The RSI Podcast

After a longer than expected break, Mike is joined live in the studio by Brian Cress.  Brian is one of the newest addition to the FOAMfrat Team of educators.  He is a paramedic turned perfusionist and was a real treat to get to know him better.   Get your questions in now for the next episode of the podcast CLICK HERE to submit now!   CLICK HERE to watch us on YouTube for the first time on our new channel.  Don't forget to like and subscribe!

Happy Thanksgiving from the the FOAMfrat team.  This is a special release for the holiday from the RSIPodcast.  Mike recently had a successful deer hunt and in the spirit of ethical hunting the heart was taken to the fire station for a dissection to allow it to have an educational value.   The vidoe of the dissection is posted to YouTube CLICK HERE to watch it now!   If this is your first experience with the RSIPodcast, this is your opportunity to design your own podcast.  We take your questions about ANYTHING and answer them.  You can easily submit a question, just CLICK HERE   We can't wait to hear from you!   Happy Thanksgiving   Jared & Mike

Jared and Mike walk through a tough peri-intubation collapse case sent in by a listener.  We hope you enjoy the insights and are very appreciative of the listener that sent very in depth case details.  Don't miss the blog for this one as it has the complete case with ECGs.  CLICK HERE to go to the blog.   Get your questions in for the next episode CLICK HERE to submit   CLICK HERE to watch the episode on YouTube      

Jared and Mike welcome Dr. Bram Duffee to discuss his thoughts on communication in EMS as well as some a recent book and study release of his.     Get your questions in now for the next episode CLICK HERE to submit   CLICK HERE to watch us on YouTube    

Jared and Mike are back and catch you up on what they've been up to.  We also answer your questions on finger thoracostomy and medicating intubated patients.     Get your questions in now for the next episode CLICK HERE   You can also find us on YouTube

Join Mike as we get to know Shay Montgomery.  Learn about her interests, passions, and lessons learned from a recent interesting shift.  Mike and Jared will be back in the usual format for the next episode.   Get your questions in for the next episode CLICK HERE  

In this episode Mike sits down with a law enforcement officer to discuss body cams released from an incident in Ilinois that resulted in two EMTs being charged with murder.  Be sure to catch this episode in video format on YouTube CLICK HERE to go to the YouTube channel now.    Get your questions in for the next episode CLICK HERE to submit now!

Just Jared and Mike for this episode but will have a surprise guest for the next episode.  Get your questions in now!   CLICK HERE to submit your question   Be sure to check out the blog for more information on this episode.  CLICK HERE for the blog   1) Ever since the Damar Hamlin incident I have had a lot of people ask about commotio cordis. I was wondering if you could provide a simple explanation of this?   2) I see a lot of other prehospital providers posting what seems to be opposition to the Bills/Bengals game being stopped when they are expected to just keep going after tough calls. Some similar posts also call out the huge pay discrepancies between the players and the medical support staff. What are your thoughts?   CLICK HERE to watch us on YouTube

Jared and Mike are again joined by Jake to tackle more of your questions.  Get your questions in for the next episode now!   CLICK HERE to submit your question now!   Be sure to check out the blog for this episode for full length questions and a contest to win some FOAMfrat swag!  CLICK HERE to go to the blog now   1)  Can you guys weigh in on the recent data regarding dual sequential defib?   2)  I am struggling with my current fire academy and considering quitting?   3)  Can you discuss an interesting case regarding non-truamatic spinal shock (full text in the blog)?     CLICK HERE to Watch us on YouTube

Jake is welcomed back to discuss a time when everything didn't go right.  We discuss the provider mental model related to this.  Get your questions in now for the next episode!   CLICK HERE to submit your question now!   You can find more information in the blog for this episode.  CLICK HERE for the blog!   CLICK HERE to watch us on YouTube

Enjoy Jared's EKG Clinic!  We can't wait to hear from you and are already planning our next podcast.  Get your questions in now!   CLICK HERE to submit your question now!   1) Interested to hear your thoughts on the new ACC/AHA Guidelines?   2) Would you consider purposefully right mainstemming an ET tube in the presence of left lung injury?   You can find full length questions and all the promised resources in the blog for this podcast.  CLICK HERE for the blog

