Medic Minutes BC Emergency Health Services

Welcome to episode 14 of the BCEHS Medic Minutes podcast. A podcast for Paramedics by Paramedics. Episode Description & Summary:In this episode, host Dugg Steary talks with Lucas Hawkes-Frost about pain management fundamentals. This is an audio recording captured from the introductory video of the Learning Hub course “Pain Management Fundamentals”. Host:Dugg Steary, MA, CCP – BCEHS Paramedic Practice Leader, Clinical Governance and Professional PracticeTwitter: @DuggSteary Guest:Lucas Hawkes-Frost MA, ACP – BCEHS Executive Director, Clinical Governance and Professional PracticeTwitter: @HawkesFrost Contacts:Clinical questions – clinicalpractice@bcehs.ca (mailto:clinicalpractice@bcehs.ca)Learning questions – learning@bcehs.ca (mailto:learning@bcehs.ca)Podcast feedback & suggestions – podcast@bcehs.ca (mailto:podcast@bcehs.ca) We have had a bit of a break since rebooting this podcast in August 2022. Many factors made it more difficult than expected to post monthly. We are working to produce this resource more regularly but need your help to do it. Do you have an idea for a podcast episode? Know a paramedic that would make an awesome guest? We want to hear from you; please email us! Timestamps:(00:56) Why is pain management important?(01:28) What is the outcome of proper pain management?(02:38) Pain management is more than pharmacology.(02:99) Why should we care about pain management?(03:44) Challenges of pain management.(04:19) What is a multimodal approach to pain management?(06:05) The importance of pain assessment, pain scores, and reassessments.(08:22) Documentation, why is it so important?(10:24) Course design overview.(10:54) Medication, new options, and future options.(12:24) Conclusions References & Links:BCEHS Pain Management Clinical Practice Guidelines:https://handbook.bcehs.ca/clinical-practice-guidelines/e-medical-emergencies/e08-pain-management/ (https://handbook.bcehs.ca/clinical-practice-guidelines/e-medical-emergencies/e08-pain-management/)BCEHS Pain Management Fundamentals for EMR and PCP including Penthrox Learning Hub course:https://learninghub.phsa.ca/Courses/29995 (https://learninghub.phsa.ca/Courses/29995)

Welcome to the reboot of the BCEHS Medic Minutes podcast. A podcast for Paramedics by Paramedics. Episode Description & Summary:In this episode, host Dugg Steary talks with Stu Woolley about Assess, See, Treat, and Refer (ASTaR) pathways. We discuss the benefits of these pathways for your patients and how to utilize the pathways during paramedic care. Host:Dugg Steary, MA, CCP – BCEHS Paramedic Practice LeaderTwitter: @DuggSteary Guest:Stu Woolley FdSci, DipHe, PGCert, MCPara, ACP – BCEHS Paramedic Practice LeaderTwitter: @NorthernMedic Acknowledgements:Thanks to Erin Garrity, BCEHS Stakeholder and Internal Relations Officer, for her ongoing support as we reboot this podcast. Contacts:Clinical questions – clinicalpractice@bcehs.ca (mailto:clinicalpractice@bcehs.ca)Podcast feedback & suggestions – podcast@bcehs.ca (mailto:podcast@bcehs.ca) Do you have an idea for a podcast episode? Know a paramedic that would make an awesome guest? We want to hear from you; please email us! Timestamps:(01:03) What is ASTaR?(01:36) What does ASTaR mean for the paramedic in British Columbia?(02:04) How is ASTaR better for the patient?(02:40) Referral does not always mean non-conveyance.(03:50) What ASTaR pathways are in place currently?(05:26) What myths exist around ASTaR pathways?(07:33) How to find out more information on ASTaR pathways.(08:06) Conclusions References & Links:BCEHS Assess, See, Treat and Refer (ASTaR) Pathways: https://handbook.bcehs.ca/clinical-pathways/assess-see-treat-and-refer-astar/ (https://umbraco.bcas.ca/clinical-pathways/assess-see-treat-and-refer-astar/)BCEHS Assess See Treat and Refer (ASTaR) - Webinar #1:https://www.youtube.com/watch?v=MzlizhET0OM (https://www.youtube.com/watch?v=MzlizhET0OM) 

