The EMS Pulse: Perspectives from the Washtenaw Livingston MCA

Washtenaw Livingston MCA
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  • EDUCATION
  • UPDATED MONTHLY

Welcome! This podcast is a collaboration between the University of Michigan EMS division and the Washtenaw/Livingston County MCA. We feature recurring EMS faculty speakers and guest hosts on a variety of topics of interest to EMS in Michigan! We are always looking for new topic suggestions and would be happy to discuss any of the material we have presented! Get in touch with us at: EMSQuestion@med.umich.edu Thank you for all you do!

Episodes

  1. FEB 10

    Seeing the Unseen: The Expanding Role of Prehospital Ultrasound

    We are back! In this episode of The EMS Pulse, Dr. Ella Purington is joined by Dr. Julian Campillo and Dr. Graham Smith to discuss the growing role of point-of-care ultrasound (POCUS) in prehospital medicine. The conversation focuses on practical, field-ready applications of ultrasound that help EMS clinicians make better, faster decisions. Key Topics Covered How POCUS is routinely used in emergency departments and how that workflow translates to EMSWhy modern handheld ultrasound devices have made field use realistic and scalableUsing IVC ultrasound to guide fluid resuscitation in critically ill patientsFocused cardiac ultrasound during critical care transport with Survival FlightUltrasound-guided IV access for patients with difficult vascular accessUsing ultrasound during cardiac arrest to differentiate true PEA from pseudo-PEAHow pseudo-PEA patients often respond to additional fluids or vasopressorsFAST exam use in trauma to support triage and destination decisionsFuture applications including portable transesophageal echocardiography (TEE)Why This Matters for EMSPoint-of-care ultrasound is no longer limited to hospitals. With focused training and clear protocols, EMS clinicians can use ultrasound to individualize resuscitation, improve diagnostic accuracy, and streamline patient care before hospital arrival. Selected References Atkinson P et al. EMS ultrasound — the new frontier? Emerg Med J. Gaspari R et al. Pseudo-PEA and outcomes in cardiac arrest. Acad Emerg Med. Blyth L et al. Bedside ultrasound and cardiac arrest outcomes. Resuscitation. Kirkpatrick AW et al. FAST exam in trauma care. Injury. Gottlieb M et al. Ultrasound in resuscitation and shock. Am J Emerg Med.

    11 min

  2. 04/10/2024

    Episode 11 - EMS Physicians

    Join us for a discussion of the role of the EMS physician in advocacy, training, field response, and more! Featuring: Christine Brent MD, FAEMS, FACEP Clinical Assistant Professor - Emergency Medicine Chief - Division of Emergency Medical Services Program Director - Emergency Medical Services (EMS) Fellowship Assistant Director - Survival Flight Co-Deputy Medical Director - Washtenaw/Livingston County Medical Control Authority Kevin Argentieri, MD Emergency Medical Services (EMS) Fellow Rolando (Israel) Castillo Salcedo, DO Emergency Medical Services (EMS) Fellow Nicholas Valentini, MD PGY4 Emergency Medicine Resident Incoming EMS Fellow - Brown Emergency Medicine

    38 min

  3. 03/08/2024

    Episode 10 - Patient Handoff

    Join Drs. Ella Purington, Brad Feldman, Nick Valentini and Nate Hunt for a discussion of patient report, and giving handoff using the DeMIST format.

    18 min

  4. 02/14/2024

    Episode 9 - Flash Pulmonary Edema

    Join Dr. Woody Sams and Dr. Ina Prevalska as they discuss the prehospital presentation and management of flash pulmonary edema.

    27 min

  5. 01/01/2024

    Episode 8 - UM EMS

    Learn all about the student-run University of Michigan EMS Club including their work with HVA Unit 8170 and some exciting on-campus recruitment and harm reduction initiatives! Introduction by Nate Hunt, MD Featuring: Mitchell Walsh, EMT-P - Co-President Thomas Chen, EMT-B - Vice President of Operations Noor Majhail, EMT-P - Vice President of Education Nicholas Valentini, MD - Advisor Article regarding the 8170 Project: https://www.michigandaily.com/multimedia/um-emt-a-michigan-daily-ride-along-with-the-student-run-ambulance/ Article about the UM Nalox Box:  https://www.michigandaily.com/news/public-safety/naloxone-initiatives-continue-to-expand-on-and-off-campus/

    30 min

  6. 11/27/2023

    Episode 7 - High Performance CPR

    Join us for an excellent discussion behind the science, art, and teamwork of high performance CPR! Featuring: Graham Smith, MD - Associate Medical Director for W/L MCA Stephen Dowker, BS, FF/EMT, Medical Student, and M-RISE Study Coordinator Nicholas Valentini, MD - PGY4 Emergency Medicine Resident For additional resources on how to improve CPR performance, check out the resources below: https://www.savemiheart.org https://www.911.gov/assets/CPR_LifeLinks_Toolkit_2023_Final.pdf

    37 min

  7. 08/25/2023

    Episode 6 - End Tidal Capnography Use in EMS

    Join Dr. Sam Malakhovsky and Dr. Nate Louras as they discuss the clinical utility and importance of end-tidal capnography (ETCO2) and it's use in the pre-hospital environment.

    14 min

  8. 03/09/2023

    Episode 5 - Toxidromes

    Join Dr. Ella Purington and Dr. Nate Hunt for a discussion of common toxicology presentations and the importance of early care provided by EMS!

    30 min

  9. 03/02/2023

    Episode 4 - Naloxone Leave Behind Project

    Join us for a discussion of the ongoing "naloxone leave behind" project in the MCA with guest hosts Dr. Emily Ager and Dr. Nathan Hunt. We'll cover indications and evidence behind this harm reduction initiative as well as a discussion of some key teaching points in providing care to those with opiate use disorder.

    20 min

  10. 02/25/2023

    Episode 3 - Ethics in EMS

    Join us for a discussion of common ethical scenarios in EMS care, featuring guest hosts Dr. Samantha Chao and Dr. Brendan Byrne

    23 min

  11. 11/17/2022

    Episode 2 - Refusals of Care

    We'll discuss the aspects of a safe, thorough, and informed refusal of care along with a review of some common scenarios.

    23 min
  12. Episode 1 - Imminent Arrest Protocol

    06/08/2022

    Episode 1 - Imminent Arrest Protocol

    In this Episode were going to talk about our imminent cardiac arrest protocol and how this gives pre-hospital providers more options for the stabilization of critically ill patients prior to initiating transport or during transport.

    14 min
  • 12 Episodes

Ratings & Reviews

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About

Welcome! This podcast is a collaboration between the University of Michigan EMS division and the Washtenaw/Livingston County MCA. We feature recurring EMS faculty speakers and guest hosts on a variety of topics of interest to EMS in Michigan! We are always looking for new topic suggestions and would be happy to discuss any of the material we have presented! Get in touch with us at: EMSQuestion@med.umich.edu Thank you for all you do!

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