Medic Class Citizen

Join Jason and Brandon as they get back into the game with a bang, and interview Pediatric Intensivist, Medical Director, researcher, and entrepreneur, Mark Piehl, MD, MPH. Listen as the conversation revolves around recent updates in pediatric epidemiology, and transitions to a very popular topic - management of hemorrhagic shock in the pediatric population. 

Join us in | 42 | as we kickoff the foundation for several up and coming episodes revolving around the subject of cardiogenic shock. In this episode, Jason and Brandon discuss the basic pathophysiologic principles of cardiogenic shock, and how it differs both in diagnosis and treatment from other more prominent forms of shock. This episode also features a recent classification system that categorizes phases of cardiogenic shock to help the clinician determine treatment, destination decision, and patient acuity. Use the cover art to follow along as Jason breaks down each category.  Check out www.scai.org and www.medicclasscitizen.com for more information. 

Listen as we sit down with fetal maternal expert physician, Dr. Jane Ellis, and discuss the current state of maternal mortality and fetal mortality in the world and the United States at large. Hear as Dr. Ellis identifies principles for EMS providers to know, as well as epidemiologic information showing shocking statistics that uncover medical disparities. 

In this episode, we sit down with emergency physician and EMS medical director, Dr. Jon Allen, and discuss the application of push dose pressors in the EMS setting, particularly regarding ground transport. For more info on Doc Allen, hit up our previous episode where we introduce him. 

Join us as we continue our discussion about the 4-Minute-City project with Avive Co-founders Rory Beyer and Sameer Jafri. In the end of this episode, we also have the opportunity for an AED reveal.  Learn more about Avive Solutions and the 4 Minute City project at www.avive.life

Tyler Christifulli and Samuel Ireland are flight paramedics and co-founders of the project, FOAM Frat. Listen as Sam and Tyler discuss the beginning of FOAM Frat as a blog and podcast, and how it evolved to the revolutionary continuing education platform that it is today. Find out more about FOAM Frat by visiting www.foamfrat.com, @foamfrat on Instagram and Facebook, and @FOAMfratStudios on YouTube. www.medicclasscitizen.com

Rory Beyer and Sameer Jafri introduce their revolutionary "connected" smart AED and the 4-Minute-City Project. This episode is the story of how Avive was born, and the vision of how Avive can solve the discrepancies that are present in how we approach out-of-hospital cardiac arrest. Make sure to watch this episode for an introduction to Rory and Sameer, but keep an eye out for Part 2, where Rory and Sameer introduce the 4-Minute-City and reveal the Avive Connect AED.

In this episode, Jason and Brandon talk with emergency medicine physician and EMS medical director, Dr. Jon Allen, or, as his medics call him, "Doc Allen."  Doc Allen has a passion for all things emergency medicine and EMS, and it definitely shows in his work and day to day operations. As the medical director for multiple EMS services (Cherokee County Fire & Emergency Services, Pickens County Fire Rescue), tactical law enforcement teams, and the Georgia Smoke Diver Association, Doc Allen hopes to influence EMS by engaging with the paramedics on the ground level by ways of running calls with them, training with them, and protocol development. Doc Allen truly has a vision of EMS being part of a global system of care, and the benefits that come with practicing based on evidence based medicine.  This is the first of many conversations with Dr. Allen, as he will be back with Jason and Brandon to discuss various calls, case studies, and research.  www.medicclasscitizen.com

Join Jason and Brandon as they sit down with renowned author, journalist, writer, and paramedic, Kevin Hazzard.  Hazzard's 2016 release, "A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back" quickly became a cult classic among the EMS community. His September 2022 release, "American Sirens: The Incredible Story of the Black Men Who Became America's First Paramedics," is a major topic of this discussion, along with reminiscing about being a Paramedic on the streets of Atlanta, Georgia.  In this conversation, giants in the history of EMS are recognized. Specifically, Dr. Peter Safar and Dr. Nancy Caroline. Even more important, however, are their students; the first paramedics in the nation. The men of Freedom House Ambulance Service. Their story, and the story of their perseverance in the face of discrimination and adversity is the remarkable truth behind the beginning of EMS in the United States.

