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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in-hospital care providers through clinician interviews and expert clinical commentary.
  continue reading
 
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Prehospital Emergency Care Podcast

Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, Leshmi Kumar

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This is the Prehospital Emergency Care Podcast, the official Podcast for the National Association of EMS Physician's (NAEMSP) journal, Prehospital Emergency Care. This bimonthly podcast contains in-depth interviews with manuscript authors and engaging commentary from EMS physicians Dr. Hawnwan Moy, Dr. Scott Goldberg, Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, Dr. Lekshmi Kumar.
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Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will gui ...
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The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
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show series
 
A question of Dopamine or Epinephrine initiates a discussion regarding what should/should not be in a drug box, how to have a good relationship with your pharmacy and the possible use of apps in the prehospital setting. The big question in this episode, when is it appropriate to downgrade a call from an ALS to a BLS?…
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Renowned airway expert, Dr. Rich Levitan, on mastering airway management. Explore his approach to simplifying complex tasks into achievable and believable steps. Every complexity incurs a debt to crisis performance, instead, learn how we can decrease stress and engineer success in crisis performance. Resources YouTube link- https://www.youtube.com/…
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In this in-depth episode, host Scott Wildenheim is joined by regular contributors Caleb Ferroni and Ray Pace, along with special guest Falon Steiner, EMS Manager of Initial Training Programs. Together, they explore the full spectrum of modern EMS education—from foundational program structure and mentorship to test-taking psychology, AI integration,…
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We dive into the latest emergency medicine research evaluating the complications following pre-hospital tourniquet use. Dr. Ben Li, an expert in emergency medicine literature reviews a 2023 study titled 'The Cost of Saving Lives: Complications Arising from Pre-Hospital Tourniquet Use,' exploring its implications for EMS providers. From infection to…
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A car accident on the highway sees the vehicle rollover nine times and ejects our patient out of the vehicle with a multitude of life threatening injuries. Our team refers to our patient as the sickest trauma patient any of them had ever seen. The outlook is very bleak, but our team perseveres and gives every effort to help increase the patient's o…
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A car accident on the highway sees the vehicle rollover nine times and ejects our patient out of the vehicle with a multitude of life threatening injuries. Our team refers to our patient as the sickest trauma patient any of them had ever seen. The outlook is very bleak, but our team perseveres and gives every effort to help increase the patient's o…
  continue reading
 
As the crew prepare to head out of the studio for the live version of the podcast, the discussion of medical math and “teaching for the test” vs. preparing providers for “the real world” of EMS, becomes a thing. And, yes, you still will have to memorize some things. Finally, how about letting potential students sit in on the courses? Might that hel…
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Continuing the EMS education talk with Falon Steiner of the UH EMS Institute team and discusses what is practical education for EMS students and the ability to understand “why” vs. “how/when” to treat patients. The national registry is also a topic as far as assessing student competency.저자 University Hospitals of Cleveland EMSi
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EMS Education is the topic this month with Falon Steiner, EMS Manager of Initial EMS Training. What are the basics? What changes do instructors need to make in teaching methodology? EMT programs are still under oversite by the state. The paramedic programs have oversight from the Accreditation of Allied Health Education Programs (CAAHEP) is a progr…
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A field trainer administers a non-indicated medication while two trainees watch in silence. Sound familiar? In this eye-opening episode, we dive deep into how the aviation industry transformed from a punitive, hierarchical culture to one where crews actively prevent catastrophic errors—and how YOU can apply these same principles on your next EMS sh…
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In this episode, we are joined by Dr. Amelia Breyre, the lead author of Multidisciplinary Lessons from Palliative Extubations at Home, to discuss the complexities and collaborative efforts involved in facilitating palliative extubations at home. Dr. Breyre shares insights from two remarkable cases, highlighting how multidisciplinary coordination be…
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Effective agitated patient management requires a fundamental shift from viewing these encounters as behavioral problems to recognizing them as medical emergencies with underlying pathophysiological processes. By systematically addressing safety, identifying root causes, selecting appropriate pharmacological interventions, and maintaining rigorous p…
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A motorcycle accident leaves our patient with a litany of serious injuries and severe bleeding, yet he remains alert and talking to the team... but that's not the only one he talks to. Our patient puts his life in the hands of a higher power and our Air Methods crew as they work to address his numerous injuries and ailments and get him to a hospita…
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A motorcycle accident leaves our patient with a litany of serious injuries and severe bleeding, yet he remains alert and talking to the team... but that's not the only one he talks to. Our patient puts his life in the hands of a higher power and our Air Methods crew as they work to address his numerous injuries and ailments and get him to a hospita…
  continue reading
 
