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From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anythi…

Austin-Travis County EMS System Office of the Medical Director


    • Dec 23, 2022 LATEST EPISODE
    • infrequent NEW EPISODES
    • 28m AVG DURATION
    • 53 EPISODES


    Search for episodes from Austin-Travis County EMS System Office of the Medical Director » Uncategorized with a specific topic:

    Latest episodes from Austin-Travis County EMS System Office of the Medical Director » Uncategorized

    Quick Bite: Carbon Monoxide

    Play Episode Listen Later Dec 23, 2022 11:20


    Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning. We anticipate an increase in the number of Carbon Monoxide (CO) related calls in the system as people use charcoal grills and generators for heating. Symptoms include headache, nausea,… Continue reading Quick Bite: Carbon Monoxide

    Push Dose Pressors for EMS: Epinephrine and Norepinephrine

    Play Episode Listen Later Mar 9, 2022 16:32


    Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of these pressors and how to administer the infusion. NOTE: It is ASSUMED you already know… Continue reading Push Dose Pressors for EMS: Epinephrine and Norepinephrine

    Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset

    Play Episode Listen Later Mar 9, 2022 68:01


    Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen, boys and girls. The audio is like butter. Available on YouTube, iTunes, Google Play, and… Continue reading Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset

    Snakebites! with Dr. Spencer Greene (@ToxSpencer)

    Play Episode Listen Later Jan 9, 2022 44:13


    Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another. Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients. TL;DW: “Dry bites” are very uncommon. Most victims are not drunk young males that are intentionally… Continue reading Snakebites! with Dr. Spencer Greene (@ToxSpencer)

    Episode 49: Icepocalypse

    Play Episode Listen Later Mar 17, 2021 48:55


    YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything. ANYwhomst, this is our takedown of the week long winter weather event that crippled the region starting around Valentine’s Day. The impacts… Continue reading Episode 49: Icepocalypse

    Episode 48: COVID…Vaccines

    Play Episode Listen Later Dec 15, 2020 21:54


    Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?

    Episode 47: COVID…Bamlanivimab

    Play Episode Listen Later Dec 15, 2020 6:49


    Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?

    Episode 46: What is Operation Warp Speed?

    Play Episode Listen Later Dec 14, 2020 8:45


    Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to rapidly develop capability without the financial risk usually associated with experimental therapies.

    Episode 45: Ketamine for suicidal ideation

    Play Episode Listen Later Nov 29, 2020 13:54


    This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully interest you in participating in research on the topic. TL;DR/TL;DL: DON’T START DOING THIS YET.… Continue reading Episode 45: Ketamine for suicidal ideation

    Episode 44: Data and outcomes in EMS

    Play Episode Listen Later Oct 17, 2020 43:47


    The Health Data Exchange allows the flow of information between EMS charts and the hospital chart, helping us to easily look at outcomes and how EMS care has affected the patient. The best way to check your own knowledge and understanding of prehospital care is to know how the patient turned out. Was your diagnosis… Continue reading Episode 44: Data and outcomes in EMS

    Episode 43: What if…

    Play Episode Listen Later Aug 28, 2020


    “What if” can be anxiety provoking and can send you down a rabbit hole of undesirable futures. But it can also be a powerful tool for the clinical preceptor and the clinician who is looking to improve their performance.

    Episode 42: COVID- A few words

    Play Episode Listen Later Apr 21, 2020


    Episode 41: COVID CPAP, nebs, epi, terbutaline, proning

    Play Episode Listen Later Apr 9, 2020


    Episode 40: COVID in Cardiac Arrest

    Play Episode Listen Later Apr 9, 2020


    Episode 39: COVID- Tests! (and getting out of quarantine)

    Play Episode Listen Later Apr 7, 2020


    Episode 38: COVID- Task Forces

    Play Episode Listen Later Apr 4, 2020


    Episode 37: COVID- Isolation Facilities and Alternate Care Sites

    Play Episode Listen Later Apr 4, 2020


    Episode 36- COVID: What about my ACE inhibitors

    Play Episode Listen Later Mar 24, 2020


    SUPER short one today about COVID and ACE inhibitors (-pril) and Angiotenstin Receptors Antagonists, like Angio Recept Antag. Maybe ang rec ant. Or artan. Artans yeah, that’s it.

