Podcasts by Austin-Travis County EMS System Office of the Medical Director » Uncategorized
From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anything as it relates to EMS.
Further podcasts by Austin-Travis County EMS System Office of the Medical Director
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Mental Health for First Responders, with special guest Dr. Joseph Martin (audio) from 2023-01-30T04:25:59
Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: i...
ListenMental Health for First Responders, with special guest Dr. Joseph Martin from 2023-01-29T18:24:40
Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: i...
ListenQuick Bite: Carbon Monoxide from 2022-12-23T17:40:27
Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning. We anticipate an increa...
ListenPush Dose Pressors for EMS: Epinephrine and Norepinephrine from 2022-03-09T21:14:39
Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks ab...
ListenThinking: Abdominal Pain with Ginger Locke from the Medic Mindset from 2022-03-09T20:52:32
Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal p...
ListenSnakebites! with Dr. Spencer Greene (@ToxSpencer) from 2022-01-09T04:52:56
Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another. Dr. Spencer Greene (@ToxSpencer) walks us through some pea...
ListenEpisode 49: Icepocalypse from 2021-03-17T03:57:29
YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering...
ListenEpisode 48: COVID…Vaccines from 2020-12-15T07:11:33
Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?
ListenEpisode 47: COVID…Bamlanivimab from 2020-12-15T07:06:45
Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?
ListenEpisode 46: What is Operation Warp Speed? from 2020-12-14T23:14:32
Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The pr...
ListenEpisode 45: Ketamine for suicidal ideation from 2020-11-29T18:08:14
This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not ch...
ListenEpisode 44: Data and outcomes in EMS from 2020-10-17T23:13:17
The Health Data Exchange allows the flow of information between EMS charts and the hospital chart, helping us to easily look at outcomes and how EMS care has affected the patient. The best way to c...
ListenEpisode 43: What if… from 2020-08-28T19:29:39
“What if” can be anxiety provoking and can send you down a rabbit hole of undesirable futures. But it can also be a powerful tool for the clinical preceptor and the clinician who is loo...
ListenEpisode 42: COVID- A few words from 2020-04-21T05:37:31
ListenEpisode 41: COVID CPAP, nebs, epi, terbutaline, proning from 2020-04-10T04:24:23
ListenEpisode 40: COVID in Cardiac Arrest from 2020-04-10T04:22:55
ListenEpisode 39: COVID- Tests! (and getting out of quarantine) from 2020-04-08T03:28:07
ListenEpisode 38: COVID- Task Forces from 2020-04-05T04:02:35
ListenEpisode 37: COVID- Isolation Facilities and Alternate Care Sites from 2020-04-05T04:00:32
ListenEpisode 36- COVID: What about my ACE inhibitors from 2020-03-24T05:13:19
SUPER short one today about COVID and ACE inhibitors (-pril) and Angiotenstin Receptors Antagonists, like Angio Recept Antag. Maybe ang rec ant. Or artan. Artans yeah, that’s it.
ListenEpisode 35- COVID: New therapies, and can I use ibuprofen? from 2020-03-24T05:10:08
We talk about some of the things you’ve seen in the news lately about treatments that might help COVID. AND WHAT DO THEY MEAN I CAN’T TAKE IBUPROFEN? *sad Army Doc noises*
ListenEpisode 34: COVID-19, part 2. When can I go back to work? from 2020-03-21T04:00:02
So, you caught the COVID. You have endured the fever, cough, sore throat, diarrhea, and abject boredom of being home. When can you be let out of this prison? In this micro episode we talk about the...
ListenEpisode 33: COVID-19, Part 1 from 2020-03-20T04:44:42
Covid is now a pandemic, the real kind, the not-the-zombie-kind. In this episode we talk about what the Office of the Medical Director, Austin Public Health, and Austin/Travis County EMS is doing t...
ListenEp 32: Talking with the Union Prez from 2019-12-16T04:46:28
Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work tog...
ListenEpisode 31: Headache from 2019-12-16T04:20:41
Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patie...
ListenEpisode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN from 2019-10-31T05:53:41
Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this ...
ListenEpisode 29: Medic to PA to MD from 2019-05-02T23:17:59
Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.
ListenEpisode 28: Andy Fisher talks BLOOD from 2019-05-02T23:16:37
In patients with hemorrhage, nothing else can take the place of #blood. Andy Fisher talks about why, and how, you can bring #blood to your #EMS system.
ListenEpisode 27: Syncope from 2019-05-02T23:11:53
Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: https://litfl.com/epsilo...
ListenEpisode 26: EtCO2 from 2019-02-19T05:15:39
If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastas...
ListenEpisode 25: Tracheostomy Disasters from 2019-01-17T01:29:46
Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more. #paramedic #EMS #prehospi...
ListenEpisode 24: New Clinical Operating Guidelines from 2019-01-17T01:25:41
We undertook the unenviable task of revising our clinical operating guidelines to make them more usable, more manageable, and easier to read. We want to foster a clinician mindset and embrace the c...
