All tagged Emergency Medical Services

Episode 44: Our Cric Show

We talk about a wide variety of all things cricothyroidotomy: mental prep and training, the difference in the techniques that are out there, which one might work better, and lots of other stuff. We also shoutout to a LOT of other resources that will help you to really understand this low frequency, but critical procedure.

If this is in your scope of practice; or possibly in a situation where a clinician will use this; you need to know about this to be able to care for your patient.

Dr. Rich Levitan’s website:

https://www.airwaycam.com

Dr. Scott Weingart’s website:

https://emcrit.org

The EMCrit podcast can be found on iTunes (just like us!)…it’s one of the best around with literally hundreds of topics!

SMACC was an amazing prehospital/emergency/and critical care conference that changed how many of us looked at conferences and learning. Check out their stuff here:

https://smacc.net.au/blog/

New England Journal of Medicine paper on comparing cric techniques:

https://www.jwatch.org/em200503300000002/2005/03/30/open-cricothyroidotomy-vs-seldinger-technique

Here’s the case study about the NG tube going into the spinal column…

https://www.sciencedirect.com/science/article/abs/pii/S0196070911000755

SPECIAL EPISODE-RECAP of the EMS/MD1 Fellowship Conference!

Dan recaps the MD1 EMS Conference and shares what he learned from a room full of EM/EMS physicians speaking to EMS clinicians! If you saw the Facebook Live and Instagram streams from this show; you know there was an enormous amount of knowledge being put out!

Check out Dr. Mark Merlin on Twitter at : @ccareanywhere

The NJ EMS and Disaster Medicine Fellowship can be found at: www.emsfellowship.com

The MD1 physician response program: www.md1program.org

Dr. Qasim is on Twitter at: @emeddoc

Dr. Callelo: @DrDianeC, @njpoisoncenter, also at @ToxAndHound

The COMBAT trial for prehospital plasma:

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31553-8/fulltext

The PAMPHER trial:

https://www.nejm.org/doi/full/10.1056/NEJMoa1802345

BOKUTOH criteria study:

https://www.jem-journal.com/article/S0736-4679(17)30471-7/pdf

PARAMEDIC2 study of Epinephrine in OHCA:

https://www.nejm.org/doi/full/10.1056/NEJMoa1806842

Pediatric airway management in cardiac arrest:

https://www.ncbi.nlm.nih.gov/pubmed/30862528

Heads up CPR in OHCA:

https://www.jems.com/articles/supplements/special-topics/state-of-the-future-of-resuscitation/head-up-cpr-may-improve-neurologically-intact-survival-rates.html

And, why it may NOT be ready for EMS use, yet…..

https://www.ems1.com/ems-products/cpr-resuscitation/articles/393699048-Why-heads-up-CPR-is-NOT-ready-for-out-of-hospital-cardiac-arrest-care/

Ultrasound in Cardiac Arrest:

https://www.cureus.com/articles/18740-does-point-of-care-ultrasound-use-impact-resuscitation-length-rates-of-intervention-and-clinical-outcomes-during-cardiac-arrest-a-study-from-the-sonography-in-hypotension-and-cardiac-arrest-in-the-emergency-department-shoc-ed-investigators


Episode 35-The Last Frontier with Dave Aromin

Dan sits down with flight paramedic Dave Aromin to discuss the amazing state of Alaska, and the challenges of providing emergency and retrieval care to the largest state. We discuss the logistics involved in his area, the unique clinical practice involved, and the people who take on this role in one of the most unforgiving environments in the United States and the world.

The EMS community in Alaska suffered a huge blow with the loss of a Guardian Flight fixed-wing crew on January 29, 2019, when their aircraft crashed and all aboard, including a patient were lost. There has been memorial and scholarship funds established for the families of the Guardian Flight crew, and they can be found at the following links:

https://www.customink.com/fundraising/guardianflightalaska


https://www.echoheliops.org/stacie-morse-education-scholarship

This episode is presented in the memories of:

Pilot Patrick Coyle

Flight Paramedic Margaret Langston

Flight Nurse Stacie Rae Morse

and the patient who they were caring for on their last mission.