CBCEMP Podcast

Dr. Stilley delivers a follow-up discussion to the EZ-IO Shorty. We take a more in-depth exploration of humeral IO placement. Catch the show notes at: http://cbcemp.proboards.com/thread/96/ez-io-deux Articles can also be found at Mendeley. http://www.mendeley.com Make a free account and then request an invite!

We are back with Part 2 of Dr. Stilley's discussion of Narcan! Check out the articles at Mendeley: www.mendeley.com/ by joining and requesting an invite from cbcemp.foamed@gmail.com Catch all the show notes: cbcemp.proboards.com/thread/95/narcan

Dr. Stilley is back! Next on the agenda is his response to First Responder and layperson Narcan as well as healthcare provider usage of Narcan. Check out the articles at Mendeley: https://www.mendeley.com/. After you make an account, email cbcemp.foamed@gmail.com for an invite! Catch all the show notes: http://cbcemp.proboards.com/thread/95/narcan

Tony describes his tactics for always being on the ready.

In a throwback to the Cardiac Arrest series, Dr. Stilley talks Targeted Temperature Management. What is the perfect temperature for our ROSC patient?

Protocol Breakdown is back! This week's episode is all about DT's and alcohol withdrawal. This topic was by special request. If YOU have an idea for a show, send it to cbcemp.foamed@gmail.com Sources for this podcast and all future episodes are now available at Mendeley. You do have to have an account to play, but you can get all the articles and research papers directly on your device! Join the group at: Check out the articles at Mendeley: https://www.mendeley.com/. After you make an account, email cbcemp.foamed@gmail.com for an invite! Catch the show notes at: http://cbcemp.proboards.com/thread/94/episode-14-delirium-tremens Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Dr. Stilley talks IO access, specifically his preference for humeral head IO placement and why. Show notes will be added soon!

It's finally here! The conclusion of Cardiac Arrest Management with Dr. Stilley. We talk physician role in prehospital, logistics of the cardiac arrest scene, and when and how to transport. Catch the show notes at: http://cbcemp.proboards.com/thread/91/cardiac-arrest-management

Here it is, finally! The wrap-up to Trauma on Protocol Breakdown. Tony plows through burns, hangings, crush injuries, drownings, and head injuries. Certainly not all-inclusive, but tons of can't miss content! Catch the show notes at: http://cbcemp.proboards.com/thread/92/episode-13-best-rest Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Dr. Stilley talks Traumatic Arrest, Diabetic Arrest, Narcotic Arrest, Withdrawal of Care, and maybe the most essential component, how to talk to families when withdrawing resuscitation in a home. Catch the show notes at: http://cbcemp.proboards.com/thread/91/cardiac-arrest-management

Dr. Stilley delivers his thoughts on Airway Management in cardiac arrest, answers some rapid fire Q&A, and talks respiratory based codes. Catch the show notes at: http://cbcemp.proboards.com/thread/91/cardiac-arrest-management

Dr. Stilley talks electricity and drugs in the second part of Cardiac Arrest Management. Catch the show notes at: http://cbcemp.proboards.com/thread/91/cardiac-arrest-management

Here is the very first episode of The Medical Director's Always Right. Dr. Josh Stilley is on the mic to detail cardiac arrest management from the very top to the very bottom. This is Episode 1 of 5, so stay tuned for more! Catch the show notes at: http://cbcemp.proboards.com/thread/91/cardiac-arrest-management

Dr. Stilley jumps on the mic and describes his usage of a ventilator in cardiac arrest. Rather than wasting a provider to ventilate poorly with a BVM, keep the vent on with just a couple tweaks. Catch the show notes at: http://cbcemp.proboards.com/thread/90/vent-cardiac-arrest

From amputations to envenomations, Tony dives in to wounds of the flesh. Most crucial to survival, is control of hemorrhage. Everything else comes after. Catch the show notes at: http://cbcemp.proboards.com/thread/89/episode-12-flesh-wounds Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Tony announces the EMS Skills Open Gym and first annual Airway Challenge. This event will feature at least ten instructor led skill stations as well as some non-instructor led skill stations. Find more information at: http://cbcemp.proboards.com/thread/88/ EMS Skills Open Gym Registration: https://cbcemp.eventsmart.com/?p=146 Airway Challenge Registration: https://cbcemp.eventsmart.com/?p=148

