The World’s Okayest Medic Podcast

Latest Episodes:

Christmas Clinical Dec 20, 2021

Show notes

Carley, S. (2004). Suicide at Christmas. EMJ Online. Available at http://emj.bmj.com/content/emermed/21/6/716.full.pdf

CDC. (2004). Fall-Related Injuries During the Holiday Season --- United States, 2000–2003. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5348a1.htm

Long, Brit. (2018). EM@3AM: Esophageal Foreign Bodies. EMDocs Blog. Available at http://emdocs.net/em3am-esophageal-foreign-bodies/

Rohrer-Mirtschink S, Forster N, Giovanoli P, Guggenheim M. Major burn injuries associated with Christmas celebrations: a 41-year experience from Switzerland. Ann Burns Fire Disasters. 2015;28(1):71-75.

Shaw, et. al. (2018). Death and readmissions after hospital discharge during the Dec holiday period. BMJ, 363.

Shuja, Winston, Rahman, Mitty, Jaber, & Keo. Esophageal food impaction during cultural holidays and national athletic events. Gasteroenterology Report, 5(1).

Smith, Allan, Greenlaw, Findlay, & Isles. (2013). EM admissions., deaths ant weekends and the public holiday effect. Emerg Med J, 31(1).

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Happily Hypoxic Dec 14, 2021

Show notes

Omicron update, COVID stats, assessment of the hypoxic COVID patient

Reference: Dhont, S., Derom, E., Van Braeckel, E. et al. The pathophysiology of ‘happy’ hypoxemia in COVID-19. Respir Res 21, 198 (2020). https://doi.org/10.1186/s12931-020-01462-5

Rectal Foreign Bodies Dec 12, 2021

Show notes

DISCLAIMER: bad words, adult topics

Cologne, Ault. (2012). Rectal foreign bodies: what is the current standard? Clin Colon Rectal Surg, 25, 214-18.

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Thanksgiving Clinical Nov 25, 2021

Show notes

Not really anything Thanksgiving related....random topics and rantings

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Normalization of Deviance Nov 22, 2021

Show notes

References: http://www.aviationchief.com

NASA. (2014). The Cost of Silence: Normalization of Deviance and Groupthink. Retrieved from: https://sma.nasa.gov/docs/default-source/safety-messages/safetymessage-normalizationofdeviance-2014-11-03b.pdf?sfvrsn=4

Mullane, Mike. Normalization of Deviance — IAFF. Available at http://www.youtube.com/watch?v=Ljzj9Msli5o

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Differential Diagnosis Nov 16, 2021

Show notes

Thoughts on the "differential diagnosis."

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Lessons from My Partner Bill: A True OG Nov 11, 2021

Show notes

Bill is my HEMS partner, mentor, and friend. He started his career in EMS in 1976. Here is his introduction, some of his insights, and discussion on generation gaps and career progression. Also, sorry about the background noise: we were at work at the airport. Planes were taking off and the office chairs we were sitting in were creaking.

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Saturday Night Clinical Nov 07, 2021

Show notes

Addendums on the calcium episode and the heart failure episode...as always...random ramblings as well...

Citations: Anand IS, Gupta P. Anemia and Iron Deficiency in Heart Failure: Current Concepts and Emerging Therapies. Circulation. 2018 Jul 3;138(1):80-98. doi: 10.1161/CIRCULATIONAHA.118.030099. PMID: 29967232.

Hayes. (2013). Mythbuster: Calcium Gluconate Raises Serum Calcium as Quickly as Calcium Chloride. Retrieved at https://www.aliem.com/mythbuster-calcium-gluconate-raises-serum-calcium-as-calcium-chloride/

Calcium Chloride. RK.MD Blog. (2018). Retrieved at https://rk.md/2018/calcium-chloride/

Maak CA, Tabas JA, McClintock DE. Should acute treatment with inhaled beta agonists be withheld from patients with dyspnea who may have heart failure? J Emerg Med. 2011 Feb;40(2):135-45. doi: 10.1016/j.jemermed.2007.11.056. Epub 2008 Jun 24. PMID: 18572345.

Ponn, B. (2017). Clinical Question: Can Ventolin improve wheeze in heart failure? CanadiEM Blog. Retrieved from https://canadiem.org/can-ventolin-improve-wheeze-in-heart-failure/

Silverberg DS, Wexler D, Iaina A. The role of anemia in the progression of congestive heart failure. Is there a place for erythropoietin and intravenous iron? J Nephrol. 2004 Nov-Dec;17(6):749-61. PMID: 15593047.

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Staffing Shortages, Work Conditions, Corporate Greed Oct 29, 2021

Show notes

I think I might have gone a little hard in the paint on this one... TOPICS: Corporate greed Staffing shortages Incentive pay Working conditions

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EMS Organizational Narcissism Oct 25, 2021

Show notes

As always: real talk, no BS, and maybe controversial views of when narcissism pervades the culture in EMS agencies...

Duchon & Drake. (2009). Organizational narcissism and virtuous behavior. Journal of Business Ethics 85, 301-308.

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