The EMS Lighthouse Project

Dr. Jarvis and Mike Verkest are joined by a trio of guests to discuss the literature surrounding the Pfizer BionTech and Moderna Vaccines. Dr. Ritu Sahni, Dr. Veer Vithilani, and Dr. Remle Crowe round out the panel. This episode is nearly two hours in length, and we hope we answered any questions you might have in a non-biased way. Feel free to share this episode or any of the mRNA series of podca...

This episode was a LIVE media broadcast discussing a double-blind trial of IM Droperidol, Ziprasidone, and Lorazepam for acute undifferentiated agitation in the emergency department. Join Mike and Jeff as they discuss the paper, take viewers' questions, and tease the newly released Standard of Care Podcast! Thank you for listening, sharing, rating, and reviewing all the FlightBridgeED podcasts! We...

Part pre-recorded, part LIVE! Dr. Jeff Jarvis, Dr. Jason Pickett, and Mike Verkest discuss the results of the Resuscitation Outcomes Consortium TXA in TBI Trial. Thanks for coming to the channel! Be sure to subscribe here and wherever you listen to podcasts!

Have you had patients recently with repeat EMS calls and lots of ED visits for nausea and vomiting? They say the only thing that works for them is scalding hot showers and that drug that starts with a "D." Did they happen to smoke a lot of weed? In this episode, Dr. Jarvis discusses cannabinoid hyperemesis syndrome and reviews an RCT comparing topical capsaicin cream (yes... the stuff of pepper sp...

Mike and Dr. Jarvis are joined by Drs. David Wampler and Emily Kidd to discuss their study on the performance characteristics of the VAN score for detecting large vessel strokes. Drs. Jarvis and Kidd run through a case of a patient with a stroke to discuss the thought process of an emergency physician.

We talk about headaches in this episode, specifically an RCT comparing haloperidol to placebo for benign headaches. Special guest Dr. Erin Lincoln (@ErinTWL), EM resident and paramedic, is joining us for this episode. Drs. Jarvis and Lincoln will go through an oral boards-type case of a 45-year-old woman with a headache. We’ll include a review of the literature on headache treatments, hit on why o...

VL vs. Augmented DL with Special Guest: Dr. George Kovacs. We’re starting a new format with this episode. We kick things off with a review of a paper: Brown CA, et al. Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study. Acad Emerg Med. 2020; 27: 100-108. After discussing the paper, we ha...

There has been a lot of talk about the benefits of TXA in major trauma with minor differences in outcomes. If you’re looking for a big treatment benefit for TXA, look no further than the very sexy nose bleeds. This is an easy and safe intervention that EMS can provide that makes a real difference in a growing number of patients. If you like what you hear, please give us a 5-star rating on Apple Po...

Are you worried about what might happen in your jurisdiction if COVID breaks out in your nursing homes? You should be. Dr. Jarvis reviews a NEJM paper in this episode: Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Afterward, he’s joined by a special guest, Dr. Jason Pickett. Dr. Pickett is the deputy medical director for Austin-Travis County EMS, assistant lo...

We are living in a COVID world. And I am a COVID doc. This is a special episode of the EMS Lighthouse Project Podcast. Since the Jarvis household is quarantined in our bunker in Central Texas, I brought the family together to discuss how such a short piece of RNA has changed our world. Oh, and we talk about the MMWR report from Singapore that, apparently, got the CDC to change its stance on the us...

Remember our podcast about amiodarone and lidocaine improving survival from arrest when given IV but not IO? Wait! There’s more. Another paper dropped looking at the same thing but with epinephrine instead of anti-dysrhythmics. Does this paper show the same thing? Is there something to this IV superiority thing? Dr. Jarvis breaks this new paper down. As always, please subscribe and give us a 5-sta...

Remember Episode 12, where we reviewed a Houston paper on DSD that showed worse outcomes with DSD? At the end of that pod, I spoke about an ongoing RCT trial comparing DSD to standard therapy AND vector change defibrillation. Well, the pilot phase of that trial is over and has JUST been published. It has some surprising preliminary results. Join us and find out how that study is going. If you like...

Have you ever given adenosine to a patient in SVT? Yeah? Did they like it? I didn’t think so. You’ve probably also given up trying to use the Valsalva maneuver because it doesn’t work very often. Wouldn’t it be great if there were a way to make the Valsalva more effective and, perhaps, avoid kicking the patient in the chest with adenosine? Dr. Jarvis reviews a paper in this episode that may offer...

