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MCHD Paramedic Podcast

Montgomery County Hospital District

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The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.
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The Student Paramedic Podcast

The Student Paramedic Podcast

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Welcome to ‘The Student Paramedic Podcast’. This podcast is aimed at students, graduates, experienced clinicians and those interested in becoming a paramedic or those interested in prehospital medicine. We will delve into a range of topics such as: where the profession can take you, how to optimise your training, how to be successful in your transition into university, from classroom to on-road and from student to graduate, how to maintain longevity in the job and draw on principles from oth ...
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Welcome to PragMed. A podcast hosted by medics for medics. We talk about everything from best practice prehospital medicine to coffee. We are not the average clinical health podcast that pretends to know it all, we find the experts and ask them what they feel is best for prehospital medicine. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table, and we only ask that you be respectful of another. Otherwise, grab a cup of coffee ...
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From professor Rob Theriault: These are lectures and in-class discussions from a capstone course in the Primary Care Paramedic program at Georgian College, Ontario, Canada. Cover art photo provided by Jonatan Hernandez on Unsplash: https://unsplash.com/@jonatanhernandez
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The Paramedic Coach discusses EMS education, NREMT certification, and gives career advice and insight to new EMS providers. EMT Training and Paramedic Training can be very accelerated and students can get left behind. My goal with this podcast is to help students pass school and the NREMT exams. I believe that anyone out there who wants to serve their community as an EMT or Paramedic should be able to do that. My aim is to decrease the failure rates of NREMT exams and help students pass the ...
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The Shift Extension Paramedic Podcast

The Shift Extension Paramedic Podcast

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The Shift Extension Paramedic Podcast is a free, open access source of information relevant to the profession of paramedicine. Join the team and their guests as we explore the medicine, challenge the norms, learn from our experiences and uncover new ideas.
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We've initiated a multi-pronged, system wide overhaul of our agitation management at MCHD. This included a move to fixed-dose ketamine for the severely agitated patients. Evidently we weren't the only ones thinking of this as there is exciting new data from Buffalo supporting this approach. Join the podcast crew as they review the recent literature…
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Welcome back to the FINAL episode of the 'Research Mini-Series'. In this episode, Dr Sandy MacQuarrie helps us understand if the research that we are looking at is reliable and of good quality. This is crucial in all stages of our careers, from university student, to paramedic on road, to completing a research study. Our practice needs to be guided…
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In this episode, Aaron and Jason sit down with James Boomhower (Boomer) from StayFit4Duty and talk about mental health and resources for first reponders. Boomer has been involved in EMS for over 20 years in a variety of health systems throughout New England. He currently functions in the role of Critical Care Transport Specialist-Paramedic/ Lead Pe…
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Welcome back to the 'Research Mini-Series'. This episode follows on from starting out with a research idea and delves into different types of research methodology and the next steps in the process. Dr Sandy MacQuarrie helps us break down these concepts into easy to follow ideas. Have a passion or a strong interest in what you want to study. For all…
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Welcome back to the 'Research Mini-Series'. Things we've discussed in this episode to help you on your journey: Setting up 'Google Scholar Alerts' Using platforms such as: EndNote, Zotero, Mendeley etc. to keep all of your articles in one place - this can assist you with finding out a methodology to use and you may find that there are the same grou…
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Welcome back to the Research Mini-Series! In this episode we interview paramedic, Abbie Little on her journey from paramedic to PhD candidate! In this episode we break down some of the attitudes and barriers that people have towards getting started in research. Abbie discusses her experience, the positives, the challenges and what she would like ot…
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Welcome to the first episode of our 'Research Mini-Series'. In this episode, we have a discussion with Dr Sandy MacQuarrie. Sandy is a paramedic, educator and researcher who has inspired both new knowledge as well as other students and clinicians in their research journey's. Today we discuss Sandy's journey into research and the exciting places tha…