    Episode 35- COVID: New therapies, and can I use ibuprofen?

    Play Episode Listen Later Mar 24, 2020


    We talk about some of the things you’ve seen in the news lately about treatments that might help COVID. AND WHAT DO THEY MEAN I CAN’T TAKE IBUPROFEN? *sad Army Doc noises*

    Episode 34: COVID-19, part 2. When can I go back to work?

    Play Episode Listen Later Mar 20, 2020


    So, you caught the COVID. You have endured the fever, cough, sore throat, diarrhea, and abject boredom of being home. When can you be let out of this prison? In this micro episode we talk about the return to work criteria. BLUF: No, you don’t have to be in quarantine forever.

    Episode 33: COVID-19, Part 1

    Play Episode Listen Later Mar 19, 2020


    Covid is now a pandemic, the real kind, the not-the-zombie-kind. In this episode we talk about what the Office of the Medical Director, Austin Public Health, and Austin/Travis County EMS is doing to respond to what is now a declared disaster.

    Ep 32: Talking with the Union Prez

    Play Episode Listen Later Dec 15, 2019


    Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work together far exceed those they can accomplish when moving in different directions. The union can give the MD valuable feedback on wants… Continue reading Ep 32: Talking with the Union Prez

    Episode 31: Headache

    Play Episode Listen Later Dec 15, 2019


    Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patients in the prehospital setting.

    Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN

    Play Episode Listen Later Oct 31, 2019


    Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this episode she discusses meditation and how it can be useful to the first responder. Hint: it doesn’t just make you feel better, it… Continue reading Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN

    Episode 29: Medic to PA to MD

    Play Episode Listen Later May 2, 2019


    Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.

    Episode 28: Andy Fisher talks BLOOD

    Play Episode Listen Later May 2, 2019


    In patients with hemorrhage, nothing else can take the place of #blood. Andy Fisher talks about why, and how, you can bring #blood to your #EMS system.

    Episode 27: Syncope

    Play Episode Listen Later May 2, 2019


    Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: https://litfl.com/epsilon-wave-ecg-library/ Wolff Parkinson White syndrome: https://www.youtube.com/watch?v=K098rnvqRE0 Lown Ganong Levine syndrome: https://ecglibrary.com/lgl.html

    Episode 26: EtCO2

    Play Episode Listen Later Feb 18, 2019


    If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastasIcanthepatientwillgetbetter #morewavylines #butIjustlearnedEKGs #Isawthetubegothroughthecords #sodideveryonewhoevermisplacedanETtube

    Episode 25: Tracheostomy Disasters

    Play Episode Listen Later Jan 16, 2019


    Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more.  #paramedic #EMS #prehospital #criticalcare In this episode, I make reference to a couple of great YouTube videos on the subject. One is from RT Clinic on the… Continue reading Episode 25: Tracheostomy Disasters

    Episode 24: New Clinical Operating Guidelines

    Play Episode Listen Later Jan 16, 2019


    We undertook the unenviable task of revising our clinical operating guidelines to make them more usable, more manageable, and easier to read. We want to foster a clinician mindset and embrace the clinical flexibility medics need to take care of our patients in a very fluid environment. We also created new credentialing levels for medics… Continue reading Episode 24: New Clinical Operating Guidelines

    Episode 23: Flight Rules

    Play Episode Listen Later Jan 16, 2019


    Today we are covering some of the flight rules for those studying for their #FP-C exam.  #paramedic #EMS #prehospital #HEMS

    Episode 22: Flight Physiology, Part 3/3

    Play Episode Listen Later Jan 16, 2019


    Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

    Episode 21: Flight Physiology, Part 2/3

    Play Episode Listen Later Jan 16, 2019


    Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

    Episode 20: Flight Physiology Part 1/3

    Play Episode Listen Later Jan 16, 2019


    Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS

    Episode 19: Heat illness

    Play Episode Listen Later Jun 21, 2018


    Heat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool them down.  

    Episode 18: Trauma reports

    Play Episode Listen Later Jun 18, 2018


    In person and on the radio, make the most of your concise patient report.  

