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Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters. Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production
Episodes
Saturday Jun 17, 2023
Saturday Jun 17, 2023
Earlier this month Ross and Will visited the Rocky Mountain Trauma and Emergency Medicine Conference. In addition to trauma games and sim wars, there were so many great lectures and EMS Cast was lucky enough to get to interview some of the speakers about their talks. We are excited to get to bring some of this great content to our listeners. Dr. Maria Moreira tells us about the conference and then Ross and Will sit down with Trauma Critical Care Fellow Dr. Chelsea Horwood to learn all the ins and outs of ECMO in the trauma patient.
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To see a list of this years lectures and events-
https://web.cvent.com/event/591e0026-80af-42cb-a801-ae94dd363ed6/summary
To learn more about ECMO-
Thursday Jun 01, 2023
Thursday Jun 01, 2023
American College of Surgeons just updated their prehospital trauma triage recommendations. Learn about what the updates mean for paramedics and EMTs and how you can practice this on everyday EMS calls.
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Link to Blog Post-
https://emspodcast.com/trauma-triage-guidelines-update/
Link to ACS Trauma Triage Guidelines-
https://www.facs.org/quality-programs/trauma/systems/field-triage-guidelines/
Monday May 15, 2023
Monday May 15, 2023
Pharmacist, Kevin Kaucher, joins us to discuss the ins and outs of nitro in acute coronary syndrome. Does it work? Is sublingual better than paste? Can it be dangerous? Come learn the latest on nitroglycerin.
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For more info and to see the EKGs from the case:
https://emspodcast.com/the-truth-about-nitro-separating-fact-from-fiction/
Monday May 01, 2023
Monday May 01, 2023
Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might find them and most importantly how to keep yourself safe. We'll also discuss nerve agents and how to recognize and treat these as well.
Saturday Apr 15, 2023
Saturday Apr 15, 2023
Toxicology fellow Dr. Nik Matsler teaches us about the pathophysiology of cyanide toxicity and it's various antidotes. Learn how to recognize, learn when to treat, and learn some historical trivia while we're at it.
Saturday Apr 01, 2023
Saturday Apr 01, 2023
Dr. Whitney Barrett shares why the Glasgow Coma Score is a useless number and what we should use instead.
Wednesday Mar 22, 2023
Wednesday Mar 22, 2023
This is a Q&A follow up to last weeks episode on serotonin syndrome. This week paramedic Will Barry asks toxicology fellow Dr. Nik Matsler the questions that came up for him after listening to last weeks case. And at the end we kept in an impromptu conversation on end tidal CO2 in the pre-hospital setting. Enjoy.
Wednesday Mar 15, 2023
Wednesday Mar 15, 2023
Toxicology fellow Dr. Nik Matsler helps us dissect a case that Matt saw working an EDM concert. As I interview Matt about the case, Nik gives us the dos and don'ts when it comes to serotonin syndrome.
Wednesday Mar 01, 2023
Wednesday Mar 01, 2023
This is a tough job and we all have scars from it. It's time to quit sweeping them under the rug and start openly discussing them. This episode was inspired by an upcoming documentary- "Into the Unknown, the Paramedics Journey". You can check out the trailer and more about the movie here - https://intotheunknowndoc.com/watchtrailer/
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Wednesday Feb 15, 2023
Wednesday Feb 15, 2023
Emergency pharmacist Lance Ray helps us breakdown the latest literature with regards to steroids in cardiac arrest.
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Andersen LW, Isbye D, et al. Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021 Oct 26;326(16):1586-1594. doi: 10.1001/jama.2021.16628. PMID: 34587236; PMCID: PMC8482303.
https://pubmed.ncbi.nlm.nih.gov/34587236/