Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates.توسط University Hospitals of Cleveland EMSi

The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us!توسط University Hospitals of Cleveland EMSi

In Part 3 of the "new" MCI episode, we are talking about changing the "paradigm" no pun intended) of planning, and on-scene thinking. From tags, to staging, to determining accessibilty, all of it is changing and will continue to change by reviewing other agency's after-action reports.توسط University Hospitals of Cleveland EMSi

The team is still talking with Don Zimmerman, MCI subject matter expert and instructor. In this, part 2 of the New MCI episode, the group discusses what Don calls, “silly rules!” For example, does the first ambulance really have to be the ambulance that stays at the MCI?توسط University Hospitals of Cleveland EMSi

In this month's episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active sho…

In this episode, the crew dives into the critical and high-stakes world of surgical airway management. The discussion focuses on needle cricothyrotomy, cricothyrotomy kits, and the essential skills and protocols for performing surgical cricothyrotomy. They explore the scenarios where these techniques become necessary, the tools required, and the st…

The podcast team goes "back to school," i.e. the Portage County Paramedic Class to record this live session. We're closing out the End Tidal CO2 session! Thenk you to the class for having us!توسط University Hospitals of Cleveland EMSi

What do Sponge Bob, sharks and the direction that sharks are swimming have to do with simplifying the interpretation of End Tidal CO2 for EMS? The pod crew brings the discussion of simplifying the use of End Tidal CO2 for basic and advanced level providers.توسط University Hospitals of Cleveland EMSi

The crew continues to explain the theory and some practical, applicable knowledge related to the use of End Tidal CO2 for patient care. They simplify how End Tidal CO2 is used to assess and tell "the patient's clinical story" and emphasizes why it should be a day-to-day patient care standard.توسط University Hospitals of Cleveland EMSi

End Tidal CO2 is not just an ALS skill. It is a "live feed" of the patient's ongoing condition. The capnograph is relatively easy to read and, at minimum, monitor changes to be reported to an ALS partner or medical control physician. The pod crew takes time to work backwards, explaining the fundamentals of CO2 production.…

Where else would the crew go, other than to an event, to wrap up the event medicine episode? For this month's live session, the gang went live at the Canfield Fair. Thanks again to University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN. Thanks also to retired Chief Frost for the welcoming us.…

For Part 3 of our event medicine podcast, University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss resources. The key topic is, how do you get in touch with your supplemental resources when you need them? And stay tuned for our live episode...it will be from the Canfield Fair!…

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss the logistics of preparation and planning of event medicine. This includes familiarizing all of the event medical staff with how to access primary drugs and equipment as well as how to access supplemental support such as transportation an…

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN joins the full crew to discuss event medicine planning and execution. From small community picnics to high school graduations to large national events, planning is the key. This month's discussion emphasizes pre-event assessment, logistical planning and patie…

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking Laryngoscopy. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demonstrate each of the skills discussed on this extra episode.توسط University Hospitals of Cleveland EMSi

This is the final episode of our "Neonatal Resuscitation for EMS" series. We were joined by Arielle Olicker, MD. Thanks to the Willoughby Fire Department for hosting this month's live show. If you would like to host one of our live shows, message us! In addition to providing clinical care in the NICU, Dr. Olicker is part of the team providing follo…

The crew and Dr. Olicker continue the conversation of undersstanding the neonatal patient, equipment, protocols and emotions. They start to wrap up the discussion in Part 3 as they prepare for the live podcast!توسط University Hospitals of Cleveland EMSi

Dr. Olicker is still with the team for Part 2. The team discusses the decision of transporting a neonate patient to the closest hospital vs. a facility with inhouse neonatal specialty care services as well as complications with the ductus arteriosus as well as the difficult decision of determining a the viability of a neonatal patient's viability f…

Dr. Ariel Olicker, the medical director for Neonatal Critical Care Transport, joins the team for some practical conversation about understanding and being more comfortable with neonatal patients. Since traditional EMS doesn't encounter these patients regularly, the goal is to simplify understanding this patient category.…

This month, we were live from the Chagrin Valley Fire Department. We discussed air medical care with Kyle Schnarrs, Flight Nurse, and Nathan Brazytis, Flight Paramedic, from the UH AirMed critical care transport system. We talk how to become a flight paramedic/nurse, day-in-the-life, as well as just how much goes on in preparation for flight, plus …

In Part 3 of our discussion with crew members of UH AirMed, They wind up the recorded sessions discussion catching up on loose ends of the discussion, cricothyrotomy, laryngoscopy, the various drugs the helicopter carries and the use of blood on the aircraft.توسط University Hospitals of Cleveland EMSi

UH MedAir's Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic continue to talk about the airmedical transport system. First, they address the medical brief that can be helpfu to the communications specialists and the flight crew, distinctions between VFR flying and IFR flying for the crew, patients needing LVAD transportation as wel…

This month, we welcome Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic from the UH AirMed critical care transport system. In the first of a 4-part series, they discuss how to become a flight paramedic/nurse as well as answer many questions about air medical transport including a day-in-the-life-of!…

This month we discuss field termination and DOA situations with Dr. Donald Spaner. We will dive into what the medical control physician is looking to hear from the field provider's report, the importance of the care of the family members on scene, and DNRs. Recorded at the Madison Township Fire Department.…

In this 3rd part of our discussion of field termination of care and DOA situations, the crew and Dr. Spaner talk about the Do Not Resuscitation situations. DNR does NOT mean do NOTHING! Anything that gives the patient comfort can be utilized on a patient under a DNR order.توسط University Hospitals of Cleveland EMSi

The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.…

The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.توسط University Hospitals of Cleveland EMSi

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demon…

The podcast is on the road at Kent Fire Department. Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!توسط University Hospitals of Cleveland EMSi

As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…

This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?توسط University Hospitals of Cleveland EMSi

This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…

This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.توسط University Hospitals of Cleveland EMSi

When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…

The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.توسط University Hospitals of Cleveland EMSi

This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.توسط University Hospitals of Cleveland EMSi

We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!توسط University Hospitals of Cleveland EMSi

When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …

Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…

Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…

All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…

Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…

It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!توسط University Hospitals of Cleveland EMSi

The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.توسط University Hospitals of Cleveland EMSi

Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.توسط University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!توسط University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.توسط University Hospitals of Cleveland EMSi

To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.توسط University Hospitals of Cleveland EMSi

Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.توسط University Hospitals of Cleveland EMSi

An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.…