The World’s Okayest Medic Podcast

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**The World’s Okayest Medic Podcast**

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

Latest Episodes:

Unscripted: Off-the-Cuff Discussion Sep 18, 2022

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Mike and Ashley discuss random stuff: imposter syndrome, dispatch, and "the brand" among other topics.

"But The Cards Said She Was Changing Color!:" PMD Stinks Sep 13, 2022

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References: Karl A. Sporer, Nicholas J. Johnson, Clement C. Yeh & Glen M. Youngblood (2008) Can Emergency Medical Dispatch Codes Predict Prehospital Interventions for Common 9-1-1 Call Types?, Prehospital Emergency Care, 12:4, 470-478, DOI: 10.1080/10903120802290877

Torlén, K., Kurland, L., Castrén, M. et al. A comparison of two emergency medical dispatch protocols with respect to accuracy. Scand J Trauma Resusc Emerg Med 25, 122 (2017). https://doi.org/10.1186/s13049-017-0464-z

PMID: 29223194, 22824188, 18256298, 18584494, 19189610

The Liver ICU Hot Mess Sep 11, 2022

Show notes

REFERENCES: Farkas, Josh. (Feb 14, 2021). Acute Liver Failure. Internet Book of Critical Care. Available: https://emcrit.org/ibcc/alf/

Forkin, Katherine T. MD; Colquhoun, Douglas A. MBChB, MSc, MPH†; Nemergut, Edward C. MD,‡; Huffmyer, Julie L. MD*. The Coagulation Profile of End-Stage Liver Disease and Considerations for Intraoperative Management. Anesthesia & Analgesia: January 2018 - Volume 126 - Issue 1 - p 46-61 doi: 10.1213/ANE.0000000000002394

Mayo Clinic. Liver Function Tests. Available from: https://www.mayoclinic.org/tests-procedures/liver-function-tests/about/pac-20394595

Montreif, Tom. (Nov 25, 2018). Acute Liver Failure: Evidence-Based Evaluation and Management. EM Docs blog. Available: http://www.emdocs.net/acute-liver-failure-evidence-based-evaluation-and-management/

Northup PG, Caldwell SH. Coagulation in liver disease: a guide for the clinician. Clin Gastroenterol Hepatol. 2013 Sep;11(9):1064-74. doi: 10.1016/j.cgh.2013.02.026. Epub 2013 Mar 16. PMID: 23506859.

Downtime Chat with Bill Sep 05, 2022

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This episode is literally just my partner Bill and I shooting the proverbial breeze with a microphone between us.

Patient Assessment vs. ASSessment Sep 02, 2022

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Reference: Chris Nickson. (2020). GCS. Available at http://www.litfl.com/glasgow-coma-scale

Old People Do the Darnedest Things Aug 30, 2022

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*READ THE TOPICS COVERED BEFORE LISTENING***

Case study of a 92 year old with delirium
Causes of delirium
Geriatric toxicology
Geriatric STI's and sexual health

REFERENCES: Alex Yartsev. Pharmacology and toxicology in old age. June 30, 2016. Deranged Physiology. Available from https://derangedphysiology.com/main/required-reading/pharmacology-and-toxicology/Chapter%201.3.4/pharmacology-and-toxicology-old-age

Frankowski AC, Clark LJ. Sexuality and Intimacy in Assisted Living: Residents' Perspectives and Experiences. Sex Res Social Policy. 2009 Dec 1;6(4):25-37. doi: 10.1525/srsp.2009.6.4.25. PMID: 25568640; PMCID: PMC4283937.

Kristen Fontes MD, Alex Koyfman MD, Brit Long MD. Common ED Medication Errors: Polypharmacy. EmDocs. July 3, 2017. Available from http://www.emdocs.net/common-ed-medication-errors-polypharmacy/

Nat. Research Council (US) Cute on Chemical Toxicology and Aging. Aging in Today’s Environment. Washington (DC): National Academies Press (US); 1987. 4, Principles of Toxicology in the Context of Aging. Available from: https://www.ncbi.nlm.nih.gov/books/nbk218724/

Rashid, M.H., Sparrow, N.A., Anwar, F. et al. Interleukin-6 mediates delirium-like phenotypes in a murine model of urinary tract infection. J Neuroinflammation 18, 247 (2021). https://doi.org/10.1186/s12974-021-02304-x Stanford Medicine 25. Website: Fundoscopic/Opthalomoscopic Exam. Available from https://stanfordmedicine25.stanford.edu/the25/fundoscopic.html

https://www.theseniorlist.com/sti-older-americans/

Friday Afternoon Clinical Aug 19, 2022

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Status Asthmaticus Aug 14, 2022

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REFERENCES: Blevins, Charles. (2021). Intubating Asthma. American Academy of Emergency Medicine. Available at https://www.aaem.org/UserFiles/file/CCMS_CSJanFeb21.pdf

Josh Farkas. (Aug 5, 2021). Waveform capnography in the intubated patient. Internet Book of Critical Care. Available at https://emcrit.org/ibcc/co2/

Pearson SD, Patel BK. Noninvasive Ventilation for Acute Asthma: The Neglected Sibling. Am J Respir Crit Care Med. 2020 Dec 1;202(11):1491-1493. doi: 10.1164/rccm.202007-2876ED. PMID: 32755489; PMCID: PMC7706170.

Vasileiadis, I., Alevrakis, E., Ampelioti, S., Vagionas, D., Rovina, N., and Koutsoukou, A. (2019). Acid-base disturbances in patients with asthma: A literature review and comments on their pathophysiology. Journal of Clinical Medicine, 8, 563.

Fixing Paramedic Education Aug 10, 2022

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Lies They Taught You in Paramedic School Aug 06, 2022

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References (I didn't alphabetize them...sorry): Bello G, De Santis P, Antonelli M. Non-invasive ventilation in cardiogenic pulmonary edema. Ann Transl Med. 2018 Sep;6(18):355. doi: 10.21037/atm.2018.04.39. PMID: 30370282; PMCID: PMC6186545.

Bendjelid K, Schütz N, Suter PM, et al. Does continuous positive airway pressure by face mask improve patients with acute cardiogenic pulmonary edema due to left ventricular diastolic dysfunction? Chest 2005;127:1053-8. 10.1378/chest.127.3.1053 

Frey, Michael. (2011). CPAP and Cardiogenic Pulmonary Edema. RT Magazine. Available at https://rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/cpap-and-cardiogenic-pulmonary-edema/

Chakraborty RK, Hamilton RJ. Calcium Channel Blocker Toxicity. [Updated 2022 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537147/

Salim Rezaie, "Pearls from ResusX Rewired 2020", REBEL EM blog, October 10, 2020. Available at: https://rebelem.com/pearls-from-resusx-rewired-2020/.

Joshua Bucher. “Cervical Collars for C-Spine Trauma: The Facts” EMDOCS Blog. Available at: http://www.emdocs.net/cervical-collars-for-c-spine-trauma-the-facts/

Jugdutt, BI, & Warnica, JW. (1988). Intravenous nitroglycerin therapy to limit infarct size, expansion, and complications. Effect of timing, dosage, and infarct location. Circulation, 78(4).

Salim Rezaie, "The Death of MONA in ACS: Part III – Nitroglycerin", REBEL EM blog, November 5, 2017. Available at: https://rebelem.com/death-mona-acs-part-iii-nitroglycerin/.

http://derangedphysiology.com/main/required-reading/trauma-burns-and-drowning/

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