Prehospital Paradigm Podcast

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.

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 pro...

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.

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.

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 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.

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. Dr. Jordan Singer, along with Scott Wildenheim, Caleb Ferroni, and Ray Pace will be on YouTube Live on Monday at 4 PM Eastern answering your questions about toxicology, excited delirium, and more. Come and join us! #PrehospitalPara...

The thoughts behind the change of the protocol. The most important thought – simplification! Speaking of simplification, wave-form capnography simplifies intubation confirmation.

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?

This month, Dr. Jordan Singer, from UH Elyria, joins the group for a discussion on how to treat cardiotoxic ingestions.

This is part 4 of our discussion regarding the resuscitation of a Streetsboro Fire Department member. 

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.

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. 

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.

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!

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.

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.

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?

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.

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.

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.

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.