MCHD Paramedic Podcast

Rank #10 in Science & Medicine Podcasts
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MCHD Paramedic Podcast

By Montgomery County Hospital District

Science & Medicine

The top 10 most popular episodes of MCHD Paramedic Podcast.

iTunes Rating

31 Ratings
Average Rating
31
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Cover image of MCHD Paramedic Podcast
Science & Medicine

MCHD Paramedic Podcast

By Montgomery County Hospital District

The top 10 most popular episodes of MCHD Paramedic Podcast.

iTunes Rating

31 Ratings
Average Rating
31
0
0
0
0
This podcast doesn't have any recommendations

"MCHD Paramedic Podcast" only has a few episodes, which are shown below as released by the author.

Top 10 Episodes of MCHD Paramedic Podcast

Rank #1: Episode 22: TXA (Tranexamic Acid)

Aug 14 2018
Podcast cover

Tranexamic Acid (TXA) has been a hot topic in emergency medicine over the past several years with increasing acceptance for use in patients with hemorrhagic shock. Casey Patrick and Jordan Anderson review the pharmacology of TXA, discuss the literature supporting its use, and close with MCHD’s TXA administration protocol. References 1. Gayet-Ageron A et al. Effect of Treatment Delay on the Effectiveness and Safety of Antifibrinolytics in Acute Severe Haemorrhage: A Meta-Analysis of Individual Patient-Level Data From 40138 Bleeding Patients. Lancet 2017. 2. Effects of Tranexamic Acid on Death, Vascular Occlusive Events, And Blood Transfusion in Trauma Patients With Significant Haemorrhage (CRASH-2): A Randomised, Placebo-Controlled Trial. Lancet 2010. 3. Effect of Early Tranexamic Acid Administration on Mortality, Hysterectomy, and Other Morbidities in Women with Post-Partum Haemorrhage (WOMAN): An International, Randomised, Double-Blind, Placebo-Controlled Trial. Lancet 2017.

Rank #2: Episode 21: Ketamine For Control

Aug 14 2018
Podcast cover

Dr. Dickson and Dr. Patrick take on one of our favorite topics here at MCHD - Ketamine and the agitated patient. Agitated patients come in a wide spectrum of severity. This discussion starts with a framework for stratifying agitated patients. We discuss the MCHD ketamine experience along with a less discussed patient population that may need ketamine control quicker than we often think. ***Remember that Ketamine is only to be used for patient protection and is never intended to be used out of convenience.*** References: 1. https://www.ems1.com/medical-clinical/articles/78100048-Ketamine-for-Excited-Delirium-Syndrome-Results-of-a-3-year-case-series/ 2. Green et al. Clinical Practice Guideline for Emergency Department Ketamine Dissociative Sedation. Ann Emerg Med. 2011; 57:449-61 3. Cole J et al. A prospective study of ketamine as primary therapy for prehospital profound agitation. Am J Emerg Med. October 2017 4. Parsch C et al. Ketamine reduces the need for intubation in patients with acute severe mental illness and agitation requiring transport to definitive care: An observational study. Emerg Med Australas. 2017;29(3):291-296

Rank #3: Episode 20 - Pediatric Concussion With Dr. Greg Faris

Jul 30 2018
Podcast cover

Concussions and management of mild head injury are topics that are rapidly evolving. Dr. Greg Faris joins Dr. Patrick to lend his pediatric emergency expertise on these important and commonly seen injuries. With youth and high school football season coming soon, get your concussion refresher now. References: CDC Heads up. www.cdc.gov/headsup Kupperman N, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 2009; 374: 1160-70. McCrory P, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 2017;0:1–10. Davis GA, et al. Sports Concussion Assessement Tool 5th Edition. Br J Sports Med 2017;0:1–8

Rank #4: Episode 19 - OB Part I

Jul 30 2018
Podcast cover

Pregnancy complications make us all a little diaphoretic and tachycardic. On this episode, Dr. Patrick and Dr. Dickson break down the must know aspects of caring for the obstetric patient prior to delivery in the EMS setting. References: https://www.acog.org/Clinical-Guidance-and-Publications/Task-Force-and-Work-Group-Reports/Hypertension-in-Pregnancy

Rank #5: Episode 17 - One Pill Killers

Jul 16 2018
Podcast cover

Join Dr. Patrick for a discussion of common drugs, both OTC and prescription, that can be deadly to our pediatric patients in doses as small as a single pill. This knowledge will allow us to properly educate families and know when to expect a potential crashing kid. References: Michael J.B., Sztajnkrycer M.D. Deadly pediatric poisons: Nine common agents that kill at low doses. (2004). Emergency Medicine Clinics of North America, 22, 1019-1050.