Hope you enjoy Episode 31.  Get your questions in now for the next episode!   CLICK HERE to submit your question now!   1)  How can I address an underperforming employee?   2)  I recently had another responder take issue with an albuterol treatment given to a CHF patient.  What are your thoughts?   3)  Opinion on timing and use of TXA in traumatic arrest resuscitation?   You can find more full length questions in the blog for this episode CLICK HERE   You can also watch us on YouTube  CLICK HERE

Welcome back!  No special guest this time, but we have more coming!  Get your questions in now for the next episode.   CLICK HERE to submit a question now!   1)  Please share more on ventilation of asthmatics   2)  Thoughts on CCR vs CPR   3)  I want POC labs and am getting pushback.  What do you think   You can find more in depth information in the blog for this episode   CLICK HERE to watch us on YouTube

Happy Father's Day!  We hope you enjoy meeting Shane and getting your questions answered.  Please get your questions in now for the next episode.   CLICK HERE to submit now!   1) Managing pediatric asthmatics on the vent   2) Thoughts on pediatric airways   3) What kind of EDC (everyday carry) medical gear do you carry   You can find more in depth information in the blog for the episode CLICK HERE   CLICK HERE to watch us on YouTube

Welcome back and happy Memorial Day.  We are thankful for all those who made the ultimate sacrifice for each of us.  In this episode you will get to know FOAMfrat's own Austin Brook.   CLICK HERE to submit your question now for the next episode!   1) Answers to ventilator strategy?   2) Should I stop my amiodarone infusion?   3) How do I get my co-workers to embrace checklists?   CLICK HERE to watch us on YouTube   CLICK HERE for the blog with full questions and more!

Welcome back to episode 27!  We are excited to sit down with the FOAMfrat medical director, Dr. Cynthia Griffin.  We are looking forward to more of your questions.  Plenty of exciting guests coming up, so get them in now CLICK HERE to submit your question now! 1) Do we need POCUS to stop PEA arrest resus? 2) Considerations for heart transplant transports? 3) ApOx and ventilation You can find full versions of the questions and more in depth information in the blog for the episode CLICK HERE CLICK HERE to watch us on YouTube  

Welcome back to episode 26 and get to know Paul Turnquist.   We are always ready to hear from you.  This is your chance to design your own podcast.  CLICK HERE to submit your question now!  Next guest will be Dr. Cynthia Griffin 1) Got any tips for limited resource RSI? 2) Thoughts on future of EMS continuing education? 3) CCT logistics pointers? 4) Do I stop or go when driving by a car crash? You can find full versions of the questions and a new custom graphic from Paul in the blog for this episode CLICK HERE You can also watch the episode on CLICK HERE

Welcome back to episode 25.  We have some exciting guests coming up so stay tuned! This is your chance to design your own podcast.  CLICK HERE to submit your question now. 1) Emergent vs Non-emergent responses? 2) How to improve radio communications? 3) How do you preox? 4) Culture vs career growth.  How do you decide? Full versions of questions and more found in the blog for this episode CLICK HERE You can watch us on YouTube CLICK HERE

Welcome back to Episode 24.  We hope that you enjoy getting to meet Jay Nance!   We are always ready to hear from you.  This is your opportunity to design your own podcast!  CLICK HERE to submit your question now!   1) Transport destination considerations for transplant patients   2) How do you learn complex subjects?   3) Getting ready to graduate paramedic school and wondering where to start working?   You can find full versions of the questions and more in the blog for this episode CLICK HERE   You can also watch the episode on YouTube

Jared and Mike are joined in the studio by fellow team member Brittany Grandfield.  You've read her blogs, now get to know her better.  As always, we are ready for your questions.  Ask us anything!!   CLICK HERE to submit your question for the next episode   You can also watch the episode with video on YouTube   1) Dopamine with right ventricular MI?   2) Thoughts on the Kyle Rittenhouse verdict    3) What is EMS like where you are at?   4) Please share a funny or embarrassing moment from a call   There is a blog with this episode as well.  Check it out while you're looking over the FOAMfrat website CLICK HERE

