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    butwhyemspodcast

    Explore "butwhyemspodcast" with insightful episodes like "Ep. 35: What's in the Box?!?!?", "Ep. 31 Servant Leadership in MIH", "Ep. 29: Finding water in the Desert", "Ep. 28: What do I do with my hands?" and "Ep. 26 It's all about the basics" from podcasts like ""But Why EMS Podcast", "But Why EMS Podcast", "But Why EMS Podcast", "But Why EMS Podcast" and "But Why EMS Podcast"" and more!

    Episodes (18)

    Ep. 35: What's in the Box?!?!?

    Ep. 35: What's in the Box?!?!?

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

     

    Hello But Why EMS podcast listeners!  Have you ever seen the quarterback of a professional football game review videos of the last play in real-time?   The act of reviewing your actions with the intent of figuring out what you can improve upon is the key to improvement.  What if we can do that with our intubations?  In this episode, we talk with Dr. Brian Miller as he shares his experience and lessons learned when his EMS system recorded intubation attempts.

    Dr. Brian Miller 

    Emergency Physician/EMS Physician

    Associate Assistant Medical Director for MedStar Mobile Healthcare

    Deputy Medical Director of Dallas Fire Rescue

    Assistant Professor of Emergency Medicine at UTSW

    Click here to download it today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito NRP

    John Reagan NRP

    Paul Schuler NRP

    Please subscribe and review our podcasts on:

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    Ep. 31 Servant Leadership in MIH

    Ep. 31 Servant Leadership in MIH

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real time,

    Hello, But Why EMS Podcast listeners!  What do Elon Musk and Jeff Bezos have in common?  They're both NOT servant leaders.  What are servant leaders you ask? And what does this have to do with EMS? 

    Well check out this episode of the But Why EMS podcast to hear Dr. Phil and Gina talk with MIH guests:

    Dr. Melissa Kroll

    Jennifer Rieker, Paramedic, Community Paramedic

    Jane Reilly BA, NRP, FP-C, CP

     Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito NRP

    John Reagan NRP

    Paul Schuler NRP

    Please subscribe and review our podcasts on:

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    Ep. 29: Finding water in the Desert

    Ep. 29: Finding water in the Desert

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    In the current state of affairs and the decreasing number of OB/GYN specialists in our communities, EMS will endure long transports of high-risk OB to tertiary care facilities.  As a prehospital clinician, you will be the one caring for these sick OB patient(s).  Are you ready?  To help you prepare, the But Why EMS podcast team discusses high-risk OB pathologies with our content expert

    Dr. Karin Fox, OB/GYN, Maternal Fetal Medicine, and EMS Physician at Texas Children's Hospital 

     Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

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    Ep. 28: What do I do with my hands?

    Ep. 28: What do I do with my hands?

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    What do I do with my hands?”  Have you ever been in an awkward conversation trying to keep it going…but run out of things to say?  Talking to a patient with psychiatric issues is similar.  And you want to know something?  That’s normal and it does feel weird.  But that doesn’t mean we should let it drive our care.  

     

    In this episode, we have our content expert,

    Dr. Jessica Gold, Assistant Professor of Psychiatry at Washington University  

     Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

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    Ep. 26 It's all about the basics

    Ep. 26 It's all about the basics

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    Have you ever responded to a call and when you arrive on the scene you and your partner looked at each other like this?

    Our hosts Gina and John have!  Listen to them recount a baby delivery that isn't like our typical simulation cases.  

    We also have special guests

    EMS Physician

    Maia Dorsett MD PhD 

    and 

    Pediatric and Adult Emergency Physician 

    Kara LaBarge MD

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

    Apple

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    Stitcher

    Episode 24: Pediatric TXA

    Episode 24: Pediatric TXA

    For paramedics, click HERE for CAPCE credit!

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    But Why EMS Podcast brings you today's episode...

    While summertime is a time of swimming pools, road trips, and backyard parties, for clinicians it also means it's trauma season. 

    For the past 10 years, EMS systems and trauma hospitals have used Tranexamic Acid (TXA) for adult traumas to slow the bleed. But what about using TXA for children with traumatic injuries?  Does it provide the same benefit?

