Alert Medic 1

This is a recording of Cody Winniford's lecture at the 2025 R. Adams Cowley Shock Trauma Center EMS Conference. Cody discusses the critical issue of non-compressible thoracic hemorrhage (NCTH) and its implications in trauma care. He highlights the alarming statistics regarding trauma deaths, particularly focusing on hemorrhage control and the importance of timely interventions. The discussion covers various strategies, including permissive hypotension and the use of junctional tourniquets, particularly the AAJT, to improve patient outcomes. Cody emphasizes the need for a comprehensive approach to trauma care, integrating innovative techniques and timely responses to enhance survival rates.

SummaryIn this engaging conversation, Mustafa Sidik and Ken Sanner explore the evolving landscape of Emergency Medical Services (EMS), discussing the implications of changing resuscitation protocols, the role of education, and the challenges of volunteerism. They delve into innovative solutions like drone delivery systems for emergency medical supplies and the need for standardized practices in EMS. The discussion also highlights the importance of leadership and the necessity for change in the face of bureaucratic hurdles and funding issues. Ultimately, they emphasize the need for a collective effort to ensure that EMS remains an essential service in today's rapidly changing world.Chapters00:00 Introduction and Current Events in EMS03:31 The Evolution of Resuscitative Medicine06:21 Challenges in Standardizing Resuscitation Protocols09:26 The Role of Technology in EMS12:43 Innovations in Emergency Response15:22 Community Support for First Responders18:20 Conclusion and Future Directions28:12 Taxation and Volunteer Services30:45 The Role of Volunteer Fire Departments33:39 Challenges in Volunteer EMS36:33 The Economics of Volunteerism40:29 The Future of EMS Services49:36 The Need for Disruptive Change in EMS

SummaryThis conversation with Mustafa and Dr. Brian Spoelhof explores the intricate relationship between bioethics and emergency medicine, delving into personal experiences, ethical dilemmas, and the philosophical underpinnings of morality. The speakers reflect on their journeys into bioethics, discuss the definitions and implications of ethics in healthcare, and navigate complex issues such as patient autonomy, end-of-life decisions, and the balance between utilitarianism and deontology. Through personal anecdotes and philosophical discussions, they highlight the importance of understanding cultural and religious considerations in ethical decision-making. In this conversation, Mustafa Sidik and Brian delve into the complexities of bioethics in healthcare, discussing ethical dilemmas faced by medical professionals, the intricacies of triage and resource allocation, and the impact of personal experiences on ethical perspectives. They explore the controversial topic of vaccination in transplant ethics, the importance of mental health in decision-making, and the frustrations surrounding the healthcare system that can lead to extreme reactions. The discussion emphasizes the need for self-care among healthcare providers and the importance of understanding diverse perspectives in the pursuit of ethical healthcare practices.Chapters00:00 Introduction and Reflections on Past Conversations03:39 Journey to Bioethics: Personal Experiences and Insights06:24 Understanding Ethics: Definitions and Historical Context09:33 The Intersection of Ethics and Medicine12:31 Exploring Good Treatments: Definitions and Perspectives15:22 Cultural Contexts in Bioethics18:44 Bioethics in Emergency Medicine21:34 Futile Treatment: Ethical Dilemmas in Practice24:31 Personal Experiences and Ethical Reflections27:21 Navigating Complex Ethical Situations32:56 Pharmacy School Insights on Biotech35:00 The Challenge of Teaching Bioethics36:29 Utilitarianism: The Math of Morality39:52 The Flaws of Utilitarianism41:41 Deontology: Duty Over Outcome47:04 The Dilemma of Medical Experimentation48:38 Triage in Healthcare: Making Tough Choices53:13 Ethics of Vaccination in Transplant Decisions59:16 Ethics of Patient Autonomy and Survival01:00:18 Navigating Mental Health Crises in EMS01:02:13 The Complexity of Patient Competence01:05:24 Egalitarianism and Societal Perspectives01:08:20 Mental Health's Impact on Bioethics01:12:01 Understanding Burnout in Healthcare01:12:57 Polarized Beliefs and Healthcare Reform01:19:33 The Call for Systemic Change01:22:13 Self-Care and Ethical Decision Making01:27:40 The Role of Personal Experience in Bioethics01:30:38 Resources for Understanding Bioethics

