Prehospital Paradigm Podcast

This is a weekly podcast with our group talking about local, regional and national EMS issues. Physicians, nurses, advanced and basic EMS providers will gain professional knowledge from this podcast.

EMS Education - Creating the Best, Part 1 06/04/2025

EMS Education - Creating the Best, Part 1 EMS Education is the topic this month with Falon Steiner, EMS Manager of Initial EMS Training. What are the basics? What changes do instructors need to make in teaching methodology? EMT programs are still under oversite by the state. The paramedic programs have oversight from the Accreditation of Allied Health Education Programs (CAAHEP) is a programmatic post-secondary accrediting organization recognized by the Council for Higher Education Accreditation (CHEA). All training has been amended to be more of an ongoing competency-based evaluation vs. a course final memorization competency review. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36812430

Adult Trauma for EMS Part 4 - Live 06/03/2025

Adult Trauma for EMS Part 4 - Live Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals joined the team at this Live Episode held at Parma Fire Station #2. The group discusses the varied capabilities of trauma center levels and the Golden Hour. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36828740

Adult Trauma for EMS Part 3 05/19/2025

Adult Trauma for EMS Part 3 In this 3rd part of the team’s discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will “kill” a trauma patient? /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36430480

Adult Trauma for EMS Part 2 05/12/2025

Adult Trauma for EMS Part 2 Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars that has been based on data collection. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36430365

Adult Trauma for EMS Part 1 05/05/2025

Adult Trauma for EMS Part 1 Ray Pace takes the lead this month as the crew talks adult trauma topics with, Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals. In this first episode of the series, Dr. Tinkoff reflects on how he came to find Trauma Surgery as a specialty including his early life as a first responder. The group discusses the varied capabilities of trauma center levels and the Golden Hour. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36430160

Blood and Transfusion Medicine For EMS Live, Part 4 04/28/2025

Blood and Transfusion Medicine For EMS Live, Part 4 In this insightful episode of The Pre-Hospital Paradigm Podcast, Dr. John Hill and co-host Scott Wildenheim dive deep into the evolving world of blood transfusion medicine with special guests Vicki Cary, Manager of Transfusion Medicine, and Matt Howlett, System QA Coordinator for Blood Banks. Together, they explore the critical role of blood and blood products in EMS and trauma care, the challenges of maintaining blood supplies, and recent advancements expanding paramedic scope of practice in Ohio. #prehospitalparadigmpodcast /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36333590

Transfusion Medicine for EMS - Part 3 04/21/2025

Transfusion Medicine for EMS - Part 3 As Dr. Hill, Scott, Vicky and Matt start to wind up the discussion regarding transfusion medicine for EMS, i.e. using blood products in the prehospital setting, they discuss the proper storage requirements necessary for products and the costs of maintaining the blood collection, storage and distribution process. What’s being considered before implementing blood products into the streets. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36029630

Transfusion Medicine for EMS - Part 2 04/14/2025

Transfusion Medicine for EMS - Part 2 Scott and Dr. John Hill continue with their guests from the UH blood bank. The discussion continues regarding the emergent useage of blood products before and after the type and screening which can be done with 10 minutes or less depending on the type of testing equipment. They also move on to educating EMS professionals regarding being a part of the collection/donation process. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36029430

Transfusion Medicine for EMS - Part 1 04/07/2025

Transfusion Medicine for EMS - Part 1 This month, the crew gets together with, Victoria Cary and Matt Howlett, members of the UH system's blood bank to talk about the progress of transfusion medicine becoming within the practice scope of EMS. The information is based on rules, regulations and laws of the state of Ohio. In Part 1, the crew and guests reviews the A, B, Os basics of “blood science.” /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/36029255

Extra Monday Episode - Cardiocast Episode 1 - Basic vs. Advanced EMS Scope of Practice 03/31/2025

Extra Monday Episode - Cardiocast Episode 1 - Basic vs. Advanced EMS Scope of Practice From a cardiology standpoint, what can be done by a basic level EMS provider vs. an advanced level provider? How can technology be utilized to expand the BLS scope of practice? The basis of this discussion is the Ohio EMS Scope of Practice /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35928950

Mental Health For First Responders Live, Part 4 03/30/2025

Mental Health For First Responders Live, Part 4 In this month's episode, our guest, Brian Abbott, and the team discuss one of the most important topics for first responders - mental health. Thanks to the UH Portage Paramedic Program for having the team back in the classroom for this episode. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35922530

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 3 03/17/2025

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 3 As the team prepares for the next live show, of course, the topic being the mental health of EMS and firefighting professionals, they wind up the in-studio conversation with local firefighter, Brian Abbott who has rebounded to the fire services after treatment for mental health issues related to being in the EMS/fire service. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35507150

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 2 03/10/2025

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 2 Peer support, changing the stigma of the culture within the firefighter/EMS population is how Ray, Caleb, Dr. Hill and our guest, Brian Abbot start this episode. Showing signs of mental health issues can be seen as a sign of weakness. However, personal vulnerability needs to be recognized and encouraged. It builds trust in the team and between the officers/leadership and the front line providers. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35507025

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 1 03/03/2025

Focusing on the Mental Health of EMS and Firefighting Professionals - Part 1 In Scott's absence, Ray leads the team of Caleb, Dr. Hill and our special guest firefighter Brian Abbott, currently with the City of Elyria Fire Department. PTSD is higher in firefighters: 14.6% to 22%, compared to 6.8% in the general population. Depression is also higher in firefighters: 11% in firefighters, compared to 6.7% in the general population. Firefighter thoughts of suicide are nearly double those in the general population, with estimates reaching up to 47%. Source: The Ruderman White Paper on Mental Health and Suicide of First Responders /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35506880

