The Pragmed Show

During a recent chat with Doc Godfrey "Cric Em If You Got'em," we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and paramedic instructor out of New Mexico was kind e...

As we wrap our series, "A Thin Blurred Line," we take a moment to sit down with an investigative journalist who has covered incidents such as the ones in the media - Elijah McClain and Tony Timpa. We discuss both cases with her in this great conversation with someone outside EMS.  Listen in as we talk with Cary about her experiences, what she found during her investigation into these incidents and...

In this episode we discuss trauma airway management with Doc Godfrey (CricEm if you got 'em). Doc sits down with us as we look at a paper from The Journal of Trauma and Acute Care Surgery which discusses prehospital definitive airway not being associated with improved survival in trauma patients. Trauma airway management is complicated, but it doesn't necessarily need to be… We talk about how to b...

As EMS providers we know all too well about violence, trauma, and the associated dangers of the job but we tend to struggle with what to do when we encounter violent scenes that involve our brothers and sisters in law enforcement and the patients we are committed to care for.  However, what happens when the line we need to cross is one of our own? Police use of force has been an ongoing issue in t...

As we hop back in the saddle we want to a reaffirm our commitment to this industry through providing you with quality insight and information about clinical practice and evidence based medicine as well current events.  We are you, not experts by any standard and hope that our conversations help improve the quality of EMS in all facets for generations to come.  Thank you for coming back to the show...

In this episode, the PragMedics talk with Dr Timothy Durkin and  discuss Heat Stroke, the signs, symptoms, myths, and of course treatment modalities. The boys and Dr. Durkin look to find practical ways for street level providers to identify and treat heat stroke. Dr Durkin provides the listeners with useful tips and thoughts regarding management of heat stroke and ways for systems to improve their...

In this episode, the PragMedics and Scooby sit down and discuss a proper disaster patient, one with an upper GI bleed (esophageal varices). We discuss a patient from the ICU perspective with lessons learned for paramedics.  These patients are challenging to manage, and it's a great conversation that will help a paramedic manage this type of patient.  Thanks for listening, and be sure to check out...

The PragMedics decided to look inward and interview Aaron about a recent austere/disaster response mission he participated. Jason and Scooby talk with Aaron about his recent trip to a developing country in response to a natural disaster.  This episode has bits and pieces from disaster response preparation for paramedics, resource limitations, and better, best, good methods for treating patients po...

Welcome to our first episode of Cognitive Offloading with the PragMedics and Scooby! In this episode, Dr. Andrew Fisher (Trauma Daddy) and Jason Segal of P1 Air Rescue join us to chat about a wide range of topics, from acute traumatic coagulopathy to our thoughts on a hot EMS topic. So join us and enjoy this episode with some great guests!  Our next live Cognitive Offloading episode will be on Wed...

The PragMedics are back and hoping everyone is looking forward to the New Year! In this episode, the PragMedics and Scooby sit down and discuss beta blocker overdoses.  Beta blocker ODs present with various indications and can be difficult to diagnose. It is a wide ranging discussion on different treatment options and ways to manage patients experiencing a confirmed or possible beta blocker overdo...

In this episode, the PragMedics chat with Chris "Hutch" Hutchison about a wide variety of topics.  We chat about the changes he has seen in the military, the differences between military and civilian medics, and his thoughts on the transition from military to civilian paramedicine.  Chris is a 14 year veteran of the US Army, starting his career as a Ranger Medic and currently stationed at Ft. Brag...

In this episode of "I Had This Patient," the PragMedics and Scooby discuss how to treat and manage a patient presenting with a STEMI or OMI.  It is a wide ranging discussion on different treatment options and ways to manage patient experiencing a STEMI in the prehospital setting.  Thanks for listening and be sure to check out our "I had this patient" Facebook group!  As always, we want to thank ou...

In this episode, the PragMedics sit down with Doctor Fisher and discuss TXA.  Doctor Fisher discusses the changes in dosage and administration of TXA, along with how the CoTCCC makes changes to the TCCC guidelines.  Its a great discussion on another tool medics have in treating trauma patients, so tune in and give it a listen! As always, we want to thank our supporters: Priority 1 Air Rescue, Red...

