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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A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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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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The Habit Loop: How Master EMS Clinicians Build Unconscious Competence Through Habits
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16:25Struggling to remember every protocol in high-pressure medical situations? You're not alone—and memorizing everything isn't the answer. Join us for this game-changing conversation with Jean Francois Couture, co-founder of Parys Medical, as we unpack the science of habit formation for EMS and healthcare providers. Recorded live at FAST 25, Jean brea…
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Intro to the National Collegiate EMS Foundation (Continued)
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32:03The group continues to take questions from the audience regarding how to start a campus-based EMS system, funding, and how to impress upon the university/college administration members the importance of such a in-house response system at any level,Bởi University Hospitals of Cleveland EMSi
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Ep. 157: Special Episode - Prehospital Management of Spinal Cord Injuries
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31:24Happy Turkey Day! Join host Dr. Phil Moy as we dive straight into a topic that has "stirred up more conversation than a potluck dinner at an EMS station": the prehospital management of spinal injuries. We are here to highlight the critical manuscript "Prehospital Management of Spinal Cord Injuries, an NAEMSP Comprehensive Review and Analysis of the…
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Air Methods Prehospital EDucation Podcast Ep. 58: The Muck and the Mechanism
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36:15A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into p…
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Hypothermia Rescue: Cardiac Arrest in a Tree Well
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39:59What happens when a 24-year-old woman is found frozen in a tree well after last being seen 8 hours prior, with a core temperature of 62°F (17°C)? In this extraordinary case, paramedic Miles Randell and his team performed 4 hours of CPR in knee-deep snow on April Fool's Day 2014—and she walked away with zero neurological deficits. This wasn't luck. …
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Intro to the National Collegiate EMS Foundation
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43:21This episode was recorded at the National Collegiate EMS Foundation annual conference. NCEMSF is a group of campus-based EMS agencies that a part of the student organizations. Some have vehicles. Some respond on foot and mainly are volunteering their time to do this during their college careers. Let's learn more! Joining the group is Eric Pohl and …
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Explosive Ordnance Disposal Operations for EMS - Part 4, Live
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58:48The crew gathered at Madison Fire to finish up their discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad. Thanks to the MFD for hosting us.Bởi University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep. 58: The Muck and the Mechanism
36:15
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36:15A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into p…
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When The Anatomy Is Gone: Facial Trauma Airway Management
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24:21What do you do when the anatomy you've memorized simply doesn't exist anymore? When a patient's entire face is gone, and your standard airway management tools won't work? This is where training meets reality. Critical care transport legend Allen Wolfe joins us to dissect a real case, a conscious patient with a self-inflicted shotgun wound—no mandib…
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Explosive Ordnance Disposal Operations for EMS - Part 3
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27:22In part 3 of our discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad. Oddly enough shooting water and water pellets is one of the main tools and constant research is part of how the team refines their methods between all bomb squads across the country. Finally, they discuss signs of what…
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Stop Building Resilience, Strengthen Your Resistance
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25:14Discover the difference between resistance (your daily shield built through sleep, nutrition, relationships, and spiritual wellness) and resilience (the anaerobic sprint you can't maintain forever). Recorded on-site at Fast25, James Boomhower, founder of StayFit4Duty, breaks down why the EMS culture of "pushing through" is fundamentally flawed. Usi…
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Explosive Ordnance Disposal Operations for EMS - Part 2
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28:20The conversation with Lake County Bomb Squad team member, Brian Yenkevich continues. Part of the discussion reviews weapons of mass destruction including radiological and biological weapons and detection equipment. We also discuss the types of old artillery and suspicious package types of calls and types of responses.…
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What If They Find Out I'm A Fraud? - Imposter Syndrome in EMS
