Medic Class Citizen

|12| From Precepted to Practicing: Day 1 as a New Medic (Chris Bowman, BS, NRP)

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.

For this and more, check out:

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|11| Major League Mindset, Part 2 (Adam Morgan, Philadelphia Phillies)

Join us in episode 11, as we finish our discussion with Adam Morgan of the Philadelphia Phillies. Join as we discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about rebounding from a loss, not giving up on your profession, the importance of mentorship for your profession, humility, and further discussions about team dynamics.

As we discussed last week, though we have incredibly different jobs and professions, you can hear the similarities between thought processes and struggles, and learn from his strategies that have made him and his teammates successful. 

Look out for episode 11 next week, which will part two of our time with Adam. We will discuss stress management during critical moments, and many more lessons from the mound. 

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|10| Major League Mindset, Part 1 (Adam Morgan, Philadelphia Phillies)

Join us in episode 10, as we sit at the table with Adam Morgan of the Philadelphia Phillies. We were lucky enough, and very honored, to be able to sit and discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about preparation, falling back on your training, attention to detail, team dynamics, focusing in the moment, and dealing with failure. Though we have incredibly different jobs and professions, you can hear the similarities between thought processes and struggles, and learn from his strategies that have made him and his teammates successful. 

Look out for episode 11 next week, which will part two of our time with Adam. We will discuss stress management during critical moments, and many more lessons from the mound. 

Please like, subscribe, follow, and share, and look for Episode 11!

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|9| WTF Part 3 - Septic Shock (Brandon Carey, NRP)

In this episode, we discuss treatment recommendations found in recent literature, in regards to fluid administration in septic shock. We also discuss the updates to the definition of sepsis, and the criteria for diagnosing a patient with sepsis. In this episode, we discuss SOFA, and QSOFA, as well as the elimination of SIRS and "Severe Sepsis" from the sepsis spectrum. 

Join us as we dive in to the pathophysiology of septic shock, and how fluid administration is still considered a staple treatment. We discuss how third spacing occurs secondary to overzealous fluid administration, resulting in potential worsening of hypoperfused tissues and organs. In this episode, we also discuss the ProMISe, ARISE, and CENSER trials, and discuss the suggestions of early vasopressor therapy using norepinephrine has proven to be beneficial. We also briefly discuss the potential benefits of pre-hospital administration of broad spectrum antibiotics, and the Phantasy trial, and propose to revisit a similar study with more objective methods. 

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|8| WTF Part 2 - Hemorrhagic Shock (Dr. Nathan Creel & Kyle Gibson, AGACNP)

Join us in Episode 8, as we sit down (on location) with Dr. Nathan Creel and Kyle Gibson, AGACNP (Northeast Georgia Medical Center: Trauma and Acute Care Surgery), and discuss the importance of blood product replacement in resuscitation of traumatic patients. In this episode, we discuss how we (EMS) have been giving crystalloid fluids for treatment during hemorrhagic shock, leading to the detriment of our trauma patients. In the words of Dr. Creel - "If the patient is losing blood, the best fluid replacement is blood."

Join us as we discuss the pathophysiology of hemorrhagic shock, the history of blood infusions, and why it is imperative to move towards a paradigm shift of moving towards pre-hospital administration of blood products in the field of EMS. 

Please like, subscribe, follow, and share, and look for Episode 9!

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|7| WTF Part 1 - Cardiogenic Shock (Jason Grady, NRP)

In this episode, we open our series WTF (What the fluid), and focus on fluid administration during cardiogenic shock. Join us as we discuss the normal physiology of coronary perfusion, what actually makes up coronary perfusion pressure, and what goes wrong during cardiogenic shock. We also talk about the damaging trend of administering fluids during cardiogenic shock, and explain the more appropriate treatment (including medications and dosage) of administering vasopressors to mitigate dangerous levels of cardiogenic shock. We also discus portions of the trials SOAP 1 and SOAP 2, and the A-B-C-D-E of cardiogenic shock classification.   

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WTF?! (What The Fluid) Introduction

This is a short introduction clip explaining what you can expect to get out of the next three episodes of our podcast.

Join us as we enter our three part series, "WTF?! - What the Fluid." During this series, we explore the use of fluid resuscitation during cardiogenic shock, hemorrhagic shock, and septic shock. Throughout this series, we provide self investigation of how we could be treating our patients in a more effective manner, and how if we do not change, we will cause harm. 

SEND US YOUR QUESTIONS! If we have enough questions, we will provide an episode strictly answering your questions. To ask a question, go to: www.medicclasscitizen.com and scroll down until you see the "FEEDBACK" form. Fill it out, and send us your thoughts (...and don't worry, sending feedback does NOT subscribe you to our mailing list). 

Thanks for listening! Now go ahead and check out Episode 7!

 

|6| Strength in Numbers [Featuring Chad Black, NRP]

In this episode, we discuss the benefits of membership in professional organizations for licensed EMS personnel. Join us as we welcome Georgia EMS Association Chair Chad Black, as we dive in to examples of benefits that every listener across the country should be seeking out in their individual states, provinces, territories and regions through affiliation in professional organizations. Chad also shares incredibly valuable experience from his years of leadership in various EMS agencies, as he worked his way from an EMT on the ambulance, to paramedic, to Battalion Chief and regional manager (air medical) to Director of Emergency Services. 

We discuss ways professional organizations provide benefits ranging from continuing education opportunities, leadership and development training, pensions and retirement, to political and legislative representation on Capitol Hill (Senate Bill 102, alongside our very own, Jason Grady). 

We round out the episode by discussing Chad's involvement in working towards administering whole blood in the pre-hospital field throughout certain regions of Georgia, and the steps he and those involved had to take in order to get the pilot program approved and off the ground. 

Please like, subscribe, follow, and share, and look for Episode 7!

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|5| Law of LaPlace - Compressing with a Purpose

In this episode, we have another chance to dive in to the physiology of chest compressions, cardiac arrest, and resuscitation science with our friend and return guest, George Ordway, PhD, PA-C. Join us as George discusses whether or not compressions should be performed prior to defibrillation, and why the Law of LaPlace should challenge us to think about how we run cardiac arrests in the pre-hospital setting. Other topics of discussion include community based compression only CPR education, the phases of cardiac arrest, and a shift in our mindset during resuscitation of cardiac arrest patients.  

Please like, subscribe, follow, and share, and look for Episode 6!

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|4| El Papa, Part 1 [George Ordway, PHD, PA-C]

In this episode, Jason and Brandon get to spend some time with the one and only, George Ordway. In the first installment of this two part series, get to know George as he talks about his background, what brought him to medicine, and his passion for cardiac physiology. George has not only taught physiology for medical schools around the country, but he is also very well published, and has performed remarkable patient care in his community. Listen as we talk about how George finds EMS to be an integral piece of the medical community, and his passion for teaching paramedics and EMT's. Make sure to listen to this episode, as next week, we will dive in to the physiology of chest compressions, cardiac arrest, and resuscitation science. 

Please like, subscribe, follow, and share, and look for Episode 5!

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