Join us in our 34th clinical episode as we discuss the basics and the pathophysiology of Pulmonary Embolism. We discuss Massive, Submassive, Sub-Acute Massive, and CTEPH, as well as a deeper dive into the patho behind increased right ventricular pressure, and decreased oxygenation.  Join us in the next episode where we will dive in to the assessment and diagnostic principles of PE.   

| 33 | The Future of Resuscitation, with Dr. Michael Kurz Join us as we talk about the future of resuscitation with emergency physician, resuscitation scientist, and EMS physician champion, Dr. Michael Kurz. Dr. Kurz is an Associate Professor at the University of Alabama School of Medicine in the Department of Emergency Medicine and Department of Surgery.   Dr. Kurz serves as Immediate-Past Chair of the AHA Emergency Cardiac Care Subcommittee on Systems of Care and has contributed to the ECC guidelines since 2010. He regularly reviews for Circulation, Resuscitation, Critical Care Medicine, and has authored more than 100 peer-reviewed articles in resuscitation science. Dr. Kurz's research interests are focused upon intra- and post-arrest care including coagulation dysfunction, optimizing hemodynamic support, and rehabilitation for survivors.

Join us as we sit down with our friend Chris VanBrenk- former US Army Special Forces Officer, Delta team member, and Green Beret, as well as current Paramedic and paramedic instructor. Chris has a unique set of skills, and found an opportunity to utilize all of those skills for good when he and a surgical group traveled to Ukraine at the beginning of the Russia invasion to teach tactical combat casualty care to civilians, as well as provide any medical relief that was possible.  Listen to the conversation, because any type of introduction just doesn't do it justice.  Find more about Chris in our previous episodes where we feature him, as well as check out his blog and instagram at Morphine and Mindfulness.   

Join us in this episode as we hear from an expert cardiologist and professor of internal medicine, Dr. Thomas Porter. Dr. Porter and his team have been researching an exciting new therapy that can be utilized during STEMI and CVA care, known as Sonothrombolysis. This exciting research is bringing ultra sound from the world of diagnostic tool, to interventional therapy- and Dr. Porter believes EMS has an important role in the future of this therapy. 

In this episode, we sit down with an expert cardiac sonographer of more than 40 years, Paul Braum, to discuss the history, development, and future of ultrasound. Listen as Paul walks us through the beginnings of ultrasound, and how we have reached the point of potentially viewing ultrasound as a pre-hospital diagnostic tool. Paul is a champion of EMS, and believes with the right training, EMS can certainly make a huge impact on successful patient outcomes through the use of point of care ultrasound (POCUS) testing in the field.    If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 

Join us in the second installment of our High Performers Series, where we bring back our great friend, Ginger Locke (Medic Mindset). In this discussion, we focus on EMS Initial Education, and how Ginger utilizes several methods to connect with her students, as well as how her background has built her to be the high performing educator that she is today. 

Join us in the 5th installment of our Leadership Series as we bring back our good friend Chris vanBrenk (former Army Special Forces Officer, GoRuck Cadre, founder of Morphine & Mindfulness, Yoga Instructor, current Paramedic and Paramedic Instructor). In this discussion, we talk with Chris about a concept that is near to his heart, which is becoming comfortable being uncomfortable. Chris has extensive experience with this concept from his military career, and can now provide a positive impact to civilians and EMS providers by helping us develop mental processes and habits that create the ability to perform under chaotic conditions.    If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 

Join us in |30| JOURNAL REVIEW - EtCO2 Predicts Mortality & Mass Transfusion as we look at a study performed by EAST (Eastern Association of Surgery and Trauma). This study investigates the validity of using end tidal capnography and capnometry to predict the need for massive transfusion and the likelihood of mortality in intubated trauma patients.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 

| 29 | Intro to ECMO, with Dr. Allison Dupont, FSCAI, FACC In this episode, we were lucky enough to sit down with none other than Interventional Cardiologist, Dr. Allison Dupont.  Dr. Dupont is a board-certified cardiologist in interventional cardiology and cardiovascular disease. She has a clinical interest in cardiogenic shock, minimally invasive structural procedures including MitraClip and Watchman, and in catheterization techniques that help reduce complications in high-risk patients. Dr. Dupont has extensive experience in caring for critical cardiac patients, including being one of the leaders developing the ECMO (Extracorporeal Membrane Oxygenation) for one of the leading cardiac centers in the southeastern United States.  Join us as Dr. Dupont guides us through ECMO and the treatment of patients in cardiogenic shock, and how ECMO and ECPR is paving the way to the future standard of care.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 