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23:02Ever cried in the ambulance because you felt completely overwhelmed? Sophie Fuller has—and she's done something powerful with that experience. In this raw discussion, the Life and Sirens podcast host shares her most vulnerable stories about impostor syndrome, burnout, and finding your way as a new paramedic. Sophie's path to EMS started in the most…
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Explosive Ordnance Disposal Operations for EMS - Part 1
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23:35Lake County Bomb Squad team member, Brian Yenkevich joins Dr. Hill, Caleb and Scott for a different kind of discussion. Explosive Ordnance Disposal Operations. In Part 1, Detective Yenkevich outlines how the team trains, operates and defines its mission.Bởi University Hospitals of Cleveland EMSi
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In Flight Emergencies on Commercial Airline Flights - Part 4 (LIVE)
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58:37In this engaging and surprisingly eye-opening episode, the crew sits down with Dr. Jordan Singer, an emergency medicine physician with unique experience providing in-flight medical command. Together, they explore the complexities of managing medical emergencies in one of the most austere environments imaginable—an airplane at cruising altitude. Fro…
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Why Those With Addiction Don't "Just Change" - Opioid Crisis Reality for EMS
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59:59Death is the Bottom: Why EMS Must Rethink Opioid Use Disorder Treatment "Nobody told me that the bottom had a basement and the basement had a trap door." This powerful quote from a grieving mother reveals the tragic reality: for patients with opioid use disorder, rock bottom isn't recovery—it's death. Dr. Jason Hoppe, a medical toxicologist from th…
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Air Methods Prehospital EDucation Podcast Ep. 57: The Gravity of the Fall
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31:39In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth…
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Air Methods Prehospital EDucation Podcast Ep. 57: The Gravity of the Fall
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31:39In an incredible twist of irony, this month's case focuses on our flight crew loading into their helicopter to be dispatched to... a patient who has fallen out of a helicopter. From a height of approximately 40 feet and at a speed of 30 knots, our patient has an abundance of injuries, which requires our team to remember their axiom: "Slow is smooth…
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When to Act: Mastering Vasopressors in 2025
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14:14What do you do when the blood pressure monitor shows a number you don’t like? Most providers hit the button again—but what if it’s real? In this episode, we’re joined by critical care transport specialist James Boomhower from Boston MedFlight, recorded live at the FASTCAN conference in Calgary, to break down modern vasopressor management. We explor…
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In Flight Emergencies on Commercial Airline Flights - Part 3
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18:55In Part 3 the crew addresses some loose ends including why the drop-down masks cannot be used for in flight medical emergencies, what patients should NOT get an a commercial airliner, specific emergencies such as seizures and treatment of and commercial airline diversion decisions.Bởi University Hospitals of Cleveland EMSi
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Ep. 156 Deep Dive: Rapid Discharge Following Air Transport in Children
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45:01Is Air EMS Overutilized for Kids? Tune in to the latest PEC Podcast! Editors Maia Dorsett and Joelle Denofrio-Odmann sit down with authors Dr. Vishal Naik and Dr. Sriram Ramgopal to unpack their compelling research, "Rapid Discharge Following Air Transport in Children". This multicenter study, published in Prehospital Emergency Care, reveals that m…
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The 5 Levels of EMS Mental Breakdown & How to Escape Them
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37:23Why do some paramedics stay unshakable under pressure while others crumble on the exact same call? The answer isn't about years of experience—it's about understanding the neuroscience of stress and having the right mental tools. Cody Winterford delivers an incredible breakdown of the five psychological "circles of hell" that providers face in high-…
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In Flight Emergencies on Commercial Airline Flights - Part 2
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14:58Dr. Jordan Singer continues his in flight emergency discussion and includes the Aviation Medical Assistance Act which is similar to the Good Samaritan Laws is the discussion on this episode. You are covered as a trained EMS professional as long it is within reasonable parameters of your typical skills. There is an interesting caveat to this discuss…
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Following Evidence or Following the Crowd? The Truth About Evidence-Based Medicine with Dr. Eddy Lang
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15:38What if the evidence hierarchy you learned in school is incomplete? Dr. Eddie Lang, who helped develop the GRADE system now used by WHO and major resuscitation councils, explains why clinical practice guidelines—not RCTs or meta-analyses—should guide your practice decisions. Join us at FASTCAN 25 as Dr. Lang, who's helped shap guidelines for the Wo…
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In Flight Emergencies on Commercial Airline Flights - Part 1
