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But Why EMS Podcast

But Why EMS Podcast

Release Date: 09/29/2021

Episode 37: Artificial Intelligence and EMS show art Episode 37: Artificial Intelligence and EMS

But Why EMS Podcast

For paramedics, click This episode is brought to you by .  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.  ...

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Episode 36:  There is no job too small show art Episode 36: There is no job too small

But Why EMS Podcast

For paramedics, click for CAPCE credit! Brought to you by 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...

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Ep. 35: What's in the Box?!?!? show art Ep. 35: What's in the Box?!?!?

But Why EMS Podcast

For paramedics, click HERE for CAPCE credit! Brought to you by 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...

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Episode 34: What we have here is a failure to communicate... show art Episode 34: What we have here is a failure to communicate...

But Why EMS Podcast

For paramedics, click for CAPCE credit! This episode is brought to you by .  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...

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Episode 34: What we have here is a failure to communicate... show art Episode 34: What we have here is a failure to communicate...

But Why EMS Podcast

This episode is brought to you by .  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...

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Ep. 33 Working in the Crossroads of medicine show art Ep. 33 Working in the Crossroads of medicine

But Why EMS Podcast

For paramedics, click HERE for CAPCE credit! Brought to you by 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...

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Ep. 32: The Better Angels of our Nature: Trauma Informed Consent show art Ep. 32: The Better Angels of our Nature: Trauma Informed Consent

But Why EMS Podcast

For paramedics, click for CAPCE credit! Brought to you by 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...

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Ep. 31 Servant Leadership in MIH show art Ep. 31 Servant Leadership in MIH

But Why EMS Podcast

For paramedics, click for CAPCE credit! Brought to you by 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...

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Episode 30: Ego is the Enemy show art Episode 30: Ego is the Enemy

But Why EMS Podcast

For paramedics, click for CAPCE credit! Brought to you by 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,...

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Ep. 29: Finding water in the Desert show art Ep. 29: Finding water in the Desert

But Why EMS Podcast

For paramedics, click for CAPCE credit! Brought to you by 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,...

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More Episodes

For paramedics, click here for CE credits. 

Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

this episode covers the challenge of the prehospital airway. The But Why team covers unique ways to secure the airway that include  "Ghosting the Airway" and "Romantic Hands."  

Hear the But Why EMS Podcast team discuss this situation with:

 

Dr. Robert Stephens

Emergency Medicine Resident at Washington University

Click here to check it out today!

Thank you for listening!

Hawnwan Philip Moy MD 

Gina Pellerito EMT-P

John Reagan EMT-P

Noah Bernhardson MD

 

References:

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2. Sakles JC, Mosier J, Stolz U. In reply. Acad Emerg Med 2013;20(9):966.

3. Limkakeng A, Broder JS, Theiling BJ. Chicken or egg? Risks of misattribution of cause-effect relationships in studies of association. Acad Emerg Med 2013;20(9):965.

4. Kajino K, Iwami T, Kitamura T, et al. Comparison of supraglottic airway versus endotracheal intubation for the pre-hospital treatment of out-of-hospital cardiac arrest. Crit Care 2011;15(5):R236.

5. Clemency BM, Roginski M, Lindstrom HA, et al. Paramedic intubation: patient position might matter. Prehosp Emerg Care 2014;18(2):239-243.

6. Murphy DL, Rea TD, McCoy AM, et al. Inclined position is associated with improved first pass success and laryngoscopic view in prehospital endotracheal intubations. Am J Emerg Med 2019;37(5):937-941.

7. Turner JS, Ellender TJ, Okonkwo ER, et al. Feasibility of upright patient positioning and intubation success rates At two academic EDs. Am J Emerg Med 2017;35(7):986-992.

8. Levitan RM, Kinkle WC, Levin WJ, et al. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 2006;47(6):548-555.

9. Snider DD, Clarke D, Finucane BT. The "BURP" maneuver worsens the glottic view when applied in combination with cricoid pressure. Can J Anaesth 2005;52(1):100-104.

10. Tournadre JP, Chassard D, Berrada KR, et al. Cricoid cartilage pressure decreases lower esophageal sphincter tone. Anesthesiology 1997;86(1):7-9.

11. Chassard D, Tournadre JP, Berrada KR, et al. Cricoid pressure decreases lower oesophageal sphincter tone in anaesthetized pigs. Can J Anaesth 1996;43(4):414-417.

12. Garrard A, Campbell AE, Turley A, et al. The effect of mechanically-induced cricoid force on lower oesophageal sphincter pressure in anaesthetised patients. Anaesthesia 2004;59(5):435-439.

13. Heath KJ, Palmer M, Fletcher SJ. Fracture of the cricoid cartilage after Sellick's manoeuvre. Br J Anaesth 1996;76(6):877-878.

14. Notcutt W. Oesophageal rupture and cricoid pressure. Anaesthesia 1991;46(5):424-425.

15. Savino PB, Reichelderfer S, Mercer MP, et al. Direct Versus Video Laryngoscopy for Prehospital Intubation: A Systematic Review and Meta-analysis. Acad Emerg Med 2017;24(8):1018-1026.

16. Messa MJ, Kupas DF, Dunham DL. Comparison of bougie-assisted intubation with traditional endotracheal intubation in a simulated difficult airway. Prehosp Emerg Care 2011;15(1):30-33.

17. Driver BE, Prekker ME, Klein LR, et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA 2018;319(21):2179-2189.

18. Driver B, Dodd K, Klein LR, et al. The Bougie and First-Pass Success in the Emergency Department. Ann Emerg Med 2017;70(4):473-478 e471.

19. Latimer AJ, Harrington B, Counts CR, et al. Routine Use of a Bougie Improves First-Attempt Intubation Success in the Out-of-Hospital Setting. Ann Emerg Med 2021;77(3):296-304.

20. Braude D, Richards M. Rapid Sequence Airway (RSA)--a novel approach to prehospital airway management. Prehosp Emerg Care 2007;11(2):250-252.

21. Braude D, Southard A, Bajema T, et al. Rapid sequence airway using the LMA-Supreme as a primary airway for 9 h in a multi-system trauma patient. Resuscitation 2010;81(9):1217.

22. Moss R, Porter K, Greaves I, et al. Pharmacologically assisted laryngeal mask insertion: a consensus statement. Emerg Med J 2013;30(12):1073-1075.