Alert Medic 1

Alert Medic 1
Alert Medic 1

Alert Medic 1 is a podcast developed by EMS professionals with strict physician oversight focused on educating EMS providers on all aspects of the sciences and medicine. We accomplish our goal through blog entries, case studies, video lectures, and social media interaction. We encourage and welcome health care providers of all backgrounds to join in our discussion.

  1. 5 DAYS AGO

    Presenting the Trauma Patient

    Summary The Alert Medic 1 team explores the critical aspects of trauma care, focusing on the communication between EMS providers and trauma nurses with their guests, Abby and Logan. Both are experienced in their respective fields, discussing the importance of accurate patient assessments, the challenges of handoffs, and the need for clear communication. They emphasize the significance of understanding each other's roles and the necessity for collaboration in providing optimal patient care. The dialogue also highlights the need for training and experience in both EMS and nursing to improve the overall trauma care process. Takeaways Mechanism of injury is crucial for trauma reports. Vital signs and mental status are key indicators. Discrepancies in GCS reporting are common. Clear communication can prevent misunderstandings. Nurses and EMS should use plain language. Training for both sides can improve handoffs. Understanding each other's roles enhances teamwork. Concise reports save time in trauma situations. Interdisciplinary ride-alongs can foster understanding. Building trust is essential for effective communication. Chapters 00:00 Introduction to Trauma Care Professionals 02:44 Communication in Trauma Handoffs 10:35 Prioritizing Patient Care Based on Reports 22:00 Expectations During Patient Handoffs 25:03 Improving Handoff Communication 27:06 Effective Communication in Trauma Handoffs 32:21 Building Trust Between EMS and Hospital Staff 36:23 Understanding Protocols and Procedures 42:20 The Importance of Interdisciplinary Experience Keywords trauma care, EMS, nursing, patient handoff, communication, GCS, trauma assessment, emergency medicine, healthcare collaboration, trauma nursing

    49 min
  2. FEB 14

    Shock Index #12: Federal Fentanyl Legislation, Novel Analgesia Agent Approved by FDA, and other Topics in EMS

    Summary In this conversation, the hosts discuss the implications of recent legislation regarding fentanyl and its impact on emergency medical services (EMS). They delve into the nuances of the Halt Fentanyl Act, exploring its potential effects on medicinal fentanyl use and the broader implications for pain management. The discussion transitions to the introduction of a new non-opiate analgesic, highlighting its potential benefits and challenges in the context of EMS. The conversation concludes with a focus on pain management practices, emphasizing the importance of treating pain compassionately and effectively in emergency settings. Takeaways The Halt Fentanyl Act aims to address fentanyl-related substances without impacting medicinal fentanyl use. Legislation can have unintended consequences on medical practices and patient care. Non-opiate analgesics are emerging as promising alternatives for pain management. Pain management should prioritize patient comfort and not be hindered by stigma or peer pressure. Understanding drug scheduling is crucial for EMS professionals. Effective pain management requires a multimodal approach, combining different medications. The opioid crisis has led to increased scrutiny and regulation of pain management practices. Compassionate care in EMS includes addressing pain without judgment. New medications must be accessible and affordable for patients in need. Education on pain management and drug interactions is essential for healthcare providers. Chapters 00:00 Legislation on Fentanyl-Related Substances 22:31 Emerging Non-Opioid Analgesics 33:15 Insurance Coverage and Drug Pricing Challenges 34:36 Legislative Updates on Substance Abuse Treatment 36:44 Clinical Trials and Evidence-Based Pain Management 41:24 Analgesic Preferences in Emergency Medicine 54:59 The Importance of Treating Pain Compassionately 01:02:59 Reflections on Pain Management and Future Directions Keywords Fentanyl, EMS, pain management, legislation, analgesics, opioid crisis, non-opiate medication, healthcare policy, drug scheduling, emergency medicine