Rank #6: Episode 18 - Pediatric Non - Accidental Trauma

Jul 16 2018
Podcast cover

Dr. Patrick is joined on this episode by Dr. Elizabeth Weinstein. Elizabeth is a dual trained in Emergency Medicine and Pediatrics, and she delivers clinical pearl after clinical pearl on how to recognize and manage non-accidental trauma in the prehospital environment. Resources: http://www.identifychildabuse.org

Rank #7: Bonus Episode - Fentanyl Fever: Unnecessary Hysteria

Jun 28 2018
Podcast cover

Dr. Jerry Snow, a medical toxicologist and emergency medicine physician from Phoenix joins the show for an interesting discussion about the opiate crisis facing America today, with a specific emphasis on fentanyl and its derivatives. We discuss EMS/first responder exposure risks and preventative measures along with patient care pearls when treating patients with fentanyl overdose. References: American Academy of Clinical Toxicology Statement on Fentanyl Exposure Risks - https://www.acmt.net/_Library/Fentanyl_Position/Fentanyl_PPE_Emergency_Responders_.pdf https://www.whitehouse.gov/ondcp/key-issues/fentanyl/

Rank #8: Episode 16 - Congestive Heart Failure Part 2 - The Nitroglycerining

Jun 25 2018
Podcast cover

Patients with acute pulmonary edema need rapid preload and afterload reduction and often their volume status is difficult to ascertain. Casey Patrick and Brad Ward discuss a novel approach to using our old friend nitroglycerin in these patients along with the other cornerstones of their care. References 1. Cotter G, Metzkor E, Kaluski E, et al. Randomised trial of high-dose isosorbide dinitrate plus low-dose furosemide versus high-dose furosemide plus low-dose isosorbide dinitrate in severe pulmonary oedema. Lancet. 1998;351(9100):389-93. 2. Levy P, Compton S, Welch R, et al. Treatment of severe decompensated heart failure with high-dose intravenous nitroglycerin: a feasibility and outcome analysis. Ann Emerg Med. 2007;50(2):144-52. 3. Wilson SS, Kwiatkowski GM, Millis SR, et al. Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure. Am J Emerg Med. 2017;35(1):126-31. 4. Peacock WF et al. Morphine and Outcomes in Acute Decompensated Heart Failure: An ADHERE Analysis. Emerg Med J 2008; 25: 205 – 209.

Rank #9: Episode 15 - Congestive Heart Failure Part 1 - The Basics

Jun 25 2018
Podcast cover

CHF exacerbations are bread and butter emergency medicine. Casey Patrick and Brad Ward begin with some background physiology and review of CHF. They then move on to describing a more detailed framework than the typical “CHF exacerbation” that is commonly taught. You’ll finish this podcast and think you’re a plumber as opposed to a paramedic. References https://coreem.net/core/ape/

Rank #10: Episode 14 - Delayed Sequence Intubation (DSI) with Dr. Jeff Jarvis

Jun 19 2018
Podcast cover

MCHD Paramedic Podcast Show notes Dr. Jeff Jarvis FAEMS, FACEP Today’s show is all about the changes in how we approach intubation in EMS. Dr. Jarvis will relate how he got interested in the topic of airway management and specifically the process of delayed sequence intubation. Dr. Jarvis is the EMS medical director for Williamson county Texas EMS, he will present data from the recent annals of emergency medicine paper his group authored on the topic. MCHD quality lead Kevin Crocker will present our data from after we implemented DSI procedure at MCHD. Weingart Emcrit podcast and annals of EM paper https://emcrit.org/dsi/ http://dx.doi.org/10.1016/j.annemergmed.2014.09.025 Jarvis Annals paper http://www.annemergmed.com/article/S0196-0644(18)30071-4/abstract Wilco EMS: https://www.wilco.org/Departments/EMS 2017 SOCs DSI protocol DSI checklist for both WCEMS and Marble Falls Area EMS

