Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: it has a lot to do with sleep deprivation, uncertainty, community, and organizational support.

Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: it has a lot to do with sleep deprivation, uncertainty, community, and organizational support.

Mental Health for First Responders, with special guest Dr. Joseph Martin (audio)

Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning.We anticipate an increase in the number of Carbon Monoxide (CO) related calls in the system as people use charcoal grills and generators for heating. Symptoms include headache, nausea, vomiting, dizziness, syncope, altered mental status, and neurologic symptoms such as weakness, numbness, or paresthesia. During these winter events we frequently have calls with multiple patients.Anyone with RED FLAGS should be treated with 100% oxygen and transported to the hospital. These include:PregnancyCardiac history like arrhythmia, MI, CHFSignificant pulmonary history like COPD or pulmonary fibrosisNeurological symptoms, even mild ones like paresthesias or numbnessAltered mental statusEmotional changes, which could be indicative of altered mental statusChest painDifficulty breathingNeurologic symptoms may be subtle so it is vital that you do a thorough neurologic exam and ask specifically about numbness, tingling, and weakness.Treatment for CO poisoning is administration of 100% oxygen. For those with priority symptoms, hyperbaric treatment may be indicated.CO &gt;25%: Start 100% oxygen and transport to the hospital, regardless of whether or not they have red flags.CO &lt;25%:  Start 100% oxygen. If they have red flag symptoms, transport to the hospital. If no red flags, may treat in place with oxygen until symptoms resolve and then complete a refusal. CO &lt;15% with no symptoms: No treatment or transport is indicated.Consider STARFlight and direct transport to University Hospital in San Antonio for hyperbaric treatment for anyone with elevated CO level who is severely ill (unconscious, arrest with ROSC, stroke-like symptoms) 

Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning.We anticipate an increase in the number of Carbon Monoxide (CO) related calls in the system as people use charcoal grills and generators for heating. Symptoms include headache, nausea, vomiting, dizziness, syncope, altered mental status, and neurologic symptoms such as weakness, numbness, or paresthesia. During these winter events we frequently have calls with multiple patients.Anyone with RED FLAGS should be treated with 100% oxygen and transported to the hospital. These include:PregnancyCardiac history like arrhythmia, MI, CHFSignificant pulmonary history like COPD or pulmonary fibrosisNeurological symptoms, even mild ones like paresthesias or numbnessAltered mental statusEmotional changes, which could be indicative of altered mental statusChest painDifficulty breathingNeurologic symptoms may be subtle so it is vital that you do a thorough neurologic exam and ask specifically about numbness, tingling, and weakness.Treatment for CO poisoning is administration of 100% oxygen. For those with priority symptoms, hyperbaric treatment may be indicated.CO &gt;25%: Start 100% oxygen and transport to the hospital, regardless of whether or not they have red flags.CO &lt;25%:  Start 100% oxygen. If they have red flag symptoms, transport to the hospital. If no red flags, may treat in place with oxygen until symptoms resolve and then complete a refusal. CO &lt;15% with no symptoms: No treatment or transport is indicated.Consider STARFlight and direct transport to University Hospital in San Antonio for hyperbaric treatment for anyone with elevated CO level who is severely ill (unconscious, arrest with ROSC, stroke-like symptoms)

Quick Bite: Carbon Monoxide

Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of these pressors and how to administer the infusion. NOTE: It is ASSUMED you already know the indications, contraindications, and side effects of these drugs. This video is NOT a comprehensive review of these medications. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/__PWK4P85xc

Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of these pressors and how to administer the infusion. NOTE: It is ASSUMED you already know the indications, contraindications, and side effects of these drugs. This video is NOT a comprehensive review of these medications. Available on YouTube, iTunes, Google Play, and Feedburner! <a href="https://youtu.be/__PWK4P85xc" rel="nofollow" target="_blank">https://youtu.be/__PWK4P85xc</a>

Push Dose Pressors for EMS: Epinephrine and Norepinephrine

Ginger Locke

Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen, boys and girls. The audio is like butter. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/qCpk3f3zPP8 

Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for <a href="https://www.facebook.com/medicmindset/?__cft__[0]=AZVObQqPoSj34_CnT6mwh5rVSg3PAiNJXSKl9cAm-pRNUVNlZ_oqY7yau9147aY6IhDxfbPFrXzXWIMmPqdKvAMPPjZF9iO466Ikc-SEpdVtF6j1gAqAxDO9Mw0tWnmuIiq2n_1CWt3gy6lHoTJmQnVKwaAzS26OhwnGylRnmwjPYQRf1EusGOtzV1upnRlIiZE&amp;__tn__=kK-R" rel="nofollow" target="_blank">Medic Mindset</a> for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen, boys and girls. The audio is like butter. Available on YouTube, iTunes, Google Play, and Feedburner! <a href="https://youtu.be/qCpk3f3zPP8" rel="nofollow" target="_blank">https://youtu.be/qCpk3f3zPP8</a>

Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset

Spencer Greene

Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another.Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients.TL;DW:“Dry bites” are very uncommon.Most victims are not drunk young males that are intentionally messing with wildlife. Most are people who didn’t even know the snake was there. Don’t mess with wildlife.Snakes are not aggressive. They want to be left alone. Admire from a distance. If you leave them alone, they’ll leave you alone.Do NOT bring the snake to the ER. Taking a picture of it might be helpful.Any bruising or swelling from a snakebite indicates envenomation and should be treated aggressively.For crotalid bites (rattlesnake, copperhead, cottonmouth), raise the affected limb to reduce pain and swelling.For elapid (coral snake) bites, keep the limb level.No extractors, no sucking out the venom, none of that silliness.No tourniquets or constricting bands or pressure dressings. Applying these items may cause more tissue damage and pain.Snakebites are painful. Treat the pain.Watch here on YouTube:https://youtu.be/WGjy_mBsZD4From the City of Austin, TX, this is the Austin/Travis County EMS System Office of the Medical Director channel. We will talk all things prehospital care here. It will be informative, it will be fun, it will be very poorly edited and not rehearsed.

Snakebites are a common patient encounter for <a href="https://www.facebook.com/hashtag/ems?__eep__=6&amp;__cft__[0]=AZU92BnBw7eDfjFCDIOhTntNEESHhiBNQkSwNkxaII0dnlf79Of0PHmvA0IsgqEg2jdT_y9ptFgfI2Whe355tnNjJeHh4ofC1L0Olvx-zOvVglHnwwY9etIRU0mtcTnT0NHDM48diJyaV1jXqRBw0Ec90C0RtLFFZWdyPai4u99PyZ7QMslKKnxhZ0Md0uNJthA&amp;__tn__=*NK-R" rel="nofollow" target="_blank">#EMS</a> here in Texas, though virtually all states have venomous snakes of one kind or another.Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients.TL;DW:“Dry bites” are very uncommon.Most victims are not drunk young males that are intentionally messing with wildlife. Most are people who didn’t even know the snake was there. Don’t mess with wildlife.Snakes are not aggressive. They want to be left alone. Admire from a distance. If you leave them alone, they’ll leave you alone.Do NOT bring the snake to the ER. Taking a picture of it might be helpful.Any bruising or swelling from a snakebite indicates envenomation and should be treated aggressively.For crotalid bites (rattlesnake, copperhead, cottonmouth), raise the affected limb to reduce pain and swelling.For elapid (coral snake) bites, keep the limb level.No extractors, no sucking out the venom, none of that silliness.No tourniquets or constricting bands or pressure dressings. Applying these items may cause more tissue damage and pain.Snakebites are painful. Treat the pain.Watch here on YouTube:<a href="https://youtu.be/WGjy_mBsZD4?fbclid=IwAR1ld6YNG3LS1s4ixccmZwPnxYUKTp6PdNXjF_eJVDKns4N0lXs5Z8pxSrA" rel="noreferrer noopener nofollow" target="_blank">https://youtu.be/WGjy_mBsZD4</a>From the City of Austin, TX, this is the Austin/Travis County EMS System Office of the Medical Director channel. We will talk all things prehospital care here. It will be informative, it will be fun, it will be very poorly edited and not rehearsed.

