"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what ...
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for 14-30 days prior to your ACLS class will help cement the core concepts t ...
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Bush League Sports is a weekly podcast, hosted by Jake Roth and Mac Hodgkiss, created to inform and entertain. Filled with quality content and high profile guests.
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CPR AED First Aid BLS classes
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Celebrating the clinicians who work on an ambulance!
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Blogger Craig Beam (My Life in the Shadow of The Twilight Zone) joins the Twilight Zone podcast fray with his own...um... UNIQUE take on the classic series.
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This mini series is pulled from our full length podcast: Business Leadership Series (www.blsnow.net). BLS is a podcast and radio show (ESPN regionally). Our audience is comprised of business owners, leaders, and entrepreneurs who desire to learn from our guests’ knowledge, advice, and experience for personal and professional growth. This content series is a free subscription shared through written, audio, and video interviews. Learn more at www.businessleadershipseries.com
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EMSconnect On Shift is a podcast that brings together the stories, challenges, and insights of the medical and EMS communities. Hosted by experienced professionals, this show dives into the real-world experiences of those on the frontlines of emergency medical services. From heart-pounding calls to the behind-the-scenes operations, EMSconnect On Shift offers a unique perspective on the daily lives of EMS providers. We also feature episodes for general audiences, highlighting topics that reso ...
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"That's Bush...BUSH LEAGUE!" -Ron Burgundy
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Three friends invade your personal space with their offbeat humor, crypto knowledge, and the week's news of the stupid. Uncensored. Unmoderated. Undeniably fun. Support this podcast: https://podcasters.spotify.com/pod/show/jive-turkeys/support
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This Podcast is intended to act as a forum for Maine EMS to share information with providers and service leadership. We will attempt to stick to a format of covering frequently asked questions, short section of Maine EMS updates, and a section of education. After listening to the audio you can take a short quiz and receive continuing education hours for this activity. Stay safe
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“To be Source of Positivity, Possibility & Prosperity" Investor, CEO & FM @ Turtle Wealth, Blod Grp:E+ Author-212° The Complete Trader Podcast-Wit,Wisdom&Wealth Website: www.turtlewealth.in Twitter: https://twitter.com/rohanmehta_99
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Hospital nursing staff face many post-pandemic challenges in their cardiac resuscitation programs. Ensuring all staff have the confidence, technology, and tools for optimal response is a primary goal for hospitals throughout the nation. “Beyond the Shock” offers relatable insights and experiences to use in your cardiac resuscitation programs. Download it today and uncover new ways to look at current challenges. The speakers and guests in this series may have a financial or advisory relations ...
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Built on the lifeguard mantra of "educate, prevent, rescue, and resuscitate," Lifeguards 10-8 will dive into the tradecraft, from lifesaving procedures to lifeguard history. Produced and hosted by professional ocean/river lifeguards, this education-based podcast will explore the hazardous and often rewarding profession of open water lifesaving. Episodes will include interviews and training briefs with front-line beach lifeguards and operations supervisors from various services across America ...
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Hi! Welcome to Business Lesbian! This is a creative endeavor fueld by a gentle existential crisis currently being experienced by yours truly: Brittany Diederich. The Business Lesbian.From 2011-2022 I worked at my family construction business, rose through the ranks, and ended up as the Director of Finance and Administration and Part-Owner. It was a wonderful learning experience and I'm so grateful for the opportunity and the insane amount of nepotism I benefitted from. In 2022, I made the di ...