Join us in the first official episode of Medic Class Citizen | HP as we sit down with our first high performer, Chris Vanbrenk.  Chris's story is beyond unique, as he has a perspective of a paramedic and paramedic instructor, but he also has even more to offer to his high performance experience. During his tenure in the U.S. Army, Chris was a member of one of the most elite military teams in the world, as he was a Green Beret. Not only was he a Green Beret, but Chris was also an Officer, tasked with the giant responsibility of leading men in battles, missions, and ultimately war.  Following his time in the military, Chris pursued and achieved EMS certification, including his paramedic certification. From there, Chris has excelled in the pre-hospital and hospital arena in North Carolina, where he is also a paramedic instructor.  Chris is also very passionate about fitness and mindfulness, as he has a project where he pours in to those suffering from PTSD, and teaches them mindfulness techniques through the use of yoga, and his blog.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop     

Join us in Leadership | 4 | as we sit down with Kim Littleton, Executive Director of Georgia EMS Association. As Executive Director, Kim serves as the main point of contact and voice for the EMS Profession in the State of Georgia. Kim and the board of Directors serve to provide strong legislation that supports and secures the future of our profession, along with promoting legislation that positively effects patient care in Georgia.  Our main focus in this discussion is the Georgia EMS Leadership Program, which serves as a bridge from truck or field medic, to more administrative and supervisory roles. From commissioner meetings and city council meetings, to PIO and interfacing with the public, to budgeting and finance, this program arms recently promoted EMS Professionals with the leadership tools to succeed, and successfully adapt and evolve in their new role. Visit www.georgiaemsassociation.com to learn more about the Annual Provider & Educator's Conference, The Annual Georgia EMS Leadership Conference, and the Georgia EMS Leadership Program.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 

Join us in | 28 | as we start our discussion about Magnesium sulfate use in the pre-hospital setting. We know good and well that this conversation is the first of many to come in regards to mag, but we got the ball rolling by introducing magnesium, discussing basic patho, as well as some basic field uses for mag sulfate. If you have protocols other than those we discuss in the episode, let us know! Visit www.medicclasscitizen.com or hit us up on Instagram and send us a message! If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop   

LEADERSHIP | 3 | - GINGER LOCKE of MEDIC MINDSET   Now available for download! We were so incredibly lucky to sit down with EMS Educator and EMS Podcast pioneer Ginger Locke. Listen as we get to know Ginger, and learn more about her passion for her students and for our profession. We dive in to more intimate topics such as relationships, vulnerability VS confession, and EMS Education during Covid-19. Check out her project on any podcast platform by searching for Medic Mindset, and by visiting www.medicmindset.com. #ems #austintexas #athensga #emspodcast #medicmindset #medicclasscitizen #paramedic #paramedicstudent #paramedicine #aemt #paramedicsonfacebook #emergencymedicine #emergencymedicalservices   www.medicclasscitizen.com 

What do hyperkalemia, the cardiac action potential, Animal House, John Belushi, Back to the Future and meth have in common? They're all in this episode of the Medic Class Citizen podcast.  Join us in | 27 | HYPERKALEMIA as we discuss the pre-hospital assessment, presentation, and management of hyperkalemia. We also review and refresh on the cardiac action potential, and how hyperkalemia poses a very serious and potentially arrhythmogenic threat if not identified and treated early. We discuss potential causes outside of your typical "renal failure" patient, as well as recent suggestions of what treatment is actually effective in the pre-hospital setting.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop   

Join us in Medic Class Leadership | 2 | Managing Expectations, featuring Jason Patton of Fire Department Chronicles and Fire Department Coffee.    In this episode, we get to know Jason Patton, and dive in to the topics of burnout, mental illness, and how to manage our expectations on the job to have a better outlook and feel more fulfilled. We definitely had a great time and share a lot of laughs, but listen along as Jason gives some advice about bringing ourselves to welcome vulnerability and humility, as well as holding ourselves accountable for our personal responsibilities in health and wellness.  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |   

| 26 | Pre-Hospital TXA & Point-of-Care Ultrasound for EMSJoin us in | 26 | as we discuss three studies that cover the topics of pre-hospital TXA administration, and the use of point-of-care ultrasound by paramedics. These topics are both very prevalent discussions in all corners of the world for EMS providers. As our pre-hospital scope evolves, so must our pursuit of high quality, evidence based data in order to drive our decision making processes. These studies are just a handful of the current research about pre-hospital TXA use, and the suggestion of including pre-hospital medical providers in the use of point-of-care ultrasound examinations.  Make sure to download, subscribe, and share with your friends and co-workers. Find us on all major platforms and podcast providers, as well as our socials!| Facebook | Instagram | Twitter | Linked-In | YouTube| www.medicclasscitizen.com |  

