Medschoolmedic Podcast

Dr. Jessica Molokie from the Not A Medical Marvel Podcast joins Ed to discuss her journey through undergraduate school and medical school. Dr. Molokie is a graduate of a caribbean school that will be starting her residency in Florida in June 2020. Attrition rate in US medical schools What to know about Caribbean medical schools FREIDA Follow on Social Media ... Read More The post Episode 22- Dr. Jessica Molokie appeared first on Medschoolmedic.

In the setting of the novel coronavirus, or Covid-19, medical education is changing. How does it affect student currently in the clinical setting? How will it change the delivery of medical education in general? Does it change how aspiring medical students should approach medical school? Ed and Mike discuss all the changes they have seen since the outbreak of Covid-19 ... Read More The post Episode 21- Covid-19 appeared first on Medschoolmedic.

I. Background -Step 1 is the first in a series of medical licensing exams for student physicians in the United States -2019, Journal of Academic Medicine, group of medical students talked about the toxic Step 1 environment that develops during the preclinical years of medicine (https://journals.lww.com/academicmedicine/Fulltext/2019/03000/Student_Perspectives_on_the__Step_1_Climate__in.9.aspx) -A few days ago, NBME decided to make Step 1 pass fail to help ... Read More The post Episode 20- The New Step 1 appeared first on Medschoolmedic.

It’s a classic trope in medical school that students need to know everything, but is that actually the case? In this episode, Ed and Mike discuss:  Is it okay to not know everything?  How should I flag questions on exams?  Changing Study Habits in Medical School What are pre-matriculation programs? What are some effective stress reduction techniques?  Is there a ... Read More The post Episode 19- Know Everything? appeared first on Medschoolmedic.

Learning how to study in medical school can be difficult. Is there a right way? It seems that spaced repetition with programs like Anki might be helpful for most people. What about the right QBank? Ed and Mike discuss all this and more on this episode. Bickerdike et. al 2017 J. Medical Education Tabibian Et al 2019 Ebbinghaus forgetting curve ... Read More The post Episode 18- Learning and Study Habits appeared first on Medschoolmedic.

MedSchoolMedic Episode 17 Show Notes On this episode, Ed and Mike discuss the value (if there is any) of standardized tests and the way that exams in medical schools are administered. Is the MCAT representative of how you’ll perform in medical school? Is Step 1 an accurate representation of how you’ll perform as a physician?  Is biochemistry essential for MCAT ... Read More The post Episode 17- Standardized Testing appeared first on Medschoolmedic.

This episode marks the reboot of the MedSchoolMedic Podcast! On this cross-over with MSM’s sister show The Overrun, Dan sits with Ed and Mike to discuss the journey from paramedic to physician…does it help? Can it hurt? How do you do it? If you’ve ever thought of going to medical school; give this a listen! Dr. Emma Cronk’s blog can ... Read More The post Episode 16- Medic to Med School appeared first on Medschoolmedic.

Should we be giving blood products to trauma patients in the pre-hospital setting? In theory, it would stand to reason that the patient has lost blood, and thus should receive more of it. But that doesn’t exactly pan out in the data. In 2016, the journal Shock performed a literature review to discuss this exact topic. In the end, it ... Read More The post Episode 15- Blood Products appeared first on Medschoolmedic.

Everybody needs to calm down. Calm. The hell. Down. This week, the National Association of State EMS Officials (NASEMSO) published a working draft of the 2018 national EMS scope of practice model. This is, as stated in the title, a working draft that is open for discussion and thus is open to change. It contains some important opinions about how ... Read More The post Episode 14- The NASEMSO Scope of Practice Model appeared first on Medschoolmedic.

We all have our preferences when it comes to intubation. Some prefer DL, others prefer VL. Personally, I’ve always been a proponent of DL. But when it comes to VL, I have my biases as well. So which one works better? It turns out that it depends on who you are and how often you intubate. Today we review a ... Read More The post MSM Shorty- More on DL vs. VL appeared first on Medschoolmedic.