SummaryIn this conversation, Mustafa Sidik and Ken Sanner sit down with Dr. Arne Skålberg and Luke Thomas-Azud to discuss the intricacies of emergency medical services (EMS) in Norway and the United States, focusing on the use of naloxone in treating opioid overdoses. They explore the differences in EMS education, the importance of community paramedicine, and the challenges faced by healthcare professionals in addressing opioid addiction. The discussion emphasizes the need for compassion in patient care, the significance of basic life support (BLS), and the complexities surrounding opioid withdrawal and treatment.TakeawaysThe Norwegian EMS system is public and includes physician-manned ambulances.Community paramedicine is essential for preventative care and addressing health disparities.Naloxone is a critical tool in treating opioid overdoses, but its administration requires careful titration.BLS is crucial in managing opioid overdose patients before administering naloxone.Compassion fatigue is a significant issue in emergency medicine, affecting provider attitudes towards patients.Cultural attitudes towards drug users can impact their willingness to seek help.Education and training in EMS should emphasize the importance of basic life support skills.The opioid crisis requires a multifaceted approach, including community support and healthcare access.Understanding opioid withdrawal is essential for effective patient care.Research and data sharing are vital for improving opioid treatment protocols.Chapters00:00 Introduction to Emergency Medical Systems03:05 Overview of the Norwegian EMS System11:27 Community Paramedicine and Preventative Care17:51 Naloxone: Research and Development31:46 Approaching Opioid Overdoses: Guidelines and Protocols37:51 Ventilation Techniques and Equipment40:34 Airway Management Strategies44:39 Team Dynamics in Emergency Response48:29 Recognizing and Responding to Opiate Overdose51:33 Administering Naloxone: Balancing Risks and Benefits56:33 Dosing Differences in Naloxone Administration01:05:11 Opioid Overdose Attitudes: A Comparative Analysis01:07:51 Changing Mindsets: Overcoming Stigma in Healthcare01:11:47 Compassion Fatigue: The Emotional Toll on Healthcare Professionals01:15:28 Understanding Naloxone: Dosage and Effectiveness01:22:15 Withdrawal and Dependence: The Hidden Struggles of Patients

SummaryThis conversation delves into the critical topic of mental health among first responders, featuring insights from Marcia Barben of the Irons Foundation and Cody, the Salty Paramedic. They discuss the stigma surrounding mental health, the importance of peer support, and the resources available for first responders. Cody shares his journey of writing a book aimed at helping others navigate their mental health challenges, while Marcia emphasizes the need for accessible resources and community support. The discussion highlights the importance of open conversations about feelings, the necessity of finding the right therapist, and the proactive approaches that can be taken to promote mental wellness in the first responder community.Keywordsmental health, first responders, Irons Foundation, Salty Paramedic, peer support, therapy, wellness, stigma, community resources, resilienceChapters00:00 Introduction to Mental Health in First Responders03:45 The Irons Foundation: Supporting First Responders06:37 Cody's Journey: Humor and Mental Health Awareness09:45 Breaking the Stigma: Conversations on Mental Health12:33 The Importance of Talking About Feelings15:41 Finding the Right Therapist: A Personal Journey18:22 Peer Support and Community Resources21:27 Self-Care: Balancing Work and Personal Life24:43 Learning from Experiences: Good and Bad Examples27:24 The Need for Change in the Fire Service30:27 Conclusion: Promoting Wellness in First Responders35:46 Burnout and the Need for Balance37:02 Mental Health Awareness in First Responders38:16 Advice for New First Responders41:09 The Importance of Resetting44:42 Identifying Supportive Systems47:43 Proactive Mental Health Strategies49:57 Advocating for Mental Health57:30 Future Collaborations and Goals

