Ep. 138 Deep Dive Under and Over Triage Field Triage Guidelines

Dr. Maia Dorsett and our newest PEC Podcast member, Dr. Rachel Stemerman, explore the manuscript A National Assessment of EMS Performance at the Response and Agency Level  with the authors Michael Redlener MD Medical Director of Emergency Medicine Mount Sinai West & Remle Crowe PhD Director of Clinical and Operational Research at ESO Click here to download it today! Please visit NEMSQA.org for more information to improve the experience and outcomes of patients and care providers. As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD

Everyone witnessed the tragic event of Damar Hamlin's cardiac arrest during an NFL Football game.  While he had a great outcome, there remains a paucity of algorithms in managing cardiac arrest emergencies in equipment-laden athletes.  Expert consensus begins with research in the field of cardiac arrest for equipment laden athletes.  In this deep dive we delve into the quality in chest compressions on patients with football pads.  In this podcast, we interview the lead author Jennifer Longo  Assistant Professor  Rowan University on the manuscript:  An Evaluation of the Quality of CPR Chest Compressions Performed on Football-Equipped and Obese Simulation Manikins Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD

The Field Triage Guidelines (FTG) are used across North America to identify seriously injured patients for transport to appropriate-level trauma centers.  We should aim for an under-triage rate of 5% and an over-triage rate of 25-35%.  But how faithful are we to these recommendations?  In this podcast, we interview the lead author Joshua Lupton MD MPH M.Phil on the manuscript:  Under-Triage and Over-Triage Using the Field Triage Guidelines for Injured Patients: A Systematic Review Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@weberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaelkim_md) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD Elijah Robinson MD        

The Prehospital Pediatric Readiness Project In this episode, the PEC podcast team joins the Pediatric EMS Podcast- Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney-to talk to you about the National Prehospital Pediatric Readiness Project (PPRP). What is it? What do we do about it?  And what does it achieve?  We will be joined by two pivotal EMS physicians:  Dr. Kathleen Adelgais & Dr. Kathryn Kothari discuss how the manuscript:  Pediatric Readiness in Emergency Medical Services Systems laid the foundation for and how to prepare for the PPRP. Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)

A Tribute to Brooke Lerner PhD With the dawn of a new year, we all know that the 2024 NAEMSP Conference is approaching.  While we are excited to see friends and colleagues from afar, we must acknowledge the void of someone who contributed so much to prehospital medicine, Dr. Brooke Lerner.  Dr. Lerner was a prolific researcher, passionate paramedic, and dedicated wife and mother.  While we at the PEC Podcast recognize her professional efforts, we feel that a proper farewell should be spoken by those who knew her.  In this episode we have our guest host, Dr. Aurora Lybeck, who knew Dr. Lerner personally, reminisce with some of Dr. Lerner's Closest Colleagues Dr. Manish Shah & Dr. Charles Cady We'll miss you, Dr. Lerner. Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)

Our EMS clinicians are a key link in the chain of survival of cardiac arrest patients.  A critical part of prehospital medicine is recognizing cardiac arrest and then enacting appropriate treatment.  In this podcast, we interview  Susie Burnett MS, EMT-P, PhD candidate in Health Communication and Qualitative Methods & Dr. Johanna Innes MD, NRP, FAEMS on their manuscript:  A Qualitative Analysis of the Experiences of EMS Clinicians in Recognizing and Treating Witnessed Cardiac Arrests Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO)

PEC Journal Volume 27 Number 5 In this episode, the PEC podcast team covers the Prehospital Emergency Care Journal Volume 27 Number 5. We talk about engaging manuscripts in this journal like: Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement & EMS Care of Adult Hospice Patients– a Position Statement and Resource Document of NAEMSP and AAHPM Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)

Every day, our EMS clinicians utilize protocols to guide medical care.  These protocols are based on the latest evidence in prehospital care.  However, keeping up with current evidence remains a challenge.  In this podcast, we interview  Dr. Christian Martin Gill & Dr. Rebecca Casche on their manuscripts:  Recommendations for Improving the Quality of Prehospital Evidence-Based Guidelines & 2022 Systematic Review of Evidence-Based Guidelines for Prehospital Care   Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)

PEC Journal Volume 27 Number 4 In this episode, the PEC podcast team covers the Prehospital Emergency Care Journal Volume 27 Number 4. We talk about engaging manuscripts in this journal like: Diversity, Equity, and Inclusion in the United States Emergency Medical Services Workforce: A Scoping Review & A Proposed Theoretical Framework for Clinical Judgment in EMS Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)

For paramedics, click HERE for CAPCE credits! Every day, EMS encounters patients in crisis from opioid use disorder. Communities rely upon EMS to be the safety net and also the bridge and connection for patients to receive appropriate care.  EMS is moving itself into a new area of influence where we collaborate with community resources as the frontline providers. We have the opportunity to save lives and do a tremendous amount of good with patients who use drugs.  In this podcast, PEC podcast hosts, Dr. Greg Muller and Dr. Maia Dorsett discuss the crucial roles of EMS in addiction medicine with the PEC manuscript: Prehospital Buprenorphine Treatment for Opioid Use Disorder by Paramedics: First Year Results of the EMS Buprenorphine Use Pilot with guest authors Gene Herne MD & Andrew Herring MD Click here to download it today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD (@Gradymed1) Greg Muller DO (@DrMuller_DO)