Podcasts about faizan h

Evie Marcolini, MD is an Assistant Professor of Emergency Medicine and Neurocritical Care.  She has clinical appointments in the Department of Emergency Medicine and the Department of Neurology; and is core faculty in the Emergency Department as well as the Division of Neurocritical Care and Emergency Neurology at Yale. She has board certifications in Emergency Medicine and Neurocritical Care, and is fellowship-trained in Surgical Critical Care from the R Adams Cowley Shock Trauma Center in Baltimore, Maryland.   Evie is Medical Director for the SkyHealth Critical Care helicopter transport service that is shared between Yale-New Haven Health System and Northwell Health. She is a Fellow of the American College of Critical Care Medicine, American Academy of Emergency Medicine (AAEM) and American College of Emergency Physicians (ACEP), and is a member of the Board of Directors for AAEM. She is the past Chair of the Critical Care Section of ACEP, and active in all three societies, with a goal of bringing emergency physicians to the forefront of critical care in all realms. Evie is an active educator and speaker, with an interest in neurocritical care topics as they relate to emergency medicine and bioethics as it relates to emergency medicine and critical care patients. She has, and continues to lecture nationally and internationally, and has won the ACEP Junior Faculty Teaching Award. Evie is very active in bioethics, as a member of the Yale-New Haven Health Ethics Committee and the Society for Critical Care Medicine (SCCM) Ethics committee, and teaches ethics seminars in the ethics of neuroscience and of emergency medicine annually for the Sherwin B. Nuland Summer Institute in Bioethics at Yale. She has been awarded the Grenvik Family Ethics Award from SCCM. Evie is a co-editor of the textbook: Emergency Department Resuscitation of the Critically Ill, which is now in its second edition, is a co-author of an upcoming book on mechanical ventilation in emergency medicine. She has been active as faculty for Wilderness Medical Associates International since 1992, and teaches wilderness medical courses to medical students, residents, faculty and allied health professionals nationally and internationally, as well as having served as Faculty Advisor to wilderness medicine interest groups at the University of Maryland and Yale. When not involved in academic pursuits, Evie loves to spend her time running and skijoring with her two Siberian Huskies. Please leave us your thoughts and comments, we'd love to dig further into this topic.  Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource. Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour!

Dr. Mark Merlin Chair of the NJ EMS Council. He is the Founder of the of the New Jersey EMS Fellowship. He is the Medical Director of Medway Air Ambulance which has 10 fixed wing planes transporting hundreds of medical patients each month throughout the world. He has authored over 100 peer-reviewed manuscripts and abstracts in Emergency Medicine and EMS. Dr. Merlin is the CEO of MD1 which provides Emergency Medical Services in a mobile Emergency Department/Operating Room at no charge to citizens of New Jersey.   https://md1program.org/   Please leave us your thoughts and comments, we'd love to dig further into this topic.  Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource.  Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour!    

Perseverance, or more simply stated, Grit, is a common trait amongst EMS providers.  It grants us the ability to endure in the face of hardship when others may consider quitting or failing.  In regards to COVID 19, we are all playing the long game, it is a marathon (unfortunately) rather than a sprint.  We must stay united as a group and stay true to our mission of supporting and protecting our communities despite the pandemic.  That is not to say that we are not human ourselves.  While perseverance is one of the characteristics I value most in EMS providers, another virtue I’d care to juxtapose it to is vulnerability. In any situation that presents a threat — be it physical or emotional — our natural instinct is to protect ourselves. That's just basic survival. We try to defend, hide or deny our own insecurities and weaknesses. Being vulnerable involves letting yourself feel all things — the good, the bad and the not-so-pretty — and then also letting someone else see it all. Trying to be invulnerable can be exhausting, as much as we’d like to be super heroes protecting the population from medical maladies we must also acknowledge our own humanity.  This is not easy and it’s okay to express that and seek support.  When we numb feelings like fear, embarrassment and pain, we also numb excitement, hope, gratitude and happiness. Allowing vulnerability into our lives can rejuvenate our senses and actually foster, build and restore our community and make us more connected. I’m including the link to Brene Brown’s TED talk on vulnerability that has nearly 50 million views. Thank you all again for always being in service and a very happy EMS Week.   https://www.ted.com/talks/brene_brown_the_power_of_vulnerability   Today’s episode brings us 2 EMS physicians from Stanford on the topic, “Where have all the STEMIs gone?” where we dive into the literature and statistics on cardiac arrest, dying at home, emergency department volume and numerous other items related to COVID19. Interestingly both domestically and abroad there has been a dramatic reduction in heart attacks, strokes and traumas that have been presenting via EMS to the ED.  We discuss potential hypotheses into this phenomenon and also explore other salient details related to COVID.    Bryan David Sloane, MD – Is the current EMS fellow at Stanford University.  He did his residency at Harbor UCLA where he lived out his EMERGENCY! Dreams.  He was an EMT in LA for 6 years before medical school and considers himself an EMT first and a physician second.  He hopes to take an attending position at Kaiser South Sacramento where he will also be working on many local EMS initiatives.   Gregory H. Gilbert, MD - Clinical associate Professor of Emergency Medicine at Stanford University. Medical Director of San Mateo County and EMS Fellowship Director at Stanford University. He grew up in New York State and received his MD, from SUNY Downstate with distinction for investigative scholarship. He completed his emergency medicine training in Atlanta, Georgia at Emory University and is dual boarded in EM and EMS.  Please leave us your thoughts and comments, we'd love to dig further into this topic.  Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource.  Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour and a "happy" EMS Week!     

Unfortunately due to the current situation and ongoing pandemic, it's difficult for us to wish you a "Happy" EMS Week, nevertheless, thank you to all the pre-hospital professionals for always being in service.  Today's episode is with EMS Chief Juan Cardona, from the Coral Springs - Parkland Fire Department in Florida.   He explores the operational and logistical challenges in responding to an out of hospital cardiac arrest during the age of COVID19 starting from issues related to dispatch, PPE, the ideal location of BLS/ACLS, How to interact with the family, Infection control maneuvers and also the psychological impact on families and providers to have their loved ones pass during the pandemic. Please leave us your thoughts and comments, we'd love to dig further into this topic.  Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource.  Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour and a "happy" EMS Week! 

The second iteration of FlightBridgeED's prehospital conference does not disappoint.  The first day was filled with not only thought provoking lectures on the bleeding edge of prehospital medicine but also insightful discussions about mental health, peer support and decision fatigue.    For more information on this year's conference check out the website: https://www.flightbridgeed.com/index.php/fast-19 @FlightBridgeED #FAST19   Per usual, we assembled an all star panel to discuss the highlight's of the day's event. The panel included:   Rebekha Spratt (aka Bex) @medibrat Michael Perlmutter @DitchDoc14 Andrew Merelman @amerelman Michael Brown @FireMedicFPC   And your host, Faizan H. Arshad @emscritcare     Please subscribe to the podcast on your favorite podcast platform, iTunes, Spotify, Google Play, etc.   Check out the website at www.emsnation.org and follow us on Twitter @EMS_Nation        