COVID-19: Clinical Practice Summary - April 3rdWe need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes SurveyHosts:Gord Minaker - PCP-IV, UBC Medical StudentKaela Richardson - Respiratory Therapist, UBC Medical StudentDate of Episode Release:April 3, 2020Episode Description & Summary:In this episode, we review the clinical practice changes that have occurred this week at BCEHS with respect to the COVID-19 pandemic. Please see below for a synopsis of this episode.Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.caContacts: Clinical Questions - clinicalpractice@bcehs.caPodcast feedback & suggestions - podcast@bcehs.caPodcast Synopsis & Timeline:1:45 - A reminder to listen to our PPE episode, to reduce COVID exposure amongst other crew members and to plan ahead for your safety during the COVID-19 pandemic. 3:36 - A reminder to use your full region, call sign, and reason for phoning when calling CliniCall. 4:08 - A reminder about no more nebulizers, and to try to use patient MDI's when possible. MDI's are being distributed in a prioritized fashion. We review ways to safely ensure that the patient's MDI is not expired and how to know when an MDI is empty. 6:48 - A discussion around new oxygen flow rates. https://handbook.bcehs.ca/covid-19/covid-update-march-31/clinical-practice-updates-covid-19-march-31/ (https://handbook.bcehs.ca/covid-19/covid-update-march-31/clinical-practice-updates-covid-19-march-31/)8:30 - A review of the airway management updates to date: https://handbook.bcehs.ca/covid-19/covid-update-march-31/pandemic-airway-practice-update-v7/ (https://handbook.bcehs.ca/covid-19/covid-update-march-31/pandemic-airway-practice-update-v7/)10:10 - We discuss precautions for adult resuscitation, reminder to call CliniCall / EPOS at 15 minutes or earlier for transport discussion. Identifying reversible causes early and transport of patients with CPR ongoing will only be recommended in exceptional circumstances. We emphasize good communication with receiving ED if this is the case, and how to handle re-arrests en-route to the ED.14:15 - We discuss where to find all clinical summaries to date with respect to COVD. https://handbook.bcehs.ca/covid-19/covid-19-clinical-practice-dashboard/ (https://handbook.bcehs.ca/covid-19/covid-19-clinical-practice-dashboard/)15:40 - Transport of COVID-positive patients in Victoria and Southern Vancouver Island. South Island COVID-19 Transport Directive (https://handbook.bcehs.ca/covid-19/covid-19-updates-march-23-29/covid-19-update-march-28/south-island-covid-19-transport-directive/)18:00 - A reminder to reach out to CISM if you experience Moral Distress. Stay tuned for resilience resources and sessions coming soon!20:20 - Fire First Responders will not be attending covid positive patients. They will only be dispatched to purple calls, red calls where ambulances are expected to be delayed, and for technical rescues. 21:04 - Skincare with frequent hand washing - use moisturizer! Notify your supervisor and notify the workplace call centre if you think you have dermatitis. 

We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes SurveyHosts:Gord Minaker - PCP-IV, UBC Medical StudentKaela Richardson - Respiratory Therapist, UBC Medical StudentDate of Episode Release:March 26, 2020 Episode Description & Summary:In this episode, we summarize and consolidate the clinical practice changes that have occurred at BCEHS as of March 26, 2020.We also make a correction to our previous PPE podcast, which can be found here: https://blubrry.com/bcehs/57679523/ppe-precautions-paramedic-safety-covid-19/ (https://blubrry.com/bcehs/57679523/ppe-precautions-paramedic-safety-covid-19/)Please see below for links to resources.Please refer to the BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca (https://handbook.bcehs.ca/)Contacts: Clinical Questions - clinicalpractice@bcehs.ca (mailto:clinicalpractice@bcehs.ca)Podcast feedback & suggestions - podcast@bcehs.ca (mailto:podcast@bcehs.ca) References & Links:BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca (https://handbook.bcehs.ca/)Clinical Practice Summary Page: https://handbook.bcehs.ca/covid-19/covid-19-pratice-updates-summaries/ (https://handbook.bcehs.ca/covid-19/covid-19-pratice-updates-summaries/) 