Snakebites! with Dr. Spencer Greene (@ToxSpencer)

YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything.ANYwhomst, this is our takedown of the week long winter weather event that crippled the region starting around Valentine’s Day. The impacts to EMS were many and required a lot of creative thinking by responders. We are so proud of the bravery, ingenuity, and dedication that they showed during this event. Got some time? This is the story.

YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything.ANYwhomst, this is our takedown of the week long winter weather event that crippled the region starting around Valentine’s Day. The impacts to EMS were many and required a lot of creative thinking by responders. We are so proud of the bravery, ingenuity, and dedication that they showed during this event. Got some time? This is the story.

Episode 49: Icepocalypse

Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?

Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?

Episode 48: COVID…Vaccines

Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?

Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?

Episode 47: COVID…Bamlanivimab

Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to rapidly develop capability without the financial risk usually associated with experimental therapies.

Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to rapidly develop capability without the financial risk usually associated with experimental therapies.

Episode 46: What is Operation Warp Speed?

This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully interest you in participating in research on the topic.TL;DR/TL;DL: DON’T START DOING THIS YET. IT NEEDS MORE STUDY. But it is promising.Citation: Domany Y, Shelton RC, McCullumsmith CB. Ketamine for acute suicidal ideation. An emergency department intervention: A randomized, double-blind, placebo-controlled, proof-of-concept trial. Depress Anxiety. 2020 Mar;37(3):224-233. doi: 10.1002/da.22975. Epub 2019 Nov 16. PMID: 31733088.Strengths: Randomized placebo controlled design. Disposition and care for patients was determined before randomization, so study drug not likely to affect care delivered. Close assessment at multiple points. Administration protocol was over 5 min, so very conducive to the ED environment.Weaknesses: Too small to really tell us how effective this treatment is, though there is a body of literature that supports it in other settings. Evaluation of patients was thorough, more than what could be expected of a prehospital provider without substantial training. Study setting was an ED, not EMS. Does not answer the question of whether patients can be safely discharged to outpatient mental health treatment after receiving this drug.

This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully interest you in participating in research on the topic.TL;DR/TL;DL: DON’T START DOING THIS YET. IT NEEDS MORE STUDY. But it is promising.Citation: Domany Y, Shelton RC, McCullumsmith CB. Ketamine for acute suicidal ideation. An emergency department intervention: A randomized, double-blind, placebo-controlled, proof-of-concept trial. Depress Anxiety. 2020 Mar;37(3):224-233. doi: 10.1002/da.22975. Epub 2019 Nov 16. PMID: 31733088.Strengths: Randomized placebo controlled design. Disposition and care for patients was determined before randomization, so study drug not likely to affect care delivered. Close assessment at multiple points. Administration protocol was over 5 min, so very conducive to the ED environment.Weaknesses: Too small to really tell us how effective this treatment is, though there is a body of literature that supports it in other settings. Evaluation of patients was thorough, more than what could be expected of a prehospital provider without substantial training. Study setting was an ED, not EMS. Does not answer the question of whether patients can be safely discharged to outpatient mental health treatment after receiving this drug.

Episode 45: Ketamine for suicidal ideation

From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anything as it relates to EMS.

Forward thinking. Motivating educators are an invaluable asset to any system. Austin is lucky to have you.

Awesome podcast

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

https://atcomd.files.wordpress.com/2018/02/ep-12-trauma-resuscitation.m4a Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.

<a href="https://atcomd.files.wordpress.com/2018/02/ep-12-trauma-resuscitation.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2018/02/ep-12-trauma-resuscitation.m4a</a> Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.

Episode 12: Trauma Resuscitation

I don’t know if this is particularly profound, but I just wanted to offer some words of encouragement.

