uh ems institute

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.

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.

• Cardiogenic shock 
• Hypovolemic shock 
• Anaphylactic shock 
• Septic shock 
• Neurogenic shock 
• Distributive shock

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.

In part 3 of our pediatric discussion with Dr. Yaskey, we review various pediatric cases from which we can learn. The discussion includes pharmacology for airway issues, child protective services and how pediatric trauma is different from adult trauma.

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.

Jon Cameron, EMT-P / EMS Data Management Specialist are talking more about documentation. Remember this phrase from all documentation presentation's? It is soooooooooooo true! And, while we all have access to the latest technology... such as automated documentation and data transfer security for you ePCR. What actually gets read at the receiving facility or by the QA people?

Just like May, July has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We're going over a few protocol updates, talking steroids and dextrose concentrations.  It's a practical review of some drug box items.

This month Dr. Ross Campensa from Aultman Hospital joined us for a discussion on new innovations in resuscitation and a look at what Green City Fire Department is doing with Heads Up CPR. Dr. 

The crew, still with Dr. Ross Campensa from Aultman Hospital, continues to reimagine CPR and resuscitation methods including re-thinking the equipment preparation and organization. So much of the re-thinking is “basic.”

What wounds get packed? What wounds do not get packed?  What about airway control on scene?  We pull everything together in this episode including real-life "hacks" for patient treatment on scene.

The group continues the discussion of how tactical medicine, as a specialty, is different from everyday EMS.  The discussion starts with the an updated rapid assessment mnemonic MARCH in place of ABCs.

The thoughts behind the change of the protocol. The most important thought – simplification! Speaking of simplification, wave-form capnography simplifies intubation confirmation.

Now referred to hyperactive delirium with severe agitation, is part of the discussion.  These patients are high risk for sudden cardiac emergencies but what can we do to “restrain” them?

This month, Dr. Jordan Singer, from UH Elyria, joins the group for a discussion on how to treat cardiotoxic ingestions.

Continuing the drug box discussion, the crew discussed the clinical math, preparation, and dosages of various drugs including Zofran, Epi, and Dilaudid. This is a great episode to watch on our YouTube channel. Med UPDATES: The new ADULT dosing is to mix 2 grams (2000 mg) in 100 ml of D5 and administer that dose over 10 minutes and Push Dose Epi can be given up to 50 mcg per dose prn.

A practical review of Ketamine. What’s in the protocol? Can we use it on patients that have serious medical or traumatic emergencies but also have excited emotional issues?  The crew explains their practical knowledge of prepping Ketamine in the field.

Ketamine has received some “bad press.” Is it as volatile as it’s current reputation in the ED and the field? Why is it getting so much attention, how do we calm the discussion, and feel more comfortable with it's use?