Sometimes thinking is hard. In EMS and in medicine in general, there are a lot of things to remember when encountering a patient. What are the right drug dosages? How do we calculate body surface area for burns? What about CPR? The answer to all of these is known as cognitive offloading. What this does is allow the brain to ... Read More The post Episode 13- Cognitive Offloading appeared first on Medschoolmedic.

Regular listeners will know that here at medschoolmedic, we love Ketamine. Earlier this year, in the American Journal of Emergency Medicine, Riddel et al. explored how effective ketamine would be when given as a first-line drug for excited delirium or agitation. They compared ketamine to haloperidol, midazolam, and lorazepam. See the abstract here The post MSM Shorty- Ketamine for Agitation appeared first on Medschoolmedic.

Mike Defilippo joins the podcast to discuss his summer of physician shadowing. What is involved in physician shadowing? Will shadowing help me in medical school, or help me get into medical school? What did he learn from the process? What are the advantages and disadvantages of shadowing? Perhaps most importantly, what did the patients think? More on shadowing can be ... Read More The post Episode 12- Physician Shadowing with Mike Defilippo appeared first on Medschoolmedic.

Why use TXA? What is it, and how does it work? Tranexamic Acid, or TXA is a drug that helps control hyperfibronolysis, which is associated with increased mortality. Essentially, the drug works to stop bleeding. TXA has been used in surgical suites for ages, but only recently are we seeing it move to the realm of EMS medicine. So how ... Read More The post MSM Shorty-TXA appeared first on Medschoolmedic.

It seems like with each passing day, we hear more and more about opioid overdoses. Its something that was discussed in the early days of this website. Yet, we still seem to hear about the dangers and emerging trends of opioid abuse, and how to handle it in EMS. It is important to understand how opiate addiction begins, how the ... Read More The post Episode 11- Opioids and Narcan appeared first on Medschoolmedic.

Why does the profession of EMS seem to move along so slowly? Why do the medications and technology seem to move along at a glacial pace? Today’s shorty explores these topics.   Follow MSM on Twitter, Instagram, Facebook The post MSM Shorty- The Slow Progress of EMS appeared first on Medschoolmedic.

MSM Clinical guy Dan Schwester joins the pod to discuss the SMACC conference, and rant with Ed about EMS in general. VF arrest mindset Cognitive offloading High-Fidelity simulation Pre-brief Debrief Stress and handling it Communication under stress “If you always do what you’ve always done, you’ll always get what you’ve always got.” Build a culture within your team, do the ... Read More The post Episode 10 Pt. 2- SMACC Talk with Dan Schwester appeared first on Medschoolmedic.

MSM Clinical guy Dan Schwester joins the pod to discuss the SMACC conference, and rant with Ed about EMS in general. VF arrest mindset Cognitive offloading High-Fidelity simulation Pre-brief Debrief Stress and handling it Communication under stress “If you always do what you’ve always done, you’ll always get what you’ve always got.” Build a culture within your team, do the ... Read More The post Episode 10 Pt. 1- SMACC Talk with Dan Schwester appeared first on Medschoolmedic.

In 2011, Weingart and Levitan published a paper in Annals describing how oxygenation works during an intubation attempt. This paper was a game changer. It is phenomenally robust paper that uses nothing but the facts and data. It is, in part, a systematic review of oxygenation. But more importantly, its a guide for how to oxygenate patients we are going to ... Read More The post MSM Shorty- Oxygenation appeared first on Medschoolmedic.

We’ve talked about flipping the EMS classroom before on this website. Today, we’re joined by paramedic and EMS educator Anna Brown to discuss ways to flip the classroom. We also discuss different ways to handle the classroom environment, and emerging trends in EMS education. What are difference between flipped and traditional classrooms? How do we improve outcomes in education? How ... Read More The post Episode 9- Flipping the classroom with Anna Brown appeared first on Medschoolmedic.

