| 40 | Push Dose Pressors in EMS, with Doc Allen

Join Jason and Brandon as they get back into the game with a bang, and interview Pediatric Intensivist, Medical Director, researcher, and entrepreneur, Mark Piehl, MD, MPH. Listen as the conversation revolves around recent updates in pediatric epidemiology, and transitions to a very popular topic - management of hemorrhagic shock in the pediatric population. 

Join us in | 42 | as we kickoff the foundation for several up and coming episodes revolving around the subject of cardiogenic shock. In this episode, Jason and Brandon discuss the basic pathophysiologic principles of cardiogenic shock, and how it differs both in diagnosis and treatment from other more prominent forms of shock. This episode also features a recent classification system that categorizes phases of cardiogenic shock to help the clinician determine treatment, destination decision, and patient acuity. Use the cover art to follow along as Jason breaks down each category.  Check out www.scai.org and www.medicclasscitizen.com for more information. 

Listen as we sit down with fetal maternal expert physician, Dr. Jane Ellis, and discuss the current state of maternal mortality and fetal mortality in the world and the United States at large. Hear as Dr. Ellis identifies principles for EMS providers to know, as well as epidemiologic information showing shocking statistics that uncover medical disparities. 

In this episode, we sit down with emergency physician and EMS medical director, Dr. Jon Allen, and discuss the application of push dose pressors in the EMS setting, particularly regarding ground transport. For more info on Doc Allen, hit up our previous episode where we introduce him. 

Join us as we continue our discussion about the 4-Minute-City project with Avive Co-founders Rory Beyer and Sameer Jafri. In the end of this episode, we also have the opportunity for an AED reveal.  Learn more about Avive Solutions and the 4 Minute City project at www.avive.life

Tyler Christifulli and Samuel Ireland are flight paramedics and co-founders of the project, FOAM Frat. Listen as Sam and Tyler discuss the beginning of FOAM Frat as a blog and podcast, and how it evolved to the revolutionary continuing education platform that it is today. Find out more about FOAM Frat by visiting www.foamfrat.com, @foamfrat on Instagram and Facebook, and @FOAMfratStudios on YouTube. www.medicclasscitizen.com

Rory Beyer and Sameer Jafri introduce their revolutionary "connected" smart AED and the 4-Minute-City Project. This episode is the story of how Avive was born, and the vision of how Avive can solve the discrepancies that are present in how we approach out-of-hospital cardiac arrest. Make sure to watch this episode for an introduction to Rory and Sameer, but keep an eye out for Part 2, where Rory and Sameer introduce the 4-Minute-City and reveal the Avive Connect AED.

In this episode, Jason and Brandon talk with emergency medicine physician and EMS medical director, Dr. Jon Allen, or, as his medics call him, "Doc Allen."  Doc Allen has a passion for all things emergency medicine and EMS, and it definitely shows in his work and day to day operations. As the medical director for multiple EMS services (Cherokee County Fire & Emergency Services, Pickens County Fire Rescue), tactical law enforcement teams, and the Georgia Smoke Diver Association, Doc Allen hopes to influence EMS by engaging with the paramedics on the ground level by ways of running calls with them, training with them, and protocol development. Doc Allen truly has a vision of EMS being part of a global system of care, and the benefits that come with practicing based on evidence based medicine.  This is the first of many conversations with Dr. Allen, as he will be back with Jason and Brandon to discuss various calls, case studies, and research.  www.medicclasscitizen.com

Join Jason and Brandon as they sit down with renowned author, journalist, writer, and paramedic, Kevin Hazzard.  Hazzard's 2016 release, "A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back" quickly became a cult classic among the EMS community. His September 2022 release, "American Sirens: The Incredible Story of the Black Men Who Became America's First Paramedics," is a major topic of this discussion, along with reminiscing about being a Paramedic on the streets of Atlanta, Georgia.  In this conversation, giants in the history of EMS are recognized. Specifically, Dr. Peter Safar and Dr. Nancy Caroline. Even more important, however, are their students; the first paramedics in the nation. The men of Freedom House Ambulance Service. Their story, and the story of their perseverance in the face of discrimination and adversity is the remarkable truth behind the beginning of EMS in the United States.

Join us in our 34th clinical episode as we discuss the basics and the pathophysiology of Pulmonary Embolism. We discuss Massive, Submassive, Sub-Acute Massive, and CTEPH, as well as a deeper dive into the patho behind increased right ventricular pressure, and decreased oxygenation.  Join us in the next episode where we will dive in to the assessment and diagnostic principles of PE.