This is the final episode of our "Neonatal Resuscitation for EMS" series. We were joined by Arielle Olicker, MD. Thanks to the Willoughby Fire Department for hosting this month's live show. If you would like to host one of our live shows, message us! In addition to providing clinical care in the NICU, Dr. Olicker is part of the team providing follo…

The crew and Dr. Olicker continue the conversation of undersstanding the neonatal patient, equipment, protocols and emotions. They start to wrap up the discussion in Part 3 as they prepare for the live podcast!By University Hospitals of Cleveland EMSi

Dr. Olicker is still with the team for Part 2. The team discusses the decision of transporting a neonate patient to the closest hospital vs. a facility with inhouse neonatal specialty care services as well as complications with the ductus arteriosus as well as the difficult decision of determining a the viability of a neonatal patient's viability f…

Dr. Ariel Olicker, the medical director for Neonatal Critical Care Transport, joins the team for some practical conversation about understanding and being more comfortable with neonatal patients. Since traditional EMS doesn't encounter these patients regularly, the goal is to simplify understanding this patient category.…

This month, we were live from the Chagrin Valley Fire Department. We discussed air medical care with Kyle Schnarrs, Flight Nurse, and Nathan Brazytis, Flight Paramedic, from the UH AirMed critical care transport system. We talk how to become a flight paramedic/nurse, day-in-the-life, as well as just how much goes on in preparation for flight, plus …

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

Anxiety and depression are on the rise in children and teens. Societal pressures, academic stress and social media have all played a role. Early detection and intervention by parents and pediatricians is getting more kids the help they need. Psychologist, Elizabeth Harris, PhD and psychiatrist, John Hertzer, MD, discuss evidence-based treatment opt…

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…

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!…

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.…

In this 3rd part of our discussion of field termination of care and DOA situations, the crew and Dr. Spaner talk about the Do Not Resuscitation situations. DNR does NOT mean do NOTHING! Anything that gives the patient comfort can be utilized on a patient under a DNR order.By University Hospitals of Cleveland EMSi

An overwhelming amount of information exists about the best way to eat for long-term health. Breaking through the clutter is challenging and sometimes subjective. Licensed Dietitian, Kelli Santiago, MS, RD, CSSD, LD explains what to look for in the foods you eat or in the lifestyle changes you’d like to make in order to live your healthiest life.…

The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.…

The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.By University Hospitals of Cleveland EMSi

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demon…

Research is growing every day about the health risks of drinking. From heart health to cancer to damaging the immune system and sleep quality, even small amounts of drinking may be harmful. Medical toxicologist, Ryan Marino, MD, explains alcohol’s impact and whether any level of consumption is a healthy choice.…

The podcast is on the road at Kent Fire Department. Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!By University Hospitals of Cleveland EMSi

As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…

This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?By University Hospitals of Cleveland EMSi

Integrative oncology provides data-driven therapies to help with pain, insomnia, anxiety and other side effects from cancer treatment. Medical oncologist, Santosh Rao, MD, explains how managing these symptoms can not only relieve side effects, but also improve treatment and outcomes.By UniversityHospitals

This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…

This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.By University Hospitals of Cleveland EMSi

When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…

The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.By University Hospitals of Cleveland EMSi

This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.By University Hospitals of Cleveland EMSi

We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!By University Hospitals of Cleveland EMSi

From common concerns about weight gain to changes in bone health and sexuality, OB/GYN, Susan Lasch, MD, shares how to live your healthiest life after menopause. This insightful discussion covers the latest research and provides actionable strategies to thrive in this new chapter of life.By UniversityHospitals

When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …

Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…

Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…

Telemedicine exploded during the pandemic and has held steady as a convenient way for people to get the care they need without leaving the house. Brian Zack, MD, explains how telemedicine helps more patients get essential care and why it isn’t just here to stay, but may become the preferred way to see your doctor.…

All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…

Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…

It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!By University Hospitals of Cleveland EMSi

The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.By University Hospitals of Cleveland EMSi

Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.By University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!By University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.By University Hospitals of Cleveland EMSi

To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.By University Hospitals of Cleveland EMSi

Popular health advice is everywhere. From what to eat to how much to exercise, it can feel overwhelming to make the right choices. Naturopathic doctor, Jacob Wolf, ND, cuts through the noise and shares the evidence behind common health myths.By UniversityHospitals

Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.By University Hospitals of Cleveland EMSi

An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.…

Anticipating shock helps to keep you ahead of the curve. Sure, it sounds apparent but, is it truly done? Then we move into one of the rare types of shock, neurogenic and anaphylaxis gets a mention.By University Hospitals of Cleveland EMSi

Dr. Donald Spaner sits in with us for the month of November to talk all of the levels and types of shock. There's a lot to unpack in this episode! Assessment, prevention and treatment of. Cardiogenic shock Hypovolemic shock Anaphylactic shock Septic shock Neurogenic shock Distributive shockBy University Hospitals of Cleveland EMSi

There are far-reaching consequences of loneliness on physical and mental health, including heart disease, dementia and depression. With half of adults reporting loneliness, psychiatrist Andrew Hunt, MD, shares common causes – from technology to changes in social dynamics – and strategies for improving social connections.…

Dr. Hill, Scott, Ray and Caleb gather together to talk about some random peds, protocol, drug administration and airway notes from the previous episodes. Heparin administration is the opening chat then we move into airway evaluation, using protocols and helpful items like Broselow tapes. We even through in some documentation for refusal tips!…

Dr. Regina Yaskey joins us to discuss pediatric emergencies. Everyone knows that pediatric patients are not small adults. Dr Yaskey talks about the intricacies of assessing and treating pediatric patients. We talk about the pediatric assessment triangle, advanced airways, simple practices that have great impact, common and not-so-common calls, as w…

In part 3 of our pediatric discussion with Dr. Yaskey, we review various pediatric cases from which we can learn. The discussion includes pharmacology for airway issues, child protective services and how pediatric trauma is different from adult trauma.By University Hospitals of Cleveland EMSi

From foggy thinking to the impact on mood and physical health, interrupted sleep has consequences for your health. Kingman Strohl, MD, a specialist in sleep medicine, shares common causes – from stress to complex sleep disorders, and what you can do to get a better night’s sleep.By UniversityHospitals

The gang and Dr. Yaskey talk about a multitude of pediatrics skills, treatments and hacks! From anaphylaxis, to cuff or no-cuff on the endo tube to seizures and determining weight and drug dosages.By University Hospitals of Cleveland EMSi