Prehospital Pulsecheck

On this episode we welcome Denise L Moore, local author and photographer  and Denise Thompson, Resiliency Director for District 7 Fire and Rescue to discuss strategies for improving resiliency for our families and children. Denise Moore shares her recommendations for age appropriate communicate with children  regarding COVID1-9.   Denise Thompson shares tips for communicating during stressful times such as the coronavirus response.   Talking with our children and communicating with our spouses are important for everyday live but have an added emphasis during our long term support to the corona virus response.     Additional Resources: https://www.cdc.gov/coronavirus/2019-ncov/prepare/managing-stress-anxiety.html https://alamocitymoms.com/health-and-wellness/conversations-with-kids-understanding-ebola/ pbs.org/parents/thrive/how-to-talk-to-your-kids-about-coronavirus https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/talking-with-children.html https://spectrumlocalnews.com/tx/san-antonio/news/2020/03/15/texas-pastor-uses-chicken-to-explain-church-s-first-live-streaming-service#

In This podcast, Dr. Heidi Abraham discusses District 7's Operational K9 Medical Program and the impact it has for preventing unnecessary harm and further disability to injured Operational K9s with the Bexar County Sheriffs Office K9 unit. We are joined by the Texas Operational Canine Care Committee co-chairs Dr. Jeannie Clark, DVM and Rick Maricle, NRP, FP-C on this episode. The discussion details how to start an OpK9 medical program at your department by identifying needs and coordinating with appropriate Veterinarian oversight. It is noted that this podcast only highlights some practices and it is important that any OpK9 program must have veterinarian oversight. If you're interested in getting more info contact the TOCCC chairs at rmaricle@toccc.org or jclark@toccc.org.

**Correction on Push-Dose-Pressors at 04:29, the the medications used are Epinephrine, Phenylephrine, and Norepinephrine***   Dr. Manifold and Julian Maldonado discuss changes and additions to the Standard Medical Operating Procedures. Firefighter Rehab Protocol BiPAP Administration Blood Administration Push-Dose-Pressures - Norepinephrine Lorazepam dosing change Grammer and formatting corrections   Click here to download the changelog and updated pages

Dr. Craig Manifold has a discussion regarding transport to patients to freestanding emergency rooms.

Dr Manifold and Chief Clarkson discuss two recent cases and how the medic’s interactions influenced the decisions and  impacted the care provided to our patients.  We don’t’ expect every patient to transported to the hospital but there are obvious scenes where you know the patients need to be assessed and transported.  Asking the patient , “Do you want to go to the hospital?”  may not be the best question to ask.

Stephen Rahm and Dr. Heidi Abraham discuss the use of epinephrine in out-of-hospital cardiac arrest, how the findings of the PARAMEDIC-2 trial suggest that we may be giving too much too soon, and how the Office of the Medical Director revised its epinephrine dosing. 

With the recent changes in the Standard Medical Operating Procedures, Dr. Craig Manifold provides clarification and discusses changes with TXA administration in head injuries.

Dr. Craig Manifold discusses updates to the Standard Medical Operating Procedures from November 2018. * Changes to Epinephrine in OOH Cardiac Arrest * TXA in Head Trauma * and more...