FOAMfrat Podcast

Latest Episodes:

Podcast 154 - ROSC Temp & Sedation w/ Dr. Leon Eydelman Feb 06, 2023

Show notes

0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.","type":"unstyled","depth":0,"inlineStyleRanges":[],"entityRanges":[],"data":{}}],"entityMap":{},"VERSION":"9.3.6"}"> What aspects of temperature-targeted management are most important to EMS, and how should EMS guide sedation for the patient with a return of spontaneous circulation? Check out this interview w/ Dr. Leon Eydelman! The ROSC class referenced in this video can be found in FOAMfrat Studio! Highlights ROSC + FEVER = Bad. Trust a high temperature and question a low one. While most EMS agencies likely do not carry propofol, it is the most commonly used sedation medication in the ED because it washes out quickly and allows for neuro eval. Benzodiazepines are associated with higher rates of ICU delirium and complications. Running levophed to counteract the vasodilation aspect of propofol. Don't have propofol; hemodynamic-dosed ketamine is a good option as well. The sedation dose should be reduced when the shock index is > 0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.

Podcast 153 - Pediatric Arrest w/ Dr. Banerjee Jan 16, 2023

Show notes

We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.

Podcast 152 - CISM & Processing w/ Sam Henne Dec 12, 2022

Show notes

Sam Henne is the creator of Mind Over Medic and a co-worker of mine at Life Link III. In this episode, we discuss the components of critical incident stress and ways to reduce adrenaline during threat appraisal. Check out www.mindovermedic.com

Podcast 151 - Central Line Access for EMS w/ Austin Brook Dec 02, 2022

Show notes

EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it's usually permitted when the patient is (nearly) dead. This isn't very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it's learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?

Podcast 150 - Slishman Traction Nov 05, 2022

Show notes

Had the opportunity to talk with Dr. Sam Slishman, the inventor of the Slishman traction splint. We had a great conversation on the idea/concept of this splint, who to apply it on, and some additional questions, which we plan on having him back on to discuss.

Podcast 149 - P:F vs. A-a & Oxygenation Strategies Oct 21, 2022

Show notes

A-a gradient, a/A ratio, and P: F ratio - are all different views of the same item. These formulas do not have a complete view of oxygenation. Oxygenation is a huge topic, and there are more common values that we use:

How well is the patient saturating?
Is there dyspnea?
How do the lungs sound (auscultation) or look (POCUS)?
Where is the patient on the OHCD?
What does the ABG show?

Podcast 148 - Crashing PE Logistics w/ Shane & Brian Oct 04, 2022

Show notes

I ran some specific decision points when treating the REALLY BAD massiVE pulmonary embolism patient by Shane & Brian from the FOAMfrat Team. This discussion really focuses on the logistics and ideas when you are trying to get the patient from A to B without having to do CPR.

Podcast 147 - NICU Q&A w/ Theresa Bowden Jul 14, 2022

Show notes

Theresa Bowden is a rockstar flight nurse who specializes in NICU transports. In this episode, you will listen in as Theresa explains anything and everything you have ever wondered about NICU interfacility transports.

Topics include:

Who gets prostaglandin?
IO or IV catheter for UVC
Cardiac vs. Respiratory
Initial Vent Settings

Get credit for this class by listening to it in FOAMfrat Studio.

Podcast 146 - IVC Assessment w/ Shane O'Donnell May 22, 2022

Show notes

Does IVC assessment have a role in pre-hospital ultrasound? This week we talk to one of the newest members of FOAMfrat, Shane O'Donnell.

Podcast 145 - Pediatric Bags Apr 17, 2022

Show notes

Do specialized pediatric jump bags alienate the pediatric population? They typically don't get used as much, and introducing a foreign bag into a low volume population may add to the stress of running a pediatric call anyway. In this episode, Sam & Tyler discuss the case against the pediatric jump bag.

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