The World’s Okayest Medic Podcast

July Listener Questions (Clinical)

Jul 13, 2025
Discover the heated debate on treating active labor as an advanced life support scenario. Explore personal anecdotes and social media insights that challenge conventional practices. Delve into the nuances of airway management, especially concerning drug choices like succinylcholine for high-risk patients. Expert advice is shared on assessing altered mental status, ensuring paramedics make informed decisions in critical situations. It's an enlightening look at the complexities of pre-hospital care in emergency medical settings.
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ADVICE

Active Labor Calls Deserve ALS

  • Treat active labor calls as ALS due to high stakes and potential complications.
  • Be prepared to manage unexpected and severe obstetric emergencies during transport.
INSIGHT

High Risk in Out-of-Hospital Deliveries

  • Out-of-hospital deliveries have 2-20% complication rates, not trivial risks.
  • These statistics support treating active labor as needing advanced care readiness.
ADVICE

Paramedics Add Critical Skills in OB

  • Paramedics possess skills beyond EMTs for managing complications like hemorrhage and neonatal resuscitation.
  • Always consider the benefits of advanced care presence on active labor calls.
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