prehospitalparadigmpodcast

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.

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.

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.

May has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We take this episode to talk about the types of strokes, treatment, decisions on transport to destination other appropriate in-field treatment as per protocol.