Cypress Creek EMS Podcast

Cypress Creek
  • 5.0 (2)
  • Medicine

A podcast for Cypress Creek EMS, a progressive EMS service in the Northwest Houston area. Subscribe for EMS-specific clinical education, discussion, and protocol updates.

  1. 01/28/2021

    Dr. Jason and the Current State of COVID

    In this episode, Steven and Samuel sit down with Dr. Jason Ausman, the current EMS fellow, to discuss COVID-19. Topics covered include: What’s changed with COVID-19, including the new UK and South African virus variants. Long term effects of COVID-19. How we can reduce the spread of this disease. COVID-19 vaccinations. Resources mentioned in this episode: New England Journal of Medicine COVID-19 Vaccine FAQs: https://www.nejm.org/covid-vaccine/faq Inside the B.1.1.7 Coranavirus Variant https://www.nytimes.com/interactive/2021/health/coronavirus-mutations-B117-variant.html

    41 min

  2. 08/02/2020

    Death and Dying Part 1

    Death and Dying Part 1 A topic that is not often discussed, death and dying are an inherent reality for the EMS provider. This conversation between Lynne, Samuel and Steven addresses how to deal with grief. There's a huge expectation that first responders should intrinsically understand how to move through the sadness and difficulty of losing a patient, whatever that may look like. This podcast looks at the stages of grief and how they relate to first responders; it is important to be healthy in processing the death of patients, especially when it is traumatic or sudden. Our increased exposure to the end of life means that we should be aware of the emotions associated with it so that we can move through them and continue…the best job in the world. The Kubler-Ross Grief Model: https://www.psycom.net/depression.central.grief.html Acceptance in Grief https://jamanetwork.com/journals/jama/fullarticle/205661

    32 min

  3. 07/04/2020

    COVID Protocol Updates 07-03-2020

    These changes go into effect on July 4th, 2020 at 7am. In this episode, we are joined by our medical director, Dr. Levon Vartanian, along with our assistant medical director Dr. Ziherl and discuss protocols to reduce ED overcrowding during this pandemic. We talk about Paramedic Initiated Referral, COVID-19 Non-Transport, and transport to freestanding EDs.  Download our protocol app or visit Creekshare.org to download copies of these protocols and the patient handout brochures that go along with them. ————————  General PIR:  Purpose  What kinds of patients can be referred  Who cannot be  Why a consult is required  Prehospital discharge instructions  COVID-19 non-transport  Purpose  Criteria  Process  Handout  Scripting  Recommendations for testing/treatment at home/etc.  Freestanding ED  What they are  What they have  What kinds of patients should go there  What kinds of patients should not

    18 min

  4. 06/10/2020

    Field Staff Thoughts on the ESD Meeting

    Following the ESD 11 meeting on June 9th, ICPs Chris Conn and Megan Spearman sit down with UO Steven Beesley to articulate their thoughts. These field staff providers share their perspective about the latest development in the CCEMS/ESD relationship. This format is being tested for bringing information to the field staff…please let us know what you think! One note about recent "news"; be mindful that CCEMS is your best source of information. While you may find opinions and statements elsewhere online, sensationalism and propaganda is widespread. Please allow us the chance to provide information before spreading something that you "heard". We are so thankful for your loyalty to CCEMS and in turn, we are committed to keeping you informed. Stay tuned for a question and answer session with Wren Nealy releasing next week on the CCEMS podcast!

    14 min

  5. 06/06/2020

    Dr. Ely Discusses Airways

    In this episode, we discuss airways with Dr. Rachel Ely, who is doing a rotation with CCEMS as an Assistant Medical Director as part of the military's EMS and Disaster Medicine Fellowship based at Brooke Army Medical Center in San Antonio. Dr. Ely has a background in EMS and actively worked as a paramedic for a few years before and during medical school. Passionate about all things "airway", Dr. Ely outlines some of her "must-dos" for a successful advanced airway while providing insight from her years of experience. Before the call: Visualization and mental rehearsal Physical rehearsal: have a plan, and a backup, and a backup, and practice all of them Location of equipment is key Airway preparation During the call: Pre-oxygenate early. Once you decide they need an advanced airway, give all the oxygen. Resuscitate before you intubate, Laryngoscope as a Murder Weapon (Scott Weingart) Hypotension O2/Hypoxemia pH/acidosis.  The apneic period can be deadly in certain patients. Recognizing this is trickier in EMS because you don’t have all the data (like blood gases).  Fear this in the DKA patient, the septic shock patient, any metabolic acidosis Position the patient: it is worth your time to try do this right. The donut works, sometimes towels/pillows are needed, but just having a FF lift the head off of the floor will give you a 100% better view. Head off stretcher works for some, but may actually make things worse as the angle of oropharynx to glottis becomes more steep (glottis more anterior). Neck flexed, head extended gives optimal alignment

    24 min

  6. 05/27/2020

    What’s the deal with nebulizers?

