Podcast — The Overrun

Health and Safety, Interview, Mental Health

Michael Greco is the Vice President of Local 2507, who represents the EMTs, Paramedics and Fire Inspectors of the Fire Department of the City of New York. You may remember we had him on last in Episode 29, and unfortunately, conditions have not improved much since our last talk.

The FDNY*EMS members will be boycotting the ticker-tape parade held for the City’s “Hometown Heroes”, because quite simply, while New York City will give them a parade; they will not pay them a fair living for the critical job they do in one of the most expensive places to live in the world.

Jun 23

Jun 23 Episode 73: Anna Talks Therapy

Anna Ryan

We’re going to circle back to our mental health for this episode! Anna sits down with Troy Longo, paramedic and licensed counselor, and Dan Gaudette from Hackensack Meridian JFK EMS; who is a critical care transport nurse with a background in psychiatric emergency care.

They discuss what post-traumatic stress is; how you recognize it, and they get into the basics of therapy and why it can be a real help.

We also have another segment of Pediatric Pearls with none other than Dr. Peter Antevy! This one talks about the importance of accurate fluid resuscitation for kids…it’s en eye-opener!

Troy’s practice is located at:

https://www.letstalkhw.com

Anna has written for EMS1, you can find her articles here:

https://www.ems1.com/columnists/anna-ryan/

Mar 28

Mar 28 Episode 70: Pediatric Cardiac Arrest and Improving Outcomes with Dr. Peter Antevy

https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014330

Conference, FOAMed, Interview

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:

https://www.handtevy.com

Early epinephrine administration improving outcomes:

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

Feb 23

Feb 23 Episode 69: The Problem with Media and EMS

https://www.npr.org/sections/coronavirus-live-updates/2021/01/05/953653359/los-angeles-ambulances-told-to-conserve-oxygen-and-limit-hospital-transfers

Have you ever wondered why the news media gets EMS stories so messed up? Do you cringe each time you see a news story talk about “ambulance drivers”? Is your agency concerned with sharing your work with the community because of “HIPAA”?

Dan sits down with journalist and clinician Rich Huff (@richmhuff) as well as our good friend Margaret Keavney (www.keavneystreger.com) to discuss the problems with EMS and media, and solutions we can use to tell our stories better to the people we serve.

“We don’t have to be first; we have to be better.”

The story on LA County cardiac arrest transport:

EMS Aegis is a great source for training and information for both individual clinicians and agencies looking to do better:

Jan 18

Jan 18 Episode 68: Transgender Awareness with Taylor Sprecher and Matt Streger

Interview, Health and Safety, Medicine

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

Jan 8

Jan 8 Episode 67: Dr. Salim Rezaie on 2020 Part 2

FOAMed, Interview, Medicine

Dr. Salim Rezaie joins The Overrun to further discuss the most important papers of 2020.

Jan 2

Jan 2 Episode 66: Dr. Salim Rezaie on 2020 Part 1

Airway Management, FOAMed, Interview

Dr. Salim Rezaie joins The Overrun to discuss the most important papers of 2020 that are not related to the pandemic.

Nov 23

Nov 23 Episode 65: Bringing Battlefield Care to the Street with Dr. Andrew Fisher

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

Trauma, FOAMed, Interview

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:

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

Oct 13

Oct 13 Episode 63: Universal Truths with THE ADMIN

https://teespring.com/stores/burned-out-memes-for-ems-teams

Meme culture has come to EMS. And few are doing it better than the meme lord known to his many thousands of followers as simply, THE ADMIN.

His Facebook page, Burned Out Memes for EMS Teams, has over 40,000 followers who check out the material he puts out daily, and more join the page each day. THE ADMIN is one of a small group of EMS clinicians who use the medium of Internet memes as a way to point out inequities, share frustrations, and generally provide a group outlet for a profession trying to get through a pandemic, in addition to the usual job issues, and come out with a smile.

How did this get started? Where is it going? And how does THE ADMIN put out funny stuff on the regular that still makes you think and calls out substandard EMS? Kevin, Jess, and Dan sit down remotely and try to get a side of THE ADMIN you just may not know.

Check out his page on Facebook, or his Teespring store:

Also check out:

Level Zero:

http://www.levelzeroems.com/

Saint Fisher Church of Evidence Based Medicine:

http://stfisherchurchofebm.com/

We will post some of our favorites on our social media as well....

Sep 9

Sep 9 Episode 62: Surviving PTSD with Chris Divver

Health and Safety, Interview

September is Suicide Awareness and Prevention Month. Dan sits down with Chris Divver, paramedic and fire officer who shares his story about trauma, stress, and growth. Chris is someone who by example has shown people in emergency services that post-trauma stress and survival can be done. We talk about therapy, EMDR, and other tools he’s used to help him survive the injury.

