Anna and Dan discuss provider mental health and the lack of preparation for those entering the profession.
EMT training….What is right and wrong about how we prepare this level of clinician!
We talk about all the things that aren’t in your textbook about prehospital stroke care. tPA, stroke units, and why the game has changed.
On this episode, Ed, Dan, and Kevin enjoy a frothy brew and discuss what they love and hate about how medicine in media and on television.
Is it possible that our culture keeps us from achieving our goals, our place, and our future?
FB: @The Overrun
We take a look at the age-old controversy….ALS or BLS? What works? What doesn’t? And what may be the future of EMS?
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.
Thomas Jefferson wore the first pedometer
Yes, that Thomas Jefferson. While walking through the streets of Philadelphia, and later at his home in Monticello, Thomas Jefferson never stopped his pursuit of knowledge. Jefferson was someone who loved to measure things. So, after the tools were available to make a measurement device to track his steps, Jefferson went about making the first pedometer. He took so much pleasure in this device that he sent one to James Madison in 1788 with instructions on how to customize it.
This series so far has focused on clinical applications and knowledge gaps between the classroom and the application of medicine in the pre-hospital environment. Certainly, these are important topics, and it’s something we at The Overrun will continue to explore; but I wanted to take a slightly different approach to this entry. I’m going to take about the social aspects, and indeed the life changing aspects that medic school had for me.
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!