The World’s Okayest Medic Podcast

A chat about selecting the perfect boots, organizing essential gear for EMS personnel, importance of well-organized medical gear during high-pressure situations, SWAT medics being fully prepared, advancements in pre-hospital blood administration, and optimizing blood administration in pre-hospital care for traumatic shock resuscitation.

Bill and I kill time at work and discuss two patients with fast heart rates. Hear us muddle awkardly through AVRC and then we go down a bunch of rabbit holes.

Not a sexy topic but I talk about geriatric falls. References: PMID 33060534 PMID 25983268 PMID 22971148 PMID 22971148 Rezaie. (2015). Minor Head Trauma in Anticoagulated Patients: Admit for Obs or D/C? RebelEM. https://rebelem.com/minor-head-trauma-in-anticoagulated-patients-admit-for-observation-or-discharge/

References: Bradford. (2022). RePhill. https://www.thebottomline.org.uk/summaries/icm/rephill/ Smith IM, Crombie N, Bishop JR, McLaughlin A, Naumann DN, Herbert M, Hancox JM, Slinn G, Ives N, Grant M, Perkins GD, Doughty H, Midwinter MJ; RePHILL Trial Collaborators. RePHILL: protocol for a randomised controlled trial of pre-hospital blood product resuscitation for trauma. Transfus Med. 2018 Oct;28(5):346-356. doi: 10.1111/tme.12486. Epub 2017 Nov 28. PMID: 29193548. US Army Joint Trauma System’s Damage Control Resuscitation website: https://jts.amedd.army.mil/index.cfm/PI_CPGs/damage_control

I wasn't going to do another episode this week but so many people reached out and asked my opinion on this case that I felt compelled to post an episode. I didn't go crazy on the editing so I apologize for the "umms" and needless Philadelphia "sooooo's."

Worthwhile articles I mentioned: Bell, John. (2017). In Vogue: Ketamine for Neuroprotection in Acute Neurologic Injury. International Anesthesia Research Study. http://www.anethsesia-analgesia.org Torres, A. C., Bebarta, V. S., April, M. D., Maddry, J. K., Herson, P. S., Bebarta, E. K., & Schauer, S. (2020). Ketamine Administration in Prehospital Combat Injured Patients With Traumatic Brain Injury: A 10-Year Report of Survival. Cureus, 12(7), e9248. https://doi.org/10.7759/cureus.9248 Zeiler FA, Teitelbaum J, West M, Gillman LM. The ketamine effect on ICP in traumatic brain injury. Neurocrit Care. 2014 Aug;21(1):163-73. doi: 10.1007/s12028-013-9950-y. PMID: 24515638.

This podcast is hosted by ZenCast.fm

This podcast is hosted by ZenCast.fm