Trauma to our core. Chest, abdomen, and penetrating injuries. Tony cuts into what you need to know. He'll also touch on a future technique that may give our patients new life. Catch the show notes at: http://cbcemp.proboards.com/thread/87/ Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Nothing frustrates a provider more than trying to get air into their patient only to be sprayed back in the face with blood. Learn the in's and out's of airway management in trauma as Tony gives insight into what really works. Catch the show notes at: http://cbcemp.proboards.com/thread/86/ Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Tommy gives us a teaser on the concept of TACTical Leadership. In just a half an hour, he highlights the flaws of a leader-follower model and the untapped potential. He closed out the conference and brought the house down. You WILL be inspired by this talk. http://www.flashoverleadership.com Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Ray tackles the exploding nasal cannula. This is a can’t miss lecture on the value of pre-oxygenation, the immense significance of PEEP, the most iconic description of the oxyhemoglobin curve, and so much more. You WILL change your practice after listening to this! Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Tony digs in to an old term and highlights it’s fallacy. Don’t let the title fool you, this talk builds up to a positive message that reminds us to connect with our patients. We may be the ones calling 911 some day. Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Kris dives into the evil of Ketamine that we FOAM’ers seem to forget about. Ketamine may be the wonder drug, but it has a grave limitation that can’t be overlooked. Music: K is Good for You, Natalie May, FOAM RECORDS, @_NMay. Used in a truncated manner. CC BY-NC-SA 4.0 Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Dr. Coughenour set the tone for the evening, giving us a roadmap of the interventions that really matter in traumatic arrest. If this lecture doesn’t change your practice immediately or re-affirm what you’ve already been doing, it might be time to stop running calls. Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Tony gives a little insight to where this idea started and where it might be headed. If you’ve wondered what CBCEMP stood for or why it’s so special, take a quick listen. Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

Liz got our attendees plugged in and Tommy gave us a reminder that each day matters because it might be one that someone else won’t have. Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

"Pre-oxygenation, denitrogenation, nitrogen washout... I don't care, I just want some time to intubate!" Then you better listen up, because Tony gives you the key to more time. Catch the show notes at: http://cbcemp.proboards.com/thread/85/nitrogen-washout

This episodes kicks off a series on trauma. What better place to start than some fundamentals? We'll focus on some tactics as well as some pearls I've learned along the way. Some scene management basics, meaningful interventions, and selective spinal immobilization are all on the agenda. Catch the show notes at: http://cbcemp.proboards.com/thread/78/episode-9-trauma-fundamentals Music: "Like Swimming" by Broke for Free, From the Free Music Archive, CC BY NC 3.0

Let's go after that asthma exacerbation and dive into the essentials of staving off respiratory arrest. Bronchodilate, dry bronchial secretions, relieve their work of breathing, and give them time to take a breath out. Catch the show notes at: http://cbcemp.proboards.com/thread/77/episode-8-asthma

Departing a bit from medicine, let's explore how we think, how we come to decisions, and how we respond to the stress of what we do. Learn how to respond better to stress, tactics for reducing the stress when it's on attack, and how to make decisions better. Catch the show notes at: http://cbcemp.proboards.com/thread/75/episode-7

Why oh why is Levophed the wonder drug in sepsis? What's the low-down on sepsis anyway? Get those answers and more. Catch the show notes at: http://cbcemp.proboards.com/thread/72/episode-6-levophed-sepsis CBCEMP Mini-Conference #1 Registration: https://cbcemp.eventsmart.com/?p=10

There's always a way to be sweeter with your patients. Check out this episode to find out why D10 is better than D50, why we should educate our patients on their disease, and why urban legends are best left as urban legends. Catch the show notes at: http://cbcemp.proboards.com/thread/69/episode-5-hypoglycemia-management

Ray throws out yet another airway tip. This one is so simple you'll be asking yourself why you never thought of it. Catch the show notes and step by step pics at: http://cbcemp.proboards.com/thread/71/pilot-balloon-replacement

Follow Raymond Che down his path of airway and respiratory dominance as he passes along one of the coolest bougie techniques discovered. Can't miss episode! Check out the show notes complete with animations here: http://cbcemp.proboards.com/thread/70/kiwigrip

You must have been good boys and girls because there are two Shorties and a Protocol Breakdown for release TODAY! CBCEMP Mini Conference NUMBER ONE will be January 26th. Mark it on your calendar and keep your eyes and ears open for information as it becomes available. It will be 100% free and 200% awesome!