Jared and mike are back with a Fall Old Fashioned recipe and answer your questions. CLICK HERE for the blog with recipe and more!!   CLICK HERE to submit your questions now!   1) Thoughts on sedation during mechanical CPR?   2) CCP-C or FP-C what are your thoughts on advanced certifications?   CLICK HERE to watch us on YouTube    

Mike is joined by FOAMfrat's own Brian King to field your most recent questions.     Please get your questions in now for the next episode.  Ask us anything! CLICK HERE to submit your question now!   1)  How do I get a strong start in a new orientation?   2)  How do you measure experience?   3)  What do you do in your spare time?   4)  COVID from pandemic to endemic - thoughts?   You can also see this on YouTube CLICK HERE to watch!   We can't wait to hear from you.

Jared and Mike are back again with your questions and joined by fellow FOAMfrat team member Austin Quillet.   We are always excited to hear from the listeners and will be recording our next episode with Brittany Grandfield very soon.  Get your questions in now for the next episode. CLICK HERE to submit your question now.   Find full length questions, links to additional information, and much more by checking out the blog with this podcast.  Just CLICK HERE   1)  Getting burned out?  Get past that "bump"   2)  Does flow have a place in medicine?   3)  pH and ECMO?   4)  What book are you reading?   Very exciting news on expanded offerings and capabilities coming from FOAMfrat! CLICK HERE for the 2021 update

Again with overwhelming listener response we are back with more of your questions.  This episode is just Jared and I.  Next guests include Austin "Dale" Quillet and Brittany Grandfield.   Get your questions in now for upcoming episodes.  You ask, we answer!  It's just that easy.  If there is someone you'd like to hear from on the podcast with us feel free to let us know.  Just CLICK HERE to reach us now.   Episode Questions   1)  How do you suggest sedating the mechanically ventilated patient?   2)  Should RSI (not this podcast) be added to the paramedic curriculum?   3)  SGA or ETT in cardiac arrest?  Thoughts?   We can't wait to hear from you!  Austin will be on with us next topics to include human performance and ECMO, among others. If you have questions for him get them in now.    

Listener responses came through with some great questions for this episode and you get to meet Tony Henry!  Get your questions in now for the next episode CLICK HERE which will feature Brittany Grandfield.  You love her blogs, now it's time to find out how she makes them so fun.  Don't miss it.     Here are the questions for this episode.  You can also watch the episode on YouTube, just CLICK HERE   1) Should EMS become civil service like police/fire?   2) Other than IBSC offerings, what should I take to advance?   3) What are some tips for a new preceptor?   4) How do you recommend debriefings be conducted?   Have more questions CLICK HERE or email us at RSIPodcast@FOAMfrat.com

    1)  Thoughts on intubation of airway burns     3)  Does your nurse partner need to know the vent?     We are humbled and excited by all the attention this podcast is getting.  That is all thanks to the listeners and we thank you.  Please spread the word!  Talk to you soon

Thanks for joining us for Episode 16 featuring Jake Good.  Jake is the producer of Good Reads, a part of the FOAMfrat family.  Check them out here.  He contributes regularly as an educator and blog writer as well.  This one is a little longer but when you're listening to Jake time flies!!  Learn more about Jake on this podcast!   Good Reads - Click Here   1.  Can you explain the occlusive myocardial infarction concept and what are some quick/easy ways to up my EKG interpretation game?   2.  I recently had a complex pediatric asthmatic case and wondered your opinion on carrying all sizes together or having a specific pediatric bag?   3.  I found my student sleeping in a recliner.  Should I be upset?   4.  My state is constantly looking at taking rapid sequence intubation away from prehospital providers.  What are your thoughts?   Get your questions in now for the next podcast! CLICK HERE!   Or via email RSIPodcast@FOAMfrat.com  

Please enjoy Episode 15.     Getting ready to record our next episode with Jake Good.  Get your questions in now!!   CLICK HERE to submit your question now!   1.  When should pressors be started?   2.  Do you always copy the facilities vent settings?   3.  Adjustments with the T1   4.  What do you think of Simone Biles' decision not to compete in the Olympics?   We are looking forward to hearing from you.  Design your own podcast next by sending us your questions today!