    In this episode, we'll focus on the medication Tranexamic Acid (TXA) with our special guest:

    Jennifer Flint, MD

    Internal Medicine | Pediatrics | Pediatric Critical Care

    Medical Director, Pediatric Critical Care Transport

    Department of Critical Care Medicine

    Children’s Mercy Kansas City

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

    Apple

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    But Why EMS Ep. 23 EMS week Rising to the Challenge

    But Why EMS Ep. 23 EMS week Rising to the Challenge

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    But Why EMS Podcast brings you today's episode...

    EMS Week: Rising to the challenge

    As EMS week comes to a close, NAEMSP, the PEC podcast, and the But Why EMS podcast would like to highlight a NAEMSP member who has Risen to the Challenge of the war in Ukraine. 

    Dr. Kasia Hampton (@kasiahamptonmd)

    & her medical student daughter

    Livia Van Humbeeck (@doclivia)

    have been helping their home country Poland and their neighbor Ukraine during this horrendous time in history.  We talk to Dr. Hampton and Livia about their initial experiences and their continued plans to aid Ukraine.

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

    Apple

    Amazon

    Google Podcast

    Stitcher

     

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits. 

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    this episode covers the evolution of stroke care and how treatments of large vessel occlusion strokes are pivotal upon EMS clinical suspicion and triage destination.  Meet our special guest:

    Dr. Peter Panagos MD 

    Vice-Chair for Academic and Faculty Affairs

    Professor of Emergency Medicine & Neurology  

    As well as John Reagan telling us about his "Modified Reagan Stroke Scale." 

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Please subscribe and review our podcasts on:

    Apple

    Amazon

    Google Podcast

    Stitcher

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits. 

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    this episode covers the complex nature of traumatic arrests. ,  Do we treat it the same as a medical arrest?  Do we have different treatment and decision priorities for these traumatic patients?  What makes caring for these patients in the prehospital environment so unique and how does that affect our care of these patients? 

    We discuss these questions and more with our special guest:

    Dr.  Rawan Safa

    @rawansafa93

    Emergency Medicine Resident at Washington University

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Noah Bernhardson MD

    References

    1. Millin MG, Galvagno SM, Khandker SR, Malki A, Bulger EM, Standards and Clinical Practice Committee of the National Association of EMS Physicians (NAEMSP)., Subcommittee on Emergency Services–Prehospital of the American College of Surgeons’ Committee on Trauma (ACSCOT). J Trauma Acute Care Surg. 2013 Sep; 75(3):459-67.
    2. Lockey, D, Crewdson, K, Davies, G. Traumatic cardiac arrest: who are the survivors? Ann Emerg Med 2006; 48:240-244.
    3. Russell, RJ, Hodgetts, TJ, McLeod, J, Starkey, K, Mahoney, P, Harrison, K. The role of trauma scoring in developing trauma clinical governance in the Defense Medical Services. Phil Trans R Soc B 2011; 366:171-191.
    4. Morrison, JJ, Poon, H, Rasmussen, TE, Khan, MA, Midwinter, MJ, Blackbourne, LH. Resuscitative thoracotomy following wartime injury. J Trauma 2013; 74: 825- 829.
    5. Kouwenhoven, WB, Jude, JR, Knickerbocker, GG. Closed-chest cardiac massage. JAMA 1960; 173: 1065-1067.
    6. Luna, GK, Pavlin, EG, Kirkman, T, Copass, MK, Rice, CL. Hemodynamic effects of external cardiac massage in trauma shock. J Trauma 1989; 29:1430-1433.
    7. Leis C. Traumatic cardiac arrest: should advanced life support be initiated?. Journal of Acute Care Surgery. 2013;74:634-638.
    8. Keith J Roberts. The role for surgery in pre-hospital care. 2015; 18(2): 92-100.
    9. Escott ME, Gleisberg GR, Kimmel K, Karrer A, Cosper J, Monroe BJ. Simple thoracostomy. Moving beyond needle decompression in traumatic cardiac arrest. 2014 Apr; 39(4): 26-32.
    10. Martin M, Satterly S, Inaba K, Blair K. Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax? Journal of Trauma and Acute Care Surgery. 2012; 73(6): 1412-1417.
    11. Stevens RL, Rochester AA, Busko J, et al. Needle Thoracostomy for Tension Pneumothorax: Failure Predicted by Chest Computed Tomography. Prehospital Emergency Care. 2009; 13(1): 14-17.
    12. Inaba K, Ives C, McClure K, et al. Radiologic evaluation of alternative sites for needle decompression of tension pneumothorax. Arch Surg. 2012 Sep; 147(9): 813-8.
    13. Ball CG, Wyrzykowski AD, Kirkpatrick AW, et al. Thoracic needle decompression for tension pneumothorax: clinical correlation with catheter length. Can J Surg. 2010 Jun; 53(3): 184-8.
    14. Brian Wernick, Heidi H Hon, Ronnie N Mubang, et al. Complications of needle thoracostomy: A comprehensive clinical review. Int J Crit Illn Inj Sci. 2015 Jul-Sep; 5(3): 160–169.
    15. Smith JE, Rickard A, Wise D. Traumatic cardiac arrest. J R Soc Med. 2015;108(1):11-16.
    16. Leis CC, Hernández CC, Blanco MJ, et al. Traumatic cardiac arrest: Should advanced life support be initiated? J Trauma Acute Care Surg. 2013;74(2):634-638.
    17. Jørgensen H, Jensen CH, Dirks J. Does prehospital ultrasound improve treatment of the trauma patient? A systematic review. Eur J Emerg Med. 2010;17(5):249-253.

