MCHD Paramedic Podcast

Latest Episodes:

Episode 108 - EMS Worldwide - The French Perspective Jul 05, 2021

Show notes

Join Dr. Dickson as he discusses all things French emergency medicine, EMS and prehospital care with Dr. Eric Revue - Emergency Department and EMS Chief - Louis Pasteur Hospital. Docs on ambulances...what???

Episode 107 - "My Legs Won't Work" - MCHD Case of the Quarter Q2 2021 Jun 21, 2021

Show notes

We’re going to attempt a new recurring podcast series based around the amazing pathology seen on a daily basis by MCHD medics. Cpt. Travis Clay joins the podcast to discuss the current MCHD “Case of the Quarter”. Listen in and learn how to approach the patient with acute, bilateral lower extremity paraplegia and pain. REFERENCES 1. https://www.ems1.com/patient-assessment/articles/i-cant-feel-or-move-my-legs-mchd-critical-case-report-eVk3jFR1l6DPbwGS/

Episode 106 - Whole Blood Down Under Jun 07, 2021

Show notes

There may not be any hotter topic in EMS right now than whole blood administration for patients with hemorrhagic shock. Dr. Patrick is joined on today’s episode by Joe Cuthbertson from St. John Ambulance Service in western Australia. St. John's serves the largest land mass of any EMS service worldwide and they are on the forefront of international prehospital whole-blood administration. REFERENCES 1. https://clinical.stjohnwa.com.au/medications/packed-red-blood-cells

Episode 105 - Should We Delay EKG Post-ROSC? The PEACE Study May 24, 2021

Show notes

There has been significant development and change surrounding which patients are best served by immediate revascularization post-ROSC over the past 12-18 months. On that note, we discussed the COACT study previously on the podcast, but uncertainty still exists. OHCA and post-ROSC patients are wildly heterogenous and one size will never fit all. What if we could simply change the timing of our post-ROSC ECG and better select those with true acute coronary occlusions that warrant emergent catheterization? That’s the topic of our journal review on this episode. A simple, logical idea that has potentially powerful ramifications, listen in for the details… REFERENCES 1. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2774740

Episode 104 - EMS Provider Mental Health Awareness May 10, 2021

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May is Mental Health Awareness Month, so the podcast crew decided to dedicate an entire episode to discussing EMS provider mental health issues and resources. Dr. Patrick and Sean Simmonds are joined by Justin Farris from Cypress Creek Behavioral Health Hospital. Topics range from recognizing mental health warning signs in your partner, to accessing proper mental health resources through programs such as "Honor Strong" at Cypress Creek Hospital. REFERENCES: https://www.cypresscreekhospital.com/behavioral-health-programs/honor-strong-program/

Episode 103 - The Artist Formerly Known As Pseudoseizure - An EMS Perspective Apr 26, 2021

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We have all been guilty of caring for labeling and judging “pseudoseizures.” First of all, this term is outdated, and this episode looks at a study examining the mortality in psychogenic seizure patients. This is a debilitating disease that needs more attention and improved treatment options. Come, have your prior assumptions shattered, and leave a better and more empathetic provider. REFERENCES: 1. https://n.neurology.org/content/95/6/e643

Episode 102 - MCHD Ventilator Roundup - First Do No Harm Apr 12, 2021

Show notes

This episode was directly drawn from a recent MCHD educational need surrounding ventilator management and a summary of our approach to using the vent in the EMS setting. We've touched on aspects of many of these topics before, but this is our first effort at providing a true "MCHD ventilator overview." Join Dr. Patrick and Dr. Dickson as they discuss a stepwise approach to EMS ventilator management and how to first and foremost prevent patient harm.

Episode 101 - Rules of the Road for New Medics Mar 29, 2021

Show notes

Is there a more daunting time than those first few shifts as a new paramedic? Yes, clinical knowledge and operational knowledge are key, but how are new medics supposed to synthesize this mountain of information? Dr. Patrick is joined by Cpt. Michael Wells-Whitworth to discuss some "Rules of the Road" for new paramedics. TOP TEN RULES OF THE ROAD FOR NEW MEDICS 1. Be on time 2. Failing to prepare, is preparing to fail 3. Know your protocols 4. Pour a solid BLS foundation 5. Be like a lamprey - latch on to sharks 6. You need patience - be realistic with your goal pathway 7. Lots of patients - patient contacts are absolutely key 8. Treat other providers with respect 9. Think about what happens next 10. Value handoff communication and scripting

The Valentine's Blizzard of 2021 - SPECIAL EPISODE Mar 01, 2021

Show notes

Dr. Dickson and Patrick are joined on this special episode by EMS Medical Directors from across Texas to discuss the recent winter storm that ravaged the state. We discuss the varying ways the disaster impacted each service, multiple lessons learned statewide, several unexpected operational and clinical developments, and steps everyone plans to make to improve moving forward. Thanks to Jeff Jarvis, Jason Pickett, and Veer Vithalani for helping arrange this last-minute recording. REFERENCES 1. https://www.dallasnews.com/news/weather/2021/02/11/winter-weather-causes-hazardous-conditions-on-north-texas-roads/ 2. https://www.amazon.com/Grips-4-Ice-Winter-Traction-Over-Shoe-Cleats/dp/B07D9128TD/ref=asc_df_B07D9128TD/?tag=hyprod-20&linkCode=df0&hvadid=312131909651&hvpos=&hvnetw=g&hvrand=18032707165061169024&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9027681&hvtargid=pla-589843109945&psc=1 3. https://www.mayoclinicproceedings.org/article/S0025-6196(19)30486-0/fulltext

Episode 100 - What Have We Learned Through 100 Episodes? Feb 12, 2021

Show notes

After 100 episodes and almost 3 years, the podcast crew decided to celebrate a little bit and look back on our successes and failures thus far. Why did we start the podcast in the first place? How has MCHD used the Paramedic Podcast within the EMS service? What have been the most successful episodes and what are the "Take home Points?" Join Dr. Dickson and Dr. Patrick as they discuss the MCHD Paramedic Podcast past, present, and future.

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