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Ready for the latest insights in prehospital care? In this episode, we're diving into an eye opening question in emergency medicine: could giving just a single dose of epinephrine during cardiac arrest be more effective than the standard approach? This topic isn't just about changing a drug protocol—it challenges the way we think about resuscitation itself. We're spotlighting a new study that's sparking important conversations in the field, and it's part of a broader theme in the latest issue of Prehospital Emergency Care, which also features articles on pediatric emergencies, compelling case studies, and new insights into cardiac arrest care. Join Niko and Michael as they speak with authors Dr. Tyler George and Dr. Nick Ashburn about their study - you don't want to miss it. Check out PEC Podcast Episode 149 today! Available now on your favorite podcast platform. As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
Ready for the latest insights in prehospital care? Improving health and safety in our communities starts with a commitment to equity. We explore how systemic disparities in Emergency Medical Services (EMS) affect patient care, outcomes, and trust. Join our guests - Remle Crowe, Andra Farcas, and Ameera Haamid - as we unpack the National Association of EMS Physicians' recommendations for making equity a strategic priority, published in Prehospital Emergency Care Journal, Volume 28, Number 6. Hear how EMS agencies can leverage improvement science, community engagement, and quality monitoring to ensure that all patients receive high-quality, respectful care—regardless of who they are or where they live. This is more than a conversation; it's a call to action. Don't miss this important discussion. Also available for CE Credit! Check out PEC Podcast Episode 149 today! Available now on your favorite podcast platform. As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
Ready for the latest insights in prehospital care? The new Prehospital Emergency Care (PEC) Podcast, Episode 148 (Vol 28, Number 6), has dropped! This episode explores vital findings published in the Prehospital Emergency Care Journal, Volume 28, Number 3. We're tackling essential themes for every prehospital clinician: Fluids, Vascular Access, and Resuscitation Strategies. Get the breakdown on significant research, such as the study "Retrospective Comparison of Upper and Lower Extremity Intraosseous Access During Out-of-Hospital Cardiac Arrest Resuscitation" authored by Tanner Smida, Remle Crowe, Jeffrey Jarvis, Taylor Ratcliff, and Mat Goebel. Learn about the nuances of IO access in OHCA! Don't miss this important discussion. Check out PEC Podcast Episode 148 today! Available now on your favorite podcast platform. As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
Title: Remembering Freedom House: A Legacy in EMS Join us for a special episode of the Prehospital Emergency Care (PEC) Podcast as we delve into the rich history and enduring legacy of Freedom House. In alignment with our commitment to Diversity, Equity, and Inclusion, we're honored to welcome two distinguished guests: Chief John Moon from Freedom House and Dr. Ameera Hamid, EMS physician at the University of Chicago. Chief John Moon Dr. Ameera Haamid In this powerful conversation, we'll take a nostalgic journey back to the origins of Freedom House, exploring its groundbreaking contributions to the world of Emergency Medical Services. Chief Moon and Dr. Hamid will share their personal insights and reflections, highlighting the pivotal role Freedom House played in shaping modern EMS. This episode is more than just a history lesson; it's a tribute to the pioneers who broke barriers and paved the way for a more inclusive and equitable EMS system. Listen as we celebrate the remarkable story of Freedom House and its lasting impact on prehospital care. Key Topics: The historical significance of Freedom House. Personal stories and reflections from Chief John Moon and Dr. Ameera Hamid. Freedom House's impact on diversity, equity, and inclusion in EMS. The enduring legacy of Freedom House in modern prehospital care. Listen Now: https://traffic.libsyn.com/pecpodcast/Ep._147_Chief_Moon_Dr._Haamid.mp3 Learn More: Achieving Equity in EMS Care and Patient Outcomes Through Quality Management Systems: A Position Statement American Sirens (Chief Moon's book) As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