     

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits. 

    Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

    this episode covers the challenge of the prehospital airway. The But Why team covers unique ways to secure the airway that include  "Ghosting the Airway" and "Romantic Hands."  

    Hear the But Why EMS Podcast team discuss this situation with:

     

    Dr. Robert Stephens

    Emergency Medicine Resident at Washington University

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Noah Bernhardson MD

     

    References:

    1. Sakles JC, Chiu S, Mosier J, et al. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med 2013;20(1):71-78.

    2. Sakles JC, Mosier J, Stolz U. In reply. Acad Emerg Med 2013;20(9):966.

    3. Limkakeng A, Broder JS, Theiling BJ. Chicken or egg? Risks of misattribution of cause-effect relationships in studies of association. Acad Emerg Med 2013;20(9):965.

    4. Kajino K, Iwami T, Kitamura T, et al. Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest. Crit Care 2011;15(5):R236.

    5. Clemency BM, Roginski M, Lindstrom HA, et al. Paramedic intubation: patient position might matter. Prehosp Emerg Care 2014;18(2):239-243.

    6. Murphy DL, Rea TD, McCoy AM, et al. Inclined position is associated with improved first pass success and laryngoscopic view in prehospital endotracheal intubations. Am J Emerg Med 2019;37(5):937-941.

    7. Turner JS, Ellender TJ, Okonkwo ER, et al. Feasibility of upright patient positioning and intubation success rates At two academic EDs. Am J Emerg Med 2017;35(7):986-992.

    8. Levitan RM, Kinkle WC, Levin WJ, et al. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 2006;47(6):548-555.

    9. Snider DD, Clarke D, Finucane BT. The "BURP" maneuver worsens the glottic view when applied in combination with cricoid pressure. Can J Anaesth 2005;52(1):100-104.

    10. Tournadre JP, Chassard D, Berrada KR, et al. Cricoid cartilage pressure decreases lower esophageal sphincter tone. Anesthesiology 1997;86(1):7-9.

    11. Chassard D, Tournadre JP, Berrada KR, et al. Cricoid pressure decreases lower oesophageal sphincter tone in anaesthetized pigs. Can J Anaesth 1996;43(4):414-417.

    12. Garrard A, Campbell AE, Turley A, et al. The effect of mechanically-induced cricoid force on lower oesophageal sphincter pressure in anaesthetised patients. Anaesthesia 2004;59(5):435-439.