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In this episode, Aaron and Jason sit down with Mustafa, Josh and Ken from Alert Medic 1. We discussed the interview they had with the oncoming NAEMT President-Elect Chris Wray. The discussion covered our differing views on education, pay, reimbursement, and our feelings about the NAEMT. There was also an indepth discussion on the Advanced Paramedic…
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We've recently had several challenging, wide-complex tachycardia cases here at MCHD, so the podcast crew decided to bring forth some VT vs. SVT with aberrancy knowledge. Learn the V-Tach FACT, and you'll feel more comfortable with your next wide rhythm at a rate of 185.REFERENCES1. https://litfl.com/vt-versus-svt-ecg-library/2. https://www.youtube.…
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In 2024 we are trying something a little different & having a deep dive into certain topics. We wanted to change the ideas and attitudes held towards research. Dr Sandy MacQuarrie helps us tackle this topic, inspire and spark imagination! We have special guest Abbie Little, who shares her full circle experience. This topics is broken down into easy…
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The podcast crew is joined by a special guest, Dr. Andrew Partain, an EMS Fellow from UTSW in Dallas. We will dissect his recent data surrounding ketamine-only intubation from MedStar in Fort Worth. This is not just another boring data rehash. There are some vital and applicable pearls that must be applied to the world of prehospital airway managem…
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In this episode, Aaron and Jason sit down with Sam, the PrepMedic. Sam is a current flight medic, has a popular YouTube channel, and is the PrepMedic. We discuss scene times and why they are important, education, and other topics in this episode. Sam brings a ton of different, life experience and thought into this conversation that shows why our pr…
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In this episode, Aaron and Jason sit down with Nick Nudell from the American Paramedic Association and discuss EMS education. Nick is a current paramedic, a Ph.D student, and a founder of the only advocacy group that is made up of paramedics. We chat about the different ways the APA advocates for paramedics and the ways that we can improve the curr…
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Conference ResusX:ReVolved: https://www.resusx.com/paramedic-coach Haney Mallemat, MD Instagram: https://www.instagram.com/criticalcarenow/ YouTube: https://www.youtube.com/c/criticalcarenow What a podcast! After watching a ton of Haney's instagram reels and seeing the high quality medical conversations he was having on his own page, I thought let'…
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Heroes Next Door, (Michael Borrello) Email Mike here: watchheroesnextdoor@gmail.com HND YouTube: https://www.youtube.com/c/HeroesNextDoor HND Instagram: https://www.instagram.com/watchheroesnextdoor/ After 24 episodes of The Paramedic Coach podcast, it is time to bring on some guests! My first guest to The Paramedic Coach podcast is my good friend …
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Applied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient. While an understanding of EKG foundational physiology is an absolute must, consideration of how to combine the 12-lead and patient presentation is vital as well. Join the podcast crew as they start a…
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In this episode of PragChat, Aaron and Jason sit down with Dr. Schauer (@armyemdoc) to discuss research papers and his thoughts on some trauma topics. Understanding research and how to interpret research papers is valuable to improving our practices and Dr. Shauer does a great job of breaking down how to interpret data and research. Dr. Schauer als…
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Learn More (Video Vault): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com I dive deep into the heart of what it truly means to begin a career in emergency medical services (EMS) sharing the lessons and reflections I've gathered from my journey as a paramedic and now The Paramedic Coach. From the decisions…
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Matt and Nick sit down to discuss this common challenge. What do you do if your patient refuses your advice? How to provide advice and break down the barriers to refusal How to assess capacity What do documents like power of attorney and an ARP really mean?The Shift Extension Paramedic Podcast tarafından oluşturuldu
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In this episode of PragChat, Aaron and Jason sit down again with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include psychology of starting IVs, best practices, and variety of additional topics. …
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We've spent countless hours (rightfully so) discussing ischemic stroke management over the past several years. Sometimes, the other 20% of strokes, the hemorrhagic version, can get neglected. No, we don't have stroke-mobiles at MCHD to diagnose an ICH in the field, but there are some patient care keys to emphasize for EMS when we suspect non-trauma…
