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Steve and Dan review their goals for this new podcast and how you can obtain your CE hours through EMT-CE.com. After the introductions, Steve and Dan dive into some interesting case reviews regarding airway management and trauma.

In their second podcast, Dan and Steve discuss what their individual departments have done in response to COVID-19. Current statistics regarding the novel coronavirus are reviewed. Dan walks through what a call at his agency looks like in the midst of the COVID-19 pandemic. Steve touches on how COVID-19 has changed how departments respond to calls, as well as the mindset of medical providers on scene, exposure protocols, and PPE requirements.

Steve discusses a call where proper PPE prevented him from having a life-threatening exposure. Dan outlines a breathing problem call at a care facility and the process of intubating a patient in respiratory failure. Dan details his decision to withhold intubation on a rapidly declining patient, and what backup airway he prefers to use in lieu of an ET tube. Steve and Dan talk about quarantine procedures for their agencies following exposure to COVID-19.

Holly talks about her background as a paramedic and flight nurse. Dan discusses certifications he obtained to become a flight paramedic. Holly discusses her path to become a flight nurse. The trio outlines similarities in protocols for flying a critical patient in the field. Holly touches on the importance of flying patients with time-sensitive presentations, be it medical or trauma-related.

Dan and Holly describe their typical day, and what their crew and individual agencies look like. The two talk logistics when responding to a scene call in the helicopter. The influence of weather on flying is discussed, and Holly goes over the limitations of IFR and VFR aircraft. Ground contact protocol and communication between ground units and the flight team are overviewed. Steve reviews a call from his agency and fields Holly and Dan some questions regarding logistics and patient care.

Steve outlines his “craziest” cardiac call for Holly and Dan, which was dispatched as a person down. He discusses logistical issues affecting patient care, and how those issues were addressed. Steve, Dan, and Holly review the call and talk about lessons learned.

Dan breaks down his “crazy” cardiac call for Holly and Steve, which was dispatched as a cardiac arrest. The three review patient care rendered prior to arrival and patient care performed by Dan and his team. Lessons learned are discussed.

Steve, Dan, and Holly begin their fifth podcast with a case study on a motorcycle accident. Dan describes the logistics of the call and initial patient presentation. Mistakes made during rapid sequence intubation are discussed. The trio talks about the evolution of airway management procedures, such as the process of intubating patients and pre-oxygenation.

Dan discusses his checklist for successful rapid sequence intubation. Steve reviews his checklist, along with his triggers for backup airway placement and cricothyrotomy. Holly recaps a call where she decided against intubation and describes her thought process.

Steve, Holly, and Dan begin their sixth podcast discussing the difference between PTSD and PTSI. Steve touches on his journey with PTSI. The initial triggering call is reviewed, and Steve details the emotional and physiological symptoms he dealt with. Steve talks about his experience with counseling.

The trio overview common emotional and physiological symptoms of PTSI, as well as behaviors that can manifest from it. They describe the difference between debriefing and defusing. The importance of emergency medical responders taking care of themselves is highlighted.