Summary
In this episode, the Dr. Brady, Josh, Cody, and Mustafa sit down to discuss a complex case involving a middle-aged female patient who presented with bradycardia. The conversation delves into the assessment of the patient, the identification of a third-degree heart block, and the treatment options considered, including the use of an Epi drip. The team explores the importance of understanding the nuances of cardiac rhythms and treatment protocols in emergency medicine.
Summary generated by RIVERSIDE AI
In this conversation, the Alert Medic 1 team discusses the concept of pseudo PEA in the context of cardiac arrest, exploring its implications for EMS. They delve into the role of ultrasound in identifying viable rhythms, the importance of clinical context in decision-making, and the management of reversible causes such as hyperkalemia. The discussion emphasizes the need for flexibility in protocols and the significance of understanding the patient's overall condition during resuscitation efforts. This conversation delves into the complexities of managing cardiac arrest, focusing on hyperkalemia, dynamic arrest strategies, the importance of pulse checks, and understanding PEA. The panel discusses the nuances of resuscitation techniques, the role of ultrasound, and the evolving landscape of emergency medicine practices. They emphasize the need for clinical acumen and the integration of technology in improving patient outcomes during cardiac emergencies.
Chapters
00:00 Introduction to Pseudo PEA
03:04 Understanding PEA and Pseudo PEA
05:34 The Role of Ultrasound in Cardiac Arrest
08:06 Clinical Implications of Pseudo PEA
10:43 Differentiating Narrow vs Wide Complex PEA
13:23 Management Strategies for PEA
15:56 Reversible Causes and Treatment Approaches
18:29 Final Thoughts on PEA Management
26:39 Navigating Management Approaches in Cardiac Arrest
29:39 The Role of Ultrasound in Resuscitation Decisions
35:46 Understanding Hyperkalemia and Its Impact on Cardiac Arrest
43:01 Dynamic Arrests and the Importance of Clinical Context
48:48 Termination of Resuscitation: A Critical Discussion
49:18 Pulse and Rhythm Checks: A Critical Discussion
54:55 Understanding PEA: Causes and Management Strategies
01:01:31 Exploring Treatment Options for PEA and Pseudo-PEA
01:08:18 The Role of Technology in Resuscitation: Ultrasound and Beyond
01:13:10 Concluding Thoughts: The Future of Cardiac Arrest Management
Summary generated by RIVERSIDE AI:
In this conversation, Mustafa Sidik and Josh Cooke sit down with Kenny Barajas discuss the implications of the ZODIAC trial (linked below), which investigates the effects of head positioning on stroke patients awaiting thrombectomy. They explore the trial's findings, limitations, and the importance of research literacy in emergency medical services (EMS). The discussion emphasizes the need for caution in changing EMS protocols based on new research and highlights the significance of the NIH stroke scale in assessing stroke severity. Overall, the conversation underscores the importance of evidence-based practice in stroke care and the need for further research before implementing new guidelines.
Chapters
00:00 Introduction to Stroke Expertise
03:09 Exploring the Zodiac Trial
09:25 Implications for EMS Practice
13:21 Limitations of the Zodiac Study
17:24 Research Methodology and Findings
26:41 Critical Analysis of Research Implications
32:27 Conclusions and Future Directions
LINK TO THE PAPER: https://jamanetwork.com/journals/jamaneurology/fullarticle/2835054
Summary generated by Riverside AI
Summary
In this episode, Mustafa sits down with Dr. Deb Stein, a trauma surgeon and neurointensivist, discusses her unique pathway in trauma surgery, emphasizing the importance of collaborative care in managing patients with brain injuries. She explains the complexities of brain anatomy, the Monroe-Kelly doctrine, and the significance of cerebral perfusion pressure. The discussion also covers the types of brain injuries, pre-hospital management strategies, and the critical roles of oxygenation, blood pressure management, and temperature regulation in patient outcomes. Dr. Stein highlights the need for improved engineering solutions in medical equipment, particularly cervical collars, to enhance patient care. This conversation delves into the complexities of managing traumatic brain injuries, focusing on seizure prophylaxis, hyperosmolar therapy, and surgical interventions like decompressive craniectomy. The discussion also highlights the emotional toll on healthcare providers and families, the challenges of prognostication, and the future of head injury management, emphasizing the importance of patient-centered care and the potential of technology in preventing injuries.