There's nothing quite like the struggle of keeping a pulmonary edema patient alive. Win, and you have a patient requesting discharge from the ER. Lose, and there's nearly no hope of coming back. Listen up, treat fast and accurate, leave the ER wondering why you brought this patient in the first place. Catch the show notes at: http://cbcemp.proboards.com/thread/64/episode-4-pulmonary-edema

The CIA had a program in the '60s for getting their people out of hot spots. Called Sky Hook. And now to reveal the airway technique long forgotten. It's applicable to two man intubation, larger patients, smaller providers, and all expert airway clinicians. Need some extra strength or an extra hand? Call for skyhook. Catch the show notes at: http://cbcemp.proboards.com/thread/59/skyhook

Wondering what Push-Dose Epi is all about? Tony blasts through the essentials on this CBCEMP Shorty. Catch the show notes at: http://cbcemp.proboards.com/thread/57/push-dose-epi

CBCEMP is once again proud to host Raymond Che, EMT-B, RTS. He further details our ineptitude at mask bagging and gives insight how we can be better, stronger, faster. We'll have to make sure Ray is a regular contributor to CBCEMP. Catch the show notes at: http://cbcemp.proboards.com/thread/65/lost-art-mask-bagging-raymond

It's about that time for the all out assault on that airway. Make a plan of attack. Make contingency plans. Make contingencies for your contingencies. There are lots of safe ways to perform an RSI. Lack of preparation is not one of them. Be a calculated machine, not a cowboy. Catch the show notes at: http://cbcemp.proboards.com/thread/58/episode-3-rsi-delivery

CBCEMP is proud to guest host Raymond Che, EMT-B, RTS. Follow along as he dives into the pathophysiology of bag mask ventilation. Catch the show notes at: http://cbcemp.proboards.com/thread/62/lost-art-mask-bagging-raymond

Let's dig into RSI, Rapid Sequence Intubation. This show is all about how to take a person who is currently awake but needs to be asleep with an endotracheal tube in place. We'll discuss principles of RSI management and talk a lot about the drugs to make this happen. Catch the show notes at: http://cbcemp.proboards.com/thread/56/episode-2-rsi-principles

Some things in medicine get infinitely more complicated while others seem to become simpler. Protect the airway. Use epinephrine, use it correctly. Give the rest of the goodie bag when you've finally turned the corner if you even believe in it. Catch the show notes at: http://cbcemp.proboards.com/thread/55/episode-1-anaphylaxis

We've got some new things coming! Stay tuned and subscribe so you don't miss it!

Cannon shares his thoughts on Psych patient management. This isn't so much a pharmacologic how-to as it is a mindset and layout of tactics to make things go well. This was a snippet of a much longer group discussion. Catch the show notes at: http://cbcemp.proboards.com/thread/50/pain-management

We'll fly through some common drugs for pain management. Get ready for some down and dirty on doses, best uses, and worst uses. Catch the show notes at: http://cbcemp.proboards.com/thread/50/pain-management

What's the essence of community paramedic? What's the secret sauce that makes this specialty so effective? It's a basic principle that the healthcare system is running on short supply. Catch the show notes at: http://cbcemp.proboards.com/thread/48/essence-community-paramedicine

Throughout your career you've been trained and educated on how to spot provider burnout, how to prevent it, and what to look for in yourselves when you're experiencing it. But it keeps happening! What's up? I've got a theory on that. Maybe we're not the only variable in the mix. Maybe our employers have to bear some of that weight. In closing though, feel free to do a burnout. But please don't be one. Catch the show notes at: http://cbcemp.proboards.com/thread/47/provider-burnout

The vast world of toxicology will be primarily boiled into Anticholinergic syndrome for this discussion. When or where will our patients be exposed to substantial amounts of anticholinergics? Those of us that are allergically challenged have enough antihistamines in the house to make us look like our cuddly Easter friends on the track image. Dig into this podcast to discover what other drugs and chemicals we use without a second thought and what combination of symptoms we should be hunting for to diagnose this overdose. Catch the show notes at: http://cbcemp.proboards.com/thread/44/toxicology

It's time to discuss some more first responder and layperson intervention into the advanced life support arena. Is Narcan right for first responders and laypersons? It's already active in our community, but what are the risks? What are the benefits? Will anything change at all? Have to listen to find out! Catch the show notes at: https://soundcloud.com/cbcemp/layperson-and-first-responder-narcan

EtCO2, specifically waveform capnography, has been game-changing in the prehospital realm. But are we too reliant on a technology that has several limitations on how the measurement is created in the first place? Not only should you know your enemy, know your friends too! Make sure it won't let you down in a crunch. Catch the show notes at: http://cbcemp.proboards.com/thread/39/etco2-significance-limitations

Supraglottic airways can be the fastest route between hypoxia and strong pre-oxygenation prior to an intubation attempt. Depending on your supraglottic airway selection, you may even find yourself with a streamlined route of blind intubation. What is the meaningful intervention in airway management? Oxygenation, ventilation, and airway protection regardless of device. "ET tube" is not in that list and doesn't have to be for every patient in need of airway management. Catch the show notes at: http://cbcemp.proboards.com/thread/34/early-supraglottic-airway-placement