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BLS Provider Essentials: EMS Detective
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In this gripping episode, we dive into the world of the EMS detective—those first responders who don't just stabilize patients, but also play a crucial role in piecing together the puzzle of emergencies. From uncovering hidden medical conditions to identifying signs of foul play, EMS providers often find themselves investigating the unknown. Whethe…
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Post-Arrest Care & Targeted Temperature Management (TTM)
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The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …
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Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient’s blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro is necessary to ensure patient safe…
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The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember …
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Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart. Beta blockers effects on the heart. When we should consider the …
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This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. Th…
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Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…
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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest
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Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…
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Code Flow Using the Adult Cardiac Arrest Algorithm
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Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such …
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For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and rout…
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Episode 124 - Canine Care w/George Tarver III
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Humans are easy. That's why we are able to do what we do as prehospital providers. But what happens when your patient is a canine? These working dogs are highly regarded by their handlers and require care just like anyone else that may be ill or injured. Considering that, are you equipped to care for them? If not, how can you successfully start and…
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To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: Find a system for ECG interpretation that works well for you; and Practice reading ECGs every day for a few weeks before your clas…
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In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration …
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The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindica…
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Tamponade as an H&T Reversible Cause of Cardiac Arrest
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When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedu…
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Team Leader and Use of Quick Reference Cards
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Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to…
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The Importance of Early CPR & Defibrillation
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Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation. The chance of successful defibrillation decreases every minute that passes. …
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Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to…
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Vagal Maneuvers for Stable Tachycardia Patients
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Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indication…
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Defibrillation & Synchronized Cardioversion Energy Settings
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Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a sho…
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Identification and Treatment of Unstable Bradycardia
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Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturat…
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Post-Arrest Care & Targeted Temperature Management (TTM)
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The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …
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The Chain of Survival for Cardiac & Stroke Emergencies
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The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arres…
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Hypokalemia & Hyperkalemia as a H&T Reversible Cause
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Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can ca…
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Time Goals for Assessment & Treatment of Stroke
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When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. The first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a similar fi…
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Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Aden…
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Identification of Second-Degree AV Blocks and Their Treatment
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To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (<60, 60-100, 101-149, or >150); Is the rhythm regular or irregular; What's the shape, width,…
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When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximet…
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Chest Bumps and Gut Punches: An EMS Guide to Chest and Abdominal Trauma With Dr. Dierks
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In this episode, we dive deep into the critical topic of chest and abdominal trauma, essential knowledge for all EMS providers. Join us as we explore the mechanisms of injury, key assessment techniques, and life-saving interventions. We'll discuss common conditions such as pneumothorax, hemothorax, and abdominal injuries, highlighting the importanc…
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Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? Objective measures of high-quality CPR include: Compression rate; Compression depth & recoil; ETCO2; and Chest Compression Fr…
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Atropine & Dopamine for Unstable Bradycardia
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When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block. ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use…
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The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient’s tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for…
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Episode 123 - To Treat or Not to Treat: Hypertension
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It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertens…
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Hypoxia: An H&T Reversible Cause of Cardiac Arrest
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Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pu…
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In this thought-provoking episode, we explore the Dunning-Kruger Effect—a cognitive bias that causes individuals to overestimate their own knowledge and abilities while undervaluing those of others. We’ve all encountered that new firefighter or EMS provider who seems full of confidence but struggles to deliver results. They can be tough to work wit…
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BLS Provider Essentials: Seen Safety, Not Scene Safety.
