Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland
Podcast 107: Exposing Errors of High Caliber Performance
The primary corrective strategy we must embrace is that assigning blame whether intrinsic or extrinsic, is wasted time and energy. It is not possible to blame and improve at the same time. This is vital for people at all levels to embrace, but particularly in management/leadership. A just culture where people feel empowered to come forward with errors is vital to safe and secure operations. Errors are going to occur, and it is our knowledge of them that allows system and process modification to prevent similar errors moving forward. Think of it like this, if you are a parent meeting your child’s first “boyfriend or girlfriend”, it is your response that often dictates whether you meet the next one or not.
Text-To-Speech: Lara Croft (OB/GYN) and the Cradle of Life
In this story you’ll be playing the role of Lara Croft, an OB/GYN who sees three patients throughout her shift. Your goal is to make the diagnosis for each emergency, and figure out which treatment option is best.
Podcast 106 - When Benzos Won't Stop The Seizure
Sometimes seizing patients don't respond to benzodiazepines. In the RAMPART study they found that 18.5% of the midazolam group and 25.8% of the lorazepam group were still seizing upon arrival at the ED.
We know that rapid termination of status epilepticus (SE) is important, but what should EMS do when they are maxing out benzo's, blood pressures are getting soft from all the meds, and the patient is still seizing?!
In this episode we discuss the role of ketamine in SE patients that are refractory to front line treatments.
BackStage Pass - My Online Teaching Setup (Tyler)
EVERYONE is teaching online now! FOAMfrat teaches live classes five days a week, three times a day, ALL year long! We have ironed out the logistics of zoom room teaching to a science!
Here are some tips if you need to give a talk online.
Podcast 105 - Logistics of a pediatric arrest w/ Austin Quillet
Over the years, OHCA in the pediatric population has not much improved like the Adult. Why is this? What are we doing wrong? Well, there is emerging evidence that may change your practice.
We also know half the battle is the psychological response and communication.
How do we improve? What do we need to do to change these outcomes and find closure? Preparation, psychology of ourselves and others, performance under pressure and tracking data after implementing best practices is just a start. Check out “Solving the Pediatric Labyrinth” in the F3 content of the FOAMfrat refresher to better grasp these concepts and more pearls to change outcomes!
Podcast 104 - Are they resuscitated enough for intubation?
We commonly hear the phrase "resuscitate before you intubate." My question is - how do you know when your patient is resuscitated enough to follow through with intubation?
Last weekend I gave a talk at EMSWorld called "The Sound of Silence." At the end of the talk Sam and I had a discussion on how do you know when a patient is resuscitated enough to allow intubation. In true Tyler fashion, I misread how long my talk was suppose to be and had to cut out the ending. This is the discussion portion of that talk and I think you will especially enjoy the ending.
Customer ReviewsSee All
Intriguing and so beneficial!
One of the easiest podcasts to listen to and full of retainable information. I value this highly as a nursing student with interest in working in an ED.
Hey guys! Thank you so much for doing this, I know it can’t be easy to do all the research. I have listened to all the podcasts so far and I have to say it helped me feel much more confident heading into my first day as an ICU nurse.
Sam is wicked smart and creative!!