Paramedic - Better Today
Paramedic – Better Today breaks down the core fundamentals of paramedic practice. It is an AI-generated podcast that draws on human-created materials to review essential concepts for EMS providers. Each episode is intended to support continuing education and reinforce best practices. Listeners are reminded to always follow their own agency's guidelines and procedures.
Episodes
Differential - DLOC
Utilize "Head, Tank, Pump, Sugar, MI, OD" to assess DLOC.
Pediatric - Needle Jet Insufflation
Discuss the indications and procedures for needle jet insufflation. Consider why there may be so many conflicting messages on methods for this low frequency procedure, with such high failure rates.
Code Management - Setting the Scene
Instead of discussing the medicine behind a cardiac arrest, breakdown how the first few minutes can make or break the management of a cardiac arrest. Discuss the initial few minutes, from setting down the kits, having enough room to work, the mentality about "owning the pause" and verbalizing with your partner. Get an idea about what makes a good setup.
EMT - Sick Not Sick
We take a step back, and look at the EMT side of things. Remember what basic concept of triage is from the door, keeping in mind that "over triage" is okay. And consider what the long term impacts of the stressful environment for these time sensitive decision making can have on the mental health of our BLS members, and how that may even make it harder to be successful to make accurate determinatio
Case Study - Ketamine
A deeper look at the case of Elijah McClain. What lessons should be learned and how can this tragic case be avoided?
Drugs - Epi
Breakdown the pharmacological uses of epinephrine, and the patient populations that would most benefit from its application.
Drugs - Ketamine vs Etomidate
Discuss the pros and cons of Ketamine vs Etomidate for specific pathophysiology breakdowns.
Med Admin - Cardiac
Discuss common medication therapies based on patient presentations (cardiac ed)
Med Admin - Metabolic
Discuss common medication therapies based on patient presentations (metabolic ed)
Med Admin - Respiratory
Discuss common medication therapies based on patient presentations (respiratory ed)
Pharmacology - Rx Recognition
Discuss recognition of medications and how this can help us with understanding the patients in front of us.
Pharmacology - Overdose
Discuss a treatment ideology based on patient presentation when thinking "Drug Overdose on unknown etiology". Go over bradycardia, tachycardia, seizures, respiratory distress, and "other".Give a mental map for treat first, reversal agent second.
Injury Series - Traumatic Arrest
Breakdown the management of a traumatic arrest. How does MARCH fit into the management, and are chest compressions the first priority?
Injury Series - Tamponade
Recognition and treatment of traumatic cardiac tamponade. Discuss the mechanism, blunt vs penetrating.
Injury Series - Pneumothorax
Discuss the recognition and treatment methodologies of a tension pneumothorax. Identify the pitfalls and dangers and needle placement, as well as intubation considerations.
Injury Series - MARCH
Discuss the treatment priorities when in a traumatic injury patient. Utilization of the MARCH, in assisting in keeping a forward momentum and streamlining our process.
Injury Series - Hanging
Treatment methodologies for traumatic hangings, and understanding of the classic "judicial" hanging vs modern day self inflicted hanging injury patterns.
Disease - Hyperkalemia
Breakdown the pathology, recognition and treatment plan for Hyperkalemia.
Disease - Heart Failure
Breakdown heart failure, from the pathophysiology to recognition to treatment plan.
Disease - COPD
Breakdown COPD from the pathophysiology to recognition to treatment plan.
Disease - Asthma
Breakdown of asthma, from the pathophysiology to the recognition in the field and treatment plan.
Airway Series - Delayed Sequence Intubation
Discuss delayed sequence intubation. From definition, concept, application and appropriate patient selection.
Airway Series - Resuscitate
Breakdown the resuscitation period of an intubation. How the "reversible causes" may not only apply to cardiac arrest.
Airway Series - Positioning
Discuss the fundamentals of positioning a patient for an intubation. Then discuss how the process may (or may not) change for some specific situations such as a heart failure or increased cranial pressure patient.
Airway Series - Success
Redefining "Success" in the context of airway management. Although this may apply to any component of emergency medicine, this takes a close look at critical care of a missed airway and the lessons learned of the classic QAQI process and how it may be flawed.
Mentality - On the Line
Discuss how to manage patients that are, "riding the line" when it comes to traditional decision points for treatment plans. Trigger points such as blood pressure less than 90, or O2 less than 92, GCS less than 8 but the patient is exactly at that number... How do we decide to treat aggressively or passively.Is there a different way to view these numbers to decide our treatment plans?
Mentality - Better Today
The reason that this podcast exists. The mentality that defines improvement from one call to the next. How do we learn from mistakes, and how should we develop a culture of excellence within a department?
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