The World’s Okayest Medic Podcast

375 episodes — Page 7 of 8

More Thinking About Airway (and EBM)

Benger JR, Kirby K, Black S, Brett SJ, Clout M, Lazaroo MJ, Nolan JP, Reeves BC, Robinson M, Scott LJ, Smartt H, South A, Stokes EA, Taylor J, Thomas M, Voss S, Wordsworth S, Rogers CA. Effect of a Strategy of a Supraglottic Airway Device vs Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome: The AIRWAYS-2 Randomized Clinical Trial. JAMA. 2018 Aug 28;320(8):779-791. doi: 10.1001/jama.2018.11597. PMID: 30167701; PMCID: PMC6142999. Bernhard M, Becker TK, Gries A, Knapp J, Wenzel V. The First Shot Is Often the Best Shot: First-Pass Intubation Success in Emergency Airway Management. Anesth Analg. 2015 Nov;121(5):1389-93. doi: 10.1213/ANE.0000000000000891. PMID: 26484464. Culbreth RE, Gardenhire DS. Manual bag valve mask ventilation performance among respiratory therapists. Heart Lung. 2021 May-Jun;50(3):471-475. doi: 10.1016/j.hrtlng.2020.10.012. Epub 2020 Nov 1. PMID: 33138977; PMCID: PMC7604178. Ioannidis JP. Effectiveness of antidepressants: an evidence myth constructed from a thousand randomized trials?. Philos Ethics Humanit Med. 2008;3:14. Published 2008 May 27. doi:10.1186/1747-5341-3-14 Sackles, et. al. (2013). The importance of first pass success when performing orotracheal intubation in the ED. Acad Emerg Med, 20(1). Wang HE, Schmicker RH, Daya MR, Stephens SW, Idris AH, Carlson JN, Colella MR, Herren H, Hansen M, Richmond NJ, Puyana JCJ, Aufderheide TP, Gray RE, Gray PC, Verkest M, Owens PC, Brienza AM, Sternig KJ, May SJ, Sopko GR, Weisfeldt ML, Nichol G. Effect of a Strategy of Initial Laryngeal Tube Insertion vs Endotracheal Intubation on 72-Hour Survival in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2018 Aug 28;320(8):769-778. doi: 10.1001/jama.2018.7044. PMID: 30167699; PMCID: PMC6583103. This podcast is hosted by ZenCast.fm

Jan 16, 2022

Rethinking Airway

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Jan 7, 2022

New Year, New Dumpster Fire

Some start of a new year ramblings: EMTALA, ED wait times, COVID, royal medical directors REFERENCES: Gulya, K. (2017). Seventh Circuit Case Highlights Potential Conflict Between Powers of Medical Director and City in Discharging EMS Staff When Losing "Credentials". National Law Review. Accessed at https://www.natlawreview.com/article/seventh-circuit-case-highlights-potential-conflict-between-powers-medical-director Wolfberg, Wirth. (16 Nov 2021). Ambulances held hostage: Can the hospital make you stay? Accessed at https://www.ems1.com/ambulance/articles/ambulances-held-hostage-can-the-hospital-make-you-stay-jQESFoe1BQTrtUYc/ This podcast is hosted by ZenCast.fm

Jan 3, 2022

Christmas Clinical

Carley, S. (2004). Suicide at Christmas. EMJ Online. Available at http://emj.bmj.com/content/emermed/21/6/716.full.pdf CDC. (2004). Fall-Related Injuries During the Holiday Season --- United States, 2000–2003. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5348a1.htm Long, Brit. (2018). EM@3AM: Esophageal Foreign Bodies. EMDocs Blog. Available at http://emdocs.net/em3am-esophageal-foreign-bodies/ Rohrer-Mirtschink S, Forster N, Giovanoli P, Guggenheim M. Major burn injuries associated with Christmas celebrations: a 41-year experience from Switzerland. Ann Burns Fire Disasters. 2015;28(1):71-75. Shaw, et. al. (2018). Death and readmissions after hospital discharge during the Dec holiday period. BMJ, 363. Shuja, Winston, Rahman, Mitty, Jaber, & Keo. Esophageal food impaction during cultural holidays and national athletic events. Gasteroenterology Report, 5(1). Smith, Allan, Greenlaw, Findlay, & Isles. (2013). EM admissions., deaths ant weekends and the public holiday effect. Emerg Med J, 31(1). This podcast is hosted by ZenCast.fm

Dec 20, 2021

Happily Hypoxic

Omicron update, COVID stats, assessment of the hypoxic COVID patient Reference: Dhont, S., Derom, E., Van Braeckel, E. et al. The pathophysiology of ‘happy’ hypoxemia in COVID-19. Respir Res 21, 198 (2020). https://doi.org/10.1186/s12931-020-01462-5

