Best Ross Orpet Podcasts (2024)

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Ep. 71: Poisons of the Sea: Not Just a Coastal Problem 1:04:19

24h ago1:04:19

1:04:19

Think you only need to worry about toxicities that exist in the sea if you live by an ocean? Think again. No matter where you are fish may be on the menu, or there may be a zoo nearby, or a marine enthusiast with an elaborate home aquarium. These toxicities can be seen in Colorado. They can be in Australia or in the US. No matter where you are you …

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Ep. 70: The Sick Runner: Unraveling the Mystery of the Critical Runner at an Ultra-endurance Event with Dr. Whitney Barrett 54:25

17d ago54:25

54:25

Understanding and Managing the Sick Runner: Key Insights for EMS ProvidersWelcome to EMS Cast! Join hosts Ross Orpet and Will Berry as they dive into an essential conversation . The team discusses, with Dr. Whitney Barrett, the Medical Director of the Highlonsome 100 mile ultra endurance race, the critical considerations for EMS providers when enco…

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Ep. 69: Scott Weingart- How to Master the Resuscitation 22:18

1M ago22:18

22:18

EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental si…

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Ep. 68: Building Better Providers: Eric Bauer, Lessons from FlightBridgeED 28:01

2M ago28:01

28:01

Will and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers, including Eric Bauer, one of the original founders of FlightBridgeED. In today's episode, we delve into Eric's journey in EMS education, how FlightBridgeED was conceived, and t…

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Ep. 67: The Perils and Pleasures of Mushrooms with Toxicologist Dr. Nik Matsler 47:40

2M ago47:40

47:40

In this episode, we delve into the fascinating and often perilous world of mushrooms. Join us as we explore with Dr. Nik Matsler how these fungi can be a culinary delight, a source of psychedelic experiences, or a deadly hazard. We discuss the challenges of identifying mushrooms, even for experts, and why toxicologists rely on mycologists for accur…

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Ep. 66: Electrical Injuries and Lightning strikes 1:05:27

3M ago1:05:27

1:05:27

Derek Miller, outreach coordinator for the UNC JC Burn Center, joins us again to explore electrical injuries and lightning strikes. We discuss the various types of electrical injuries, the mechanisms behind these injuries, and the essential steps EMS providers must take to ensure their safety and provide effective patient care. Through real-life ca…

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Ep. 65: Stroke Care on the Streets: Bridging Research and Real-World EMS 59:46

3M ago59:46

59:46

Explore the nuances of stroke assessments, the challenges EMS professionals face in the field, and the impact of prehospital interventions on patient outcomes. Coco Wham, a former paramedic who's transitioned to a physician, and Dr. Layne Dylla, an associate professor of emergency medicine join us to dive into their ongoing research efforts aimed a…

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Ep. 64: The Critically Burned Patient - Part 2 55:03

4M ago55:03

55:03

This is Part 2. Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontli…

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Ep. 63: The Critically Burned Patient - Part 1 1:11:53

4M ago1:11:53

1:11:53

Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontline Optics Sungla…

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Ep. 62: Rethinking Priorities in Out-of-Hospital Cardiac Arrest - Which Comes First Epi or Airway? 38:31

5M ago38:31

38:31

Which comes first epinephrine or airway? Out of hospital cardiac arrests involve critical and often complex decisions with sequence and timing of various procedure. What should you prioritize? We examine the nuances of advanced interventions, such as epinephrine and advanced airway placement, through the lens of recent studies, including a notable …

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Ep. 61: Toxic Alcohols: A Hidden Danger in Everyday Products and an Everyday Call 52:16

5M ago52:16

52:16

Toxicologist Dr. Nik Matsler teaches us the critical topic of toxic alcohol poisoning. The discussion sheds light on the dangers lurking in everyday household and industrial products that contain methanol, ethylene glycol, and isopropyl alcohol—substances not far removed from the alcohol found in beverages yet capable of causing severe, sometimes f…

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Ep. 60: Art of Laryngoscopy- The SALAD technique (Suction-Assisted Laryngoscopy and Airway Decontamination) 47:20

6M ago47:20

47:20

In the high-stakes environment of prehospital medicine, the ability to perform a successful intubation on the first attempt is critical. The complexity of prehospital airway management cannot be understated, given the challenging conditions and the acuity of patients encountered. This episode delves into the strategies and techniques that can signi…