    13. Heath KJ, Palmer M, Fletcher SJ. Fracture of the cricoid cartilage after Sellick's manoeuvre. Br J Anaesth 1996;76(6):877-878.

    14. Notcutt W. Oesophageal rupture and cricoid pressure. Anaesthesia 1991;46(5):424-425.

    15. Savino PB, Reichelderfer S, Mercer MP, et al. Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta-analysis. Acad Emerg Med 2017;24(8):1018-1026.

    16. Messa MJ, Kupas DF, Dunham DL. Comparison of bougie-assisted intubation with traditional endotracheal intubation in a simulated difficult airway. Prehosp Emerg Care 2011;15(1):30-33.

    17. Driver BE, Prekker ME, Klein LR, et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA 2018;319(21):2179-2189.

    18. Driver B, Dodd K, Klein LR, et al. The Bougie and First-Pass Success in the Emergency Department. Ann Emerg Med 2017;70(4):473-478 e471.

    19. Latimer AJ, Harrington B, Counts CR, et al. Routine Use of a Bougie Improves First-Attempt Intubation Success in the Out-of-Hospital Setting. Ann Emerg Med 2021;77(3):296-304.

    20. Braude D, Richards M. Rapid Sequence Airway (RSA)--a novel approach to prehospital airway management. Prehosp Emerg Care 2007;11(2):250-252.

    21. Braude D, Southard A, Bajema T, et al. Rapid sequence airway using the LMA-Supreme as a primary airway for 9 h in a multi-system trauma patient. Resuscitation 2010;81(9):1217.

    22. Moss R, Porter K, Greaves I, et al. Pharmacologically assisted laryngeal mask insertion: a consensus statement. Emerg Med J 2013;30(12):1073-1075.

     

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits!

    We all know the standard phrase in EMS

    But did you know that, in this episode, the But Why team added, "squirt mustard on the chest" to the EMS mantra?  

    Find out how the mustard phrase arose in this hilarious episode that covers cardiac arrest treatment history and myths with

    Dr. Adam Heilman

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

     

    Works Cited

    1. American Heart Association. (n.d.). History of CPR. cpr.heart.org. https://cpr.heart.org/en/resources/history-of-cpr.

    2. Bonnes JL, Brouwer MA, Navarese EP, Verhaert DV, Verheugt FW, Smeets JL, de Boer MJ. Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies. Ann Emerg Med. 2016 Mar;67(3):349-360.e3. doi: 10.1016/j.annemergmed.2015.09.023. Epub 2015 Nov 19. PMID: 26607332.

    3. Cheskes S, Dorian P, Feldman M, McLeod S, Scales DC, Pinto R, Turner L, Morrison LJ, Drennan IR, Verbeek PR. Double sequential external defibrillation for refractory ventricular fibrillation: The DOSE VF pilot randomized controlled trial. Resuscitation. 2020 May;150:178-184. doi: 10.1016/j.resuscitation.2020.02.010. Epub 2020 Feb 19. PMID: 32084567.https://pubmed.ncbi.nlm.nih.gov/32084567/

    4. Delorenzo A, Nehme Z, Yates J, Bernard S, Smith K. Double sequential external defibrillation for refractory ventricular fibrillation out-of-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation. 2019 Feb;135:124-129. doi: 10.1016/j.resuscitation.2018.10.025. Epub 2018 Oct 26. PMID: 30612966.

    5. Fig Leaf Times Two by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

    Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1200096

    Artist: http://incompetech.com/

    6.  Kette F, Ghuman J, Parr M. Calcium administration during cardiac arrest: a systematic review. Eur J Emerg Med. 2013 Apr;20(2):72-8. doi: 10.1097/MEJ.0b013e328358e336. PMID: 22990036.

    7.  Landry A, Foran M, Koyfman A. Does calcium administration during cardiopulmonary resuscitation improve survival for patients in cardiac arrest? Ann Emerg Med. 2014 Aug;64(2):187-9. doi: 10.1016/j.annemergmed.2013.07.510. Epub 2013 Aug 30. PMID: 23992943.