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Mr. Jordan Emery path has taken him from NSW ambulance to an NGO in New York, before landing the top job in Ambulance Tasmania. We sat down with Jordan earlier this year to talk about paramedic culture, making mistakes and the idea of heart centered leadership.The Shift Extension Paramedic Podcast tarafından oluşturuldu
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In this episode of PragChat, Aaron and Jason sit down with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include ED and EMS relationships, why IV's are important, selecting the best catheter, and o…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com I had to report on yet another important EMS education update from NREMT. The NREMT psychomotor exams for ALS providers such as advanced EMT and Paramedic level exams are being discontinued starting July 1st, 2024. I believe …
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MCHD's POCUS program has definitely involved both forward progress and lessons learned. In this episode, we'll discuss some of the reasons POCUS can be a game changer in the prehospital setting. However, unintended consequences do exist. We've begun to make the move to utilizing carotid ultrasound in OHCA, and we'll tell you exactly why.REFERENCES1…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com The national registry of emergency medical technicians (NREMT) is the certification organization that allows all EMR, EMT, AEMT and Paramedics to become certified. Since NREMT has partnered up with the National Commission on …
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We are back for our first episode in 2024. Time for Matt to pick Nick's brain about fast and slow dysrhythmias. Does electrode placement matter? How do I differentiate between SVT and VT? How do I manage these fast rhythms? When should I worry about atrial fibrillation? Do I need to be able to interpret all of the slow rhythms?…
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MCHD paramedic Wes Hall joins the podcast crew to discuss a recent seemingly mundane back pain call. Please listen to find out how avoidance of premature closure, a thorough exam, and professional patient advocacy led to an excellent outcome in a SCARY case.REFERENCES1. https://www.mchd-tx.org/wp-content/uploads/2023/12/Image-Episode-163.jpg…
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We recently made a significant vasopressor protocol change at MCHD, prioritizing norepinephrine in all shock situations except anaphylaxis and bradycardia. The evidence supporting norepinephrine in septic and even cariogenic shock is relatively solid. However, recent data has emerged suggesting norepinephrine may be safer in post-ROSC shock as well…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com After working with tens of thousands students with the goal of passing the NREMT exam, there are usually four main mistakes the student is making preparing for their NREMT exam. And the strategies I talk about here apply to e…
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Today we sit down Sean Golding, an Australian commercial airline captain, paramedic and technical dive instructor. Not long after completing Australia's first non-stop flight from New York to Sydney, Sean found himself out of work due to covid. We talk about how Sean became a paramedic, how he handles medical incidents during long haul flights and …
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Learn More (Video Vault Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com EMS Educators, increase your student NREMT pass rates here: https://www.videosforems.com/schools EMS like a lot of fast paced professions that have a high degree of responsibility some people get burned out. And that can happ…
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Welcome back to 'The Student Paramedic Podcast'. This week we have a conversation with Dr Josh Allison from Unique Expeditions. Josh is an Expedition and Wilderness Medicine Doctor based in London. Over the years he has gained field experience across the globe, where he provides medical support for teams heading into remote and austere environments…
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In this episode of PragChat, Aaron and Jason sit down with Dr. Jeremy Kaswer and discuss REBOA. REBOA has been a hot topic recently due to a recent paper that presented some new information concerning patient outcomes. Dr. Kaswer discusses what REBOA is, how it works, why it could become a valuable tool in trauma, and other aspects. Dr. Kaswer a su…
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MCHD District Chief April Currie joins the podcast crew to discuss an angioedema case that repeatedly left more questions than answers. Dr. Patrick was tasked with managing the airway and definitely has some lessons learned to share with the listeners.Montgomery County Hospital District tarafından oluşturuldu
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Learn More (Video Vault Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com EMS Educators, increase your student NREMT pass rates here: https://www.videosforems.com/schools In EMS education, we always go over the emergent situations and scenarios to make sure we ready when that 911 call comes in. But…
