Dan sits down in a pre-Conference interview with Dr. Mark Merlin, the head of the New Jersey MD1 physician response program, the largest EMS physician program in the USA
Dr. Merlin discusses the idea of physician response, how EMS physicians interact in the prehospital environment with paramedics and EMTs, the technology that they bring to the table, and using whole blood in resuscitation, to mention just a few things!
We pull another episode out of our vault to talk about con ed…Dan, Kevin, and Jess talk about continuing education! We all have to do it; but some is better than others. Why is yours bad? Why is someone else’s good? And what is the value of “alphabet soup” classes in EMS continuing education? Do we need to think about another way?
Continuing Education is more than reading slides off a page; it’s about instructors with expertise and passion, sharing their experience with students and encouraging them to learn and practice the material.
PCU, the movie….since Kevin made the reference:
https://www.imdb.com/title/tt0110759/
Bretylium is BACK! Maybe??
https://www.resus.com.au/should-we-bring-bretylium-back-in-cardiac-arrest/
Ashley Liebig on nurse-led codes at dasSMACC:
Anna and Dan talk about some of the more…let’s say “out there” news items in EMS, and how culture and social media can hurt us as professionals.
This is a controversial topic, and yes, we hope that we get some discussion on it. But the bottom line:
If you’re not doing the right thing for your patient; you’re wrong.
Anna and Dan sit down with attorney and former paramedic Margaret Keavney to discuss end-of-life issues in EMS. How do we honor patient wishes, and the law? What is our standard, and how does our culture and training sometimes work against us?
It’s a full house for this episode as we take a look at a procedure that is literally all over FOAMed…but we might be a little different!
We talk about a wide variety of all things cricothyroidotomy: mental prep and training, the difference in the techniques that are out there, which one might work better, and lots of other stuff. We also shoutout to a LOT of other resources that will help you to really understand this low frequency, but critical procedure.
The National Registry…what is it, and why should it matter to you? As the only national organization of credentialing in the USA, the guidelines and structure they use has a huge impact on your license or certification.
We dig into the Overrun vault to find this episode….let us know what YOU think!
Is NREMT the be-all, end-all solution; or can it be improved to be a truly national licensing standard? We look at the strengths and weaknesses, and what we would like to see from the NREMT!
Does absence of evidence indicate evidence of absence? Resuscitative Endovascular Balloon Occulsion of the Aorta (REBOA) is a hot topic in prehospital care, especially with London’s Air Ambulance using it in the field.
What does it require? Are we ready for this? And what’s the benefit to the patient?
We break it down for you in this episode…and you’ll be surprised!
London HEMS can be found at:
https://www.londonsairambulance.org.uk
Paris SAMU is another program you should look at:
https://www.jems.com/articles/print/volume-42/issue-12/features/how-physicians-perform-prehospital-ecmo-on-the-streets-of-paris.html
The Knick was a cable series about turn of the century medicine:
https://www.cinemax.com/the-knick
Original Journal of Surgery paper on REBOA:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249899/
REBOA at the R. Adams Cowley Shock Trauma Center:
https://www.ncbi.nlm.nih.gov/pubmed/29190256
The latest study on REBOA:
https://journals.lww.com/jtrauma/Citation/2016/09000/The_AAST_AORTA_registry_and_data_on_REBOA.33.aspx