PEC Podcast Episode 146: Consensus Statement of the National Association of EMS Physicians International Association of Fire Chiefs and the International Association of Chiefs of Police: Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies
PEC Podcast Episode 145: Quick Hits from Prehospital Emergency Care Journal Get ready for a rapid-fire review of the latest prehospital research! In Episode 145 of the PEC Podcast, we dive into the original research section of the Prehospital Emergency Care Journal (Volume 28, Number 3). Join our expert panel as we dissect key findings and discuss the implications for EMS practice. This episode covers manuscripts like: Challenges Locating the Scene of Emergency: A Qualitative Study of the EMS System in Rwanda Prehospital Validation of the Assessment of Blood Consumption (ABC) Score Evidence for Use of Validated Sepsis Screening Tools in the Prehospital Population: A Scoping Review ...and more! Tune in for a concise and informative discussion that will keep you up-to-date on the latest advancements in prehospital care. Click here to download today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
Cardiac arrest in the prehospital setting continues to be a critical area of focus for EMS clinicians, especially when it comes to measuring ventilation and perfusion. In this episode, we'll do a deep dive on new research investigating the role of end tidal carbon dioxide (ETCO2) as a potential indicator of survival in out-of-hospital cardiac arrests. The study looks at how both high and low ETCO2 levels affect mortality and why these numbers alone may not be enough to guide resuscitation decisions. Stick around for all the insights! In this podcast, we interview the lead author Tanner Smida MD/PhD Candidate AEMT West Virginia University on the manuscript: The Association of Prehospital End-Tidal Carbon Dioxide with Survivial Following Out-of-Hospital Cardiac Arrest Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
The PEC podcast team covers the Prehospital Emergency Care Journal Volume 28 Number 3...Kind of. As the PEC Journal grows, the PEC podcast team is breaking up Volume 28 Number 3 to allow for more discussion. In this episode we cover the Out of Hospital Cardiac Arrest section. We talk about engaging manuscripts in this journal like: COVID-19 Testing Among Out-of-Hospital Cardiac Arrest Patients: Implications for Public Health & Prehospital Administration of Norepinephrine and Epinephrine for Shock after Resuscitation from Cardiac Arrest Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
The PEC podcast team covers the Prehospital Emergency Care Journal Volume 28 Number 2. We talk about engaging manuscripts in this journal like: A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation & Comparison of the Scope of Practice of the Army Combat Medic Specialist and Civilian National EMS Certification Levels Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
The PEC podcast team covers the Prehospital Emergency Care Journal Volume 28 Number 1. We talk about engaging manuscripts in this journal like: Mobile Integrated Health Care Roles of US EMS Clinicians: A Descriptive Cross-Sectional Study & A Systematic Review of Methodologies and Outcome Measures of Mobile Integrated Health-Community Paramedicine Programs Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
Everyone witnessed the tragic event of Damar Hamlin's cardiac arrest during an NFL Football game. While he had a great outcome, there remains a paucity of algorithms in managing cardiac arrest emergencies in equipment-laden athletes. Expert consensus begins with research in the field of cardiac arrest for equipment laden athletes. In this deep dive we delve into the quality in chest compressions on patients with football pads. In this podcast, we interview the lead author Jennifer Longo Assistant Professor Rowan University on the manuscript: An Evaluation of the Quality of CPR Chest Compressions Performed on Football-Equipped and Obese Simulation Manikins Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
For paramedics, click HERE for CAPCE credit! This episode is brought to you by Eolas Medical. General Devices is the one-stop app for healthcare professionals. The Eolas platform is a mobile-first file-sharing and communications platform designed specifically for frontline clinical staff. It's built for clinicians, by clinicians and our mission is to connect healthcare professionals with the information they need at the bedside super-fast and super-easily Artificial Intelligence (AI) is here whether you like it or not. On the one hand, AI evokes nefarious images of Skynet from the Terminator movies. On the other hand, our conversation with United Kingdom cardiologist, self-proclaimed tech nerd, and Chief Scientific Officer with Eolas Medical reassures us that AI is not as threatening as Hollywood would have us believe. In this upcoming episode, the But Why EMS podcast hosts interview Robert Brisk MD Chief Scientific Officer with Eolas Medical Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
The Field Triage Guidelines (FTG) are used across North America to identify seriously injured patients for transport to appropriate-level trauma centers. We should aim for an under-triage rate of 5% and an over-triage rate of 25-35%. But how faithful are we to these recommendations? In this podcast, we interview the lead author Joshua Lupton MD MPH M.Phil on the manuscript: Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD
Dr. Jarvis is joined by OG co-host Mike Verkest and Dr. Brent Myers from NAEMSP 2024. We talk about an intriguing concept in cardiac arrest… giving the initial dose of epinephrine IM instead of starting an IV or IO. They discuss a 2021 paper that compared this approach to standard dosing in a feasibility study done in Salt Lake City. Those authors released some additional data from this study… this time about survival. We talk about the potential ramifications.Citations:Pugh AE, Stoecklein HH, Tonna JE, Hoareau GL, Johnson MA, Youngquist ST: Intramuscular adrenaline for out-of-hospital cardiac arrest is associated with faster drug delivery: A feasibility study. Resuscitation Plus. 2021;September;7:100142.
This week Dr. Joe Holley drops in after attending the NAEMSP (National Association of EMS Physicians) annual meeting in Austin, Texas. The leadership of our EMS docs discussed a multitude of important topics for the prehospital care environment. Here is one of the topics Dr. Joe shared on this week's Disaster Podcast.
The Prehospital Pediatric Readiness Project In this episode, the PEC podcast team joins the Pediatric EMS Podcast- Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney-to talk to you about the National Prehospital Pediatric Readiness Project (PPRP). What is it? What do we do about it? And what does it achieve? We will be joined by two pivotal EMS physicians: Dr. Kathleen Adelgais & Dr. Kathryn Kothari discuss how the manuscript: Pediatric Readiness in Emergency Medical Services Systems laid the foundation for and how to prepare for the PPRP. Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
Ritu is sitting this one out so Mike is joined by Dr. Jeff Jarvis! ya'll know him. We are going to go over the new AIrway EBG that was published in PEC a few weeks ago. NAEMSP 2024 has been a blast and we were able to carve out a few minutes to discuss this paper! Oh, PS, there is a significant shout-out period at the beginning...Listen, scroll, whatever. :) You can find the paper here: https://www.ems.gov/assets/Evidence-Based-Guideline-for-Prehospital-Airway-Management.pdf
A Tribute to Brooke Lerner PhD With the dawn of a new year, we all know that the 2024 NAEMSP Conference is approaching. While we are excited to see friends and colleagues from afar, we must acknowledge the void of someone who contributed so much to prehospital medicine, Dr. Brooke Lerner. Dr. Lerner was a prolific researcher, passionate paramedic, and dedicated wife and mother. While we at the PEC Podcast recognize her professional efforts, we feel that a proper farewell should be spoken by those who knew her. In this episode we have our guest host, Dr. Aurora Lybeck, who knew Dr. Lerner personally, reminisce with some of Dr. Lerner's Closest Colleagues Dr. Manish Shah & Dr. Charles Cady We'll miss you, Dr. Lerner. Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
Our EMS clinicians are a key link in the chain of survival of cardiac arrest patients. A critical part of prehospital medicine is recognizing cardiac arrest and then enacting appropriate treatment. In this podcast, we interview Susie Burnett MS, EMT-P, PhD candidate in Health Communication and Qualitative Methods & Dr. Johanna Innes MD, NRP, FAEMS on their manuscript: A Qualitative Analysis of the Experiences of EMS Clinicians in Recognizing and Treating Witnessed Cardiac Arrests Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO)
This podcast discusses hypoglycemia research and practice in EMS with Eric Chase who is a comedian, paramedic and educator. Article discussed: Li, J. (2023, September 6). Article Bites: Is it safe to treat and release patients with hypoglycemia? In EMS1 after previously being printed by NAEMSP.
PEC Journal Volume 27 Number 5 In this episode, the PEC podcast team covers the Prehospital Emergency Care Journal Volume 27 Number 5. We talk about engaging manuscripts in this journal like: Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement & EMS Care of Adult Hospice Patients– a Position Statement and Resource Document of NAEMSP and AAHPM Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
Every day, our EMS clinicians utilize protocols to guide medical care. These protocols are based on the latest evidence in prehospital care. However, keeping up with current evidence remains a challenge. In this podcast, we interview Dr. Christian Martin Gill & Dr. Rebecca Casche on their manuscripts: Recommendations for Improving the Quality of Prehospital Evidence-Based Guidelines & 2022 Systematic Review of Evidence-Based Guidelines for Prehospital Care Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, Hello But Why EMS podcast listeners! Disaster medicine is a unique field of prehospital medicine. Planning for a possible disaster is one thing, but preparation goes out the window when it happens in real life. In this episode we interview Dr. Joshua Stilley FAEMS Chief of Division of EMS at the University of Missouri Medical Director of Chariton County EMS about lessons learned at a train derailment disaster. Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
PEC Journal Volume 27 Number 4 In this episode, the PEC podcast team covers the Prehospital Emergency Care Journal Volume 27 Number 4. We talk about engaging manuscripts in this journal like: Diversity, Equity, and Inclusion in the United States Emergency Medical Services Workforce: A Scoping Review & A Proposed Theoretical Framework for Clinical Judgment in EMS Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, Hello But Why EMS podcast listeners! Have you ever seen the quarterback of a professional football game review videos of the last play in real-time? The act of reviewing your actions with the intent of figuring out what you can improve upon is the key to improvement. What if we can do that with our intubations? In this episode, we talk with Dr. Brian Miller as he shares his experience and lessons learned when his EMS system recorded intubation attempts. Dr. Brian Miller Emergency Physician/EMS Physician Associate Assistant Medical Director for MedStar Mobile Healthcare Deputy Medical Director of Dallas Fire Rescue Assistant Professor of Emergency Medicine at UTSW Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
For paramedics, click HERE for CAPCE credits! Every day, EMS encounters patients in crisis from opioid use disorder. Communities rely upon EMS to be the safety net and also the bridge and connection for patients to receive appropriate care. EMS is moving itself into a new area of influence where we collaborate with community resources as the frontline providers. We have the opportunity to save lives and do a tremendous amount of good with patients who use drugs. In this podcast, PEC podcast hosts, Dr. Greg Muller and Dr. Maia Dorsett discuss the crucial roles of EMS in addiction medicine with the PEC manuscript: Prehospital Buprenorphine Treatment for Opioid Use Disorder by Paramedics: First Year Results of the EMS Buprenorphine Use Pilot with guest authors Gene Herne MD & Andrew Herring MD Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
For paramedics, click HERE for CAPCE credits! The next frontier in Prehospital medicine is prehospital blood use. The AABB (formerly the American Association of Blood Banks) is an international authority on transfusion medicine and tissue banking. The Trauma, Hemostasis and Oxygenation Research (THOR) Network is an international multidisciplinary network of civilian and military providers. Together AABB-THOR has been working to achieve the dream of utilizing prehospital blood. In our June Deep Dive, we discuss the manuscript: THOR-AABB Working Party Recommendations for a Prehospital Blood Product Transfusion Program with guest authors Christopher Winckler MD & Mark Yazer MD Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO) Works Discussed Newberry, R., Winckler, C. J., Luellwitz, R., Greebon, L., Xenakis, E., Bullock, W., ... & Mapp, J. (2020). Prehospital transfusion of low-titer O+ whole blood for severe maternal hemorrhage: a case report. Prehospital Emergency Care, 24(4), 566-575. https://www.tandfonline.com/doi/abs/10.1080/10903127.2019.1671562 THOR (Trauma Hemostasis and Oxygenation Research Network Website: https://rdcr.org/ Zhu, C. S., Pokorny, D. M., Eastridge, B. J., Nicholson, S. E., Epley, E., Forcum, J., ... & Jenkins, D. H. (2019). Give the trauma patient what they bleed, when and where they need it: establishing a comprehensive regional system of resuscitation based on patient need utilizing cold‐stored, low‐titer O+ whole blood. Transfusion, 59(S2), 1429-1438. https://onlinelibrary.wiley.com/share/ZCET9NGYI2GRV8ZF8WNH?target=10.1111/trf.15264
This episode is brought to you by General Devices. General Devices is a health tech company specializing in communication solutions that help EMS and hospitals deliver simply seamless patient care. Don't you love having dropped calls when signing out a patient? Isn't it fun repeating your sign-out over and over? How about explaining your EKG findings over the phone? Welcome to communication in EMS :). On top of everything else, communication between the prehospital and in-hospital world is complicated by technical glitches and multiple healthcare clinicians. In this upcoming episode, the But Why EMS podcast hosts talk with a fellow paramedic and Regional Manager for General Devices, Kayla Jacquez, talk about prehospital communication with hospitals and what we can do about it. Brought to you by General Devices, the creators of e-Bridge, a communication platform for prehospital and in-hospital clinicians, get ready for Episode 34 of the But Why EMS podcast to be released THIS Friday 6/30/23 at NOON. Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real time, Happy EMS Week you prehospital studs!!! We've all heard of the law EMTALA or otherwise known as the Emergency Medical Treatment and Labor Act. But how does this law affect what we do in the world of EMS? We know it's usually hospitals who are liable…not EMS systems...right!?!?!? Maybe not! Little do you know, that EMS systems can be liable. Why do you ask? Well in this episode of the But Why EMS podcast, the team explores what EMTALA is and how it affects your everyday practice of Prehospital Medicine. We're joined by our special guest. Hashim Zaidi MD FAEMS FACEP (Right) @hashimzMD Medical Director and Emergency Physician in Houston Texas Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
Happy EMS Week!!! PEC Journal Volume 27 Number 3 In this episode, the PEC podcast team brings you sprint podcast #3 of 3 for EMS week. This episode covers the Prehospital Emergency Care Journal Volume 27 Number 3. We talk about engaging manuscripts in this journal like: EMS Involvement in COVID-19 Vaccination Efforts – Results of a North Carolina Statewide Survey & Prehospital Intranasal Glucagon for Hypoglycemia Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
Happy EMS Week!!! PEC Journal Volume 27 Number 1 In this episode, the PEC podcast team brings you sprint podcast #1 of 3 for EMS week. This episode covers the Prehospital Emergency Care Journal Volume 27 Number 1. We talk about engaging manuscripts in this journal like: Impact of Prehospital Pain Management on Emergency Department Management of Injured Children & Characteristics and Outcomes of Prehospital Tourniquet Use for Trauma in the United States Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
Happy EMS Week!!! PEC Journal Volume 27 Number 2 In this episode, the PEC podcast team brings you sprint podcast #2 of 3 for EMS week. This episode covers the Prehospital Emergency Care Journal Volume 27 Number 2. We talk about engaging manuscripts in this journal like: Medication Errors in Pediatric Patients after Implementation of a Field Guide with Volume-Based Dosing & Epidemiology and Prehospital Care of Pediatric Unintentional Injuries Among Countries with Different Economic Status in Asia: A Cross-National, Multi-Center Observational Study Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of the EMS One-Stop podcast, Host Rob Lawrence speaks with Dr. Maia Dorsett and Paramedic Nikki Little to discuss the NAEMSP Quality Improvement and Safety Course, an exciting year-long course that provides EMS physicians and quality improvement leaders with the knowledge and skills necessary to lead QI and patient safety initiatives in their region, system or agency. Participants will develop an in-depth understanding of how to apply QI tools and strategies to their local needs to affect the care of patients. Dr. Dorsett and Little identify that the program will take participants on a journey to improve the quality of care and safety in their system through a multi-modal approach in sessions led by expert faculty, who will discuss key aspects of quality improvement. TOP QUOTES FROM THIS EPISODE “I think one of the things I love about this course is half the faculty are not physicians. There is a fair percentage of NAEMSP membership that are not physicians and the quality course especially is very deliberate. It has faculty from different backgrounds.” — Dr. Dorsett “Your system is complex; all of the policies and procedures and processes that you have set up for the folks to work in them, they don't always work as designed.” — Nikki Little “Once a month, and even more often than that, because you meet with your mentees, you get to really collaborate idea-wise and work together with a group of people who are all there committed to making improvements in their system.” — Dr. Dorsett “So many quality leaders are still stuck in this in this moment, where they're looking at 50% in May and 52% in June, and we're just comparing these two numbers and making massive strategic decisions about things that might be seasonal or have abnormal variation and we could be really making some really dumb mistakes if we're not looking at our data over time.” — Nikki Little EPISODE CONTENTS 02:00 – Introduction – Nikki Little 2:25 – Introduction – Dr. Maia Dorsett 02:40 – Description of the course 03:30 – Quality Course origin story 05:30 – Little's experience as an inaugural participant 0745 – Month-by-month syllabus 10:00 – PDSAs and brevity in QI 13:00 – Capstone and results presentation 15:20 – Little's course highlights 17:29 – Dorsett's course highlights 21:25 – This course is not just for physicians 23:10 – Course overall timeline 24:30 – Cohort presentations at the annual meeting and poster presentations 26:20 – Class sign-up details ADDITIONAL RESOURCES ON THIS TOPIC NAEMSP Year-Long Quality Improvement and Safety Course ABOUT OUR GUESTS Maia Dorsett, MD, PhD, is an emergency medicine and EMS physician and educator. She completed her EMS fellowship at Washington University before moving to Rochester, New York, where she now serves as the medical director for EMS education at Monroe Community College and is the associate regional medical director for education and quality for the Monroe-Livingston Region. She is also the medical director for Gates Volunteer Ambulance as well as Prodigy EMS. Nationally, she serves on the board of the National Association of EMS Physicians and the National Registry of EMTs. She is involved in quality improvement implementation and education, serving as the co-course director for the NAEMSP Quality and Safety course. Nikki Little, FAEMS, has fulfilled many roles as a paramedic, including advanced care paramedic, district chief of paramedic operations, 911 communication supervisor, and quality and patient safety officer in almost 30 years in EMS. She has a passion for patient-centered quality improvement of systems and has advocated for policy advances in the areas of patient safety, team communication and opioid overdose. She has dedicated countless hours to improve the quality and safety of patients with non-transport dispositions, (especially elderly and at-risk persons) and to improve the care for patients experiencing acute coronary syndromes (with particular focus on gender disparities in care). She has also contributed through committee work by way of the Paramedic Chiefs of Canada and the Manitoba Chapter of the Canadian Women's Heart Health Alliance. In the area of quality improvement and paramedic education, she is in her sixth year as faculty of the National Association of EMS Physicians (NAEMSP) Quality and Safety Year-Long capstone course and preconference workshop. Her dedication to furthering the educational mission of the organization, and skill in teaching patient safety and improvement science to paramedic professionals and EMS physicians was duly recognized when she was named co-director. CONNECT WITH OUR GUESTS Maia Dorsett Nikki Little