Episode 42: COVID- A few words

If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastasIcanthepatientwillgetbetter #morewavylines #butIjustlearnedEKGs #Isawthetubegothroughthecords #sodideveryonewhoevermisplacedanETtube https://atcomd.files.wordpress.com/2019/02/ep-26-etco2.m4a

If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastasIcanthepatientwillgetbetter #morewavylines #butIjustlearnedEKGs #Isawthetubegothroughthecords #sodideveryonewhoevermisplacedanETtube <a href="https://atcomd.files.wordpress.com/2019/02/ep-26-etco2.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/02/ep-26-etco2.m4a</a>

Episode 26: EtCO2

https://atcomd.files.wordpress.com/2019/04/ep-29-medic-to-pa-or-md.m4a Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.

<a href="https://atcomd.files.wordpress.com/2019/04/ep-29-medic-to-pa-or-md.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/04/ep-29-medic-to-pa-or-md.m4a</a> Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.

Episode 29: Medic to PA to MD

https://atcomd.files.wordpress.com/2017/09/ep-3-ketamine.m4a

<a href="https://atcomd.files.wordpress.com/2017/09/ep-3-ketamine.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2017/09/ep-3-ketamine.m4a</a>

ATCEMS OMD Podcast Episode 3: Ketamine- It cures what ails you.

Are there better ideas for managing cardiac arrests in this pandemic? We talk about modifying response (don’t), calling it early (maybe if we have good info), airway management (you’ve got some choices here), and limiting provider exposure (always).

Episode 40: COVID in Cardiac Arrest

https://atcomd.files.wordpress.com/2018/06/ep-19-heat-illness1.m4aHeat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool them down.

<a href="https://atcomd.files.wordpress.com/2018/06/ep-19-heat-illness1.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2018/06/ep-19-heat-illness1.m4a</a>Heat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool them down.

Episode 19: Heat illness

We talk about a whole bunch of different interventions that have been recommended or not recommended and discussed our logic behind them here.

Episode 41: COVID CPAP, nebs, epi, terbutaline, proning

We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic https://atcomd.files.wordpress.com/2018/06/ep-16-airway-pearls.m4a

We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic <a href="https://atcomd.files.wordpress.com/2018/06/ep-16-airway-pearls.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2018/06/ep-16-airway-pearls.m4a</a>

Episode 16: Airway Pearls

https://atcomd.files.wordpress.com/2019/05/ep-27-syncope.m4a Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: https://litfl.com/epsilon-wave-ecg-library/ Wolff Parkinson White syndrome: https://www.youtube.com/watch?v=K098rnvqRE0 Lown Ganong Levine syndrome: https://ecglibrary.com/lgl.html

<a href="https://atcomd.files.wordpress.com/2019/05/ep-27-syncope.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/05/ep-27-syncope.m4a</a> Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: <a href="https://litfl.com/epsilon-wave-ecg-library/" rel="nofollow" target="_blank">https://litfl.com/epsilon-wave-ecg-library/</a> Wolff Parkinson White syndrome: <a href="https://www.youtube.com/watch?v=K098rnvqRE0" rel="nofollow" target="_blank">https://www.youtube.com/watch?v=K098rnvqRE0</a> Lown Ganong Levine syndrome: <a href="https://ecglibrary.com/lgl.html" rel="nofollow" target="_blank">https://ecglibrary.com/lgl.html</a>

Episode 27: Syncope

750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities. https://atcomd.files.wordpress.com/2018/06/ep-15-sepsis.m4a

750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities. <a href="https://atcomd.files.wordpress.com/2018/06/ep-15-sepsis.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2018/06/ep-15-sepsis.m4a</a>

Episode 15: Sepsis

https://atcomd.files.wordpress.com/2019/01/ep-25-tracheostomy-disasters.m4a Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more.  #paramedic #EMS #prehospital #criticalcare In this episode, I make reference to a couple of great YouTube videos on the subject. One is from RT Clinic on the ins and outs of tracheostomy devices. The other is from The Crashing Patient Series from the University of Maryland and goes into greater depth on care of the crashing tracheostomy patient.

