911cast EMS podcast

#Fitness #Scott Topiol, MSN, RN, CEN, MICN #Cen #MICN #MSN #EMS #Paramedics #EMT #Medicine #Emergency

30:21

Hitting plateaus is a common milestone in business, but there’s a difference between stability and a rut. In the last installment of this season, we’ll dive into the ways small business owners push beyond plateaus and find new ways to achieve revenue growth. Jannese and Austin wrap up their time in Nashville, Tennessee with a wonderful visit to N.B. Goods to speak with owner Camille Alston . Camille details the times where she hit a wall with profits, the strategies she implemented to increase revenue, what worked, what didn’t, and the important lessons she learned in the process. You won’t want to miss this informative final chapter! Learn more about how QuickBooks can help you grow your business: QuickBooks.com See omnystudio.com/listener for privacy information.…

911cast EMS Podcast

Series home•Feed

Practical EMS topics in about 10 minutes, brought to you by EMS Educator and Certified Emergency Nurse Scott Topiol.

30 episodes

911cast EMS Podcast

updated about a year ago

Series home•Feed

Practical EMS topics in about 10 minutes, brought to you by EMS Educator and Certified Emergency Nurse Scott Topiol.

30 episodes

#Fitness #Scott Topiol, MSN, RN, CEN, MICN #Cen #MICN #MSN #EMS #Paramedics #EMT #Medicine #Emergency

All episodes

1
Episode 28 - A Spine Tingling Tale - Central Cord Syndrome 9:21

47 weeks ago9:21

9:21

Have feedback? You can now send us a text message! We're back! Have you ever had a patient who suffered a seemingly minor injury and was complaining about weakness in their hands and odd sensations in their legs? This week we're discussing the most common spinal cord injury: Central Cord Syndrome. We'll also touch briefly on neurogenic and spinal shock. During this episode I mention a technique for placing a C-collar that was a "game changer" in my practice and promised to include a link to the video in the show notes. When you're done listening, go ahead and check out the video below. The "sweeping motion" made a huge difference in helping the collar sit better on the patient's neck and has reduced the number of patients that seemingly "can't tolerate" the procedure. I hope you find it helpful! C-collar video: https://www.youtube.com/watch?v=ydljBEN2RU8 This episode is sponsored by CPR Ready Los Angeles, an American Heart Association Training Site offering BLS, ACLS, and PALS classes as well as California EMT Skills Verification services. Book your class today at cprreadyla.com! References: Ameer, M. A., Tessler, J., Munakomi, S., et al. (2023). Central cord syndrome. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from https://www.ncbi.nlm.nih.gov/books/NBK441932/ Brooks, N. P. (2017). Central cord syndrome. Neurosurgery Clinics, 28(1), 41-47. EMCrit (2023, February 12). Traumatic spinal cord injury (SCI). EMCrit Project. https://emcrit.org/ibcc/sci/ Fehlings, M. G., Tetreault, L. A., Wilson, J. R., Aarabi, B., Anderson, P., Arnold, P. M., ... & Harrop, J. S. (2017). A clinical practice guideline for the management of patients with acute spinal cord injury and central cord syndrome: Recommendations on the timing (≤ 24 hours versus > 24 hours) of decompressive surgery. Global Spine Journal, 7(3_suppl), 195S-202S. Harrop, J. S., Sharan, A., & Ratliff, J. (2006). Central cord injury: Pathophysiology, management, and outcomes. The Spine Journal, 6(6), S198-S206. Skrabal, R. (2019, October 28) Central cord syndrome. https://coreem.net/core/central-cord-syndrome. CPR Ready Los Angeles Offering AHA BLS, ACLS, and PALS classes plus California EMT Skills Verification. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

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Episode 27 - Blow By Baby - Does Blow By Oxygen Work? 8:22

2 years ago8:22

8:22

Have feedback? You can now send us a text message! We've all been taught that the last thing you want to do to a sick child in respiratory distress is upset them by sticking an oxygen mask to their face. For many of us, "blow by" oxygen is our go-to in these situations. But is it actually the right choice? In this episode we'll take a closer look at the practice and the evidence. (Spoiler alert: it doesn't work). References: Barends, C. R. M., Yavuz, P., Molenbuur, B., & Absalom, A. R. (2018). Performance of blow-by methods in delivering oxygen to pediatric patients during transport: A laboratory study. Pediatric Anesthesia , 28 (12), 1142-1147. https://doi.org/10.1111/pan.13515 Blake, D. F., Shih, E. M., Mateos, P., & Brown, L. H. (2014). The efficacy of oxygen wafting using different delivery devices, flow rates and device positioning. Australasian Emergency Nursing Journal , 17 (3), 119-125. https://doi.org/10.1016/j.aenj.2014.05.002 Davies, P., Cheng, D., Fox, A., & Lee, L. (2002). The efficacy of noncontact oxygen delivery methods. Pediatrics , 110 (5), 964-967. https://doi.org/10.1542/peds.110.5.964 Harris, M., Lyng, J. W., Mandt, M., Moore, B., Gross, T., Gausche-Hill, M., & Donofrio-Odmann, J. J. (2022). Prehospital Pediatric Respiratory Distress and Airway Management Interventions: An NAEMSP Position Statement and Resource Document. Prehospital Emergency Care , 26 (sup1), 118-128. https://doi.org/10.1080/10903127.2021.1994675…