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19:22This episode, we are joined by Dr. Jordan Singer, an Assistant Professor and Core Faculty member in the EMS Fellowship at the University Hospitals of Cleveland. Part of Dr. Singer's specialty, has become "in flight emergencies" on commercial airlines. One in twenty flights, globally, experience some type of inflight emergency. In this episode, a ge…
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Understanding the toxidromes provides you with vital diagnostic tools in high-stakes environments. In this episode, we break down the clinical patterns that define toxidromes- the clusters of signs and symptoms that point to poisoning or overdose. We explore the hallmark features of the most common toxidromes, highlight common pitfalls in recogniti…
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Extra Monday Episode - Cardiocast Episode 3
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1:10:30As has been the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, wide complex bradycardias and tachycardias, the symptoms and the treatments.Bởi University Hospitals of Cleveland EMSi
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Prehospital Ventilator Management Live, Part 4
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1:00:53In this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Tony Crino, a registered respiratory therapist and paramedic. They continue the discussion of the growing role of advanced ventilator management in EMS. Tony Crino brings both respiratory therapy and paramedic perspectives, breaking down the essent…
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Rescue Breaths: Demystifying the Physiology of Safe and Effective BVM Ventilation
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27:00Melody Bishop helps us simplify the physiology of bag-valve-mask (BVM) techniques. This episode highlights common mistakes like insufficient exhalation time, discusses driving pressure, and explains the importance of proper technique to avoid lung injury. We also explore the nuances of endotracheal tube size, laminar flow, and the transition from B…
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Air Methods Prehospital EDucation Podcast Ep. 56: The Zebra Call
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28:50A common aphorism in the medical community comes from Dr. Theodore Woodward who said in the 1940s, "When you hear hoofbeats behind you, think of horses, not zebras." It's a way of reminding medical practitioners that the most common explanation is usually correct. In other words, Occam's Razor is usually correct. But what happens when the most comm…
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Air Methods Prehospital EDucation Podcast Ep. 56: The Zebra Call
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28:50A common aphorism in the medical community comes from Dr. Theodore Woodward who said in the 1940s, "When you hear hoofbeats behind you, think of horses, not zebras." It's a way of reminding medical practitioners that the most common explanation is usually correct. In other words, Occam's Razor is usually correct. But what happens when the most comm…
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Advances of Mechanical Ventilation for EMS – Part 3
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41:59As the crew starts to summarize their time with Tony, a few things are addressed: What if a department doesn't have the inclination to initiate advanced mechanical ventilation? If they do, what kind of education needs to be commence and be continued. Also, what about mechanical ventilation in pediatric patients? Research shows that 93% of clinician…
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Prehospital Blood, Trauma Arrest, Hypertension in Pregnancy, and Diltiazem in Afib with RVR
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49:38Dr. Jeff Jarvis, EMS medical director and host of the EMS Lighthouse Project, delves into the latest emerging EMS literature and guidelines from the National Association of EMS Physicians. We explore best practices for blood use in trauma, up-to-date trauma arrest recommendations, postpartum hemorrhage, and severe hypertension in pregnancy. Additio…
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Ep. 155 Deep Dive: Adenosine Dosing in SVT - Is 12 the New 6?
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41:48Welcome to the Prehospital Emergency Care Journal Podcast! In this PEC Podcast Deep Dive, Rebecca Cash and Maia Dorsett interview Dr. Tony Fernandez about his recent PEC paper comparing initial prehospital adenosine doses of 6 mg versus 12 mg for presumed SVT. We explore the study's origins, dataset design, and results—including the finding that st…
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Advances of Mechanical Ventilation for EMS – Part 2
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1:01:01The crew continues to go through the basics of the respiratory system.... the anatomy, tidal volumes, pressure ventilation, the terminology, etc. As EMS professionals, we need to understand the basics of the respiratory system's operations in detail before mechanical ventilation can be applied. When you think of oxygenation, there are 2 ways to fix…
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Advances of Mechanical Ventilation for EMS – Part 1
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49:01The crew is talking to Tony, a Respiratory Therapist educator and paramedic, about the portability and use of mechanical ventilators in the prehospital setting. Some EMS agencies have already purchased more advanced mechanical ventilators to move this concept forward. When they take this step, there needs to be a strong understanding of mechanical …
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Ep. 154 Deep Dive: Hyperthermic Emergencies!
