"Fed By The Firehose" with Sean The PA

Sean Kelcey
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  • Medicine

Podcast by/for Canadian PA's and anyone else interested in health care, particularly rural/remote care, Indigenous Health and where we all fit in with the Canadian Health Care landscape.

  1. Jan 28

    S3 E3 - Shit Show Shifts With Sean - Part 1

    Keywords emergency medicine, critical care, seizures, resuscitation, thrombolysis, patient management, healthcare challenges, medical stories, physician experiences, healthcare humor Summary In this episode of 'Fed by the Firehose', Sean Kelcey shares a series of intense and chaotic experiences from his shift in emergency medicine. He recounts multiple critical cases, including a patient with seizures and infection, a code blue situation requiring resuscitation, and the management of status epilepticus. Throughout the episode, Sean reflects on the challenges faced in emergency care, the importance of teamwork, and the humorous side of working in a high-pressure environment. Takeaways Sean introduces a new series called 'Shit Show S***s with Sean'. He discusses a patient with recurrent seizures and infection. A code blue situation leads to a successful resuscitation. Thrombolysis was organized for a patient in ventricular tachycardia. Managing status epilepticus requires quick action and resources. Challenges arise from limited lab resources in emergency settings. Multiple critical patients can overwhelm a single physician. Sean reflects on the emotional toll of chaotic shifts. He humorously notes the 'black cloud' effect in his career. The episode ends with a promise for more stories in the future. Titles Shit Show S***s: A Day in Emergency Medicine Chaos in the ER: Tales from the Frontline Sound bites "Shit Show S***s with Sean" "We got compressions resumed" "It was about 14 hours" Chapters 00:00 Introduction to Shit Show S***s 00:30 Emergency Case: Seizures and Infection 03:03 Code Blue: Resuscitation and Thrombolysis 05:56 Managing Status Epilepticus 09:03 Handling Multiple Critical Patients 11:56 Reflections on a Chaotic Shift

    14 min

  2. 08/30/2025

    S3E2: Am I Real or Am I Something Else

    This epsiode talks about Imposter Syndrome, in the context of what it is, how it feels, and what should be done about it...with some of my personal experience with it and trying to deal with it.

    47 min

  3. 07/12/2025

    Season 3 - Episode 1 TB or Not TB

    In this comeback episode, I'll be discussing 2 widely different cases of TB that presented to my remote nursing station.

    14 min

  4. 06/30/2024

    S2E1: End of Life

    Thanks for your patience on waiting for Season 2 to drop. This episode will be about End of Life Care, regarding a patient I followed and how I felt things went. I'll talk about challenges with personnel and interagency collaboration/cooperation, obtaining medications and work arounds, provider/family/patient dynamics in an end of life/palliative situation, and lastly some lessons learned. I hope you enjoy.

    23 min

  5. 04/01/2024

    Season 1 Episode 10: Weird Sh*t Magnet Strikes Again

    In this episode, my weird sh*t magnet got stuck to my forehead yet again as something that appeared simple turned out to be anything but. Two patients, one sick, the other seemingly not so...turned out they were much sicker than the one that was sick...with profound hyponatremia, hypokalemia, hypochloremia, hyperglycemia, acute kidney injury and renal failure. I'll talk briefly about how slow mental processes get at Zero Dark OMFG in the morning, which can lead to overthinking as not to miss something/mess something up, as well as some decision paralysis that can accompany that...

    20 min

  6. 03/12/2024

    Season 1 Episode 9: Trauma Trauma

    So I'm doing my Advanced Trauma Life Support course and it's being run where I did my trauma medicine/surgery rotation in PA school...and some of this is bringing up/back some odd feelings that I'll be discussing => some good, some uncomfortable.

    25 min

  7. 03/04/2024

    S1E8 - DIdn't see that coming

    In this episode, I'll discuss a case of sepsis that presented much like a PE, the cause of which surprised all of us involved.

    17 min

  8. 02/29/2024

    S1E7 - Things that go bang in the night

    In this episode, I'll be discussing a case of a gunshot wound in the new remote community I've started working in. I'll discuss the case itself, results, as well as some general considerations when dealing with gunshot wounds, both in the physical sense as well as the bigger picture regarding safety of your patient and around the medical complex in a rural site.

    15 min
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Podcast by/for Canadian PA's and anyone else interested in health care, particularly rural/remote care, Indigenous Health and where we all fit in with the Canadian Health Care landscape.

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