Alert Medic 1

The Alert Medic 1 team sits down with Amy Mauro to discuss various topics regarding EMS, leadership, and leveraging crisis. Amy C. Mauro, Esq. is an accomplished attorney and transformative leader who worked on critical policy issues and strategic organizational change for twenty-five years, in both District and federal agencies and in three branches of government. She now advises leaders on organizational change as Principal and CEO at Mauro, PLLC. She also is the volunteer Director of the DC Fire & EMS Foundation. Amy is a results-oriented manager and problem-solver known for her depth of knowledge on policy, legal, agency operations, and budget issues. She has vast executive, legal, legislative, public safety and criminal justice experience from her time as Chief of Staff at the DC Fire & EMS Department, General Counsel and Chief of Staff at the DC Office of Risk Management (DCORM), and a staff member in the Office of the City Administrator, DC US Attorney’s Office and DC Council. In 2015, Amy was appointed by Mayor Muriel Bowser as Chief of Staff for the DC Fire and Emergency Medical Services Department, during a time of significant challenges for the Department. For eight years, she worked with retired Chief Gregory M. Dean, current Chief John A. Donnelly, Sr., and their executive leadership teams, to drive strategic budget investment, cultural and organizational change, and service improvements. The Department’s reforms and innovations, particularly in the area of EMS, have received national recognition and emulation. In her role as Chief of Staff, Amy oversaw the Department’s media and community relations, labor relations, office of the general counsel, budget, performance and data analysis, and EEO and diversity offices. Amy is a Washington, DC native and lives on Capitol Hill with her husband and two children.

Title: "Topics in EMS Communications with Lindsey Ewing, FP-C & Cody Winniford, FP-C" Episode Description: Join us in this episode of the Alert Medic 1 podcast, where hosts Mustafa Sidik, Ken Sanner, and Josh Cooke delve into the nuances of EMS communications. They're joined by guests Lindsey Ewing and Cody Winniford. This episode focuses on refining and improving communication between EMS professionals and patients, a crucial aspect of medical care. Rethinking Medical History Queries: Our guests discuss the importance of simplifying medical history questions. Instead of asking, “Do you have any medical history?” they recommend, “What medical conditions do you have?” This approach is more straightforward and less confusing for patients. Clarifying Pain Descriptions: The conversation shifts to how we ask about pain. Instead of the technical “Does your pain radiate anywhere?” a simpler “Does your pain go anywhere other than X?” is suggested for clarity. Communicating About Death: A sensitive topic, but our experts emphasize the need for clear communication. Saying “Your loved one is dead” leaves no room for misinterpretation, unlike softer phrases that might cause confusion. Encouraging Patient Queries: The group discusses the difference between “Do you have any questions?” and “What questions do you have?” The latter invites patients to engage more actively. Discussing Medication Intake: The team talks about the importance of understanding a patient's medication regimen by asking, “What medications are you prescribed?” and “What over-the-counter medications do you take?” This approach gives a clearer picture of the patient’s health status. Describing Pain: Instead of leading patients with “Is your pain sharp or dull?” the hosts suggest asking, “How would you describe your pain?” to get an unguided, honest description. Calming Patients: Lastly, the experts critique the ineffective “Calm down” directive. They recommend engaging in distracting conversation or calmly explaining symptoms to better manage patient anxiety. This episode is a must-listen for anyone in the EMS field, offering valuable insights into improving patient care through better communication.