    8. Mapp JG, Hans AJ, Darrington AM, Ross EM, Ho CC, Miramontes DA, Harper SA, Wampler DA; Prehospital Research and Innovation in Military and Expeditionary Environments (PRIME) Research Group. Prehospital Double Sequential Defibrillation: A Matched Case-Control Study. Acad Emerg Med. 2019 Sep;26(9):994-1001. doi: 10.1111/acem.13672. Epub 2019 Jan 6. PMID: 30537337.

    9.  Mount DB (2020).  Treatment and Prevention of Hyperkalemia in Adults. In T.W. Post Sterns RH, Forman JP (Eds.). UpToDate. Available from:  https://www-uptodate-com.beckerproxy.wustl.edu/contents/treatment-and-prevention-of-hyperkalemia-in-adults?search=hyperkalemia%20treatment&sectionRank=1&usage_type=default&anchor=H462542914&source=machineLearning&selectedTitle=1~150&display_rank=1#H462542914

    10. Poole K, Couper K, Smyth MA, Yeung J, Perkins GD. Mechanical CPR: Who? When? How? Crit Care. 2018 May 29;22(1):140. doi: 10.1186/s13054-018-2059-0. PMID: 29843753; PMCID: PMC5975402.

    11.  Pozner CN, Link MS (2020). Supportive data for advanced cardiac life support in adults with sudden cardiac arrest. In T.W. Page RL, Walls RM, Dardas TF (Eds.).  UpToDate.  Available from:  https://www-uptodate-com.beckerproxy.wustl.edu/contents/supportive-data-for-advanced-cardiac-life-support-in-adults-with-sudden-cardiac-arrest?search=calcium%20cardiac%20arrest&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

    12. Vallentin MF, Granfeldt A, Holmberg MJ, Andersen LW. Drugs during cardiopulmonary resuscitation. Curr Opin Crit Care. 2020 Jun;26(3):242-250. doi: 10.1097/MCC.0000000000000718. PMID: 32348092.

    13. Velissaris D, Karamouzos V, Pierrakos C, Koniari I, Apostolopoulou C, Karanikolas M. Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review. J Clin Med Res. 2016 Apr;8(4):277-83. doi: 10.14740/jocmr2456w. Epub 2016 Feb 27. PMID: 26985247; PMCID: PMC4780490.

     

     

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits

    May is mental health awareness month.  Unfortunately, EMS clinicians are at high risk for mental health due to long hours, low pay, and a chaotic work environment.  Yet, mental health in the prehospital realm is a taboo topic.  No one likes to talk about it and some don’t believe it exists.  As part of mental awareness month, we will focus on clinicians' stories, EMS research on suicidal behavior, and resources for anyone who is hurting and feels that they are alone.  

    In this podcast we have special guests: 

    Fiona Thomas EMT-P

    President of the Code Green Campaign

    Bridgette Svancarek MD FAEMS

    Assistant professor of Emergency Medicine

    Washington University

    Click here to check out the episode today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Noah Bernhardson MD

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Adam Hagar EMT-P

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, click here for CE credits.

    Pediatric Out of Hospital Cardiac Arrest Part 2: When a child dies

     

    In this episode, the But Why EMS Podcast team discusses why beginning the mourning process in the field benefits families as well as what to do or say when terminating p-OHCA resuscitation on scene

    with our special guest:

    Peter Antevy MD  

    @HandtevyMD

    Pediatric Emergency Medicine Physician

    EMS physician

    Click here to check out the episode today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Noah Bernhardson MD

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Works Cited

    I Am a Man Who Will Fight for Your Honor by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

    Source: http://chriszabriskie.com/honor/

    Artist: http://chriszabriskie.com/

    But Why EMS Podcast

    But Why EMS Podcast

    For Paramedics, click here for CEU credits!

    They're not little adults nor are they little aliens...

    They're just kids.  

    Pediatric Out of Hospital Cardiac Arrest (p-OHCA) is a terrifying case for any health care clinician.  In this two-part series, the But Why EMS Podcast team covers the evidence behind p-OHCA and the growing push to resuscitate on the scene with special guest

    John Graham MD

    Pediatric Emergency Medicine Physician Fellow.

    Click here to check out the episode today!

