A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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Prehospital Emergency Care Podcast
Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, Leshmi Kumar
This is the Prehospital Emergency Care Podcast, the official Podcast for the National Association of EMS Physician's (NAEMSP) journal, Prehospital Emergency Care. This bimonthly podcast contains in-depth interviews with manuscript authors and engaging commentary from EMS physicians Dr. Hawnwan Moy, Dr. Scott Goldberg, Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, Dr. Lekshmi Kumar.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in-hospital care providers through clinician interviews and expert clinical commentary.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.
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Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Ross Orpet, Paramedic turned EMS Physician
Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will gui ...
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The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
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Unlocking Practice Changing Insights: A Paramedics Guide to Reviewing the Medical Literature
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41:02Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to dis…
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Focusing on the Mental Health of EMS and Firefighting Professionals - Part 2
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41:07Peer support, changing the stigma of the culture within the firefighter/EMS population is how Ray, Caleb, Dr. Hill and our guest, Brian Abbot start this episode. Showing signs of mental health issues can be seen as a sign of weakness. However, personal vulnerability needs to be recognized and encouraged. It builds trust in the team and between the …
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Ep. 147 Freedom House with Chief Moon and Dr. Haamid
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52:16Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom …
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Air Methods Prehospital EDucation Podcast Ep. 49: Tag, You're It
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38:09When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumat…
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Focusing on the Mental Health of EMS and Firefighting Professionals - Part 1
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34:47In Scott's absence, Ray leads the team of Caleb, Dr. Hill and our special guest firefighter Brian Abbott, currently with the City of Elyria Fire Department. PTSD is higher in firefighters: 14.6% to 22%, compared to 6.8% in the general population. Depression is also higher in firefighters: 11% in firefighters, compared to 6.7% in the general populat…
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Why Your EMS Bag Could Be Failing You: Essential Design Tips You Need
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45:41We discuss the importance of equipment design in EMS with Adam LaChapelle, founder of The Resus Tailor. Together we delve into the impact that effective design has on performance and patient outcomes, exploring principles such as reducing friction and visual checklists. Adam shares compelling stories and practical tips on organizing your equipment …
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Neonate Patient Care for EMS 2025 - Part 4, Live Show From
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1:08:09The crew traveled to Caleb's home department, Munson Fire, Department, to bring closure to the recent discussion of caring for neonate patient in the EMS setting. Thank you Dr. Olicker for joining us this month!Bởi University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 49: Tag, You're It
38:09
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38:09When two flight teams are dispatched to a scene, usually the first to arrive takes the sicker of the patients. What happens when circumstances on the ground change that? How do the teams tag in and tag out with one another? On this episode of the AMPED Podcast, a high speed highway collision sees patients with a litany of maladies including traumat…
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NEW NAME! The podcast gets a new name, find out what and why...
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3:48Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey. Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing…
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Neonate Patient Care for EMS 2025 - Part 3
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26:15The crew and Dr. Olicker start to put a close on this additional series regarding caring for neonate patients in the EMS environment. Pediatric cardiology kicks this segment off and then the crew discusses “delivery head trauma” and wraps up with correcting developmental milestones for specific neonate patients.…
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Unlocking Syncope: A Harbinger of Hidden Perils, Differentiating Benign from Life-Threatening Causes
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59:01Syncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the…
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Neonate Patient Care for EMS 2025 - Part 2
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33:29Neonates with fevers start this discussion as we are still with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. We then go on to discuss vaccination differences between cultures and how to calm the parents/caretakers once EMS arrives.Bởi University Hospitals of Cleveland EMSi
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Neonate Patient Care for EMS 2025 - Part 1
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32:06The crew is back with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. In no particular order, this episode reviews the neonate patient born into an opioid dependent situation as well as patients born with physical and/or mental impairments and appropriate sedation agents an dosages.…
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Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS
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37:04Let's discuss the pressing issue of mental health among first responders, particularly within the EMS community. Will gets vulnerable and shares a personal story of trauma on the job to highlight the urgent need for mental health resources and support. Unfortunately, his story is not unique, we will all experience some level of emotional trauma whi…
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Air Methods Prehospital EDucation Podcast Ep. 48: The Pinkie Promise
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41:34A pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road. Our team not only battled our patient's COVID, but also a na…
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Air Methods Prehospital EDucation Podcast Ep. 48: The Pinkie Promise