SummaryIn this conversation, Mustafa Sidik and Donnie Woodyard explore the transformative role of artificial intelligence (AI) in Emergency Medical Services (EMS). They discuss the evolution of AI, its current applications, and the potential future impact on healthcare. The conversation emphasizes the importance of embracing innovation, addressing ethical concerns, and leading the change within the EMS community. They highlight the need for collaboration and education to prepare for the integration of AI technologies in EMS practices.TakeawaysAI has surged in the past 24 months, becoming integral to daily life.Natural language processing is key for AI applications in EMS.AI can significantly enhance patient care documentation.The EMS industry risks being left behind if it doesn't adapt to AI.Autonomous vehicles are already being tested for non-emergency patient transport.AI can help prevent medication errors in the pre-hospital setting.Collaboration among EMS leaders is essential for innovation.Education on AI is crucial for EMS leaders to embrace change.Divergent thinking fosters creativity and innovation in EMS.The future of EMS will involve AI assistants and autonomous technologies.Chapters00:00 Introduction to AI in EMS05:35 Understanding AI: Definitions and Concepts10:27 The Impact of AI on Society and EMS15:44 Low-Hanging Fruits for AI in EMS20:27 The Future of AI in Emergency Medical Services25:29 Real-World Applications of AI in EMS30:35 Challenges and Ethical Considerations of AI in EMS38:00 Embracing AI in Emergency Medical Services40:18 The Need for Guidance in EMS AI Adoption41:02 Addressing Naysayers and Resistance to Change44:36 Education and Understanding in EMS47:36 Privacy, Security, and Ethical Use of AI51:00 Leading Innovation in State Regulations52:40 The Importance of Narrative in Patient Care57:13 Leveraging Technology to Prevent Errors01:01:22 The Future of Driving and EMS01:03:26 Learning from Past Innovators01:09:32 Cultivating Divergent Thinking in LeadershipKeywordsAI, Emergency Medical Services, Innovation, Technology, Healthcare, Natural Language Processing, Autonomous Vehicles, Ethics, Leadership, Collaboration

Summary In this episode of the Alert Medical Podcast, host Cody and co-hosts Josh and Mustafa Sidik engage with guest Kirk Smith, a seasoned respiratory therapist, to discuss the critical role of mechanical ventilation in emergency medical services (EMS). Kirk shares his journey from bartender to respiratory therapist, emphasizing the importance of proper ventilation techniques in patient care. The conversation covers various topics, including the selection of ventilators, the significance of CPAP and BiPAP, and the challenges faced in implementing ventilators in EMS settings. Kirk also introduces adaptive support ventilation (ASV) as a valuable tool for managing patients effectively. The episode concludes with a discussion on the future of ventilation technology and the need for ongoing education in the field. Takeaways Kirk's journey from bartender to respiratory therapist highlights the importance of seizing opportunities. Mechanical ventilation is crucial for optimizing patient care in EMS. Choosing the right ventilator involves understanding the specific needs of the department. CPAP and BiPAP are essential tools for managing respiratory distress in patients. Feedback from ventilators is vital for ensuring effective patient care. Education and training are key to overcoming resistance to using ventilators in EMS. Adaptive support ventilation (ASV) simplifies the management of ventilated patients. The future of ventilation technology includes intelligent and closed-loop systems. Understanding ventilator settings can significantly impact patient outcomes. Collaboration between EMS and hospitals is essential for improving patient care. Chapters 00:00 Introduction and Guest Background 03:33 Kirk's Journey into Respiratory Therapy 06:40 The Importance of Mechanical Ventilation 09:27 Ventilator Selection and Organizational Maturity 12:34 Implementing Ventilators in EMS 15:41 Understanding Ventilator Settings and Patient Care 18:21 The Role of Ventilators in CPR 21:44 Overcoming Barriers to Ventilator Use 24:38 Education and Training for Ventilator Use 40:21 Navigating New Equipment in Emergency Care 43:12 Understanding the Role of Leadership in Training 47:00 The Importance of Ventilation in Patient Care 49:48 The Case for Mechanical Ventilation 54:33 Innovations in Ventilation Technology 01:01:11 The Future of Ventilation: Intelligent Systems Keywords mechanical ventilation, EMS, respiratory therapy, Kirk Smith, patient care, CPAP, BiPAP, ventilator settings, cardiac arrest, adaptive support ventilation