Chapters
00:00 Introduction to Dr. Deb Stein
03:08 Unique Pathways in Trauma Surgery
05:32 The Role of Trauma Surgeons in Patient Care
08:25 Understanding Brain Anatomy and Function
11:10 The Monroe-Kelly Doctrine Explained
14:09 Cerebral Perfusion Pressure and Its Importance
16:54 Primary vs. Secondary Brain Injury
20:17 Management of Head Injuries in Pre-Hospital Settings
23:02 Airway Management in Traumatic Brain Injury
27:46 Hypoxia and Its Impact on Brain Injury
34:56 Understanding Blood Pressure in Brain Injury Patients
37:46 The Role of Pressors and Fluid Management
39:29 The Importance of Plasma in Trauma Care
42:12 Temperature Management in Brain Injury
44:47 Cerebral Venous Drainage and Patient Positioning
48:39 Seizure Prophylaxis in Traumatic Brain Injury
51:08 Hyperosmolar Therapy and Its Applications
56:53 Surgical Interventions: Decompressive Craniectomy
01:02:22 Understanding Brain Injury Outcomes
01:08:23 The Glasgow Coma Scale Explained
01:14:22 Defining Coma and Patient Awareness
01:17:45 The Emotional Toll of Brain Injury
01:25:01 Future Directions in Head Injury Management
Summary generated by Riverside AI
Summary:
In this episode, members of the R Adams Cowley Shock Trauma Center sit down with Cody & Mustafa Sidik to discuss the complexities of managing blunt force trauma patients. The conversation covers the importance of initial assessments, team dynamics, and the need for consistent protocols in trauma care. The team emphasizes the significance of communication and support among healthcare professionals to ensure optimal patient outcomes. Through case studies, they explore real-life scenarios that highlight the challenges and strategies in trauma management. In this conversation, the speakers discuss critical aspects of emergency medical procedures, focusing on needle decompression techniques, the importance of effective EMS reporting, and strategies for managing traumatic brain injuries in the field. They also explore the use of pelvic binders and external tourniquets in trauma care, emphasizing the need for proper training and communication among medical teams.
Keywords
blunt force trauma, trauma management, emergency medicine, trauma team dynamics, patient assessment, airway management, trauma cases, communication in healthcare, trauma care protocols, trauma center, needle decompression, thoracotomy, EMS report, traumatic brain injury, pelvic binders, external tourniquets, pre-hospital care, emergency medicine, paramedics, medical education
Chapters
00:00 Introduction to the Shock Trauma Team
02:38 Understanding Blunt Force Trauma
05:33 Initial Assessment and Priorities in Trauma Care
07:19 Airway Management in Blunt Trauma
09:52 The Importance of Consistent Protocols
14:20 Training and Team Dynamics in Trauma Care
18:35 The Role of Experience in Trauma Response
25:20 Building Trust and Communication in Emergency Settings
28:51 Building a Culture of No Retribution
34:35 Teamwork in High-Stress Situations
35:22 Initial Management of Trauma Cases
43:54 Landmarks for Needle Decompression
48:40 Finger Thoracostomy vs. Needle Decompression
53:33 The Importance of Effective Communication in Reports
55:18 The Importance of Effective Communication in EMS
57:21 Case Study: Managing Severe Traumatic Brain Injury
01:03:32 Medication Choices for Head Injuries
01:08:35 Managing Intracranial Pressure and Ventilation Strategies
01:18:58 The Role of Pelvic Binders and External Tourniquets
Summary generated by Riverside AI
Summary
This conversation delves into the National EMS Advisory Council (NEMSAC), its structure, function, and the recent challenges it faces. The speakers, Brendan Hayden and Tom Arkins, share their experiences and insights on the importance of NEMSAC in advocating for EMS at the federal level, the advisory process, and the impact of recent changes in governance. They emphasize the need for grassroots advocacy and the role of EMS professionals in shaping the future of the industry. The group also stresses the importance of groups such as the NEMSAC, along with the Federal Office of EMS, reaching out directly to EMS clinicians to make their work, and value, known.