REBOA is a acronym for Resuscitative Endovascular Baloon Occlusion of the Aorta. This procedure involves placing a a catheter with a balloon into the aorta (think similar to a cardiac cath) and occluding the aorta, which reduces blood loss. This also augments afterload and reduces the workload of the heart in hemorrhagic trauma situations. This is a tool for trauma ... Read More The post MSM Shorty- WTF is REBOA? appeared first on Medschoolmedic.

TXA. What if there was a drug that would stop bleeding early? What if that drug had been shown to be effective? What would it take for you to use the drug? Over 90 percent of hospitals have some kind of massive transfusion protocol, but only about two thirds of those hospitals carry Tranexamic acid, or TXA. What does TXA ... Read More The post MSM Podcast Episode 8- TXA appeared first on Medschoolmedic.

A special episode of the MedschoolMedic podcast! MSM Clinical Guy Dan Schwester joins us from Berlin to discuss the SMACC conference, and the SMACCforce pre-conference. LOTS of good stuff from Berlin. SMACC Twitter: #SMACC  #SMACCforce Clinical Guy Dan The post MSM Special- Dan Schwester LIVE from SMACC! appeared first on Medschoolmedic.

Do more paramedics lead to better outcomes? Generally speaking, we think that more is better. But that may not be the case. Hagiwara, et al performed a prospective, observational study on patients experiencing put of hospital cardiac arrest. The study included 67 emergency hospitals, of which 36 were academic centers. The study enrolled more than 16,000 people, and the data ... Read More The post MSM Shorty- Do more paramedics lead to better outcomes? appeared first on Medschoolmedic.

MSM Podcast Episode 7- Dual Sequential Defibrillation We’ve mentioned plenty of time on this podcast that we have no real idea what we’re doing for cardiac arrest patients. The guidelines we work are not always consistent with the science. There’s a lot of interventions we perform simply because “that’s what we’ve always done.” But the fact remains, that the interventions ... Read More The post MSM Podcast Episode 7- Dual Sequential Defibrillation appeared first on Medschoolmedic.

How do we improve neurologic recovery after cardiac arrest? Part of the problem that we have as resuscitationists (and that’s what we are) is that after we achieve ROSC with a patient, they end up brain dead shortly after our encounter. So what can we do to fix it? These questions don’t have any easy answers. The more research that ... Read More The post MSM Shorty- Neurologic recovery after cardiac arrest appeared first on Medschoolmedic.

The more we use ketamine, the more we seem to learn about it. Recently, it was discussed that the action of the drug is more than just a NMDA Blockade. The NMDA blockade was originally thought to be the only effect that ketamine had. But this discovery may mean that the drug itself has far more uses than originally thought. ... Read More The post MSM podcast Ep. 6- Ketamine appeared first on Medschoolmedic.

Today’s shorty discusses which paralytic is preferable to use for RSI? The debate has been going on in emergency medicine and anesthesia for quite some time, and the conclusion tends to boil down to provider preference. Today’s article is “Update: Does Rocuronium Create Better Intubating Conditions Than succinylcholine for Rapid Sequence Intubation?” from the May 2017 Annals of Emergency Medicine by Julie Welch ... Read More The post MSM Shorty- Rocouronium vs. Succinylcholine appeared first on Medschoolmedic.

MSM Podcast Ep. 5- Cardiac Arrest: We have no idea what we’re doing We think we know. We keep trying new techniques and using new tools and toys, and perhaps that’s our downfall. We know that mechanical CPR is, at best, a questionably effective tool. We use drugs that don’t make a lot of sense, physiologically, to give to cardiac ... Read More The post MSM Podcast Ep. 5- Cardiac Arrest: We have no idea what we’re doing appeared first on Medschoolmedic.

Push-dose medications have become anew hot-button topic in EMS over the past couple of years. But are they really that new? Push dose nitroglycerin has been in the medical literature for quite a while, specifically in 1994 there was a study that discussed the use of push-dose nitro for patient with chest pain. So what applications might push dose nitroglycerin have ... Read More The post MSM Shorty- Push dose nitroglycerin appeared first on Medschoolmedic.

One of the most frequent questions medical students get is “How did you get into medical school?” or “What can I do to get into medical school?” The reality is that there is no magic formula or silver bullet to get into medical school. Today, we’ll discuss the top undergraduate majors in the United States, and what a “good” MCAT ... Read More The post MSM Podcast Ep. 4- How do I get into medical school? appeared first on Medschoolmedic.

What are push dose pressors, and how do they work? When we have a patient who is hypotensive, either in the peri-intubation period or post-cardiac arrest, one of the primary things we need to manage is blood pressure. When a patient is hypotensive (SBP

Joining the podcast today is current second year medical student Michael Defilippo. Mike worked as a paramedic for more than four year prior to entering medical school. He joins us today with insights and recommendations for surviving the first year of medical school, as well as what it is like to move on from being a paramedic to being a ... Read More The post EMS week special- Michael Defilippo Interview appeared first on Medschoolmedic.

This is the first EMS week special episode of the medschoolmedic podcast. Today the MSM “Clinical Guy” Dan Schwester (@doctorgoodleg) joins us to discuss the future of paramedicine, and what we can do to change how we teach EMS. Dan has been a paramedic and field training officer for many years and brings a fresh new take on many clinical ... Read More The post EMS week special- Dan Schwester Interview appeared first on Medschoolmedic.

MSM Podcast Ep 003 DL and VL Show Notes In EMS medicine, the debate has begun as to whether we should use direct laryngoscopy or video laryngoscopy to secure our patient’s airways. As with many things in emerging data, the evidence is inconclusive, but is ever progressing. To begin, we must think about how good we are at intubating and ... Read More The post MSM Podcast Episode 3- Video and Direct Laryngoscopy appeared first on Medschoolmedic.

EMS is a field that tends to gravitate toward new and exciting products. One of the most prevalent fields of advancement has been CPR devices. All over the world, EMS agencies are buying these devices at a significant cost, and yet we see no appreciable improvement in outcomes. These devices make it seem like the CPR that is being delivered ... Read More The post MSM Shorty- CPR Devices appeared first on Medschoolmedic.

MSM Show Notes Ep 002 The AHCA and EMS There has been a lot of coverage and information coming out over the past couple of days regarding President Trump’s healthcare act, the American Health Car Act. This act claims to have the goals of making healthcare more affordable for more people in the United States. This claim seems to be ... Read More The post MSM Podcast Episode 2-The AHCA and EMS appeared first on Medschoolmedic.

There has been some interesting debate in the past couple weeks in the #FOAMed community about the proper sequence to deliver RSI medications. Specifically, the debate centers around whether to administer Ketamine or Rocuronium first when performing RSI. Rocuronium is a non-depopmarizing paralytic that has an onset time of approximately 60-90 seconds. Ketamine, meanwhile is a wonderful sedative that has ... Read More The post MSM Shorty- Ketamine or Rocuronium first for RSI? appeared first on Medschoolmedic.

Hey there MSMers! This is the first episode of the medschoolmedic podcast! Today’s episode discusses evidence-based medicine, what it is and why we need it. Since it’s beginning, medicine has worked under the guise of “eminence-based medicine”. This consisted of following established protocols because “it’s what we’ve always done.” Evidence-based medicine turns this though process on it’s head. Its the ... Read More The post MSM Podcast Episode 1 appeared first on Medschoolmedic.

Hey everybody! Medschoolmedic.com is coming to the airwaves! This is an introductory episode explaining what the topic of the MSM pod will be, and where we’ll go from here. Stay tuned, and see you here on Fridays for the MSM podcast! The post Podcast Introduction appeared first on Medschoolmedic.