Next Rung is a emergency services focused agency to help those of us with trauma or PTSD. Check them out here:

https://www.nextrung.org

Ashley Fitzpatrick from Episode 61:

https://www.jems.com/2020/07/28/first-responders-and-ptsd-a-literature-review/

Jul 15

Jul 15 Episode 60: Art, Communication, and Healing

https://www.jbergenstudios.com/jbergenstudios

Interview, Medicine, Health and Safety

Ed and Dan sit down with fellow colleague and paramedic Kate Bergen about her art series that she created during COVID-19, and how she uses art to help manage her stress levels working in the challenging environment of EMS in the US today, and chronicle the amazing work that EMS has done in this new world.

The important thing to take from this episode is that everyone in EMS NEEDS to have some form of healthy release, a way to quiet your brain and recharge. Whatever you do, it is worth it. YOU are worth it.

Kate's work can be found at:

Kate has been working with Mission Hope, an organization to help clinicians and responders in the NJ area with mental health. Find out more about them at:

About Us

Kate's spot on ABC:

https://abcnews.go.com/Lifestyle/video/paramedic-turned-paint-brush-cope-pandemic-70770797

Kate's cover story in Real Woman magazine:

Working on the Front Lines of COVID-19 is as Scary as It Sounds

Jun 17

Jun 17 Episode 59: Protest and Empathy

We got a chance to speak with Taylor and Anthony, you may have seen them on social media as the crew who joined a Black Lives Matter protest in New York City a little more than a week ago.

Jun 2

Jun 2 Episode 58: Scot Phelps Interview

Interview

“If we don’t sell ourselves, don’t expect others to sell for us”

This is an interview that’s been in the works for quite a while. Dan sits down with Scot Phelps, paramedic, historian, former Office of EMS Director, and attorney to discuss where we are going as a profession, how we need to look back and share our history with our newcomers (it’s much more than 50+ years), and what we must do to move our profession forward.

It’s probably one of the longest episodes we’ve ever had on the show; but it won’t disappoint.

Nov 10

Nov 10 Episode 49: MD1 Physician Response

https://emsfellowship.com

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:

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://prolongedfieldcare.org/wp-content/uploads/2015/08/75th-rangers-norsof-tactical-damage-control-resuscitation-july-2015.pdf

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

May 14

May 14 Episode 37-Pip and 555 Fitness

Interview, Health and Safety

The gang let Anna handle this episode, and she crushed it! Anna talks with Robert (Pip) Piparo, firefighter, paramedic, and driving force behind the 555 Fitness team, bringing physical fitness to public safety professionals!

We ask why, if we're so smart as clinicians, why do we do things we KNOW are bad for us, and why we absolutely have to Do Better.

And here's an easy way to start: Anna and Pip created The Overrun Challenge! All you have to do is commit to walk ONE mile every day for 30 days. That's it! If you commit to the Challenge, let us know on social media and send pics at Day 1 and Day 30! We will share your success and commitment with our audience!

555 Fitness website:

http://www.555fitness.org

The 555 Fitness APP!

https://itunes.apple.com/us/app/555-fitness-wod/id1067233204?mt=8

Apr 22

Apr 22 Episode 35-The Last Frontier with Dave Aromin

https://www.customink.com/fundraising/guardianflightalaska

FOAMed, Interview, Medicine

Dan sits down with flight paramedic Dave Aromin to discuss the amazing state of Alaska, and the challenges of providing emergency and retrieval care to the largest state. We discuss the logistics involved in his area, the unique clinical practice involved, and the people who take on this role in one of the most unforgiving environments in the United States and the world.

The EMS community in Alaska suffered a huge blow with the loss of a Guardian Flight fixed-wing crew on January 29, 2019, when their aircraft crashed and all aboard, including a patient were lost. There has been memorial and scholarship funds established for the families of the Guardian Flight crew, and they can be found at the following links:

https://www.echoheliops.org/stacie-morse-education-scholarship

This episode is presented in the memories of:

Pilot Patrick Coyle

Flight Paramedic Margaret Langston

Flight Nurse Stacie Rae Morse

and the patient who they were caring for on their last mission.

Oct 1

Oct 1 Episode 15: Stephen Kavalkovich on Mental Health

Interview

As part of a continuing series covering mental health in EMS, Ed interviews former paramedic and 9/11 rescuer Stephen Kavalkovich. Stephen is the host of the Rescue the Rescuer podcast and the CEO of Rescued Consulting, LLC. He is a public speaker and an advocate for mental health and substance abuse awareness.

Stephen's websiteRescuedconsulting.com

Mental Health News Radio Network: http://www.mentalhealthnewsradionetwork.com/our-shows/rescue-the-rescuer/

Stepstone Connect: https://stepstoneconnect.com

T: OverrunEMS

IG:Overrunproductions

FB:Overrunproductions

Aug 6

Aug 6 Episode 7- Salim Rezaie Interview