Episode 88: Ceribell and Advancing Seizure Care with Dan Gerard

Episode 88: Ceribell and Advancing Seizure Care with Dan Gerard

Ed Bauter
FOAMed, Medicine

Dan Gerard is a man of many hats. He is the current President of the IAEMSC as well as the EMS Coordinator for Alameda county in California. He has spent his lengthy EMS career pursuing new advancements in pre-hospital medicine and is currently piloting a program in Alameda county that may be a game changer when it comes to recognizing and treating seizures in the field. Ceribell is a device that wraps around a patient's head like a headband and produces real-time EEG tracings that can be interpreted by an EMS clinician with little to no training. The best part about this system is that it is already FDA approved and is being used in hospitals with encouraging results. Take a listen and let us know what you think!

Episode 87: Abortion, Roe, and EMS medicine with Natalie Zink

Episode 87: Abortion, Roe, and EMS medicine with Natalie Zink

Ed Bauter
Controversy, FOAMed, Health and Safety, Interview, WTAF?!

Natalie Zink is a paramedic and medical student in Georgia who speaks extensively on women's rights and the medical treatment of abortion. Her work can be found in EMSWorld and in other publications. This episode, recorded May 22, 2022 discusses the leaked Supreme Court brief suggesting the overturn of 1973's Roe v. Wade and 1992's Casey v. Planned Parenthood. Ed and Natalie discuss what field providers can expect and how to treat abortions in the field. This episode is wide-ranging from the logistics of certain legislation to how it effects healthcare providers. Countries such as Poland have attempted similar legislation to no avail. Abortion is a safe and (currently) legal intervention that will occur regardless of the current laws. It is important that EMS and pre-hospital providers know how to treat these patients and what they can expect moving forward should this case become law.

Episode 86: Hilary Gates and the future of EMS education

Episode 86: Hilary Gates and the future of EMS education

Ed Bauter

Hilary gates is a real life educator at American University who happened to join EMS and fall in love with it. The program she works with, Prodigy EMS, is at the forefront of EMS education. As we move forward out of our collective nightmare that has been the past two years, Ed and Anna discuss how EMS education can grow from here. Hilary speaks with focus and passion about expanding the role of EMTs and medics moving forward and what we can do as educators and providers in the classroom to take the lessons from the past two years and implement them to make systems better for their patients. #FOAMED #FOAMEMS.

Episode 85: Building the Better BVM (with Jonathan Merrill and Adam Scott)

Episode 85: Building the Better BVM (with Jonathan Merrill and Adam Scott)

Daniel Schwester

If you haven't heard of these two individuals, you may be very soon. The reason why? They may have just built the BVM we all wish we had, and the potential to help patients is very high.

Dan sits down with Jonathan and Adam from Compact Medical, and talks about their new Butterfly BVM™ and the advantages it will bring to a tool that really hasn't changed in 50 years.

It's currently in the process of FDA review and approval, and a lot of stuff is still being sorted out; but Kevin and Dan got to see it at EMSWorld last October, and it's an impressive piece of kit.

Imagine one device being able to set tidal volume, pressure, and even rate! It's also able to be used as a CPAP, and one size will actually fit everyone from pediatric to adult.

The better mousetrap as they say, might just be around the corner...

Compact Medical Solutions is here, check it out:

https://www.compactmed.com

Here's a study on tidal volume in adult and pediatric BVMs:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234703/

EMS1 had a good piece on avoiding problems with BVM ventilation:

https://www.ems1.com/ems-products/medical-equipment/airway-management/articles/bvm-3-tips-to-avoid-over-ventilating-your-patient-jzGX0EZbuyJGBxnV/

We LOVE Life in the Fast Lane...here's their BVM info:

https://litfl.com/bag-valve-mask-bvm-ventilation/

Episode 84: So, You Want To Be A MIlitary Medic?

Episode 84: So, You Want To Be A MIlitary Medic?

