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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in-hospital care providers through clinician interviews and expert clinical commentary.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.
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Welcome to PragMed. A podcast hosted by medics for medics. We talk about everything from best practice prehospital medicine to coffee. We are not the average clinical health podcast that pretends to know it all, we find the experts and ask them what they feel is best for prehospital medicine. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table, and we only ask that you be respectful of another. Otherwise, grab a cup of coffee ...
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The Critical Care Triad - The Ventilator Podcast

Caleb Curtis, Jerome Lovelady & Michael Schauf

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Discussing ventilator management in the Prehospital transport environment. We discuss scenario based content coupled current evidence-based literature to provide the latest and best content to our listeners. Our goal and vision is to strengthen the providers in our industry by helping provide an interactive learning platform.
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Prehospital Emergency Care Podcast

Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, Leshmi Kumar

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This is the Prehospital Emergency Care Podcast, the official Podcast for the National Association of EMS Physician's (NAEMSP) journal, Prehospital Emergency Care. This bimonthly podcast contains in-depth interviews with manuscript authors and engaging commentary from EMS physicians Dr. Hawnwan Moy, Dr. Scott Goldberg, Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, Dr. Lekshmi Kumar.
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The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
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PHEMCAST

Tim Nutbeam and Clare Bosanko

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A UK Prehospital Emergency Medicine Podcast. This podcast and associated website aims to: - Share knowledge and expertise in the field of prehospital medicine with specific reference to the UK working environment - Make this content relevant to all professional prehospital practitioners
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"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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Medical chats, interviews and case discussions relating to prehospital, resuscitation and emergency medicine. Brought to you by PREMED. All views expressed herein are those of the hosts or guest(s) and do not necessarily represent the views of their respective employers or affiliate organisations. Hosted on Acast. See acast.com/privacy for more information.
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized

Austin-Travis County EMS System Office of the Medical Director

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From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anything as it relates to EMS.
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The official podcast of the National Association of Emergency Medical Technicians (NAEMT) NAEMT is the only national association representing the professional interests of all EMS practitioners, including paramedics, emergency medical technicians, emergency medical responders, and other professionals providing prehospital and out-of-hospital emergent, urgent or preventive medical care. NAEMT members work in all sectors of EMS, including government service agencies, fire departments, hospital ...
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Like a daily 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 Flash Briefing-style episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high-performing team to deliver quality care. Listening to a tip-of-the-day for 14-30 days prior to a class will help cement core concepts that have been shown to improve outcomes in patients suffer ...
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The Medical Director Minute podcast is a high yield, rapid fire podcast bringing high impact discussions on clinical topics for Paramedics right to your smart phone. Podcasts are kept to about 10 minutes in length to make it easy to listen with your busy schedule.
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Resuscitology is a course for resuscitationists, based in Australia and brought to you by Brian Burns, Karel Habig, Libby Hanrahan, Geoff Healy, Natalie May and Cliff Reid. Our emphasis is on deep discussion of Resuscitation cases with focus on optimal up to date clinical resuscitation, leadership and human factors, wellness and sustainability. This podcast captures some of the thoughts, themes and ideas we are interested in around trauma, critical illness and other resuscitation topics.
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PRN is hosted and produced by four VCOM medical students trying to learn how to be the best doctors they can be. They interview medical professionals at administrative and clinical levels to bring light to their day to day practices and struggles. The goal is to give everyone the opportunity to hear from medical professionals on topics that wouldn't normally be brought up in a classroom setting and spark more fluid conversation among medical students.
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Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch fr…
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In Part 3 of our discussion with crew members of UH AirMed, They wind up the recorded sessions discussion catching up on loose ends of the discussion, cricothyrotomy, laryngoscopy, the various drugs the helicopter carries and the use of blood on the aircraft.By University Hospitals of Cleveland EMSi
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David Anderson describes the current state of play with airway management in the prehospital setting. There are important differences between airway management in the prehospital environment and airway management in hospital. Prehospital intubation has been practiced for over 50 years and continues to evolve, with many techniques and procedures dev…
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Sometimes the hardest part is the waiting. When our team is dispatched to a scene where a man who does not speak English is trapped inside a confined space with possible crush injuries, hypothermia and hyperkalemia, they must wait for him to be extricated. How do you stand that interminable time? How do you stay ready? And then how do you switch fr…
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Two things have changed in recent years to aid students that don't use ACLS in their daily practice. The role of the team leader; and 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 ensur…
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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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In this discussion, Nick Watts, Ramsey Awad, Sharon Desmond, Michelle Fox, & Ben McDonald answer questions from the audience of the Sustainable Healthcare Workshop, which took place at Coda22 in Melbourne, September 2022. For more information about the CODA Project go to: https://codachange.org/By Nick Watts, Ramsey Awad, Sharon Desmond, Michelle Fox, & Ben McDonald
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‘Jana Nguyen sits in the back of an ambulance watching live video of the stroke specialists treating the patient she brought to the neurology clinic just 15 minutes earlier. Before reaching the station, a voice interrupts as the dispatch system notifies Jana and her partner, Chip, that they are responding to a call for a sick child. The screen on t…
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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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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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In this discussion, Amy Freeman-Sanderson, Wade Stedman, & Simon Finfer answer questions from the audience of the Sepsis Leaving Nothing & No one behind Workshop, which took place at Coda22 in Melbourne, September 2022. This discussion also features a first person account from Cherie, a sepsis survivor. For more information about the CODA Project g…
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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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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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In this episode, Aaron and Jason sit down with James Boomhower (Boomer) from StayFit4Duty and talk about mental health and resources for first reponders. Boomer has been involved in EMS for over 20 years in a variety of health systems throughout New England. He currently functions in the role of Critical Care Transport Specialist-Paramedic/ Lead Pe…
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UH MedAir's Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic continue to talk about the airmedical transport system. First, they address the medical brief that can be helpfu to the communications specialists and the flight crew, distinctions between VFR flying and IFR flying for the crew, patients needing LVAD transportation as wel…
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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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Send a text...we would love to hear from you! In this episode of the Ventilator Podcast, we discuss different modes of ventilation, including AC (Assisted Controlled), AC Pressure, and SIMV (Synchronized Intermittent Mandatory Ventilation). We explain the key features and settings of each mode and provide insights on how to manage patients in these…
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Tim Cook uses individual cases and analysis of the systems, processes and human factors involved in unrecognised oesophageal intubation to investigate why this tragic occurrence is still a problem around the world. He offers us some tools and advice to prevent unregognised oesophageal intubation from happening in our practice. This session was reco…
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Nicholas Chrimes, Andy Higgs and Tim Cook - three of the authors of the recently published PUMA guidelines - outline their key recommendations for the prevention of unrecognised oesophagael intubation. As a component of PUMA, these guidelines are intended for airway practitioners of all disciplines working in any context and have been endorsed by t…
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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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The mission of the Project for Universal Management of Airways (PUMA) is to create a single set of airway guidelines that provide consistent guidance for airway practitioners of any discipline, in any country, in any context. Following years of development these guidelines will be released in six separate papers over the rest of 2022. In this sessi…
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This month, we welcome Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic from the UH AirMed critical care transport system. In the first of a 4-part series, they discuss how to become a flight paramedic/nurse as well as answer many questions about air medical transport including a day-in-the-life-of!…
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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. Review the first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA or EVT of …
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Ep 33. NAEMT Radio – Legislating for Critical Access Ambulance Designation In this edition of NAEMT Radio we are delighted to welcome back Steve Kroll, NAEMT’s Advocacy Committee Vice Chair, and Chair of the NAEMT PAC Committee to introduce and discuss the concept of Critical Care Ambulance Designation and its associated reimbursement. Steve, and h…
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Adam Rehak and Gerri Khong walk through the good, the bad and the ugly of human factors in airway management. Using video footage of a highly realistic (tachycardia inducing) simulated airway emergency, the multi-stage case discussion canvases both audience responses and the input of a panel of human factors experts: David Brewster, Brooke Dench, B…
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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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This month we discuss field termination and DOA situations with Dr. Donald Spaner. We will dive into what the medical control physician is looking to hear from the field provider's report, the importance of the care of the family members on scene, and DNRs. Recorded at the Madison Township Fire Department.…
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David Brewster describes the current state of play with airway management in the critical care setting, including a summary of the INTUBE study and the Safe Airway Society guidelines for airway management in COVID-19 patients. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more informati…
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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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Welcome back to The Sydney HEMS Debrief, now on episode 14! Today, we are joined by Retrieval and Anaesthetic Staff Specialist Dr Jess Devlin, who talks us through one of her most challenging and rewarding cases. Using the case as a springboard, we go on to discuss some of the nuances around, and approaches towards, multi-casualty scenes and consid…
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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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Send a text...we would love to hear from you! In this episode, we provide an overview of the Zoll EMV+ and Zoll Z-Vent ventilators. We discuss the different modes and preset settings of the ventilators, as well as important considerations such as tubing compliance, leak compensation, and rise time. We emphasize the importance of knowing the equipme…
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Adam Rehak addresses confusion and lack of awareness around these combined techniques that are making their way into the armament of airway operators. This session was recorded at the SAS workshop at CODA22 which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/…
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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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When we should consider using the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's 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 dose of Dopamine. The use of Dopami…
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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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This panel features Jo Simpson, Forbes McGain, Andy Shrimpton and Tim Cook and took place during the SAS Workshop at CODA22, which took place in Melbourne in September 2022. This is Part 2 of this discussion. For more information about the CODA Project go to: https://codachange.org/ Panel Description Are we safe when we intubate COVID-19 patients? …
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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 episode, Aaron and Jason sit down with Mustafa, Josh and Ken from Alert Medic 1. We discussed the interview they had with the oncoming NAEMT President-Elect Chris Wray. The discussion covered our differing views on education, pay, reimbursement, and our feelings about the NAEMT. There was also an indepth discussion on the Advanced Paramedic…
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This panel features Jo Simpson, Forbes McGain, Andy Shrimpton and Tim Cook and took place during the SAS Workshop at CODA22, which took place in Melbourne in September 2022. This is Part 1 of this discussion. For more information about the CODA Project go to: https://codachange.org/ Panel Description Are we safe when we intubate COVID-19 patients? …
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