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October 2, 2023
This month we meet Regina Yaskey, MD who has a specialty in pediatric emergency medicine as well as disaster medicine. In part 1, the talk is about the basics... the need for proper equipment and protocols as well as a state of mind.... confidence.
September 27, 2023
Jon Cameron, Paramedic / EMS Data Management Specialist joins us for a discussion on documentation and helping to tell the patient's story and report the care you provide. We discuss medical-legal issues, correct recording of treatments and medications, what to write in your narrative, when and how to call medical control, prehospital notifications, and bedside report. Join us and ask us all your questions.
September 18, 2023
When calling med control, making hospital notifications and at bedside, your communication needs to be effective.. succinct, informative and organized. Good documentation follows. What can be helpful in the future, is to stay at the E.D. and ask questions or, on a later call do follow-up. Remember, we're a team.
September 11, 2023
Jon Cameron, EMT-P / EMS Data Management Specialist are talking more about documentation. Remember this phrase from all documentation presentation's? It is soooooooooooo true! And, while we all have access to the latest technology... such as automated documentation and data transfer security for you ePCR.
September 4, 2023
As we start talking about documentation, let's get the correct mindset. Writing a great chart every time is how you tell your story. Sure, medicolegally, there are implications to charting but think of writing a great chart as how you're passing along your story.. your patient treatment so that those on the rest of the treatment continuum can plan and treat appropriately.
August 31, 2023
The panel takes your sports medicine questions live on Facebook and YouTube.
August 21, 2023
The First Response for Sports Trauma Course (FRST) is discussed. This is not a course about orthopedic injuries, etc. It is designed to provide first responders with the skills required to recognize, treat and transport athletes who become ill or suffer traumatic injury during sporting events, for conditions including cardiac arrest, heart arrhythmias, concussion, spinal injuries and heat-related illnesses.
What's discussed? The need for AEDs, coaches training to recognize when to call 911, the AED in 3 Challenge for high schools, access to emergency access plans, immobilization and more!
August 14, 2023
Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is still with us. We discuss being on the same page with the team trainers and event medical team... especially when talking about hyperthermia in athletes. The decision point is, transport or stay-and-play.... in ICE!.
August 7, 2023
This episode, we are doing a deep dive into the concept of sport medicine, i.e. it is more than orthopedic issues. Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is with us for this 4 part series.
July 31, 2023
Just like May, July has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We're going over a few protocol updates, talking steroids and dextrose concentrations. It's a practical review of some drug box items.
July 24, 2023
This month Dr. Ross Campensa from Aultman Hospital joined us for a discussion on new innovations in resuscitation and a look at what Green City Fire Department is doing with Heads Up CPR.
July 17, 2023
The crew, still with Dr. Ross Campensa from Aultman Hospital, continues to reimagine CPR and resuscitation methods including re-thinking the equipment preparation and organization. So much of the re-thinking is “basic”.
July 10, 2023
Dr. Ross Campensa continues the discussion of re-thinking CPR techniques including the Lucas Device, rescue pumps, etc. The Aultman EMS crews actually did story boards regarding various CPR scenarios.
July 3, 2023
Dr. Ross Campensa from Aultman Hospital joined the crew. Aultman is part of designing a complete HDS, health delivery system with UH joint ventures. This episode, we discuss the evolution of heads up CPR and compression techniques.
June 26, 2023
Joe Schuerger and Brad Wilson joining Scott Wildenheim and Ray Pace for our live show discussing Tactical Medicine and answering your question. The group talks about Tactical Emergency Casualty Care (TECC) and how we teach and train with paramedics and law enforcement on SWAT teams with realistic role players and bleeding control trainers. Joe and Brad touch on counterfeit tourniquets and warn providers about these counterfeit products. Check out their website at https://www.prehospitalparadigm.com/tacmed
June 19, 2023
What wounds get packed? What wounds do not get packed? What about airway control on scene? We pull everything together in this episode including real-life "hacks" for patient treatment on scene.
