What I Wish I Learned in Medic School: Part 1 OB/GYN by Michael Defilippo

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!

What's the big deal with the Paramedic2 Study? - Ed Bauter

What’s the big deal with the Paramedic2[1] study? 

Key Points

·     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

FOAMed and the Social Media Minefield- Dan Schwester

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.

Why do we do what we do? - Ed Bauter

 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. 

Thrown to the Wolves: Why 'Mental Toughness' Is What's Killing Our Coworkers. By Anna Ryan, NREMTP

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.

Narcan: The Band-aid No One Knows How To Use. By Anna Ryan ,NREMTP

  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!