https://ampa.org/   Join our distinguished Panel Discuss the Highlights of Day 2!   @CMGrffn Dr. Cynthia Griffin @87MD1 Dr. Chris Fullagar @MattRoginski Dr. Matt Roginski @ALatimer13 Dr. Andrew Latimer @ChuckSheppard Dr. Chuck Sheppard @LuigisDad Sam Matta RN, East Coast Heli Ops  @UCAirCareDoc Dr. Bill Hinckley @Crit_Care_Excel Michael C. Berrier NRP, FP-C, NPT, AAS @AshleyLiebig Ashley Liebig (all around badass) Dr. Damon A. Darsey AND your Host @EMSCritCare Dr. Faizan H. Arshad   Hosted by @AmpaDocs #CCTMC18     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Join our distinguished Panel Discuss the Highlights of Day 1!   @87MD1 Dr. Chris Fullagar @ktcollopy Kevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTE   @UCAirCareDoc Dr. Bill Hinckley @CMGrffn Dr. Cynthia Griffin @LuigisDad Sam Matta RN, NRP @AshleyLiebig Ashley Liebig (all around badass) @EMSCritCare Dr. Faizan H. Arshad   Hosted by @AmpaDocs #CCTMC18     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Episode #66 Latest on Pelvic Binders from Both Military and Civilian Perspectives #WTS17 #PHTLS #EMSWorldExpo17 with Col. Stacy Shackelford, MD Col. Shackelford is the chief of performance improvement at the Joint Trauma System Defense Center of Excellence for Trauma Joint Base in San Antonio, Texas.  She is also an attending trauma surgeon at the San Antonio Military Medical Center. Col. Shackelford is a member of the Committee on Tactical Combat Casualty Care, led the TCCC guideline review and update for pelvic binders, and has deployed four times as a combat surgeon and as the director of the Joint Theater Trauma System.  Col. Shackelford was commissioned through the U.S. Air Force Academy, attended medical school at Tulane University and general surgery residency at the University of Utah.  After completing a Trauma and Critical Care fellowship at the University of Southern California, Col. Shackelford was assigned as Director of Education at the Air Force Center for Sustainment of Trauma and Readiness Skills at the R. Adams Cowley Shock Trauma Center.  She is an instructor for the Defense Institute for Medical Operations.   Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Episode #65 Controversies in Needle Decompression #WTS17 #PHTLS #EMSWorldExpo17 with Julie Chase, MSED, FAWM, TP-C @ISDMedic   Julie Chase is a tactical medicine instructor in Berryville, Va.  She has worked in public and private venues as a firefighter, paramedic, educator and administrator, and has taught in many countries, assisted with remote clinics and emergency services and is a National Disaster Medical System Response Team Member.  She was an operational and tactical medicine instructor at a federal agency, a curriculum developer, contributing author, and reviewer for publication and accreditation organizations.  Julie holds a Master in Postsecondary and Adult Education, a Bachelor in Paramedicine, and an Associate in Applied Arts and Sciences in Fire Science.    Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Ep #64 Nuances and Challenges to Modern Day Disaster Triage #WTS17 #NAEMT #EMSWorldExpo17 with Brad Newbury, MPA, NRP, I/C @nmetc911   Brad Newbury is the founder, president and CEO of the National Medical Education & Training Center in Massachusetts.  He has been involved in EMS for over 30 years as a volunteer firefighter, paramedic and instructor.  He has taught for the Massachusetts Fire Academy and lectured nationally.  Brad managed the application process for full national accreditation of NMETC’s paramedic program and developed a hybrid paramedic program, which educates and trains students from around the world.  He has worked as a faculty educator, content writer, and has been published by a national journal.  He is also a principle author and speaker for NAEMT’s All Hazards Disaster Response course.  Brad hold a Bachelor’s Degree in Fire Science and a Master’s Degree in Public Administration.    Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   ATLS 10th Edition Updates and the Implications of Prehospital Care and PHTLS v9 with Dr. Andrew Pollak @AndyPollak   Dr. Pollak is the James Lawrence Kernan Professor of Orthopedics and chair of the Department of Orthopedics at the University Of Maryland School Of Medicine.  He also serves as Chief of Orthopedics for the University of Maryland Medical System and was previously at the University of Maryland R. Adams Cowley Shock Trauma Center. Dr. Pollak has extensive experience in prehospital emergency care as a volunteer firefighter/EMT, EMS flight physician and fire surgeon.  He serves as medical director of the Baltimore County Fire Department, Special Deputy US Marshal, and Commissioner for the Maryland Health Care Commission, and as an editor of EMS publications.  Dr. Pollak has served on the American Academy of Orthopedic Surgeons Board of Directors, Orthopedic Trauma Association and the Maryland Orthopedic Association.     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Join our all star international panel as we discuss the highlights of the Day 2 program from the first ever Tactical Trauma 2017 conference recorded live in Sundsvall, Sweden. The conference was hosted by Dr. Fredrik Granholm @TotalResus Link to the Tactical Trauma Website: http://www.trippus.se/web/presentation/web.aspx?evid=quLLWDJBkBKybOhXZJmj8Q==&ecid=MPeU8Z0GCzdyw+SuQMe9Ng==&ln=eng&view=category&template=Desktop   Panel Participants: Dr. Mark Forrest @ObiDoc Dr. Rick Dutton @TraumaDinosaur Dr. Kasia Hamptom @KasiaMD Professor Susan Brundage @TraumaMasters Dr. Leilani Doyle @DoyleLeilani Mike Lauria @ResusPadawan Dr. Andy Johnston @armycritcare   And your host Dr. Faizan H. Arshad @emscritcare     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

Join our all star international panel as we discuss the highlights of the day's program from the first ever Tactical Trauma 2017 conference recorded live in Sundsvall, Sweden. The conference was hosted by Dr. Fredrik Granholm @TotalResus Link to the Tactical Trauma Website: http://www.trippus.se/web/presentation/web.aspx?evid=quLLWDJBkBKybOhXZJmj8Q==&ecid=MPeU8Z0GCzdyw+SuQMe9Ng==&ln=eng&view=category&template=Desktop   Panel Participants: Dr. Kate Prior @doctorwibble Dr. Leilani Doyle @DoyleLeilani Mike Lauria @ResusPadawan Dr. Mark Forrest @ObiDoc Matt Libby @MatLibby Dr. Thomas D @thomas1973 And your host Dr. Faizan H. Arshad @emscritcare     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

Continue along for the New York State Collaborative Protocol series with Dr. Chris Fullagar @87MD1 as he reviews the indications, ideal pre-oxygenation strategies, laryngoscopy techniques, confirmation of tube placement as well as guidelines for post-intubation sedation for prehospital providers operating in New York State.   Christopher J. Fullagar, MD, EMT-P, FACEP @87MD1   Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://www.smacc.net.au/   Anne Creaton – An Emergency Physician & retrievalist HQ’d in Melbourne Australia. She spent the last 4 years in Fiji establishing emergency medicine training in a low resource environment while building capacity in pre-hospital care and disaster response. While living in Fiji she experienced Cyclone Winston first hand and was part of the in-country response. She is an educator in mass gathering medicine and the MIMMS system and was part of the instructor team for a multiagency tabletop simulation of a multi-site terrorist attack in Melbourne.    Lionel Lamhaut – An anesthetist with critical care and emergency training and an associate professor of the SAMU de Paris (excuse my French - Service d'Aide Médicale Urgente), Dr. Lamhaut is not only a disaster response physician but an academician of the highest caliber with recent publications on the prospective deployment of ECPR for refractory cardiac arrest in the Paris area with a multicenter study well underway.  He responded directly to the deadly terror attack of Charlie Hebdo and was instrumental in the after action analysis in the coordinated multi-site terror attack that struck Paris on Friday the 13th of 2015.   Raed Arafat – Put a warm round of applause together for the Secretary of State and Minister of Internal Affairs of Romania! Tasked with development of emergency medical care in the country, he is the founder of SMURD – the Mobile Emergency Service for Resuscitation and Extrication. In his current position he leads the Department for Emergency Situations including fire and rescue, civil protection, prehospital emergency medical services, air rescue as well as emergency departments.  Ladies and gentleman… a Knight and Grand Officer of the National Order of Merit in Romania, he has overcome both politics and prejudice in his sterling career as a champion of the highest quality prehospital care.   Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Happy Friday of #EMSWeek2017! https://emcrit.org/wp-content/uploads/push-dose-pressors.pdf    Resuscitation - beginning from initial patient contact to the emergency department to the intensive care unit is a continuun of care - though the first few minutes of patient contact with a critically ill patient can have tremendous repercussions on the patient's ultimate outcome.  Whether in critical care transport or in 911 emergency response, patient's may require a medication in small aliquots immediately that would be either unfeasible or cumbersome to administer via infusion on a dedicated pump.  While circumstances in which a patient needs a push dose medication may be uncommon, the administration of these drugs can be potentially lifesaving.  There are two prehospital scenarios in which the paramedic carries the necessary medication in their armamentariam and with appropriate instruction and training can safely reconstitute into an appropriate dose for use in out-of-hospital resuscitation for the critically ill patient.  Push dose pressors are often employed in profoundly hypotensive patients that will require endotracheal intubation.  Rapid Sequence Intubation and Positive Pressure Ventilation are both associated with hypotension, thus in the patient that requires advanced airway and is hypotensive upon EMS arrival, push dose pressors may be employed to effectively "resuscitate before you intubate".  Typically Epinephrine is diluted to an appropriate dose and adminstered in small aliquots (10mcg/ml) for inotropoic support to optimize hemodynamics prior to RSI or intubation.  There is also anaesthesia literature supporting the use of neosynephrine as well as phenylephrine for this purpose, though these medications are less readily available prehospitally.  Even brief episodes of relative hypotension can cause effects seen days later; in critically hypotensive patients these may be even more pronounced.  By using push dose pressors, a field provider can safely and effectively resuscitate their patient in order to mitigate the risks associated with endotracheal intubation prior to securing an advance airway. Conversely, a separate and distinct class of patients who suffer from decompensated heart failure may present with respiratory distress due to volume overload with pathophysiology associated with marked systemic hypertension. While CPAP is the mainstay of therapy for these patients prehospitally and has significantly reduced intubation of the CHF patient over the past several years, IV Lasix and topical Nitroglycerin play little role in the EMS management of the decompensated heart failure patient.  Nevertheless, these patients often require preload and afterload reduction to manage their symptomatology; it is common to initiate nitroglycerin infusions in critical care transport as well as in the emergency department for management of this hypertension.  Nitroglycerin lowers preload via venous vasodilation at low doses and lowers after load via arterial vasodilation at higher doses, making the patient's vascular container larger lowering the systemic pressure. Aggressive, high dose NTG paired with the recruitment of the alveoli using CPAP & PEEP make up the mainstay of pre-hospital treatment of APE and decompensated heart failure. Bolus doses as high as 2 mg (2000 mcg) of nitroglycerin have been given safely and effectively in previous studies.  In emergent resuscitations we need to focus on bolus dose medications in the acute phase versus starting and titrating critical care infusions while a patient is in extremis. The goal is to achieve clinical end points of treatment faster with bolus dosing at the bedside and then begin maintenance infusions once resuscitation goals are met and the hemodynamics are stable.  Similar to push dose pressors in the acutely hypotensive EMS patient requiring resuscitation, patients with decompensated heart failure may benefit acutely with push dose nitroglycerin, a potent vasodilator.   @AmpaDocs #CCTMC17 Mark your calendars for #CCTMC18 April 9-11th 2018 Wyndham Riverwalk - San Antonio Texas     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Happy Thursday of #EMSWeek2017!   David Olvera, AAS, FP-C, EMT-P LinkedIn: https://www.linkedin.com/in/david-olvera-36048a1b   World Health Organization Human Factors PowerPoint- www.who.int/patientsafety/activities/technical/who_mc_topic-2.ppt   Glucometer that monitors blood sugar via phone- https://www.dexcom.com/   Checklist Articles:  Development of a standard operating procedure and checklist for RSI in the critically ill.( Scandinavian journal of trauma, resuscitation, and emergency medicine, Sept 11th 2014) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4172951/   A pre-procedural checklist improves the safety of emergency department intubation of trauma patients. (Academic Emergency MedicineAug, 2015) https://www.ncbi.nlm.nih.gov/pubmed/   Greater Sydney Area HEMS Checklist- https://nswhems.files.wordpress.com/2013/01/prehospital-emergency-anaesthesia-checklist-3-1-final.pdf   Failed Attempts at Intubation Associated With More Adverse Events http://www.anesthesiologynews.com/Clinical-Anesthesiology/Article/02-17/Failed-Attempts-at-Intubation-Associated-With-More-Adverse-Events/40210/ses=ogst?enl=true       @AmpaDocs #CCTMC17 Mark your calendars for #CCTMC18 April 9-11th 2018 Wyndham Riverwalk - San Antonio Texas     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Happy Wednesday of #EMSWeek2017! Definitive airway management in the prehospital sphere for critically ill patients is often forced upon EMS providers especially when encountering failure of traditional challenging airway algorithms.  Failure to ventilate and intubate a patient can results in immediate sphincter tightening for providers.  Being facile with a surgical airway based on one's specific kit and armamentarium is paramount for providers in whom the surgical airway falls within their scope of practice.  Adequate training and skills maintenance are perpetual challenges in this HALO (high acuity low occurrence) procedure.   His Bio & Credentials: Kevin T. Collopy, BA, FP-C, CCEMT-P, NR-P, CMTE, WEMT, is an educator, e-learning content developer and author of numerous articles and textbook chapters. He is also the clinical education coordinator for AirLink/VitaLink in Wilmington, NC. Contact him at ktcollopy@gmail.com. LinkedIn: https://www.linkedin.com/in/ktcollopy   Kevin's #CCTMC16 Podcast: Taking a "Time Out" before Initiating RSI Improves Patient Safety and First Pass Success http://emsnation.libsyn.com/ep-30-taking-a-time-out-before-initiating-rsi-improves-patient-safety-1st-attempt-success-with-kevin-collopy-ktcollopy   NYS Collaborative Training Video for Surgical Airway: http://emsnation.libsyn.com/ep-48-surgical-cricothyroidotomy   @AmpaDocs #CCTMC17 Mark your calendars for #CCTMC18 April 9-11th 2018 Wyndham Riverwalk - San Antonio Texas     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

  Checkout EMS Today 2018! http://www.emstoday.com/index.html    Happy Tuesday of #EMSWeek2017! You've asked and you shall receive... Optimizing your patient's airway prior to pulling the trigger for RSI.  Delayed Sequence Intubation in the prehospital realm to prevent Rapid Sequence Death.  Dr. Jeff Jarvis, a paramedic from Williamson County Texas turned EMS Medical Director of Williamson County Texas challenges traditional thought processes to bring the best possible medical care to 911 patients.  "It's medical decision making that saves lives... not a plastic tube through the trachea!!!!" Here is story from conception of the idea, to education and roll out, to challenges experienced interfacing with local emergency departments as well as preliminary results for prospectively collected data. His Bio & Credentials: https://www.wilco.org/Departments/EMS/Leadership/Jeff-Jarvis (Williamson County) http://www.sw.org/Dr-Jeffrey-L-Jarvis (Baylor Scott & White)     @EMSToday #EMSToday2017 Mark your calendars for #EMSToday2018 February 21-23, 2018 Charlotte, NC Convention Center Registration Link: http://www.emstoday.com/register.html     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/ http://www.atacc.co.uk/   Happy Monday of #EMSWeek2017! Roll up your sleeves and mentally prepare for getting your hands dirty.  Chief Flight Physician of University of Wisconsin MedFlight, Dr. Mike Abernethy @FLTDOC1, gives an honest assessment of the current state of discongruity in EMS in America.  An honest assessment of the intricacies of American Prehospital Care and efforts we can take to improve outcomes for all our patients. His Bio & Credentials: http://www.emed.wisc.edu/content/mike-abernethy-md   @AmpaDocs #CCTMC17 Mark your calendars for #CCTMC18 April 9-11th 2018 Wyndham Riverwalk - San Antonio Texas     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/ http://www.atacc.co.uk/   Join our distinguished Panel Discuss the Highlights of Day 2!   @MedFlightDoc Dr. Ryan Wubben @BritFltDoc Dr. David Hindle @DrewCathers Dr. Andrew Cathers @CMGrffn Dr. Cynthia Griffin @TotalResus Dr. Fredrik Granholm @MikeSteuerwald Dr. Mike Steuerwald @87MD1 Dr. Chris Fullagar @UCAirCareDoc Dr. Bill Hinckley @FLTDOC1 Dr. Mike Abernethy @emeddoc Dr. Zaf Qasim @MattRoginski Dr. Matthew Roginski @EMSCritCare Dr. Faizan H. Arshad   Sponsored by @AmpaDocs #CCTMC17     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Join our distinguished Panel Discuss the Highlights of Day 1!   @MedFlightDoc Dr. Ryan Wubben @DrewCathers Dr. Andrew Cathers @CMGrffn Dr. Cynthia Griffin @TotalResus Dr. Fredrik Granholm @MikeSteuerwald Dr. Mike Steuerwald @87MD1 Dr. Chris Fullagar @UCAirCareDoc Dr. Bill Hinckley @FLTDOC1 Dr. Mike Abernethy @EMSCritCare Dr. Faizan H. Arshad   Sponsored by @AmpaDocs #CCTMC17     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

Ep #36 Advanced GEMS - @NAEMT_ Beta Course #AGEMS   NAEMT’s groundbreaking Geriatric Education for Emergency Medical Services (GEMS) Advanced course builds on the GEMS core course, delving into more complex, realistic scenarios and the unique technology EMS practitioners are likely to encounter when assessing, treating, and transporting older adults. -Highly interactive, immersive educational format focuses on integrating critical thinking into real world application. -Topics covered include caring for and transporting patients on home ventilators, LVADs (left ventricular assist devices), tracheostomies, PICC lines/invasive lines and feeding tubes. -Prepares EMS practitioners for the array of medical, mobility, psychosocial and communications issues found in older patients. -Students are guided through a series of scenarios involving increasingly complex symptoms and situations.   Lance Villers, PhD @LVillers villers@uthscsa.edu Keith Widmeier @MICUParamedic micuparamedic@gmail.com Wayne Burdette @WayneBurdetteJr Wayne.burdette@gwinnettecounty.com Tray Reynolds reynoldsta@juno.com   http://www.naemt.org/ AMSL and GEMS instructors will be eligible to become Advanced GEMS instructors after an online module and training!     Sponsored by the @PerfectCPR app designed to provide High Quality CPR Feedback Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Message us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #35 All Hazards Disaster Response – @NAEMT_ Beta Course #AHDR All Disasters are Local.  First responders, regardless of the type of incident, need to be prepared to respond to mass casualty events and disasters of varying types with changing conditions and hazards.  While the FEMA Incident Command Courses offer a primer on organizational structure of a response as well as insight into general operations at events, there is no course specifically aimed at prehospital providers which simultaneously codifies the medical knowledge required to care for critically ill and injured patients at a multitude of events.  More so, this course targets boots on the ground providers from EMTs, Paramedics as well as EMS Response & Rescue physicians and provides the necessary skills, knowledge and insight to integrate seamlessly within the overarching ICS framework from the bottom up.  This course focuses on the initial response to a wide range of possible events and is designed to scale perfectly to your operational area with topics including Structural Fires, Radiologic Events, Natural Disasters and critical Infrastructure Failure, Transportation events, Infectious Disease Outbreaks and of course Active Shooter Events.  There are a bevy of well honed exercised, drills and tabletops to keep the pace of the 8hr day brisk and engaging. It was a sincere pleasure to lead a distinguished group of authors in developing this new course which we Beta’d for the very first time in New Orleans at #EMSWorldExpo16.  The official debut will be at @EMSTODAY conference in Salt Lake City Utah as a preconference on February 22nd 2017.  Hope to see you all there!   Brad Newbury, MPA NRP @nmetc0911 Sean Britton NRP @SeanBritton Craig Manifold, MD @DrCraigManifold   http://www.naemt.org/ We hope to add the #AHDR course to the suite of Prehospital Trauma courses including PHTLS, TCCC & TECC and encourage all instructors for this course to keep an eye out for the online training module which will allow you to become an instructor for AHDR!   Sponsored by the @PerfectCPR app Designed to provide High Quality CPR Feedback Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Message us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #34 A Case Series of Double Sequence Defibrillation w/ @emscritcare & @ccareanywhere   Dr. Phil Moy of the @PECPodcast expertly interviews me regarding our recent publication in this month’s Prehospital Emergency Care.  We dive into the inspiration behind the study, the challenges behind the protocol and the development and deployment of our treatment algorithms.  We conclude with our overall experience and directions for future research.    Article Link: http://www.ncbi.nlm.nih.gov/pubmed/26848018   PEC Podcast: http://pecpodcast.libsyn.com/ PEC Journal: http://naemsp.org/Pages/pecjournal.aspx NAEMSP Website: http://naemsp.org/Pages/default.aspx   Also find my friends and fellow prehospital physician podcasters on Twitter: Joelle Donofrio @PEMEMS Jeremiah Escajeda @JerEscajeda Scott Goldberg @EMS_Boston     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #33 Double Sequence Defibrillation - A Journey through the Literature with Dr. Phil Moy @PECPodcast   Check out Dr. Phil Moy weave this elegant tale on the evolution of prehospital double sequence defibrillation.  He interviews 3 different author groups who recently published their work in Prehospital Emergency Care, the journal of the NAEMSP (National Association of EMS Physicians). PEC Podcast: http://pecpodcast.libsyn.com/ PEC Journal: http://naemsp.org/Pages/pecjournal.aspx NAEMSP Website: http://naemsp.org/Pages/default.aspx   Also find my friends and fellow prehospital physician podcasters on Twitter: Joelle Donofrio @PEMEMS Jeremiah Escajeda @JerEscajeda Scott Goldberg @EMS_Boston     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Happy August from the PEC Podcast team!  We hope everyone is enjoying the dog days of long summer days with hints of autumn  creeping around the corner! This month's small batch episode features a conversation about  Double Sequential Defibrillation (DSD)!   Click here to download now! We delve into conversations with several authors of PEC manuscripts pertaining to their research on DSD!  The manuscripts and interviewee's featured in this month's podcast are:   1) Double Sequential Defibrillation for Refractory Ventricular Fibrillation: A Case Report Dr. Auroral Lybeck & Dr. David Tan               2) Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases Dr. Jose G. Cabanas & Dr. Jefferson G. Williams             3) A Case Series of Double Sequential Defibrillation Dr. Faizan H. Arshad,  (He's also a fellow podcaster.  Check out his podcast @ http://emsnation.libsyn.com/ )     We hope you enjoyed this amazing small batch episode of PEC podcast.  Stay tuned for our next episode coming out next month.  Thanks for listening!  The PEC Podcast Team, Hawnwan Moy MD Scott Goldberg MD Jeremiah Escajeda MD Joelle Donofrio DO   