    Also, check out our sister podcast The Prehospital Emergency Care Podcast's February episode discussing the utility of Pediatric intraosseous needles in p-OHCA!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Works Cited

    1. “Monty Python - "Not Dead Yet" Scene (HD)”  YouTube, Downloaded by Phil Moy February 19, 2021.  https://www.youtube.com/watch?v=Jdf5EXo6I68&t=2s&ab_channel=Browningate
    2. Dreams Become Real by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

      Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1500027

      Artist: http://incompetech.com/

    3. Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

      Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100238

      Artist: http://incompetech.com/
    4. Eastin C, Karim S, Hawthorn C, Webb MH, Waheed MA, Buford A, Hutchison M, Mason C, Sexton K. Mandated 30-minute Scene Time Interval Correlates With Improved Return of Spontaneous Circulation at Emergency Department Arrival: A Before and After Study. J Emerg Med. 2019 Oct;57(4):527-534. doi: 10.1016/j.jemermed.2019.06.021. Epub 2019 Aug 28. PMID: 31472942.

    5.  Banerjee PR, Ganti L, Pepe PE, Singh A, Roka A, Vittone RA. Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival. Resuscitation. 2019 Feb;135:162-167. doi: 10.1016/j.resuscitation.2018.11.002. Epub 2018 Nov 6. PMID: 30412719.

    6. Grunau B, Kime N, Leroux B, et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2020;324(11):1058–1067. doi:10.1001/jama.2020.14185.
    7.  Broughton W, Paediatric cardiac arrest: time to ‘stay and play’? Journal of Paramedic Practice. 2015 Dec. https://www.paramedicpractice.com/features/article/paediatric-cardiac-arrest-time-to-stay-and-play

     

    But Why EMS Podcast

    But Why EMS Podcast

    Happy New Year!

    For Paramedics click HERE for CEU.

    We all know the standard phrase in EMS...

    But in episode 6, we take this maxim one step further

    When dealing with HYPOTHERMIC patients. 

    In this episode we have

    Dr. Conner Gessert

    2nd-year Emergency Medicine Resident at Washington University

    cover ALL things HYPOTHERMIC in the prehospital world.

    Click here to check it out today!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Works Cited

    1. “Censor Beep Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=RPfCZhvj1Ng&ab_channel=RyanCarvalho
    2. “Find Your Vocal Range in 1 Minute.m4v.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=9IejHKpfHso&ab_channel=alanpiano1
    3. Gilbert M, Busund R, Skagseth A, et al. Resuscitation from accidental hypothermia of 13.7 degrees C with circulatory arrest. Lancet. 2000;355(9201):375-376
    4. Part 8: Advanced Challenges in Resuscitation. Circulation. 2000;102(suppl_1):I-229. doi:10.1161/circ.102.suppl_1.I-229
    5. Podsiadło P, Darocha T, Kosiński S, Sanak T, Gałązkowski R. Body temperature measurement in ambulance: a challenge of 21-st century? BMC Emergency Medicine. 2019;19(1):44. doi:10.1186/s12873-019-0261-2
    6. Rischall ML, Rowland-Fisher A. Evidence-Based Management Of Accidental Hypothermia In The Emergency Department. Emerg Med Pract. 2016;18(1):1-18.
    7. “Ship Horn - Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=Nee8KfUtLBA&ab_channel=Copyleft
    8. “The Sound of a Boat Motor.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=pngTkC321mI&ab_channel=yogaduke

    But Why EMS Podcast

    But Why EMS Podcast

    Happy Holidays!

    For paramedics, click here for CEU.