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33:39Welcome to the Prehospital Emergency Care Journal Podcast! Today, we're tackling a critical and often deadly emergency seen at mass gatherings like music festivals: psychostimulant-induced hyperthermia (PIH). This condition carries high mortality rates, but what if early, aggressive intervention could dramatically improve outcomes? Join us as we di…
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Do No Harm Discussion - The Live Episode
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1:11:13In the LIVE version of this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Ashley Rosser and Leisha Starkey of Thrive for Change, a Cleveland-based harm reduction nonprofit. They explore the real-life challenges and successes of harm reduction, tackling stigma, overdose response, safer use practices, a…
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Air Methods Prehospital EDucation Podcast Ep. 55: The Sum of All Efforts
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37:10Extreme weather once again plays an important factor in this month's case where our team comes upon a car accident victim who has a litany of injuries that make care extremely challenging, even in optimal conditions. Featuring a pilot for the first time ever in AMPED history, we hear from our clinicians about how to give our patient the best shot a…
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Air Methods Prehospital EDucation Podcast Ep. 55: The Sum of All Efforts
37:10
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37:10Extreme weather once again plays an important factor in this month's case where our team comes upon a car accident victim who has a litany of injuries that make care extremely challenging, even in optimal conditions. Featuring a pilot for the first time ever in AMPED history, we hear from our clinicians about how to give our patient the best shot a…
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Dr. Hill and Scott wind up this discussion in Part 3 by addressing proper terminology to use when interacting with the patients and the public record availability of previous abuse with guests Ashley Rosser and Elisha Starkey from Thrive for Change.Bởi University Hospitals of Cleveland EMSi
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Unlocking the Hidden Keys to Calm Under Chaos: How Simple Tools Like A Checklist Can Elevate Your Care
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21:18What's the real difference between paramedics who stay calm under pressure and those who panic when everything goes wrong? It's the ability to already know what comes next. In this episode we explore the power of consistency and how one simple tool, often dismissed, can improve patient care and outcomes. Geoff Murphy, founder of Master Medics, sat …
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Ep. 153 Crossover Episode: What Simulation Reveals About Pediatric Readiness in EMS
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50:11How well do EMS teams manage critically ill pediatric patients—and how do we know? In this special crossover episode with the EMS Educator Podcast, hosts Rob Lawrence and Maia Dorsett speak with Mark Cicero, lead author of a landmark study published in Prehospital Emergency Care. The study used simulation to assess EMS performance in pediatric emer…
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Ashley Rosser and Elisha Starkey from Thrive for Change continue the discussion of drug abuse patients and the treatment of in this episode. The challenge of stigmatizing of these patients is significant but the crew also finds out there is stigmatization that goes on within the drug use patient community.…
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EXCITING NEWS! FIND OUT WHAT WE'VE BEEN WORKING ON.
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6:56Were have we been? Well, the truth is, we've been incredibly busy working on some really exciting projects. If you're interested in joining the founding members cohort of the Paramedic Confidence Builder Course reach out to me at [email protected] before August 15th. Project #1: Understanding New Paramedic Challenges We launched a research projec…
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Ashley Rosser and Elisha Starkey from Thrive for Change join the crew this month to talk about the stigma of drug use or opiate use disorders. According to the Thrive for Change website, their "vision is a world free from drug overdose fatalities, where people who use drugs have equal access to basic needs and are empowered to advocate for themselv…
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Air Methods Prehospital EDucation Podcast Ep. 54: Chilling Complications
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34:48A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more …
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Air Methods Prehospital EDucation Podcast Ep. 54: Chilling Complications
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34:48A severely ill Flu A patient, fully intubated, and fighting for every breath requires the AMPED team for transport for possible ECMO. Under even the best of circumstances, this type of patient requires extensive care and presents many challenges. But what happens when extreme weather causes problems with the team's equipment, making care even more …
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A question of Dopamine or Epinephrine initiates a discussion regarding what should/should not be in a drug box, how to have a good relationship with your pharmacy and the possible use of apps in the prehospital setting. The big question in this episode, when is it appropriate to downgrade a call from an ALS to a BLS?…
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Answering questions from the listeners as the grab bag episode continues. Patient refusals, the use of Ketamine within in the seizure algorithm and sepsis are part of the discussion.Bởi University Hospitals of Cleveland EMSi
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