137 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 • 187 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 133 - MCHD Bike Team

    Episode 133 - MCHD Bike Team

    Join Dr. Patrick and MCHD District Chief and Bike Team lead, Scott Sanders, as they discuss the MCHD Bike Team. What does it take to be an MCHD bike team medic? How does patient care differ from the truck vs. when on the bike? Learn how the MCHD Bike Team fills multiple invaluable roles in the county.

    Photo Link - https://www.mchd-tx.org/wp-content/uploads/2022/06/Bike-Team.jpg

    • 19 min
    Episode 132 - Xylazine Update

    Episode 132 - Xylazine Update

    Friend of the podcast emergency physician, addiction specialist, and toxicologist extraordinaire, Dr. Jerry Snow joins the podcast crew to discuss a scary and potentially deadly twist in the opiate crisis…xylazine. Dr. Snow will school us all about xylazine pharmacology and treatment tips and why EMS high-dose naloxone may not be ideal.

    REFERENCES
    1. https://www.acep.org/tacticalem/newsroom/oct-2021/xylazine-an-emerging-adulterant/

    2. https://www.kxan.com/news/drug-responsible-for-recent-overdoses-in-austin-travis-county-identified-by-officials/

    3. Reyes, J. C., et al. "The emerging of xylazine as a new drug of abuse and its health consequences among drug users in Puerto Rico." Journal of Urban Health 89.3 (2012): 519-526.

    4. Ruiz-Colón, Kazandra, et al. "Xylazine intoxication in humans and its importance as an emerging adulterant in abused drugs: a comprehensive review of the literature." Forensic Science International 240 (2014): 1-8.

    5. Nunez, Jacqueline, Maura E. DeJoseph, and James R. Gill. "Xylazine, a veterinary tranquilizer, detected in 42 accidental fentanyl intoxication deaths." The American Journal of Forensic Medicine and Pathology 42.1 (2021): 9-11.

    6. Johnson, Jewell, et al. "Increasing presence of xylazine in heroin and/or fentanyl deaths, Philadelphia, Pennsylvania, 2010–2019." Injury prevention 27.4 (2021): 395-398.

    7. Friedman, Joseph, et al. "Xylazine spreads across the US: A growing component of the increasingly synthetic and polysubstance overdose crisis." Drug and Alcohol Dependence (2022): 109380.

    8.https://www.mdpoison.com/media/SOP/mdpoisoncom/ToxTidbits/2019/Jan%202019%20ToxTidbits.pdf

    9. https://www.deadiversion.usdoj.gov/drug_chem_info/Xylazine.pdf

    • 27 min
    Episode 131 - Nebulized Ketamine, What??

    Episode 131 - Nebulized Ketamine, What??

    There is no possible way to improve ketamine, right? Join Dr. Patrick for a discussion of exciting recent literature investigating the effectiveness and safety of nebulized ketamine for emergency department analgesia. Everyone's favorite EMS medication may be primed for an enhanced delivery option.

    REFERENCES
    1. Dove D, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Ann Emerg Med. 2021 Dec;78(6):779-787.

    2. Rhodes AJ, et al. Nebulized ketamine for managing acute pain in the pediatric emergency department: A case series. Turk J Emerg Med. 2021 Apr 9;21(2):75-78.

    • 13 min
    Episode 130 - A Super Cool Case - MCHD COTQ Q1 2022

    Episode 130 - A Super Cool Case - MCHD COTQ Q1 2022

    Join the podcast crew, District Chief Kevin Mifflin and In-Charge Payden Seals as they discuss our MCHD Case of The Quarter for Q1 2022. This case is a prime example why field providers must keep wide differentials with a keen awareness of the initial scene situational factors.

    REFERENCES
    1. https://coreem.net/core/hypothermia/

    2. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m4-curriculum/group-m4-environmental/hypothermia

    • 23 min
    Episode 129 - Serial Killer Series - Trauma

    Episode 129 - Serial Killer Series - Trauma

    The medical directors revisit one of our old favorites "The Serial Killers Series" to discuss 5 trauma killers to keep in your front brain as you are preparing or caring for a sick trauma patient. If you've not considered your differential diagnosis until patient contact and initial evaluation then you're too late. Following this episode, you'll be ready to evaluate, act and prevent acute hemorrhage, obstructive shock, hypoxia, traumatic brain injury and DIC in your sickest trauma patients.

    REFERENCES
    1. Childress K, et al. Prehospital End-tidal Carbon Dioxide Predicts Mortality in Trauma Patients. Prehosp Emerg Care. 2018 Mar-Apr;22(2):170-174.

    2. Androski CP Jr, et al. Case Series on 2g Tranexamic Acid Flush From the 75th Ranger Regiment Casualty Database. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals. 2020 ;20(4):85-91.

    3. Taghavi S, et al. An Eastern Association for the Surgery of Trauma multicenter trial examining prehospital procedures in penetrating trauma patients. J Trauma Acute Care Surg. 2021 Jul 1;91(1):130-140.

    4. Sims CA, et al. Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock: A Randomized Clinical Trial. JAMA Surg. 2019 Nov 1;154(11):994-1003.

    5. Kupas DF, et al. Glasgow Coma Scale Motor Component ("Patient Does Not Follow Commands") Performs Similarly to Total Glasgow Coma Scale in Predicting Severe Injury in Trauma Patients. Ann Emerg Med. 2016 Dec;68(6):744-750.

    6. Rankin CJ, et al. A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? J Trauma Acute Care Surg. 2020 Mar;88(3):434-439.

    7. Laan DV, et al. Chest wall thickness and decompression failure: A systematic review and meta-analysis comparing anatomic locations in needle thoracostomy. Injury. 2016 Apr;47(4):797-804.

    • 35 min
    Episode 128 - MCI MCHD Style

    Episode 128 - MCI MCHD Style

    Join Dr. Dickson and the podcast crew as they dive into the MCHD approach to mass casualty incidents. We're lucky to be joined by MCHD Safety and Preparedness Officer, Sean Simmonds and MCHD District Chief Ryan Davenport. These are field medics talking about actual logical field pearls for MCI management.

    • 26 min

Customer Reviews

4.9 out of 5
187 Ratings

187 Ratings

Harley Heath ,

Great Medic Podcast

Thank you guys! Not only do I learn a ton from this podcast but it makes me feel even more comfortable approaching (granted they’re already very approachable) my medical direction staff to discuss the topics to you discuss

TheLaughingFly ,

Awesome show

I work outside the EM world but enjoy podcasts in this area very much. Just wanted to say your autism episode was top notch!

johnny jenga ,

Serial Killer Series

I have enjoyed and learned something from all of these podcasts. They are first rate, but the 5 serial killer series (beginning with podcast 80) are really excellent. Keep them coming!

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