The final part of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed any of the first three episodes, download them and listen. They were great! In this episode, we wrap up the series with outstanding discussions. We discuss the epidemiology of pediatric trauma activations with San Antonio’s Dr. Craig Cooley and finish up with a discussion with Dr. Henry Wang. Dr. Wan...

And…we are back for part 3 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed parts 1 or 2, be sure to download them and listen. They were great! In this episode, we have two great interviews. We talk with Dr. Veer Vithalani of MedStar in Fort Worth, TX, about his work using EtCO2 to detect unrecognized BVM ventilation failures. We also chat with Drs. Casey Patrick...

What if we told you that neither amiodarone nor lidocaine did any better in cardiac arrest when given by IO? What if we told you neither one improved survival when given by IV? Would you think I was smoking crack? Yeah, I would have thought that, too, until last week. I will quickly recap this important secondary analysis of the ALPS trial. As always, please subscribe and give us a 5-star rating o...

And we’re back for part 2 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed part 1, be sure to download it and listen. It was great! As always, we want to hear your feedback. Let us know what you think: @DrJeffJarvis and @EMSLightouse. Subscribe and give us an excellent rating on Apple Podcast.

Did y’all make it to NAEMSP 2020 in San Diego? If not, I’m sorry. It was awesome! If you did, you probably had a great time but still missed a lot. There’s just too much going on. Being the research nerds we are, we focused our time on the oral and poster presentations. We interviewed as many investigators as we could. In fact, we recorded more audio than we could fit in one episode. So… we’re cut...

HAPPY NEW YEARS! We hope you are celebrating 2020 at the NAEMSP National Conference in San Diego. In this special episode of the EMS Collaborative, we discuss the wonderful world of Mobile Integrated Health (MIH) and ET3. It's a fascinating conversation filled with MIH history, MIH research, editorials, and, of course, checking to see if Dr. Sahni can qualify for Medicare. Check out this fun, ente...

Dr. Jarvis had an opportunity to sit with Dr. Ben Bobrow at the Texas EMS Conference. Dr. Bobrow is the chair of Emergency Medicine at UT Houston. During his time in Arizona, Dr. Bobrow was instrumental in studying Traumatic Brain Injury and approaches to improved outcomes in cardiac arrest. If you know about the dangers of hypoxia and hypotension in TBI or the importance of minimally interrupted...

The debate has raged. In this corner, we have our established champion succinylcholine, or, as the oldsters call it, “because we’ve always done it this way.” In that other corner, we have the brash newcomer, rocuronium, or, as the youngsters call it, “OMG… what about the hyperK!.” Wouldn’t you just like an answer? Which is better? SAMU to the (potential) rescue. Our French colleagues published a R...

Should we chill out with the non-shockable cardiac arrests? Another look at targeted temperature management. First, we knew early hypothermia after ROSC saved brains. Then, we learned that doing it in the field didn’t make a difference and that there was no difference between 33C and 36C. This month, the NEJM published the HYPERION trial of non-shockable arrests randomized to hypothermia (33C) or...

As a special Thanksgiving treat, we bring a “Live” panel discussion featuring Drs. Jeff Jarvis, Jason Pickett, Heidi Abraham, and Taylor Ratcliff. Skillfully (and tactfully) moderated by the awesome Ginger Locke. Recorded 11/26/19 at the Texas EMS Conference in Fort Worth, Texas. Topics include epinephrine and advanced airways in cardiac arrest, paramedic degrees, intubation with paralytics vs. “s...

You’ve all seen it. Most of you have probably taken (or fired) a round or two in it. It’s the Great Twitter "VL vs. DL War." Everyone has their opinion. I certainly did. But now I’ve found peace by retreating from the madness. Ultimately, it’s WAY more about the training than the particular device used. To make his point, Dr. Jarvis reviews a randomized trial comparing AP Advance, CMAC, and King V...

More and more EMS research is being presented at the PCRF research forum at the EMS Expo. Dr. Jarvis sat with Dr. David Wampler at the EMS Expo 2019 in New Orleans. Dr. Wampler won the award for best research at EMS Expo 2019 for his research comparing inhaled isopropyl alcohol to oral ondansetron for nausea. He also discusses his other two posters. If you like hearing about the latest EMS researc...