Scooby and the PragMedics are back again with Part 3 of a three-part series discussing intubation. In this episode, we discuss the intubation process from confirmation of tube placement to a failed airway. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for another great episode of "I had This Patient." Be...

In this week's episode, we sit down with HSAR Medic Jason Segal and discuss the evolution of medical mission from his perspective. We chat about patient care, scene and flight management, time considerations, and ton of other topics.  Jason is a HSAR Medic with our show sponsor, Priority 1 Air Rescue , and we are extremely happy to have them and Jason on board.  Here is a link to the PEP litter di...

This week's episode is a re-release of our conversation with Dr. Lauria.  Dr. Lauria just released a great new YouTube video discussing checklists and it is well worth one's time to watch. We discussed how situational awareness pertains to the EMS provider and variety of other topics, to include his thoughts checklists and simulation training.  Check out Dr. Lauria at his  website  and on Facebook...

Scooby and the PragMedics are back again with Part 2 of a three-part series discussing intubation. In this episode, we discuss the intubation process from medications to confirmation and everything in between. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for another great episode of "I had This Patient....

In today's episode, the PragMedics chat with Shane, a Community Paramedic, and Dr. Liao, a Medical Director, about Indianapolis EMS response to COVID.  This is Aaron's last episode as a full time cohost but no worries, he is still planning on being a contributor and cohost with Scooby! This is a great episode that discusses how to effectively respond to those in need by a CP program during this cu...

Scoobs is back again with a three-part series of I Had This Patient. Over the next three episodes, the PragMedics led by Scooby, talk about DSI and intubation. We start from resus and work our way through the cords. In todays episode, Scooby discusses pre-intubation steps and thoughts in a pragmatic, logical way with tons of information. Tune in and sit back for another great episode of "I had Thi...

In this episode, The PragMedics chat/battle with the Free Radicals in an international meeting of the minds. The Free Radicals are an Australian based paramedicine podcast with critical care backgrounds. Their podcast focuses on all things paramedic and gave us the opportunity to collaborate. Listen in to hear —   "Who won, who's next, you decide."   Check out the Free Radicals podcast and follow...

This week, The PragMedics chat with the world famous Medic2Medic Host Steven Cohen. A man who has produced over 200 unique episodes from his own studio. Mr. Cohen is also a paramedic with nearly 30 years experience. He's currently in a leadership position and is the chief of Cary Area EMS. Check out his story and why he does what he does. As always, thanks for listening! Check out Steven's podcast...

In this week's episode, The PragMedics chat with Jason Segal of P1 Air Rescue.  Jason is a helicopter search and rescue paramedic and educator. His background in EMS  includes about everything the EMS community has to offer.   He has been an oil rig medic, truck medic, and currently a HSAR Tech with one of the premier SAR companies.  We discuss his experiences, thoughts on checklists, how to becom...

This week, the PragMedics with Jonathon "Scooby" Friedman discuss sepsis. This is our first clinical episode.  We will be offering The "I Had This Patient..." series once a month and during will discuss a variety of clinical topics. Jonathon is a critical care paramedic that recently completed a BSN program.   In this episode, he discussed the treatment of sepsis patients and gives some tips and t...

In this week's episode, the PragMedics sit down with a Medical Director, Dr. Miller, and Paramedic Kamryn.  We chat about dynamics between the Medical Director and Paramedics. We also chat about rural EMS and some differences between rural and urban EMS.  Dr. Miller has years of experience in emergency medicine and Kamryn is an experienced paramedic within a rural EMS system.  It's an interesting...

This week, the PragMedics chat with Dr. Mike Simpson on a variety of topics.  Dr. Mike Simpson is a former Ranger, Special Forces Medic, JSOC Augmentee, and current ER physician.  We discuss gear, different setup options, trauma, hypothermia prevention, and a multitude of other topics.  This is an awesome conversation that has a ton of great information!  Thanks for listening and have a great week...