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In this episode, we dive into "Seen Safety." Yes that is the wrong version, of "scene" that is intentional! We’ve all learned the mantra "BSI, scene safe," treating it like a checkbox to tick off. While we generally avoid unsafe scenes, how often do we evaluate the situation ourselves? Are you practicing habits on every call that ensure your safety…
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The Best Way to an EMT's Heart is Through Their Stomach With Dr. Ernest
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Ready to become the hero of the scene when it comes to heartbeats and bellyaches? This high-energy, hands-on course is designed to transform EMS providers into masters of managing cardiac and abdominal emergencies. From chest pain to that "something doesn’t feel right" abdomen, we’ll walk (or sprint!) through the must-know signs, symptoms, and quic…
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"Ketamine: A New Frontier in Mental Health Treatment with Dr. Danielle Wolff and Illume Wellbeing"
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In this episode, we explore the growing interest in ketamine as a potential treatment for various mental health conditions, including depression, PTSD, and anxiety. Join us as we speak with the team from Illume Wellbeing, who explain how ketamine works in the brain, why it's different from traditional antidepressants, and what patients can expect f…
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Episode 122 - Stay Positive When Preoxygenating (PREOXI Trial)
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The principles of preoxygenation and passive oxygenation should be familiar to any experienced intubator. Best practice recommends the use of a nasal cannula in conjunction with either a non-rebreather mask or bag-valve mask (BVM) to prevent hypoxemia during the apneic phase of Rapid Sequence Intubation (RSI). In the PREOXI Trial, the authors pushe…
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Culture of Safety & Crew Resource Management with Dr. Ryan
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In this riveting episode of EMSconnect On Shift, we dive deep into the critical concepts of Crew Resource Management (CRM) and the Culture of Safety within Emergency Medical Services (EMS). Join us as we explore how these essential practices are transforming the way emergency medical teams operate, ensuring not only effective patient care but also …
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Don't Be Wheezy: Strategies for Allergy and Anaphylaxis with Dr. Eric
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In this eye-opening episode of EMSconnect On Shift, we tackle a critical topic in emergency medical care: managing allergies and anaphylaxis in the field. Join us as we explore life-saving strategies and protocols that can make a significant difference when responding to allergic reactions and severe anaphylactic emergencies. https://www.facebook.c…
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Evidence Based Guidelines and Research with Dr Ryan and Dr Ken
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We’ve all heard the phrase in EMS: “Well, we’ve always done it this way.” And we’ve all faced the frustration of implementing change in our agencies. But where do we start? What research should we rely on, and is it even accurate? Join Dr. Ryan and Dr. Ken as they cover Evidence-Based Medicine (EBM/EBP). This lecture will empower you to understand …
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Episode 121 - Outside the Box: Cardiac Arrest Management
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Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond "blanket" protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking "outside the …
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CoffeeTalk: Dealing With The A$$hole In The Room
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"The A$$hole in the Room" is a podcast that tackles the often uncomfortable yet relatable topic of dealing with difficult people, particularly those who exhibit challenging or abrasive behaviors in various settings. The episodes aim to provide EMS providers with insights and strategies for managing interactions with such individuals, whether in per…
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Episode 120 - Sorry, We Are Closed: Interfacility Transfers w/Austin Wingate
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Interfacility transfers are not always indicated at the time and place of which they are being requested. Whether it's referring provider misinformation or a lack of advocacy by the transport agency, these transfers can result in unnecessary risk for crew members and patients. Specifically, weather conditions, time of day, crew fatigue, and other i…
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Ep: 16 Turtle's Master Class: Book Review - The Great Silver Bull
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Guidance from ILCOR: Improving Cardiac Arrest Outcomes
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Join us as we review and explore the key steps presented in the International Liaison Committee on Resuscitation (ILCOR) paper, “Ten Steps Toward Improving In-Hospital Cardiac Arrest Quality of Care and Outcomes.” Our clinical guests dive into the steps and discuss the importance of each for clinicians striving to improve outcomes from cardiac arre…
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Broken Keys: Unlocking Endocrine Emergencies in EMS with Dr. Racht
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"Broken Keys" is a comprehensive course designed to equip EMS professionals with the essential tools and strategies to effectively manage diabetic emergencies in the field. From recognizing the signs and symptoms of hypoglycemia and hyperglycemia to implementing rapid intervention protocols, this course covers everything you need to know to navigat…
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Episode 119 - Losses and Gains: Antidiuretic Hormone
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Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthe…
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Join us for a preview of ZOLL Medical's education sessions at the 2024 American Association of Critical-Care Nurses National Teaching Institute & Critical Care Exposition (AACN NTI) in Denver, CO. Our guest educators will give an overview of their sessions, focusing on advanced resuscitation techniques and innovations in critical care. Discover the…
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