83 episódios

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

MCHD Paramedic Podcast Montgomery County Hospital District

    • Ciência

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

    Episode 80 - Serial Killer Series - Shortness of Breath

    Episode 80 - Serial Killer Series - Shortness of Breath

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll address the killers associated with the dyspneic patient.

    REFERENCES

    https://www.ebmedicine.net/media_library/files/Calculated%20Decisions%20E1212%20PERC%20Rule.pdf

    • 21 min
    Episode 79 - Serial Killer Series - Chest Pain

    Episode 79 - Serial Killer Series - Chest Pain

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic chest pain scene with unstable vitals then filter to a differential of #1 PE, #2 ACS, #3 TAD is often quite challenging. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll kick things off with acute chest pain.


    REFERENCES
    1. http://www.emdocs.net/em-in-5-approach-to-chest-pain/

    2. https://litfl.com/ecg-findings-in-massive-pericardial-effusion/

    • 33 min
    Episode 78 - The MCHD COVID-19 PPE Experience

    Episode 78 - The MCHD COVID-19 PPE Experience

    For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with a discussion of our PPE/COVID-19 experience. We share our lessons learned and wish list for the future. Take a listen and please hit us up at podcast@mchd-tx.org if you have questions or experiences you'd like to share!

    REFERENCES:
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

    • 40 min
    Episode 77 - Hydroxycholoroquine Gone Bad With Dr. Jerry Snow

    Episode 77 - Hydroxycholoroquine Gone Bad With Dr. Jerry Snow

    Unless you live under a rock, you've heard discussions of the pros and cons of using hydroxychloroquine (HCQ) when treating COVID-19 patients. On this episode, Dr. Patrick is joined by our favorite toxicologist, Dr. Jerry Snow, to talk about what happens in a HCQ ingestion situation. With the increased publicity of this drug, we must be on high alert in the prehospital setting for potential accidental and intentional overdoses. Listen and learn what to expect and how to treat someone who's taken too much HCQ...beware, these folks can tank quickly!!

    • 32 min
    Episode 76 - Part 2 - COVID Airway

    Episode 76 - Part 2 - COVID Airway

    We've had continued rapid local and national developments surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the MCHD specific airway algorithm in the era of COVID-19.

    REFERENCES:
    https://www.mchd-tx.org/wp-content/uploads/2020/04/MCHD-COVID-19-FINAL-AIRWAY-.pdf

    • 17 min
    Episode 75 - Attacking The COVID Airway - Part 1

    Episode 75 - Attacking The COVID Airway - Part 1

    We've had continued rapid local and national developments over the past week surrounding COVID-19. On this special release, the podcast crew reconvenes to update our listeners on the most current evidence surrounding airway management in the era of COVID-19.

    REFERENCES
    1. https://www.cdc.gov/coronavirus/2019-ncov/index.html

    2. https://emcrit.org/emcrit/some-additional-covid-airway-management-thoughts/

    3. https://www.safeairwaysociety.org/covid19/

    4. VALLEY, T ET AL. ASSOCIATION BETWEEN NONINVASIVE VENTILATION AND MORTALITY AMONG OLDER PATIENTS WITH PNEUMONIA. CRIT CARE MED. 2017 MARCH; 45(3): E246–E254.

    5. NEWMAN KB, ET AL. A COMPARISON OF ALBUTEROL ADMINISTERED BY MDI AND SPACER WITH ALBUTEROL BY NEBULIZER IN ADULTS PRESENTING TO AN URBAN ED WITH ACUTE ASTHMA. CHEST. APRIL 2002;121:1036–41.

    • 26 min

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