Episode Title: Article Discussion: Bag-Valve Mask Ventilation and Survival from Out of Hospital Cardiac Arrest: A Multicenter Study Episode Description: In this episode of Alert Medic 1, Mustafa Sidik and Josh Cooke delve into the findings of the recently published academic paper "Bag-Valve Mask Ventilation and Survival from Out of Hospital Cardiac Arrest: A Multicenter Study." This study, a secondary analysis of a previously published paper's data, explored the effectiveness of bag-valve-mask (BVM) ventilation during cardiopulmonary resuscitation (CPR) before the placement of advanced airways. The research, conducted from the data captured from six sites of the Resuscitation Outcomes Consortium CCC study, analyzed patients experiencing out-of-hospital cardiac arrest. The study's unique approach involved defining detectable ventilation waveforms and comparing the incidence of ventilation and outcomes between two groups of patients based on the frequency of these waveforms during CPR. Key findings revealed that lung inflation with BVM ventilation during 30:2 CPR was infrequently observed. However, significantly higher rates of prehospital return of spontaneous circulation, survival to hospital discharge, and favorable neurological outcomes were associated with patients having lung inflation in 50% or more of CPR pauses. Join us as we dissect these findings and discuss their implications for emergency medical practices and CPR guidelines. We'll also highlight the study's methods, its approach to data analysis, and the potential shift it may bring in treating out-of-hospital cardiac arrests​​. Idris, A, et al. Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital Cardiac Arrest: A Multicenter Study. Circulation. DOI:  10.1161/CIRCULATIONAHA.123.065561 

Title: Controversy, Consensus, or a Little Bit of Both? With Lindsey Ewing, FP-C, & Ben Lawner, DO Episode Description: In this episode of Alert Medic 1, we dive deep into some of the strategies that are crucial to prehospital emergency medicine. Join hosts Ken Sanner, Josh Cooke, and Mustafa Sidik as they welcome two star guests, Lindsey Ewing, FP-C, and Benjamin Lawner, DO, for a compelling discussion. Together, our experts tackle the nuances of a two-person BVM technique enhanced with in-line ETCO2 monitoring for improved airway management. Lindsey Ewing elucidates the “double EC or thumbs-down with jaw thrust” approach, detailing how it revolutionizes patient ventilation. Our conversation then pivots to the crucial timing of resuscitation before intubation, a strategy both guests passionately advocate for, emphasizing the importance of maintaining hemodynamics to prevent DASH-1A event. Lindsey brings her front-line experience to the fore, arguing for the adoption of a guideline for IV epinephrine in crashing bronchospastic patients. The hosts discuss the quick action of IV epi over IM, potentially averting hypoxic brain injury and improving patient outcomes. Next, the panel delves into prioritizing sepsis alerts and the criticality of avoiding hypoxia and hypotension in traumatic brain injury (TBI) cases, where proper airway management isn't just about technique—it's about the patient's survival. Mastering the SALAD airway technique is another hot topic, with a consensus on the importance of large-bore suction catheters over the traditional Yankauer to prevent failed airways. Apneic oxygenation during intubation is discussed next, with our guests advocating for the nasal cannula at 15L to extend the apneic oxygenation period, potentially reducing DASH-1A events. In a shift toward pharmacological considerations, the discussion turns to the vital steps of securing an IV before administering nitroglycerin, particularly in non-hypertensive patients, to manage any ensuing hypotension. Finally, the episode concludes with a consensus on the importance of ventilation and oxygenation before administering Narcan to reverse opioid overdoses. This episode is a must-listen for all emergency medical professionals seeking to refine their skills and optimize patient care. Tune in for a session filled with practical wisdom, cutting-edge techniques, and life-saving strategies. Don’t miss this crucial conversation. Stream the episode now, and elevate your practice with Alert Medic 1! #EmergencyMedicine #ResuscitationRevolution #AirwayManagement #BVMtechniques #PrehospitalCare #SepsisAlert #TBICare #VentilationStrategies #IntubationInnovation #EMSProtocols #ParamedicPractice #ApneicOxygenation #NitroProtocol #NarcanGuidance #MedicPodcast #AlertMedic1 #LifesavingStrategies #EmergencyResponse #CriticalCareTips #FieldMedicine #ERInsights