Ep #32 Using Simulation to Troubleshoot the Logistics of a Complex Transport with @UCEmergencyEMS   AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #31 Hypertonic Saline vs. Mannitol in the Transport Environment with Dr. Drew Cathers @DrewCathers AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #30 Taking a "Time Out" before Initiating RSI Improves Patient Safety & 1st Attempt Success with Kevin Collopy @ktcollopy   AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #29 Operationalizing REBOA and Prehospital Implications w/ Dr. Justin McClean @WildernessMD     AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #28 The Extraglottic Device - A Nuanced Approach to the Advanced Airway @MikeSteuerwald   AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #27 Prehospital Transfusion in Trauma What Does The Literature Say w/ Dr. Michael Jasumback @Jasumback     AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #26 Mind of the HEMS Resuscitationist #smaccDUB @AMPADocs Mental Resilience, Cognitive Offloading and Clinical Debriefing   #smaccDub http://www.smacc.net.au/ @AMPADocs – Air Medical Physicians Association https://www.ampa.org/   A Roundtable Discussion With: @JGlash – John Glasheen HEMS Physician with Sydney HEMS @87MD1 – Chris Fullagar HEMS Physician President of AMPA @HEMSonICE – Vidar Magnusson HEMS Physician and former EMS Medical Director of Iceland @KimGeybels - Kim Geybels Prehospital Physician MD, FEBEM & EMS Medical Director in Belgium @FltDoc1 – Mike Abernethy HEMS Physician PGY-30 Chief Flight Physician And your host @emscritcare!   The Headspace App – 10 minute guided meditations https://www.headspace.com/headspace-meditation-app   @TaraBrach – Guided Meditation Podcast https://www.tarabrach.com/talks-audio-video/   Sponsored by @PerfectCPR Apple Watch App with Audio and Taptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery www.PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #25 Prehospital Resuscitation & Retrieval Workshop Wrap Up #smaccFORCE #smaccDUB   #smaccFORCE http://www.smacc.net.au/program/pre-conference-workshops/ #smaccDub http://www.smacc.net.au/   A Roundtable Discussion With: @ParamedicHen @drbear13 @David_Menzies @VikingOne_ @JamesTooley @FltDoc1 @AshleyLiebig @WestCorkRR @ObiDoc And your host @emscritcare!   ATACC – Anaesthesia Trauma & Critical Care http://www.atacc.co.uk/   Sponsored by @PerfectCPR Apple Watch App with Audio and Taptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery www.PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #24 The EMS Gathering Wrap Up from Killarney Ireland #EMSG16   EMS Gathering! http://emsgathering.org/   Follow Glen Ellis on YouTube. Twitter @obicpcnights #obicpc run by @EllisGlen & @rescuegirlie    http://www.atacc.co.uk/ Anaesthesia Trauma and Critical Care   Round Table Discussion with: @Medibrat @AshleyLiebig @Shorty_med @Parabrod @stevefla @paramedickiwi @EoghanCon11 @rescuegirlie @JonEMTP @Bmiesemer @madmedic809 And your host @emscritcare     Sponsored by @PerfectCPR Apple Watch App with Audio and Taptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery www.PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #23 EMS Based Fire Systems - Challenging Tradition with Dr. Craig Manifold Happy #EMSWeek #EMSStrong #EMSNation   Dr. Craig Manifold http://emergencymedicine.uthscsa.edu/faculty/manifold.asp https://www.linkedin.com/in/craig-manifold-75218052   NAEMT Position Statement on House Bill HR4365: https://www.naemt.org/docs/default-source/advocacy-documents/emshd-documents/2016-requests-to-congress/2016-hr4365-patientmeds-final.pdf?sfvrsn=4   HR4365 - Sponsor - Rep Hudson, Richard {R-NC-8} Introduced 1/12/16 https://www.congress.gov/bill/114th-congress/house-bill/4365   Congressional EMS Caucus: https://www.naemt.org/advocacy/ems-caucus   REBOA: http://lifeinthefastlane.com/ccc/resuscitative-endovascular-balloon-occlusion-aorta-reboa/   NAEMSP Selective Spinal Immobilization: http://www.naemsp.org/Documents/Position%20Papers/EMS%20Spinal%20Precautions%20and%20the%20Use%20of%20the%20Long%20Backboard_Resource%20Document.pdf http://www.naemsp.org/Documents/Position%20Papers/POSITION%20EMS%20Spinal%20Precautions%20and%20the%20Use%20of%20the%20Long%20Backboard.pdf   Fire-Based EMS - The Myth of the Perfect model @EMSWorldExpo http://www.emsworld.com/article/10322477/the-myth-of-the-perfect-model       Sponsored by @PerfectCPR Apple Watch App with Audio and Taptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery www.PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #22 Pediatric Prehospital Intubation - Journal Club from UCSD w/ @PEMEMS & Dr. Jim Dunford (San Diego) Happy #EMSWeek #EMSStrong #EMSNation   UCSD EMS Fellowship: Chris Khan and John Serra, MDs http://healthsciences.ucsd.edu/som/emergency-med/education/fellowships/ems/Pages/default.aspx Dr. Jim Dunford – EMS Medical Director for San Diego & Eagle http://healthsciences.ucsd.edu/som/emergency-med/faculty/Pages/jamesdunford.aspx   Articles: Pediatric Intubation by Paramedics in a Large Emergency Medical Services System: Process, Challenges, and Outcomes https://www.ncbi.nlm.nih.gov/pubmed/26320522   Two Hundred Sixty Pediatric Emergency Airway Encounters by Air Transport Personnel https://www.ncbi.nlm.nih.gov/pubmed/23974713   Intubation in Pediatric/Neonatal Critical Care Transport: National Performance https://www.ncbi.nlm.nih.gov/pubmed/25664667   Endotracheal Intubations in Rural Pediatric Trauma Patients https://www.ncbi.nlm.nih.gov/pubmed/15359393   An observational study of paediatric pre-hospital intubation and anaesthesia in 1933 children attended by a physician-led, pre-hospital trauma service https://www.ncbi.nlm.nih.gov/pubmed/24145041   San Diego RSI Studies Editorial: http://www.emsworld.com/article/10323216/prehospital-rapid-sequence-intubation     Sponsored by @PerfectCPR Apple Watch App with Audio and Taptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery www.PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #21 Ketamine Induced Rapid Sequence Intubation with Faizan H. Arshad, MD @emscritcare Happy #EMSWeek #EMSStrong #EMSNation   SKEPTIC = Safety & Efficacy of Ketamine in Emergent Prehospital Tracheal Intubation – a Case Series   Brand new paper from Sydney HEMS on Ketamine and Shock Index in Annals of EM! http://www.annemergmed.com/article/S0196-0644(16)30002-6/abstract   Additional References: Carlson JN, Karns C, Mann NC, et al. Procedures performed by emergency medical services in the united states.Prehosp Emerg Care. 2015. Jacobs PE, Grabinsky A. Advances in prehospital airway management.International Journal of Critical Illness & Injury Science. 2014;4:57-64. Prekker ME, Kwok H, Shin J, Carlbom D, Grabinsky A, Rea TD. The process of prehospital airway management: Challenges and solutions during paramedic endotracheal intubation.Crit Care Med. 2014;42:1372-1378. Wang HE, Kupas DF, Greenwood MJ, et al. An algorithmic approach to prehospital airway management.Prehospital Emergency Care. 2005;9:145-155. Mace SE. Challenges and advances in intubation: Airway evaluation and controversies with intubation.Emerg Med Clin North Am. 2008;26:977-1000. Combes X, Jabre P, Jbeili C, et al. Prehospital standardization of medical airway management: Incidence and risk factors of difficult airway.Acad Emerg Med. 2006;13:828-834. Drummond GB. Comparison of sedation with midazolam and ketamine: effects on airway muscle activity. Br J Anaesth. 1996;76:663-667. Jackson APF, Dhadphale PR, callaghan ML, Alseri S. Haemodynamic studies during induction of anaesthesia for open-heart surgery using diazepam and ketamine. Br J Anaesth. 1978;50:375-378. Price B, Arthur AO, Brunko M, et al. Hemodynamic consequences of ketamine vs etomidate for endotracheal intubation in the air medical setting. Am J Emerg Med. 2013;31:1124-1132. Scherzer D, Leder M, Tobias JD. Pro-Con Debate: Etomidate or Ketamine for Rapid Sequence Intubation in Pediatric Patients. J Pediatr Pharmacol Ther. 2012;17:142-149. Bruder Eric A, Ball Ian M, Ridi S, Pickett W, Hohl C. Single induction dose of etomidate versus other induction agents for endotracheal intubation in critically ill patients.Cochrane Database of Systematic Reviews. 2015 Thompson Bastin ML, Baker SN, Weant KA. Effects of Etomidate on Adrenal Suppression: A Review of Intubated Septic Patients.Hospital Pharmacy. 