    1h 4m
  3. FEB 11

    Journal Club: Literature Reviewing Naloxone in Cardiac Arrest

    Summary The conversation delves into the recent studies on the use of naloxone in cardiac arrest situations, particularly focusing on recent literature. The speakers discuss the implications of these studies, the concept of pseudo-PEA, and the evolving understanding of naloxone's role in resuscitation. They reflect on past practices, the need for prospective trials, and the emotional weight of changing medical guidelines. Takeaways Naloxone administration during cardiac arrest shows promising results. The number needed to treat for naloxone is significantly low, indicating effectiveness. Retrospective studies have limitations but can provide valuable insights. Understanding pseudo-PEA is crucial for improving resuscitation outcomes. Propensity matching helps reduce bias in retrospective studies. The physiology behind naloxone's effects is still being explored. Prospective trials are needed to solidify naloxone's role in cardiac arrest. Medical practices must adapt as new evidence emerges. Emotional reflections on past practices highlight the challenges in EMS. Continued discourse is essential for advancing medical knowledge. Chapters 00:00 Introduction to Naloxone and Cardiac Arrest 03:03 Understanding the Dylan Natale Paper 06:31 Methods and Limitations of the Study 10:37 Physiology Behind Naloxone's Effects 14:30 The Need for Further Research 21:37 Insights from the Portland Study 27:15 Analyzing Statistical Confidence in Research 32:11 Exploring Pseudo-PEA and Its Implications 36:57 Reflections on Naloxone Use in Cardiac Arrest 41:41 The Evolution of Medical Protocols and Practices 48:37 Future Directions in Emergency Medicine Research Keywords naloxone, cardiac arrest, EMS, opioid overdose, resuscitation, retrospective study, PEA, survival rates, medical guidelines, emergency medicine

    52 min
  4. FEB 4

    Finding and Vetting a Good Mentor

    Summary In this conversation, the speakers discuss the critical role of mentorship in the EMS field, emphasizing the qualities of effective mentors and the importance of continuous learning. They explore the red flags to watch for in potential mentors and the responsibilities of mentees in their educational journey. The discussion also touches on the need for emotional intelligence and the impact of organizational culture on mentorship experiences. Finally, they set the stage for the next episode, focusing on how to expand knowledge through reading and self-directed learning. Takeaways Mentorship is essential for growth in EMS careers. A good mentor is well-rounded and relatable. You can have multiple mentors for different areas. Talent without mentorship can lead to chaos. Mentees must have the right mindset for learning. Participation alone does not guarantee proficiency. Red flags in mentorship include excessive war stories. Effective mentors help students navigate challenges. Emotional intelligence is crucial for both mentors and mentees. Organizational culture impacts mentorship experiences. Chapters 00:00 Finding the Right Mentor in EMS 16:47 Red Flags in Mentorship 23:03 The Nuances of Mentorship and Leadership 23:49 The Essence of Leadership 24:59 Identifying Red Flags in Mentorship 27:21 Green Flags: The Signs of a Good Mentor 27:58 Self-Centered Mentors: A Red Flag 31:43 The Importance of Emotional Intelligence 32:24 Becoming a Green Flag Mentor 35:35 The Dynamic of Student and Instructor Relationships 37:55 Engagement: The Key to Learning 40:07 Recognizing Personal Challenges in Students 42:12 The Right Time for Education 45:49 The Impact of Environment on Learning 47:39 Setting the Stage for Future Learning

    50 min
  5. JAN 29

    Crisis Scenes & Medication Errors

    Summary In this episode, the hosts discuss a tragic case involving a paramedic who allegedly administered the wrong medication, leading to a patient's death. They explore the implications of medical errors, the importance of double-checking medications, and strategies for managing agitated patients. The conversation also delves into the legal ramifications of such errors and emphasizes the need for community engagement and effective communication in healthcare settings. Takeaways Feel for the patient and their family in tragic cases. We are only one or two mistakes away from serious consequences. Double-checking medications is crucial in high-stakes situations. BLS principles should always be prioritized before ALS interventions. Communication with patients and families can reduce the likelihood of lawsuits. Self-reporting medical errors is essential for accountability. Community engagement helps build trust in healthcare providers. Understanding the pharmacodynamics of medications is vital for safe administration. Legal implications of medical errors can be severe and complex. Healthcare professionals must advocate for their patients' rights. Chapters 00:00 Introduction to the Case 02:26 Understanding the Incident 05:23 Pharmacology of Rocuronium vs. Ketamine 10:34 Preventative Measures in Emergency Medicine 15:30 The Importance of Double-Checking Medications 20:30 Post-Medication Administration Protocols 25:24 Crisis Management and Legal Ramifications 38:34 Mental Health and Self-Assessment in EMS 40:24 Professionalism and Patient Autonomy 42:20 Collaboration Between EMS and Law Enforcement 44:01 Safety Protocols and Emergency Situations 46:59 Legal Implications of Medical Errors 51:35 The Role of Self-Reporting in Healthcare 55:16 Community Engagement and Trust in Healthcare Keywords paramedic, medical error, rocuronium, ketamine, patient safety, EMS, legal implications, community engagement, medication administration, healthcare communication

    1h 10m
4.6
out of 5
34 Ratings

About

Alert Medic 1 is a podcast developed by EMS professionals with strict physician oversight focused on educating EMS providers on all aspects of the sciences and medicine. We accomplish our goal through blog entries, case studies, video lectures, and social media interaction. We encourage and welcome health care providers of all backgrounds to join in our discussion.

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