Top 10 Episodes of MCHD Paramedic Podcast

Rank #1: Episode 22: TXA (Tranexamic Acid)

Aug 14 2018
Podcast cover

Tranexamic Acid (TXA) has been a hot topic in emergency medicine over the past several years with increasing acceptance for use in patients with hemorrhagic shock. Casey Patrick and Jordan Anderson review the pharmacology of TXA, discuss the literature supporting its use, and close with MCHD’s TXA administration protocol. References 1. Gayet-Ageron A et al. Effect of Treatment Delay on the Effectiveness and Safety of Antifibrinolytics in Acute Severe Haemorrhage: A Meta-Analysis of Individual Patient-Level Data From 40138 Bleeding Patients. Lancet 2017. 2. Effects of Tranexamic Acid on Death, Vascular Occlusive Events, And Blood Transfusion in Trauma Patients With Significant Haemorrhage (CRASH-2): A Randomised, Placebo-Controlled Trial. Lancet 2010. 3. Effect of Early Tranexamic Acid Administration on Mortality, Hysterectomy, and Other Morbidities in Women with Post-Partum Haemorrhage (WOMAN): An International, Randomised, Double-Blind, Placebo-Controlled Trial. Lancet 2017.

Rank #2: Episode 21: Ketamine For Control

Aug 14 2018
Podcast cover

Dr. Dickson and Dr. Patrick take on one of our favorite topics here at MCHD - Ketamine and the agitated patient. Agitated patients come in a wide spectrum of severity. This discussion starts with a framework for stratifying agitated patients. We discuss the MCHD ketamine experience along with a less discussed patient population that may need ketamine control quicker than we often think. ***Remember that Ketamine is only to be used for patient protection and is never intended to be used out of convenience.*** References: 1. https://www.ems1.com/medical-clinical/articles/78100048-Ketamine-for-Excited-Delirium-Syndrome-Results-of-a-3-year-case-series/ 2. Green et al. Clinical Practice Guideline for Emergency Department Ketamine Dissociative Sedation. Ann Emerg Med. 2011; 57:449-61 3. Cole J et al. A prospective study of ketamine as primary therapy for prehospital profound agitation. Am J Emerg Med. October 2017 4. Parsch C et al. Ketamine reduces the need for intubation in patients with acute severe mental illness and agitation requiring transport to definitive care: An observational study. Emerg Med Australas. 2017;29(3):291-296

Rank #3: Episode 20 - Pediatric Concussion With Dr. Greg Faris

Jul 30 2018
Podcast cover

Concussions and management of mild head injury are topics that are rapidly evolving. Dr. Greg Faris joins Dr. Patrick to lend his pediatric emergency expertise on these important and commonly seen injuries. With youth and high school football season coming soon, get your concussion refresher now. References: CDC Heads up. www.cdc.gov/headsup Kupperman N, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 2009; 374: 1160-70. McCrory P, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 2017;0:1–10. Davis GA, et al. Sports Concussion Assessement Tool 5th Edition. Br J Sports Med 2017;0:1–8

Rank #4: Episode 19 - OB Part I

Jul 30 2018
Podcast cover

Pregnancy complications make us all a little diaphoretic and tachycardic. On this episode, Dr. Patrick and Dr. Dickson break down the must know aspects of caring for the obstetric patient prior to delivery in the EMS setting. References: https://www.acog.org/Clinical-Guidance-and-Publications/Task-Force-and-Work-Group-Reports/Hypertension-in-Pregnancy

Rank #5: Episode 17 - One Pill Killers

Jul 16 2018
Podcast cover

Join Dr. Patrick for a discussion of common drugs, both OTC and prescription, that can be deadly to our pediatric patients in doses as small as a single pill. This knowledge will allow us to properly educate families and know when to expect a potential crashing kid. References: Michael J.B., Sztajnkrycer M.D. Deadly pediatric poisons: Nine common agents that kill at low doses. (2004). Emergency Medicine Clinics of North America, 22, 1019-1050.

