MCHD Paramedic Podcast

Latest Episodes:

Episode 50 - Recognizing and Treating EMS Burnout With Dr. Remle Crowe May 20, 2019

Show notes

In recognition of EMS Week 2019, the MCHD Paramedic Podcast crew decided to directly address one of the most pressing issues in current EMS practice – paramedic and EMT wellness and burnout prevention. Dr. Remle Crowe, Research Scientist and Project Manager with ESO, joins the podcast to lend her tremendous burnout expertise. Burnout is a fluid and dynamic process that varies with time and the individual. Therefore, proactive prevention techniques have to be flexible and adaptable as well. After listening to this episode, you’ll be armed with multiple tools to recognize and attack burnout within your EMS system. REFERENCES 1. Remle P. Crowe, Julie K. Bower, Rebecca E. Cash, Ashish R. Panchal, Severo A. Rodriguez & Susan E. Olivo-Marston (2017): Association of Burnout with Workforce-Reducing Factors among EMS Professionals, Prehospital Emergency Care, DOI: 10.1080/10903127.2017.1356411 2. Tage S. Kristensen, Marianne Borritz, Ebbe Villadsen & Karl B. Christensen (2005) The Copenhagen Burnout Inventory: A new tool for the assessment of burnout, Work & Stress, 19:3, 192-207, DOI: 10.1080/02678370500297720

Episode 49 - Back To The Basics - COPD Part 2 May 06, 2019

Show notes

Dr. Patrick and Dr. Dickson pick up where they left off on our Back to the Basics COPD Part 1 episode. We’ll delve further into the differential diagnosis one must consider when treating patients with dyspnea and discuss some of the chameleons that can masquerade as COPD. Many of our COPD patients are far from straight forward with multiple co-morbidities. After listening, you’ll run your next dyspnea call with a clear plan and more confidence.

Episode 48 - Back To The Basics - COPD Part I Apr 22, 2019

Show notes

This episode takes us back to the basics of COPD pathophysiology and treatment. Dr. Dickson and Dr. Patrick start with the differential diagnosis of wheezing and move through the escalating COPD treatment options. We then close with a review of common abnormal breath sounds and set the stage for COPD Part 2 which will be coming soon. References: 1. http://citeseerx.ist.psu.edu/viewdoc/download doi=10.1.1.624.2777&rep=rep1&type=pdf 2. Ram, et al. NIPPV for treatment of respiratory failure due to exacerbations of COPD. Cochrane Database Syst. Rev. 2004 3. https://www.easyauscultation.com/lung-sounds

Episode 47 - High Risk EMS Refusals Apr 08, 2019

Show notes

One of the most difficult situations in prehospital care is the high-risk patient refusal of EMS transport. This topic is far from straight forward for both learners and teachers alike. Dr. Patrick introduces a brand new mnemonic that will, hopefully, alleviate your FEARS the next time you care for a complex patient that decides hospital transport just isn’t in the cards.

Episode 46 - Tactical EMS Pearls With Dr. Kevin Schulz Mar 26, 2019

Show notes

This episode is loaded with tactical EMS pearls. Houston Fire Department Assistant Medical Director, Dr. Kevin Schulz, joins the podcast again to lend his TEMS expertise. MCHD’s tactical leader, Patrick Langan, leads the discussion and provides a Montgomery County perspective.

Episode 45 - Hypertensive Emergencies - To Treat Or Not To Treat Mar 04, 2019

Show notes

Managing markedly elevated blood pressures has to be one of the most common EMS clinical dilemmas. Dr. Dickson joins Dr. Patrick to help dispel some long-standing and persistent hypertension management myths. The concept of “end organ damage” is also introduced as a framework to properly identify those patients with elevated blood pressures who DO warrant emergent treatment in the prehospital setting.

Episode 44 - Medical Literature 101 With Dr. Tony Seupaul Feb 20, 2019

Show notes

With the explosion continuing education options, how do we decide who and what to believe? Dr. Tony Seupaul, evidence based medicine expert, joins the podcast crew to discuss tips on how to best manipulate and master medical information in the social media/FOAMed era. We touch on the hierarchy of medical evidence, provide clues on how to best spot flimsy evidence, and tout some of our favorite sites and Apps to add to your educational armamentarium. References: 1. Hierarchy of medical evidence - https://canberra.libguides.com/c.php?g=599346&p=4149721 2. www.tripdatabase.com 3. www.thennt.com 4. www.bestbets.org 5. www.rebelem.com 6. www.litfl.com 7. www.thesgem.com 8. www.emcrit.org 9. www.coreem.net 10. ACEP Toxicology App - https://itunes.apple.com/us/app/acep-toxicology-section-antidote/id959303490?mt=8 11. MD Calc App - https://itunes.apple.com/us/app/mdcalc-medical-calculator/id1001640662

Episode 43 - SPECIAL RELEASE: Measles in Montgomery County Feb 06, 2019

Show notes

The MCHD Podcast Crew just received word that we have a documented measles case here in Montgomery County. We decided to try and get out in front of this story and provide our listeners with some basic information on clinical presentation, transmission and prevention of the measles virus. References: 1. https://www.cdc.gov/measles/index.html 2. https://www.cdc.gov/measles/about/signs-symptoms.html 3. https://phil.cdc.gov/details.aspx?pid=132

Episode 42 - Cal-PAT TXA Review - Journal Club Mini Jan 29, 2019

Show notes

The MCHD Paramedic Podcast wants to help all of our listeners stay up to date. Earlier this year, we discussed TXA (Tranexamic Acid) following our MCHD TXA protocol roll-out. New TXA research just popped up on the radar, join Dr. Patrick for a quick journal club discussion of the Cal-PAT study. References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225940/pdf/wjem-19-977.pdf

Episode 41 - OB Part 2 - To Delivery and Beyond Jan 29, 2019

Show notes

Despite Dr. Patrick's fear, we're delivering the second installment of our Obstetrics series. This is a potentially frightening topic that was actually requested by several MCHD medics. Part one focused on emergencies encountered prior to delivery and part two progresses into difficult deliveries and the postpartum period. References: http://www.emdocs.net/the-complicated-delivery-what-do-you-do/ https://coreem.net/core/shoulder-dystocia/

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