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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.
Episodes
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/
Wednesday Feb 01, 2023
Wednesday Feb 01, 2023
Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction gave insights to a whole range of topics. I had the pleasure of getting to see some of them. Check out this recap to learn more.
Sunday Jan 15, 2023
Sunday Jan 15, 2023
Emergency Pharmacist Lance Ray joins us to educate us on all the various new classes of diabetic medications. Learn which ones cause hypoglycemia, which ones don't, and a couple which cause some rare life threatening conditions.
Saturday Dec 31, 2022
Saturday Dec 31, 2022
Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full article here. https://link.springer.com/article/10.1007/s00134-022-06832-9?mc_cid=93f14f4c87&mc_eid=65c52bf2df
Thursday Dec 15, 2022
Thursday Dec 15, 2022
Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency Physicians, and Paramedics to help clearly delineate our priorities in trauma.
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To view the whole document visit our website:
Wednesday Nov 30, 2022
Wednesday Nov 30, 2022
The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life.
Monday Oct 31, 2022
Monday Oct 31, 2022
It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to take us through how novel drugs escape our legal system and what the dangers are. And a new update on good ol' meth too!
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Full show notes at: EMSpodcast.com
Papers mentioned in the show:
2019 Review Article of papers looking at antipsychotics in the treatment of sympathomimetics
Chemical restraint for the agitated patient in the emergency department: lorazepam versus droperidol
Friday Sep 30, 2022
Friday Sep 30, 2022
Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams?