resus10

What happens when the first responder to a medical emergency is not EMS? If law enforcement is first on scene, will they also be the first to arrive with the technology needed to help save a life? In this episode of resus10, Sean Graham interviews Joe Bosman, administrative operations captain for the Minnehaha County Sheriff's office in Sioux Falls, South Dakota, and member of the South Dakota Mass Fatality Response Team. Joe discusses how his team successfully implemented an AED program and ultimately supported the wider system of care for the department's rural area. Listen now to learn how Joe's office implemented a new AED program by gathering all the “puzzle pieces” together: from the right time and place to the right training and equipment. 

In the safety world, mitigating risk is only possible when you look at both the past and future simultaneously.  In this episode of resus10, Sean Graham interviews Gregg Davidson, a risk and safety manager with Global Medical Response (GMR). In his role, Gregg is responsible for maintaining an aggressive safety program that includes a multi-faceted approach through employee engagement, training and enforcement of policies and procedures. Gregg shares how GMR identified a specific need for improving stretcher safety and designed a training program to address that need while ultimately lowering their number of incidents.  

“If you don't build the relationships today, you're not gonna be prepared for the disaster tomorrow.”    In this episode of resus10, Steve Heightman interviews Carl Flores, NRP. Carl served as chief of EMS at New Orleans EMS to help rebuild the organization after Hurricane Katrina in 2005, where he was tasked with building a more sustainable organization in New Orleans and regionally.   He shares how his team implemented a Region One Protocol Effort to shift the department from its silos to a statewide system of care approach, ultimately improving their responses to disasters, acute illness and traumatic injuries. 

The saying might be “one patient, one outcome” – but in reality, patients often pass through two very different worlds on their journey with EMS and hospital teams. What potential opportunities could come from bringing those two teams together from a medical education perspective?    In this episode of resus10, Sean Graham explores education in both hospital and pre-hospital environments. He's joined again by Janese Nichols, director of nursing education and quality at Unity Healthcare, and Michele Burkhammer, EMS nurse clinician at Montgomery County Fire and Rescue in Maryland.    They discuss how their respective environments each feature unique challenges and strengths, and how combining their experiences might create even more opportunities for learning and improvement. 

Capnography provides an objective tool for assessing respiratory status and is one of the most reliable methods in confirming, monitoring and documenting ET tube placement.   In this episode of resus10, Sean Graham interviews Janese Nichols, director of nursing education and quality at Unity Healthcare. She previously served as director of education and professional development at Fort Washington Medical Center and has facilitated teamwork throughout her career to improve patient outcomes.   Janese shares her experience with implementing capnography with her hospital's team, including how she fostered employment of this technology and overcame barriers with adoption. 

Sometimes the most obvious sign of an efficient code is found in a quiet room.     In this episode of resus10, Sean Graham interviews Tamara Stern, MS, RN, CCRN, ACCNS-AG, and Lisa Owen, MS, RN, CCRN, ACCNS-AG, both clinical nurse specialists from the University of Rochester Medical Center in Rochester, New York. Tamara and Lisa discuss how their team has used the LUCAS chest compression system to quiet their codes, streamline their team and allow each responder to focus on their role of providing the best care possible.   They also discuss the wide range of applications for mechanical CPR, from transport and the ED to the cath lab, and how their team reduced their average ECMO application time from an hour to less than 15 minutes. 

When it comes to systematic improvements, starting small can lead to big results.    In this episode of resus10, Sean Graham interviews Dr. Catherine Counts, acting instructor for the department of emergency medicine at the University of Washington and research and quality improvement manager for Seattle Fire Medic One.   Catherine shares how her team uses comprehensive data along with a narrow focus to guide their improvement initiatives, the dangers of Shiny Object Syndrome and why “QA” should probably be eliminated from clinicians' vocabularies.   

The right metrics and constructive conversations can make a major difference for any department operating on any budget.    In this episode of resus10, Sean Graham interviews Scott Wiebe, EMS shift supervisor for Lincoln Fire-Rescue, member of the Nebraska Board of EMS, guest lecturer at the Union College Physician Assistant Program and consultant for Stryker.   Scott shares how his department narrows its focus on specific markers to drive improvement and how they use that data as a positive feedback tool with their crews. 

In stressful situations, our brains don't always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care.   In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.   Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress. 

In stressful situations, our brains don't always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care.    In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.   Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress. 

Gathering data is step 1. But how do you bridge the gap between analyzing that data and implementing improvements?    In this episode of resus10, Sean Graham interviews Dr. Andy McCoy, the first graduate of the University of Washington EMS Fellowship, medical director for AMR Puget Sound and Shoreline Fire Department, and assistant program director for the EMS fellowship at the University of Washington.    Andy shares how his team analyzed data in a systematic way to pinpoint opportunities for improvement in airway management, prioritized and communicated solutions to those challenges, and ultimately changed behavior in a meaningful way to positively impact patient outcomes.

With a mission to raise awareness and support programs that give ordinary people the power to save lives, the Sudden Cardiac Arrest Foundation focuses on stimulating attitudinal and behavioral changes through community outreach, education and research.   In this episode, Sean Graham interviews Mary Newman, cofounder and president/CEO of the Sudden Cardiac Arrest Foundation. Previously, she served as executive director of the National Center for Early Defibrillation at the University of Pittsburgh and as faculty in its department of emergency medicine.     Mary shares insights into the foundation's groundbreaking research and how clinicians including physicians, nurses and paramedics can become more involved in supporting their mission to save lives.  

What does it take to turn an idea into an innovation that can be used by emergency caregivers to help patients?    In this episode of resus10, Sean Graham interviews Kathryn Janecke, senior director of regulatory, quality and clinical affairs for Stryker's Emergency Care business unit. With a background in biochemistry, Kathryn has spent 20 years in the medical device industry, having worked on in vitro diagnostics, hematology, audiology and cardiology devices.    Kathryn discusses the often-complex journey a medical device must complete to be brought to market and how different regulatory pathways and environments help maintain a high standard of quality for these potentially lifesaving devices.  

As the healthcare environment is continuously evolving, how are medical technologies keeping pace with the need for constant innovation?    In this episode of resus10, Sean Graham interviews Kiran Mahadik, director of upstream marketing for data solutions for Stryker's Emergency Care business unit and a board member of the Sepsis Alliance. As a healthcare technology leader, Kiran is a former management consultant with over 20 years of experience in technology strategy, portfolio management and platform delivery.   Kiran takes Sean behind the scenes of the innovation process at Stryker, including a closer look at the nuances, challenges and opportunities surrounding the development of data solutions in the medical device space. 

See one, do one, teach one: How do you transfer this seemingly simple and effective teaching strategy to the virtual classroom?   In this episode, Sean Graham interviews Chandra VanPaepeghem, a critical care nurse and the critical care educator at Capital Medical Center in Olympia, Wash. Chandra has more than 25 years of experience in various aspects of in-patient hospital nursing, including direct care for unstable patients and handling medical emergencies such as cardiac arrest.   Chandra shares how her education department is tackling new challenges in this year's unprecedented learning environment – and how technology and teamwork are making all the difference.

With so many Continuing Education classrooms moving online, it's never been more important to become an effective self-directed learner.   In this episode, Sean Graham interviews Dr. Maia Dorsett, an EM and EMS physician at the University of Rochester Medical Center in New York. Dr. Dorsett focuses on EMS education and quality improvement initiatives aimed at encouraging patient-centered care, both outside and inside the hospital.   Dr. Dorsett explains the value of self-evaluation, deliberate practice and how even mistakes and vulnerabilities can help learners unlock higher potential.  

When it comes to data, numbers only tell part of the story. In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Bridgid Joseph, program director for emergency cardiovascular care at Beth Israel Deaconess Medical Center in Boston, and director of simulation education for the department of nursing at the Carl J. Shapiro Simulation and Skills Center. Dr. Joseph shares how her team used data to uncover specific challenges and opportunities for improving resuscitations, and how she used that information to guide simulations and trainings at her medical center. 

If you don't measure it, you can't improve it.   Lincoln Fire-Rescue believes in the importance of metrics – especially considering they were able to more than double their witnessed VF-arrest survival rate from 23% to nearly 55%.   In this episode of resus10, Sean Graham interviews Scott Wiebe, EMS shift supervisor for Lincoln Fire-Rescue, member of the Nebraska Board of EMS, guest lecturer at the Union College Physician Assistant Program, and consultant for Stryker. Scott shares his department's secret to improving their cardiac arrest survival rates. (Hint: It involved a system-of-care approach including actionable data, clear coordination and communication, and mechanical CPR.) 

As a Level 1 trauma center, UChicago Medicine sees its fair share of sudden cardiac arrest patients – including in the cath lab, where the challenge of providing high quality chest compressions can be difficult to say the least.  In this episode of resus10, Sean Graham interviews Dr. Atman Shah, the clinical director for the section of cardiology, co-director of the cardiac catheterization laboratory and associate professor of medicine at the University of Chicago Medicine. Dr. Shah discusses how his team uses mechanical CPR with the LUCAS chest compression system to provide high quality patient care, protect his resuscitators and how this technology has become implemented beyond his cath lab.   

How can your ECG reports be correct 98.5% of the time but still guide false cath lab activation 60% of the time? What's the difference between specificity and positive predictive value and why does that matter? How can facts about ECGs be true and contradictory all at the same time?   In this episode, Sean Graham interviews Tim Phalen, paramedic clinical educator and author of The 12-Lead ECG in Acute Coronary Syndromes.   Sean and Tim discuss common myths about ECGs, how ECGs can augment an emergency caregiver's decision-making, and more insights on implementing ECG technology in the field.   This is part 2 of a three-part series on ECGs. 

Let's take an in-depth look at the clinical context surrounding ECGs. In this episode, Sean Graham interviews Blaine Krusor, who has spent the last 20 years focused on emergency medicine and the science that drives it. Currently one of Stryker's clinical experts, Blaine began his career as a hospital cardiac RN and a CCU/ICU RN. He also holds multiple device patents in the areas of defibrillation and electrocardiography.  Sean and Blaine discuss areas of 12-lead interpretation, including the Sgarbossa criteria and how clinicians can better utilize the 12-lead tool for improving diagnoses for acute coronary syndrome patients. This is part 1 of a three-part series on ECGs.

What would happen if personalized care was the standard of care?   In this episode, Nicole Kupchik interviews Dr. Ben Abella, director of the Center for Resuscitation Science, professor of emergency medicine for the University of Pennsylvania, and chair for the American Heart Association Resuscitation Science Symposium.   They discuss transesophageal echocardiography (TEE), including the emergent use of this technology to improve cardiac arrest care, its potential to provide clinicians the opportunity to tailor care to patients, and what needs to be done if this personalized care is to become a standard of care.

Until recently, pauses during CPR have been necessary when using an AED.   We also know that it is critical to provide as much continuous CPR as possible throughout a resuscitation for the best chance of survival. Conventional AEDs must suspend chest compressions for at least 10 seconds in order to perform rhythm analysis free of ECG artifact.   So how can you get more CPR time if you are following the prompts of an AED?   In this episode of resus10, Sean Graham interviews Dr. Fred Chapman, director of research for Stryker's Emergency Care business, on how an innovative algorithm called cprINSIGHT Analysis Technology challenges the status quo and helps save lives.

Get ready for a master class in advanced airway management. In this episode of resus10, Sean Graham interviews Dr. Mike Levy, medical director for Anchorage Fire and the state of Alaska, and chief medical advisor for Stryker. Sean and Dr. Levy discuss tools and techniques for airway management, and the evolving complexities and variabilities of providing advanced airway management in EMS.

In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Ali Haider on cardiogenic shock. Nicole and Dr. Haider, an interventional cardiologist, discuss managing cardiogenic shock, and the tools and resources needed to support these patients.

From TAVR to STEMI, everything in the cath lab is on the table today. In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Ali Haider about current and emerging procedures in the cath lab. Nicole and Dr. Haider, an interventional cardiologist, discuss a range of practices representing the current state of the science in interventional cardiac care.

Also known as the popular "yourheartdoc" on Instagram, Dr. Ali Haider understands the importance of treating the patient – not just the labs. As an interventional cardiologist, he has used the latest technologies to navigate the most puzzling patients, from complicated cath lab cases to outliers lacking obvious risks. In this episode, Nicole Kupchik, MN, RN, CCNS, and Dr. Haider discuss the power and potential of medical information in a social media world.

During the COVID-19 pandemic, how can you resuscitate a patient in cardiac arrest while minimizing personal exposure and maximizing team effectiveness? Join Nicole Kupchik, MN, RN, CCNS, as she shares information to help emergency response teams during this unprecedented time, including logistical consideration of team response, safety during intubation and modifications to consider for resuscitation.

Diving into data – Sean Graham meets with Jimmy Brothers, assistant chief of EMS for Howard County Fire and Rescue in Maryland. They discuss using data collection to drive decision making, including how Howard County has developed a robust data collection methodology to impact clinical practice and training.

Emergency caregivers in the small town of Nikisiki, Alaska are using technology to face major challenges. In this episode of resus10, Sean Graham interviews Harrison Deveer, senior captain at Nikiski Fire Department, vice president of Kenai Peninsula Emergency Services, and member of the board of directors for the Southern Region EMS Council. They discuss the unique experience of EMS in Alaska, including Nikisiki's use of point-of-care testing for the purpose of improving decision making.

Bias is a tricky thing – in order to address it, you must first recognize how and why it exists. When it comes to resuscitation time bias, these answers might be more challenging than you expect. In this episode of resus10, Sean Graham joins the podcast and interviews Fred Chapman, director of research, Stryker Emergency Care. Fred explains how researchers studying certain aspects of resuscitation might not be gaining a full picture, and why their observations might be impacted by resuscitation time bias. What's the fallout from being fooled by this bias? Listen now to find out.

From working in law enforcement to EMS to the cardiac surgical ICU, Mike McEvoy's career has spanned the gauntlet of emergency provider professions. He sits down with Nicole Kupchik, MN, RN, CCNS, to discuss his experiences in critical care and the goals for his new role as executive editor of JEMS Magazine.

Recorded live on the NTI show room floor, resus10 explores the hottest topics facing today's EMS and hospital professionals. In this episode, Nicole Kupchik, MN, RN, CCNS interviews Mike McEvoy, PhD, NRP, RN, CCRN, staff nurse at Albany Medical Center, EMS coordinator for Saratoga County, New York and a paramedic supervisor with Clifton Park and Halfmoon Ambulance. Mike is also the newly-appointed executive editor for JEMS magazine. They discuss the latest news for EMS and in-hospital resuscitation, from clinical topics like airway management and emergency medicine to the importance of retaining high-quality providers.

A recent hot topic in emergency medicine is the tube debate – should you pause CPR to place an endotracheal tube, or should you instead focus first on high-performance CPR and defibrillation? In this episode, Nicole Kupchik, MN, RN, CCNS interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director of AMR Buffalo. Nicole and Dr. Clemency discuss the results of three recent major studies on emergency airway management and they debate that one gold standard for cardiac arrest response traditionally has been the insertion of advanced airways – but is that still the case today?

Opioid overdose leading to respiratory arrest is becoming more frequent in communities across the United States. These cardiac arrests present unique challenges with many variables – whether it's the well-intentioned bystander administering an incorrect NARCAN dose, or patients arriving at the ED with mysterious arrest experiences. In today's episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director for Buffalo AMR. They discuss how critical care teams in Buffalo are responding to these unique patients and helping ensure they receive the best possible care.

Sometimes the most difficult question is the simplest: when do you leave? For EMS teams responding to sudden cardiac arrest patients, this question is more nuanced than it looks. How long should first responders stay on scene and attempt resuscitation? Should you continue CPR and lifesaving efforts in the field, or should you transport to the nearest hospital as quickly as possible? In today's episode, Nicole Kupchik interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director for Buffalo AMR. They discuss the great debate – do you scoop and run? Or do you stay and play?

When deciding whether to send a cardiac arrest patient to the cath lab, is it a question of the right timing or the right patient?  In today's episode, Nicole interviews Dr. David Gaieski, Professor of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University, Vice Chair for Resuscitation Services and Director of Emergency-Critical Care. They discuss a recent study – the first of its kind – that focused on a randomized trial of immediate cardiac catheterization in post-arrest patients without ST elevation versus delayed cardiac catheterization during hospitalization.

At 27 years old, Scott Nevers was already in a fight for his life after suffering sudden cardiac arrest. It would take an entire system of care to save him – from bystanders calling for help and an EMS team who refused to give up, to more than 20 shocks from an AED and excellent post-arrest care at his local hospital.  Nicole Kupchik, MN, RN, recently spoke with Scott and the EMS team who helped save his life, which included Biddeford Fire Department deputy chief Kevin Duross, firefighter/paramedic Rob Mertz, and training educator Tim Sevigny.

Sometimes an outside view sees the biggest picture. In this episode, Nicole Kupchik, MN, RN, interviews Dr. Dan Rolston and Dr. Timmy Li from Northwell Health, New York state's largest healthcare provider. They discuss how their emergency department uses video recordings, data, and the LUCAS chest compression system to increase efficiencies and improve resuscitations at their facility.

We'll admit it – documentation is rarely a caregiver's favorite part of their job. In this episode, Nicole Kupchik, MN, RN, interviews Bridgid Joseph, program director for the Emergency Cardiovascular Care Center at Beth Israel Deaconess Medical Center in Boston. Recorded live on the NTI 2018 exhibits show floor, they discuss how Bridgid's team uses technology from the American Heart Association and CODE-STAT data review software to solve many common documentation challenges.

When it comes to scientific revolutions in valve technology, you might say this procedure is leading the charge: TAVR, a minimally invasive procedure that repairs the aortic valve without removing the old damaged valve.

Recorded live on the NTI 2018 exhibits show floor, Nicole discusses the anatomy of a resuscitation with clinical nurse specialist Chris Laux – and how planning, coordination and training can make all the difference.

From the cover of Newsweek to resus10, Brian Duffield is sharing his story of sudden cardiac arrest survival. Brian was only 40 when he suffered cardiac arrest, but is alive today thanks to a system of care that included bystander CPR, a nearby AED, and professional medical response.

“Once you get out of nursing school, that's just the beginning.”  In this episode, Nicole Kupchik, MN, RN, interviews Dr. Beth Mancini, Senior Associate Dean for Education Innovation at The University of Texas at Arlington College of Nursing and Health Innovation. They discussed the importance of education and simulation, and how shorter but more frequent trainings might help nurses keep their skills sharp. They also talked about the launch of the American Heart Association Resuscitation Quality Improvement (RQI) Program.

From every five years to every day: resus10 is taking you behind the latest process for updating the American Heart Association Guidelines. In this episode, Nicole Kupchik, MN, RN, interviews Dr. Karl Kern, professor of medicine of the Division of Cardiology and co-director of the Sarver Heart Center at the University of Arizona, and Gordon A. Ewy, MD, Distinguished Endowed Chair of Cardiovascular Medicine.

In this episode, Nicole Kupchik, MN, RN, interviews Dr. Demetri Yannopoulos, professor of medicine and emergency medicine at the University of Minnesota, the Robert Eddy endowed chair in cardiovascular resuscitation, and medical director of the Minnesota Resuscitation Consortium.

Is it true that hindsight is 20/20? In this episode, Nicole Kupchik, MN, RN, interviews Dr. Heather Wolfe, Assistant Professor of Anesthesia and Critical Care Medicine at the Children's Hospital of Philadelphia. They discuss her team's study on post-event debriefings, how cold debriefings can make a lifesaving difference, and how her team has been able to sustain a successful debriefing program for more than seven years.

How cool is too cool? How fast is too fast? In this episode, Nicole Kupchik, MN, RN, interviews Dr. Ben Abella, Director of the Center for Resuscitation Science and Vice Chair of the Department of Emergency Medicine at the University of Pennsylvania. Dr. Abella discusses post-cardiac arrest care, specifically how targeted temperature management can be deployed to help sudden cardiac arrest patients.

The smallest patients can be the biggest fighters. In this episode, Nicole Kupchik, MN, RN, interviews Dr. Vinay Nadkarni, a pediatric physician at Children's Hospital of Philadelphia and endowed chair professor of the Department of Anesthesiology and Critical Care Medicine, medical director at CHOP for the Center of Simulation Advanced Education and Innovation, and associate director at the University of Pennsylvania Center for Resuscitation Science. 

Nicole Kupchik, MN, RN, interviews Janese Nichols, MSN, RN, clinical educator at Fort Washington Medical Center in Fort Washington, Maryland. In this special interview held on the ENA 2017 exhibit floor, Janese discusses how her team uses data to analyze the entire patient story from collapse and resuscitation to the ultimate level of success – neurologically intact discharge.

Nicole Kupchik, MN, RN, interviews Dr. Dana Edelson who works with the University of Chicago as a hospitalist and is the founder and CEO of Quant HC. Dr. Edelson discusses the importance of patient-driven and data-driven medicine and her work regarding CPR quality – including how her team addressed the “pause problem” and lowered their median CPR pause to less than 2 seconds.