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Ep. 59: The Truth about Mechanical CPR Devices: What the Data Really Says 17:41

6M ago17:41

17:41

Despite the allure of consistent compressions and reduced provider fatigue, does the data actually show that mechanical CPR devices improve outcomes? Tune in for a nuanced exploration of evidence-based practice in emergency medical services. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Bl…

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Ep. 58: Neonatal Resuscitation: Conquering the Fear- a step by step guide for emergency providers 48:47

7M ago48:47

48:47

Overcoming Fear in Neonatal Resuscitation: A Step-by-Step Guide Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog post: Neonatal Resuscitation Introduction: Welcome to another episode of EMScast, where high-level education meets real-world emergency medical scenarios. Today, we have Dr. A…

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Ep. 57: Crush Injury and Crush Syndrome 1:07:09

7M ago1:07:09

1:07:09

Dr. Nik Matsler is back to discuss the treatment of patients with crush injuries and crush syndrome. Dr. Matsler's insight as an emergency physician and a toxicologist are put to work helping us understand the pathophysiology of crush related injuries. We also try to discuss very practical approaches to these situations which are complex. No two cr…

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Ep. 56: Interview with Jim Barrick - Retired Flight Paramedic 1:42:41

8M ago1:42:41

1:42:41

Jim Barrick has more than 37 years of experience in Emergency Medical Services and Helicopter Emergency Medical Services (EMS and HEMS). His humble approach makes him a wealth of wisdom for anyone in this career field. As kickoff for 2024 we depart from our normal format of short education topics to long term reflection. If you work in and around E…

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Ep. 55: Managing Postpartum Hemorrhage in the Field 22:01

8M ago22:01

22:01

We delve into the high-stakes world of postpartum hemorrhage management with the esteemed Dr. Maria Moreira. Joins us to demystify the management of postpartum hemorrhage in the pre-hospital setting. Dr. Moreira presents a systematic approach to intervention. Learn about the four T's of postpartum hemorrhage and on-field strategies like tranexamic …

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Ep. 54: It’s a boy! Difficult deliveries- Prehospital obstetrics 47:35

9M ago47:35

47:35

In this episode Dr. Maria Moreira joins us to talk us through prehospital pregnancy difficult deliveries. We'll discuss how to handle nuchal cords, cord prolapse, breech presentations, and shoulder dystocias. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Videos of each technique- https://e…

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Ep.53: Midazolam IV vs IM vs IN- a real world study 37:19

9M ago37:19

37:19

In this episode we look at a recent observational study out of the journal of neurology looking at the effectiveness of midazolam when comparing the IV vs IM vs IN routes. We'll discuss the study as well as other studies involving status epilepticus to tease out best practices for your next shift. Enter to Win a FREE Pair of Frontline Optics Sungla…

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Ep. 52: The Game-Changing Tool of Non-Invasive Ventilation - Understanding the Physiology 34:14

10M ago34:14

34:14

There are few treatments in our tool box that can have more of a positive impact than non-invasive ventilation. This episode is designed to help you better understand the physiology of how it works and how to use it more effectively. Dr. Bo Burns, the Chair of Emergency Medicine at the University of Oklahoma School of Community Medicine, joins us a…

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Ep. 51: End Tidal CO2 (ETCO2) as a predictor of mortality, morbidity, and need for massive transfusion in hemorrhagic shock, with Paramedic Courtney ”Coco” Wham 27:35

10M ago27:35

27:35

Coco Wham is a paramedic at the Denver Health Paramedic Division. She is also a 4th year medical student and has a masters in integrated sciences. She is an author on a recent study in the American Journal of Surgery with our previous guest, Dr. Eric Campion. Their latest study looked at prehospital ETCO2 values and if they were predictive of death…

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Ep. 50: End Tidal CO2 in the Setting of Hemorrhagic Shock with Trauma Surgeon Dr. Eric Campion 17:49

11M ago17:49

17:49

Dr. Eric Campion is an attending trauma surgeon at Denver Health Medical Center in Denver, Colorado. He has several studies published on the utilization of End Tidal CO2 (ETCO2) in critically injured hemorrhagic shock patients. As a former paramedic, Dr. Campion has also been studying this data's application to the prehospital setting. In this epis…

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Ep. 49: Personalized Approaches to Pain Management: Recognizing Individual Differences 17:36