Join us as we begin a new branch of our project, Medic Class Leadership. In addition to our regular podcast episodes about evidenced based medicine and EMS culture, we are now discussing the complexities and challenges of leadership within Emergency Medical Services.Leaders are found at every level of personnel in EMS; the current student, preceptor, instructor and training officer, new medics and EMTs, tenured personnel, and administration. We all hold leadership opportunities and influence that can truly make a positive impact on our culture. We at Medic Class Citizen want to identify those opportunities, and dive in to how we can make them meaningful, and get the most out of them. Join us as we introduce our friend and colleague, Brian Johnson, who will be joining us on a regular basis for this branch of our project. Brian is a Lieutenant for John's Creek Fire Department located in Fulton County, Georgia. He serves as the EMS Coordinator, and has been a paramedic for nearly twenty years, serving various communities in the way of combination Fire and EMS. Brian has also taught as an EMS adjunct for over ten years in both paramedicine and EMT programs. Make sure to download, subscribe, and share with your friends and co-workers. Find us on all major platforms and podcast providers, as well as our socials!| Facebook | Instagram | Twitter | Linked-In | YouTube| www.medicclasscitizen.com |  

|25| AHA Updates - BLS, PALS, ACLSIn this episode, we tackle the recently published American Heart Association 2020 Updates for all three primary disciplines: Basic Life Support, Pediatric Advanced Life Support, and Advanced Cardiac Life Support. Listen as we breakdown all of the 2020 recommendations and changes, and have a dialogue about their relevance to pre-hospital patient care.This episode is the "tell me what I need to know" about the 2020 Updates! Make sure to download, subscribe, and share with your friends and co-workers. Find us on all major platforms and podcast providers, as well as our socials!| Facebook | Instagram | Twitter | Linked-In | YouTube| www.medicclasscitizen.com |   

Join us in | 24 | as we discuss the sobering, yet incredibly important topic of human trafficking and commercial sexual exploitation. We are joined by our guest experts Jess Roth and Faith Robinson, members of the anti-human trafficking organization "Out of Darkness."Unfortunately, this manifestation of pure evil occurs hundreds of times a day in every major city throughout the world. As EMS providers, we need to arm ourselves with the assessment tools and the knowledge to provide protection and resources to these women and children. Unfortunately, more than 50% of commercially exploited victims come in to contact with EMS (or other forms of medical providers) everyday, and go undetected. This episode marks the beginning of Medic Class Citizen's relationship with the organization Out of Darkness, and our efforts to support the education and identification to a make a life changing difference for these patients. This episode also provides an introduction to human trafficking so that EMS providers can be more aware, responsive, and engaged with saving the lives of the helpless. www.outofdarkness.orgwww.medicclasscitizen.com/outofdarknessVisit our website to subscribe, and to leave us ideas and feedback!| www.medicclasscitizen.com |Subscribe to and Download the Podcast!| Apple Podcasts | Spotify | Stitcher | Google & more... - Socials -Facebook: @medicclasscitizenTwitter: @medic_citizenIG: @medic_class_citizenLinkedIn: Medic Class Citizen

Join us as we sit down with world renown Pediatric Emergency Physician, Dr. Peter Antevy.Dr. Antevy is known around the country for his passion for EMS providers, as well as the innovative solutions created by his company, Handtevy. We discuss a multitude of topics including pediatric emergency care, EMS education, and EMS field operations. Dr. Antevy dives in to multiple clinical topics, including medication errors, the correct use of epinephrine, and much more that may change your perspective on how to approach a pediatric emergency. He also talks about stress management in EMS, as well as the need for a paradigm shift in EMS Education. Visit our website to subscribe, and to leave us ideas and feedback!| www.medicclasscitizen.com |Subscribe to and Download the Podcast!| Apple Podcasts | Spotify | Stitcher | Google & more... - Socials -Facebook: @medicclasscitizenTwitter: @medic_citizenIG: @medic_class_citizenLinkedIn: Medic Class Citizen