Caroline Schwester
Interview, Medicine

If you've been anywhere in this world the last few weeks, you know what's been going on in Ukraine. Once again, military medicine has taken front row. But what actually is military medicine about? What are some of the misconceptions? And what can we as civilians take away from our colleagues in service?

On this episode, Dan and Ed are civilians talking medicine in the military to Dr. Andrew Fisher, MAJ USA, and the namesake of the Saint Fisher Church of Evidence Based Medicine; and our good friend Peter D'Antuono, who served in combat as a medic with the 173rd Airborne Brigade. We get to shine a light on something not many civilians get to hear about...and why it's important.

Check out the Church here:

https://sfcebm.com

https://www.facebook.com/SaintfisherChurchofEBM/

Episode 83: Fundamentals of Bag Mask Ventilation with Rommie Duckworth

Episode 83: Fundamentals of Bag Mask Ventilation with Rommie Duckworth

Daniel Schwester
Airway Management, FOAMed, Interview

One of the most misunderstood pieces of equipment we have is the bag valve mask. Easy to operate, but hard to master, it’s one of the fundamental skills we need to master.

Rommie Duckworth is a nationally-known paramedic and educator in Connecticut who is truly passionate about education and ventilation, and Dan gets to pick his brain and talk about what really matters when we have to breathe for our patients who can’t do it for themselves.

Check out Rommie here:

https://romduck.com

If we’re talking airway or ventilation, Dr. Jim DuCanto isn’t far from the discussion. We talk about his method of BVM grip in the episode, and you can learn more here:

https://www.hmpgloballearningnetwork.com/site/emsworld/original-contribution/edge-there-better-grip-face-mask-ventilation

Here’s a paper Dan did with some colleagues showing smaller sized BVMs gave a more physiologically appropriate tidal volume and pressure:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234703/

The Refresh 2021 program is still available until March 31…..EMTs and Paramedics should jump on this, it’s totally FREE!

https://www.prodigyems.com/refresh2021

Episode 82: Dr. Remle Crowe on Stroke and Burnout

Episode 82: Dr. Remle Crowe on Stroke and Burnout

Ed Bauter

Remle Crowe is a statistics rockstar. Her primary areas of research in EMS include burnout, and how to improve performance in our industry. There's a lot to cover, and a lot we discussed, so everything is listed below. Take some time to listen to the episode and read all the studies linked below. It'll make your practice better. Promise.

Episode 81: Staying Cool When the Heat is On with Dr. Mike Lauria

Episode 81: Staying Cool When the Heat is On with Dr. Mike Lauria

Daniel Schwester
Interview

If you were at the National Association of EMS Physicians Conference this past week, you would have been able to see Dr. Michael Lauria speak. Mike is a USAF veteran, Pararescueman, flight paramedic, and currently an emergency medicine physician in the US. He has appeared on the EMCrit podcast and numerous others to talk about stress and managing it in the field of medicine.

Dan got to sit with him and discuss how keeping cool on scene in stressful situations actually is better for you and your patients, some simple techniques to use, and why we need to incorporate stress inoculation into all our EMS training.

The stuff we talked about is proven to help you think more clearly and function better when things are going into the weeds....it's definitely worth the time!

Episode 80: Hatzolah with Sim Shain

Episode 80: Hatzolah with Sim Shain

Daniel Schwester

Dan got to sit down with paramedic and member of Hatzolah Sim Shain to talk about the organization, its response model, the culture, and a lot of questions that were answered. No, it hasn't been studied; (as most of EMS hasn't), but it is impressive. And their commitment to saving lives is admirable. It's actually a fundamental part of Judaism:

Why was man created alone? Is it not true that the creator could have created the whole of humanity? But man was created alone to teach you that whoever kills one life kills the world entire, and whoever saves one life saves the world entire.
—paraphrased from the Talmud

https://www.ushmm.org/remember/holocaust-reflections-testimonies/echoes-of-memory/to-save-the-world-entire