    In this episode, Steven Beesley, Christy Stermer, Alex Moore, and Samuel Kordik sat down to discuss aerosol-generating procedures, PPE requirements, and how to find answers to your questions during COVID-19. If you have questions, needs, or just would like someone to talk to, here's a list you can start with. Everyone on here cares deeply about you and would be happy to help: Samuel Kordik Elizabeth Breaux Casey Pile Zach Dunlap Lynne Singleton Ryan Jones References: K., T., K., C., M., S., C., P.-S., & J., C. (2011). Aerosol generating procedures (AGP) and risk of transmission of acute respiratory diseases (ARD): A systematic review. BMC Proceedings. Heinzerling, A., Stuckey, M. J., Scheuer, T., Xu, K., Perkins, K. M., Resseger, H., Magill, S., Verani, J. R., Jain, S., Acosta, M., & Epson, E. (2020). Transmission of COVID-19 to Health Care Personnel During Exposures to a Hospitalized Patient - Solano County, California, February 2020. MMWR. Morbidity and Mortality Weekly Report, 69(15), 472–476. https://doi.org/10.15585/mmwr.mm6915e5 Loeb, M., McGeer, A., Henry, B., Ofner, M., Rose, D., Hlywka, T., … Walter, S. D. (2004). SARS among Critical Care Nurses, Toronto. Emerging Infectious Diseases, 10(2), 251–255. https://doi.org/10.3201/eid1002.030838 Orman, R., & Weingart, S. (2020). COVID-19: Weingart Q & A on Airway, Vents, Tubes, Lungs, ECMO, and CPAP. Retrieved from https://ercast.libsyn.com/covid-19-weingart-q-a-on-airway-vents-tubes-lungs-ecmo-and-cpap Raboud, J., Shigayeva, A., McGeer, A., Bontovics, E., Chapman, M., Gravel, D., … Green, K. (2010). Risk factors for SARS transmission from patients requiring intubation: A multicentre investigation in Toronto, Canada. PLoS ONE, 5(5). https://doi.org/10.1371/journal.pone.0010717 Teleman, M. D., Boudville, I. C., Heng, B. H., Zhu, D., & Leo, Y. S. (2004). Factors associated with transmission of severe acute respiratory syndrome among health-care workers in Singapore. Epidemiology and Infection, 132(5), 797–803. https://doi.org/10.1017/S0950268804002766 Links to Help with mental stress https://pca.st/nini28vt The Boiling Point of Stress - Stimulus (FOAM education) https://medicmindset.com/2019/11/28/antifragile/ Antifragile - Medic Mindset https://www.artofmanliness.com/articles/beyond-sissy-resilience-on-becoming-antifragile/ Blog post explaining the antifragile concept. https://disasterassets.org/events/ Zoom meetings (Healthcare workers - free)

    16 min

  7. 05/19/2020

    Questions and Answers Session 2

    In this episode, we answer questions submitted from field staff. Discussion of PTO, assigned roles at Admin, self-monitoring, quarantine criteria and COVID-19 documentation are all addressed...and a few more. If you have questions for the administrative staff during the response to COVID-19, submit a question on creekshare.org. Stay safe!

    11 min

  8. 05/01/2020

    Mental Health in EMS providers

    In this podcast episode, we discuss why EMS in stressful times requires a focused response. EMS providers carry an additional burden during times of disaster (or pandemic) and are more likely to experience stress and burnout. What does that look like and how can we mitigate it? We talk about how to recognize that you are hitting a breaking point, what you can do, and what is beyond resilience: becoming antifragile. Emergency Responder Crisis Text Line (text BADGE to 741741, trained crisis counselors who can help, available 24/7) Disaster Response Assets Network (free Zoom meetings daily with other healthcare professionals and first responders) Heroes Helpline - 833-367-4689 (identify treatment options, referrals to in-person therapy or social services) Refuge PTSD Group "Converge" - Monday evenings 6-7pm (in-person in Conroe, TX) Resources: https://pca.st/nini28vt The Boiling Point of Stress - Stimulus (FOAM education) https://medicmindset.com/2019/11/28/antifragile/ Antifragile - Medic Mindset https://www.artofmanliness.com/articles/beyond-sissy-resilience-on-becoming-antifragile/ Blog post explaining the antifragile concept. https://disasterassets.org/events/ Zoom meetings (Healthcare workers - free)

    39 min
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Ratings & Reviews

5
out of 5
2 Ratings

About

A podcast for Cypress Creek EMS, a progressive EMS service in the Northwest Houston area. Subscribe for EMS-specific clinical education, discussion, and protocol updates.

Information

  • Creator
    Cypress Creek
  • Years Active
    2020 - 2021
  • Episodes
    21
  • Rating
    Clean
  • Copyright
    © Cypress Creek
  • Show Website
    Cypress Creek EMS Podcast