MCHD Paramedic Podcast

Montgomery County Hospital District
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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 Director Dr. Casey Patrick invites 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.

  1. 15. Juni

    Episode 195 - Prehospital Cold Water Immersion For Heatstroke - Lessons From Phoenix

    Drs. Geoff Comp and Jerry Snow join the podcast to discuss their recent paper describing their experience treating undifferentiated heatstroke in Phoenix with cold water immersion. Their protocol mirrors ours here in Montgomery County. Heatstroke is a time-sensitive emergency, and the rate of cooling directly correlates with mortality reduction. Learn how to implement CWI in your service. It's the best of all worlds: inexpensive, impactful, and applies to all EMS clinician levels. REFERENCES 1. Comp G, Finch C, Kupanoff K, Sandoval M, Lloyd M, Aldaco N, Kirk D, Pugsley P, Nordstrom L, Koenig BW, Narang A, Snow J, Kamer M, Foster A, Patel G, Stowell JR. Fighting Fire with Ice: A Multisite Collaboration to Evaluate the Impact of Prehospital Cold Water Immersion on Heat Stroke Patients. Prehosp Emerg Care. 2026 Mar 13:1-11.

    42 Min.

  2. 18. Mai

    Episode 194 - Mental Health Matters In EMS With Dr. Joe Gill

    MCHD's Spencer Lantz and Fort Bend County EMS Medical Director, Dr. Gill join the podcast to discuss the importance of allowing an open conversation around the mental health issues and strain of being an EMS clinician. We've finally started to recognize the issue, Spencer and Dr. Gill have some concrete solutions for the future.

    39 Min.

  3. 20. Apr.

    Episode 193 - What Can EMS Learn From An Emergency Pharmacist? - Part 2

    One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're lucky to have a special guest with a unique perspective on this episode. Kevin Mercer, an emergency department pharmacist, joins Dr. Patrick to discuss all things medication administration. This is the second episode of our two-part series! REFERENCES 1. Harmer BM, Hoyle JD Jr, Edwards A, Fredericks T, Wells L, Lecznar A, Christopher K, Dunwoody S, Hong G, Rantz W, Popov V, Mahajan P, Fogarty K. Assessing the Influence of a Statewide Dosing Reference Aid on Prehospital Pediatric Medication Dosing Errors: A Mixed-Methods Simulation-Based Investigation. Prehosp Emerg Care. 2026 Mar 9:1-8.

    32 Min.

  4. 23. März

    Episode 192 - What Can EMS Learn From An Emergency Pharmacist? - Part 1

    One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're lucky to have a special guest with a unique perspective on this episode. Kevin Mercer, an emergency department pharmacist, joins Dr. Patrick to discuss all things medication administration. The episode went so well, we had to create a two-part series! REFERENCES 1. Harmer BM, Hoyle JD Jr, Edwards A, Fredericks T, Wells L, Lecznar A, Christopher K, Dunwoody S, Hong G, Rantz W, Popov V, Mahajan P, Fogarty K. Assessing the Influence of a Statewide Dosing Reference Aid on Prehospital Pediatric Medication Dosing Errors: A Mixed-Methods Simulation-Based Investigation. Prehosp Emerg Care. 2026 Mar 9:1-8.

    31 Min.

  5. 23. Feb.

    Episode 191 - EMS Protocols 101

    As discussed on prior episodes, we recently overhauled our entire protocol structure here at MCHD. One of our MCHD paramedics, David Lozano, joins us to discuss the foundations of EMS protocol creation. Who writes them and how? Where are the potentially risky decisions? What should the MCHD field paramedics know about the process? Have a listen to better understand the true foundation of EMS clinical practice.

    36 Min.

  6. 26. Jan.

    Episode 190 - Geriatric Considerations In EMS With Dr. Maia Dorsett

    The most common podcast requests over the past couple of years have been focused on prehospital geriatric care. Dr. Maia Dorsett, EMS geriatric expert, joins us to discuss pearls and pitfalls when caring for elderly patients in the prehospital setting. What are the common mistakes? What tools can be implemented to improve patient outcomes? Why does geriatric care even matter? This episode is packed with high-yield information that will make all of us better clinicians. REFERENCES 1. Dorsett M, Allen H, Garbacz H, Sensenbach B, Kumar S, Jones CMC, Cushman JT. Timeline for Repeat EMS Encounters Resulting in Transport Following "Lift Assist" in a Suburban EMS System. Prehosp Emerg Care. 2025 May 29:1-6. 2. Haussner WK, Breyre AM, Bascombe K, Barrett WJ, Camacho MA, Overton-Harris P, Williams S, Lyng JW, Martin-Gill C, Colwell C. Prehospital Trauma Compendium: Management of Geriatric Trauma Patients - A Position Statement and Resource Document of NAEMSP. Prehosp Emerg Care. 2025 Sep 25:1-10.

    50 Min.

  7. 29.12.2025

    Episode 189 - EMS Airway Updates 2025 - Part 2

    There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why can't we take a look after sedation only?" "Why doesn't MCHD have a crash airway protocol?" Join the podcast crew to discuss recent EMS airway literature that helps us answer these questions and provides invaluable tips. This is part two of a two-part series. REFERENCES 1. Jarvis JL, Jarvis SE, Kennel J. The Association Between Out-of-Hospital Drug-Assisted Airway Management Approach and Intubation First-Pass Success. Ann Emerg Med. 2025 Nov;86(5):521-530. 2. Spigner MF, Wang HE, Carlson JN. One and Done? Rethinking "First-Pass Success" in Out-of-Hospital Airway Management. Ann Emerg Med. 2025 Nov;86(5):531-532. 3. Maia IWA, Besen BAMP, Silva LOJE, et al; BARCO group. Peri-intubation adverse events and clinical outcomes in emergency department patients: the BARCO study. Crit Care. 2025 Apr 17;29(1):155.

    29 Min.

  8. 01.12.2025

    Episode 188 - Prehospital OB Updates 2025

    Recently, some paramedics, obstetricians, and EMS medical directors were locked in a room and produced some fantastic collaborative prehospital guidelines for managing post-partum hemorrhage, eclampsia, and pre-eclampsia. Have a listen, take a look at the guidelines (links below), and we'll all take better care of our pregnant/post-partum patients. REFERENCES 1. https://naemsp.org/news/now-available-new-ems-obstetric-emergency-guidelines/

    30 Min.
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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 Director Dr. Casey Patrick invites 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.

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  • Erstellt von
    Montgomery County Hospital District
  • Jahre aktiv
    2018 - 2026
  • Folgen
    190
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    MCHD Paramedic Podcast

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