Episodes
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Josh and Mustafa sit down with Aaron from Prag-med to discuss a CPR-induced consciousness case study
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Missing episodes?
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Josh, Cody, Ken, and Mustafa get together to discuss Mindset Traps, part 2~
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Ken, Josh, and Mustafa got together with Mike Grzyb from Zoll to discuss various topics related to Zoll's medical products.
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Cody, Josh, and Mustafa get together to discuss various topics in EMS.
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The Alert Medic 1 crew sat down with Bill Dungey, founder of the SIXFEET crew, to discuss various topics related to first responder resiliency.
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The Alert Medic 1 team sits down with Dr. Trevor Wilkins, also known as the Angry Viking Therapist, to discuss various topics related to mental health and trauma recovery. Topics discussed include his own personal journey, his work as a therapist, and the utility of EMDR (Eye Movement Desensitization and Reprocessing) therapy.
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Cody, Mustafa, and Ken sit down to discuss mindset traps, and how they affect the EMS clinician.
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The Alert Medic 1 team sits down with Ryan Winniford to discuss various topics related to military medicine and the transition to civilian medicine.
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The Alert Medic 1 team sits down to discuss various topics related to EMS.
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Mustafa, Cody, Ken, and Josh sit down with Owen Humphreys to discuss various topics related to EMS and flight medicine.
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Mustafa & Josh sit down with Mike Carunchio, founder and host of The World's Okayest Medic podcast to discuss the use of esmolol in persistent vfib & vtach cardiac arrests. They then progress to discuss various topics in EMS, including point of care ultrasound, EMS education, and the federal recognition of paramedic practitioners.
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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 Attorneyâs 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 Departmentâs 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 Departmentâs 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.
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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, âDo you have any medical history?â they recommend, âWhat medical conditions do you have?â 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 âDoes your pain radiate anywhere?â a simpler âDoes your pain go anywhere other than X?â is suggested for clarity.
Communicating About Death:
A sensitive topic, but our experts emphasize the need for clear communication. Saying âYour loved one is deadâ leaves no room for misinterpretation, unlike softer phrases that might cause confusion.
Encouraging Patient Queries:
The group discusses the difference between âDo you have any questions?â and âWhat questions do you have?â 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, âWhat medications are you prescribed?â and âWhat over-the-counter medications do you take?â This approach gives a clearer picture of the patientâs health status.
Describing Pain:
Instead of leading patients with âIs your pain sharp or dull?â the hosts suggest asking, âHow would you describe your pain?â to get an unguided, honest description.
Calming Patients:
Lastly, the experts critique the ineffective âCalm downâ 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.
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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 arrestsââ.
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
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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 âdouble EC or thumbs-down with jaw thrustâ 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 techniqueâit'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.
Donât miss this crucial conversation. Stream the episode now, and elevate your practice with Alert Medic 1!
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