In this 3rd part of the team’s discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will “kill” a …
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Today, host Rachel Stemerman sits down with two authors of a groundbreaking paper: Ira Harmon and Jennifer Fishe. Their research tackles a significant challenge in emergency medical services: accurately identifying prehospital pediatric asthma exacerbations from complex EMS data. Asthma exacerbations are a common reason for pediatric EMS encounters…
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Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars th…
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Ray Pace takes the lead this month as the crew talks adult trauma topics with, Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. In this first episode of the series, Dr. Tinkoff reflects on how he came to find Trauma Surgery as a specialty including his early life as a first responder. The group discusses the va…
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Let's delve into the critical steps required to manage an upper GI bleed in the field. This episode breaks down the recognition of risk factors, vital airway and circulation interventions, and best practices for transporting and notifying the hospital. We discuss important historical clues and provide insights on airway handling and circulatory sup…
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In this insightful episode of The Pre-Hospital Paradigm Podcast, Dr. John Hill and co-host Scott Wildenheim dive deep into the evolving world of blood transfusion medicine with special guests Vicki Cary, Manager of Transfusion Medicine, and Matt Howlett, System QA Coordinator for Blood Banks. Together, they explore the critical role of blood and bl…
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Ready for the latest insights in prehospital care? In this episode, we're diving into an eye opening question in emergency medicine: could giving just a single dose of epinephrine during cardiac arrest be more effective than the standard approach? This topic isn’t just about changing a drug protocol—it challenges the way we think about resuscitatio…
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As Dr. Hill, Scott, Vicky and Matt start to wind up the discussion regarding transfusion medicine for EMS, i.e. using blood products in the prehospital setting, they discuss the proper storage requirements necessary for products and the costs of maintaining the blood collection, storage and distribution process. What’s being considered before imple…
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As our team is out saving lives, we're excited to revisit one of the most harrowing episodes in our archives from January 2023. This remarkable story has a multitude of valuable lessons and insights you're going to love. See you next month with fresh content! It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior P…
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As our team is out saving lives, we're excited to revisit one of the most harrowing episodes in our archives from January 2023. This remarkable story has a multitude of valuable lessons and insights you're going to love. See you next month with fresh content! It's a different type of episode today on AMPED. We're joined by Ridley Barron, a Senior P…
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These challenging scenarios represent opportunities to provide truly patient-centered care at life's most vulnerable moments. By combining your medical expertise with thoughtful communication, you can help ensure patients' wishes are honored while supporting families through difficult transitions. In this episode we dive into the complex ethical an…
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Scott and Dr. John Hill continue with their guests from the UH blood bank. The discussion continues regarding the emergent useage of blood products before and after the type and screening which can be done with 10 minutes or less depending on the type of testing equipment. They also move on to educating EMS professionals regarding being a part of t…
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Ready for the latest insights in prehospital care? Improving health and safety in our communities starts with a commitment to equity. We explore how systemic disparities in Emergency Medical Services (EMS) affect patient care, outcomes, and trust. Join our guests - Remle Crowe, Andra Farcas, and Ameera Haamid - as we unpack the National Association…
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This month, the crew gets together with, Victoria Cary and Matt Howlett, members of the UH system's blood bank to talk about the progress of transfusion medicine becoming within the practice scope of EMS. The information is based on rules, regulations and laws of the state of Ohio. In Part 1, the crew and guests reviews the A, B, Os basics of “bloo…
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Ready for the latest insights in prehospital care? The new Prehospital Emergency Care (PEC) Podcast, Episode 148 (Vol 28, Number 6), has dropped! This episode explores vital findings published in the Prehospital Emergency Care Journal, Volume 28, Number 3. We're tackling essential themes for every prehospital clinician: Fluids, Vascular Access, and…
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From a cardiology standpoint, what can be done by a basic level EMS provider vs. an advanced level provider? How can technology be utilized to expand the BLS scope of practice? The basis of this discussion is the Ohio EMS Scope of Practice저자 University Hospitals of Cleveland EMSi
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In this month's episode, our guest, Brian Abbott, and the team discuss one of the most important topics for first responders - mental health. Thanks to the UH Portage Paramedic Program for having the team back in the classroom for this episode.저자 University Hospitals of Cleveland EMSi
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Get 10% off FAST25 with promo code- loud&clear. In this special episode of Loud & Clear: EMS Guiding Principles, we learn from the wisdom of 2 industry leaders with nearly 70 years worth of combined experience, Allen Wolfe and Michael Frakes. This episode explores the evolution of EMS education, effective training strategies, and the importance of …
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Our team is dispatched to a scene where they understand a pregnant woman is experiencing footling breech during the birthing process. When they arrive, they find the baby already delivered and being tended to with Basic Life Support practices, although she is in rough shape. How does the team pivot? What steps do they take as the baby is in cardiac…
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Our team is dispatched to a scene where they understand a pregnant woman is experiencing footling breech during the birthing process. When they arrive, they find the baby already delivered and being tended to with Basic Life Support practices, although she is in rough shape. How does the team pivot? What steps do they take as the baby is in cardiac…
  continue reading
 
As the team prepares for the next live show, of course, the topic being the mental health of EMS and firefighting professionals, they wind up the in-studio conversation with local firefighter, Brian Abbott who has rebounded to the fire services after treatment for mental health issues related to being in the EMS/fire service.…
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Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to dis…
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Peer support, changing the stigma of the culture within the firefighter/EMS population is how Ray, Caleb, Dr. Hill and our guest, Brian Abbot start this episode. Showing signs of mental health issues can be seen as a sign of weakness. However, personal vulnerability needs to be recognized and encouraged. It builds trust in the team and between the …
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In Scott's absence, Ray leads the team of Caleb, Dr. Hill and our special guest firefighter Brian Abbott, currently with the City of Elyria Fire Department. PTSD is higher in firefighters: 14.6% to 22%, compared to 6.8% in the general population. Depression is also higher in firefighters: 11% in firefighters, compared to 6.7% in the general populat…
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We discuss the importance of equipment design in EMS with Adam LaChapelle, founder of The Resus Tailor. Together we delve into the impact that effective design has on performance and patient outcomes, exploring principles such as reducing friction and visual checklists. Adam shares compelling stories and practical tips on organizing your equipment …
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Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom …
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When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumat…
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When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumat…
  continue reading
 
Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey. Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing…
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The crew and Dr. Olicker start to put a close on this additional series regarding caring for neonate patients in the EMS environment. Pediatric cardiology kicks this segment off and then the crew discusses “delivery head trauma” and wraps up with correcting developmental milestones for specific neonate patients.…
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Syncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the…
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