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    Health & Fitness

    EMS Nation Podcast

    EMS Nation – Evidence Based Medicine in EMS

    Weekly Style Podcasts:

    Monday – Interview with a Leader in EMS
    Tuesday – ALS Simulation
    Wednesday – EMS Journal Club
    Thursday – BLS Simulation
    Friday – Health & Wellness

    Follow us on Twitter!
    www.twitter.com/EMS_Nation

    Like us on Facebook!
    www.facebook.com/PrehospitalNation

    www.emsnation.org

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    Latest Episodes:
    Episode #81 A BLS Approach to Environment Considerations Aug 05, 2019
    Show notes

    As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth.

    It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication.


    Episode #80 Concepts in BLS Management of a Critical Patient Jul 31, 2019
    Show notes

    As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth.

    It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication.


    Episode #79 BLS Management of Chest Pain- Nitroglycerin Without an IV Jul 31, 2019
    Show notes

    As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth.

    It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication.


    Episode #78 Concepts in BLS Airway Management Jul 31, 2019
    Show notes

    As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth.

    It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication.


    Episode #77 Preamble to the New York Statewide BLS Protocol Video Series Jul 31, 2019
    Show notes

    As EMS Medical Directors we value the incorporation of best practice and evidence-based medicine into delivering high quality prehospital care. The Statewide protocols present a historic opportunity for us to collectively take our game to the next level. We have worked hard to make these videos worth your while. We value your time as an EMS provider and using simulation videos as scaffolding to help bridge your knowledge of the new protocols can be invaluable. There is, however, no substitute for reviewing the new protocols you will be exercising in depth.

    It is challenging to produce something for a wide range of providers from new CFRs and new EMS physicians to experienced providers; nevertheless BLS is the keystone of all of our practice and we set out to give it the attention it deserves. New providers will notice language and terms that may be challenging but understandable from the context or definitions provided within. We encourage providers who have participated in our educational initiatives in the past to view this video series with a critical eye. Experienced providers are likely also teachers and field training officers. In that role, look for things that you could use to teach your students. Also, look for things that the actors could do differently in their scenarios and think about how you would address them if they were your trainees. As a note, while these videos all have lessons and take away learning points, many are intentionally designed to present patient care that could in fact be provided better. Whether paid or volunteer, we wish you the best of luck in your EMS career. It is a noble field filled with many challenges. Be safe and never stop learning. We also wanted to specifically thank our partner in production of these videos - Laerdal Medical Corporation. Their mission – Helping Save Lives – could not be more tantamount when discussing the nature of BLS care. Learning to incorporate simulation into one’s regular practice can initially be challenging; however, a consistent well-designed program can be invaluable to providers in advancing multiple modalities of care from specific skills to psychosocial training and empathic communication.


    Episode #76 Wrap-up Day 2 #FAST19 @FlightBridgeED May 09, 2019
    Show notes

    The second iteration of FlightBridgeED's prehospital conference does not disappoint. The second day brought thought provoking concepts and a great review of critical syndromes that we don't often encounter. The challenging topics of shame in EMS and process improvement were also tackled.

    For more information on this year's conference check out the website: https://www.flightbridgeed.com/index.php/fast-19

    @FlightBridgeED #FAST19

    Per usual, we assembled an all star panel to discuss the highlight's of the day's event. The panel included:

    Michael Perlmutter @DitchDoc14

    Cynthia Griffin @CMGrffn

    Samuel Ireland @ireland_sam1

    Billie Sell @flight_sell

    And your guest host, Andrew Merelman @amerelman

    Please subscribe to the podcast on your favorite podcast platform, iTunes, Spotify, Google Play, etc.

    Check out the website at www.emsnation.org and follow us on Twitter @EMS_Nation

    If a topic or idea you heard on the podcast ignited some curiosity or deeper thought we'd we'd love a 5 star review on iTunes to help spread our mission of EBM in EMS!


    Episode #75 Wrap-up Episode #FAST19 Day 1 @FlightBridgeED May 08, 2019
    Show notes

    The second iteration of FlightBridgeED's prehospital conference does not disappoint. The first day was filled with not only thought provoking lectures on the bleeding edge of prehospital medicine but also insightful discussions about mental health, peer support and decision fatigue.

    For more information on this year's conference check out the website: https://www.flightbridgeed.com/index.php/fast-19

    @FlightBridgeED #FAST19

    Per usual, we assembled an all star panel to discuss the highlight's of the day's event. The panel included:

    Rebekha Spratt (aka Bex) @medibrat

    Michael Perlmutter @DitchDoc14

    Andrew Merelman @amerelman

    Michael Brown @FireMedicFPC

    And your host, Faizan H. Arshad @emscritcare

    Please subscribe to the podcast on your favorite podcast platform, iTunes, Spotify, Google Play, etc.

    Check out the website at www.emsnation.org and follow us on Twitter @EMS_Nation


    Ep #74 A Resuscitationist's Guide to PreOx and ApOx @EMSWorldNews #EMSWorldExpo2018 May 08, 2019
    Show notes

    In dealing with the critically ill, some will require an advanced airway. Many of these patients will be challenging to oxygenate and ventilate and also have underlying pulmonary pathology and physiologic shunt. The ideal approach to pre-oxygenation and denitrogenation has been controversial. Using standard equipment in parallel to optimize our patients’ hemodynamics has also been controversial (eg. Nasal Canula + BVM with separate oxygen sources as part of pre-oxygenation protocol) and not universally accepted. In addition, apneic oxygenation with a nasal canula at high flow rates has not been universally adopted despite advocacy by emergency airway experts. This year, the ENDAO trial – EmergeNcy Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial - showed no difference in lowest mean oxygen saturation between the two groups. To quote the authors, “application of AO during RSI did not prevent desaturation of patients in this study.” Despite this, many continue to recommend the use of AO for emergent airways. In this lecture we will review the protocols, various application techniques , study the objective evidence behind these practices and discuss best practices for our patients to optimize the airway prior to laryngoscopy.

    Presentation Objectives:

    1. The Definition of Pre-oxygenation and Denitrogenation
    2. The various means to achieve ideal pre-oxygenation: Ventilator with BVM Mask, Oxylator with BVM Mask, BiPap Machine with BVM Mask, BVM with PEEP Valve and Pressure gauge
    3. Review of the ENDAO and Fellow Trials
    4. Ultimate understanding of out-of-hospital best practices for approach to the hypoxic patient requiring advanced airway

    Ep #73 EMS Grit- Resilience, Stigma & Self Care in Prehospital Medicine #EMSWorldExpo2018 Jan 31, 2019
    Show notes

    An in depth and personal interview with Brian LaCroix, president of Allina health who has helped develop the EMSgrit.org website. Bringing a toolkit to mental health and helping develop the core attributes of Resilience and Self care while mitigating social stigma.


    Ep #72 Paramedic Degree Programs - Propelling the Profession into the Future #EMSWorldExpo2018 Jan 31, 2019
    Show notes

    Join us as we dig into this controversial conversation on paramedic degree programs. This is a joint position statement from the National Association of EMS Educators, The National EMS Management Association, and the International Association of Flight and Critical Care Paramedics. Please find the position paper here:

    https://www.emsworld.com/sites/emsworld.com/files/2018-10/joint_position_statement_on_.pdf


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