The World’s Okayest Medic Podcast

Listener discretion is advised.

Listener discretion is advised.

Listener discretion is advised.

Listener discretion is advised.

In this engaging conversation, Mike Damkot, a wilderness/hoist paramedic and tech enthusiast, dives into the transformative role of AI in emergency medical services. He discusses how AI can augment clinical decision-making without replacing clinicians and explores its current applications in EMS charting and EKG interpretation. The conversation highlights the potential legal risks associated with AI documentation and emphasizes the importance of maintaining accurate records. Mike also encourages healthcare professionals to embrace AI tools to stay ahead in a rapidly evolving field.

In this lively discussion, Mike delves into the controversial AHA guidelines, challenging the persistence of epinephrine dosing in cardiac arrest. He critiques the misinterpretation of 'not recommended' guidance and emphasizes the importance of clinician experience over administrative opinions. The podcast explores the impact of prehospital blood transfusions with compelling case studies, examines myths about albuterol and nebulizers, and reflects on the cultural dynamics within EMS agencies. A dynamic chat filled with insights into emergency medicine!

Listener discretion is advised. Thank you to Pulmonologist Nick Ghionni and host of the EmCrit Podcast, Dr. Scott Weingart for coming onto the podcast and talking about approaches to the assessment and management of the often vague and really sick patient with respiratory distress.

Mike dives into the latest AHA updates and state protocols while discussing the nuances of mechanical CPR with a state medical director. He questions the solid evidence behind common resuscitation practices, highlighting dual sequential defibrillation debates. There's a passionate discussion on when to update protocols versus waiting for more compelling data. Mike reflects on a colleague's retirement and evolving perspectives on POCUS in EMS, all while juggling personal recovery and workload challenges.

The host critiques the AHA's 2025 updates, deeming them underwhelming and cherry-picked. He discusses the downfall of Heads Up CPR and the shift towards IV access over IO. Key recommendations include stronger cardioversion guidelines for atrial arrhythmias and support for chest compressions during LVAD arrests. Concerns are raised about the efficacy of mechanical CPR devices and the reliance on epinephrine despite questionable outcomes. A balanced discussion on airway strategies rounds out a thorough examination of current practices in resuscitation.

Listener discretion is advised.