FOAMfrat Podcast

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?)

Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the logistics to carry out a series of interventions crucial to preserving life. This class will serve not as a routine basic life support model, but as a deeper understanding and framework to guide resuscitation during your next cardiac arrest.

AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (if implemented correctly).  Systems like ChatGPT are only the beginning, and many companies are already working on or have already integrated with other healthcare specialties. We will see the same integration happen with EMS. While the response to this might be fear of losing our knowledge base, over-automating decision-making, cheating on tests and papers, and the like, we could adopt a very different outlook. We could view this as an opportunity to improve patient safety, offload menial work, automate documentation and communications, and always have an intelligent partner in our pockets we can bounce ideas off of.  One day, we'll wonder how we ever lived without it.

In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.