    The COVID-19 vaccine is here!  Many celebrate this as a miracle of science.  Yet others remain skeptical of the vaccine. Episode 5 seeks to assuage and answer many of those concerns with our special guest star:

    Dr. Stephen Liang MD MPHS 

    Associate Professor of Emergency Medicine and Infectious Disease

    Click here to answer your questions about the COVID-19 mRNA vaccine!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

    P.S.  Here is the graph that Dr. Liang mentioned in the FDA Report about the Pfizer Vaccine

    Works Cited

    “Inactivated Virus Vaccine.” Inactivated Virus Vaccine - an Overview | ScienceDirect Topics, www.sciencedirect.com/topics/medicine-and-dentistry/inactivated-virus-vaccine

    Pfizer-BionTech. (2020). FACT SHEET FOR RECIPIENTS AND CAREGIVERS EMERGENCY USE AUTHORIZATION (EUA) OF THE PFIZER-BIONTECH COVID-19 VACCINE TO PREVENT CORONAVIRUS DISEASE 2019 (COVID-19) IN INDIVIDUALS 16 YEARS OF AGE AND OLDER [Fact Sheet]. Retrieved from:  https://www.fda.gov/media/144414/download

    Federal Drug Administration.  “Vaccines and Related Biological Products Advisory Committee Meeting.”  10 Dec. 2020.  https://www.fda.gov/media/144245/download?fbclid=IwAR366lR9LuAUYtQGMBZKNimFtZCfTFs0CHivFGb8CfXZ7wedJyP4fdphmQw

    “Vaccines and the Immune Response: How They Work.” YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=Atrx1P2EkiQ&ab_channel=MechanismsinMedicine

    “Heaven Sound Effects All Sounds.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=2HwZo9Oqql4&ab_channel=AllSounds

    “Officials worry deadly coronavirus can spread to U.S.” YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ME6rg5enX9I&ab_channel=CBSThisMorning

    “1st case of coronavirus confirmed in US| ABC News.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=FMc280EtXxs&ab_channel=ABCNews

    “COVID-19 Spreads For 1st Time in US: How Serious are Risks Today| Dr. Anthony Fauci.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=X3GxF_6trDY&ab_channel=TODAY

    “Velcro Sound Effect [ HD ]”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=WiMfVStE6FA&ab_channel=nBeats

    “Typing Sound Effect (no copyright).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=OJhWtBBJw10&ab_channel=aboutVINCENT

    “Typewriter Ding - Sound Effect.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=nd8LOfAd4LY&ab_channel=SoundShelf

    “iPhone/Mac E-mail Sent Sound Effect (swoosh).” YouTube, Downloaded by Phil Moy December 23, 2020.   https://www.youtube.com/watch?v=l5_GD0-_EII&ab_channel=FreeToUseSound%E2%80%94Royaltyfreesoundeffects

    “Lets.  Get.  Bizzay.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=_Y1YaXvi1bk&ab_channel=BigRamifications

    “AOL Dial Up Internet Connection Sound + You've Got Mail (America Online) 90's.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=dudJjUU9Nhs&ab_channel=AdventuresinHD

    "Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel.

    “Whaat? - Minions| Despicable Me.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=J5Wj8Q6OTcg&ab_channel=JiriKolarik

    “Money Sound Effect.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=0cWGdrndeD4&ab_channel=AudioSounds

    “Toccata and Fugue in D Minor (Best Version Ever).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ho9rZjlsyYY&ab_channel=MovieMongerHZ

    “Sesame Street Podcast Number 2.”  YouTube, Downloaded by Phil Moy December 23, 2020.  

    https://www.youtube.com/watch?v=6oNzKKb4TQI&ab_channel=VickiRoy

    “Ron Burgundy & Baxter.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=TCY0e77SQvM&ab_channel=roflsaur1337

    Unfoldment, Revealment, Evolution, Exposition, Integration by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

    Source: http://chriszabriskie.com/reappear/

    Artist: http://chriszabriskie.com/

    “The good the bad and the ugly - Theme.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=AFa1-kciCb4&ab_channel=jordanharding

    “75 Atari 2600 Games (VCS).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ucRYLobga0g&ab_channel=jvgsjeff

    “How do vaccines work? - Kelwalin Dhanasarnsombut.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=rb7TVW77ZCs&ab_channel=TED-Ed

    But Why EMS Podcast

    But Why EMS Podcast

    Happy Thanksgiving!

    For paramedics, click here for CEU Credits.

    This year the But Why EMS Podcast is thankful for you, our listeners, for being part of our family.  Thank you!

    In this episode, we hear about Gina and John's hilarious sedation story and John's personal experience with Versed.  

