FOAMfrat Podcast

An iceberg typically shows only 10% of its mass above water. To appreciate the other 90%, you need to dive deep. That’s precisely what we’re doing in this series—discovering the deeper knowledge about obstetric topics. These topics can be massive, and much of the information is below the ‘surface-level’ knowledge that EMS is presented with.  In this episode, Demi Wilkes & I will discuss Placenta Previa and the closely associated Placenta Accrete Spectrum.

The conversation is about a paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. They conducted a retrospective study and found that paramedics often mistakenly believe they have electrical capture when they do not. They emphasize the importance of confirming electrical capture before assuming mechanical capture. They also discuss the challenges of pulse palpation and the need for more rigorous research in EMS and ED settings. The conversation discusses the challenges and considerations in transcutaneous pacing, specifically focusing on the verification of mechanical capture. The speakers explore the use of various methods to confirm mechanical capture, such as feeling for a pulse, using pulse oximetry, and utilizing ultrasound. They also discuss the difficulty of accurately assessing mechanical capture and the potential for false electrical capture. The conversation concludes with a discussion on the transfer of pacing from one device to another and the importance of verifying capture during the process.

Cardiologist Dan Rauh, Anesthesiologist Shane O'Donnell, and Intensivist Shad Ruby discuss the concept of maximum dose for pressors, emphasizing the variability in patient response and the risks of blindly increasing doses. They also touch on unexpected situations in medication administration, the use of calcium in medical treatment, and the high-level education offered by Critical Care Transport Academy.

How do you talk to a patient experiencing suicidal ideation? What if you're the one having these thoughts? We're interviewing James Boomhower from Stay Fit 4 Duty in this episode. We discuss suicidal ideation, therapeutic communication, and verbal de-escalation.

Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic.  We’ve had some interesting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine and I finally was able to get one of these conversations recorded for the podcast. Enjoy Podcast 163 - What Can We Learn From A  Ketamine Infusion Clinic? w/ Chris Carlstrom.

This podcast features Shane O'Donnell, an expert in multimodal pain management. The podcast dives into topics such as the importance of pain assessment, patient comfort, and the use of multimodal analgesia. They also discuss the advantages of IV-Tylenol for pain management and the potential use of ultrasound-guided nerve blocks in the pre-hospital setting.

This podcast delves into EMT pharmacology, covering essential medications and debunking misconceptions. It emphasizes early administration of epinephrine and aspirin, the controversy surrounding naloxone in opioid overdoses, and the use of D50 glucose and glucagon. The speakers also mention upcoming class formats and an ultrasound workbook release.

Joshua Chan and Matthew Yelton, passionate fathers of children with Autism, discuss how to approach and communicate with neuro-diverse children. They provide insight, tips, and logistics for EMS personnel to interact with autistic individuals, including identifying visual cues and self-soothing techniques. They emphasize the importance of creating sensory-friendly events and building positive relationships with public service officials. The speakers also introduce sensory emergency kits and discuss modifications made to aid communication with individuals of different ages. They discuss kit availability and mention their nonprofit organization supporting their cause.

EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS & Nursing.  www.foamfrat.com

In this episode, Dan Rauh & Mike Boone from Heavy Lies The Helmet join me to hash out our workflows and drugs of choice for four particular scenarios you may come across.   The combative head injury patient that needs to be intubated but has five firefighters holding them down and is actively trying to rip off his collar and IV.   The septic hypotensive patient is no longer protecting their airway but also needs resuscitation prior to induction.   The snoring head bleed with a BP of 220/140   The "almost dead, but needs a tube" population (induction med?)