100 episodes

Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland

FOAMfrat Podcast Tyler Christifulli & Sam Ireland

    • Health & Fitness

Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland

    Podcast 165 - Should Pressors Have A Max Dose?

    Podcast 165 - Should Pressors Have A Max Dose?

    In this episode we discuss whether the concept of having a "max dose" of your pressor has any evidence or physiological backing. Joining me in this discussion are Dan Rauh, Shane O'Donnell, and Shad Ruby.
     

    • 50 min
    Podcast 164 - Suicidal Ideation w/ James Boomhower

    Podcast 164 - Suicidal Ideation w/ James Boomhower

    How do you talk to a patient experiencing suicidal ideation? What if you're the one having these thoughts?
    We're interviewing James Boomhower from Stay Fit 4 Duty in this episode. We discuss suicidal ideation, therapeutic communication, and verbal de-escalation.

    • 32 min
    Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom

    Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom

    Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic.  We’ve had some interesting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine and I finally was able to get one of these conversations recorded for the podcast. Enjoy Podcast 163 - What Can We Learn From A  Ketamine Infusion Clinic? w/ Chris Carlstrom.

    • 18 min
    Podcast 162 - Multimodal Pain Management w/ Shane O' Donnell

    Podcast 162 - Multimodal Pain Management w/ Shane O' Donnell

    When I became a paramedic, being able to provide pain management was one of the "new interventions" that I looked forward to most. As an EMT, I remember countless times I was without ALS resources and had to watch a patient suffering in pain until we got to the hospital. Trying to obtain any history or perform an assessment on someone writhing in pain can be nearly impossible. As a BLS provider, I would attempt non-pharmacological ways to relieve pain, such as ice packs, warm packs, elevating extremities, and sometimes simply trying to distract them with conversation. While these methods should not be discounted, I will never forget the first time I could provide pain medication to an elderly woman who fell and fractured her hip. I started an IV right there on the floor of the assisted living facility, administered some fentanyl, and comfortably got her to the stretcher. Analgesia did not save this lady's life. Still, it did make her trip to the hospital a little more comfortable and allowed me to obtain an accurate history, including the dizziness and dyspnea she felt before falling.

     

    Performing an adequate assessment and obtaining pertinent medical history can be difficult when a patient is experiencing intense pain. For this reason, pain should be managed to a level that allows for comfort & communication. Total pain relief is ideal but may not always be feasible, given hemodynamics and underlying causes.
     
    Check out this episode with Tyler & Shane as they discuss multimodal pain management strategies. 

    • 31 min
    Podcast 161 - EMT Pharmacology

    Podcast 161 - EMT Pharmacology

    Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology.
    Each chapter discusses how the medications work, why they're given for specific indications, and the logistics of medication administration! We've also included medication profiles, tips and tricks from experienced providers, and flashcards for each medication to help you hone your med knowledge base!
    In this book, we're coving:
     
    Oxygen
     
    Albuterol and Atrovent Epinephrine
     
    Aspirin Nitroglycerin
     
    Naloxone
     
    Oral Glucose Gel and Glucagon + Flashcards in the back!
     
     
     
    This book is for students, EMTs, and paramedics who want an in-depth review of EMT medications! You can download the book for free at foamfrat.com

    • 28 min
    Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton

    Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton

    I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter. Matthew Yelton is a flight paramedic/base lead for Mercy Flight Central and works as a fire captain at Constableville Ambulance Inc.

    • 47 min

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