| 22 | Med Legal for Medics (feat. EMS Director Craig Stanley, NRP)Join us as we sit down with the Director of South Kingstown EMS, from Kingstown Rhode Island, Craig Stanley. Craig has a long history of EMS experience as a provider, a station officer, field training officer and EMS educator, service director, and legal consultant. Craig has specialized in med-legal for decades, taking his education to the next level through formal business education, and classes offered by the National Fire Academy with the goal to better educate field providers on the legal liabilities they face on a day to day basis, how to protect themselves, and to motivate them to just do the right thing. Craig walks us through the logistics of our liability as paramedics, and provides data and recent figures of what he calls the top three "7 Figure Payouts." He explains the financial burden of legal representation for paramedics, and provides strong example of how we open ourselves up to liability, when to intervene for the sake of patient advocacy, and how to protect ourselves legally.   Check back soon for updates, and be looking for |23| next week.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen 

Join us in | 21 | Journal Review: Pediatric Ketamine VS Fentanyl /  SGA VS ETI as we dive into two separate journals. In the first part of the episode, we cover the study "PICHFORK" (Pain In CHildren Fentanyl OR Ketamine), providing more reliable data to the argument of whether or not to use Ketamine for pediatric trauma. Next in the episode, we cover a separate study that compared the negative intrathoracic pressures and hemodynamics contributed by different supraglottic airway devices versus ETI during cardiac arrest. Both of these journals were submitted by listener recommendation, so please continue by their example, and submit more for us to review! Check back soon for updates, and be looking for |22| in the next weeks.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in |20| Pre-Hospital Stroke Management as we sit down with the nationally renown, Director of Interventional Neurology and Neurosurgery, Dr. Rishi Gupta. Join us as Dr. Gupta gives his insight on how we can improve patient outcomes by development of stroke systems of care, the difference between primary versus comprehensive stroke centers, improving the paramedic's pre-hospital assessment, the future of stroke care, and why the tone and pace set by EMS is pivotal for patient outcomes.  Check back soon for updates, and be looking for |21| in the next week.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

|19| - ALPS (Amiodarone VS Lidocaine VS Placebo Study) Journal ReviewJoin us in |19|, as we discuss and analyze the study ALPS, by Resuscitation Outcome Consortium. This study compares the effectiveness of Amiodarone, Lidocaine, or no anti-arrhythmic at all during refractory pulseless VT / VF cardiac arrest. In this episode, we analyze the study systematically, and interpret the findings so that you, the listener, can take away the results. No bias, no spin, just objective data review.  Check back soon for updates, and be looking for |19| in the next week.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us as we celebrate the lives and sacrifice of our American Heroes in this special edition of the podcast. In this episode, we talk about the true meaning of Memorial Day, and the heroic and selfless acts of bravery by military medical personnel which should never be forgotten.www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join Us in |18| Respiratory Treatment During COVID 19 as we welcome Emergency Department physician, medical director, and pre-hospital physician champion, Dr. Nick Johnson. Listen as Dr. Johnson introduces himself, and discusses how he started his career on the streets of Chicago, and how it led to a passion for emergency medicine, and pre-hospital medicine. Then, Dr. Johnson gives us some advise on how to treat respiratory patients during COVID 19. Listen as he discusses alternatives to nebulized treatments, and how to approach CHF / COPD and asthma patients during this time. Check back soon for updates, and be looking for |19| in the next week.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen 

Join us in |17|, as Jason guides us through how to read and interpret the results of a study. Listen as Jason walks through how to identify bias, how to analyze the methods, and how to truly determine if the results of a study are significant enough to consider a practice change. Check back soon for updates, and be looking for |18| in the next week.For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

| 16 | The Pandemic Paramedic - Featuring Jonathan Baker, AS, NRPJoin us as we dive in to a a perspective commonly left out of the media discussions- The Paramedic's. In this episode, we discuss the pandemic with a 20 year veteran of EMS, and hear his perspective from the front lines of the pre-hospital arena, and how he and his colleagues have adapted to overcome the current challenges. Purposely excluding topics that are political, speculative, and discussion of curve models, we focus strictly on how this has effected EMS, our responses, and our patient care. Check back soon for updates, and be looking for |16| in the next two weeks!For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in "|15| Excited Delirium" as we discuss excited delirium, and how to utilize ketamine in order to disrupt the lethal pathophysiology spiral that comprises this syndrome. From patient assessment to treatment, we walk through past examples, and how to mitigate a psychogenic problem from a drug induced problem, and why ketamine is an optimal choice for pharmacologically induced excited delirium patients. Check back soon for updates, and be looking for |16| in the next two weeks!For this and more:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in |14|, as we introduce the popular medication, Ketamine Hydrochloride. We plan to explore the use of Ketamine heavily, so we think it's appropriate to start off with a base foundation of the history of the drug, how it has been used, recent changes involving ketamine, and a couple of uses in particular. In this episode, we also address some common myths about ketamine, specifically it's drug class, and contraindications for ketamine use.Join us in our next episode, |15|, as we plan to explore the use of Ketamine in excited delirium, the general pathophysiology of excited delirium, why it's harmful for patients, and why it is critical for us as pre-hospital providers to intervene for the sake of the patient.For this and more, check out:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen 

