All tagged Physician

Episode 68: Transgender Awareness with Taylor Sprecher and Matt Streger

The transgender population is a part of your patient population, and we all need to know how to assess and communicate therapeutically with our trans patients.

Matt Streger introduces us to Taylor Sprecher, a trans man and EMT who has taken the lead in trying to educate clinicians about trans patients, and some clinical pearls for us to utilize.

Did you know that almost one in FOUR trans people avoid seeking out health care because of their fear of how they’ll be treated? Or that trans teens have a significantly higher rate of suicide attempts? Do you know how to address your trans patients’ needs?

Read the stats here:

https://transequality.org/issues/us-trans-survey

Taylor’s webpage, which is a treasure trove of resources:

https://911transedu.com

Streger and Keavney is one of the pre-eminent EMS law firms in the USA, and a good friend of the show. Check them out at:

https://keavneystreger.com

https://emsaegis.com

Episode 65: Bringing Battlefield Care to the Street with Dr. Andrew Fisher

On this episode, Dan gets to sit down virtually with Dr. Andrew Fisher, otherwise known as “Saint” Fisher, of the Saint Fisher Church of Evidence Based Medicine. He’s been an EMT, Paramedic, PA, surgical PGY-1, Army Ranger, and author of a lot of what works in trauma care, especially in prehospital environments.

This is long episode, but there’s a TON of information…everything from tourniquets, pain management, blood vs. crystalloid, “scoop and run”, and much, much more. We also talk about education, and how The Church is looking to educate while still having a laugh or two.

Dr. Fisher’s Twitter feed:

https://twitter.com/fisherad1?lang=en

Kotwal, et al. study on the 75th Ranger Regiment:

https://pubmed.ncbi.nlm.nih.gov/21844425/

the PAMPER trial on prehospital plasma:

https://www.nejm.org/doi/full/10.1056/NEJMoa1802345

Fisher on ketamine:

https://pubmed.ncbi.nlm.nih.gov/25399363/

Ketamine and PTSD:

https://pubmed.ncbi.nlm.nih.gov/18376165/

Stop the Bleed information:

https://www.stopthebleed.org

https://www.dhs.gov/stopthebleed

https://community.fema.gov/until-help-arrives

Episode 64: Ketamine and Dunning-Kruger

In the FOAMed world, nothing is more loved than ketamine. There have been multiple podcasts and talks about the drug, and it’s acquired a mythic status on the Internet med ed word.

But is what we think we know causing problems? Is the promise of ketamine as a drug the does it all lull us, and especially new clinicians, into a false sense of security? Has FOAMed put us on the wrong side of the Dunning-Kruger curve?

Episode 47: What The Actual?

Anna and Dan talk about some of the more...let's say "out there" news items in EMS, and how culture and social media can hurt us as professionals.

This is a controversial topic, and yes, we hope that we get some discussion on it. But the bottom line:

If you're not doing the right thing for your patient; you're wrong.

Article on starting IV on 13 year old:

https://www.lancastereaglegazette.com/story/news/local/2019/08/20/one-firefighter-fired-another-suspended-after-april-incident/2024532001/

Firefighters bringing dead patients to station for practice in endotracheal intubation:

https://www.bellinghamherald.com/news/local/article218955030.html

Check out suppurative thrombophlebitis:

https://www.uptodate.com/contents/suppurative-septic-thrombophlebitis

IV access and pain:

https://www.ncbi.nlm.nih.gov/pubmed/29772984

Dr John Hinds was a master clinician, and we miss him every day. Please watch this and see if you don't learn anything.

https://litfl.com/crack-the-chest-get-crucified/

Check out the MD1 program at:

https://md1program.org