2014;49:177-183. Arnold C. The promise and perils of ketamine research Ketamine began its life as an anaesthetic , but has enjoyed a recent renaissance as a potential. Lancet Neurol. 2013;12:940-941. Craven R. Ketamine. Anaesthesia. 2007;62:48-53. Perkins ZB, Gunning M, Crilly J, Lockey D, O’Brien B. The haemodynamic response to pre-hospital RSI in injured patients. Injury. 2013;44:618-623. Aroni F, Iacovidou N, Dontas I, Pourzitaki C, Xanthos T. Pharmacological Aspects and Potential New Clinical Applications of Ketamine: Reevaluation of an Old Drug. J Clin Pharmacol. 2009;49:957-964. Manthous CA. Avoiding circulatory complications during endotracheal intubation and initiation of positive pressure ventilation.J Emerg Med. 2010;38:622-631. Kohrs R, Durieux ME. Ketamine. Anesth Analg. 1998;87:1186-1193. Moy RJ, Clerc S Le. Trends in Anaesthesia and Critical Care Ketamine in prehospital analgesia and anaesthesia. Trends Anaesth Crit Care. 2011;1:243-245. Reich DL, Silvay G. Ketamine: an update on the first twenty-five years of clinical experience. Can J Anaesth. 1989;36(2):186-197. Porter K. Ketamine in prehospital care. Emerg Med J. 2004;21:351-354. Svenson JE, Abernathy MK. Ketamine for prehospital use: new look at an old drug. Am J Emerg Med. 2007;25:977-980. Johansson J, Sjöberg J, Nordgren M, Sandström E, Sjöberg F, Zetterström H. Prehospital analgesia using nasal administration of S-ketamine--a case series. Scand J Trauma Resusc Emerg Med. 2013;21:38. Filanovsky Y, Miller P, Kao J. Myth: Ketamine should not be used as an induction agent for intubation in patients with head injury. Can J Emerg Med. 2010;12:154-201. Himmelseher S, Durieux ME. Revising a Dogma: Ketamine for Patients with Neurological Injury? Anesth Analg. 2005;101:524-534. Kropf J a., Grossman MD, Genzlinger M a., Stoltzfus J, Stehly CD. 328 Ketamine versus Etomidate for Rapid Sequence Intubation in Traumatically Injured Patients: An Exploratory Study. Ann Emerg Med. 2012;60:S117. Angus DC, van dP. Severe sepsis and septic shock.N Engl J Med. 2013;369:840-851. Jabre P, Avenel A, Combes X, et al. Morbidity related to emergency endotracheal intubation-A substudy of the KETAmine SEDation trial. Resuscitation. 2011;82:517-522. Shafi S, Gentilello L. Pre-Hospital Endotracheal Intubation and Positive Pressure Ventilation Is Associated with Hypotension and Decreased Survival in Hypovolemic Trauma Patients: An Analysis of the National Trauma Data Bank. The Journal of Trauma: Injury, Infection, and Critical Care. 2005;59:1140–1147. Seymour CW, Band RA, Cooke CR, et al. Out-of-hospital characteristics and care of patients with severe sepsis: A cohort study.J Crit Care. 2010;25:553-562. Williams E, Arthur a., Price B, Banister NJ, Goodloe JM, Thomas SH. 175 Ketamine versus Etomidate for Use in Helicopter Emergency Medical Services Endotracheal Intubation. Ann Emerg Med. 2012;60:S63-S64 Bruns, B, Gentilello, L, Elliott, A, Shafi, S. Prehospital Hypotension Redefined. The Journal of Trauma: Injury, Infection, and Critical Care. 2008;65:1217–1221. Seymour, CW, Cooke, CR, Heckbert, SR, et al. Prehospital Systolic Blood Pressure Thresholds: A Community-based Outcomes Study. Acad Emerg Med Academic Emergency Medicine. 2013;20:597–604. Kristensen AKB, Holler JG, Mikkelsen S, Hallas J, Lassen A. Systolic blood pressure and short-term mortality in the emergency department and prehospital setting: a hospital-based cohort study.Critical Care. 2015;1:158. Heffner AC, Swords DS, Neale MN, Jones AE. Incidence and factors associated with cardiac arrest complicating emergency airway management. Resuscitation. 2013;84:1500-1504. Salt PJ, Baranes PK, Beswick FJ. Inhibition of neuronal and extraneuronal uptake of noradrenaline by ketamine in the isolated perfused rat heart. Br J Anaesth. 1979;51:835-838. Sprung J, Schuetz SM, Stewart RW, Moravec CS. Effects of Ketamine on the Contractility of Failing and Nonfailing Human Heart Muscles in Vitro. Surv Anesthesiol. 1999;43:230-231. Kunst G, Martin E, Graf BM, Hagl S, Vahl CF. Actions of Ketamine and Its Isomers on Contractility and Calcium Transients in Human Myocardium. Anesthesiology. 1999;90:1363-1371. Lundy PM, Lockwood PA, Thompson G, Frew R. Differential Effects of Ketamine Isomers on Neuronal and Extraneuronal Catecholamine Uptake Mechanisms. Anesthesiology. 1986;64:359-363. Selde W. Push dose epinephrine. A temporizing measure for drugs that have the side-effect of hypotension.JEMS. 2014;39:62-63.   Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #20 Designing High Performing Systems of Prehospital CPR w/ Tom Bouthillet @tbouthillet Happy #EMSWeek #EMSStrong #EMSNation   Tom Bouthillet LinkedIn / Facebook / Twitter / Google+   EMS 12-Lead EMS12Lead.com Facebook / Twitter   ECG Medical Training ECGMedicalTraining.com Blog / Facebook / Twitter   ACLS Medical Training ACLSMedicalTraining.com Blog / Facebook / Twitter   Adult Pit Crew CPR – The Explicit Details http://www.ems12lead.com/2014/06/20/pit-crew-cpr-the-explicit-details/   The Science of CPR with Peter Kudenchuk, M.D. https://www.youtube.com/watch?v=irHXrNqRbcY     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #19 Equanimity, Puni & Parachuting: Evolving Concepts in Optimizing Resuscitation Performance w/ Mike Lauria @ResusPadawan Happy #EMSWeek #EMSStrong #EMSNation   AMPA – Air Medical Physicians Association https://www.ampa.org/ #CCTMC17 Training Announcement – Critical Care Transport Medicine Conference http://www.iafccp.org/events/EventDetails.aspx?id=177507 4/10/2017 to 4/12/2017 When: April 10 - 12, 2017 Where: Map this event » Wyndam River Walk Hotel 111 E. Pecan St. San Antonio, Texas  78205 United States Contact: Pat Petersen ppeter1111@aol.com     Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #18 The Resuscitation Workshop - Designing High Performance Teams @LaerdalMedical Happy #EMSWeek #EMSStrong #EMSNation   Laerdal Medical: http://www.laerdal.com/us/ Resucitation Workshop: http://www.laerdal.com/us/News/49290950/Building-High-Performance-Teams-to-Tackle-Sudden-Cardiac-Arrest-Are-you-Providing   Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #17 A Primer on Intrathoracic Pressure Regulation & The Physiology of CPR with Dr. Keith Lurie Happy #EMSWeek #EMSStrong #EMSNation   Sponsored by @PerfectCPR Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR PerfectCPR.com   Dr. Keith Lurie is a practicing cardiac electrophysiologist and resuscitation scientist who, over the past 25 years, has devoted himself to study novel ways to resuscitate patients experiencing sudden cardiac arrest.  Dr. Lurie earned his bachelors degree at Yale University and his medical degree at Stanford University. He studied cardiovascular medicine at the University of California in San Francisco and later joined the faculty there.  He has been on the faculty at the University of Minnesota since 1991. As one of the leading innovators in the field, he has helped to develop new devices and methods that optimize cardio-pulmonary resuscitation (CPR) and, in turn, improve survival chances following cardiac arrest. In addition, he has become a respected thought leader in developing and implementing a systems-based approach to managing and treating sudden cardiac death events. Some of his most notable contributions include the development and assessment of various resuscitative techniques such as the impedance threshold device (ITD), active compression-decompression (ACD) CPR and the use of intra-thoracic pressure regulation to modulate cerebral and systemic circulation in states of severe hypotension and head injury. He has also helped to develop devices to treat heart failure and abnormal heart rhythms. He has mentored scores of research and clinical fellows over the past 30 years and he actively collaborates with multiple scientist colleagues worldwide. A professor of Emergency Medicine and Internal Medicine at the University of Minnesota, Dr. Lurie also directs an NIH-funded research laboratory at Hennepin County Medical Center in Minneapolis and he is a consultant for Zoll Medical.   Selected Peer-Reviewed Publications (Selected from over 200 publications):   Lurie KG, Nemergut EC, Yannopoulos D, Sweeney M. The physiology of cardiopulmonary resuscitation. Anesth Analg. 