Join us in |12| and |13| as we discuss the ins and outs of paramedic school with a recent graduate, along with how all the work paid off when the time came to perform. Airing on 02.11.2020 and 02.13.2020, we sit down with Chris Bowman (a recent paramedic school graduate) and discuss his experience while in paramedic school, and things for incoming students to keep in mind. From maintaining perspective, relationships with preceptors, and focusing on the training at hand, Chris shares some insight while it's still fresh.In part 2, we discuss Chris's first call as a paramedic- a cardiac arrest that toned out just a few hours after he received his state numbers, that presented with several interesting challenges.For this and more, check out:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in |12| and |13| as we discuss the ins and outs of paramedic school with a recent graduate, along with how all the work paid off when the time came to perform. Airing on 02.11.2020 and 02.13.2020, we sit down with Chris Bowman (a recent paramedic school graduate) and discuss his experience while in paramedic school, and things for incoming students to keep in mind. From maintaining perspective, relationships with preceptors, and focusing on the training at hand, Chris shares some insight while it's still fresh.In part 2, we discuss Chris's first call as a paramedic- a cardiac arrest that toned out just a few hours after he received his state numbers, that presented with several interesting challenges.For this and more, check out:www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in episode 11, as we finish our discussion with Adam Morgan of the Philadelphia Phillies. Join as we discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about rebounding from a loss, not giving up on your profession, the importance of mentorship for your profession, humility, and further discussions about team dynamics.As we discussed last week, though we have incredibly different jobs and professions, you can hear the similarities between thought processes and struggles, and learn from his strategies that have made him and his teammates successful. Look out for episode 11 next week, which will part two of our time with Adam. We will discuss stress management during critical moments, and many more lessons from the mound. Please like, subscribe, follow, and share, and look for Episode 12!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in episode 10, as we sit at the table with Adam Morgan of the Philadelphia Phillies. We were lucky enough, and very honored, to be able to sit and discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about preparation, falling back on your training, attention to detail, team dynamics, focusing in the moment, and dealing with failure. Though we have incredibly different jobs and professions, you can hear the similarities between thought processes and struggles, and learn from his strategies that have made him and his teammates successful. Look out for episode 11 next week, which will part two of our time with Adam. We will discuss stress management during critical moments, and many more lessons from the mound. Please like, subscribe, follow, and share, and look for Episode 11!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

In this episode, we discuss treatment recommendations found in recent literature, in regards to fluid administration in septic shock. We also discuss the updates to the definition of sepsis, and the criteria for diagnosing a patient with sepsis. In this episode, we discuss SOFA, and QSOFA, as well as the elimination of SIRS and "Severe Sepsis" from the sepsis spectrum. Join us as we dive in to the pathophysiology of septic shock, and how fluid administration is still considered a staple treatment. We discuss how third spacing occurs secondary to overzealous fluid administration, resulting in potential worsening of hypoperfused tissues and organs. In this episode, we also discuss the ProMISe, ARISE, and CENSER trials, and discuss the suggestions of early vasopressor therapy using norepinephrine has proven to be beneficial. We also briefly discuss the potential benefits of pre-hospital administration of broad spectrum antibiotics, and the Phantasy trial, and propose to revisit a similar study with more objective methods. Please like, subscribe, follow, and share, and look for Episode 10!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

Join us in Episode 8, as we sit down (on location) with Dr. Nathan Creel and Kyle Gibson, AGACNP (Northeast Georgia Medical Center: Trauma and Acute Care Surgery), and discuss the importance of blood product replacement in resuscitation of traumatic patients. In this episode, we discuss how we (EMS) have been giving crystalloid fluids for treatment during hemorrhagic shock, leading to the detriment of our trauma patients. In the words of Dr. Creel - "If the patient is losing blood, the best fluid replacement is blood."Join us as we discuss the pathophysiology of hemorrhagic shock, the history of blood infusions, and why it is imperative to move towards a paradigm shift of moving towards pre-hospital administration of blood products in the field of EMS. Please like, subscribe, follow, and share, and look for Episode 9!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

In this episode, we open our series WTF (What the fluid), and focus on fluid administration during cardiogenic shock. Join us as we discuss the normal physiology of coronary perfusion, what actually makes up coronary perfusion pressure, and what goes wrong during cardiogenic shock. We also talk about the damaging trend of administering fluids during cardiogenic shock, and explain the more appropriate treatment (including medications and dosage) of administering vasopressors to mitigate dangerous levels of cardiogenic shock. We also discus portions of the trials SOAP 1 and SOAP 2, and the A-B-C-D-E of cardiogenic shock classification.   Please like, subscribe, follow, and share, and look for Episode 8!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

This is a short introduction clip explaining what you can expect to get out of the next three episodes of our podcast.Join us as we enter our three part series, "WTF?! - What the Fluid." During this series, we explore the use of fluid resuscitation during cardiogenic shock, hemorrhagic shock, and septic shock. Throughout this series, we provide self investigation of how we could be treating our patients in a more effective manner, and how if we do not change, we will cause harm. SEND US YOUR QUESTIONS! If we have enough questions, we will provide an episode strictly answering your questions. To ask a question, go to: www.medicclasscitizen.com and scroll down until you see the "FEEDBACK" form. Fill it out, and send us your thoughts (...and don't worry, sending feedback does NOT subscribe you to our mailing list). Thanks for listening! Now go ahead and check out Episode 7! 

In this episode, we discuss the benefits of membership in professional organizations for licensed EMS personnel. Join us as we welcome Georgia EMS Association Chair Chad Black, as we dive in to examples of benefits that every listener across the country should be seeking out in their individual states, provinces, territories and regions through affiliation in professional organizations. Chad also shares incredibly valuable experience from his years of leadership in various EMS agencies, as he worked his way from an EMT on the ambulance, to paramedic, to Battalion Chief and regional manager (air medical) to Director of Emergency Services. We discuss ways professional organizations provide benefits ranging from continuing education opportunities, leadership and development training, pensions and retirement, to political and legislative representation on Capitol Hill (Senate Bill 102, alongside our very own, Jason Grady). We round out the episode by discussing Chad's involvement in working towards administering whole blood in the pre-hospital field throughout certain regions of Georgia, and the steps he and those involved had to take in order to get the pilot program approved and off the ground. Please like, subscribe, follow, and share, and look for Episode 7!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

In this episode, we have another chance to dive in to the physiology of chest compressions, cardiac arrest, and resuscitation science with our friend and return guest, George Ordway, PhD, PA-C. Join us as George discusses whether or not compressions should be performed prior to defibrillation, and why the Law of LaPlace should challenge us to think about how we run cardiac arrests in the pre-hospital setting. Other topics of discussion include community based compression only CPR education, the phases of cardiac arrest, and a shift in our mindset during resuscitation of cardiac arrest patients.  Please like, subscribe, follow, and share, and look for Episode 6!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

In this episode, Jason and Brandon get to spend some time with the one and only, George Ordway. In the first installment of this two part series, get to know George as he talks about his background, what brought him to medicine, and his passion for cardiac physiology. George has not only taught physiology for medical schools around the country, but he is also very well published, and has performed remarkable patient care in his community. Listen as we talk about how George finds EMS to be an integral piece of the medical community, and his passion for teaching paramedics and EMT's. Make sure to listen to this episode, as next week, we will dive in to the physiology of chest compressions, cardiac arrest, and resuscitation science. Please like, subscribe, follow, and share, and look for Episode 5!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen

|3| Measure What Matters: Evidence Based Medicine In this episode, Jason and Brandon continue the discussion about evidence based medicine, but take it a step further, giving examples of how evidence based medicine has impacted EMS throughout the country, and in their local region. Examples include how EMS and the regional hospital system in their local territory have created a state-of-the-art STEMI system, fluid administration changes, review the (ROC) PRIMED trial, SOAP II trial, and more. In this episode, Jason and Brandon pose a question- "How do we know what we're doing matters?"  Please like, subscribe, follow, and share, and look for Episode 4!|www.medicclasscitizen.com| "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizenInstagram: @medic_class_citizenTwitter: @medic_citizen