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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
Friday Apr 30, 2021
Friday Apr 30, 2021
Emergency Physician and Toxicology Fellow John Rague joins us to discuss the presentation and management of digoxin toxicity in addition to other cardiac glycosides. Digoxin is not as commonly prescribed anymore thus our teaching on this topic has become less common. But digoxin and other cardiac glycosides are still available and used today so it's still important to understand the recognition and treatment of this toxicity.
Thursday Apr 01, 2021
Thursday Apr 01, 2021
A deep dive on MCI with Will Berry. You have to practice.
Sunday Feb 28, 2021
Sunday Feb 28, 2021
Toxicology fellow extraordinaire Alexa Camarena-Michel, MD joins us again to talk about one of sickest overdose patients you may see. Calcium channel blocker and beta blocker overdose patients can be really sick and are often refractory to our standard therapies. Learn how to better manage these patients.
Saturday Jan 30, 2021
Saturday Jan 30, 2021
A longer one than usual. We take a deep dive into hypothermia with wilderness medicine physician and expert Martin Musi.
Thursday Dec 31, 2020
Thursday Dec 31, 2020
Alexa Camarena-Michel teaches us a simple approach to caustic ingestions and more.
Monday Nov 30, 2020
Monday Nov 30, 2020
Dr. Wright joins us to discuss acute respiratory distress syndrome (ARDS). There has been a lot said about ARDS recently given some of it's similarities to the COVID-19 disease process. That being said ARDS has been around for a long time and is very much its own disease process. We discuss how to define it, how to recognize it, and how we treat it. There are some great media and pictures to help illustrate the points made in this episode on our website. Check out the show notes at https://emspodcast.com/acute-respiratory-distress-syndrome.
Monday Oct 19, 2020
Monday Oct 19, 2020
Undiagnosed or misdiagnosed diabetes is common because of how vague the symptoms can be. Chief Harper from Denver Paramedics tells us his incredible personal story dealing with his son's diagnoses, his path to becoming an expert on diabetes, and how we should think about this as prehospital providers.
Friday Sep 18, 2020
Friday Sep 18, 2020
This month we sit down with Assistant Medical Director Whitney Barrett to discuss the dos and don'ts of calling in for medical control.
Monday Aug 10, 2020
Monday Aug 10, 2020
This is still included in the A of ABCs but I got essentially no training on this in paramedic school. I honestly didn’t get much formal training on this after becoming an ED doc either. I just had to bug RTs and ICU docs to learn what I know now.
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Airway problems are terrifyring without an approach to solve them. But when you have an approach you can fall back on that with a calm confidence. It’s like we’ve always heard: we don’t rise to the occasion, we fall to the level of training. With trach’s, we unfortunately have to train ourselves.
Check out our new website at emspodcast.com! We will have pictures and show notes corresponding to this episode there.
Wednesday Jul 08, 2020
Wednesday Jul 08, 2020
We discuss where things go wrong with how we talk to each other and how we can do better.