11/2015 Kwon Y, Debaty G, Puertas L, Metzger A, Rees J, McKnite S, Yannopoulos D, Lurie K. Effect of regulating airway pressure on intrathoracic pressure and vital organ perfusion pressure during cardiopulmonary resuscitation: A non-randomized interventional cross-over study. Scandinavian journal of trauma, resuscitation and emergency medicine. 2015;23:83 Debaty G, Metzger A, Lurie K. Evaluation of zoll medical's resqcpr system for cardiopulmonary resuscitation. Expert review of medical devices. 2015;12:505-516 Smith G, Dwork N, O'Connor D, Sikora U, Lurie K, Pauly J, Ellerbee A. Automated, depth resolved estimation of the attenuation coefficient from optical coherence tomography data. IEEE transactions on medical imaging. 2015 Lurie KL, Gurjarpadhye AA, Seibel EJ, Ellerbee AK. Rapid scanning catheterscope for expanded forward-view volumetric imaging with optical coherence tomography. Optics letters. 2015;40:3165-3168 Debaty G, Metzger A, Rees J, McKnite S, Puertas L, Yannopoulos D, Lurie K. Enhanced perfusion during advanced life support improves survival with favorable neurologic function in a porcine model of refractory cardiac arrest. Crit Care Med. 2015;43:1087-1095 Salzman JG, Frascone RJ, Burkhart N, Holcomb R, Wewerka SS, Swor RA, Mahoney BD, Wayne MA, Domeier RM, Olinger ML, Aufderheide TP, Lurie KG. The association of health status and providing consent to continued participation in an out-of-hospital cardiac arrest trial performed under exception from informed consent. Acad Emerg Med. 2015;22:347-353 Metzger A, Rees J, Kwon Y, Matsuura T, McKnite S, Lurie KG. Intrathoracic pressure regulation improves cerebral perfusion and cerebral blood flow in a porcine model of brain injury. Shock. 2015;44 Suppl 1:96-102 Debaty G, Shin SD, Metzger A, Kim T, Ryu HH, Rees J, McKnite S, Matsuura T, Lick M, Yannopoulos D, Lurie K. Tilting for perfusion: Head-up position during cardiopulmonary resuscitation improves brain flow in a porcine model of cardiac arrest. Resuscitation. 2015;87:38-43 Bartos JA, Matsuura TR, Sarraf M, Youngquist ST, McKnite SH, Rees JN, Sloper DT, Bates FS, Segal N, Debaty G, Lurie KG, Neumar RW, Metzger JM, Riess ML, Yannopoulos D. Bundled postconditioning therapies improve hemodynamics and neurologic recovery after 17 min of untreated cardiac arrest. Resuscitation. 2015;87:7-13 Gold B, Puertas L, Davis SP, et al. Awakening after cardiac arrest and post resuscitation hypothermia: are we pulling the plug too early? Resuscitation. Feb 2014;85(2):211-214. Metzger A, Rees J, Segal N, et al. "Fluidless" resuscitation with permissive hypotension via impedance threshold device therapy compared with normal saline resuscitation in a porcine model of severe hemorrhage. The journal of trauma and acute care surgery. Aug 2013;75(2 Suppl 2):S203-209. Frascone RJ, Wayne MA, Swor RA, et al. Treatment of non-traumatic out-of-hospital cardiac arrest with active compression decompression cardiopulmonary resuscitation plus an impedance threshold device. Sep 2013;84(9):1214-1222. Yannopoulos D, Segal N, Matsuura T, et al. Ischemic post-conditioning and vasodilator therapy during standard cardiopulmonary resuscitation to reduce cardiac and brain injury after prolonged untreated ventricular fibrillation. Aug 2013;84(8):1143-1149. Sarraf M, Sharma A, Caldwell E, McKnite S, Aufderheide T, Lurie K, Neumar R, Riess M, Yannopoulos D. Postconditioning with inhaled sevoflurane at the initiation of cpr improves hemodynamics and mitigates post-cardiac arrest myocardial injury after 15 min of untreated ventricular fibrillation. Crit Care Med. 2012;40:1-328 Yannopoulos D, Segal N, McKnite S, Aufderheide TP, Lurie KG. Controlled pauses at the initiation of sodium nitroprusside-enhanced cardiopulmonary resuscitation facilitate neurological and cardiac recovery after 15 mins of untreated ventricular fibrillation. Crit Care Med. 2012;40:1562-1569 Segal N, Matsuura T, Caldwell E, Sarraf M, McKnite S, Zviman M, Aufderheide TP, Halperin HR, Lurie KG, Yannopoulos D. Ischemic postconditioning at the initiation of cardiopulmonary resuscitation facilitates functional cardiac and cerebral recovery after prolonged untreated ventricular fibrillation. Resuscitation. 2012;83:1397-1403 Convertino VA, Parquette B, Zeihr J, Traynor K, Baia D, Baumblatt M, Vartanian L, Suresh M, Metzger A, Gerhardt RT, Lurie KG, Lindstrom D. Use of respiratory impedance in prehospital care of hypotensive patients associated with hemorrhage and trauma: A case series. The journal of trauma and acute care surgery. 2012;73:S54-59 Yannopoulos D, Matsuura T, Schultz J, et al. Sodium nitroprusside enhanced cardiopulmonary resuscitation improves survival with good neurological function in a porcine model of prolonged cardiac arrest. Crit Care Med. Jun 2011;39(6):1269-1274. Yannopoulos D, Kotsifas K, Lurie KG. Advances in cardiopulmonary resuscitation. Heart Fail Clin. Apr 2011;7(2):251-268, ix. Lurie KG, Coffeen P, Shultz J, McKnite S, Detloff B, Mulligan K. Improving active compression-decompression cardiopulmonary resuscitation with an inspiratory impedance valve. Circulation 1995;91(6):1629-32. Plaisance P, Lurie KG, Vicaut E, Adnet F, Petit JL, Epain D, Ecollan P, Gruat R, Cavagna P, Biens J and others. A comparison of standard cardiopulmonary resuscitation and active compression-decompression resuscitation for out-of-hospital cardiac arrest. French Active Compression-Decompression Cardiopulmonary Resuscitation Study Group. N Engl J Med 1999;341(8):569-75. Lurie KG, Voelckel WG, Zielinski T, McKnite S, Lindstrom P, Peterson C, Wenzel V, Lindner KH, Samniah N, Benditt D. Improving standard cardiopulmonary resuscitation with an inspiratory impedance threshold valve in a porcine model of cardiac arrest. Anesth Analg 2001;93(3):649-55. Lurie KG, Zielinski T, McKnite S, Aufderheide T, Voelckel W. Use of an inspiratory impedance valve improves neurologically intact survival in a porcine model of ventricular fibrillation. Circulation 2002;105(1):124-9. Aufderheide TA, Sigurdsson G, Pirrallo RG, Yannopoulos D, McKnite S, van Briesen C, Sparks C, Conrad CJ, Provo CA, Lurie KG. Hyperventilation-induced hypotension during CPR. 2004;109:1960-65. Aufderheide TP, Pirrallo RG, Provo TA, Lurie KG. Clinical evaluation of an inspiratory impedance threshold device during standard cardiopulmonary resuscitation in patients with out-of-hospital cardiac arrest. Critical Care Medicine. 2005, Apr;33(4):734-40. Pirrallo RG, Aufderheide TP, Provo TA, Lurie KG. Effect of an inspiratory impedance threshold device on hemodynamics during conventional manual cardiopulmonary resuscitation. 2005 Jul;66(1):13-20. Aufderheide T, Alexander C, Lick C, Myers B, Romig L, Vartanian L, Stothert J, S. M, Matsuura T, Yannopoulos D and others. From laboratory science to six emergency medical services systems: New understanding of the physiology of cardiopulmonary resuscitation increases survival rates after cardiac arrest. Crit Care Med 2008;36(Suppl):S397-S404. Lurie KG, Yannopoulos D, McKnite SH, Herman ML, Idris AH, Nadkarni VM, Tang W, Gabrielli A, Barnes TA, Metzger AK. Comparison of a 10-breaths-per-minute versus a 2-breaths-per-minute strategy during cardiopulmonary resuscitation in a porcine model of cardiac arrest. Respir Care 2008;53(7):862-70. Metzger A, Yannopoulos D, Lurie KG. Instrumental Management of CPR. Severe Acute Heart Failure Syndromes:  A Practical Approach for Physicians. Mebazaa, A., Gheorghiade, M., Zannad, F., Parrillo, J.E. (eds.). Springer-Verlag, London Ltd. 2008, pp. 43-51. Metzger A, Lurie K. Harnessing Cardiopulmonary Interactions to Improve Circulation and Outcomes After Cardiac Arrest and Other States of Low Blood Pressure. In: Iaizzo PA, editor. Handbook of Cardiac Anatomy, Physiology, and Devices: Springer Science; 2009. p 583-604. Nichol G, Aufderheide TP, Eigel B, Neumar RW, Lurie KG, Bufalino VJ, Callaway CW, Menon V, Bass RR, Abella BS and others. Regional systems of care for out-of-hospital cardiac arrest: A policy statement from the American Heart Association. Circulation;121(5):709-29. Yannopoulos D, Matsuura T, McKnite S, Goodman N, Idris A, Tang W, Aufderheide TP, Lurie KG. No assisted ventilation cardiopulmonary resuscitation and 24-hour neurological outcomes in a porcine model of cardiac arrest. Crit Care Med;38(1):254-60.     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

