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Brandon Carey and Jason Grady discuss evidence based medicine in EMS, the culture of EMS professionals, and what they face on a day to day basis.
Episodes
Thursday Jul 23, 2020
Thursday Jul 23, 2020
Join us in | 21 | Journal Review: Pediatric Ketamine VS Fentanyl / SGA VS ETI as we dive into two separate journals. In the first part of the episode, we cover the study "PICHFORK" (Pain In CHildren Fentanyl OR Ketamine), providing more reliable data to the argument of whether or not to use Ketamine for pediatric trauma. Next in the episode, we cover a separate study that compared the negative intrathoracic pressures and hemodynamics contributed by different supraglottic airway devices versus ETI during cardiac arrest. Both of these journals were submitted by listener recommendation, so please continue by their example, and submit more for us to review!
Check back soon for updates, and be looking for |22| in the next weeks.
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Friday Jul 03, 2020
Friday Jul 03, 2020
Join us in |20| Pre-Hospital Stroke Management as we sit down with the nationally renown, Director of Interventional Neurology and Neurosurgery, Dr. Rishi Gupta. Join us as Dr. Gupta gives his insight on how we can improve patient outcomes by development of stroke systems of care, the difference between primary versus comprehensive stroke centers, improving the paramedic's pre-hospital assessment, the future of stroke care, and why the tone and pace set by EMS is pivotal for patient outcomes.
Check back soon for updates, and be looking for |21| in the next week.
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Monday Jun 15, 2020
Monday Jun 15, 2020
|19| - ALPS (Amiodarone VS Lidocaine VS Placebo Study) Journal Review
Join us in |19|, as we discuss and analyze the study ALPS, by Resuscitation Outcome Consortium. This study compares the effectiveness of Amiodarone, Lidocaine, or no anti-arrhythmic at all during refractory pulseless VT / VF cardiac arrest. In this episode, we analyze the study systematically, and interpret the findings so that you, the listener, can take away the results. No bias, no spin, just objective data review.
Check back soon for updates, and be looking for |19| in the next week.
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Monday May 25, 2020
Monday May 25, 2020
Join us as we celebrate the lives and sacrifice of our American Heroes in this special edition of the podcast.
In this episode, we talk about the true meaning of Memorial Day, and the heroic and selfless acts of bravery by military medical personnel which should never be forgotten.
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Sunday May 17, 2020
Sunday May 17, 2020
Join Us in |18| Respiratory Treatment During COVID 19 as we welcome Emergency Department physician, medical director, and pre-hospital physician champion, Dr. Nick Johnson. Listen as Dr. Johnson introduces himself, and discusses how he started his career on the streets of Chicago, and how it led to a passion for emergency medicine, and pre-hospital medicine. Then, Dr. Johnson gives us some advise on how to treat respiratory patients during COVID 19. Listen as he discusses alternatives to nebulized treatments, and how to approach CHF / COPD and asthma patients during this time.
Check back soon for updates, and be looking for |19| in the next week.
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Tuesday May 12, 2020
Tuesday May 12, 2020
Join us in |17|, as Jason guides us through how to read and interpret the results of a study. Listen as Jason walks through how to identify bias, how to analyze the methods, and how to truly determine if the results of a study are significant enough to consider a practice change.
Check back soon for updates, and be looking for |18| in the next week.
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Wednesday Apr 22, 2020
Wednesday Apr 22, 2020
| 16 | The Pandemic Paramedic - Featuring Jonathan Baker, AS, NRP
Join us as we dive in to a a perspective commonly left out of the media discussions- The Paramedic's. In this episode, we discuss the pandemic with a 20 year veteran of EMS, and hear his perspective from the front lines of the pre-hospital arena, and how he and his colleagues have adapted to overcome the current challenges. Purposely excluding topics that are political, speculative, and discussion of curve models, we focus strictly on how this has effected EMS, our responses, and our patient care.
Check back soon for updates, and be looking for |16| in the next two weeks!
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Wednesday Apr 08, 2020
Wednesday Apr 08, 2020
Join us in "|15| Excited Delirium" as we discuss excited delirium, and how to utilize ketamine in order to disrupt the lethal pathophysiology spiral that comprises this syndrome. From patient assessment to treatment, we walk through past examples, and how to mitigate a psychogenic problem from a drug induced problem, and why ketamine is an optimal choice for pharmacologically induced excited delirium patients.
Check back soon for updates, and be looking for |16| in the next two weeks!
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Thursday Mar 12, 2020
Thursday Mar 12, 2020
Join us in |14|, as we introduce the popular medication, Ketamine Hydrochloride. We plan to explore the use of Ketamine heavily, so we think it's appropriate to start off with a base foundation of the history of the drug, how it has been used, recent changes involving ketamine, and a couple of uses in particular. In this episode, we also address some common myths about ketamine, specifically it's drug class, and contraindications for ketamine use.
Join us in our next episode, |15|, as we plan to explore the use of Ketamine in excited delirium, the general pathophysiology of excited delirium, why it's harmful for patients, and why it is critical for us as pre-hospital providers to intervene for the sake of the patient.
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Thursday Feb 13, 2020
Thursday Feb 13, 2020
Join us in |12| and |13| as we discuss the ins and outs of paramedic school with a recent graduate, along with how all the work paid off when the time came to perform.
Airing on 02.11.2020 and 02.13.2020, we sit down with Chris Bowman (a recent paramedic school graduate) and discuss his experience while in paramedic school, and things for incoming students to keep in mind. From maintaining perspective, relationships with preceptors, and focusing on the training at hand, Chris shares some insight while it's still fresh.
In part 2, we discuss Chris's first call as a paramedic- a cardiac arrest that toned out just a few hours after he received his state numbers, that presented with several interesting challenges.
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