Category: CritMedic

Episode 20: ICU Perspectives – Part II

We rejoin Brandon Oto and Tyler Christifulli for another episode of ICU Perspectives. We’ll talk about just what is stable enough for transport and many other patient care considerations. Be sure to check out Part 1 of the ICU Perspectives over at the Lifestar Podcast as well! Rapid-fire opinions on: How stable is stable enough

Episode 19: Allergic to Work?

Can you be allergic to work? In this episode, we’ll discuss the concept of Exercise Induced Anaphylaxis (EIA) and Food Dependent Exercise Induced Anaphylaxis (FDEIA).   Case Scenario: During a 5K race standby, you arrive to find a 24 YOF lying on the side of the track against a concrete barrier. She is conscious, but a

Episode 18: Dry Land Drowning

What is a “Dry Land Drowning”? Acute Pulmonary Edema! We’ll cover the pathophysiology of pulmonary edema as well as the pulmonary lymphatic system. The focus of this podcast was originally primarily on high dose nitroglycerin administration as well as dissuade providers from using therapies known to significantly worsens outcomes.   High Dose Nitroglycerin Systolic BP

Episode 16: Getting that sweet ROSC?

Are we giving our patients a sweet chance at ROSC? Or consigning them to a sugary grave? We examine the evidence for and against Dextrose in Cardiac Arrest. Two renown EMS blogs, Rogue Medic and Mill Hill Avenue Command, have already covered the topic before. But let’s take a deeper look at the evidence for

Episode 15: Scenario: The DKA Patient

You respond to a rural ED for a 1 hour transfer to a tertiary facility MICU for higher level of care. Patient is a 44 YOF (5’5″, 100 kg ABW) with a history of IDDM with a current diagnosis of DKA. Laboratory blood glucose at 940 mg/dl (68.6 gr/pt). Patient’s GCS is 2/2/4. She is

Episode 14: When Narcan Nar-Can’t

Does Naloxone save lives? Does it help in cardiac arrest? Prehospital use of Naloxone is surrounded by misinformation. This week, we examine the history behind Naloxone as well as how it can provide benefit. One of the most common misconceptions is the Naloxone has some benefit in cardiac arrest. It does not. The Rogue Medic

Episode 13: Is HEMS beneficial?

In light of surging air medical demand, Dr. Bryan Bledsoe joins us for a discussion on whether HEMS is actually beneficial — and, if so, under what set of circumstances. As informed providers, we owe a duty to our patients not to unnecessarily straddle them with crippling debt and higher risk mode of transport if

Episode 12: Too tired to care?

Are we a danger to our patients and partners? Are we too tired to care? This week, we discuss the ins and outs of fatigue and the effects it can have on us and our patients. We’ll draw on lessons learned from another mission critical profession where lives are in the balance. No matter how

Episode 11: Legally Speaking

Paramedic and Attorney Wes Ogilvie discusses what we DIDN’T learn on law in EMS education. Most providers are concerned about being sued. But a lawsuit wouldn’t cost you your certification and livelihood. It’s administrative law that has the power to strip providers of their certification — and providers must be aware of this field of