    Episode 17: The monitor should stay on.

    Play Episode Listen Later Jun 16, 2018


    If you felt the need to put a #cardiac monitor on at any point in the patient interaction, it should stay on as you walk into the ED. #EMS #paramedic #prehospital

    Episode 16: Airway Pearls

    Play Episode Listen Later Jun 16, 2018


    We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic

    Episode 15: Sepsis

    Play Episode Listen Later Jun 15, 2018


    750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities.

    Episode 14- Fast facts for response to bombing victims

    Play Episode Listen Later Mar 20, 2018


    This is a short episode on the response to and care for bombing victims for #EMS, #Firedepartement and #Police. A longer episode will follow that covers #prehospital care in detail, but this is the initial response and considerations. #packagebombmurders #austinbombings @ATCEMS @Austin_police @austinfiredepartment @TxDPS @TravisCoSheriff @CommitteeTECC @CommitteeonTCCC @NTOATEMS Find us on @iTunes and @GooglePlay and… Continue reading Episode 14- Fast facts for response to bombing victims

    Episode 13: Cannabis Hyperemesis Syndrome

    Play Episode Listen Later Feb 22, 2018


    Neither rare nor mysterious, Cannabis Hyperemesis Syndrome causes pain and vomiting that can be difficult to treat. Marijuana use is growing for medical purposes and recreational abuse. With this has come a rise in Cannabis Hyperemesis Syndrome which is marked by recurrent, severe abdominal pain and vomiting that does not respond well to the usual… Continue reading Episode 13: Cannabis Hyperemesis Syndrome

    Episode 12: Trauma Resuscitation

    Play Episode Listen Later Feb 15, 2018


    Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.

    Episode 11: MRI for acute stroke- screening in the field

    Play Episode Listen Later Jan 16, 2018


    In this episode we sat down with Dr. Steven Warach the Director of the Clinical Research Institute and Vascular Neurologist from Dell Seton Medical Center to talk about acute MRI for stroke and how we might be able to reduce the time to treatment. 3 questions comprise the safety screen: Do you have any implanted… Continue reading Episode 11: MRI for acute stroke- screening in the field

    Episode 10: Asthma!

    Play Episode Listen Later Dec 26, 2017


    Most asthma is pretty routine. Most. Dr. Pickett talks about tools for management of the severe asthmatic adult or child.  

    Episode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital.

    Play Episode Listen Later Nov 27, 2017


    Some people have the natural gift of teaching. For others it does not come easily. Teaching is all about connecting with your student, finding out their abilities and weaknesses, and helping build them into stronger clinicians. Teaching is a learned skill that can be molded and honed no matter how good a teacher you are.… Continue reading Episode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital.

    ATCEMS OMD Podcast Episode 8: Atrial fibrillation!

    Play Episode Listen Later Nov 8, 2017


    Ever had that patient that you just weren’t sure what pathway they fit in? You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortable with belies the rate of 180 seen on the monitor. She does endorse some chest discomfort. No previous drug use,… Continue reading ATCEMS OMD Podcast Episode 8: Atrial fibrillation!

    ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.

    Play Episode Listen Later Oct 18, 2017


    Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma. Why did we change over from D50 to D10 for hypoglycemia? And should we be treating hypoglycemic diabetics the same way we did 30 years ago? Should I have a hemostatic gauze in… Continue reading ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.

    ATCEMS OMD Podcast Episode 6: Flush rate oxygen, apneic oxygenation, and ramped positioning for intubation

    Play Episode Listen Later Oct 11, 2017


    Do you like it when your patient desaturates just as you are getting ready to intubate them? Of course not, nobody does. Here are some tricks to help keep the sat up while you secure the airway.

    ATCEMS OMD Podcast Episode 5: Breaking bad news

    Play Episode Listen Later Sep 28, 2017


    ATCEMS OMD Podcast Episode 4: Move over, heroin. The opiate epidemic takes a devastating new turn.

    Play Episode Listen Later Sep 27, 2017


    ATCEMS OMD Podcast Episode 3: Ketamine- It cures what ails you.

    Play Episode Listen Later Sep 27, 2017


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