prehospital paradigm podcast

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.

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.

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. 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.

This month we meet Regina Yaskey, MD who has a specialty in pediatric emergency medicine as well as disaster medicine.  In part 1, the talk is about the basics... the need for proper equipment and protocols as well as a state of mind.... confidence.

As we start talking about documentation, let's get the correct mindset.  Writing a great chart every time is how you tell your story. Sure, medicolegally, there are implications to charting but think of writing a great chart as how you're passing along your story.. your patient treatment so that those on the rest of the treatment continuum can plan and treat appropriately.

The First Response for Sports Trauma Course (FRST) is discussed. This is not a course about orthopedic injuries, etc.  It is designed to provide first responders with the skills required to recognize, treat and transport athletes who become ill or suffer traumatic injury during sporting events, for conditions including cardiac arrest, heart arrhythmias, concussion, spinal injuries and heat-related illnesses.

What's discussed? The need for AEDs, coaches training to recognize when to call 911, the AED in 3 Challenge for high schools, access to emergency access plans, immobilization and more!   

Link to FRST Course HERE.

This month, Dr. Jordan Singer, from UH Elyria, joins us for a discussion on how to treat drug and cardiotoxic ingestions, excited delirium, and more about the drug box. Dr. Jordan Singer, along with Scott Wildenheim, Caleb Ferroni, and Ray Pace will be on YouTube Live on Monday at 4 PM Eastern answering your questions about toxicology, excited delirium, and more. Come and join us! #PrehospitalParadigmPodcast