Dec 14, 2021

Rectal Foreign Bodies

DISCLAIMER: bad words, adult topics Cologne, Ault. (2012). Rectal foreign bodies: what is the current standard? Clin Colon Rectal Surg, 25, 214-18. This podcast is hosted by ZenCast.fm

Dec 12, 2021

Thanksgiving Clinical

Not really anything Thanksgiving related....random topics and rantings This podcast is hosted by ZenCast.fm

Nov 25, 202130 min

Normalization of Deviance

References: http://www.aviationchief.com NASA. (2014). The Cost of Silence: Normalization of Deviance and Groupthink. Retrieved from: https://sma.nasa.gov/docs/default-source/safety-messages/safetymessage-normalizationofdeviance-2014-11-03b.pdf?sfvrsn=4 Mullane, Mike. Normalization of Deviance — IAFF. Available at http://www.youtube.com/watch?v=Ljzj9Msli5o This podcast is hosted by ZenCast.fm

Nov 22, 202137 min

Differential Diagnosis

Thoughts on the "differential diagnosis." This podcast is hosted by ZenCast.fm

Nov 16, 202129 min

Lessons from My Partner Bill: A True OG

Bill is my HEMS partner, mentor, and friend. He started his career in EMS in 1976. Here is his introduction, some of his insights, and discussion on generation gaps and career progression. Also, sorry about the background noise: we were at work at the airport. Planes were taking off and the office chairs we were sitting in were creaking. This podcast is hosted by ZenCast.fm

Nov 11, 202130 min

Saturday Night Clinical

Addendums on the calcium episode and the heart failure episode...as always...random ramblings as well... Citations: Anand IS, Gupta P. Anemia and Iron Deficiency in Heart Failure: Current Concepts and Emerging Therapies. Circulation. 2018 Jul 3;138(1):80-98. doi: 10.1161/CIRCULATIONAHA.118.030099. PMID: 29967232. Hayes. (2013). Mythbuster: Calcium Gluconate Raises Serum Calcium as Quickly as Calcium Chloride. Retrieved at https://www.aliem.com/mythbuster-calcium-gluconate-raises-serum-calcium-as-calcium-chloride/ Calcium Chloride. RK.MD Blog. (2018). Retrieved at https://rk.md/2018/calcium-chloride/ Maak CA, Tabas JA, McClintock DE. Should acute treatment with inhaled beta agonists be withheld from patients with dyspnea who may have heart failure? J Emerg Med. 2011 Feb;40(2):135-45. doi: 10.1016/j.jemermed.2007.11.056. Epub 2008 Jun 24. PMID: 18572345. Ponn, B. (2017). Clinical Question: Can Ventolin improve wheeze in heart failure? CanadiEM Blog. Retrieved from https://canadiem.org/can-ventolin-improve-wheeze-in-heart-failure/ Silverberg DS, Wexler D, Iaina A. The role of anemia in the progression of congestive heart failure. Is there a place for erythropoietin and intravenous iron? J Nephrol. 2004 Nov-Dec;17(6):749-61. PMID: 15593047. This podcast is hosted by ZenCast.fm

Nov 7, 202130 min

Staffing Shortages, Work Conditions, Corporate Greed

I think I might have gone a little hard in the paint on this one... TOPICS: Corporate greed Staffing shortages Incentive pay Working conditions This podcast is hosted by ZenCast.fm

Oct 29, 202130 min

EMS Organizational Narcissism

As always: real talk, no BS, and maybe controversial views of when narcissism pervades the culture in EMS agencies... Duchon & Drake. (2009). Organizational narcissism and virtuous behavior. Journal of Business Ethics 85, 301-308. This podcast is hosted by ZenCast.fm

Oct 25, 202130 min

Calcium Facts for the EMS Provider

Faine. (n.d.). The calcium quandry. EP Monthly. http://epmonthly.com/article/the-calcium-quandry Farkas. (2020). IBCC. Available at http://emcrit.org/ibcc Graudins, et. al. (2016). Calcium channel antagonist and beta blocker overdose: antidotes and adjunct therapies. Br J Clin Pharm 81(3). Nickson. (2020). Hypocalcemia. LITFL Blog. Available at http://litfl.com/hypocalcemia Sauter, et al. (2015). Calcium disorders in the ED: independent risk factors for mortality. PLoS One 10(7). Swaminathan. (2017). CORE EM: Hypocalcemia. Available at http://www.emdocs.net/core-em-hypocalcemia Webster, et. al. (2016). Ionised calcium levels in major trauma patients who received blood in the ED. Emer Med J 33(8). This podcast is hosted by ZenCast.fm

Oct 22, 202119 min

Neonatal Resus, Gestalt, Heuristics

Cook C. Is clinical gestalt good enough?. J Man Manip Ther. 2009;17(1):6-7. Jeanmonodod, Asuka, Jeanmonodod. (2021). Inborn Errors of Metabolism. Accessed https://www.ncbi.nlm.nih.gov/books/NBK459183/ Van Horne, P., & Riley, J. (2014). Left of Bang. New York: First Black Irish Entertainment This podcast is hosted by ZenCast.fm