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, While we in EMS LOVE new shiny toys or flashy treatments that were only used in the hospital, some patient treatments require us to take a step back and see our patients as more than just that traumatic accident. Enter Trauma Informed Care, which is a way to treat our patients not only with their immediate medical needs but a way to prevent the long-lasting effects of trauma. This requires us to take a step back and see trauma in all its forms and treat our patients by the better angels of our nature. To understand this further, the But Why EMS team interviews: Dr. Lekshmi Kumar Emergency Medicine, EMS Physician, and Medical Director of Grady EMS Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
PEC Journal Volume 26 Number 6 In this episode, the PEC podcast team brings in the Prehospital Emergency Care Journal Volume 26 Number 6. We talk about the engaging manuscripts in this journal like: “House Calls” by Mobile Integrated Health Paramedics for Patients with Heart Failure: A Feasibility Study Association of GPS-Based Logging and Manual Confirmation of the First Responders' Arrival Time in a Smartphone Alerting System: An Observational Study Please join us in welcoming the PEC team: Dr. Greg Muller! We are happy to have you join us! Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Greg Muller DO
During a recent chat with Doc Godfrey “Cric Em If You Got'em,” we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and paramedic instructor out of New Mexico was kind enough to come on and help walk us through the paper. Listen along with us and hear what the NAEMSP thinks and our take on managing a trauma patient's airways. Link to the NAEMSP Paper: https://www.tandfonline.com/doi/full/10.1080/10903127.2021.1994069 Follow the PragMedics on Instagram and Twitter
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real time, Hello, But Why EMS Podcast listeners! What do Elon Musk and Jeff Bezos have in common? They're both NOT servant leaders. What are servant leaders you ask? And what does this have to do with EMS? Well check out this episode of the But Why EMS podcast to hear Dr. Phil and Gina talk with MIH guests: Dr. Melissa Kroll Jennifer Rieker, Paramedic, Community Paramedic Jane Reilly BA, NRP, FP-C, CP Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
Happy Women's day PEC Podcast listeners! In this Deep Dive episode of the PEC podcast, Dr. Maia Dorsett discusses the Prehospital Emergency Care Manuscript titled Characteristics and Experiences of Women Physicians and Professionals in NAEMSP with the authors: Kathy Staats MD FACEP kstaats@ucsd.edu Anurhada Luke MD Luke.Anuradha@mayo.edu Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Lekshmi Kumar MD (@Gradymed1) Maia Dorsett MD PhD (@maiadorsett)
Hello PEC Podcast listeners! In this episode of the PEC podcast, we cover the Prehospital Emergency Care Journal Volume 26 Number 5 with our original PEC Podcast crew; Phil Moy, Scott Goldberg, Jeremiah Escajeda, and Joelle Donofrio-Odmann! We discuss such articles as: Secondary Traumatic Stress in Emergency Services Systems (STRESS) Project: Quantifying and Predicting Compassion Fatigue in Emergency Medical Services Personnel & EMS Experience Caring and Communicating with Patients and Families with a Life-Limiting-Illness Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett)
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, Happy New Year But Why EMS Podcast listeners! And with a new year comes the promise to become a better you personally and professionally. So let's start with changing our mindset when it comes to education. In this episode, we have our But Why crew, Gina, Paul Schuler, and I talking with our special guest: Elizabeth Kendrick NREMTP about how amazing paramedics can be as healthcare clinicians, but how paramedics get in their own way when it comes to improving themselves. Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
As usual, the MORE tends to recognize the first 17 minutes of fellowship and hangout time. We welcome our old pal, Dr. Jeff Jarvis to the show to talk about what has been regarded as one of the best conferences of the year! (haha, it's only February) but seriously, the NAEMSP annual meeting in Tampa last week was really, really great. The 2 docs talk about some of their favorite moments. TBI, DEI, and some other stuff. This one is worth listening to for sure. Thanks for hanging out with us for a bit.
Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction gave insights to a whole range of topics. I had the pleasure of getting to see some of them. Check out this recap to learn more.
