The Clinical Concepts Podcast

Every year, our EMS colleagues at Fitch and Associates publish the "What Paramedics Want," industry trend report. Have you read it? Is your leadership style and knowledge correlating with national trends? Join me during this episode as EMS Educator and Vermont Deputy Commissioner of Public Safety, Dan Batsie, and I explore the report and discuss current trends, hot topics, education, lea...

In this episode we chat with Elizabeth McMaster, NRP, CP-C, to gain a better insight on community paramedicine, mobile integrated healthcare, and how it fits into the EMS system of care! Beth brings her experience as a community paramedic and acute care clinician to the table as we discuss bridging the gap in emergency medicine to meet the needs of the patients for which we care. Be sure to check...

"Respond to a private residence for a 2-year-old female with an altered mental status, history of PDCD"  A history of what? You know... PDCD!  During this episode we explore Pyruvate Dehydrogenase Complex Deficiency, or PDCD. PDCD is a genetic abnormality which affects the conversion of pyruvate to Acetyl Coenzyme-A in the Krebs Cycle. This abnormality prevents mitochondrial energy utili...

EMS providers often think about the acute care medicine component of their career. Although this is incredibly important, have you ever stopped to think about what is actually happening from an interpersonal perspective? By providing high quality, evidence supported patient care, we are providing a service to our communities and our patients which we ultimately bill and/or receive funding for. Bec...

Often as EMS providers we are called to the "fall" or even more mundane sounding, the dreaded "lift assist." We arrive, we help the patient up, and on our way we go. But when was the last time you stopped to think about how the patient ended up on the floor in the first place? Do some patients just trip over the cat? Certainly. But often, our fall patients are sicker than we pe...

On a daily basis, EMS clinicians utilize pulse oximetry to measure the percentage of hemoglobin bound to oxygen when evaluating respiratory adequacy, But have you ever had a need to measure a patient's carboxyhemoglobin? If you needed to, could you? More importantly, could you apply those readings to implement valuable clinical practice? Lets figure it out together! In this episode we explore...

Have you ever delivered a  baby in the ambulance? If so, how did it go? If not, are you ready to do so on your next shift? Does the thought of an obstetrical or neonatal emergency make you anxious and question your ability? I think we can all agree that the thought of child birth in an ambulance makes every EMS professional (and expecting mother) nervous, and we don't spend nearly enough time...

Have you ever delivered a  baby in the ambulance? If so, how did it go? If not, are you ready to do so on your next shift? Does the thought of an obstetrical or neonatal emergency make you anxious and question your ability?  I think we can all agree that the thought of child birth in an ambulance makes every EMS professional (and expecting mother) nervous, and we don't spend nearly enough tim...

Hospitals are busy, we all know that. But how can we, as EMS providers, help decompress the hospital systems while still providing a high standard of clinical care? Listen in for a short discussion on how you can help approach hospital volumes with a better outlook, a better attitude, and a patient centered focus. We want to hear from you! For additional information: Follow us on Facebook: https:/...

In 1967 Dr. Peter Safar set out to do something that had never been done before in the United States: taking critical care and emergency medicine outside the walls of the hospital. But how would he accomplish this? The answer is simple, with the creation of paramedics! On this episode, we speak with best selling author Kevin Hazzard, as we discuss his newest book, American Sirens ! American Sirens...

The 2022 cold and flu season is off and running! Thus far emergency departments and EMS systems alike are caring for more RSV patients, than ever before, for this early in the season. But what is RSV anyway? Join me as we take a dive into the pathophysiology and management of this virus and discuss the brain-tips to fingertips facts that every EMS provider should know when caring for the criticall...

As EMS clinicians we intubate multiple patients every year. But, have you ever stopped to consider if you are setting  yourself, and the patient, up for the most optimal procedural outcome? Lets spend some time discussing the art of utilizing the gum elastic bougie, and setting yourself up for success while performing an endotracheal intubation in the prehospital environment. Stay safe, and do goo...

As an EMS provider, we take care of thousands of acutely and chronically ill patients every year. When we encounter a patient with a tracheostomy the conversation usually goes like this: Patient's Caregiver: "The patient has a "'trach!'" Paramedic: "Crap." If you are anything like me, I remember learning about tracheostomies and laryngectomies as a paramedic...

Patient: "I'm nauseated, i'm vomiting, my belly hurts, and I use cannabis a lot! I have cannabis hyperemesis syndrome." Paramedic: "You have what now?" Cannabis (marijuana) use for medical and recreational purposes alike is more common now than ever before. Speaking of common,  EMS providers often encounter patients who fall into the trap of cyclic vomiting, chronic n...

Greetings! Welcome to The Clinical Concepts Podcast! I am thrilled that you're here. The Clinical Concepts Podcast is being brought to you from just outside of Pittsburgh, Pennsylvania, one of the epicenters of EMS and emergency medicine innovation nationally! The Clinical Concepts Podcast is an outstanding source of education and thought provoking discussion for all emergency medicine profes...