Critical Levels Critical Levels
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- Hälsa och motion
Hosted by paramedic Zach Cantor, "Critical Levels" is a new podcast dedicated to having critical conversations in paramedicine. "Critical Levels" is a podcast for paramedics, by paramedics, with a Canadian and local bias.
Please visit our website - http://www.criticallevels.ca - for more information
Please email us at info@criticallevels.ca for any suggestions/feedback/comments
Follow us on Twitter: @criticalevels
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BVM - Dr. Bonnie Snyder
On this month’s episode, we’re joined by Dr. Bonnie Snyder to discuss BVM as well her recently published paper in Resuscitation: Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest.
During the episode, you’ll hear us cover:
There is nothing basic about the BVM - it is not a benign intervention
Rate and volume based on the guidelines
Consequences of excessive rate/volume Consequences of under ventilation General airway management
positioning suction airway adjuncts mask seal C-E technique 2 person technique waveform capnography and other real time feedback importance of proper volume importance of proper pressure BVM sizing
Dr. Snyder’s study
research question/impetus P-I-C-O results feedback next steps -
Pediatric Cardiac Arrest - Dr. Janice Tijssen
On this month’s episode, we’re joined by Dr. Janice Tijssen to discuss pediatric cardiac arrest. During the episode, you’ll hear us cover:
The importance of our early interventions
What is cardiac arrest
incidence/epidemiology etiology risk factors/past medical history outcomes sociodemographics Differences between adult and pediatric cardiac arrest
Simplifying our response
Symptomatic bradycardia
The importance of scene time
The importance of CPR/ventilation
IV vs IO, SGA vs ETT
Epinephrine
PRIME study
Family presence during arrest
Disposition -
Suboxone - Dr. Louisa Marion-Bellemare
On this month’s episode, we’re joined by Dr. Louisa Marion-Bellemare to discuss Suboxone (buprenorphine/naloxone) and managing patients who use illicit and controlled drugs. During the episode, you’ll hear us cover:
history of the drug crisis lay of the land of the current drug crisis historical treatments opiate pharmacology healthcare utilization stigma suboxone use patient advocacy -
Wilderness Medicine - Matt Smith
On this month's episode, we chat with Matt Smith about wilderness medicine.
As we shift from a high resource to a low resource setting, there are 3 main concepts to consider:
- Ideal to real
- High risk to low risk
- Stable to unstable
These concepts are important as we shift our practice and prepare ourselves.
For this patient context, we need to focus on the things we can't replace, and learn to manage that.
Our approach to these patients need to be algorithmic, and focus on doing the basics well. Two mnemonics (H-E-M-P; A-B-C-D-E) are presented to help with our approach.
Lastly, hypothermia assessment and management is discussed. -
Acute Coronary Syndrome (ACS) - Dr. Jesse McLaren
On this month’s episode, we discuss acute coronary syndrome (ACS) with Dr. Jess McLaren
We define ACS, we cover pathophysiology, and some common causes. Importantly we discuss the assessment of this patient population - paying attending to both objective and subjectives signs and symptoms. We spend some time talking about electrocardiograms, and perhaps most importantly, we chat about the management of this patient. -