The Pragmed Show

In this episode, the PragMedics talk with Dr Timothy Durkin and discuss Heat Stroke, the signs, symptoms, myths, and of course treatment modalities. The boys and Dr. Durkin look to find practical ways for street level providers to identify and treat heat stroke. Dr Durkin provides the listeners with useful tips and thoughts regarding management of heat stroke and ways for systems to improve their response and treatment of this completely treatable injury. Dr Durkin is a board-certified emergency & sports medicine physician and is Base Medical's Chief Medical Officer. He has over 2 decades of response, patient care and teaching experience that drive his passion for excellence in Base Medical's curriculum. His premedical experiences included service as a camp staffer, SAR responder, urban/rural paramedic, BLS/ACLS/first aid instructor and work on a program management team for DARPA. You can follow him @colorado_rescue_doc on IG! Thanks as always for listening and please check us out on social media as well as Saint Fishers EBM and Trauma Daddy for medical and trauma content. Also checkout BaseCamp https://www.base-medical.com to see what Dr Durkin is up to! Here are some references provided by Dr. Durkin: https://www.researchgate.net/publication/322528359_Consensus_Statement-_Prehospital_Care_of_Exertional_Heat_Stroke This is the EHS position paper that was in PHEC in 2018 https://journals.lww.com/acsm-csmr/fulltext/2016/03000/a_tale_of_two_heat_strokes__a_comparative_case.13.aspx This is a paper called a tale of two heat strokes. It describes to service members clinical course after collapsing of heat stroke during the Marine Corps Marathon. One patient received immediate ice water cooling, the other got taken to a hospital. Although both patients survived, difference in outcomes is pretty stark.

In this episode, the PragMedics and Scooby sit down and discuss a proper disaster patient, one with an upper GI bleed (esophageal varices). We discuss a patient from the ICU perspective with lessons learned for paramedics. These patients are challenging to manage, and it's a great conversation that will help a paramedic manage this type of patient. Thanks for listening, and be sure to check out our "I had this patient" Facebook group! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out the First Responders Children's Foundation and Do It For Drew as well and donate to a couple of great causes!

The PragMedics decided to look inward and interview Aaron about a recent austere/disaster response mission he participated. Jason and Scooby talk with Aaron about his recent trip to a developing country in response to a natural disaster. This episode has bits and pieces from disaster response preparation for paramedics, resource limitations, and better, best, good methods for treating patients post-disaster in austere environments. Thanks for listening and enjoy this episode! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

Welcome to our first episode of Cognitive Offloading with the PragMedics and Scooby! In this episode, Dr. Andrew Fisher (Trauma Daddy) and Jason Segal of P1 Air Rescue join us to chat about a wide range of topics, from acute traumatic coagulopathy to our thoughts on a hot EMS topic. So join us and enjoy this episode with some great guests! Our next live Cognitive Offloading episode will be on Wednesday January 27th at 8pm EST! This episode was originally recorded on Youtube and if you want to watch the original episode, check out our YouTube channel and hit the Subscribe button! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

The PragMedics are back and hoping everyone is looking forward to the New Year! In this episode, the PragMedics and Scooby sit down and discuss beta blocker overdoses. Beta blocker ODs present with various indications and can be difficult to diagnose. It is a wide ranging discussion on different treatment options and ways to manage patients experiencing a confirmed or possible beta blocker overdose in the prehospital setting. Thanks for listening and be sure to check out our "I had this patient" Facebook group! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

In this episode, the PragMedics chat with Chris "Hutch" Hutchison about a wide variety of topics. We chat about the changes he has seen in the military, the differences between military and civilian medics, and his thoughts on the transition from military to civilian paramedicine. Chris is a 14 year veteran of the US Army, starting his career as a Ranger Medic and currently stationed at Ft. Bragg with USASOC. This was a great chat with an excellent medic who has a ton of experience and fantastic thoughts, so tune in and give it a listen! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

In this episode of "I Had This Patient," the PragMedics and Scooby discuss how to treat and manage a patient presenting with a STEMI or OMI. It is a wide ranging discussion on different treatment options and ways to manage patient experiencing a STEMI in the prehospital setting. Thanks for listening and be sure to check out our "I had this patient" Facebook group! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

In this episode, the PragMedics sit down with Doctor Fisher and discuss TXA. Doctor Fisher discusses the changes in dosage and administration of TXA, along with how the CoTCCC makes changes to the TCCC guidelines. Its a great discussion on another tool medics have in treating trauma patients, so tune in and give it a listen! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

Scooby and the PragMedics are back again with Part 3 of a three-part series discussing intubation. In this episode, we discuss the intubation process from confirmation of tube placement to a failed airway. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for another great episode of "I had This Patient." Be sure to follow Scooby at the Saint Fisher Church of EBM on Facebook and IG! Also, check out the Pragmatic Paramedics website, Facebook, IG, and Twitter! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners!

In this week's episode, we sit down with HSAR Medic Jason Segal and discuss the evolution of medical mission from his perspective. We chat about patient care, scene and flight management, time considerations, and ton of other topics. Jason is a HSAR Medic with our show sponsor, Priority 1 Air Rescue, and we are extremely happy to have them and Jason on board. Here is a link to the PEP litter discussed in the show! Check out P1AR on Facebook and IG! If you need any SAR equipment check their website out and give them some support! If your agency is looking for some high speed, quality training, let them know and they can deliver! As always, we want to thank our supporters: Red Clover Coffee, SayAgainOver, Black Wolf Helicopters and finally Pelican, but also and more importantly to our listeners!