PPE, Precautions & Paramedic Safety: COVID-19We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey *** March 26th Update *** The podcast is now current as of March 26th. Slight changes were edited and re-recorded near the end of the presentation regarding the cleaning of ambulances and the proper PPE to be worn while doing so. These changes are consistent with the policies found in the BCEHS Handbook under ‘Cleaning and Disinfection’, and have been validated by Janie Nichols, our infection control specialist. These changes include limiting PPE for routine cleaning of ambulances after COVID transports to using gloves and ACCEL wipes, ventilating ambulances for 20 minutes only after an aerosol-generating medical procedure was performed in the back, and very limited scenarios where N95's and full PPE are required for cleaning.Resources for Cleaning & Disinfecting: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/cleaning-and-disinfection/ (https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/cleaning-and-disinfection/)Hosts:Gord Minaker - PCP-IV, UBC Medical StudentKaela Richardson - Respiratory Therapist, UBC Medical StudentGuest:Kevin Lambert - Critical Care Paramedic, Paramedic Practice EducatorAcknowledgements: Janie Nichols, Infection Prevention Specialist Date of Episode Release:March 25, 2020Episode Description & Summary:In this episode, we review best practices regarding personal protective equipment (PPE), precautions to be taken on COVID calls, and paramedic safety in the context of COVID-19.Please see below for a timeline of the questions we ask during this episode, and for links to resources.Please refer to the BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca (https://handbook.bcehs.ca) Contacts: Clinical Questions - clinicalpractice@bcehs.ca (mailto:clinicalpractice@bcehs.ca)Podcast feedback & suggestions - podcast@bcehs.ca (mailto:podcast@bcehs.ca) Podcast Timeline: 1:03 - How is COVID-19 spread?2:16 - What can paramedics do on a day-to-day basis?4:21 - Are calls still being screened for “Influenza Like Illness” waits?6:00 - What calls should we be wearing PPE on?7:14 - What should do before we arrive on-scene to prepare?9:23 - How should we prepare the ambulance for transport?13:14 - Are surgical masks ever acceptable when encountering COVID cases?14:59 - What sort of eye protection should we use?16:35 - Should we use the buddy system for PPE?18:19 - Reviewing Donning and Doffing22:00 - Should we be double gloving?22:44 - Should we wear boot covers?24:08 - Limiting gear exposure in the ambulance during transport26:47 - Reverse Isolation for Patients27:49 - Who do we need to notify of COVID calls?29:19 - Reducing the number of people exposed on calls30:33 - When should drivers doff? What PPE should we wear in the cab of the truck?32:36 - How should we reduce hospital exposure?36:15 - How should we clean the ambulances?39:50 - What PPE should we wear to clean?44:20 - A final word from Kevin Lambert References & Links: BCEHS Doorway Assessment: https://handbook.bcehs.

Metered Dose Inhalers (MDIs) & COVID-19We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey HostsGord Minaker - PCP-IV, UBC Medical StudentKaela Richardson - Respiratory Therapist, UBC Medical Student Date of Episode Release:March 23, 2020 Episode Description & SummaryIn this episode, Gord & Kaela review best practices for the use of Metered Dose Inhalers (MDIs) in the prehospital setting. They discuss the benefit of MDIs over nebulizer medications in the context of the COVID-19 pandemic.Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.ca (https://handbook.bcehs.ca) Contacts: Clinical Questions - clinicalpractice@bcehs.ca (mailto:clinicalpractice@bcehs.ca)Podcast feedback & suggestions - podcast@bcehs.ca (mailto:podcast@bcehs.ca)