Neonate Patient Care for EMS 2025 - Part 4, Live Show From 02/25/2025

Neonate Patient Care for EMS 2025 - Part 4, Live Show From The crew traveled to Caleb's home department, Munson Fire, Department, to bring closure to the recent discussion of caring for neonate patient in the EMS setting. Thank you Dr. Olicker for joining us this month! /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35420750

Neonate Patient Care for EMS 2025 - Part 3 02/17/2025

Neonate Patient Care for EMS 2025 - Part 3 The crew and Dr. Olicker start to put a close on this additional series regarding caring for neonate patients in the EMS environment. Pediatric cardiology kicks this segment off and then the crew discusses “delivery head trauma” and wraps up with correcting developmental milestones for specific neonate patients. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35121620

Neonate Patient Care for EMS 2025 - Part 2 02/10/2025

Neonate Patient Care for EMS 2025 - Part 2 Neonates with fevers start this discussion as we are still with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. We then go on to discuss vaccination differences between cultures and how to calm the parents/caretakers once EMS arrives. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35121300

Neonate Patient Care for EMS 2025 - Part 1 02/03/2025

Neonate Patient Care for EMS 2025 - Part 1 The crew is back with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. In no particular order, this episode reviews the neonate patient born into an opioid dependent situation as well as patients born with physical and/or mental impairments and appropriate sedation agents an dosages. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35120995

EMS Pharmacology Made Simple - Live From Cardinal Fire District 01/28/2025

EMS Pharmacology Made Simple - Live From Cardinal Fire District In this month's episode, we discuss EMS Pharmacy with our guest, Derek Frost, a system EMS pharmacist. We explore the challenges of managing medications in the field, how to prevent errors, and the best practices for ensuring patient safety. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/35049370

EMS Pharmacology Made Simple - Part 3 01/20/2025

EMS Pharmacology Made Simple - Part 3 As the team starts to wrap up the the discussion of demystifying EMS pharmacology, they discuss, what it means to "lock up" the controlled substances and what the potential realistic ramifications might be of not doing that properly. They also dig into the challenges of calculating the varied pediatric dosages within the EMS scenario. What steps have been taken with the UH EMS system, over 1000 standardized drug boxes to prevent errors and waste? There are over $600 wirth of drugs within the UH EMS system's drug box. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34732145

EMS Pharmacology Made Simple - Part 2 01/13/2025

EMS Pharmacology Made Simple - Part 2 The team continues the pharmacology discussion with UH Portage's pharmacy manager, Derek Frost. Remember kicking around trade/brand names vs. generic name in your day? What steps have YOU taken to reduce confusion? What drugs constitute "controlled substances?" How can we improve automated decision-making support of potentially conflicting medications? /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34731845

EMS Pharmacology Made Simple - Part 1 01/06/2025

EMS Pharmacology Made Simple - Part 1 The team gathers with Derek Frost, UH Portage pharmacy manager, to talk about all things pharmacology including trying to analyze and simplify the science behind pharmacology. In Part 1, the team digs right in and talks about medication errors evaluation and elimination there of. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34731730

Prehospital Paradigm Podcast for EMS Best of 2024, Part 3 12/16/2024

Prehospital Paradigm Podcast for EMS Best of 2024, Part 3 In Part 3 we discuss the best of SANE and sexual assault patients, field termination and DOA, air medical care, neonatal resuscitation, event medicine and access routes, capnography, MCI and the new procedures, and ECPR. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34223330

Prehospital Paradigm Podcast for EMS Best of 2024, Part 2 12/09/2024

Prehospital Paradigm Podcast for EMS Best of 2024, Part 2 In Part 2 we discuss sports medicine and the hyperthermic patient, importance of EMS documentation, anaphylaxis in pediatric care, dosing, shock, RSI, cardiac arrest care, STEMI care and EMS, and patient capacity in psychiatric emergencies /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34223270

Prehospital Paradigm Podcast for EMS Best of 2024, Part 1 12/02/2024

Prehospital Paradigm Podcast for EMS Best of 2024, Part 1 We take a look back at the best five minutes of our early episodes. In part 1 we discuss CPAP and better hand off care, the use of ketamine in assisted airways, toxicology, stroke, tactical medicine, innovations in resuscitation, steroids, and speak with a cardiac arrest survivor. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34223195

ECMO CPR - A New Way of CPR for EMS? - Part 4 (Live) 11/26/2024

ECMO CPR - A New Way of CPR for EMS? - Part 4 (Live) As the final installment to this topic, the crew hit the road to Shaker Heights. You will appreciate the open discussion. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/34151935

ECMO CPR - A New Way of CPR for EMS? - Part 3 11/18/2024

ECMO CPR - A New Way of CPR for EMS? - Part 3 The crew continues with Dr. Frank Ford and Dr. Colin McCluskey further discusscussing EMS professionals utilizing ECMO CPR. They continue define how to spread the reach and implementation of this new CPR treatment technology. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/33873957

ECMO CPR - A New Way of CPR for EMS? Part 2 11/11/2024

ECMO CPR - A New Way of CPR for EMS? Part 2 Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to further discuss EMS providers performing ECMO CPR. In part 2, we discuss application parameters such as a BLS-only crew, DNR patients, the age patients and geographical factors. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/33873737

ECMO CPR - A New Way of CPR for EMS? 11/04/2024

ECMO CPR - A New Way of CPR for EMS? Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates. /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/33769807

Prehospital Paradigm Podcast - New MCI for EMS "Live" Show 10/29/2024

Prehospital Paradigm Podcast - New MCI for EMS "Live" Show The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us! /episode/index/show/0689d739-5381-4520-818f-a2e1e224acdc/id/33663652

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