The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.
This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.
We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!
When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual clogged artery with multi-view X-rays and contrast dye is extremely helpful in the treatment and diagnosis process.
Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating a STEMI team is crucial.
Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.
All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.
Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under UH medical control and at a new later time. Thanks to Avon Fire Department for being the first to host the podcast.
It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!
The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.
Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.
Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!
Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.
To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.
Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.
An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.
Anticipating shock helps to keep you ahead of the curve. Sure, it sounds apparent but, is it truly done? Then we move into one of the rare types of shock, neurogenic and anaphylaxis gets a mention.
Dr. Donald Spaner sits in with us for the month of November to talk all of the levels and types of shock. There's a lot to unpack in this episode! Assessment, prevention and treatment of.
Dr. Hill, Scott, Ray and Caleb gather together to talk about some random peds, protocol, drug administration and airway notes from the previous episodes. Heparin administration is the opening chat then we move into airway evaluation, using protocols and helpful items like Broselow tapes. We even through in some documentation for refusal tips!
Dr. Regina Yaskey joins us to discuss pediatric emergencies. Everyone knows that pediatric patients are not small adults. Dr Yaskey talks about the intricacies of assessing and treating pediatric patients. We talk about the pediatric assessment triangle, advanced airways, simple practices that have great impact, common and not-so-common calls, as well as red flags for abuse and weight-appropriate restraints for kids. Join us and ask us all your questions.
Stay up to date
For any inquiries, please email us at hello@podcastworld.io