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This is the second episode in our education series with Max Dodge, where we discuss education and standards for EMS and why they’re so important to the growth of the industry. Currently, the highest level of practice for paramedics to attain is literally paramedic. Talk about a ceiling. Sure you can improve your skill set and be a better medic but …
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Matt is back to pick Nick's brain. This time it's all about the respiratory patient. - Should I give adrenaline to a sick COPD patient? - What is the difference between CPAP and BiPAP - How do I figure out the BVM? - How do I measure RR in an unconscious patient? - What is the point of a BVM filter?The Shift Extension Paramedic Podcast tarafından oluşturuldu
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Sam is a Hazardous Area Response Team (HART) paramedic with a passion for adventure. He has been involved in expeditions and adventures across the world in the role of a paramedic. This week we have a chat about his experiences, what it means to be a paramedic on a expeditions, some of the various clinical challenges and how to navigate scope of pr…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com Educators: Increase student NREMT pass rates by using the Video Vault: https://www.videosforems.com/schools When figuring out what first responder career is right for you, many new students get stuck on whether to become a fi…
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The podcast crew dives deep into one of the early "STEMI equivalent" ECG patterns: ST elevation in aVR with diffuse ST depression. What does the evidence say about this pattern? Is there a FOAM lesson to be learned? How should we incorporate this ECG into our practice? REFERENCES1. Harhash AA, Huang JJ, Reddy S, Natarajan B, Balakrishnan M, Shetty …
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Today we sit down with Professor Peter O'Meara. Peter has been practicing paramedicine since the early 1970's and was one of the first to complete a profession focused PhD. We talk about his early career, the inception of paramedic degrees in Australia and where the future of professionalisation will take us.…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com Educators: Increase student NREMT pass rates by using the Video Vault: https://www.videosforems.com/schools Paramedic school is commonly the second school that an EMS provider will attend. Most people will enter EMS as an EMT…
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This week we have a chat to Jim Davies. Jim has an extensive career in the adventure business from white water rafting, pack rafting, canyoning etc. Jim moved from Australia to Scotland and created Ace Adventures. He then decided to become a paramedic, having recently finished his course. In today's episode we talk about the anecdotal benefits of a…
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This is the first installment of our new case study "What would I do if". Matt poses a series of clinical questions on the topic of TBI and the general management of a trauma patient following a long fall. What should I take into a remote scene? Should I expose all of my trauma patients? Does everyone need a binder? How do I manage the agitated pat…
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In this episode of PragChat, Aaron and Jason talk with Max Dodge about paramedic education. We discuss the reasons why we should have different levels of degrees and the reasons why they are important. We also discuss why EMS should be professionalized and how that process looks. We had a great chat with Max about this topic and how we can help inf…
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Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com Educators: Increase student NREMT pass rates by using the Video Vault: https://www.videosforems.com/schools Going from EMT to Paramedic is the biggest career jump you will make in the EMS profession. EMT class is typically 12…
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Dr. Dickson leads the discussion with recent cases involving the PECARN pediatric head injury decision rule and some super sneaky toxicology. There is some high-level detective work happening during this episode. Listen so you don't miss vital clues in your clinical practice.REFERENCES1. Kuppermann N, Holmes JF, Dayan PS, et al; Pediatric Emergency…
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We sat down with paramedic, nurse, midwife, and academic Belinda Flanigan. Belinda has had an incredible career in paramedicine from ambulance officer to now the head of the first school of paramedicine in Australia. We talk about her career, her life as a midwife, how her PhD changed practice and some advice for those looking to dip their toes int…
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This is part 2 of our chat and the conclusion to this series with @disruptive_ranger where we talk about use of force, BWC, and carrying firearms on duty. We also have a fun little conversation at the end about weird things medics do and the motoring public. It was a great chat and DR is a great guest! If you don’t like our opinions, feel free to h…
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