Dr. Maia Dorsett joins us again! You may remember her from the Thinking: Lift Assist episode. This time she shares what she knows about the process of death notification. It's a passion-topic for her because she knows how important these conversations are for the loved ones of patients who have died... and for us. She frames a death notification as a procedure that can be taught, learned and practiced. NAEMSP Article Bite #33: Is Death Notification Training associated with decreased burnout among EMS professionals This YouTube video was made by the Monroe-Livingston EMS Region at the beginning of the COVID-19 pandemic in anticipation of the rise of out-of-hospital death. Paper outlining The GRIEV_ING algorithm in the Prehospital Emergency Care journal.
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, In the current state of affairs and the decreasing number of OB/GYN specialists in our communities, EMS will endure long transports of high-risk OB to tertiary care facilities. As a prehospital clinician, you will be the one caring for these sick OB patient(s). Are you ready? To help you prepare, the But Why EMS podcast team discusses high-risk OB pathologies with our content expert Dr. Karin Fox, OB/GYN, Maternal Fetal Medicine, and EMS Physician at Texas Children's Hospital Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
This episode of EMS One-Stop with Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. This edition of EMS One-Stop looks at diversity, equity and inclusion in U.S. EMS. This episode takes a deep dive into two academic research papers recently published by members of NAEMSP's Diversity Equity and Inclusion Committee who focus on the delivery of care and how that care may differ based on a patient's ethnicity and race. Host Rob Lawrence welcomes: Anjni Joiner, assistant professor of emergency medicine at Duke University School of Medicine, and medical director for Durham County EMS Ameera Haamid, assistant professor of emergency medicine at the University of Chicago and associate medical director for Chicago South EMS Andra Farcas, emergency physician at the University of Colorado - Anschutz Medical Campus Jordan Rudman, emergency medicine resident at the Harvard Emergency Medical Residency at the Beth Israel Deaconess Medical Center One of the two research papers discussed is now published: Rudman JS, Farcas A, Salazar GA, et al. (2022) Diversity, Equity, and Inclusion in the United States Emergency Medical Services Workforce: A Scoping Review, Prehospital Emergency Care The companion research paper on disparities in care has been peer reviewed and accepted for publication.
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, If you're in the world of EMS, you've heard of the movie, "Bringing Out the Dead." It's a classic movie where two paramedics played by Ving Rhames and Nicholas Cage go through their day working in EMS. There is a famous scene in the middle of a party where both medics are dispatched to save a life. In this episode, we explore a case that may have captured this scene IRL. In this episode, we have special guests from the Chicago Fire Department teach us about lessons learned from their "I Be Banging" experience. Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, Have you ever responded to a call and when you arrive on the scene you and your partner looked at each other like this? Our hosts Gina and John have! Listen to them recount a baby delivery that isn't like our typical simulation cases. We also have special guests EMS Physician Maia Dorsett MD PhD and Pediatric and Adult Emergency Physician Kara LaBarge MD Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, But Why EMS Podcast brings you today's episode... Episode 24: "To be or not to be..." ~Hamlet Treating patients with end-of-life variables is difficult for all areas of medicine. EMS is no exception. Today the But Why EMS Podcast crew clarifies the world of end-of-life care with two very special guests. Amelia Breyre MD (@ameliorateMD) Emergency Medicine/EMS/Palliative Care Physician & Kenneth Hanson MD (@Kenneth_Hanson) Emergency Medicine/EMS/Palliative Care Physician Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson analyze the most popular stories of the week, beginning with an incident in Rochester, New York, where an EMT hit a police officer's squad car that was parked in the ambulance bay with the rig door, leading to the officer eventually handcuffing the provider. Our co-hosts then discuss the statement put out by the NAEMSP regarding NREMT's change to education standards – which is open for public comment until Aug. 17. The talk then turns to an assault of a paramedic and nurse after a patient was placed in triage at a local hospital. Every EMS organization should be aware of the rise in violence and have a plan in place to keep EMS providers safe on duty.