June 12, 2023
The group continues the discussion of how tactical medicine, as a specialty, is different from everyday EMS. The discussion starts with the an updated rapid assessment mnemonic MARCH in place of ABCs.
June 5, 2023
Dr. Tony Daher and Joe Schuerger join Ray and Scott to discuss tactical medicine which has evolved over the years mainly due to the number of active shooter events.
May 29, 2023
May has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We take this episode to talk about the types of strokes, treatment, decisions on transport to destination other appropriate in-field treatment as per protocol.
May 23, 2023
This month, Dr. Jordan Singer, from UH Elyria, joins us for a discussion on how to treat drug and cardiotoxic ingestions, excited delirium, and more about the drug box.
May 15, 2023
The thoughts behind the change of the protocol. The most important thought – simplification! Speaking of simplification, wave-form capnography simplifies intubation confirmation.
May 8, 2023
Now referred to hyperactive delirium with severe agitation, is part of the discussion. These patients are high risk for sudden cardiac emergencies but what can we do to “restrain” them?
May 1, 2023
This month, Dr. Jordan Singer, from Elyria, joins the group for a discussion about toxicology as it pertains to items that we carry in our EMS drug box.
April 25, 2023
This is part 4 of our discussion regarding the resuscitation of a Streetsboro Fire Department member.
April 17, 2023
Scott, Tyler, Dr. Hill and Chris all reflect on being a survivor of various injuries and sudden events. Thankfully, due to the resuscitation team and process, Chris has a chance to say “thank you” to all of those whom have reached out to him.
April 10, 2023
Ketamine makes it back into our podcast discussion. Our patient, Chris, reflects on his resuscitation while our hosts, Dr. Hill and Scott talk through the resuscitation process.
April 3, 2023
Early this year, one of our own suffered a sudden cardiac arrest and his peers had to respond. Thankfully, you will meet Chris Fredmonsky of the Streetsboro Fire Department, the survivor and hear his side of the resuscitation story.
March 28, 2023
Great questions and interaction with the live audience during this live recap of Ketamine. Dr. Don Spaner, Scott Wildenheim, Ray Pace, and Caleb Feronni chatted and took questions about Ketamine, Epinephrine, TXA and more!
March 20, 2023
Continuing the drug box discussion, the crew discussed the clinical math, preparation, and dosages of various drugs including Zofran, Epi, and Dilaudid. This is a great episode to watch on our YouTube channel. Med UPDATES: The new ADULT dosing is to mix 2 grams (2000 mg) in 100 ml of D5 and administer that dose over 10 minutes and Push Dose Epi can be given up to 50 mcg per dose prn.
March 13, 2023
A practical review of Ketamine. What’s in the protocol? Can we use it on patients that have serious medical or traumatic emergencies but also have excited emotional issues? The crew explains their practical knowledge of prepping Ketamine in the field.
March 6, 2023
Ketamine has received some “bad press”. Is it as volatile as it’s current reputation in the ED and the field? Why is it getting so much attention, how do we calm the discussion, and feel more comfortable with it's use?
January 30, 2023
This episode is the recap of our CPAP discussion. It's a practical discussion regarding the use of CPAP according to the UHEMS protocols. Thank you to all who participated as part of the live, virtual audience.
January 23, 2023
Using CPAP, what is the biggest risk? The risks are situationally dependent. What about usage with patients experiencing hypotension? The use of CPAP can be helpful to the patient's longterm care given that fact that there will be less complications from more extensive therapy such as intubation.
January 16, 2023
Using CPAP contraindications, running lights and sirens from a scene vs taking care of a patient in the appropriate manner. It's an EMT-level skill that can make a huge difference in the patient's longterm care.
January 9, 2023
How do we make people not afraid of the cpap machine? CPAP is easy to use and a great patient therapy. This episode is intended to help all feel more comfortable with its use.