Ep. 152 Deep Dive: Palliative Extubation
Prehospital Emergency Care Podcast - the NAEMSP Podcast
Release Date: 05/28/2025
Ep. 152 Deep Dive: Palliative Extubation
Prehospital Emergency Care Podcast - the NAEMSP Podcast
In this episode, we are joined by Dr. Amelia Breyre, the lead author of Multidisciplinary Lessons from Palliative Extubations at Home, to discuss the complexities and collaborative efforts involved in facilitating palliative extubations at home. Dr. Breyre shares insights from two remarkable cases, highlighting how multidisciplinary coordination between critical care, palliative care, EMS, and hospice teams made it possible for patients to return home for end-of-life care. This conversation offers important lessons for EMS clinicians and physicians committed to improving...
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Episode 151 Deep Dive: Decoding Pediatric Asthma in EMS Data
Prehospital Emergency Care Podcast - the NAEMSP Podcast
Today, host Rachel Stemerman sits down with two authors of a groundbreaking paper: Ira Harmon and Jennifer Fishe. Their research tackles a significant challenge in emergency medical services: accurately identifying prehospital pediatric asthma exacerbations from complex EMS data. Asthma exacerbations are a common reason for pediatric EMS encounters. Accurately identifying these encounters is crucial for research and quality improvement in prehospital care. However, the nature of asthma symptoms and EMS data makes this difficult. In this episode, Ira and Jennifer will discuss their study,...
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Ep. 150 Volume 29 Issue No. 1: Single Dose Epinephrine in Cardiac Arrest
Prehospital Emergency Care Podcast - the NAEMSP Podcast
Ready for the latest insights in prehospital care? In this episode, we're diving into an eye opening question in emergency medicine: ? 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...
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Ep. 149 Special Edition: Achieving Equity in EMS Care and Patient Outcomes Through Quality Management Systems
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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 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...
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Ep. 148 Vol 28 No 6 Fluids and Access
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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 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...
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Ep. 147 Freedom House with Chief Moon and Dr. Haamid
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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...
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Ep. 146 Consensus Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies
Prehospital Emergency Care Podcast - the NAEMSP Podcast
PEC Podcast Episode 146: 📢 New Episode Alert! 📢 The Prehospital Emergency Care Podcast is back with a special episode you won't want to miss! This month, we delve into the groundbreaking "Consensus Statement of the National Association of EMS Physicians, International Association of Fire Chiefs, and the International Association of Chief of Police: Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies." Join us as we welcome esteemed guest authors Dr. Mike Levy, Dr. David Tan, Dr. Diane Miller, and Mike McEvoy to...
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Episode 145: Quick Hits Vol 28 No 3
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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: ...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!...
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Episode 144 Deep Dive: End Tidal CO2 in Cardiac Arrest
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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 ...
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Ep. 143 Vol 28 No 3 OHCA Sectional
Prehospital Emergency Care Podcast - the NAEMSP Podcast
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: & As always THANK YOU for listening. Hawnwan Philip Moy MD ( Scott Goldberg MD, MPH () Jeremiah Escajeda MD, MPH () Joelle Donofrio-Odmann DO ( Maia Dorsett MD PhD () Lekshmi Kumar MD, MPH() Greg Muller DO () Ariana Weber MD () Rebecca Cash...
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In this episode, we are joined by Dr. Amelia Breyre, the lead author of Multidisciplinary Lessons from Palliative Extubations at Home, to discuss the complexities and collaborative efforts involved in facilitating palliative extubations at home. Dr. Breyre shares insights from two remarkable cases, highlighting how multidisciplinary coordination between critical care, palliative care, EMS, and hospice teams made it possible for patients to return home for end-of-life care. This conversation offers important lessons for EMS clinicians and physicians committed to improving patient-centered care at the end of life.
Featured Article
Breyre, A. M., Grammatico, M., Policastro, A., Ingram, C. J., Prsic, E., Sussman, L. S., & Couturier, K. (2024). Multidisciplinary Lessons from Palliative Extubations at Home. *Prehospital Emergency Care*, 1-4.
🔗 Read the article: https://www.tandfonline.com/doi/abs/10.1080/10903127.2024.2420198
Resources
EMS Care of Adult Hospice Patients – A Position Statement and Resource Document of NAEMSP and AAHPM
🔗 Access the document: https://www.tandfonline.com/doi/full/10.1080/10903127.2023.2193978
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 (@michaeljukim)
Rachel Stemerman PhD (@steminformatics)
Nikolai Arendovich MD