In this episode, Mustafa, Josh, and Ken sit down with Jonathan Brashears, a paramedic from Tennessee, who gives us a firsthand account of life on the front lines of emergency medical services in the Volunteer State . With years of experience in EMS, Jonathan sheds light on the ever-evolving EMS protocols that dictated his practice in various roles within EMS Our conversation dives deep into the heartbeat of emergency medical care, exploring the intricate dance between rapid medical intervention and the compassionate human touch that is essential in times of crisis. Jonathan walks us through typical EMS protocols and operational guidelines he deals with each and every day. But it's not just the physical demands of the job we discuss; Jonathan opens up about the often-overlooked aspect of EMS work: mental health. He shares his personal experiences and the coping mechanisms that first responders develop to manage the emotional toll of their vital work. We delve into the support systems that are, or more importantly, aren't, in place, what more can be done, and how society can better understand and aid those who dedicate their lives to working in EMS. Don't miss this enlightening conversation that's just as much about human connection as it is about the life-saving protocols of emergency care. #EMS #Paramedic #EMT #EMS Education #Emergency Medicine

From the Shoulders of Giants- EMS History, Victory, and Legacy with John Moon, Paramedic, Freedom House Ambulance Join Mustafa Sidik, Ken Sanner, and Josh Cooke as they dive deep into the history of EMS with their special guest, John Moon. As a paramedic with Freedom House Ambulance, John was one of the trailblazers in the EMS profession. From overcoming seemingly insurmountable odds, to providing care to those who needed it most, John sheds light on the real-life experiences that inspired the pages of "American Sirens." We discuss the challenges faced by Freedom House Ambulance, the evolution of EMS over the years, and the invaluable lessons learned along the way. Looking to enrich your knowledge about the EMS world or curious about the behind-the-scenes stories from "American Sirens?" This episode offers a unique perspective of someone who lived it, guaranteeing insights you won't find elsewhere. Key Takeaways: A firsthand account of life as a paramedic with Freedom House Ambulance. Behind the scenes look into the inspiration and real-life events from "American Sirens." The importance of EMS education and the ongoing challenges in the industry. SEO Tags: EMS, paramedics, American Sirens, Kevin Hazzard, EMS education, Freedom House Ambulance, Alert Medic 1, Mustafa Sidik, Ken Sanner, Josh Cooke, John Moon. Whether you're an EMS professional, or someone intrigued by the world of emergency medical services, this episode is a must-listen. Subscribe to the Alert Medic 1 podcast today and stay updated with all things EMS

On today's episode, the AM1 team sits down with Charlie Pendorff to talk about how we never know when our last shift will happen. Charlie suffered a career-ending injury while on duty and shares what he learned from this unexpected journey. What happens when you have a career-ending injury? Do you have a backup plan if you can no longer work due to that injury? These questions and many more on today's episode. Charlie is a paramedic and former firefighter who suffered a career-ending injury when he least expected it. Prior to his injury, he was a tactical medic, firefighter, and paramedic with a large county fire department. He now teaches in a local paramedic program and works within his family's agricultural business.

Moose and Josh talk with Dr. Andy Yancone on what EMS experience can add to a mid or high-level clinician's education and practice. Dr. Andy Yancone is a family practice physician currently practicing in the urgent care environment. He recently graduated from his residency program in Family Medicine. Prior to that he attended American University Carribean School of Medicine. He comes into medicine with a wealth of experience as an EMT in both volunteer and professional realms in Maryland.

The Alert Medic 1 Team sits down with Dr. Andy Yancone to deep dive Sepsis. We cover the physiology of Sepsis and what pre-hospital clinicians can do when encountered with these patients. Dr. Andy Yancone is a family practice physician currently practicing in the urgent care environment. He recently graduated from his residency program in Family Medicine. Prior to that he attended American University Carribean School of Medicine. He comes into medicine with a wealth of experience as an EMT in both volunteer and professional realms in Maryland.

Moose and Josh sit down with Paramedic Sam Weinstock to talk about medications in cardiac arrest that fall a bit farther down the algorithm. They talk about specifically why and when to use them as well as a couple that we do not give anymore and why that is. Sam Weinstock is a PM/FF working for a large department in the DC Metro region. Prior to joining that department, he worked as a hospital-based paramedic in New Jersey. Sam brings a wealth of experience in both EMS and Hazmat. He currently serves in a teaching role at his department's training academy. https://www.ncbi.nlm.nih.gov/books/NBK545201/