The World’s Okayest Medic Podcast Saturday Coffee Talk (1/10/26)
Jan 10, 2026
Mike discusses the switch to First Due for EMS charting, highlighting its AI features. He shares insights on how automation revamped charting habits and emphasizes the importance of POCUS in diagnosing a puzzling code. The conversation turns to end-tidal CO2 limits in resuscitation, as well as the significance of interfacility transport in EMS and patient flow. Mike advocates for professional appearance and fitness standards among EMS personnel, while also addressing cannabis use for first responders. The episode is both informative and reflective.
AI Snips
Chapters
Transcript
Episode notes
Streamline Charting With Modern ePCR
- Try using streamlined ePCR tools like First Due to save charting time and reduce tedious manual edits.
- Use phone snapshots and AI-assisted dictation to auto-populate meds, procedures, and assessments.
Time Interventions During Resuscitation
- Time interventions precisely during codes using monitor timers or an iPhone stopwatch instead of estimating.
- Record timed pulse checks, drugs, and pulse checks to reflect true scene chronology in charts.
Unexpected Recovery After Prolonged Low ETCO2
- Mike described a 35-minute code where ETCO2 and pulses suggested death but the patient opened his eyes during checks.
- Transport to a micro-hospital ultrasound showed heart function and the patient later discharged neurologically intact with a massive PE diagnosis.