Alert Medic 1

In this discussion, Ken & Mustafa sit down with Rachael Belcher to discuss various topics related to EMS & mental health.Check out the book she just published below:https://a.co/d/73dbbEd

In this conversation, the Alert Medic 1 team is joined by the Okayest Medic Podcast host to discuss the 2025 guidelines for managing patients with acute coronary syndromes (ACS). They emphasize the importance of understanding clinical practice guidelines, the levels of evidence behind recommendations, and the critical role of patient history and assessment in emergency medical services (EMS). The discussion covers the significance of serial EKGs in detecting dynamic changes in cardiac patients, the appropriate use of oxygen therapy, and strategies for managing high-risk patients. The team highlights the need for effective communication with receiving hospitals and the importance of continuous education in improving patient care. In this conversation, the speakers delve into critical aspects of emergency cardiac care, focusing on the use of epinephrine in life-threatening situations, the significance of troponin levels in diagnosing myocardial infarctions, and the importance of posterior EKGs in identifying STEMIs. They also discuss pain management strategies, particularly the use of nitroglycerin versus fentanyl, and emphasize the need for clinical judgment in assessing chest pain. The discussion culminates in a series of insights and recommendations for emergency medical professionals.

Dr. Jennifer Anders, Maryland’s Associate State Medical Director for Pediatrics and a Pediatric Emergency Department specialist at Johns Hopkins Hospital, joins to discuss vital updates to Maryland's Pediatric EMS protocols. Topics include mastering intraosseous access techniques and crucial changes in administering dexamethasone for asthma. The conversation highlights enhancements in CPR methods with ECMO and the importance of strong communication between EMS and hospitals to improve patient outcomes. A fresh look at pediatric care that no medic should miss!

Tim Chizmar, MD, oversees EMS protocols in Maryland and focuses on educating EMS providers. In this discussion, he delves into the 2025 protocol updates, highlighting major changes in trauma care and sepsis management. He emphasizes the introduction of pre-hospital antibiotics and the new guidelines for managing hypertensive disorders in pregnancy. Chizmar also addresses advancements like video laryngoscopy and high-performance CPR, stressing the need for continuous training and timely interventions to improve patient outcomes.

Mustafa Sidik sits down with paramedic student Ben Gallagher to discuss various topics related to paramedic education and EMS systems.

This conversation explores the experiences and insights of paramedic students at UMBC, discussing their educational journey, the importance of EMT experience, essential skills for success, and the challenges of managing stress in the field. The speakers emphasize the significance of effective instructors and preceptors in shaping their learning experience, as well as the need for mental health support in the demanding field of emergency medicine. In this conversation, the speakers discuss the importance of teaching and learning in the paramedic field, the various career opportunities available, and the emotional challenges faced by paramedics. They delve into the concept of imposter syndrome, sharing personal experiences and strategies for managing stress and anxiety in high-pressure situations. The discussion emphasizes the value of mentorship, continuous learning, and the need for emotional resilience in the EMS profession.

This conversation provides a detailed recap of day 2 of the FAST25 conference, highlighting key insights from various lectures. The speakers discuss the evolving landscape of emergency medicine, focusing on the effectiveness of different medications in cardiac arrest scenarios, the importance of early interventions, and the need for improved airway management techniques. Additionally, the conversation emphasizes the significance of mental health in clinical practice and the necessity of building resilience among emergency service providers.

SummaryThis conversation reflects on the key insights and discussions from Day One of the FAST 25 conference in Lexington, Kentucky. Listen as Josh and Cody delve into various topics including the importance of patient positioning for oxygenation, the need for simplification in airway management, overcoming fear in pediatric emergencies, and the challenges of adhering to guidelines in emergency medical services. They also discuss the complexities of traumatic cardiac arrest and the role of vasopressors in trauma care, emphasizing the need for innovation and continuous improvement in medical practices.

SummaryIn this episode, Dr. Mike Winters discusses the critical aspects of resuscitation leadership, emphasizing the importance of preparation, team dynamics, and effective communication during emergency situations. The conversation covers the three buckets of preparation, the roles of team members, and the significance of debriefing after resuscitation efforts. Dr. Winters shares practical strategies and mnemonics to enhance leadership skills in resuscitation scenarios, ultimately aiming to improve patient outcomes.Keywordsresuscitation leadership, emergency medicine, team dynamics, CPR, patient outcomes, emergency response, medical education, simulation training, communication skills, debriefingChapters00:00 Introduction to Resuscitation Leadership10:09 The Importance of Preparation18:01 Mental Readiness and Visualization Techniques24:52 Team Dynamics and Role Assignment35:27 Creating a Psychologically Safe Environment40:19 The Importance of Simulation in Training45:16 Adapting to Variable Environments for Resuscitation48:33 The Primary Survey and Team Leadership in Resuscitation57:45 Effective Communication During Resuscitation01:11:55 The Critical Role of Debriefing After Resuscitation01:21:30 Communicating with Families During Difficult Moments

This is a recording of Josh Cooke's lecture at the 2025 R. Adams Cowley Shock Trauma Center EMS Conference. Josh delves into the evolving approach to trauma care, emphasizing the importance of a clinician's perspective in managing trauma effectively. It covers the MARCH algorithm, the critical role of tourniquets, the challenges with commercial tourniquets, innovative techniques for application, the proper use of chest seals, and the debate between needle decompression and finger thoracostomy. Additionally, it highlights advancements in hypothermia management, advocating for better practices in emergency medical services.