11M ago17:36

17:36

Dr. Spencer Tomberg, a physician in the Department of Emergency Medicine and Orthopedics at Denver Health, discusses pain management and the complex nature of pain perception, highlighting the physical and emotional components. He describes how individuals may have different perceptions of pain due to variations in the action potential and synaptic…

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Ep. 48: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) - Legendary Trauma Surgeon Dr. Gene Moore teaches us how this is changing trauma resuscitative care 16:27

12M ago16:27

16:27

In the high-stakes world of emergency medicine, innovations continually push the boundaries of what's possible. One such groundbreaking procedure is Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Dr. Ernest E Moore, who has literally written the book on trauma surgery, teaches us what REBOA is and how it is being used to save li…

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Ep. 47: Are you prepared for your next intubation? Dr. Stacey Trent Reviews the most up-to-date literature for intubation best practices. 26:06

1y ago26:06

26:06

Dr. Stacy Trent, an Associate Professor of Emergency Medicine at the Denver Health Emergency Department, discusses the importance of proper airway management in the emergency setting and introduces the mnemonic SOAPME (suction, oxygen, airway assessment, pharmacy and plan, monitor and equipment) for intubations. Dr. Trent brings with her the most u…

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Ep. 46: Pediatric Disaster Preparedness with Dr. Jeffery Upperman 18:18

1y ago18:18

18:18

Is your EMS agency prepared for a pediatric disaster? In this episode of EMS CAST, Dr. Jeffrey Upperman joins the hosts live at the Rocky Mountain Trauma and Emergency Medicine Conference. Dr. Upperman gave an entertaining and engaging lecture on what you need to start thinking about to be prepared for a pediatric disaster in your area. After his l…

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Ep. 45: Spinal Emergencies with Dr. Bo Burns at the RMTEMC 23:30

1y ago23:30

23:30

Stop blowing off back pain patients! There may be a true emergency lurking underneath. Dr. Bo Burns teaches us why we should take atraumatic back pain so seriously. We're back with another episode from the RMTEMC. We dive deep into the topic of epidural abscesses and cauda equina. These are true spinal emergencies, so we should understand them. Our…

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Ep. 44: Taking Care of Pediatric Trauma Patients with Dr. David Bliss at the RMTEMC 29:26

1y ago29:26

29:26

In this episode of EMSCast, hosts Ross Orpet and Will Berry discuss a lecture given by Dr. David Bliss on taking care of pediatric trauma patients. Dr. Bliss emphasizes the importance of supporting the psychosocial needs of pediatric patients, as they may not have the same coping skills as adults. He also discusses the unique challenges of treating…

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Ep. 43: ECMO in the Trauma patient- Onsite at the Rocky Mountain Trauma and Emergency Medicine Conference 20:45

1y ago20:45

20:45

Earlier this month Ross and Will visited the Rocky Mountain Trauma and Emergency Medicine Conference. In addition to trauma games and sim wars, there were so many great lectures and EMS Cast was lucky enough to get to interview some of the speakers about their talks. We are excited to get to bring some of this great content to our listeners. Dr. Ma…

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Ep. 42: Trauma Triage Update - New American College of Surgeons Guideline Updates 56:29

1y ago56:29

56:29

American College of Surgeons just updated their prehospital trauma triage recommendations. Learn about what the updates mean for paramedics and EMTs and how you can practice this on everyday EMS calls. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Link to Blog Post- https://emspodcast.com/…

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Ep. 41: Is nitroglycerin dangerous in inferior STEMIs? 50:01

1+ y ago50:01

50:01

Pharmacist, Kevin Kaucher, joins us to discuss the ins and outs of nitro in acute coronary syndrome. Does it work? Is sublingual better than paste? Can it be dangerous? Come learn the latest on nitroglycerin. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses For more info and to see the EKGs f…

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Ep. 40: Hydrogen Sulfide and Nerve Agent Poisonings 51:43

1+ y ago51:43

51:43

Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might find them and most importantly how to keep yourself safe. We'll also discuss nerve agents and how to…

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Ep. 39: Cyanide Toxicity 45:45

1+ y ago45:45

45:45

Toxicology fellow Dr. Nik Matsler teaches us about the pathophysiology of cyanide toxicity and it's various antidotes. Learn how to recognize, learn when to treat, and learn some historical trivia while we're at it. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses…

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Ep. 38: The GCS Sucks! Why it’s a useless number and what we should use instead. 35:33