A little background from Wikipedia:

https://en.wikipedia.org/wiki/Hatzalah

Here's a PubMed link to a paper showing increased cardiac arrest survival:

https://pubmed.ncbi.nlm.nih.gov/17576181/

Check out Hatzala in Israel:

https://israelrescue.org

Here's a city that has adopted Hatzolah ideas into their response model:

https://volunteer.jerseycitynj.gov/organizations/2113

Episode 79: Elijah McClain and not Ketamine with Matt Streger

Episode 79: Elijah McClain and not Ketamine with Matt Streger

Ed Bauter

After the Halloween episode, we take a more serious turn with Matt Streger of Keavney Streger Law Firm and talk about what happened in the Elijah McClain case.

Bottom line: We need to take care of our patients; regardless of the circumstances we find them in, and we need to understand our role in keeping everyone safe and out of danger.

Take the time to at least estimate weight:

https://www.thedenverchannel.com/news/investigations/aurora-paramedics-gave-maximum-dose-of-ketamine-even-when-patients-weight-was-unknown

Body camera video from the incident:

https://www.thedenverchannel.com/news/investigations/aurora-body-camera-video-shows-police-asking-medics-to-give-powerful-drugs-to-suspect-to-calm-him

Paramedics indicted by a grand jury:

https://www.kiro7.com/news/trending/3-colorado-cops-2-fire-medics-indicted-2019-ketamine-related-death-elijah-mcclain/KOS4QZ2SEBB7BNQW7HAXOFNIRE/

The Colorado Sun on the case:

https://coloradosun.com/2021/05/26/ketamine-paramedics-police-elijah-mcclain/

USA Today with some disturbing data:

https://www.usatoday.com/story/news/nation/2021/09/16/aurora-colorado-police-racially-biased-excessive-force-report-finds/8360938002/

Reuben Strayer is an EM physician in New York City, and he's done great stuff on ketamine. Check him out here:

https://emupdates.com/jon-cole-on-ketamine-for-agitation/

https://www.statnews.com/2021/04/06/excited-delirium-medicalized-racism-organized-medicine-take-a-stand/

Episode 78: Halloween Special!

Episode 78: Halloween Special!

Ed Bauter

Halloween is special time of year. Spooky skeletons and vampires everywhere! But how would you treat a vampire? Do werewolves exist? In this episode the gang blurs the lines between horror and medicine and discuss how to treat some truly weird and spooky conditions.

Horror movies based on true stories: https://www.scoopwhoop.com/inothernews/horror-movies-based-on-true-stories/

Humans acting like vampires: https://www.livescience.com/28266-7-strange-ways-humans-act-like-vampires.html

  • Porphyria Cunea tarda causes skin lesion when exposed to the sun

  • Xeroderma pigmentosa does this too

Frankenstein: https://www.bbc.com/news/magazine-12711091

Werewolves: https://dnascience.plos.org/2012/12/27/the-curious-genetics-of-werewolves/

  • Hypertrichosis effects a couple hundred people, but is not widespread

Bearded Lady: https://www.health.com/condition/pcos/women-embracing-bears-body-hair-pcos

  • PCOS leads to increased hair growth in females

Plague still exists: https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague

Leprosy

Buried alive

Historical death measurements

Twitter: OverrunEMS

FB/IG: OverrunProductions

Dr. Antevy's website: handtevy.com

Episode 77: Dr. Jim Ducanto and Everything Airway

Episode 77: Dr. Jim Ducanto and Everything Airway

Ed Bauter

Dr. Jim Ducanto is an anesthesiologist that discusses airway management like it's the final scene of an action movie. It's very exciting, and your learn a lot without even realizing it. When we initially recorded this interview, we considered breaking it into two separate parts, but there's just too much good information in this show to break it apart. You're going to want to listen to this episode twice: once to listen, and once to take notes. Dr. Ducanto makes airway management exciting, and we're thrilled to have him on the show. As a fun bonus, at the end of the episode you'll be able to used to acronym BEEF SALAD correctly and impress all your friends.

