Latest Paramedcicine Podcast Episodes

Posterior Circulation Strokes

Medical Director Minute - October 25, 2019 11:00 - 9 minutes
Its estimated that up to 20 % of strokes involve what is called the posterior circulation of the brain. The significance of this fact is these strokes are not picked up or scored well on the NIH stroke scale and many other stroke scales because those scales are looking for larger territory anter...

Epinephrine in Cardiac Arrest: PARAMEDIC2 Trial

Medical Director Minute - September 29, 2018 06:56 - 12 minutes
Epinephrine has been one of the mainstays of cardiac arrest management since the early days of cardiac arrest management. The recently published PARAMEDIC2 trial examined patient outcomes, and more importantly neurologic outcomes, in out of hospital cardiac arrest comparing epinephrine with plac...

Ketamine for the Agitated Prehospital Patient

Medical Director Minute - September 28, 2018 22:12 - 10 minutes
Ketamine received some negative press last summer (2018) as I’m sure most of you have seen. With ketamine being used more frequently in prehospital medicine for the agitated patient, we wanted to provide a brief review of ketamine use in the setting of the agitated patient. The Medical Directo...

MDM Episode 003: Identifying STEMI in LBBB

Medical Director Minute - August 28, 2018 11:00 - 8 minutes
In this episode, we discuss the modified Sgarbossa criteria used to identify STEMI equivalents in patients who have an existing or not known to be old left bundle branch block (LBBB). identifying a STEMI in the setting of a LBBB can be challenging because there are ST segment deviations that can...

MDM Episode 002: C-spine Part 2

Medical Director Minute - August 01, 2018 08:19 - 6 minutes
This is the second part of a two part episode reviewing the decision rules that form the base of selective spinal immobilization protocols. In order to properly apply a rule and identify those patients at low risk for spinal injury who do not require spinal motion restriction (SMR). Part two cov...

MDM Episode 001: C-spine Part 1

Medical Director Minute - August 01, 2018 06:15 - 10 minutes
This is the first part of a two part episode reviewing the decision rules that form the base of selective spinal immobilization protocols. In order to properly apply a rule and identify those patients at low risk for spinal injury who do not require spinal motion restriction (SMR). Part one cove...