<a href="https://atcomd.files.wordpress.com/2019/01/ep-25-tracheostomy-disasters.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/01/ep-25-tracheostomy-disasters.m4a</a> Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more.  #paramedic #EMS #prehospital #criticalcare In this episode, I make reference to a couple of great YouTube videos on the subject. One is from <a href="https://www.youtube.com/watch?v=FRyssmK0I_A" rel="noopener nofollow" target="_blank">RT Clinic</a> on the ins and outs of tracheostomy devices. The other is from <a href="https://www.youtube.com/watch?v=DPB7gj_PzH0" rel="noopener nofollow" target="_blank">The Crashing Patient Series</a> from the University of Maryland and goes into greater depth on care of the crashing tracheostomy patient.

Episode 25: Tracheostomy Disasters

Jessica Sasser

Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this episode she discusses meditation and how it can be useful to the first responder. Hint: it doesn’t just make you feel better, it makes you better. Please don’t meditate while driving. Resources for ATCEMS and AFD employees can be found at: atxpublicsafetywellness.com Insight Timer can be downloaded from the Apple app store.https://atcomd.files.wordpress.com/2019/10/episode-30-jessica-sasser.m4a

Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this episode she discusses meditation and how it can be useful to the first responder. Hint: it doesn’t just make you feel better, it makes you better. Please don’t meditate while driving. Resources for ATCEMS and AFD employees can be found at: <a href="http://atxpublicsafetywellness.com" rel="nofollow" target="_blank">atxpublicsafetywellness.com</a> Insight Timer can be downloaded from the Apple app store.<a href="https://atcomd.files.wordpress.com/2019/10/episode-30-jessica-sasser.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/10/episode-30-jessica-sasser.m4a</a>

Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN

Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patients in the prehospital setting. Pexels.com" data-medium-file="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200" data-large-file="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=663" class="alignnone size-full wp-image-278" src="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg" alt="woman working girl sitting" width="868" height="1300" srcset="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg 868w, https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=100&amp;h=150 100w, https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200&amp;h=300 200w, https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=768&amp;h=1150 768w" sizes="(max-width: 868px) 100vw, 868px" /&gt;Photo by Alexander Dummer on Pexels.com https://atcomd.files.wordpress.com/2019/12/ep-31-headache.m4a

Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patients in the prehospital setting. <a href="http://Pexels.com" rel="nofollow" target="_blank">Pexels.com</a>" data-medium-file="<a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200</a>" data-large-file="<a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=663" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=663</a>" class="alignnone size-full wp-image-278" src="<a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg</a>" alt="woman working girl sitting" width="868" height="1300" srcset="<a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg</a> 868w, <a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=100&amp;h=150" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=100&amp;h=150</a> 100w, <a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200&amp;h=300" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=200&amp;h=300</a> 200w, <a href="https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=768&amp;h=1150" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/pexels-photo-133021.jpeg?w=768&amp;h=1150</a> 768w" sizes="(max-width: 868px) 100vw, 868px" /&gt;Photo by Alexander Dummer on <a href="https://www.pexels.com/photo/woman-working-girl-sitting-133021/" rel="nofollow" target="_blank">Pexels.com</a> <a href="https://atcomd.files.wordpress.com/2019/12/ep-31-headache.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/ep-31-headache.m4a</a>

Episode 31: Headache

Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work together far exceed those they can accomplish when moving in different directions. The union can give the MD valuable feedback on wants and barriers to implementation, and the MD can get an idea of how to effectively introduce change to the department with wide support. I’m fortunate to get to work with Selena Xie, who is smart, politically savvy, collaborative, and has an eye for the immediate future and years down the line.  https://atcomd.files.wordpress.com/2019/12/ep-32-talking-with-the-union-prez.m4a

Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work together far exceed those they can accomplish when moving in different directions. The union can give the MD valuable feedback on wants and barriers to implementation, and the MD can get an idea of how to effectively introduce change to the department with wide support. I’m fortunate to get to work with Selena Xie, who is smart, politically savvy, collaborative, and has an eye for the immediate future and years down the line. <a href="https://atcomd.files.wordpress.com/2019/12/ep-32-talking-with-the-union-prez.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2019/12/ep-32-talking-with-the-union-prez.m4a</a>

Ep 32: Talking with the Union Prez

In person and on the radio, make the most of your concise patient report.  https://atcomd.files.wordpress.com/2018/06/ep-18-trauma-reports1.m4a

In person and on the radio, make the most of your concise patient report.  <a href="https://atcomd.files.wordpress.com/2018/06/ep-18-trauma-reports1.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2018/06/ep-18-trauma-reports1.m4a</a>

Episode 18: Trauma reports

Most asthma is pretty routine. Most. Dr. Pickett talks about tools for management of the severe asthmatic adult or child. https://atcomd.files.wordpress.com/2017/12/ep-10-asthma1.m4a

Most asthma is pretty routine. Most. Dr. Pickett talks about tools for management of the severe asthmatic adult or child. <a href="https://atcomd.files.wordpress.com/2017/12/ep-10-asthma1.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2017/12/ep-10-asthma1.m4a</a>

Episode 10: Asthma!

Some people have the natural gift of teaching. For others it does not come easily. Teaching is all about connecting with your student, finding out their abilities and weaknesses, and helping build them into stronger clinicians. Teaching is a learned skill that can be molded and honed no matter how good a teacher you are. I sat down with Ginger Locke, Associate Professor of EMS Education at Austin Community College and the producer of the Medic Mindset podcast to see what tips and tricks we can offer the field preceptor. https://atcomd.files.wordpress.com/2017/11/ep-9-bedside-teaching.m4a

Some people have the natural gift of teaching. For others it does not come easily. Teaching is all about connecting with your student, finding out their abilities and weaknesses, and helping build them into stronger clinicians. Teaching is a learned skill that can be molded and honed no matter how good a teacher you are. I sat down with Ginger Locke, Associate Professor of EMS Education at Austin Community College and the producer of the Medic Mindset podcast to see what tips and tricks we can offer the field preceptor. <a href="https://atcomd.files.wordpress.com/2017/11/ep-9-bedside-teaching.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2017/11/ep-9-bedside-teaching.m4a</a>

Episode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital.

Ever had that patient that you just weren’t sure what pathway they fit in? You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortable with belies the rate of 180 seen on the monitor. She does endorse some chest discomfort. No previous drug use, no recent surgery/ Rhythm might be irregular but it’s too hard to tell at that rate. Should I cardiovert? Should I give them diltiazem? Could this tachycardia be reactive to something, and I should look for other potential issues? https://atcomd.files.wordpress.com/2017/11/ep-8-atrial-fibrillation.m4a

Ever had that patient that you just weren’t sure what pathway they fit in? You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortable with belies the rate of 180 seen on the monitor. She does endorse some chest discomfort. No previous drug use, no recent surgery/ Rhythm might be irregular but it’s too hard to tell at that rate. Should I cardiovert? Should I give them diltiazem? Could this tachycardia be reactive to something, and I should look for other potential issues? <a href="https://atcomd.files.wordpress.com/2017/11/ep-8-atrial-fibrillation.m4a" rel="nofollow" target="_blank">https://atcomd.files.wordpress.com/2017/11/ep-8-atrial-fibrillation.m4a</a>

ATCEMS OMD Podcast Episode 8: Atrial fibrillation!

There are a myriad of task forces in the response to COVID in Austin and Travis County. Here we talk about ones inside the Medical Branch.

Episode 38: COVID- Task Forces

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The best podcast episodes on non-current politics. Covering topics such as universal basic income, democracy, poverty & justice and more. For anyone interested in learning more about politics that affect that world, not just now, but in the longer term. Add episodes you're interested into your queue below!