86 episodes

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

MCHD Paramedic Podcast Montgomery County Hospital District

    • Science
    • 4.9, 126 Ratings

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick invite you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

    Episode 83 - Stupidity In EMS With Kris Kaull

    Episode 83 - Stupidity In EMS With Kris Kaull

    This episode tackles the definition of "stupidity" and how this relates to prehospital medical care. Dr. Patrick is joined by Kris Kaull to discuss the definition of stupid, risk factors for making stupid moves and how to possibly prevent these in the EMS setting.

    REFERENCES
    1. Episode inspiration - https://fs.blog/2019/01/how-not-to-be-stupid/

    2. Checklist Manifesto - http://atulgawande.com/book/the-checklist-manifesto/
    https://www.amazon.com/gp/product/0312430000/

    3. Avalanche TedX talk - https://www.youtube.com/watch?v=kWOgyyDUD2w

    • 36 min
    Episode 82 - Serial Killer Series - Altered Mental Status

    Episode 82 - Serial Killer Series - Altered Mental Status

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll wrap up the series with the killers associated with acute altered mental status.

    • 30 min
    Episode 81 - Serial Killer Series - Abdominal Pain

    Episode 81 - Serial Killer Series - Abdominal Pain

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll address the killers associated with acute abdominal pain.

    • 23 min
    Episode 80 - Serial Killer Series - Shortness of Breath

    Episode 80 - Serial Killer Series - Shortness of Breath

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic scene with unstable vitals then filter to an organized differential. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll address the killers associated with the dyspneic patient.

    REFERENCES

    https://www.ebmedicine.net/media_library/files/Calculated%20Decisions%20E1212%20PERC%20Rule.pdf

    • 21 min
    Episode 79 - Serial Killer Series - Chest Pain

    Episode 79 - Serial Killer Series - Chest Pain

    We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, how to get to the final diagnosis is often a process that all levels of emergency providers struggle with. To go from a chaotic chest pain scene with unstable vitals then filter to a differential of #1 PE, #2 ACS, #3 TAD is often quite challenging. The “Serial Killer Series” is going to target the most common chief complaints and the killer diagnoses that you should always consider. We’re not going to spend time with non-emergent/chronic diagnoses, just the ones that are deadly when missed. That’s where we, as emergency providers, must begin. Today we’ll kick things off with acute chest pain.


    REFERENCES
    1. http://www.emdocs.net/em-in-5-approach-to-chest-pain/

    2. https://litfl.com/ecg-findings-in-massive-pericardial-effusion/

    • 33 min
    Episode 78 - The MCHD COVID-19 PPE Experience

    Episode 78 - The MCHD COVID-19 PPE Experience

    For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with a discussion of our PPE/COVID-19 experience. We share our lessons learned and wish list for the future. Take a listen and please hit us up at podcast@mchd-tx.org if you have questions or experiences you'd like to share!

    REFERENCES:
    https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

    • 40 min

Customer Reviews

4.9 out of 5
126 Ratings

126 Ratings

junior RN ,

Great Content

Your podcast is awesome and incredibly informative. Working as an ICU nurse, it’s a bit of a different realm. But nonetheless, the information we can draw from the podcasts can be applied to those sticky situations we run into every now and then in terms of medical emergency management. Being on an inpatient rapid response team was a bit nerve wracking, but the episodes on syncope, seizures, anaphylaxis, chest pain, shortness of breath, and AMS have been fantastic resources. Hope you keep this podcast going! It’s a great thing you have going.

JRHorton91 ,

Very informative

I listen to this podcast while at work as an EMT at a large plant. I love how they go in-depth but also keep it to where I can still keep up. I will be starting medic school soon and feel this podcast will help me a lot.

Pmm2197 ,

Huge help with medic school!

I LOVE the podcast! I am currently in medic school in Massachusetts, and I love listening to the podcast when I am driving to and from my job. It really helps hearing you guys discuss subjects, getting another voice or two talking about something that can make the difference in something really just “clicking”. I feel like it has helped me immensely. Dr Patrick and Dr. Dickson have a knack for really simplifying things to be understood easier, and seem to have a great rapport on the podcast. Please keep up the great work! Thank you!!
Patrick M

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