Jan 16

Jan 16 Episode 81: Staying Cool When the Heat is On with Dr. Mike Lauria

If you were at the National Association of EMS Physicians Conference this past week, you would have been able to see Dr. Michael Lauria speak. Mike is a USAF veteran, Pararescueman, flight paramedic, and currently an emergency medicine physician in the US. He has appeared on the EMCrit podcast and numerous others to talk about stress and managing it in the field of medicine.

Dan got to sit with him and discuss how keeping cool on scene in stressful situations actually is better for you and your patients, some simple techniques to use, and why we need to incorporate stress inoculation into all our EMS training.

The stuff we talked about is proven to help you think more clearly and function better when things are going into the weeds....it's definitely worth the time!

May 5

May 5 Episode 72: Prehospital Burn Care

Daniel Schwester

Medicine, Trauma, Pediatrics

Ed and Dan are back, this time talking about care of burn patients outside of the hospital. Burn injuries are high-acuity, low occurrence events (HALO), and it’s easy to miss things that may have a bigger impact on your patient than previously thought.

We talk about initial basic care, why wet dressings are bad for anything more than a very small burn, fluid resuscitation and the drama that surrounds it, and pain management (in a word, YES).

Dr. Peter Antevy comes in with a Pedatric Pearl, as well…

Apr 12

Apr 12 Episode 71: What The Actual, Sedgwick?

Daniel Schwester

Controversy, Trauma, WTAF?!

Ed and Dan are the hosts for our latest “What The Actual…” episode, where we take a look at an EMS train wreck and try to learn from it…or at least try to figure out what the heck happened.

This time, we travel to Sedgwick County, Kansas, where a prehospital attempt at palliative care goes way off the rails, resulting in everyone involved being sanctioned…except the one you’d think

Dec 20

Dec 20 SPECIAL: COVID-19 Vaccination

Daniel Schwester

Controversy, FOAMed, Health and Safety, Pharmaceuticals

They have finally arrived, and while it’s not the beginning of the end; it may be the end of the beginning. The gang gets together to talk about the truths and rumors behind the COVID-19 vaccine, and why we think every clinician should give serious thought to taking it.

Mar 20

Mar 20 Episode 55: Outbreak EMS

Daniel Schwester

Airway Management, Controversy, FOAMed, Health and Safety, MD1

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)

Nov 10

Nov 10 Episode 49: MD1 Physician Response

Daniel Schwester

MD1, Medicine, Interview

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:

www.md1program.org

The New Jersey EMS Fellowship:

https://emsfellowship.com

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: