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The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.
 
Welcome, and thank you for allowing us to serve you. Pragmatic Paramedics are two medics with the desire to talk about topics pertinent to EMS and paramedicine. We are clinicians, but this podcast is dedicated to the subjects you and your partners discuss riding to and from scenes, sitting in a parking lot, or at your station or firehouse waiting for the next run to come out. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table ...
 
The paramedic world is like finishing school. You have already achieved so much, but still young and full of potential. The pre-hospital world is a big one. We are just four blokes trying to make sense of it. Free radicals is about sharing our love of this world, through education, ramblings and debate. Join the team and their guests as we look at the present, contemplate the future, and examine the controversy.
 
Traumatic injury causes millions of deaths and disabilities globally and cases are rising as road traffic increases. This album features a real-life simulation of the aftermath of a car crash and reveals the crucial steps paramedics must take to tend to the injured driver and get him into the ambulance. It shows the importance of the Platinum Ten Minutes and the Golden Hour, key concepts which the ambulance services follow when dealing with life-threatening conditions. This material forms pa ...
 
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show series
 
Around the MCHD Clincial Department we’ve had some recurrent themes pop up over the past few months that always make the medical directors shake their heads. During this episode, Dr. Dickson and Dr. Patrick take a shot at dispelling some “medical director myths."저자 Montgomery County Hospital District
 
Welcome to our first episode of Cognitive Offloading with the PragMedics and Scooby! In this episode, Dr. Andrew Fisher (Trauma Daddy) and Jason Segal of P1 Air Rescue join us to chat about a wide range of topics, from acute traumatic coagulopathy to our thoughts on a hot EMS topic. So join us and enjoy this episode with some great guests! Our next…
 
The PragMedics are back and hoping everyone is looking forward to the New Year! In this episode, the PragMedics and Scooby sit down and discuss beta blocker overdoses. Beta blocker ODs present with various indications and can be difficult to diagnose. It is a wide ranging discussion on different treatment options and ways to manage patients experie…
 
Electrical storm has dismal outcomes. It is most frustrating because we know the cause is very likely coronary occlusion (~75%)! We have added esmolol to our tool belt here at MCHD to try and improve refractory VF outcomes. Others are trying early ECMO in this patient population. Prior eCPR studies have all been retrospective. Join the podcast crew…
 
Freestanding emergency departments are becoming more and more common across the United States. Here at MCHD, we feel that EMS transport to these sites can be beneficial to both our system and the community as well. During today's episode, Dr. Patrick is joined by multiple hospital partners for some enlightening FSED myth-busting.…
 
Thankfully, we finally have some positive COVID-19 news to discuss. Join the medical directors for a discussion of vaccine basics and some of the specific issues EMS and public health will likely encounter with COVID-19 vaccine administration. REFERENCES1. https://podcasts.apple.com/us/podcast/stimulus/id1501107371?i=10004940062832. https://www.cho…
 
In this episode, the PragMedics chat with Chris "Hutch" Hutchison about a wide variety of topics. We chat about the changes he has seen in the military, the differences between military and civilian medics, and his thoughts on the transition from military to civilian paramedicine. Chris is a 14 year veteran of the US Army, starting his career as a …
 
We’ve discussed burnout on the podcast in the past. When thinking about ways to combat burnout, a word that often comes up is resilience. Emergency care was stressful enough, then 2020 decided to add COVID to the mix. Join the podcast crew and special guest Kris Kaull as we talk about ways to foster resilience as an EMS provider which will hopefull…
 
Today we challenge your knowledge and understanding of tension pneumothorax. Not only is tracheal deviation rubbish, but there are differences found between pneumothorax's created in spontaneous breathing patients and those being ventilated. Understanding the difference in mechanics and their presentation is key to diagnosis.…
 
Sometimes in medicine, we do things just because they’ve always been done that way, which is terrible reasoning. Valsalva maneuver followed by the two-syringe technique for adenosine administration has been standard practice in PSVT management for decades. Recent data suggests that both of these approaches may have better alternatives. Join Dr. Pat…
 
The abdomen can be intimidating, and assessing it thoroughly can sometimes end up in the "too hard" basket. But with almost 10% of abdominal complaints being life threatening, we want to get the assessment right. Today we look at the abdominal assessment, red flags to watch out for, and talk about some of the less commonly known conditions you can …
 
In this episode of "I Had This Patient," the PragMedics and Scooby discuss how to treat and manage a patient presenting with a STEMI or OMI. It is a wide ranging discussion on different treatment options and ways to manage patient experiencing a STEMI in the prehospital setting. Thanks for listening and be sure to check out our "I had this patient"…
 
If there is one topic that we love at MCHD, it’s discussing bolus dose nitroglycerin in acute pulmonary edema patients. We’re lucky to have more positive evidence supporting it’s use thanks to Mike Perlmutter and his colleagues from North Memorial in Minneapolis. Join Dr. Patrick and Mike as they geek out over high dose nitrate use in EMS.REFERENCE…
 
In this episode, the PragMedics sit down with Doctor Fisher and discuss TXA. Doctor Fisher discusses the changes in dosage and administration of TXA, along with how the CoTCCC makes changes to the TCCC guidelines. Its a great discussion on another tool medics have in treating trauma patients, so tune in and give it a listen! As always, we want to t…
 
When thinking of what strikes fear in paramedics, most would think of answers like pediatric arrests, precipitous deliveries, and unstable bradycardias. A hidden source of misery here at MCHD is the fear of the oral scenario exams for advancement. Yes, these are artificial and do not always reflect reality, but they are a necessary evil. Join Dr. D…
 
In this episode, the PragMedics chat with Brad Morgans about ketamine. Brad retired from the US Army after 20 years of service and multiple deployments a a Lieutenant Colonel. He deployed with USSOCOM as a CRNA numerous times in support of Special Operations. He continues his service by teaching warfighters austere medicine and ways to utilize phar…
 
The capnography tracing is an excellent tool that gives us insight into cellular metabolism, perfusion, and ventilation. This can yield vital information in multiple critical patient care decision processes. Join Dr. Patrick and Dr. Dickson as they walk through some ETCO2 interpretation basics. We are limited on the amount of objective information …
 
Paramedics bodies face high demands from the job. 10-15% will suffer an injury at work that can affect our lives and career. Strengthening our bodies not only prevents injury but reduces fatigue, helping us to make better decisions and live happier lives. #hirewill저자 Free Radicals Paramedic Podcast
 
In this weeks episode, the PragMedics chat with Jim Bollenbacher about what an event medic is and does. Jim is a retired lawyer turned medic who enjoys working as an event medic with some great stories. He wrote a book about his adventures and stories called "Molly, Mushrooms, and Mayhem." It's a great read and Jim donates every cent of profit to t…
 
Join Dr. Dickson and our esteemed colleagues from across the globe to hear how their systems have responded to the COVID-19 pandemic and what they have learned from the experience thus far. Dr. Colin Graham is an EM specialist from Hong Kong who practiced there for the first SARS outbreak and is now tackling Corona Part 2. Additionally, we’ll be jo…
 
On this episode I am lucky to have Dr. Reuben Strayer on to discuss the management of agitated patients. Dr. Strayer is an emergency physician in New York City and has interest and expertise in the management of agitation as well as sedation and airway management. Agitated patients are often challenging to treat. They require a high-level of assess…
 
Scooby and the PragMedics are back again with Part 3 of a three-part series discussing intubation. In this episode, we discuss the intubation process from confirmation of tube placement to a failed airway. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for…
 
We're joined by a special guest, Dr. Jeff Jarvis, to talk about his recent PEC manuscript investigating potential life-saving interventions in the prehospital setting and their association with "lights and sirens" usage. Be prepared for some dogma challenging discussion!REFERENCES:https://www.tandfonline.com/doi/abs/10.1080/10903127.2020.1797963…
 
Today we are joined by Harriet Walker from Athletic Eating. We sit down to discuss the obstacles and challenges paramedics face with nutrition and how it affects our performance and well being. We also look at some small steps that we can take to improve the way we eat at work.저자 Free Radicals Paramedic Podcast
 
In this episode, we chat with Global Response Management (GRM). GRM is an international NGO and exists to bring emergency prehosptial care and training to those living in or displaced from conflict zones. Listen in as we learn from the medical providers who work within this organization and the challenges they see in low-resource, high-risk areas. …
 
Hey, remember that time when a Starbucks barista pulled my head out of my ass? Yeah, that was fun.If you'd like to connect with me further, you can find me here:- www.paramedicphilanthropyproject.com- Facebook community at https://www.facebook.com/ParamedicPhilanthropyProject/- Instagram @paramedicphilanthropyproject- Twitter at twitter.com/melanad…
 
The firehose of information that is COVID-19 has slowed somewhat since we last discussed the pandemic, but the first wave has obviously persisted. On this episode, Dr. Patrick and Dr. Dickson address some of the recent COVID developments in treatment, return-to-work policy updates from the CDC and crazy complications seen in pediatric patients.REFE…
 
In this week's episode, we sit down with HSAR Medic Jason Segal and discuss the evolution of medical mission from his perspective. We chat about patient care, scene and flight management, time considerations, and ton of other topics. Jason is a HSAR Medic with our show sponsor, Priority 1 Air Rescue, and we are extremely happy to have them and Jaso…
 
This week, we decided to re-release a previous episode from our early days! We chatted with Dr. Steffian who is a distinguished psychologist very well versed in mental health but, more specifically, high-stress situations and candidate selection within the military's special warfare groups. He has published several peer-reviewed articles on the top…
 
CPR induced consciousness is rare but can have a significant impact on how we deliver care. CPR induced consciousness or CPRIC, is a phenomenon where by the CPR being performed is so effective, that it produces varying states of consciousness. Your patient is in VF arrest, but may be "politely" asking you to get off their chest Management is based …
 
We’ve discussed TXA, both for trauma and for epistaxis, on the podcast previously. Medics often ask about TXA in the acute GI bleed patients who are in hemorrhagic shock...“What can it hurt? It’s worth a try, right?” While TXA may seem like a harmless hail Mary, on this episode, Dr. Patrick reviews the HALT-IT study and discusses why TXA for acute …
 
This week's episode is a re-release of our conversation with Dr. Lauria. Dr. Lauria just released a great new YouTube video discussing checklists and it is well worth one's time to watch. We discussed how situational awareness pertains to the EMS provider and variety of other topics, to include his thoughts checklists and simulation training. Check…
 
This episode tackles the definition of "stupidity" and how this relates to prehospital medical care. Dr. Patrick is joined by Kris Kaull to discuss the definition of stupid, risk factors for making stupid moves and how to possibly prevent these in the EMS setting.REFERENCES1. Episode inspiration - https://fs.blog/2019/01/how-not-to-be-stupid/2. Che…
 
Scooby and the PragMedics are back again with Part 2 of a three-part series discussing intubation. In this episode, we discuss the intubation process from medications to confirmation and everything in between. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back…
 
Today we are joined by special guest Rory Jackson. Rory is a senior critical care paramedic, and practicing midwife. Rory takes us through his journey as well as some insights on how to improve our pre-hospital obstetric practice. Music Say Good Night by Joakim Karud @joakimkarud Creative Commons — Attribution-ShareAlike 3.0 Unported— CC BY-SA 3.0 …
 
We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Ser…
 
Not every paramedic works in the big city, with a partner and a mass of resources at their disposal. Some work by themselves, with limited resources, and limited help. Today we talk about remote paramedicine, its perks, its pitfalls and how to thrive.저자 Free Radicals Paramedic Podcast
 
We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Ser…
 
In today's episode, the PragMedics chat with Shane, a Community Paramedic, and Dr. Liao, a Medical Director, about Indianapolis EMS response to COVID. This is Aaron's last episode as a full time cohost but no worries, he is still planning on being a contributor and cohost with Scooby! This is a great episode that discusses how to effectively respon…
 
Today we look at how we go about clearing c-spine injuries in the pre-hospital setting. The evidence behind NEXUS and how it stacks up again other tools. Can we use these tools in the elderly? We would like to thank of our listeners Bruce for bringing this topic to our attention.저자 Free Radicals Paramedic Podcast
 
We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Ser…
 
Scoobs is back again with a three-part series of I Had This Patient. Over the next three episodes, the PragMedics led by Scooby, talk about DSI and intubation. We start from resus and work our way through the cords. In todays episode, Scooby discusses pre-intubation steps and thoughts in a pragmatic, logical way with tons of information. Tune in an…
 
In this episode, The PragMedics chat/battle with the Free Radicals in an international meeting of the minds. The Free Radicals are an Australian based paramedicine podcast with critical care backgrounds. Their podcast focuses on all things paramedic and gave us the opportunity to collaborate. Listen in to hear — “Who won, who’s next, you decide.” C…
 
We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic chest pain scene with unstable vitals then filter to a differential of #1 PE,…
 
This week, The PragMedics chat with the world famous Medic2Medic Host Steven Cohen. A man who has produced over 200 unique episodes from his own studio. Mr. Cohen is also a paramedic with nearly 30 years experience. He’s currently in a leadership position and is the chief of Cary Area EMS. Check out his story and why he does what he does. As always…
 
In this week's episode, The PragMedics chat with Jason Segal of P1 Air Rescue. Jason is a helicopter search and rescue paramedic and educator. His background in EMS includes about everything the EMS community has to offer. He has been an oil rig medic, truck medic, and currently a HSAR Tech with one of the premier SAR companies. We discuss his expe…
 
For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with a discussion of our PPE/COVID-19 experience. We share our lessons learned and wish list for the future. Take a listen and please hit us up at podcast@mchd-tx.org if you have questions or experiences yo…
 
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