Great episode with Tom!  He will definitely be back.   CLICK HERE to submit your questions for the next episode   You can also email us at RSIPodcast@FOAMfrat.com   1) My question is for Tom, but Jared and Mike please feel free to weigh in. First off, congratulations on your retirement! I have been a paramedic for a while and did not learn 12 lead EKG interpretation during my initial training. I feel like I have a good ability to identify the obvious STEMI findings in a 12 lead like 2 contiguous leads and reciprocal changes. My question is, to build my abilities past this basic understanding what are 3 easy things that I could start adding that might help me to identify high risk patients. I am looking for a good place to start advancing and am not sure where to start.   CLICK HERE for Tom's YouTube Channel   2) What is one thing you would tell your rookie self if you had the chance?   3) What do you guys find to be the most important part of an RSI (not Rapid Sequence Interrogation)?   Jared's most recent blog on PreOx   4)  I have taken the time to hone my ECG interpretation skills beyond what I think most paramedics would find rational.  Do you think having an advanced level of ECG interpretation is a "waste of time"?  Why or why not?   5)  Public safety careers are so rewarding that it sometimes seems as though people get to the point that they hate it in order to retire.  What was your experience and what advice do you have for people getting ready to take this step?   We really appreciate your support and participation.  Get your questions in now.  We are looking forward to hearing from you.   Jared & Mike

Get your questions in now for our next episode with Tom Bouthillet!     https://www.foamfrat.com/RSI   You can also email us at RSIPodcast@FOAMfrat.com   What is the difference between CMV and SIMV? Click here for Jared's Blog on CMV vs SIMV   Suggestions on dealing with toxic individuals?   When should I say no? Like, when not to act and sit on my hands. Sometimes it seems that's the hardest thing to do.    What does “expected clinical course” mean to you when it comes to indications for intubation?    We are anxiously awaiting your questions.  Get them in now!  If there are other guests you would like to hear on the podcast let us know!

Mike and Jared are back for episode 12.  Please get your questions in now for the next episode.   To submit CLICK HERE!   You can email us at RSIPodcast@FOAMfrat.com   1) My department has reassigned all front line personnel randomly in hopes of uniting direction for the shifts.  Thoughts on this strategy versus concentrating on moving leaders for desired effect?   2) Do you guys feel like COVID has improved your personal connections?   3) Worked a scene of a head injured motorcycle rider who we proceeded with RSI. The paralytic didn't take effect.  What's your next move?   4) Have any recommendations on critical care courses?   Please get your questions in now. You get to design your own podcast!   While you are at the site take a look at the refresher.  New content is constantly being added. CLICK HERE to sign up now.  

To submit questions please Click Here   This episode's questions:   1. I've recently moved to a new station and my normal transport time has gone from a minimum of 20-30 minutes to the hospital, down to 5-10 minutes maybe 30 if we go to the city. How do you differentiate what needs to be done on scene as opposed to just loading and getting to the hospital in situations where your transports are so short?  Article on Philadelphia Police transport of penetrating trauma   2. Has the word “uncomfortable” become a way to escape things we don't want to do?   3. What do you look for in a new employee?   4. Unless needed for a paramedic course, are paramedic textbooks a thing of the past given the availability of information online?   Please check out my most recent blog Click Here   If you are ready to register for the FOAMfrat Refresher Click Here  

We hope that you enjoy this episode.  We took three of your questions submitted and had our panel of women answer them.  The questions listed below will be answered and the first person to respond is indicated next to the question in the event you don't recognize the voices! Please feel free to submit any follow-up questions you might have on this or any subject to RSIPodcast@FOAMFrat.com How do you feel women have made a positive impact and contribution to healthcare and EMS as a career?     Cynthia Griffin What advice do you have for women in EMS that want to pursue being educators?  Ginger Locke Unfortunately numerous women have been victims of harassment. How has this effected you and what response do you credit for your success in managing it?  Natalie Zink X Teams The Second Sex

