The World’s Okayest Medic Podcast

Alert Medic One Podcast's Josh came on to discuss the good and the bad about fire-based EMS. Spoiler alert, there's more good. The old paradigm of "F EMS" is changing (in many places).

Kirk Smith, RT from Hamilton Medical came onto the podcast to talk about the Hamilton T1 and how EMS agencies from CCT to IFT to 911 services are using it.

LISTENER DISCRETION IS ADVISED

LISTENER DISCRETION IS ADVISED PMID: 35832199

Alex Jabr from Emergency Resilience and James Boomhower from StayFit4Duty came onto the podcast to have some unscripted real talk about first responder mental health. Listener discretion is advised.

Listener Discretion is Advised. References: FPS ED: PMID 31843066 Improving ED FPS: PMID 34494654 HEMS FPS: PMID 36411447 HEMS MD vs. Medic FPS: PMID 24841771 Wang and Kupas: PMID 12837645 Wang's Next Paper: PMID 16531595

LISTENER DISCRETION IS ADVISED. NurseGwenny takes over the podcast and interviews Mike (not like you don't hear enough from him...)

SAVE: PMID: 35179588 AIRWAYS-2: PMID: 30167701 PART: PMID: 30167699 2021 Devices: PMID: 35353993 2022 OCHA Mechanical devices: PMID: 35268537

Listener discretion is advised

LISTENER DISCRETION IS ADVISED

Listener discretion is advised. References: PMID 27863863 PMID 18572345 PMID 30582477

LISTENER DISCRETION IS ADVISED REFERENCES CITED: PMID 36180168 PMID 26033128 PMID 30996631 PMID 32663410 PMID 33552437 OMI Manifesto. http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html

LISTENER DISCRETION IS ADVISED Topics: Bad Day to Be a SGA, Sim Labs, PA EMS Drama

Read Melody's ventilator book! Available at https://ecampusontario.pressbooks.pub/mechanicalventilators/

Listener discretion is advised. References: PMID 37058727, 25447559, 29405806

My doctor. My story. My brain.

Listener discretion is advised. PMID 27407401, 25231423, 16890849,275945 Black & Drews & Rabkin (2022). Up-to-Date.

Listener discretion is advised. Discussing: Thompson G, Miller B, Lenz TJ. Comparing Intubation Success Between Flight Nurses and Flight Paramedics in Helicopter Emergency Medical Services. Air Med J. 2023 Nov-Dec;42(6):436-439. doi: 10.1016/j.amj.2023.07.004. Epub 2023 Aug 10. PMID: 37996178.

Ryan Bolger is a flight paramedic and soon-to-be nurse.

Listener discretion advised

Listener discretion is advised.

REFERENCES: PMID 31315808 PMID 29530870 PMID 29372629 Strange, C. (2023). Epidemiology, clinical presentation, and diagnostic evaluation of parapneumonic effusion and empyema in adults. Up-To-Date.

Jake makdes his debut on the podcast.

Answering listener questions..Topics: Pain management C-spine injuries Impact EMS rebranding Instructor pet peeves

Janz D, Casey J, Semler M, et al. Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PrePARE): a randomised controlled trial. Lancet Respir Med. October 2019. https://www.ncbi.nlm.nih.gov/pubmed/31585796.

Random rantings and thoughts: Reels and listener questions SWAT medic stuff "Worthless" trainings ASV Paramedic school sans EMT experience Just can't hack it... Tempus Pro updates

References: AIDS and TB: PMID 7629858 Owens, William. (2021). The Ventilator Book.

References: Low-Fi Sim > HiFi: PMID 33872104 HiFi not necessarily better: PMID 27215280 Clincial outcomes and sims: PMID 19642147

References: Collins, Jim. Good to Great. Attrition Rates: PMID 37034493 Accreditation: PMID 16531381 Flipped Programs: PMID 33328795

Wesley Nelson comes back onto the podcast to talk about mentorship and precepting.

Thanks to Rob Friedman for coming on the podcast and shooting the breeze about life and issues working EMS in the big city...

Cabrera, Daniel. (Nov 2, 2014). A Basic Approach to the LVAD Patient in the Emergency Department. Available: https://emblog.mayo.edu/2014/11/02/a-basic-approach-to-the-lvad-patient-in-the-emergency-department/ Tchantchaleishvili V, Sagebin F, Ross RE, Hallinan W, Schwarz KQ, Massey HT. Evaluation and treatment of pump thrombosis and hemolysis. Ann Cardiothorac Surg. 2014 Sep;3(5):490-5. doi: 10.3978/j.issn.2225-319X.2014.09.01. PMID: 25452909; PMCID: PMC4229473.

20+ year paramedic and retired fire captain Steve came on to talk about his 10 Rules for BLS Providers!

References: Miles MVP, Beasley JR, Reed HE, Miles DT, Haiflich A, Beckett AR, Lee YL, Bowden SE, Panacek EA, Ding L, Brevard SB, Simmons JD, Butts CC. Overutilization of Helicopter Emergency Medical Services in Central Gulf Coast Region Results in Unnecessary Expenditure. J Surg Res. 2022 May;273:211-217. doi: 10.1016/j.jss.2021.12.038. Epub 2022 Jan 29. PMID: 35093837. Roman J, Shank W, Demirjian J, Tang A, Vercruysse GA. Overutilization of Helicopter Transport in the Minimally Burned-A Healthcare System Problem That Should Be Corrected. J Burn Care Res. 2020 Jan 30;41(1):15-22. doi: 10.1093/jbcr/irz143. PMID: 31504602. Adcock AK, Minardi J, Findley S, Daniels D, Large M, Power M. Value Utilization of Emergency Medical Services Air Transport in Acute Ischemic Stroke. J Emerg Med. 2020 Nov;59(5):687-692. doi: 10.1016/j.jemermed.2020.08.005. Epub 2020 Oct 1. PMID: 33011044; PMCID: PMC8006070. Chen X, Gestring ML, Rosengart MR, Peitzman AB, Billiar TR, Sperry JL, Brown JB. Logistics of air medical transport: When and where does helicopter transport reduce prehospital time for trauma? J Trauma Acute Care Surg. 2018 Jul;85(1):174-181. doi: 10.1097/TA.0000000000001935. PMID: 29787553. Chen X, Gestring ML, Rosengart MR, Billiar TR, Peitzman AB, Sperry JL, Brown JB. Speed is not everything: Identifying patients who may benefit from helicopter transport despite faster ground transport. J Trauma Acute Care Surg. 2018 Apr;84(4):549-557. doi: 10.1097/TA.0000000000001769. PMID: 29251708.

Topics: Tempus Pro, clinical competencies, bureaucratic comeuppance, IV acetaminophen

Gwenny and Ashley came on the podcast to talk about dealing with sick pediatric patients. References: Frank Lodeserto MD, "High Flow Nasal Cannula (HFNC) – Part 1: How It Works", REBEL EM blog, August 20, 2018. Available at: https://rebelem.com/high-flow-nasal-cannula-hfnc-part-1-how-it-works/. Lucking, S. Maffei, F., Tamburro, R., & Zaritsky, A. (2021). Pediatric Critical Care. Text and Study Guide. Nagler, Joshua. Cheifetz, Ira. (2021). Initiating Mechanical Ventilation in Children. Up-to-Date.