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41:34A pinkie promise is a promise you cannot break, and it's one our patient in this month's episode made to his wife when he was stricken with a life-threatening COVID infection. She made him promise that he would pull through the ordeal, and he did... but not without many bumps in the road. Our team not only battled our patient's COVID, but also a na…
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EMS Pharmacology Made Simple - Live From Cardinal Fire District
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1:08:32In this month's episode, we discuss EMS Pharmacy with our guest, Derek Frost, a system EMS pharmacist. We explore the challenges of managing medications in the field, how to prevent errors, and the best practices for ensuring patient safety. #prehospitalparadigmpodcastBởi University Hospitals of Cleveland EMSi
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EMS Pharmacology Made Simple - Part 3
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38:40As the team starts to wrap up the the discussion of demystifying EMS pharmacology, they discuss, what it means to "lock up" the controlled substances and what the potential realistic ramifications might be of not doing that properly. They also dig into the challenges of calculating the varied pediatric dosages within the EMS scenario. What steps ha…
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Wide Complex Tachycardia: Get Comfortable With Uncertainty
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1:00:02Learn a systematic approach to management of wide complex tachycardia that doesn't rely on exact rhythm identification or scoring systems with guest Dr. Kevin Butler. By understanding the physiology rather than memorizing a score or algorithm you can use Kevin's approach and ABCD mnemonic to help differentiate between ventricular tachycardia, SVT w…
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EMS Pharmacology Made Simple - Part 2
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36:54The team continues the pharmacology discussion with UH Portage's pharmacy manager, Derek Frost. Remember kicking around trade/brand names vs. generic name in your day? What steps have YOU taken to reduce confusion? What drugs constitute "controlled substances?" How can we improve automated decision-making support of potentially conflicting medicati…
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Ep. 146 Consensus Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies
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33:27PEC Podcast Episode 146: Consensus Statement of the National Association of EMS Physicians International Association of Fire Chiefs and the International Association of Chiefs of Police: Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies 📢 New Episode Alert! 📢 The Prehospital …
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EMS Pharmacology Made Simple - Part 1
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40:31The team gathers with Derek Frost, UH Portage pharmacy manager, to talk about all things pharmacology including trying to analyze and simplify the science behind pharmacology. In Part 1, the team digs right in and talks about medication errors evaluation and elimination there of.Bởi University Hospitals of Cleveland EMSi
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Trailer - Loud & Clear: EMS Guiding Principles
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2:44You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine.…
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From Novice to Navigator: Mastering the Art of EMS Field Training
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1:06:34Joined by Josh, Cody, and Moose from the AlertMedicOne podcast, we explore key principles of good training, leadership, and the importance of making mistakes in a safe learning environment. We discuss strategies to foster critical thinking, introspection, and continuous improvement among trainees in the EMS field. A big part of EMS is learning to b…
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Air Methods Prehospital EDucation Podcast Ep. 47: Miracle in the Desert
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50:02The holidays are a time for hope, a time for believing in the extraordinary. Remember that classic holiday film, Miracle on 34th Street? Just when everyone's lost faith, a series of unexpected events bring about the impossible. Well, this week on the Air Methods Prehospital Education Podcast, we bring you a real-life story that echoes that same spi…
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Air Methods Prehospital EDucation Podcast Ep. 47: Miracle in the Desert
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50:02The holidays are a time for hope, a time for believing in the extraordinary. Remember that classic holiday film, Miracle on 34th Street? Just when everyone's lost faith, a series of unexpected events bring about the impossible. Well, this week on the Air Methods Prehospital Education Podcast, we bring you a real-life story that echoes that same spi…
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 3
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44:54In Part 3 we discuss the best of SANE and sexual assault patients, field termination and DOA, air medical care, neonatal resuscitation, event medicine and access routes, capnography, MCI and the new procedures, and ECPR.Bởi University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 2
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54:49In Part 2 we discuss sports medicine and the hyperthermic patient, importance of EMS documentation, anaphylaxis in pediatric care, dosing, shock, RSI, cardiac arrest care, STEMI care and EMS, and patient capacity in psychiatric emergenciesBởi University Hospitals of Cleveland EMSi
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The Difference Between Equal and Equitable Care
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16:12Explore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani from The EMS Show podcast, highlighting the importance of focusing on outcome-driven quality improvement projects and addressing disparities in care. Learn how different demogr…
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Prehospital Paradigm Podcast for EMS Best of 2024, Part 1
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46:32We take a look back at the best five minutes of our early episodes. In part 1 we discuss CPAP and better hand off care, the use of ketamine in assisted airways, toxicology, stroke, tactical medicine, innovations in resuscitation, steroids, and speak with a cardiac arrest survivor.Bởi University Hospitals of Cleveland EMSi
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ECMO CPR - A New Way of CPR for EMS? - Part 4 (Live)
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1:02:10As the final installment to this topic, the crew hit the road to Shaker Heights. You will appreciate the open discussion.Bởi University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 46: Bending the Rules