1+ y ago35:33

35:33

Dr. Whitney Barrett shares why the Glasgow Coma Score is a useless number and what we should use instead. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics SunglassesBy emscast

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Bonus Episode: Serotonin Syndrome Q&A - how to recognize and treat serotonin syndrome Q&A with paramedic Will Barry and tox fellow Nik Matsler 25:29

1+ y ago25:29

25:29

This is a Q&A follow up to last weeks episode on serotonin syndrome. This week paramedic Will Barry asks toxicology fellow Dr. Nik Matsler the questions that came up for him after listening to last weeks case. And at the end we kept in an impromptu conversation on end tidal CO2 in the pre-hospital setting. Enjoy. Enter to Win a FREE Pair of Frontli…

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Ep. 37: Serotonin Syndrome - How to recognize and treat with toxicology fellow Dr. Nik Matsler 1:07:16

1+ y ago1:07:16

1:07:16

Toxicology fellow Dr. Nik Matsler helps us dissect a case that Matt saw working an EDM concert. As I interview Matt about the case, Nik gives us the dos and don'ts when it comes to serotonin syndrome. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses…

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Ep. 36: Your Mental Health Matters - Let’s talk about it. 19:55

1+ y ago19:55

19:55

This is a tough job and we all have scars from it. It's time to quit sweeping them under the rug and start openly discussing them. This episode was inspired by an upcoming documentary- "Into the Unknown, the Paramedics Journey". You can check out the trailer and more about the movie here - https://intotheunknowndoc.com/watchtrailer/ Enter to Win a …

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Ep. 35: Should we be giving steroids in cardiac arrest? With pharmacist Lance Ray. 17:17

1+ y ago17:17

17:17

Emergency pharmacist Lance Ray helps us breakdown the latest literature with regards to steroids in cardiac arrest. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Andersen LW, Isbye D, et al. Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Pat…

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Ep. 34: NAEMSP Conference Recap Part 1 32:58

1+ y ago32:58

32:58

Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction gave insights to a whole range of topics. I had the pleasure of getting to see some of them. Check out …

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Ep. 33: Do you know all the new diabetic medications? - with emergency pharmacist Lance Ray 18:32

1+ y ago18:32

18:32

Emergency Pharmacist Lance Ray joins us to educate us on all the various new classes of diabetic medications. Learn which ones cause hypoglycemia, which ones don't, and a couple which cause some rare life threatening conditions. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses…

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Ep. 32: Mac 3 vs Mac 4 - Is there one blade to rule them all? 19:09

1+ y ago19:09

19:09

Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full article here. https://link.springer.com/article/10.1007/s00134-022-06832-9?mc_cid=93f14f4c87&mc_eid=…

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Ep. 31: The Ideal Trauma Call 1:02:22

1+ y ago1:02:22

1:02:22

Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency Physicians, and Paramedics to help clearly delineate our priorities in trauma. Enter to Win a FREE P…

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Ep. 30: The Sick Asthmatic- why this is so different from other causes of respiratory distress 22:50

1+ y ago22:50

22:50

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life. Enter to Win a …

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Ep. 29: Novel Drugs of Abuse 44:49

2y ago44:49

44:49

It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to take us through how novel drugs escape our legal system and what the dangers are. And a new update on g…

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Ep. 28: The Importance of the Physical Exam 26:19

2y ago26:19

26:19

Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams? Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses…

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Ep. 27: The Physiologically Difficulty Airway - Part 4: Right Ventricular Failure 16:41

2y ago16:41

16:41

Join us for part four of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to RV failure why these patients are so dangerous to intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics SunglassesBy emscast

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Ep. 26: Snake Bites 37:06

2y ago37:06

37:06

We're back! We've missed you. Apologies for our absence this summer but we're officially back with a really good episode for you. Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way. Enter to Win a …

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Ep. 25: Cocaine Overdose 27:34

2y ago27:34

27:34

Lesley Pepin joins us to talk about the nuances of cocaine overdose and it's various managements. There's more than you think. And the more you know could make a difference and save a life. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics SunglassesBy emscast

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Ep. 24: The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis 17:39

2+ y ago17:39

17:39

Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and why these patients are so dangerous to intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses…

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Ep. 23: The Physiologically Difficulty Airway - Part 2: Hypotension 17:26

2+ y ago17:26

17:26

Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasse…

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