https://ampa.org/   Join our esteemed Panel Discuss the Highlights of Day 3!   @TotalResus Dr. Fredrik Granholm @MikeSteuerwald Dr. Mike Steuerwald @87MD1 Dr. Chris Fullagar @UCAirCareDoc Dr. Bill Hinckley @FLTDOC1 Dr. Mike Abernethy @EMSCritCare Dr. Faizan H. Arshad   Sponsored by @AmpaDocs #CCTMC16     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org

https://ampa.org/   Join our esteemed Panel Discuss the Highlights of Day 2!   @EMSCritCare Dr. Faizan H. Arshad @CbatesMD Dr. Craig Bates @MikeSteuerwald Dr. Mike Steuerwald @ResusPadawan Student Doctor Mike Lauria @UCAirCareDoc Dr. Bill Hinckley @FLTDOC1 Dr. Mike Abernethy   Sponsored by @AmpaDocs #CCTMC16     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org              

Ep #13 – Introduction to Tablet US Devices @Yale_EUS & @EM_Informatics   Terason t3200: http://www.terason.com/usmart-3200t/ GE V-scan: http://www3.gehealthcare.com/en/products/categories/ultrasound/vscan_portfolio Philips Lumify: https://www.lumify.philips.com/web/ Also mentioned- SonoSite iViz: https://www.sonosite.com/uk/product/sonosite-iviz   For more on Yale’s Emergency Ultrasound Program: http://medicine.yale.edu/emergencymed/ultrasound/ For more information on the Prehospital Pilot Program, scheduled to launch at our CC US conference in Newport, RI this September: http://medicine.yale.edu/emergencymed/ultrasound/courses/ Check out our prehospital friends & POCUS bloggers: http://emspocus.com/       Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #12 @JavaDrake – Trauma US and the E-FAST exam   For more on Yale’s Emergency Ultrasound Program: http://medicine.yale.edu/emergencymed/ultrasound/ For more information on the Prehospital Pilot Program, scheduled to launch at our CC US conference in Newport, RI this September: http://medicine.yale.edu/emergencymed/ultrasound/courses/   Check out our prehospital friends & POCUS bloggers: http://emspocus.com/   There are a tremendous amount of #FOAMed Ultrasound resources out there and it’s only natural to want to consume it all!  Trust me when I say nobody will blame you for getting excited about point of care US.  Resources are very nicely summarized and linked by @sandnsurf on the LITFL blog: http://lifeinthefastlane.com/ultrasound-in-emergency-medicine/.  Lot’s of additional links also in the comments section.     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #11 @CodeGreenEMS - Mental Health & MOS Suicide Prevention   For more of the Code Green Campaign, visit: http://codegreencampaign.org/   President: Ann Marie Farina Ann Marie is one of the founders of Code Green and is the driving force behind the campaign. Ann Marie helped develop the idea for Code Green after the suicide of a coworker in March of 2014. One thing lead to another, and Code Green was born. Ann Marie was born and raised in rural Alaska to a firefighting family and has been in EMS since 2003. She attended the University of Alaska Fairbanks where she obtained her Paramedic certification in 2006. While in Alaska she worked as a rural transport EMT, a wildland fire medic, an oilfield medic, and a volunteer firefighter. Since 2009 Ann Marie has worked as a full time field Paramedic in Spokane, WA for the primary 911 transport agency. She also worked part time for EMSconnect, writing entertaining and sometimes slightly inappropriate continuing education for EMS providers. In addition to being the President of the board, Ann Marie serves Code Green as the treasurer, graphic designer, website admin, Facebook admin, and general jack-of-all trades. She also serves on the EMS1 Editorial Advisory Board. If she had free time she would spend it at the gym and using her camera for something besides a paperweight. Secretary: Fiona Campbell Fiona has been in public safety for 15 years, initially as a volunteer firefighter/EMT in 2000 before transitioning to her current position as a paramedic for Austin-Travis County EMS in 2012, where she is on the department Honor Guard and peer support team. She’s the other main admin of the Code Green Facebook page, and is our primary statistics person. She’s also the southern half of our instructor base for our mental wellness course. Fiona is also the reason coffee was invented, and no, you can’t have her cup. It’s hers. Don’t even ask. Her other passions include mentoring and educating future EMS providers – done via her department’s Explorer Post – photography, and editing fiction novels. She is owned by several rather over-sized Maine Coon cats and a large pack of dogs, all of whom think she spends too much time on the computer and not enough time paying attention to them.     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #10 – Prehospital Care Research Forum – Annual Summit Recap with @davidpage.    For more with Dave Page & the PCRF podcast: http://www.pcrfpodcasts.org/ FISDAP Research: http://www.fisdap.net/research For a quick introduction to research instructors can send students to www.fisdap.net/research101 a free online course.   http://www.emsreference.com/   Round Table PCRF Summit:   Alan Batt - Critical Care Paramedic   Keith Widmeier BA, NRP, FP-C University of Cincinnati College of Medicine   Christiana Corrado EMT-P Adjunct Professor Westchester Community College    Ron Lawler BUS NRP Director Sanford Health EMS Education North Dakota State College Sciences   Kelly Walsh, RN BSN PHRN EMS Academy Program Director Creighton University-Advanced Medical Transport of Central Illinois Paramedic Consortium               Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #9 - Simulation - Double Sequential Defibrillation in refractory VF & Lecture by @ccareanywhere on #DSED   Hot off the press! Our case series on #DSED just accepted for publication in Prehospital Emergency Care: http://www.tandfonline.com/eprint/ZQsRHp54MWXAIkCsUiAi/full     REBEL EM: Beyond ACLS http://rebelem.com/beyond-acls-dual-simultaneous-external-defibrillation/ EMS World: Hold the Coroner http://www.emsworld.com/article/10318805/double-sequential-defibrillation PEC: Cabanas et al http://www.ncbi.nlm.nih.gov/pubmed/25243771     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org    

Ep #8 - EMSJC - Prehospital Ultrasound and Mechanical CPR in OHCA   PEEPS Study: Prehospital Evaluation of Effusion, Pneumothorax, and Standstill (PEEPS): Point-of-care Ultrasound in Emergency Medical Services West J Emerg Med. 2015 Jul;16(4):503-9. doi: 10.5811/westjem.2015.5.25414. Epub 2015 Jul 14. http://www.ncbi.nlm.nih.gov/pubmed/26265961   Cardiopulmonary Resuscitation using electrically driven devices: A review J Thorac Dis. 2015 Oct;7(10):E459-67. doi: 10.3978/j.issn.2072-1439.2015.10.40. http://www.ncbi.nlm.nih.gov/pubmed/26623121   Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org    

Ep #7 – Simulation Episode – Selective Spinal Immobilization with Dr. Joe Bart (Full HD video on YouTube) https://www.youtube.com/watch?v=Lh44vQHpQvk&feature=iv&src_vid=PkNRiJm6FRY&annotation_id=annotation_4084272705   Joseph A. Bart DO – EMS division – Operations Medical Director, Deputy Fellowship Director University of Buffalo Profile Page: https://medicine.buffalo.edu/content/medicine/faculty/profile.html?ubit=jabart National Center for Security & Preparedness: http://www.albany.edu/ncsp/   -- Eliminate the Standing Take Down -- Selective use of the C-collar -- The Backboard as an Extrication Device -- The Role of Alternate Devices -- Q&A with Dr. Bart   Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org    

Ep #6 - It's a Mick-Tatorship with Dr. Mick Molloy @drmickmolloy   Former Past President Irish Medical Association and current board member of the Irish PHECC (Prehospital Emergency Care Council)     -- Medicine In Ireland - Emergency Medicine and EMS / Disaster Preparedness -- Challenging road to Disaster Preparedness & Stealing a Police Care  -- BestBETs: http://www.bestbets.org/ -- How to foster high quality research and mitigate Inertia -- Papers App: http://www.papersapp.com/mac/ -- Manuscript App: http://www.manuscriptsapp.com/   -- Current Policy Challenges of PHECC: https://www.phecit.ie/   Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org  

Learn more about the #EMSWolfpack on emswolfpack.com Check them out on twitter: twitter.com/emswolfpack Wolfpack Support on Twitter: @paramedic_al @winkler @kablammoNick @MediBrat @tingles005 @DaveWeekly @Medic4900 @ashleyliebig @cherylcookie21 @Shorty_Med @_Matt_Simpson @parabrod @NoDesat @madmedic809 @bmiesemer @EMS_Junkie @paramedickiwi     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org

BLS CPAP / JEMS: http://www.jems.com/articles/print/volume-38/issue-11/patient-care/argument-bls-cpap.html   Optimizing Preoxygenation, Delayed Sequence Intubation: Must read: http://emcrit.org/preoxygenation Paper in Annals @emcrit @mdaware: http://www.annemergmed.com/article/S0196-0644(14)01365-1/abstract LITFL DSI: http://lifeinthefastlane.com/ccc/delayed-sequence-intubation/     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org

Saving life and brain with extracorporeal cardiopulmonary resuscitation: A single-center analysis of in-hospital cardiac arrests http://www.ncbi.nlm.nih.gov/pubmed/26383007     Tranexamic acid as part of remote damage-control resuscitation in the prehospital setting: A critical appraisal of the medical literature and available alternatives http://www.ncbi.nlm.nih.gov/pubmed/26002268     Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org

Interview with Dr. Paul Pepe http://www.jems.com/authors/l-p/paul-e-pepe-md-mph.html   -- How Research Launched Dr. Pepe's Prehospital Career --"The earlier the intervention in the critically ill patient, the better the outcome." --The beginning of physician response programs --History of the Anti-Shock Garment: The Instrument of the Devil --Challenging the Sacred Cow - Modern Day Dogma-lysis -- OLMC --> NAEMSP --> EAGLES   Follow us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing Everyone a safe tour! ~Faizan H. Arshad, MD www.emsnation.org