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Episode 26 - Pink Elephants and Raccoons? - Alcohol and Benzodiazepine Withdrawal 10:30

2 years ago10:30

10:30

Have feedback? You can now send us a text message! Alcohol and benzodiazepine withdrawal are life-threatening conditions that are often under-appreciated by EMS providers. In this episode, we discuss what makes these conditions so dangerous and how to improve your detection and care of these patients. There's even an obscure music lyrics reference hidden inside. Enjoy!…

1
Bonus: Sepsis Detective EMS Lecture Audio 51:38

2 years ago51:38

51:38

Have feedback? You can now send us a text message! Audio of Sepsis Detective EMS CE presented via Zoom on June 15, 2023.

1
Episode 25 - The Struggle is Real - Excited Delirium 8:24

3 years ago8:24

8:24

Have feedback? You can now send us a text message! Whether you call it Excited Delirium, Agitated Delirium, or the newer Hyperactive Delirium with Severe Agitation, this controversial condition often leads to restraint-related sudden cardiac arrest. Listen to this episode before you restrain your next agitated patient! Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

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BONUS: Capnography for EMS Lecture Audio 54:21

3 years ago54:21

54:21

Have feedback? You can now send us a text message! Given for Hatzolah EMS on March 10, 2022. Capnography for EMS Providers. Watch the video version at https://youtu.be/MKgDG9KFMHE Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 24 - Bent Out of Shape - All About Sickle Cell Disease 9:35

4 years ago9:35

9:35

Have feedback? You can now send us a text message! Patients with Sickle Cell Disease often present to EMS with acute pain. In this episode we'll discuss best practices in assessing and treating that pain and discuss when to provide IV fluids and supplemental oxygen. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 23 - No Laughing Matter - Beta Blocker Overdoses 10:40

4 years ago10:40

10:40

Have feedback? You can now send us a text message! They may end in "LOL" but Beta blocker overdoses are no laughing matter! Join us this week as we discuss pearls and pitfalls for the EMS management of these dangerous overdose emergencies. EPISODE NOTE: In the case presentation the patient is identified as hypoglycemic but this was not specifically addressed in the episode. If present, hypoglycemia should be addressed by administering IV dextrose. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 22 - Silent But Deadly - All About Drowning 9:24

4 years ago9:24

9:24

Have feedback? You can now send us a text message! Drowning is a leading cause of preventable death in children and young adults. Join us this week as we discuss current best practices in prehospital resuscitation of drowning victims and dispel some common myths (spoiler alert: delayed drowning is not a thing). OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 21 - Pitter Patter - All About Pediatric SVT 10:40

4 years ago10:40

10:40

Have feedback? You can now send us a text message! SVT is the most common dysrhythmia in children but it can be especially difficult to detect in infants. This week it's all about understanding, identifying, and treating supraventricular tachycardia in our pediatric patients. OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 20 - Don't Worry Baby - All About Bleeding in Pregnancy 9:59

4 years ago9:59

9:59

Have feedback? You can now send us a text message! Bleeding during pregnancy is a common complaint and while most causes are benign, some can be deadly! In this episode we'll discuss dangerous causes of vaginal bleeding during pregnancy including ectopic pregnancy, placenta previa, and placenta abruptia. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 19 - If you fib, I'll paddle you - All About Atrial Fibrillation 8:45

4 years ago8:45

8:45

Have feedback? You can now send us a text message! Is it atrial fibrillation or SVT? What's an atrial appendage anyway? When is it too dangerous to cardiovert? Join us this week as we talk about atrial fibrillation, the most common cardiac dysrhythmia, and considerations for EMS providers. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 18 - Croup There It Is - All About Croup 10:09

5 years ago10:09

10:09

Have feedback? You can now send us a text message! It's fall and you know what that means! Changing leaves, pumpkin spiced everything, and croup! This week join us as we discuss this common childhood illness, how to determine its severity and spot impending respiratory failure, and common EMS treatment strategies. Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 17 - My Achy Breaky Heart - All About Chest Pain 10:35

5 years ago10:35

10:35

Have feedback? You can now send us a text message! We're back from vacation and this week it's all about chest pain! Join us as we discuss cardiac and non-cardiac causes of chest pain, STEMI vs. NSTEMI, and answer that age-old question: what's the deal with pleuritic chest pain? Madison Programs Brooklyn CPR and First Aid training in New York. Available to train your personnel at your location OneKit First Aid Kits More than ever, you need to be prepared. Get your OneKit First Aid Kit today! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.…

1
Episode 16 - Feeling Deflated - All About Tension Pneumothorax 10:36

5 years ago10:36