Your questions answered today: I would love to hear you guys kick around utilization of HEMS, more specific over utilization. Potential areas including requests from ground EMS and inter facility alike. Some areas of frequent discussion include occasions of overflying capable facilities to honor the request of a sending hospital.  I'm a paramedic student 6 months away from graduating and taking my NREMT. I have a passion for learning but also teaching and helping other students. In our systems we do a full semester of preceptorship rides for 275 hours. My question for you all is: How long if any time should someone need to be a paramedic in the field before taking in a student for preceptorship for 275 hours? What non medical podcasts or books even do you guys tune in to or read?  The Joe Rogan Experience Cleared Hot Podcast The Art of Impossible Flow The Masterclass We will have a webpage launching soon.  Look for an announcement on our special episode to come next.  Finally into double digits!  Will be celebrating with some great guests! You can reach us at RSIPodcast@FOAMFrat.com  

Mike and Jared sit down with Dr. Jim DuCanto to answer your questions.  Get questions or requests for future guests in now!   RSIPodcast@FOAMfrat.com 1) How did rapid sequence induction start? 2) What would you do if you weren't in medicine? 3) What is the difference between the Hi-D and DuCanto suction catheters? 4) What do you think EMS will look like in 3 years? Link to paper Dr. DuCanto referenced in Question 1 - Great Read  

Join Mike as we get to know Jace Mullen, another FOAMfrat educator.  As always we answer some questions from listeners. What are your opinions on single vs dual paramedic deployment models? How does skill dilution weigh in? How about hospital vs private? What do you do to relax during off time? What do you think of the recent incident in DC? Get your questions in now for the next podcast RSIPodcast@foamfrat.com  Our next guest will be Dr. Jim DuCanto.  He's excited to answer your questions.

Mike and Tom answer listener questions on vaccines.  Includes an invite for free attendance at an upcoming FOAMfrat live class.  Act now! Did you guys get the vaccine?  Why or why not? How do genetic vaccines work? How long before we are back to normal? Will be recording another episode soon with another member of the FOAMfrat team.  Get your questions in now! RSIPodcast@foamfrat.com    

Episode 6 recording next week!  Email us at RSIPodcast@foamfrat.com now to get your questions in. Contents of this podcast include: Should CCT services be required to have medical direction from both emergency medicine and critical care? How do we know we are keeping with the times? What advice do you have for new critical care providers? Would increasing prevalence of IFR programs help change the HAA accident rate?  (If you don't know what these terms mean, we explain them!) Be sure to tune in until the end, we included some outtakes for your entertainment.  More of those will come with every episode.  Stay safe and Happy Holidays! Jared & Mike

1.  Are formal critical care courses necessary? 2.  Should nitroglycerin be used in right ventricular MI? Have fun going down the wormhole of information on this one! https://pubmed.ncbi.nlm.nih.gov/26024432/ 3.  Does an educator need to still be working in the field in order to maintain credibility amongst their peers? If not, how long is an appropriate amount of time before “hanging up your hat” and just teaching? 4.  How do you cause change? Mike's favorite question yet! 5.  If there was one area, clinical or non-clinical, that doesn't get enough attention or training what is it and why is it important? Please get your questions in now for Episode 5! RSIPodcast@foamfrat.com  

Please get your questions in now for the next episode.  They can be emailed to RSIPodcast@foamfrat.com This episode includes Should advanced certifications include more than just a written test? Is sepsis a condition or a syndrome? What is your view of lactate in sepsis? How do you feel about your nurse partner making more money than you for doing the same job? Are body cameras for EMS a good idea or a bad idea?

Check out this episode for thoughts on RSI, tagging bags, making your cot, etc. Get ready for body cameras in EMS and more in episode 3. Get your questions in RSIPODCAST@FOAMFRAT.COM

Should I get an advanced certification? What piece of new EMS tech is changing the game? How long should an EMT wait before going to paramedic school? If these questions intrigue you, come join the discussion! Send your questions to foamfrat@gmail and have them featured on the show!