 16:42 - 42 minutes - 34.1 MB

We all know pediatric calls can be stressful, complicated, and chaotic. There has always been a stigma that pediatric patients should be treated differently, this puts a mental block in our heads that affect us and the patient. I invite you to listen to Dr. Antevy, and myself as we discuss pediatric care guidelines and PEARLS. In this two-part series, we will discuss, multiple topics from pitfalls in EMS in regards to pediatrics, to creating closure with families.  Subscribe to iTunes!   ...

Pediatric Care with Dr. Antevy PART 1

September 20, 2019 03:04 - 30 minutes - 24.4 MB

We all know pediatric calls can be stressful, complicated, and chaotic. There has always been a stigma that pediatric patients should be treated differently, this puts a mental block in our heads that affect us and the patient. I invite you to listen to Dr. Antevy, and myself as we discuss pediatric care guidelines and PEARLS. In this two-part series, we will discuss, multiple topics from pitfalls in EMS in regards to pediatrics, to creating closure with families.  Subscribe to iTunes!   ...

Staying Motivated with Tony Falzone

June 30, 2019 17:42 - 1 hour - 49.7 MB

Motivation, attitude, positivity, these are all key non-clinical components to maintain a successful and rewarding career. In EMS we have a high tendency to face burnout and lose sight of why we chose to enter this career. Listen in as me and Tony talk about staying motivated and facing burnout. Be sure to check out Tony's podcast MotivatedMedic for more awesome, uplifting resources.  Check out the Motivated Medic- https://motivatedmedic.com/ Also, follow him on Facebook and Instagram @mot...

Discussing Sepsis

June 28, 2019 19:49 - 16 minutes - 13.2 MB

Is sepsis the silent killer in pre-hospital medicine? We as clinicians need to be diligent and take control to identify these patients and get them the correct care. Remember TIME is TISSUE.    This is my small rendition on sepsis     Surviving Sepsis Campain 1-hour bundle WWW.PUSHDOSEMEDIC.COM IS NOW LIVE!!!   Check out the website for more education tips, tricks, merchandise, and podcast episodes.    Thank you for your support!   [email protected]    

RSI for beginners!

May 16, 2019 00:28 - 32 minutes - 26.1 MB

 If you were like me when I graduated, I was terrified of the whole RSI concept. Thrown into the world ready to take an airway...NOT! Listen along as we discuss common drugs and procedure to facilitate a smooth RSI.    EMCrit published a great podcast/blog on intubation checklists. This is crucial in the preparation phase.  https://emcrit.org/emcrit/emcrit-intubation-checklist/ RebelEM on intubating hypotensive patients. https://rebelem.com/critical-care-updates-resuscitation-sequence-i...

The Great Debate BIAD vs. ETI

April 15, 2019 23:14 - 39 minutes - 31.3 MB

This week I'm rolling out a new segment where I'll discuss research papers of interest. Today we are comparing the Airways 2 and the PART trial. These are similar papers discussing data on airway management in OHCA. Thanks for listening, hope you enjoy. If you have any ideas for future topics, please let me know.  For more information on these trials follow these links. http://www.airways-2.bristol.ac.uk/ https://jamanetwork.com/journals/jama/fullarticle/2698493 https://jamanetwork.com/j...

National Stop The Bleed Month With Andrew Fisher

March 24, 2019 05:32 - 35 minutes - 28.6 MB

Let's kick off this initiative this year and make a change. This is for you and everyone around you, 8-12 million people are trained in CPR annually, not its time for everyone to be trained in hemorrhage control. Take a class and bring a friend,  you won’t regret the information or fun!   Stop by bleedingcontrol.org for local classes near you! If you are unable to locate a class, visit your local EMS station for more information. Bleeding control kits can be purchased through bleedingcon...

Baby, you're toxic!!

March 05, 2019 15:30 - 16 minutes - 13.4 MB

Tylenol...who knew something so simple and OTC can be so deadly. Tylenol toxicity can be complicated so let's break it down in simple terms.    Please feel free to contact me at [email protected]  Stickers are available! Contact me for ordering.   Check out this easy breakdown of the stages of toxicity! Below are some additional resources that breakdown toxicity a little further. Check them out. IBCC Resource- https://emcrit.org/ibcc/acetaminophen/#epidemiology_&_pharmacokinetic...

This is Trauma!!

February 18, 2019 19:15 - 11 minutes - 9.53 MB

All aboard the trauma train!! Let's break down the trauma triad of death a little bit for us new medics. Of course, this can be a complicated concept but it doesn't have to be! Trauma can be fun if we do it correctly!! Please feel free to contact me at [email protected]    A further breakdown of the trauma triad. https://www.jems.com/articles/2018/03/three-reasons-not-to-use-saline-or-crystalloids-in-trauma.html  

'Tis the season! Pediatric Airway!

January 10, 2019 17:38 - 19 minutes - 15.4 MB

The season is among us! Pediatric respiratory emergencies are important to identify and treat correctly.  Please feel free to contact me at [email protected]    For more information on racemic epi check out Owen Wood's podcast "DitchDocEM" https://www.ditchdocem.com/2017/04/17/racemic-epinephrine/    Quick and easy chart for comparison!!                   Notice the "steeple" airway shape. CVS             https://www.youtube.com/watch?v=MPgCxPyeTkk                        ...

Hero or advocate? Let's talk Narcan.

December 24, 2018 02:31 - 15 minutes - 12.8 MB

From prehospital to the emergency room, Narcan is misunderstood. Let's change that and educate yourself along with others. *Follow your local protocols*   Questions, concerns or updated information I didn't mention? Contact me at [email protected]. Thanks!!

The PPE of Airway Management

December 05, 2018 22:28 - 19 minutes - 15.5 MB

Thanks for listening!  Feel free to contact me at [email protected]  So, the first day on the truck and you're en route to a respiratory arrest. Are you prepared to intubate? Do you have a plan? Let's talk airway with the PPE of airway management! P-Plan/Prep P-Position E-Execute/Intubate   Check out the FlightBridgeEd podcast on the HEAVEN criteria https://www.flightbridgeed.com/index.php/the-flightbridgeed-podcast/2-flightbridgeed-podcast/268-heaven-lemons    VS.     

Are you ready to Team Lift?

November 28, 2018 04:01 - 11 minutes - 9.09 MB

Welcome to the first episode of Push Dose Medic. In this episode, I'll explain a new concept I have developed to help battle the ongoing issues with first responder mental illness.