All in MD1
For our 100th episode, we sat down with a friend of the show Dr. Mark Merlin of MD1 to discuss how far EMS has come in the last 5 years and where EMS might go in the next 5 years. Dr. Merlin talks about his 2009 study using the MAR method to estimate blood loss as well as the recent Emergency Medicine Match dilemma. Take a listen and let us know what you think. Has EMS gotten better in the last 5 years? What can we do to improve our practice over the next 5 years?
Dan and Ed sit down on short notice to get some information together about what we as EMS clinicians are up against with the arrival of novel coronavirus.
This is a totally off-label discussion about personal protective equipment, airway management, patient assessment, and items that we are seeing on social media and the FOAMed world.
Please follow your local policies and guidelines, and involve your medical director and leadership with any modifications to your practice.
Follow us at Overrun Productions' YouTube channel, and the MD1 Program YouTube channel for daily updates and practice tips. Leave us questions in the comments section, and we can have our medical director, Dr. Mark Merlin, share his answers on them!
The Overrun is on YouTube at:
https://www.youtube.com/channel/UCGqDBcqJl3B0HLigT5Wl9AA
MD1 Program on YouTube:
https://www.youtube.com/channel/UC93VE2Sr9AC3sMCN0W7uLQA
We're using the Johns Hopkins University Coronavirus Resource center for our data:
https://coronavirus.jhu.edu/map.html
Twitter has been a good resource for FOAMed lately; here's some of the experts we're following:
Minh LeCong: @ketaminh
Salim R. Rezaie, MD:@srrezaie (www.rebelem.com)
Dan sits down in a pre-Conference interview with Dr. Mark Merlin, the head of the New Jersey MD1 physician response program, the largest EMS physician program in the USA
Dr. Merlin discusses the idea of physician response, how EMS physicians interact in the prehospital environment with paramedics and EMTs, the technology that they bring to the table, and using whole blood in resuscitation, to mention just a few things!
Physician response can augment your prehospital care and bring life-saving procedures right to the patient. Check it out!
MD1 is a fully-charity funded program, no patient or agency receives a bill; EVER. Check them out at:
The New Jersey EMS Fellowship:
University of Pittsburgh EMS Fellowship:
https://www.emergencymedicine.pitt.edu/fellowships/ems-fellowship
Paper on the impact of EMS Physicians on OHCA:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706668/
EMS Physicians on decision making at scenes:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492931/
A couple items on the use of fresh whole blood in field resuscitation:
https://www.emra.org/emresident/article/group-o-whole-blood/
Here’s evidence that shows interruption of compressions for any reason has a negative impact on patient survival:
https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.115.014016
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:
