The World’s Okayest Medic Podcast

Bill is my HEMS partner, mentor, and friend. He started his career in EMS in 1976. Here is his introduction, some of his insights, and discussion on generation gaps and career progression. Also, sorry about the background noise: we were at work at the airport. Planes were taking off and the office chairs we were sitting in were creaking. This podcast is hosted by ZenCast.fm

Addendums on the calcium episode and the heart failure episode...as always...random ramblings as well... Citations: Anand IS, Gupta P. Anemia and Iron Deficiency in Heart Failure: Current Concepts and Emerging Therapies. Circulation. 2018 Jul 3;138(1):80-98. doi: 10.1161/CIRCULATIONAHA.118.030099. PMID: 29967232. Hayes. (2013). Mythbuster: Calcium Gluconate Raises Serum Calcium as Quickly as Calcium Chloride. Retrieved at https://www.aliem.com/mythbuster-calcium-gluconate-raises-serum-calcium-as-calcium-chloride/ Calcium Chloride. RK.MD Blog. (2018). Retrieved at https://rk.md/2018/calcium-chloride/ Maak CA, Tabas JA, McClintock DE. Should acute treatment with inhaled beta agonists be withheld from patients with dyspnea who may have heart failure? J Emerg Med. 2011 Feb;40(2):135-45. doi: 10.1016/j.jemermed.2007.11.056. Epub 2008 Jun 24. PMID: 18572345. Ponn, B. (2017). Clinical Question: Can Ventolin improve wheeze in heart failure? CanadiEM Blog. Retrieved from https://canadiem.org/can-ventolin-improve-wheeze-in-heart-failure/ Silverberg DS, Wexler D, Iaina A. The role of anemia in the progression of congestive heart failure. Is there a place for erythropoietin and intravenous iron? J Nephrol. 2004 Nov-Dec;17(6):749-61. PMID: 15593047. This podcast is hosted by ZenCast.fm

I think I might have gone a little hard in the paint on this one... TOPICS: Corporate greed Staffing shortages Incentive pay Working conditions This podcast is hosted by ZenCast.fm

As always: real talk, no BS, and maybe controversial views of when narcissism pervades the culture in EMS agencies... Duchon & Drake. (2009). Organizational narcissism and virtuous behavior. Journal of Business Ethics 85, 301-308. This podcast is hosted by ZenCast.fm

Faine. (n.d.). The calcium quandry. EP Monthly. http://epmonthly.com/article/the-calcium-quandry Farkas. (2020). IBCC. Available at http://emcrit.org/ibcc Graudins, et. al. (2016). Calcium channel antagonist and beta blocker overdose: antidotes and adjunct therapies. Br J Clin Pharm 81(3). Nickson. (2020). Hypocalcemia. LITFL Blog. Available at http://litfl.com/hypocalcemia Sauter, et al. (2015). Calcium disorders in the ED: independent risk factors for mortality. PLoS One 10(7). Swaminathan. (2017). CORE EM: Hypocalcemia. Available at http://www.emdocs.net/core-em-hypocalcemia Webster, et. al. (2016). Ionised calcium levels in major trauma patients who received blood in the ED. Emer Med J 33(8). This podcast is hosted by ZenCast.fm

Cook C. Is clinical gestalt good enough?. J Man Manip Ther. 2009;17(1):6-7. Jeanmonodod, Asuka, Jeanmonodod. (2021). Inborn Errors of Metabolism. Accessed https://www.ncbi.nlm.nih.gov/books/NBK459183/ Van Horne, P., & Riley, J. (2014). Left of Bang. New York: First Black Irish Entertainment This podcast is hosted by ZenCast.fm

Topics discussed: Albuterol and CHF Staffing shortages 12-lead EKG indications Being a "rat" TEMS Imposter Syndrome This podcast is hosted by ZenCast.fm

References: 2021 Pennsylvania EMS Protocols. Spaite DW, Hu C, Bobrow BJ, et al. The Effect of Combined Out-of-Hospital Hypotension and Hypoxia on Mortality in Major Traumatic Brain Injury. Ann Emerg Med. 2017;69(1):62-72. doi:10.1016/j.annemergmed.2016.08.007 Jain V, Choudhary J, Pandit R. Blood Pressure Target in Acute Brain Injury. Indian J Crit Care Med. 2019;23(Suppl 2):S136-S139. doi:10.5005/jp-journals-10071-23191 This podcast is hosted by ZenCast.fm

This podcast is hosted by ZenCast.fm

References: Hsu, S. D., Chen, C. J., Chou, Y. C., Wang, S. H., & Chan, D. C. (2017). Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study. International journal of environmental research and public health, 14(10), 1217. https://doi.org/10.3390/ijerph14101217 Nickson. (2019). Weingart on Pelvic Trauma. Retrieved from https://litfl.com/weingart-on-pelvic-trauma/ Shlamovitz GZ, Mower WR, Bergman J, Chuang KR, Crisp J, Hardy D, Sargent M, Shroff SD, Snyder E, Morgan MT. How (un)useful is the pelvic ring stability examination in diagnosing mechanically unstable pelvic fractures in blunt trauma patients? J Trauma. 2009 Mar;66(3):815-20. doi: 10.1097/TA.0b013e31817c96e1. PMID: 19276759. This podcast is hosted by ZenCast.fm