Prehospital Paradigm Podcast

In Part 3 we discuss the best of SANE and sexual assault patients, field termination and DOA, air medical care, neonatal resuscitation, event medicine and access routes, capnography, MCI and the new procedures, and ECPR.

In Part 2 we discuss sports medicine and the hyperthermic patient, importance of EMS documentation, anaphylaxis in pediatric care, dosing, shock, RSI, cardiac arrest care, STEMI care and EMS, and patient capacity in psychiatric emergencies

We take a look back at the best five minutes of our early episodes. In part 1 we discuss CPAP and better hand off care, the use of ketamine in assisted airways, toxicology, stroke, tactical medicine, innovations in resuscitation, steroids, and speak with a cardiac arrest survivor.

As the final installment to this topic, the crew hit the road to Shaker Heights.  You will appreciate the open discussion.

The crew continues with Dr. Frank Ford and Dr. Colin McCluskey further discusscussing EMS professionals utilizing ECMO CPR. They continue define how to spread the reach and implementation of this new CPR treatment technology.

Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to further discuss EMS providers performing ECMO CPR. In part 2, we discuss application parameters such as a BLS-only crew, DNR patients, the age patients and geographical factors.  

Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates.

The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us!

In Part 3 of the "new" MCI episode, we are talking about changing the "paradigm" no pun intended) of planning, and on-scene thinking.  From tags, to staging, to determining accessibilty, all of it is changing and will continue to change by reviewing other agency's after-action reports.

The team is still talking with Don Zimmerman, MCI subject matter expert and instructor.  In this, part 2 of the New MCI episode, the group discusses what Don calls, "silly rules!"   For example, does the first ambulance really have to be the ambulance that stays at the MCI?

In this month's episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active shooter events and other dynamic situations.

In this episode, the crew dives into the critical and high-stakes world of surgical airway management. The discussion focuses on needle cricothyrotomy, cricothyrotomy kits, and the essential skills and protocols for performing surgical cricothyrotomy. They explore the scenarios where these techniques become necessary, the tools required, and the step-by-step procedures. The expert panel shares the...

The podcast team goes "back to school," i.e. the Portage County Paramedic Class to record this live session. We're closing out the End Tidal CO2 session!  Thenk you to the class for having us!

What do Sponge Bob, sharks and the direction that sharks are swimming have to do with simplifying the interpretation of End Tidal CO2 for EMS? The pod crew brings the discussion of simplifying the use of End Tidal CO2 for basic and advanced level providers.

The crew continues to explain the theory and some practical, applicable knowledge related to the use of End Tidal CO2 for patient care.  They simplify how End Tidal CO2 is used to assess and tell  "the patient's clinical story" and emphasizes why it should be a day-to-day patient care standard.

End Tidal CO2 is not just an ALS skill. It is a "live feed" of the patient's ongoing condition. The capnograph is relatively easy to read and, at minimum, monitor changes to be reported to an ALS partner or medical control physician. The pod crew takes time to work backwards, explaining the fundamentals of CO2 production.

Where else would the crew go, other than to an event, to wrap up the event medicine episode? For this month's live session, the gang went live at the Canfield Fair. Thanks again to University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN. Thanks also to retired Chief Frost for the welcoming us.

For Part 3 of our event medicine podcast, University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss resources.  The key topic is, how do you get in touch with your supplemental resources when you need them? And stay tuned for our live episode...it will be from the Canfield Fair!

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss the logistics of preparation and planning of event medicine. This includes familiarizing all of the event medical staff with how to access primary drugs and equipment as well as how to access supplemental support such as transportation and law enforcement. 

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN joins the full crew to discuss event medicine planning and execution. From small community picnics to high school graduations to large national events, planning is the key. This month's discussion emphasizes pre-event assessment, logistical planning and patient care.

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode.  This month, the team is talking Laryngoscopy. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demonstrate each of the skills discussed on this extra episode.

This is the final episode of our "Neonatal Resuscitation for EMS" series. We were joined by Arielle Olicker, MD. Thanks to the  Willoughby Fire Department for hosting this month's live show.  If you would like to host one of our live shows, message us! In addition to providing clinical care in the NICU, Dr. Olicker is part of the team providing follow-up care to our NICU graduates at the Neonatal...

The crew and Dr. Olicker continue the conversation of undersstanding the neonatal patient, equipment, protocols and emotions. They start to wrap up the discussion in Part 3 as they prepare for the live podcast!

Dr. Olicker is still with the team for Part 2.  The team discusses the decision of transporting a neonate patient to the closest hospital vs. a facility with inhouse neonatal specialty care services as well as complications with the ductus arteriosus as well as the difficult decision of determining a the viability of a neonatal patient's viability for EMS.

Dr. Ariel Olicker, the medical director for Neonatal Critical Care Transport, joins the team for some practical conversation about understanding and being more comfortable with neonatal patients. Since traditional EMS doesn't encounter these patients regularly, the goal is to simplify understanding this patient category.