Chapters
00:00 Introduction to NEMSAC and Its Importance
02:10 Understanding NEMSAC and FICOMS
07:45 The Role of NEMSAC in EMS Advocacy
10:04 The Impact of Federal Regulations on EMS
11:24 Grassroots Efforts and Local Changes
12:47 The Structure and Function of NEMSAC
19:40 The Advisory Process Explained
23:39 Recent Changes and Challenges for NEMSAC
27:54 Executive Orders and NEMSAC's Future
35:07 Advocacy and the Future of EMS
35:32 The Importance of Advocacy in EMS
36:48 Evolving Communication in EMS
37:15 Challenges of Federal Advisory Councils
39:41 Addressing Misconceptions in EMS
40:20 The Role of Social Media in EMS Awareness
43:50 The Need for Transparency in EMS
44:59 The Role of EMS Providers in Advocacy
49:29 Future of NEMSAC and EMS Leadership
54:09 The Impact of Federal Downsizing on EMS
54:35 Counting EMS Professionals Accurately
59:10 Closing Thoughts on EMS Advocacy and Future Directions
Summary generated by Riverside AI
In this episode, Mustafa and Cody reconnect after a brief hiatus to discuss the complexities of managing Congestive Heart Failure (CHF) in emergency settings. They emphasize the importance of medical directors, the pathophysiology of CHF, and the critical role of CPAP and nitrates in treatment. Through a case study, they explore practical management strategies and the controversies surrounding the use of Lasix. The conversation highlights the need for early recognition and tailored interventions in CHF management.
Takeaways
Chapters
00:00 Reconnecting After a Hiatus
01:58 Exploring Congestive Heart Failure
09:27 Understanding CHF Physiology and Terminology
18:36 Diving into SCAPE and Its Implications
24:11 Preload and Afterload: Key Concepts in CHF Management
24:47 Understanding Fluid Overload and Hemodynamics
27:43 The Role of CPAP in Patient Management
36:40 Nitrates: Mechanism and Importance in CHF
48:08 Initial Management of Heart Failure Patients
49:54 Effective CPAP Application Techniques
53:58 Nitrates and CPAP: A Balancing Act
58:30 Exploring the Role of Lasix in Heart Failure Management
01:04:09 Advanced Pharmacological Approaches in Emergency Care
01:08:38 Distinguishing Between CHF and COPD in Emergency Settings
Summary Generated by Riverside FM AI
In this conversation, Mustafa Sidik, Josh and Carl discuss the intricacies of the healthcare system in Norway, focusing on the role of paramedics and the structure of ambulance services. Carl shares his journey from technician to advanced paramedic practitioner, highlighting the evolution of paramedic education and the importance of higher education in the field. The discussion also touches on the challenges and opportunities in EMS research, the cultural perceptions of paramedics, and the need for collaboration and change within the profession.
