"Fed By The Firehose" with Sean The PA

Keywords emergency medicine, critical care, seizures, resuscitation, thrombolysis, patient management, healthcare challenges, medical stories, physician experiences, healthcare humor Summary In this episode of 'Fed by the Firehose', Sean Kelcey shares a series of intense and chaotic experiences from his shift in emergency medicine. He recounts multiple critical cases, including a patient w...

This epsiode talks about Imposter Syndrome, in the context of what it is, how it feels, and what should be done about it...with some of my personal experience with it and trying to deal with it.

In this comeback episode, I'll be discussing 2 widely different cases of TB that presented to my remote nursing station.

Thanks for your patience on waiting for Season 2 to drop. This episode will be about End of Life Care, regarding a patient I followed and how I felt things went. I'll talk about challenges with personnel and interagency collaboration/cooperation, obtaining medications and work arounds, provider/family/patient dynamics in an end of life/palliative situation, and lastly some lessons learned. I h...

In this episode, my weird sh*t magnet got stuck to my forehead yet again as something that appeared simple turned out to be anything but. Two patients, one sick, the other seemingly not so...turned out they were much sicker than the one that was sick...with profound hyponatremia, hypokalemia, hypochloremia, hyperglycemia, acute kidney injury and renal failure. I'll talk briefly about how slow...

So I'm doing my Advanced Trauma Life Support course and it's being run where I did my trauma medicine/surgery rotation in PA school...and some of this is bringing up/back some odd feelings that I'll be discussing => some good, some uncomfortable.

In this episode, I'll discuss a case of sepsis that presented much like a PE, the cause of which surprised all of us involved.

In this episode, I'll be discussing a case of a gunshot wound in the new remote community I've started working in. I'll discuss the case itself, results, as well as some general considerations when dealing with gunshot wounds, both in the physical sense as well as the bigger picture regarding safety of your patient and around the medical complex in a rural site.

In this episode, I'll be discussing a case of eye pain/decreased vision that presented here and the difficulties we have in certain places trying to sort out and manage ophthalmic conditions without proper equipment and sometimes abilities to get people out.

This episode discusses what I call "The Fine Line Between Hard and Silly/Dumb/You get the idea, that many, including us and our patients walk daily, often to our/their own detriment. Also, I have an addendum case to the previous episode related to pregnancy concealment and a rather bizarre day this past week.

Today I'll be talking about patients hiding conditions, particularly pregnancy, in my remote community, and the potential issues with this, given what we have available to enable a safe delivery. There are some reasons behind this, often communicated to us under the category of "my body, my choice"; however, there are other issues at play, varying from being away from family, cultura...

This is an extension of sorts of Episode 2 where I use two trauma cases I had my last rotation to illustrate some of the issues working in remote and austere/limited settings. Case 1 is of a mid 30's male, Ped Struck (Pedestrian) by a van, resulting in severe right sided injuries to the thorax, lungs, abd, pelvis and lower limb. He presented hypotensive, tachypneic and tachycardic, with seriou...

Intro - I'd like to start off by apologizing for taking so long to get back out here. Thanks to everyone that listened to my first episode, I hope you come back now that I've got this new one out. Special shout out to the listener from Samoa that made this the #1 Health Podcast in their region for a few days!! Land Acknowledgement - I recorded this on Treaty 6 Land, homeland of the Oji-Cre...

This is my inaugural episode of FBTFH with Sean The PA, I just wanted to introduce myself, discuss how I see this podcast evolving and then talk about what a Physician Assistant is and where we fit into the Canadian Health Care landscape. 00:00 Intro 00:31 Land acknowledgment 00:52 Who Am I 3:32 What's a Physician Assistant 4:38 How are we trained? 8:26 What can I/we do? I'm going to get c...