EMS

On the Streets #3: COVID-19

In this special edition of our On the Streets podcast, we discuss COVID-19 as well as what first responders and emergency providers need to know to keep themselves and their patients safe during this pandemic.

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Podcast 550: Good ol’ Versed

Contributor: Sam Killian, MD Educational Pearls: Agitation can be due to a number of causes, but regardless of the cause, sedation often plays a key role in patient and provider safety. But what is the best sedative agent? A study looked at control of agitation with intramuscular medication. Specifically, 5 different IM sedative agents were…

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On the Streets #2: Neurological Deficits

Part 1 of 2: Dr. Adam Graham dishes out the essentials of identifying concerning neurological deficits on the scene, predicting what they mean and how to best care for patients with neurological deficits in the pre-hospital setting.   About Dr. Adam Graham: Adam Graham, MD, is a board-certified neurologist with Blue Sky Neurology in Denver….

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On the Streets #1: The Art of the Handoff Report

EMM is proud to present the pilot episode of our new monthly series, “On the Streets”. This will be an informative podcast for all of our listeners, but this one was designed specifically for our EMS listeners.  Each month, we will consult medical experts on topics pertinent to prehospital care: Identifying a posterior circulation stroke…

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Podcast 517: It’s all about the PEEP 

Contributor: Dylan Luyten, MD Educational Pearls: Bag-valve masks (BVM) typically  have a port to connect O2 to. Unfortunately room air becomes entrained in the mask, reducing the FiO2 delivered to the patient. This can be overcome by using a PEEP (positive end-expiratory pressure) valve on the BVM  PEEP valves function by keeping alveoli open in…

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Podcast # 475: Orthostatic Vital Signs and Syncope

Author: Michael Hunt, MD Educational Pearls: A recent study evaluated the relationship between abnormal orthostatic vital signs and serious outcomes within 30 days in patients over 60 presenting to the ED with syncope Of the roughly 2000 patients enrolled, about ⅓ had abnormal orthostatic vital signs There was no statistically significance between orthostatic vital signs…

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Podcast #174: Cervical Spine

Run Time:  5 minutes Author: Dylan Luyten M.D. Educational Pearls: Cervical spine immobilization is a big change in the EMS protocol over several years. Cervical collars were developed for rehabilitation after neck or spine surgery, but became a tool for prehospital treatment of undifferentiated trauma patients that may or may not have injured the neck….

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Podcast #173: Defibrillation

Run Time:  3 minutes Author: Aaron Lessen M.D. Educational Pearls: Defibrillation is used to depolarize the heart and reset the electrical activity. How can the success of defibrillation be maximized for a patient with persistent Vfib and has been shocked several times previously by EMS.   Success is dependent on the contact of the pads…

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Podcast #172: CPSSS

Run Time:  3 minutes Author: Dylan Luyten M.D. Educational Pearls: The most recent data on value on interventional neuroradiology suggests that the patients who receive the most benefit from neuroradiology are those with a large vessel occlusion, and can have up to 50% reduction in mortality. The question is for EMS, when should you bypass…

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Podcast #112:  Cardiac Arrest Survival Rate

Run Time:  2 minutes Author:  Dylan Luyten M.D. Educational Pearls: The Canadian Medical Association Journal published a study this year looking at the association between what floor people live on and cardiac arrest survival. In the US, 2% of patients with out-of-hospital cardiac arrest survive with a favorable neurologic outcome and 5% survive to discharge…

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