All in Conference
Dr. Jamie Kennel is a paramedic and EMS educator in Oregon that focuses on the role of racism in EMS. His researchrecently won the Research Award at the 2022 EMSWorld and has important insights into our unconscious biases in the field. Take a listen and let us know what you think. Do our biases work against us?
For most places in EMS, how we treat cardiac arrests in adults is drastically different than how we do it in pediatric patients. And the results show it.
Ed and Dan sit down with Dr. Peter Antevy and talk about how we can do better with pediatric arrests. Dr. Antevy’s programs in Florida have dramatically improved their pediatric survival from cardiac arrest, by focusing on the basics, staying on scene to resuscitate before moving to the hospital, and by engaging parents with WHY we are doing what we do on scene.
This is a critically important topic that we don't talk about. But we need to prepare for these low-frequency, high-stress events to give out patients every possible chance to survive.
On another note, go to https://www.prodigyems.com/refresh2021 to see the talk that inspired this episode. This is some of the best paramedic level training out there today, and it’s NREMT approved, and FREE!
Check out Dr. Antevy’s stuff at:
Early epinephrine administration improving outcomes:
https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014330
We talk about the AHA PALS guidelines for 2020, here they are:
https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000901
The Polk County study on pediatric OHCA:
https://pubmed.ncbi.nlm.nih.gov/30412719/
Time on scene in pediatric arrest matters:
https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.116.023821
The gang went on the road to the National Conference on EMS to do a live-recorded episode discussing how new media is changing medical and EMS education.
Why do we continue to use things we’ve used for centuries? What is new media, and what can it bring to you and your students? How have the Internet, blogging, and podcasting made some of our techniques obsolete? And how do we move forward fearlessly to improve education for our profession? We get into it in front of a live audience!
There are a LOT of shout-outs and FOAMed colleagues that we credit in this episode, and we hope that you check out their blogs, sites, and podcasts as well!
We pull another episode out of our vault to talk about con ed...Dan, Kevin, and Jess talk about continuing education! We all have to do it; but some is better than others. Why is yours bad? Why is someone else's good? And what is the value of "alphabet soup" classes in EMS continuing education? Do we need to think about another way?
Continuing Education is more than reading slides off a page; it's about instructors with expertise and passion, sharing their experience with students and encouraging them to learn and practice the material.
PCU, the movie....since we made the reference:
https://www.imdb.com/title/tt0110759/
Bretylium is BACK! Maybe??
https://www.resus.com.au/should-we-bring-bretylium-back-in-cardiac-arrest/
Ashley Liebig on nurse-led codes at dasSMACC:
https://rebelem.com/lessons-learned-and-take-home-messages-from-dassmacc-day-2/
Dan recaps the MD1 EMS Conference and shares what he learned from a room full of EM/EMS physicians speaking to EMS clinicians! If you saw the Facebook Live and Instagram streams from this show; you know there was an enormous amount of knowledge being put out!
Check out Dr. Mark Merlin on Twitter at : @ccareanywhere
The NJ EMS and Disaster Medicine Fellowship can be found at: www.emsfellowship.com
The MD1 physician response program: www.md1program.org
Dr. Qasim is on Twitter at: @emeddoc
Dr. Callelo: @DrDianeC, @njpoisoncenter, also at @ToxAndHound
The COMBAT trial for prehospital plasma:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31553-8/fulltext
The PAMPHER trial:
https://www.nejm.org/doi/full/10.1056/NEJMoa1802345
BOKUTOH criteria study:
https://www.jem-journal.com/article/S0736-4679(17)30471-7/pdf
PARAMEDIC2 study of Epinephrine in OHCA:
https://www.nejm.org/doi/full/10.1056/NEJMoa1806842
Pediatric airway management in cardiac arrest:
https://www.ncbi.nlm.nih.gov/pubmed/30862528
Heads up CPR in OHCA:
And, why it may NOT be ready for EMS use, yet…..
Ultrasound in Cardiac Arrest:
