American Ambulance EMS Podcast

Today our team is joined by American Ambulance's Justin Golding and UCSF Fresno's Dr. Paloma Marin-Nevares!

Paramedic Lano Tucay stops in again to share a case with us that required C Spine Immobilization.  

Upper gastrointestinal (GI) bleeding is bleeding that can be happening anywhere in the esophagus, stomach, or the upper part of the small intestine. It is usually a symptom of an underlying disorder, and it can be very serious.

American Ambulance Paramedic Lano Tucay stops by the studio this week to share one of his stories about recognizing pulmonary embolism in the field. Thanks, Lano, always a pleasure!

Paramedic Stephan Rippee joins our podcast team today to share a trach story from his early days in EMS.

How do you recognize a spider bite? What kinds of bites should they be taken seriously, and how do you treat them? Thankfully we have the incredible toxicologist, Dr. Patil Armenian here to break it down for us! 

On this episode, our team is joined by Dr. Lawrence Sue, Clinical Professor of Surgery/Associate Chief of Trauma at Community Regional Medical Center to discuss how to manage prehospital bleeding. Dr. Sue also serves as a medic on Fresno's SWAT team and that experience in prehospital medicine is what makes him such a great guest for today's subject. Enjoy! 

Kids are usually fine...until they're not. Respiratory infections can quickly become life threatening. Join our UCSF physician team and our very own Critical Care Paramedic Travis McSherry, as they discuss severe upper respiratory infections in the pediatric population. 

We don't have too many of these cases here in Fresno California, but it can still happen to people caught out on cold winter nights or up in the mountains. It pays to be prepared for anything. 

Always remember:  They're not dead 'til they're warm and dead.  

Thank you to American Ambulance's own Mario Torralva for bringing your experience to our show this week! 

Join us for a discussion on Anaphylaxis, a severe, potentially life-threatening allergic reaction . Today we are joined by Tiffany Rangel, a Paramedic Supervisor with American Ambulance who shares the story of an anaphylaxis call with us.

I nvoluntary contractions of muscles of the extremities , face, neck, eyes, abdomen, pelvis, or larynx in either sustained or intermittent patterns that lead to abnormal movements or postures. 

QIs are not meant to be punitive. The goal of Continuing Quality Improvement is to find parts of the job, policies, and/or protocols that need help. We can't know what to fix without identifying how it's broken! Today we're joined by Kurt Kindig (American Ambulance's new Clinical Coordinator) and Amy Campbell (PLN for Fresno's Community Regional Medical Center) to discuss...

Dealing with agitated or combative patients is one of the most challenging aspects of the job. Today we are joined by special guest Dr. Matthew Lippi, an emergency medicine resident at UCSF Fresno, as we discuss situations where physical/chemical restraints might be required for the safety of all involved.  

Kids constitute 27% of all ED visits, and it's important to know how their assessment differs from adult patients so that nothing gets missed. 

Planning a trip to the High Sierras, or working at altitude?  Join us on this episode as we introduce another physician guest, Dr. William Frye, to discuss all things altitude.

What is that sixth sense that veteran first responders tend to have when facing difficult decisions in the field? Is it intuition, experience, some sort of spider sense... or could it be a combination of them all? Join us as we discuss EMS "Jedi" training, and what it takes to achieve the level of "Master". 

Join us as Paramedic Garry Dhesi stops by the podcast to share a story of how this episode's subject became extremely personal for him and his family.