Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Are They Choking? Esophageal Foreign Body

We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as 'Steakhouse Syndrome,' and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there's any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases.

 

• Resources and links
  • This episode was inspired by an article on EMSAirway.com- Friday Night Lights- Shift 9 Steak Night
  •  EMScast15 - code for 15% off an awesome pair of sunglasses 
  • Help Us By Filling Out Our Audience Survey
  •  Medic Box - awesome medical gear shipped directly to your door 
  • Articles-

    • American Society for Gastrointestinal Endoscopy- Guidelines for ingested foreign bodies

    •  

      Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis.

    •  

      Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial

    •  

      Conservative management of oesophageal soft food bolus impaction

    •  

      Esophageal Food Impaction: A Retrospective Chart Review

    • Food Bolus Impaction- Question and Answer Review

 

 

Guest/Cast/Crew information-

Host- Ross Orpet, Will Berry 

 

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

 

00:00 Introduction to Esophageal Foreign Bodies

00:43 Audience Survey and Sunglasses Giveaway

01:46 Interview with Contest Winner

06:11 A Choking Incident at Mile High Stadium

09:02 Discussion on Esophageal Obstructions

11:46 Life-Saving Story at Denver International Airport

13:28 A Life-Saving Outcome

14:11 The Choking Incident at the Tavern

14:57 Assessing the Patient's Condition

19:38 Understanding Esophageal Food Impaction

21:49 Treatment Options and Challenges

29:01 The Role of Endoscopy

37:45 Managing Esophageal Impactions in the Field

39:32 Final Thoughts

10 Lessons From A Real Austere Rescue That Apply To You, No Matter Where You Work

Delve into a real-life rescue mission conducted by the U.S. Air Force Pararescue Jumpers (PJs) in the North Atlantic Ocean and learn ten crucial lessons for enhancing EMS practice. Dr. Michael Lauria shares these ten critical lessons from this challenging scenario that are essential for medical professionals working in any prehospital environment. From the importance of preparation and the power of a small team, to the significance of continuous learning and the dynamic nature of safety, these insights are invaluable for enhancing clinical practice. Tune in to learn how these lessons can be applied to improve how you approach the job.

• •  EMScast15 - code for 15% off an awesome pair of sunglasses 
  • Tell us about you and how we can make this show better
  •  Medic Box - awesome medical gear shipped directly to your door 

Guest/Cast/Crew information-

Guest- Dr. Mike Lauria

Host- Ross Orpet, Will Berry 

Resources

• Other episodes you might like
• Third-party websites where you can learn more
• Podcast announcements

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

Bonus: A Better BVM? How I Built This EMS Cast Style- A Crazy Story About an Emergency Nurses Invention and Battle to Save Lives and Prevent Harm.

In this special bonus episode of EMS Cast, we delve into the story of Bobby Sue McCollum, an emergency nurse turned inventor. Learn about the critical issue of over ventilation in emergency medicine, the innovative VT Select device designed to address this problem, and the crazy inspiring journey of its creation. With discussions on the challenges of finding the optimal ventilation rates and volumes, the episode balances medical data and personal narrative. Bobby Sue shares the highs and lows of her entrepreneurial path, from initial prototype development to eventual licensing, offering valuable insights for aspiring inventors in the medical field.

 

Resources Mentioned in the Show-

VT Select Bag Valve Mask

A Review of Ventilation in OHCA

Pediatric BVM Delivers More Ideal Volumes in Mannequins

Small BVMs Lead to Decreased Survival in a Small Real World Study 

00:00 The Problem with Overventilation

00:53 Introduction to the VT Select Device

02:01 Meet the Inventor: Bobby Sue McCollum

05:06 The Journey of Invention

12:10 How the VT Select Works

14:04 Challenges and Triumphs

27:37 Advice for Aspiring Inventors

31:15 Conclusion and Final Thoughts

The Critical Four Minutes: AMAX4 framework for Anaphylaxis

Explore anaphylaxis care from the basics to the critical approach to managing severe anaphylaxis with Bruce Hoffman, FlightBridge ED senior educator. Find out what it means to be aggressive with anaphylaxis care explained through the AMAX4 framework.  Learn how the framework can help reverse anaphylactic shock and prevent catastrophic outcomes. Hear the impactful story behind the framework and gain insight into the most effective practices for treating unresponsive anaphylactic and asthmatic patients. Special thanks to the McKenzie family for their mission-driven educational work. 

• Resource links
  • Episode Blog Post / Show Notes 
  • AMAX4 website
  • Anaphylaxis deep dive
  • Updated Anaphylaxis Definition
  •  EMScast15 - code for 15% off an awesome pair of sunglasses 
  • Help us learn how to make this show better for you
  •  Medic Box - awesome medical gear shipped directly to your door 

Guest/Cast/Crew information-

Guest- Bruce Hoffman- Goodwin University Program Director and Assistant Professor, FlightBridgeED senior educator, Bay State Health Critical Care RN and Paramedic

Host- Ross Orpet, Will Berry 

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

From Errors to Excellence: Master Your Medics Geoff Murphy on the role of mistakes in EMS education

The Power of Embracing Mistakes- Special guest Geoff Murphy, founder of Master Your Medics, shares how acknowledging and learning from mistakes can save lives in the field of prehospital medicine. Recorded at the Fast 24 conference, this episode emphasizes the importance of cultivating a culture of safety, vulnerability, and continuous learning within EMS teams. Discover actionable strategies to foster a psychologically safe environment where mistakes are openly discussed and used as invaluable learning tools to enhance professional development and patient care. This insightful discussion is a must-watch for anyone looking to elevate their skills and create a high-performing EMS team.

