show episodes
 
Loading …
show series
 
Don't you wish someone explained what viral load, viral shedding, and all those other words we use loosely when talking about COVID-19? Well.... our guest on this podcast did, and we think you'll really enjoy getting back to the basics, and then some. Dr. Ryan Mynatt is a practicing PharmD specializing in infectious disease, and like most academics…
 
Hyperkalemia Intro Potassium is primarily an intracellular ion responsible for maintenance of the resting membrane potential for normal cell conduction. Serum measured potassium is typically between 3.5 and 5.0 mEq/L. Serum K greater than 5.0 mEq/L is generally considered the threshold for hyperkalemia. Potassium is mostly excreted via the kidneys,…
 
In our first official “vodcast”, we discuss pearls and pitfalls of transcutaneous pacing, and how it’s much more difficult than “you either have capture or you don’t”. “Phantom” complexes are rarely reported on or discussed in Paramedic school, but one monitor manufacturer appreciates how they can make verifying true electrical capture very difficu…
 
First, there are two proposed mechanisms of CPR, brilliantly summarized in this paper: Cardiac Pump Mechanism: “blood is squeezed from the heart into the arterial and pulmonary circulations, with closure of the mitral and tricuspid valves, preventing retrograde blood flow, and opening of the aortic and pulmonary valves in response to forward blood …
 
Join us as we interview Andrew Fisher on the multiplicity of managing civilian trauma patients. Although the complexity of trauma management is often understated, the basics are often not managed appropriately, and can have an appreciable affect on trauma outcomes. We discuss TEG, blood product administration, acute traumatic coagulopathy, the MARC…
 
Wantabe et al. (2018) "Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes?" was the first to definitively link L&S use with ambulance crashes. Data extrapolated from Wantabe et al. (2018) Response Crash Rate: 4.6 / 100,000 without L&S 5.4 / 100,000 with L/S Transport Crash Rate: 7 / 100,000 without L&S 17.1 / 10…
 
Goals on Initiation Reverse shock and increase tissue perfusion: Improve blood flow BP (MAP >65) perfuse coronaries and brain Mental status End tidal CO2 Maybe: urine output (if Foley present) & capillary refill time Increase venous return Avoid ischemia & other adverse events Which vasopressor do I choose? It depends. For the prehospital provider,…
 
This week on the podcast we're reviewing a lesson from the Burn Section of the EPICC Review Course concerning fluid resuscitation. Listen in as I discuss the most current recommendations from the American Burn Association on the Prehospital and Early Hospital management of IV fluids in the burn patient. I also give you 1 easy tip to simplify the AB…
 
Topics Discussed in the Podcast: Provider bias and the pulse oximeter. CO oximetry. Pulse oximeter lag. Approach to the well-appearing patient with a low SpO2 reading. Relation of vascular tone to pleth wave amplitude and variability. Using the pulse ox waveform to confirm mechanical capture during transcutaneous pacing. Odds and ends... Pulse oxim…
 
Spend any amount of time working in the air medical environment and you'll absolutely hear people talk about the gas laws. In this episode, I discuss what I believe to be the 5 essential gas laws any air medical professional must understand to work in this industry. Listen in as we discuss Boyle's Law, Dalton's Law, Charles Law, Henry's Law and Fic…
 
There are 8 different stressors of flight that you as a Flight Paramedic or Flight Nurse must be familiar with. In this episode of the podcast, I discuss the most important of these flight stressors: hypoxia. I discuss the 4 different types of hypoxia and the most common causes of each. I also share with you the three guidelines that regulate when …
 
Being thrust into a survival situation as a result of an accident or unplanned event while on duty can be unnerving, to say the least. But being both mentally and physically prepared for the unexpected can go along way towards making sure we make it home. In this, the third episode in my series 52 weeks of EPICC I'm sharing with you some of the mos…
 
How many have actually read through the CAMTS standards in preparation for the Flight Paramedic or Critical Care Paramedic exam? My guess is not many. This week, the second week of 52 weeks of EPICC, I dug deep into the newly released CAMTS 11th edition standards to find the good stuff. From Duty Shift Times and Crew Fatigue to Part 135 requirement…
 