Episode 76: A begrudging semi-annual Covid update

Episode 76: A begrudging semi-annual Covid update

Ed Bauter
Controversy, FOAMed, Health and Safety, Medicine

We know. We hate it too.

SARS-CoV-2 is still rampant in the United States, and with the emergence of the Delta variant, and the FDA approval of the Pfizer/BioNTech vaccine we thought it would be a good time to update the data.

What medications work? Are steroids useful? Dr. Antevy jumps in to discuss how to manage kids with Covid.

Give a listen, let us know what your shop is doing to keep their sanity during this time.

CDC Tracker

State of NJ Covid Data

Johns Hopkins updates

Recovery (Dexamethasone Study)

Let us know how you're doing: @OverrunEMS

FB/IG: Overrunproductions

Episode 75: Defense Tactics with Ed Van Wagner

Episode 75: Defense Tactics with Ed Van Wagner

Ed Bauter

Ed Van Wagner works with DT4EMS, a program that teaches self-defense tactics for EMS personnel. We, as an industry are not very good at defending ourselves when the time comes for it. The DT4EMS program shows providers how to defend themselves when a scene becomes unsafe.

Dr. Peter Antevy (@handtevyMD) gives us Pediatric Pearl about children with altered mental status.

#Selfdefense

#Dobetter

IG/FB: The Overrun

T: OverrunEMS

Episode 74: The FDNY*EMS Struggle with Michael Greco

Episode 74: The FDNY*EMS Struggle with Michael Greco

Daniel Schwester
Controversy, Interview

Michael Greco is the Vice President of Local 2507, who represents the EMTs, Paramedics and Fire Inspectors of the Fire Department of the City of New York. You may remember we had him on last in Episode 29, and unfortunately, conditions have not improved much since our last talk.

The FDNY*EMS members will be boycotting the ticker-tape parade held for the City’s “Hometown Heroes”, because quite simply, while New York City will give them a parade; they will not pay them a fair living for the critical job they do in one of the most expensive places to live in the world.

Episode 73: Anna Talks Therapy

Episode 73: Anna Talks Therapy

Anna Ryan
Health and Safety, Interview, Mental Health

We’re going to circle back to our mental health for this episode! Anna sits down with Troy Longo, paramedic and licensed counselor, and Dan Gaudette from Hackensack Meridian JFK EMS; who is a critical care transport nurse with a background in psychiatric emergency care.

They discuss what post-traumatic stress is; how you recognize it, and they get into the basics of therapy and why it can be a real help.

We also have another segment of Pediatric Pearls with none other than Dr. Peter Antevy! This one talks about the importance of accurate fluid resuscitation for kids…it’s en eye-opener!

Troy’s practice is located at:

https://www.letstalkhw.com

Anna has written for EMS1, you can find her articles here:

https://www.ems1.com/columnists/anna-ryan/

Episode 72: Prehospital Burn Care

Episode 72: Prehospital Burn Care

Daniel Schwester
Medicine, Trauma, Pediatrics

Ed and Dan are back, this time talking about care of burn patients outside of the hospital. Burn injuries are high-acuity, low occurrence events (HALO), and it’s easy to miss things that may have a bigger impact on your patient than previously thought.

We talk about initial basic care, why wet dressings are bad for anything more than a very small burn, fluid resuscitation and the drama that surrounds it, and pain management (in a word, YES).

Dr. Peter Antevy comes in with a Pedatric Pearl, as well…

Episode 71: What The Actual, Sedgwick?

Episode 71: What The Actual, Sedgwick?

Daniel Schwester
Controversy, Trauma, WTAF?!

Ed and Dan are the hosts for our latest “What The Actual…” episode, where we take a look at an EMS train wreck and try to learn from it…or at least try to figure out what the heck happened.

This time, we travel to Sedgwick County, Kansas, where a prehospital attempt at palliative care goes way off the rails, resulting in everyone involved being sanctioned…except the one you’d think

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