Summary The Alert Medic 1 team explores the critical aspects of trauma care, focusing on the communication between EMS providers and trauma nurses with their guests, Abby and Logan. Both are experienced in their respective fields, discussing the importance of accurate patient assessments, the challenges of handoffs, and the need for clear communication. They emphasize the significance of understanding each other's roles and the necessity for collaboration in providing optimal patient care. The dialogue also highlights the need for training and experience in both EMS and nursing to improve the overall trauma care process. Takeaways Mechanism of injury is crucial for trauma reports. Vital signs and mental status are key indicators. Discrepancies in GCS reporting are common. Clear communication can prevent misunderstandings. Nurses and EMS should use plain language. Training for both sides can improve handoffs. Understanding each other's roles enhances teamwork. Concise reports save time in trauma situations. Interdisciplinary ride-alongs can foster understanding. Building trust is essential for effective communication. Chapters 00:00 Introduction to Trauma Care Professionals 02:44 Communication in Trauma Handoffs 10:35 Prioritizing Patient Care Based on Reports 22:00 Expectations During Patient Handoffs 25:03 Improving Handoff Communication 27:06 Effective Communication in Trauma Handoffs 32:21 Building Trust Between EMS and Hospital Staff 36:23 Understanding Protocols and Procedures 42:20 The Importance of Interdisciplinary Experience Keywords trauma care, EMS, nursing, patient handoff, communication, GCS, trauma assessment, emergency medicine, healthcare collaboration, trauma nursing

SummaryIn this conversation, the hosts discuss the implications of recent legislation regarding fentanyl and its impact on emergency medical services (EMS). They delve into the nuances of the Halt Fentanyl Act, exploring its potential effects on medicinal fentanyl use and the broader implications for pain management. The discussion transitions to the introduction of a new non-opiate analgesic, highlighting its potential benefits and challenges in the context of EMS. The conversation concludes with a focus on pain management practices, emphasizing the importance of treating pain compassionately and effectively in emergency settings.TakeawaysThe Halt Fentanyl Act aims to address fentanyl-related substances without impacting medicinal fentanyl use.Legislation can have unintended consequences on medical practices and patient care.Non-opiate analgesics are emerging as promising alternatives for pain management.Pain management should prioritize patient comfort and not be hindered by stigma or peer pressure.Understanding drug scheduling is crucial for EMS professionals.Effective pain management requires a multimodal approach, combining different medications.The opioid crisis has led to increased scrutiny and regulation of pain management practices.Compassionate care in EMS includes addressing pain without judgment.New medications must be accessible and affordable for patients in need.Education on pain management and drug interactions is essential for healthcare providers.Chapters00:00 Legislation on Fentanyl-Related Substances22:31 Emerging Non-Opioid Analgesics33:15 Insurance Coverage and Drug Pricing Challenges34:36 Legislative Updates on Substance Abuse Treatment36:44 Clinical Trials and Evidence-Based Pain Management41:24 Analgesic Preferences in Emergency Medicine54:59 The Importance of Treating Pain Compassionately01:02:59 Reflections on Pain Management and Future DirectionsKeywordsFentanyl, EMS, pain management, legislation, analgesics, opioid crisis, non-opiate medication, healthcare policy, drug scheduling, emergency medicine

SummaryThe conversation delves into the recent studies on the use of naloxone in cardiac arrest situations, particularly focusing on recent literature. The speakers discuss the implications of these studies, the concept of pseudo-PEA, and the evolving understanding of naloxone's role in resuscitation. They reflect on past practices, the need for prospective trials, and the emotional weight of changing medical guidelines.TakeawaysNaloxone administration during cardiac arrest shows promising results.The number needed to treat for naloxone is significantly low, indicating effectiveness.Retrospective studies have limitations but can provide valuable insights.Understanding pseudo-PEA is crucial for improving resuscitation outcomes.Propensity matching helps reduce bias in retrospective studies.The physiology behind naloxone's effects is still being explored.Prospective trials are needed to solidify naloxone's role in cardiac arrest.Medical practices must adapt as new evidence emerges.Emotional reflections on past practices highlight the challenges in EMS.Continued discourse is essential for advancing medical knowledge.Chapters00:00 Introduction to Naloxone and Cardiac Arrest03:03 Understanding the Dylan Natale Paper06:31 Methods and Limitations of the Study10:37 Physiology Behind Naloxone's Effects14:30 The Need for Further Research21:37 Insights from the Portland Study27:15 Analyzing Statistical Confidence in Research32:11 Exploring Pseudo-PEA and Its Implications36:57 Reflections on Naloxone Use in Cardiac Arrest41:41 The Evolution of Medical Protocols and Practices48:37 Future Directions in Emergency Medicine ResearchKeywordsnaloxone, cardiac arrest, EMS, opioid overdose, resuscitation, retrospective study, PEA, survival rates, medical guidelines, emergency medicine