Oct 14, 2021

Random Q&A

Topics discussed: Albuterol and CHF Staffing shortages 12-lead EKG indications Being a "rat" TEMS Imposter Syndrome This podcast is hosted by ZenCast.fm

Oct 7, 202137 min

Not Killing Your TBI Patient

References: 2021 Pennsylvania EMS Protocols. Spaite DW, Hu C, Bobrow BJ, et al. The Effect of Combined Out-of-Hospital Hypotension and Hypoxia on Mortality in Major Traumatic Brain Injury. Ann Emerg Med. 2017;69(1):62-72. doi:10.1016/j.annemergmed.2016.08.007 Jain V, Choudhary J, Pandit R. Blood Pressure Target in Acute Brain Injury. Indian J Crit Care Med. 2019;23(Suppl 2):S136-S139. doi:10.5005/jp-journals-10071-23191 This podcast is hosted by ZenCast.fm

Oct 6, 202131 min

When You Get Investigated or Sued

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Sep 30, 202127 min

Pelvic Trauma

References: Hsu, S. D., Chen, C. J., Chou, Y. C., Wang, S. H., & Chan, D. C. (2017). Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study. International journal of environmental research and public health, 14(10), 1217. https://doi.org/10.3390/ijerph14101217 Nickson. (2019). Weingart on Pelvic Trauma. Retrieved from https://litfl.com/weingart-on-pelvic-trauma/ Shlamovitz GZ, Mower WR, Bergman J, Chuang KR, Crisp J, Hardy D, Sargent M, Shroff SD, Snyder E, Morgan MT. How (un)useful is the pelvic ring stability examination in diagnosing mechanically unstable pelvic fractures in blunt trauma patients? J Trauma. 2009 Mar;66(3):815-20. doi: 10.1097/TA.0b013e31817c96e1. PMID: 19276759. This podcast is hosted by ZenCast.fm

Sep 20, 202123 min

Workplace Drama

This podcast references two books, both by Marlene Chism. *No Drama Leadership, 2015 Stop Workplace Drama, 2011 This podcast is hosted by ZenCast.fm

Sep 14, 202146 min

Mitigating Stupidity: Risk Management for the EMS Provider

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Sep 5, 202120 min

Burnout

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Sep 5, 202127 min

Disseminated Intravascular Coagulation, Med Twitter, Delta Variant

Aug 21, 202138 min

Hyponatremia and Other Randomness

Topics covered: Hyponatremia, crappy education, Delta variant, National Registry changes

Aug 14, 202129 min

Traumatic Shock - Part 2

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Aug 9, 202138 min

Traumatic Shock: Part 1

Stuff you need to know about traumatic shock for general practice, FP-C/CCP-C exams, etc. This podcast is hosted by ZenCast.fm

Aug 6, 202129 min

Mad Dog Leadership

Mattis, J. & West, B. (2019). Call Sign Chaos: Learning to Lead. New York: Random House. This podcast is hosted by ZenCast.fm

Jul 31, 202147 min

Splenic Trauma

Podcast for prehospital providers who aren't looking for a snoozefest. This podcast is hosted by ZenCast.fm

Jul 29, 202123 min

MCIs, Astronauts, & Checklists

Books mentioned: Col. Chris Hatfield, *An Astronaut's Guide to Life on Earth Dr. Atul Gawande, The Checklist Manifesto This podcast is hosted by ZenCast.fm

Jul 9, 202120 min

Becoming a Flight Medic; Gear

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Jul 7, 202137 min

Cardiac Tamponade with Shayne Bierman

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May 21, 202126 min

EMS Week, EMS Education

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May 19, 202125 min

Traumatic Asphyxia, The 12-Lead EKG and the Student

Reference: http://www.derangedphysiology.com This podcast is hosted by ZenCast.fm

May 18, 202130 min

Last Week's Patient from Hell

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Apr 27, 202139 min

Sunday Night Ramblings with Mike and Mike

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Apr 26, 202141 min

The Middle of the Road Employee, COVID, Evidence Based Medicine

Looking at the importance of the employee who shows up and does his or her job; COVID discussion; looking at evidence-based medicine This podcast is hosted by ZenCast.fm

Mar 22, 202137 min

NSTEMI, Accountability, Anemia, and Amish People

Stucchi, M., Cantoni, S., Piccinelli, E., Savonitto, S., & Morici, N. (2018). Anemia and acute coronary syndrome: current perspectives. Vascular health and risk management, 14, 109–118. https://doi.org/10.2147/VHRM.S140951 This podcast is hosted by ZenCast.fm

Mar 7, 202156 min