• EMScast15 - code for 15% off an awesome pair of sunglasses
• Enter to Win a FREE Pair of Frontline Optics Sunglasses
• Medic Box - awesome medical gear shipped directly to your door

Guest/Cast/Crew information-

Guest- Geoff Murphy, founder of Master Your Medics

Host- Ross Orpet, Will Berry 

 

Resources

• Ep. 31 You Were Taught Wrong, Traumas Not Algorithmic
• MasterYourMedics.com

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

00:00 Introduction: The Power of Discussing Mistakes

00:38 Welcome to EMS Cast

00:52 Today's Topic: How Mistakes Can Save Lives

01:16 Embracing Failure: Insights from Jeff Murphy

01:37 Creating a Culture of Safety and Vulnerability

06:29 The Fearless Organization: High vs. Low Performing Teams

11:49 Personal Stories: Learning from Mistakes

19:15 Master Your Medics: The Journey and Vision

23:43 Conclusion: The Path to Mastery

Poisons of the Sea: Not Just a Coastal Problem

Think you only need to worry about toxicities that exist in the sea if you live by an ocean? Think again. No matter where you are fish may be on the menu, or there may be a zoo nearby, or a marine enthusiast with an elaborate home aquarium. These toxicities can be seen in Colorado. They can be in Australia or in the US. No matter where you are you have the potential to see one or many of these. From scombroid poisoning to puffer fish, irukandji syndrome, jellyfish, and sea snakes- tune in to this week's episode to learn all about the various poisons that come from the sea with toxicologist Nik Matsler.

• Website show notes link
• EMScast15 - code for 15% off an awesome pair of sunglasses
• Enter to Win a FREE Pair of Frontline Optics Sunglasses
• Medic Box - awesome medical gear shipped directly to your door

Guest/Cast/Crew information-

Guest- Dr. Nik Matsler

Host- Dr. Ross Orpet and Critical Care Paramedic Will Berry 

Resources

• Other episodes you might like
  • Episode 26: Snake Bites
  • Episode 25: Cocaine Overdose
• Third-party websites where you can learn more
  • Marine Envenomations Journal Article
  • 5 Step Approach to Marine Envenomations

Catch up with us after the show

• Instagram- @emscast
• Twitter- @ems_cast
• Website- www.emspodcast.com

The Critically Sick Runner: Unraveling the Mystery at an Ultra-endurance Event with Dr. Whitney Barrett

Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, discusses the critical considerations for EMS providers when encountering sick runners during endurance events. Insights on managing ultra-endurance athletes, focusing on conditions such as hyponatremia, dehydration, electrolyte imbalances, and the unique challenges presented by high-altitude races. Learn about effective rehydration and cooling strategies, and the critical role of context in diagnosing and treating affected runners.

 

EMScast15 for 15% Off Frontline Optics Sunglasses

Enter to Win a FREE Pair of Frontline Optics Sunglasses

Blog Post and Critical Runner Algorithm- The Critical Care of the Sick Runner

 

00:00 Introduction and Hosts

00:39 Conference Recap

01:03 Guest Introduction: Dr. Whitney Barrett

01:29 Understanding the Sick Runner

02:29 Medical Considerations for Ultra Marathons

08:15 Common Issues in Ultra Runners

12:45 Responding to Sick Runners

19:42 Fluid Management and Hyponatremia

35:10 Handling Hyperthermia and Hypothermia

44:05 Dealing with Collapsed Runners

53:36 Final Thoughts and Takeaways

EMCRITs Scott Weingart on How to Master the Resuscitation

EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental simulation, embracing challenges, handling crises efficiently, and continuous self-improvement. We conclude our discussion by exploring the philosophy 'Amor Fati' and underscore the broader impact EMS professionals can have beyond simply saving lives.

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

Blog Post- How to Master the Resuscitation

Building Better Providers: Eric Bauer, Lessons from FlightBridgeED

Will and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers, including Eric Bauer, one of the original founders of FlightBridgeED. In today's episode, we delve into Eric's journey in EMS education, how FlightBridgeED was conceived, and the importance of continuous learning. We also discuss the challenges of becoming an expert in the field and tips on improving your skills incrementally. Join us as we explore these valuable insights and look forward to upcoming episodes featuring more stellar guests from FAST24!

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

 

Blog Post- Building Better Providers

Mushrooms: The Perils and Pleasures with Toxicologist Dr. Nik Matsler

In this episode, we delve into the fascinating and often perilous world of mushrooms. Join us as we explore with Dr. Nik Matsler how these fungi can be a culinary delight, a source of psychedelic experiences, or a deadly hazard. We discuss the challenges of identifying mushrooms, even for experts, and why toxicologists rely on mycologists for accurate identification. We'll break down the different types of mushrooms—non-toxic edible varieties, toxic species, and psilocybin-containing "magic mushrooms." Learn the practical tips for EMS professionals on managing mushroom poisoning, including supportive care strategies and specific interventions for severe cases. 

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

 

Episode Blog Post- The Perils and Pleasures of Mushrooms