Rural MCI Case Study

In this episode, the whole team is back for a spirited round of “EMS Jeopardy.” Tune in for a fun and informative review of EMS topics at all difficulty levels!

In this episode, Steve, Dan, and Holly talk about their experiences in toxic environments or around toxic individuals. They discuss how easy it is to become part of the toxic culture, and why that makes it crucial to recognize associated patterns of thoughts and behavior and rise above them.

In this episode, Steve, Dan, and Holly are back in the studio as Holly leads the team through an in-depth discussion on the trauma death triad (diamond). Holly provides a scientific breakdown of each component, and then the team discusses the practical implications of each component in the “real-life” management of a trauma patient in the field. 

In this episode, Steve, Dan, and Holly are joined by guest Matt Shamrell, a burn unit ICU nurse.

Steve and Dan co-host their first show without Holly as they welcome special guest Eric Jaeger. Eric is an RSI Paramedic and Attorney from New Hampshire who leads the discussion on best practices for physical restraint and chemical sedation and the legal ramifications these interventions carry. Eric shares his knowledge of the tragic circumstances surrounding George Floyd and Elijah McClain's deaths and discusses improvements to consider when it comes to protocols and guidelines for these procedures.

In today’s episode, Steve, Dan, and Holly have the opportunity to discuss an interesting MCI call with guest, Firefighter/Paramedic Kyle Snider. At the time of the incident, Kyle was a new paramedic graduate with wilderness medicine training who was working in a rural department with limited resources. Kyle discusses the call from the point of dispatch to call completion and reviews what he felt went well and what he would have changed.

In this episode, Holly talks about a new program she is helping head, whose goal is to provide treatment to patients suffering from opioid addiction.

In this follow-up episode, Bruce and the team continue their discussion on ventilation and airway management. This episode goes into much greater depth on how ETCO2 can be used to manage an array of patients effectively and how a thorough understanding and monitoring of end-tidal during a resuscitation attempt can help ensure a patient remains neurologically intact, assuming ROSC is achieved.

In this episode, Steve, Dan, and Holly talk with Bruce Opsal, a long-time firefighter and paramedic who has spent years leading training programs centered on effective airway management and ventilation. Bruce first emphasizes the importance of airway management in any patient, especially those in cardiac arrest.

This episode demonstrates the importance of history gathering and provides a deeper insight into lab values and how they are used to diagnose patients with less obvious disease processes. Listeners should walk away feeling better equipped to identify both endocrine and electrolyte imbalances in patients with unique presentations.