The World’s Okayest Medic Podcast

Saturday Morning Coffee Talk (10/11/25)

Oct 11, 2025
Listeners are treated to a blend of humor and critical thinking, as Mike shares stories of meme culture in the medical community and a challenging pediatric transport situation. He dives into the complexities of pediatric hospital transfers and the confusion around their capabilities. A heated discussion follows on the utility of end-tidal CO2 monitoring, highlighting its limited value in various scenarios, especially with respiratory distress. The exploration of evidence around ETCO2 reveals weak support for its predictive power, making for a thoughtful examination of medical practices.
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ANECDOTE

White Coat Meme Backlash And Praise

  • Mike Caroncio made a playful meme about King County Medic One's white coat tradition and got mixed reactions online.
  • He emphasizes the meme was good-natured and respectful toward the agency's reputation.
ANECDOTE

Croup Transport To An Academic Hospital

  • Mike recounts transporting a two-year-old with croup to an adult academic hospital after parents refused the pediatric center.
  • He criticizes the ER's surprised reaction and defends taking stable pediatric patients to capable non-pediatric hospitals.
ANECDOTE

Trauma Surgeon’s Blunt Take On Pediatric Hospitals

  • Mike shares a trauma surgeon's rant mocking transfers to pediatric hospitals except for extremely rare conditions.
  • He found the surgeon's blunt view funny but acknowledges pediatric clinicians might disagree.
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