    We also have a special guest

      

    Valerie Lew MD

    who enlightens the crew about the most up to date evidence of sedation usage in the prehospital world!

    Click here to download!

    Thank you for listening!

    Hawnwan Philip Moy MD 

    Gina Pellerito EMT-P

    John Reagan EMT-P

     

    Works Cited

    "Can you breathe spontaneously through a BVM."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=HRgLUAvY7io&t=128s&ab_channel=PaediatricEmergencies.

    "Curly sleep." YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=fkUPSn7PeV0&ab_channel=auweia1.

    "Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel.

    "Hulk Smash & Fight Scenes (2008-2017) MCU| Ragnarok included."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=P4QCgtdMFxM&t=233s&ab_channel=CedricDumler.

    Isenberg DL, Jacobs D. Prehospital Agitation and Sedation Trial (PhAST): A Randomized Control trial of Intramuscular Haloperidol versus Intramuscular Midazolam for the Sedation of the Agitated of Violent Patient in the Prehospital Environment. Prehospital Disaster Medicine. 2015 Oct; 30 (5):491-5. Doi.10.1017. Epub 2015 Sep 1. https://www.ncbi.nlm.nih.gov/pubmed/26323511.

    "Lou Reed-Perfect Day (Audio)."  YouTube, downloaded on November 28, 2020. https://www.youtube.com/watch?v=9wxI4KK9ZYo&ab_channel=LouReedVEVO

    Macht M, Mull A, McVaney K, et al. Comparison of Droperidol and Haloperidol for Use by Paramedics: Assessment of Safety and Effectiveness. Prehospital Emergency Care. 2014; 18:3, 375-380. https://doi.org/10.3109/10903127.2013.864353

    Martel M, Miner J, Fringer R, et al. Discontinuation of Droperidol for the Control of Acutely Agitated Out of Hospital Patients. 2009; 9:1, 44-48. https://doi.org/10.1080/10903120590891723.

    Page C, Parker L, Rashford S,et al. A Prospective Before and After Study of Droperidol for Prehospital Acute Behavioral Disturbance. Prehospital Emergency Care. 2018; 22:6, 713-721. https://doi.org/10.1080/10903127.2018.1445329

    "Relaxing Music and Calming 4K Waterfall nature: Sleep Relaxation."  YouTube, downloaded by Phil Moy, November 28, 2020, https://www.youtube.com/watch?v=xJ4hsUE9zU8&ab_channel=321Relaxing-MeditationRelaxClips.

    Thomas H, Schwartz E, Petrilli R. Droperidol versus haloperi- dol for chemical restraint of agitated and combative patients. Ann Emerg Med. 1992;21(4):407–13.

    "To alcohol...the cause of...and solution to...all of life's problem's."  YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=hUVwR0rw5fk&ab_channel=Jappana.

     

    But Why EMS Podcast

    But Why EMS Podcast

    For paramedics, please click here for CEU credits!

    In the last episode, we explored the role heat emergencies played in the deaths of Tour de France cyclist Tom Simpson and Kentucky high school football player, Max Gilpin. 

    But why were Tom Simpson and Max Gilpin the only athletes to suffer heatstroke? 

    The "But Why (@EMSBut)" team answers this question with guests: 

    Evan Schwarz MD

    @TheSchwarziee

    Kevin Baumgartner MD

    Download the episode today!

    Thank you for listening!

    Hawnwan Philip Moy MD

    Gina Pellerito EMT-P

    John Reagan EMT-P

    Works Cited

    "Coach Not Guilty in Students Heat Death."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=OpNemKSFo1c&ab_channel=ABCNews.

    "Breaking Bad Main Title Theme."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=ilfYnhXD-bE&ab_channel=DavePorter-Topic

    "The Story of Tom Simpson Part 6/6."  YouTube, downloaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc.

    "Top 5 Walter White most powerful quotes."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=6MMrDLW4XQw&ab_channel=NiRatings.

    Lake, Thomas.  "The Boy Who Died of Football - Sports Illustrated Vault."  SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football.

    "Tom Simpson."  Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.

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