ListenEpisode 23: Flight Rules from 2019-01-17T01:23:31
Today we are covering some of the flight rules for those studying for their #FP-C exam. #paramedic #EMS #prehospital #HEMS
ListenEpisode 22: Flight Physiology, Part 3/3 from 2019-01-17T01:22:35
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
ListenEpisode 21: Flight Physiology, Part 2/3 from 2019-01-17T01:22:02
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
ListenEpisode 20: Flight Physiology Part 1/3 from 2019-01-17T01:20:59
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
ListenEpisode 19: Heat illness from 2018-06-21T16:32:34
Heat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool the...
ListenEpisode 18: Trauma reports from 2018-06-18T20:53:59
In person and on the radio, make the most of your concise patient report.
ListenEpisode 17: The monitor should stay on. from 2018-06-16T20:52:41
If you felt the need to put a #cardiac monitor on at any point in the patient interaction, it should stay on as you walk into the ED. #EMS #paramedic #prehospital
ListenEpisode 16: Airway Pearls from 2018-06-16T20:50:43
We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic
ListenEpisode 15: Sepsis from 2018-06-15T06:59:21
750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities.
ListenStroke treatment 24 hours from onset from 2018-04-24T18:16:05
For patients with #stroke outside of 4.5 hr #tPA window, they may benefit from thrombectomy up to 24 hours since last seen well. Take to comprehensive stroke center and perform MRI safety screen. #...
ListenQuick and dirty estimation of weight for #pediatric #resuscitation from 2018-03-29T14:15
Quick and dirty estimation of weight for #pediatric #resuscitation: Birth: 5kg. Age 1: 10kg. Age 3: 15kg. Age 5: 20kg. Age 7: 25kg. Age 9: 30kg. #PALS #APLS
ListenEpisode 14- Fast facts for response to bombing victims from 2018-03-21T02:19:44
This is a short episode on the response to and care for bombing victims for #EMS, #Firedepartement and #Police. A longer episode will follow that covers #prehospital care in detail, but this is the...
ListenSafe evacuation distances from explosives from 2018-03-20T23:59:42
From the National #Counterterrorism Center, this chart gives #evacuation distances for #explosives of different sizes. Time, distance, shielding. Minimize the TIME you are in a threat zone, increas...
ListenEpisode 13: Cannabis Hyperemesis Syndrome from 2018-02-22T21:35:11
Neither rare nor mysterious, Cannabis Hyperemesis Syndrome causes pain and vomiting that can be difficult to treat. Marijuana use is growing for medical purposes and recreational abuse. With this h...
ListenCritical care inter facility transport: Handling conflict with class and style from 2018-02-19T03:13:25
Dr. Cynthia Griffin @CMGrffn wrote this great article on #CCT and how to handle orders that conflict with protocol or practice style. Doctor’s orders and intra-transfer modifications #EMS #pa...
ListenEpisode 12: Trauma Resuscitation from 2018-02-16T05:53:33
Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.
ListenSVT with aberrancy, or V-tach? from 2018-02-02T15:51:41
Some tips to help differentiate #SVT with aberrancy and #vtach. #EMS #prehospital #paramedic https://www.aliem.com/2013/07/supraventricular-tachycardia-svt-with-aberrancy-versus-ventricular-tachyca...
ListenPressors in shock from 2018-01-31T17:25:07
What’s the right pressor for different types of shock? When should you pull the trigger? http://www.emdocs.net/evidence-based-approach-pressors-shock-part/
ListenEpisode 11: MRI for acute stroke- screening in the field from 2018-01-17T04:34:25
In this episode we sat down with Dr. Steven Warach the Director of the Clinical Research Institute and Vascular Neurologist from Dell Seton Medical Center to talk about acute MRI for stroke and how...
ListenEpisode 10: Asthma! from 2017-12-26T06:54:58
Most asthma is pretty routine. Most. Dr. Pickett talks about tools for management of the severe asthmatic adult or child.
ListenDeep breath, doc… from 2017-12-06T03:45:02
https://twitter.com/atcemsomd/status/938148994521411584
ListenEpisode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital. from 2017-11-28T03:10:03
Some people have the natural gift of teaching. For others it does not come easily. Teaching is all about connecting with your student, finding out their abilities and weaknesses, and helping build ...
ListenATCEMS OMD Podcast Episode 8: Atrial fibrillation! from 2017-11-09T02:15:05
Ever had that patient that you just weren’t sure what pathway they fit in? You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortab...
ListenReconstruction of the Vegas shooting from 2017-10-24T06:27:20
NYT reconstruction of Vegas shooting This is a very well done reconstruction of the mass shooting in Las Vegas. Several things to note here: varying reactions in the crowd (you can see some individ...
ListenATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals. from 2017-10-19T03:36:10
Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma. Why did we change over from D50 to D10 for hypoglycemi...
ListenATCEMS OMD Podcast Episode 6: Flush rate oxygen, apneic oxygenation, and ramped positioning for intubation from 2017-10-11T20:33:20
Do you like it when your patient desaturates just as you are getting ready to intubate them? Of course not, nobody does. Here are some tricks to help keep the sat up while you secure the airway.
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