Keywords
paramedic, healthcare system, Norway, EMS education, ambulance services, critical care, paramedic training, research in EMS, paramedic leadership, international perspectives
Chapters
00:00 Introduction to Carl's Background
03:07 Healthcare System in Norway
05:28 Ambulance Services and Their Structure
07:49 Paramedic Training Evolution in Norway
10:29 Advanced Life Support and Critical Care
12:56 The Shift to Bachelor's Degree Programs
15:14 Challenges in Rural EMS
17:29 Cultural Perspectives on Paramedicine
20:08 Norwegian Higher Education System
22:27 Coursework in Paramedic Programs
25:15 Research Literacy in Paramedic Education
36:32 Understanding EMS Certification and Licensure
40:31 The Variability of EMS Standards Across States
42:18 The Role of Higher Education in EMS
46:22 Research and Development in Paramedicine
51:21 The Need for EMS-Led Research
54:44 Advancements in Critical Care Paramedicine
58:00 Union Representation in EMS
01:05:05 The Future of Paramedicine: Collaboration and Change
Summary generated by Riverside FM AI
Summary
This conversation explores the evolution of emergency medical services (EMS) through the personal journey of Steve Proctor, a retired flight paramedic with the Maryland State Police. It delves into the historical context of EMS, the impact of media on career choices, the role of medical directors, and the advancements in training and protocols. The discussion highlights the challenges faced by EMS providers, particularly in urban environments, and the integration of new technologies in the field. Proctor reflects on the importance of understanding the roots of EMS and the ongoing evolution of the profession. In this conversation, Steve Proctor and Mustafa Sidik discuss the evolution of paramedic education, the importance of critical thinking, and the challenges faced by paramedics in the field. They explore the need for higher education standards, the blurring lines between EMT and paramedic roles, and the significance of mentorship in shaping future educators. Additionally, they delve into the unique aspects of tactical medicine and the impact of continuing education on patient care.
Takeaways
Chapters
00:00 The Journey into EMS: Early Influences
05:39 The Role of Media in Shaping EMS Perception
10:54 The Impact of the Hart Mobile and ALS Development
15:51 The Importance of Historical Context in EMS Training
21:05 The Role of Red Cross in EMS Education
25:55 Early Experiences in Emergency Medical Services
31:28 Transitioning to Paramedic Roles
37:59 The Evolution of MSP and Trauma Care
48:12 Influential Figures in Emergency Medicine
54:12 Transitioning into Education: A Personal Journey
01:01:02 Defining Clinicians vs. Technicians in EMS
01:06:45 The Need for Standardized Education in EMS
01:13:53 Effective Teaching Strategies and Approaches
01:18:55 Exploring Controlled Substances in Emergency Medicine
01:24:00 Education and Training in Paramedicine
01:35:17 Insights into Tactical Medicine
01:45:04 The Impact of Mentorship in EMS
In this episode, Josh & Mustafa sit down with Joe Graw, Chief Growth Officer for Imagetrend, to discuss various topics related to EMS documentation as it has evolved over the years.
In this discussion, Ken & Mustafa sit down with Rachael Belcher to discuss various topics related to EMS & mental health.
Check out the book she just published below:
In this conversation, the Alert Medic 1 team is joined by the Okayest Medic Podcast host to discuss the 2025 guidelines for managing patients with acute coronary syndromes (ACS). They emphasize the importance of understanding clinical practice guidelines, the levels of evidence behind recommendations, and the critical role of patient history and assessment in emergency medical services (EMS). The discussion covers the significance of serial EKGs in detecting dynamic changes in cardiac patients, the appropriate use of oxygen therapy, and strategies for managing high-risk patients. The team highlights the need for effective communication with receiving hospitals and the importance of continuous education in improving patient care. In this conversation, the speakers delve into critical aspects of emergency cardiac care, focusing on the use of epinephrine in life-threatening situations, the significance of troponin levels in diagnosing myocardial infarctions, and the importance of posterior EKGs in identifying STEMIs. They also discuss pain management strategies, particularly the use of nitroglycerin versus fentanyl, and emphasize the need for clinical judgment in assessing chest pain. The discussion culminates in a series of insights and recommendations for emergency medical professionals.
Mustafa Sidik sits down with Dr. Jennifer Anders to discuss recent pediatric changes in the Maryland EMS prtocols, focusing on intraosseous access techniques, updates to dexamethasone administration, the implementation of enhanced CPR with ECMO, and the considerations for cardioversion in pediatric patients. The discussion emphasizes the importance of adapting protocols to improve patient outcomes and the need for ongoing education in emergency medical services.