Rank #6: Episode 18 - Pediatric Non - Accidental Trauma

Jul 16 2018
Podcast cover

Dr. Patrick is joined on this episode by Dr. Elizabeth Weinstein. Elizabeth is a dual trained in Emergency Medicine and Pediatrics, and she delivers clinical pearl after clinical pearl on how to recognize and manage non-accidental trauma in the prehospital environment. Resources: http://www.identifychildabuse.org

Rank #7: Bonus Episode - Fentanyl Fever: Unnecessary Hysteria

Jun 28 2018
Podcast cover

Dr. Jerry Snow, a medical toxicologist and emergency medicine physician from Phoenix joins the show for an interesting discussion about the opiate crisis facing America today, with a specific emphasis on fentanyl and its derivatives. We discuss EMS/first responder exposure risks and preventative measures along with patient care pearls when treating patients with fentanyl overdose. References: American Academy of Clinical Toxicology Statement on Fentanyl Exposure Risks - https://www.acmt.net/_Library/Fentanyl_Position/Fentanyl_PPE_Emergency_Responders_.pdf https://www.whitehouse.gov/ondcp/key-issues/fentanyl/

Rank #8: Episode 16 - Congestive Heart Failure Part 2 - The Nitroglycerining

Jun 25 2018
Podcast cover

Patients with acute pulmonary edema need rapid preload and afterload reduction and often their volume status is difficult to ascertain. Casey Patrick and Brad Ward discuss a novel approach to using our old friend nitroglycerin in these patients along with the other cornerstones of their care. References 1. Cotter G, Metzkor E, Kaluski E, et al. Randomised trial of high-dose isosorbide dinitrate plus low-dose furosemide versus high-dose furosemide plus low-dose isosorbide dinitrate in severe pulmonary oedema. Lancet. 1998;351(9100):389-93. 2. Levy P, Compton S, Welch R, et al. Treatment of severe decompensated heart failure with high-dose intravenous nitroglycerin: a feasibility and outcome analysis. Ann Emerg Med. 2007;50(2):144-52. 3. Wilson SS, Kwiatkowski GM, Millis SR, et al. Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure. Am J Emerg Med. 2017;35(1):126-31. 4. Peacock WF et al. Morphine and Outcomes in Acute Decompensated Heart Failure: An ADHERE Analysis. Emerg Med J 2008; 25: 205 – 209.

Rank #9: Episode 15 - Congestive Heart Failure Part 1 - The Basics

Jun 25 2018
Podcast cover

CHF exacerbations are bread and butter emergency medicine. Casey Patrick and Brad Ward begin with some background physiology and review of CHF. They then move on to describing a more detailed framework than the typical “CHF exacerbation” that is commonly taught. You’ll finish this podcast and think you’re a plumber as opposed to a paramedic. References https://coreem.net/core/ape/

Rank #10: Episode 14 - Delayed Sequence Intubation (DSI) with Dr. Jeff Jarvis

Jun 19 2018
Podcast cover

MCHD Paramedic Podcast Show notes Dr. Jeff Jarvis FAEMS, FACEP Today’s show is all about the changes in how we approach intubation in EMS. Dr. Jarvis will relate how he got interested in the topic of airway management and specifically the process of delayed sequence intubation. Dr. Jarvis is the EMS medical director for Williamson county Texas EMS, he will present data from the recent annals of emergency medicine paper his group authored on the topic. MCHD quality lead Kevin Crocker will present our data from after we implemented DSI procedure at MCHD. Weingart Emcrit podcast and annals of EM paper https://emcrit.org/dsi/ http://dx.doi.org/10.1016/j.annemergmed.2014.09.025 Jarvis Annals paper http://www.annemergmed.com/article/S0196-0644(18)30071-4/abstract Wilco EMS: https://www.wilco.org/Departments/EMS 2017 SOCs DSI protocol DSI checklist for both WCEMS and Marble Falls Area EMS