MCHD Paramedic Podcast

Latest Episodes:

Episode 79 - Serial Killer Series - Chest Pain May 12, 2020

Show notes

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic chest pain scene with unstable vitals then filter to a differential of #1 PE, #2 ACS, #3 TAD is often quite challenging. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll kick things off with acute chest pain. REFERENCES 1. http://www.emdocs.net/em-in-5-approach-to-chest-pain/ 2. https://litfl.com/ecg-findings-in-massive-pericardial-effusion/ 3. https://www.mchd-tx.org/media/podcasts/MCHDPP-79.pdf

Episode 78 - The MCHD COVID-19 PPE Experience Apr 28, 2020

Show notes

For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with a discussion of our PPE/COVID-19 experience. We share our lessons learned and wish list for the future. Take a listen and please hit us up at podcast@mchd-tx.org if you have questions or experiences you'd like to share! REFERENCES: https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

Episode 77 - Hydroxycholoroquine Gone Bad With Dr. Jerry Snow Apr 15, 2020

Show notes

Unless you live under a rock, you've heard discussions of the pros and cons of using hydroxychloroquine (HCQ) when treating COVID-19 patients. On this episode, Dr. Patrick is joined by our favorite toxicologist, Dr. Jerry Snow, to talk about what happens in a HCQ ingestion situation. With the increased publicity of this drug, we must be on high alert in the prehospital setting for potential accidental and intentional overdoses. Listen and learn what to expect and how to treat someone who's taken too much HCQ...beware, these folks can tank quickly!!

Episode 76 - Part 2 - COVID Airway Apr 01, 2020

Show notes

We've had continued rapid local and national developments surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the MCHD specific airway algorithm in the era of COVID-19. REFERENCES: https://www.mchd-tx.org/media/podcasts/MCHD-COVID-19-FINAL-AIRWAY-.pdf

Episode 75 - Attacking The COVID Airway - Part 1 Mar 25, 2020

Show notes

We've had continued rapid local and national developments over the past week surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the most current evidence surrounding airway management in the era of COVID-19. REFERENCES 1. https://www.cdc.gov/coronavirus/2019-ncov/index.html 2. https://emcrit.org/emcrit/some-additional-covid-airway-management-thoughts/ 3. https://www.safeairwaysociety.org/covid19/ 4. VALLEY, T ET AL. ASSOCIATION BETWEEN NONINVASIVE VENTILATION AND MORTALITY AMONG OLDER PATIENTS WITH PNEUMONIA. CRIT CARE MED. 2017 MARCH; 45(3): E246–E254. 5. NEWMAN KB, ET AL. A COMPARISON OF ALBUTEROL ADMINISTERED BY MDI AND SPACER WITH ALBUTEROL BY NEBULIZER IN ADULTS PRESENTING TO AN URBAN ED WITH ACUTE ASTHMA. CHEST. APRIL 2002;121:1036–41.

Episode 74 - COVID-19 UPDATE Mar 11, 2020

Show notes

We've had rapid local and national developments over the past week surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the most current evidence. REFERENCES 1. https://www.cdc.gov/coronavirus/2019-ncov/index.html

Episode 73 - Febrile Seizures And BRUEs With Dr. Manish Shah Mar 09, 2020

Show notes

Choking babies, seizing kids, and floppy infants turning blue...all of these events are significantly anxiety inducing for both emergency providers and families alike. On this episode, Dr. Patrick is joined by Dr. Manish Shah, a pediatric emergency medicine physician and research expert from Texas Children's Hospital. The discussion will begin with the finer points of febrile seizures and then branch off into the "artist formerly known as ALTE" - the BRUE. Follwing this episode you'll be much better prepared to deal with these patients along with their parents and families. REFERENCES 1. https://www.aap.org/en-us/Documents/echo_session%201_seizures_overview.pdf 2. https://pediatrics.aappublications.org/content/pediatrics/127/2/389.full.pdf 3. https://pediatrics.aappublications.org/content/pediatrics/137/5/e20160590.full.pdf

Episode 72 - Esmolol And Electrical Storm Feb 22, 2020

Show notes

We all love cardiac arrest with VF as the presenting rhythm. These are the ones that walk out of the hospital. But, what happens when you shock, shock, shock and still VF? Today the podcast team addresses refractory ventricular fibrillation/electrical storm and specifically the role of esmolol in this condition. Esmolol is an emerging treatment for refractory VF that makes absolute physiologic sense, however the data is limited. Dr. Patrick addresses the pathophysiology, evidence and MCHD’s approach this in episode 72. REFERENCES 1. Eifling M, Razavi M, Massumi A. The evaluation and management of electrical storm. Tex Heart Inst J. 2011;32(8):111-21. 2. Lee YH, et al. Refractory ventricular fibrillation treated with esmolol. Resuscitation. 2016;107:150-155. 3. Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with refractory ventricular brillation. Resuscitation. 2014;85(10):1337-41.

Episode 71 - Safe Sleep Pearls With Dr. Lisa Owens Feb 11, 2020

Show notes

A proper sleeping environment is vital for infant safety. On this episode Dr. Patrick is joined by two "safe sleep" experts - MCHD's own, Aston Herring and Dr. Lisa Owens from Texas Children's Hospital. After listening, you'll know how to recognize what exactly constitutes unsafe sleep and more importantly understand the impact that sleep environment can have on otherwise healthy infants. Join us as we attempt to shine a light on a potentially deadly problem with surprisingly simple solutions. REFERENCES 1. https://cribsforkids.org 2. https://pediatrics.aappublications.org/content/138/5/e20162938 3.https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/Safe-Sleep-for-Babies.aspx

Episode 70 - The 2019 Novel Coronavirus: What EMS Needs To Know Jan 28, 2020

Show notes

Over the past week we’ve had several local false alarms with possible patients presenting with the 2019 Novel Coronovirus. On this special release, the podcast crew will discuss the impact of this worrisome viral infection on EMS providers. REFERENCES 1. https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html 2. https://jamanetwork.com/journals/jama/pages/jama-author-interviews

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