I’m kicking off a series I’m calling 52 Weeks of EPICC to celebrate completing the EPICC Review Course and its pending approval by the International Board of Speciality Certifications. In this, the first of 52 episodes for 2019, I’m pulling directly from Section 1 of the EPICC Review Course where I discuss VFR and IFR flight rules, and Inadvertent …
 
“The value of experience is not in seeing much, but in seeing wisely.” ― Sir William Osler Deciphering signal from noise as it relates to modern stroke care can be challenging and conflicting, especially as it pertains to the out of hospital environment. In this podcast, we brought the knowledge and experience of Dr. Ben Newman: a neurosurgeon and …
 
In this episode, we're graced by the presence of Airway Jedi Dr. Jeff Jarvis. We discuss a novel approach to the standardization of airway management in order to prevent peri-intubation hypoxia and valuable insight into the organizational culture required to make it successful. Link to Dr. Jarvis' paper "Implementation of a Clinical Bundle to Reduc…
 
This podcast is based on the Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients (FEEL) Study, and inferences made from it. The study was to determine the feasibility of prehospital ultrasound, but there were more astonishing results: 74.5% of patients in (pseudo) PEA had cardiac activity. 35% of patien…
 
Terminology Wet, dry, or near drowning are not medically accepted terms and should not be used. There is nothing “near” about drowning. It happened or it didn’t. Drowning is: “the process of experiencing respiratory impairment due to submersion or immersion in liquid.” Drowning has three outcomes. This is a uniform way of reporting data after a dro…
 
For this episode, we bring in an expert and an esteemed guest to answer all of your burning questions about resuscitation of cardiac arrest. Part man, part mystery, but wholly dedicated to furthering excellence in out of hospital care: Dr. Walt Lubbers, MD. Some background: Walt is an Emergency and Prehospital Medicine physician who holds board cer…
 
Why is “prime the pump”, dying? It’s now accepted that sepsis has more to do with vasodilation, and less to do with vascular permeability. Administering a vasopressor turns unstressed volume into stressed volume and improves venous return. Not every patient will respond to fluid administration with an increase in cardiac output. How much fluid do w…
 
Know what a normal LBBB “looks” like: 1) QRS duration greater than 120 ms 2) Negative QRS Complex in V1 3) Positive QRS Complex in lateral leads (I, aVL, V5-V6) LBBB causes a repolarization abnormality: Consider a “repol” abnormality when there is a “general pattern of ST discordance”, meaning the ST segment opposite the QRS in nearly every lead (c…
 
In this episode of the podcast, I answer a question from a listener who is a new flight nurse with a background in trauma who’s looking to improve her skills at reading 12-lead ECGs quickly while on a call. Listen in as I share my process for reading 12-lead ECGs and share some tips on how you can improve your skills no matter how long you've been …
 
Prehospital Surgical Airways: The Truth Behind the Procedure. Very few paramedics have ever actually performed a surgical airway on a patient. In the past 15 years, I've met only a handful of paramedics who have utilized this skill. In fact, I've met more providers that tell me stories about patients they should have cric'ed, but didn’t, because th…
 
From surviving your orientation phase to making it through your first year on the job, these tips will make the process of becoming a flight paramedic a lot easier. So you’ve landed (pardon the pun) a new job as a Flight Paramedic or Critical Care Paramedic. Now what? In this episode, I share 10 Tips to guide you through your orientation phase and …
 
Looking to become a Flight Paramedic? Make sure you're taking the right steps to set yourself up for success. In this episode I share 5 Tips you need to know as you start to purse a job as a Flight Paramedic. I give a few ideas for steps you can take early on in your career to make sure you're to best candidate for one of these coveted positions pl…
 
ETCO2 is a representation of 1) The concentration of CO2 in the blood, and 2) Perfusion of blood to the lungs, with the second being the primary determinant of your ETCO2 numerical value in the prehospital field. Without taking this into consideration, mistakes in diagnosis and treatment in PHEM are likely. Listen to how you can, in conjunction wit…
 
Loading …

Quick Reference Guide

Copyright 2020 | Sitemap | Privacy Policy | Terms of Service
Google login Twitter login Classic login