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34:27A gruesome head-on motorcycle accident causes this month's patient a litany of injuries. He has bilateral femur fractures, a large open wound on his abdomen and much more... and he's awake the whole time. He is cognizant, lucid, and chatting with our team through the entire ordeal. Is he experiencing neurogenic shock? And if he is experiencing neur…
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Air Methods Prehospital EDucation Podcast Ep. 46: Bending the Rules
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34:27A gruesome head-on motorcycle accident causes this month's patient a litany of injuries. He has bilateral femur fractures, a large open wound on his abdomen and much more... and he's awake the whole time. He is cognizant, lucid, and chatting with our team through the entire ordeal. Is he experiencing neurogenic shock? And if he is experiencing neur…
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Life Over Limb: Field Amputation, Preparing for the Unthinkable
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15:26Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Ad…
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ECMO CPR - A New Way of CPR for EMS? - Part 3
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25:45The crew continues with Dr. Frank Ford and Dr. Colin McCluskey further discusscussing EMS professionals utilizing ECMO CPR. They continue define how to spread the reach and implementation of this new CPR treatment technology.Bởi University Hospitals of Cleveland EMSi
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ECMO CPR - A New Way of CPR for EMS? Part 2
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26:53Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to further discuss EMS providers performing ECMO CPR. In part 2, we discuss application parameters such as a BLS-only crew, DNR patients, the age patients and geographical factors.Bởi University Hospitals of Cleveland EMSi
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The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope
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16:31In this episode, we discuss the profound impact that one patient's organ donation can have on society. Even when not every patient gets to go home, the ability to donate organs can positively affect up to 80 people, multiplying our impact and service to the community. Guest Chris Meeks, a critical care flight paramedic and organ recovery coordinato…
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PEC Podcast Episode 145: Quick Hits from Prehospital Emergency Care Journal Get ready for a rapid-fire review of the latest prehospital research! In Episode 145 of the PEC Podcast, we dive into the original research section of the Prehospital Emergency Care Journal (Volume 28, Number 3). Join our expert panel as we dissect key findings and discuss …
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Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates.Bởi University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast - New MCI for EMS "Live" Show
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1:01:01The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us!Bởi University Hospitals of Cleveland EMSi
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Values-Driven Leadership Within A Just Culture- Chris Pfingsten from EMS 20/20
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17:36Creating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fosteri…
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 3
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35:56In Part 3 of the "new" MCI episode, we are talking about changing the "paradigm" no pun intended) of planning, and on-scene thinking. From tags, to staging, to determining accessibilty, all of it is changing and will continue to change by reviewing other agency's after-action reports.Bởi University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 45: Heed Your Intuition
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37:25A seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symp…
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Air Methods Prehospital EDucation Podcast Ep. 45: Heed Your Intuition
37:25
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37:25A seemingly simple heart attack gives our team pause because the patient presents a litany of conflicting symptoms. Should our team send him to have a stent put in right away - as is standard procedure - or do they wait to address the other symptoms and risk muscle damage? What would you do if you were in their position? Our hosts consider the symp…
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 2
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29:25The team is still talking with Don Zimmerman, MCI subject matter expert and instructor. In this, part 2 of the New MCI episode, the group discusses what Don calls, “silly rules!” For example, does the first ambulance really have to be the ambulance that stays at the MCI?Bởi University Hospitals of Cleveland EMSi
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Are They Choking? Esophageal Foreign Body
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39:44We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as 'Steakhouse Syndrome,' and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there's an…
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Prehospital Paradigm Podcast, Episode 28 - The New MCI, Part 1
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36:30In this month's episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active sho…
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Episode 144 Deep Dive: End Tidal CO2 in Cardiac Arrest
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31:50Cardiac arrest in the prehospital setting continues to be a critical area of focus for EMS clinicians, especially when it comes to measuring ventilation and perfusion. In this episode, we’ll do a deep dive on new research investigating the role of end tidal carbon dioxide (ETCO2) as a potential indicator of survival in out-of-hospital cardiac arres…
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Extra Monday Episode - UH EMS Airway Series, Part 4 - The Surgical Airway
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1:03:33In this episode, the crew dives into the critical and high-stakes world of surgical airway management. The discussion focuses on needle cricothyrotomy, cricothyrotomy kits, and the essential skills and protocols for performing surgical cricothyrotomy. They explore the scenarios where these techniques become necessary, the tools required, and the st…
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End Tidal CO2 for EMS - The Live Session
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1:23:18The podcast team goes "back to school," i.e. the Portage County Paramedic Class to record this live session. We're closing out the End Tidal CO2 session! Thenk you to the class for having us!Bởi University Hospitals of Cleveland EMSi
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