Dissections occur when the tunica intima and tunica media layers of the aorta weaken and tear causing blood to create a false lumen. Different classifications determine severity and treatments. ——Standford Classification—— Type A- Ascending aorta and can continue to the arch and/or the descending aorta. Type B- Involves the descending aorta distal …

Remember the WPW Triad 1. Short PR Interval 120ms 3. Delta Wave *This is WPW pattern, patients that present symptomatic then have WPW syndrome.* Image Sources WPW EKG- Notice the slight upstroke into the QRS complex, that's the delta wave! Image Sources Treatments- Most people will be asymptomatic with just WPW pattern, monitor for any tachycardia …

Ventricular assist devices can be confusing and scary to manage. Having knowledge can increase your confidence and the care delivered to your patient. I talked with Dillon Wenberg, IA MED critical care instructor and co-author of the NEW IA MED MCAD course/book. We discussed all of the commonly asked questions about LVADs in prehospital settings. M…

Join us today as we discuss pulmonary embolisms. This is a common diagnosis you will need to identify and treat within the prehospital setting. Check out some resources below. Enjoy, and don't forget to subscribe on iTunes and leave a rating. SUBSCRIBE AND LEAVE A RATING ON ITUNES!!! If you have any questions please feel free to contact me at pushd…

Join in today's episode with a overview of hyperkalemia. Like most topics in paramedic school, this is one that "you don't really need to know". Well turns out its pretty darn important. Check out some resources below and infographics on topics discussed. Check out LITFL for some awesome hyperkalemia EKG examples https://litfl.com/hyperkalaemia-ecg…

In this series we looked at DKA and HHNS, two common hyperglycemic calls a paramedic may encounter in the prehospital setting. Part 2 discusses HHNS. How is this different than DKA, and how do we treat it. Tune in and find out. THANK YOU TO ALL OF OUR PARAMEDICS, EMTS, NURSES, PHYSICIANS, RESPIRATORY THERAPISTS AND MORE. EVERYONE IN HEALTHCARE RIGH…

Hyperglycemia is a common call a provider will encounter, wether in the prehospital setting or the emergency room. As a prehospital provider our interventions are limited, but it is still important to understand the pathophysiology of this disease. In this two part series lets break down two manifestations of hyperglycemia, DKA and HHNS. FlightBrid…

Join me today as we take a deeper look into antihypertensive medications. We go over some of the most common medications you may see including, beta blockers, CCB, ARB's, and more. SUBSCRIBE AND LEAVE A RATING ON ITUNES!!! Follow us on Twitter- @pushdosemedic If you have any questions please feel free to contact me at pushdosemedic@gmail.com The Pu…

Let’s break down the RAAS system! It’s super simple and easy to understand! So the renin-angiotensin-aldosterone-system is a complex pathway and regulatory system, that responds to decreased pressure and volume within the body. This system is important for blood pressure management but can be altered in chronic medical conditions. This system invol…

Today we take a look at capnography! Capnography is a useful tool used mainly in the prehospital setting, that reveals a plethora of information. Now we all know that we use capnography on our respiratory patients, but how else can we use it? Ever heard of monitoring perfusion status while pacing? Check out this weeks episode as I sit down with Joh…

We all know pediatric calls can be stressful, complicated, and chaotic. There has always been a stigma that pediatric patients should be treated differently, this puts a mental block in our heads that affect us and the patient. I invite you to listen to Dr. Antevy, and myself as we discuss pediatric care guidelines and PEARLS. In this two-part seri…

We all know pediatric calls can be stressful, complicated, and chaotic. There has always been a stigma that pediatric patients should be treated differently, this puts a mental block in our heads that affect us and the patient. I invite you to listen to Dr. Antevy, and myself as we discuss pediatric care guidelines and PEARLS. In this two-part seri…

Motivation, attitude, positivity, these are all key non-clinical components to maintain a successful and rewarding career. In EMS we have a high tendency to face burnout and lose sight of why we chose to enter this career. Listen in as me and Tony talk about staying motivated and facing burnout. Be sure to check out Tony's podcast MotivatedMedic fo…

Is sepsis the silent killer in pre-hospital medicine? We as clinicians need to be diligent and take control to identify these patients and get them the correct care. Remember TIME is TISSUE. This is my small rendition on sepsis Surviving Sepsis Campain 1-hour bundle WWW.PUSHDOSEMEDIC.COM IS NOW LIVE!!! Check out the website for more education tips,…

If you were like me when I graduated, I was terrified of the whole RSI concept. Thrown into the world ready to take an airway...NOT! Listen along as we discuss common drugs and procedure to facilitate a smooth RSI. EMCrit published a great podcast/blog on intubation checklists. This is crucial in the preparation phase. https://emcrit.org/emcrit/emc…

This week I'm rolling out a new segment where I'll discuss research papers of interest. Today we are comparing the Airways 2 and the PART trial. These are similar papers discussing data on airway management in OHCA. Thanks for listening, hope you enjoy. If you have any ideas for future topics, please let me know. For more information on these trial…

Let's kick off this initiative this year and make a change. This is for you and everyone around you, 8-12 million people are trained in CPR annually, not its time for everyone to be trained in hemorrhage control. Take a class and bring a friend, you won’t regret the information or fun! Stop by bleedingcontrol.org for local classes near you! If you …

Tylenol...who knew something so simple and OTC can be so deadly. Tylenol toxicity can be complicated so let's break it down in simple terms. Please feel free to contact me at pushdosemedic@gmail.com Stickers are available! Contact me for ordering. Check out this easy breakdown of the stages of toxicity! Below are some additional resources that brea…

All aboard the trauma train!! Let's break down the trauma triad of death a little bit for us new medics. Of course, this can be a complicated concept but it doesn't have to be! Trauma can be fun if we do it correctly!! Please feel free to contact me at pushdosemedic@gmail.com A further breakdown of the trauma triad. https://www.jems.com/articles/20…

The season is among us! Pediatric respiratory emergencies are important to identify and treat correctly. Please feel free to contact me at pushdosemedic@gmail.com For more information on racemic epi check out Owen Wood's podcast "DitchDocEM" https://www.ditchdocem.com/2017/04/17/racemic-epinephrine/ Quick and easy chart for comparison!! Notice the …

From prehospital to the emergency room, Narcan is misunderstood. Let's change that and educate yourself along with others. *Follow your local protocols* Questions, concerns or updated information I didn't mention? Contact me at pushdosemedic@gmail.com. Thanks!!By Jaren Jarrell

Thanks for listening! Feel free to contact me at pushdosemedic@gmail.com So, the first day on the truck and you're en route to a respiratory arrest. Are you prepared to intubate? Do you have a plan? Let's talk airway with the PPE of airway management! P-Plan/Prep P-Position E-Execute/Intubate Check out the FlightBridgeEd podcast on the HEAVEN crite…

Welcome to the first episode of Push Dose Medic. In this episode, I'll explain a new concept I have developed to help battle the ongoing issues with first responder mental illness.By Jaren Jarrell