The World’s Okayest Medic Podcast Saturday Morning Coffee Talk (9/27/25)
Sep 27, 2025
Join a lively discussion as Mike navigates the complexities of medical protocols, questioning the balance between guidelines and critical thinking. He dives into a debate on the use of high-dose nitroglycerin and shares personal anecdotes on IV versus sublingual applications. A captivating Kentucky case highlights the ethics of paramedics administering antivenom, stirring a conversation about acting beyond official scopes to save lives. Plus, a critical look at randomized controlled trials reveals the importance of understanding medications and regulatory expectations in EMS.
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Use Live Events For Active Learning
- Do join live events and engage with peers to expand clinical perspective and have productive discussions.
- Try live Q&A formats (like Mike's ResusX live podcast) to get real-time feedback and learning.
Protocols Can Empower Or Trap Clinicians
- Protocols can both enable and constrain providers depending on organizational enforcement and financial incentives.
- Mike highlights the hypocrisy when protocol creators call them 'guidelines' while users face punitive enforcement.
Debating SCAPE With A Pulmonologist
- Mike recounted hosting Dr. Nick Yoni to challenge the SCAPE and high-dose nitroglycerin approach and praised the debate it produced.
- He urged clinicians to read beyond snippets and use challenges to sharpen their reasoning.