Summary
This conversation covers the 2025 protocol updates in Maryland EMS, focusing on significant changes in trauma care, sepsis management, alcohol withdrawal protocols, hypertensive disorders in pregnancy, submersion and drowning protocols, and the introduction of video laryngoscopy and high-performance CPR. The discussion emphasizes the importance of timely interventions, the evolving nature of EMS protocols, and the need for continuous education and training for EMS professionals.
Mustafa Sidik sits down with paramedic student Ben Gallagher to discuss various topics related to paramedic education and EMS systems.
This conversation explores the experiences and insights of paramedic students at UMBC, discussing their educational journey, the importance of EMT experience, essential skills for success, and the challenges of managing stress in the field. The speakers emphasize the significance of effective instructors and preceptors in shaping their learning experience, as well as the need for mental health support in the demanding field of emergency medicine. In this conversation, the speakers discuss the importance of teaching and learning in the paramedic field, the various career opportunities available, and the emotional challenges faced by paramedics. They delve into the concept of imposter syndrome, sharing personal experiences and strategies for managing stress and anxiety in high-pressure situations. The discussion emphasizes the value of mentorship, continuous learning, and the need for emotional resilience in the EMS profession.
This conversation provides a detailed recap of day 2 of the FAST25 conference, highlighting key insights from various lectures. The speakers discuss the evolving landscape of emergency medicine, focusing on the effectiveness of different medications in cardiac arrest scenarios, the importance of early interventions, and the need for improved airway management techniques. Additionally, the conversation emphasizes the significance of mental health in clinical practice and the necessity of building resilience among emergency service providers.
Summary
This conversation reflects on the key insights and discussions from Day One of the FAST 25 conference in Lexington, Kentucky. Listen as Josh and Cody delve into various topics including the importance of patient positioning for oxygenation, the need for simplification in airway management, overcoming fear in pediatric emergencies, and the challenges of adhering to guidelines in emergency medical services. They also discuss the complexities of traumatic cardiac arrest and the role of vasopressors in trauma care, emphasizing the need for innovation and continuous improvement in medical practices.
Summary
In this episode, Dr. Mike Winters discusses the critical aspects of resuscitation leadership, emphasizing the importance of preparation, team dynamics, and effective communication during emergency situations. The conversation covers the three buckets of preparation, the roles of team members, and the significance of debriefing after resuscitation efforts. Dr. Winters shares practical strategies and mnemonics to enhance leadership skills in resuscitation scenarios, ultimately aiming to improve patient outcomes.
Keywords
resuscitation leadership, emergency medicine, team dynamics, CPR, patient outcomes, emergency response, medical education, simulation training, communication skills, debriefing
Chapters
00:00 Introduction to Resuscitation Leadership
10:09 The Importance of Preparation
18:01 Mental Readiness and Visualization Techniques
24:52 Team Dynamics and Role Assignment
35:27 Creating a Psychologically Safe Environment
40:19 The Importance of Simulation in Training
45:16 Adapting to Variable Environments for Resuscitation
48:33 The Primary Survey and Team Leadership in Resuscitation
57:45 Effective Communication During Resuscitation
01:11:55 The Critical Role of Debriefing After Resuscitation
01:21:30 Communicating with Families During Difficult Moments
This is a recording of Josh Cooke's lecture at the 2025 R. Adams Cowley Shock Trauma Center EMS Conference.
Josh delves into the evolving approach to trauma care, emphasizing the importance of a clinician's perspective in managing trauma effectively. It covers the MARCH algorithm, the critical role of tourniquets, the challenges with commercial tourniquets, innovative techniques for application, the proper use of chest seals, and the debate between needle decompression and finger thoracostomy. Additionally, it highlights advancements in hypothermia management, advocating for better practices in emergency medical services.
