Stay ConnectedEMS 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
PerfectCPR for Apple Watch
Metronome devices have been shown to improve the quality of compressions during CPR. This module reviews the importance of high quality CPR and provides a solution to optimize compression rate for those who have an Apple Watch. This free Apple Watch App, PerfectCPR, provides haptic feedback so the provider can accurately time their compressions with the best-practice rate that is reflected in the protocols.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Avulsed Tooth
This micro learning module reviews the avulsed tooth protocol. We discuss indications and contraindications for re-implantation as well as strategies to manage both scenarios.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Eye irrigation / Morgan Lens
This micro learning module demonstrates techniques for ocular irrigation in the field. Included in this video are the use of the Morgan Lens and the administration of tetracaine, an ocular anesthetic.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Surgical Cricothyroidotomy (Bougie Assisted)
A surgical cricothyroidotomy is indicated by the 2017 NYS EMS collaborative protocols to be performed by paramedics when the patient cannot be adequately ventilated and oxygenated by any other method. In these “can’t intubate, can’t oxygenate” (CICO) situations, a rapid, effective surgical cricothyroidotomy may be lifesaving. This module depicts a simple and effective technique for emergent field surgical cricothyroidotomy utilizing equipment commonly found on the ambulance.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Complications of Delivery (Including Postpartum Hemorrhage, Shoulder Dystocia, Breech, Etc.)
This module demonstrates the field management of a number of complications of delivery as outlined in the 2017 NYS collaborative EMS protocols.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Massive Bleeding (With Hemostatic Wound Packing and Clot Removal)
This micro learning module demonstrates the approach to a patient with peripheral exsanguinating hemorrhage. Direct pressure, tourniquet application, and would packing with hemostatic gauze after clot removal are depicted.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Double Sequential Defibrillation Double sequential defibrillation is a procedure that may be helpful in the treatment of refractory ventricular fibrillation (RVF) in the out of hospital environment. This module demonstrates the procedure of double sequential defibrillation which is included as a medical control consideration for instances in which ventricular fibrillation persists after five shocks. Further research will be required to determine the optimal treatment strategies for RVF. Double sequential defibrillation is not considered part of the minimum standard of care at this time. Nonetheless, providers will be instructed on how to properly perform this procedure in the event that a medical control order is granted for this treatment option.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Formal Debrief of Critical Patient Management Scenario (Critiques Scenario and Models Formal Call Review Sessions)
Previously, in episode 42, we demonstrated how debriefing can occur in an informal situation. In this video we model a more formal quality improvement session that involves the agency medical director and continuous quality improvement (CQI) director. We strongly believe that these sessions should be educational in nature and anything that requires “disciplinary” action should be handled via a different process entirely. This episode encompasses a critique of the “Management of the Critical Patient / RSI” scenario; episode 43.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Critical Patient Management with RSI
RSI is often regarded as the pinnacle of advanced life support skills. Indeed, this skill can be beneficial in the right circumstances. That said, like any advanced intervention, performing a particular skill must be done in the context of the overall situation. The procedure itself is fairly straightforward. The judgement, experience, and education of the provider dictate how he or she will manage the nuances of treating a critical patient. Expertise involves not only performing a skill correctly but performing the skill in the right situation at the right time, anticipating the potential complications before they occur, and mastering the basic skills that are requisite for advanced care.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Informal Debrief of Neonatal Resuscitation (Critiques Scenario and Models Informal Call Review) Informal debriefing with your colleagues is an important part of continuous quality improvement and should be a regular part of your practice. In addition, being able to reflect on your own performance in a productive manner is an important skill to hone for personal growth. Fostering a culture that is supportive of these discussions allows providers to benefit from the experience and perspective of their colleagues. This video provides an example of how we would conduct such a debriefing in the context of the protocols and how we would address some of the issues and concerns that you may have identified regarding the patient care delivered in the previous two episodes.
Cast in Alphabetical Order: Michael T. Benenati, BS, AAS, EMT-P Tyler F. Cominsky, NRP Seth Goldstein, BA, AS, AEMT-P/CIC Susie Surprenant, BBA, BS, NRP David Violante, MPH, MPA, AEMT-P
Faizan H. Arshad, MD @emscritcare Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1
Our TOPPODCAST Picks 
