If you liked Anna Ryan's blog post on Narcan, you'll love this episode! The gang talks about using naloxone in the field, breaking down stigmas, and maintaining professionalism.
Vilke study in 2010:
Dr. Strayer's excellent perspective on opioid misuse:
On today's episode we have the founder of REBEL EM, Salim Rezaie! Dr. Rezaie is a pioneer of the FOAMed movement and has a lot to say about the Paramedic2 trial and the future of #FOAM and EM education.
Rebel EM can be found at rebelem.com
WIKem can be found at https://www.wikem.org/wiki/Main_Page and in the Apple store and Google play store
The PARAMEDIC-2 study is out…what does it mean for EMS clinicians? Is epinephrine out? We break it down for you right here!
In this episode of The Overrun, Ed, Dan, and Kevin discuss ACLS and PALS and how effective the classes are. Is it as important as it was to teach these classes in the same way we've been teaching them, or should we be thinking and teaching more broadly? Additionally, the crew discusses Amiodarone vs. Lidocaine.
Check out the ROCtrial.
The Overrun crew discusses recent events in the social media/FOAMed world and #GuGate. How do you keep your social media posts from becoming a career-extinction event?
Thanks to GomerBlog and @DGlaucomflecken for helping us to understand this mess.
Ed, Dan, and Kevin discuss the origins of the national drug shortage in the United States, how it affects prehospital medicine, and what can be done about it.
Ed and Dan discuss the career opportunities that EMS providers have. Career mobility is a significant concern to those who are entering the EMS field, and is something that is often ignored when new people join our ranks. The bureau of labor statistics in the United States reports that the job outlook for EMTs and paramedics is "better than average", yet we see a 10-12% attrition in the industry.
JEMS link: https://www.ncbi.nlm.nih.gov/pubmed/10121491
Welcome to first episode of The Overrun!
In this episode Ed and Dan discuss the value, if there is any, of using red lights and sirens for an emergency response. This is an issue that has come up recently in EMS circles, and it is an issue that requires serious discussion. The use of lights and sirens has proven to be dangerous, and does not provide any significant improvement in clinical outcomes for patients.
Emergency! on YouTube: https://www.youtube.com/watch?v=yu0MWp4da8Q
On this first installation of The Overrun’s What I Wished I Learned in Medic School, I’m going to discuss topics I was introduced to during my Obstetrics and Gynecology clerkship in medical school, or those that were refreshed from my medic school time. I chose topics that I think can either have a direct impact on your prehospital care, or that you can recognize and understand what is going on in your patient while you’re with them before you transfer care at the Labor and Delivery unit or the ED. I tried to steer clear of topics that are normally covered routinely during classes or refreshers (except a couple) – to give you all something new and exciting!
“We could fist fight in the parking lot of a “coffee with an officer” event and then wonder why no one takes us seriously…”
What’s the big deal with the Paramedic2 study?
· 8014 patients enrolled in a UK study of out-of-hospital cardiac arrest
· Randomized, double-blind, placebo controlled study
· 5 centers in the UK from December 2014 to October 2017
· 30-day survival was higher in the group receiving epinephrine than placebo
· Patients who received epinephrine had worse neurologic outcomes
There has been debate in social media about personal behavior and cultural issues in medicine, some that would surprise you when you see how much people will share with others they barely know. This has led in some cases to problems as social media posts have gotten people into hot water with their respective departments or agencies.
In a previous podcast we discussed career mobility. What we found was that there is truly very little opportunity for someone to work as an EMT or as a paramedic for the length of a career without needing a second job or changing careers entirely. We tend to bring people into the industry, train them for the equivalent of five weeks, and then send them on their way hoping that they’ll find whatever vague destiny awaits them. You see this romanticized in movies when a character is placed on a sheet of ice or a small boat and sent away from their village to live a better life. In the movies, of course, this tactic works well. But this career, this profession, is not the movies.
My entire EMT class was a blur. The lessons were quick, the skills stations were chaotic, we had two chances to pass a test and if you didn’t pull off that magical 70% you were out! Go sell shoes! You don’t belong here with the road dogs. You’re not part of the elite. Before I knew it, 3 months had gone by and I was ready to sling and swath with the best of them. I was going to save lives, snatch grandma from the jagged jaws of death with nothing but a non-re breather and tube of glucose; I. WAS. READY.
We’ve all had that call come across from dispatch that you know from the start is an overdose. “Man in car in abandoned parking lot, unresponsive and possibly not breathing.” The opioid crisis being what it is, the likelihood that we will be responding to a patient who has had just this side of too much is more likely than not. We go screaming down the boulevard, lights and sirens, and dispatch comes back and tells us that one Narcan has been deployed. Great!