The World’s Okayest Medic Podcast

Listener discretion is advised. References: Cook AM, Morgan Jones G, Hawryluk GWJ, Mailloux P, McLaughlin D, Papangelou A, Samuel S, Tokumaru S, Venkatasubramanian C, Zacko C, Zimmermann LL, Hirsch K, Shutter L. Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients. Neurocrit Care. 2020 Jun;32(3):647-666. doi: 10.1007/s12028-020-00959-7. PMID: 32227294; PMCID: PMC7272487. Desai A, Damani R. Hyperosmolar therapy: A century of treating cerebral edema. Clin Neurol Neurosurg. 2021 Jul;206:106704. doi: 10.1016/j.clineuro.2021.106704. Epub 2021 May 20. PMID: 34045110. Mount CA, Das JM. Cerebral Perfusion Pressure. [Updated 2023 Apr 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537271/ Susanto M, Riantri I. Optimal Dose and Concentration of Hypertonic Saline in Traumatic Brain Injury: A Systematic Review. Medeni Med J. 2022 Jun 23;37(2):203-211. doi: 10.4274/MMJ.galenos.2022.75725. PMID: 35735001; PMCID: PMC9234368.

Listener discretion is advised. Jake Potter from Scope Education and Josh Cooke from The Alert Medic One Podcast joined me for an agendaless discussion.

Listener discretion is advised. Thank you to Dr. Haney Mallemat and my partner Cameron for coming on to discuss a high-risk/low-frequency case.

An intense medical case unfolds as an 84-year-old woman presents with severe chest pain, sparking urgent discussions about aortic dissection. The challenges of prehospital care highlight the need for rapid decision-making and accurate vital signs. Experts tackle the intricate nature of aortic dissections, stressing the importance of effective patient management and education in emergency settings. The conversation also encourages honest reflections on the complexities of such cases, emphasizing learning from both successes and setbacks.

Explore the fascinating world of 911 dispatching as a seasoned telecommunicator shares insights into the profession's complexities. Discover the lack of national standards, the challenges of assessing emergencies, and the balance between providing critical medical guidance and managing legal risks. Dive into the evolution of dispatching systems, from supportive resources to rigid frameworks, and the potential game-changing role of AI. Uncover the art of critical thinking required in high-pressure situations and the vital collaborations between dispatchers and first responders.

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.

Dive into the struggles of burnout in emergency services, as the hosts tackle the intense frustration felt by providers. They discuss the challenge of low-performing coworkers and the necessity of personal fulfillment in high-stress environments. Listeners hear about the journey to acceptance in a prestigious flight team, battling imposter syndrome along the way. Additionally, they explore the importance of adapting to organizational culture while balancing individuality and teamwork. It's a candid look at the highs and lows of life in emergency medical services.

Dive into personal experiences in emergency medicine, exploring the importance of introspection after stressful incidents. The conversation critiques the risks of over-dispatching and highlights the complexities of emergency response. Navigate online criticism with humor while emphasizing constructive dialogue. There’s a call for accountability among dispatchers, advocating for humility and improved training. The podcast also addresses misunderstandings surrounding dispatch protocols, promoting better communication for effective medical responses.

Dan Rauh is a nurse practitioner, paramedic, and intensivist with a rich background in emergency care. He sheds light on the importance of recognizing acidosis in patients, stressing better educational practices for healthcare providers. Rauh critiques the traditional use of bicarbonate in treating severe acidosis and encourages a deeper understanding of blood gas interpretation. He also discusses the complexities of managing emergency medications during crises, highlighting key decision-making strategies for improved patient outcomes.

The discussion kicks off with a personal journey from casual podcaster to a recognized influencer. It tackles the emotional hurdles of content creation, including imposter syndrome and the challenges of balancing creativity with monetization. The speaker shares experiences with sponsorships, highlighting the importance of authenticity over financial gain. Additionally, it explores the pressures on medical content creators to stay genuine while maintaining integrity. The conversation underscores the value of original contributions in a fast-paced digital world.