Monday, December 14, 2009
This week's episode of the MedicCast features an interview segment with Lisa Booze of the Maryland Poison Center. Know more information about the drug, manifestations of an overdose, and emergency management in case of one. Included in the show are EMS news and links to resources for this week's tips for a better understanding of the topic.
Listen to this MedicCast episode
Check out episode shownotes
The MedicCast is a weekly show for students and professionals in EMS offering news, products, interviews, comments, tips, tricks and more.
Monday, December 07, 2009
Providers of emergency medicine are trained to identify S-T elevation myocardial infarctions (STEMI) in the field using heart monitors and 12-lead ECG including other information on patient history. However, some cardiac centers are noticing a large amount of "false positive" STEMI patients coming in. This week's episode of the MedicCast is a discussion on conditions that imitate STEMI and tips for providers on how to differentiate these imitators from the real thing. Also in the show are links to articles for a better understanding on STEMI imitators and EMS in the news.
Listen to STEMI imitators episode.mp3
See STEMI Imitators shownotes
The MedicCast is a weekly show for students and providers of emergency medicine featuring news, products, interviews, comments, tips, tricks, and more.
Monday, November 30, 2009
About half the people who have pulmonary embolism do not show any symptoms, but clinical manifestations include shortness of breath, chest pain or coughing up blood. This condition can not be readily identified without diagnostic tests. In the prehospital setting, the best way to address PE would be respiratory management, initiation of an IV line and immediate transportation to a health facility. This week on the MedicCast, Jamie Davis, the podmedic, provides EMS providers tips on how to assess for PE as well as things paramedics can do for patients with PE in the mergency setting. The show also offers EMS news and links to this tip for a better review and future reference.
Listen to PE EMS review
See PE review shownotes
The MedicCast is a weekly show for EMS providers and students featuring news, products, interviews, reviews, comments, tips, tricks and more.
Monday, November 23, 2009
Deep venous thrombosis (DVT) refers to a blood clot embedded in one of the major deep veins of the lower legs, thighs, or pelvis. If left untreated, the clot may dislodge from the vein and travel to the lungs resulting to a condition called pulmonary embolism. Physical symptoms of DVT may mimic the symptoms of trauma or injury to the area. To be able to identify the presence of DVT, paramedics should exercise their assessment and critical thinking skills. In this week's episode of the MedicCast, the podmedic discusses emergency assessment and management of deep vein thrombosis as well as the latest news in EMS and included links to resources for future studies or reference.
Listen to DVT episode.mp3
See DVT episode shownotes
The MedicCast is a weekly show for students and professionals in emergency medicine featuring news, products, reviews, comments, interviews, tips, tricks and more. The MedicCast is a proud member of the Promed podcast network.
Monday, November 16, 2009
From the MedicCast live episode last week comes this week's episode of the MedicCast, a review on the different products presented at the EMS Expo in Atlanta last month. In this episode, Jamie Davis, the podmedic, discusses a few selected products from the Expo which they think is the most innovative EMS products there at the event. Together with the product review, special guests also shared their experiences at the event and links to videos of the different products that they discussed.
Listen to the product review episode
See EMS Expo product review shownotes
The MedicCast is a weekly show for EMT's, paramedics and EMS students featuring news, products, interviews, commentaries, tips, tricks and more.
Monday, November 09, 2009
The stethoscope is one of the most important tools used by EMS providers. It is important that providers know the proper use of the device as well as the techniques to gain maximum benefit. In this week's episode of the MedicCast, the podmedic discusses different tips on how to properly use the stethoscope as well as techniques in auscultation particularly of the heart and lungs. Also in the show are EMS in the news and links for a more comprehensive review.
Listen to this tip.mp3
See tip shownotes and links
The mediccast is a weekly show for EMT's, paramedics and EMS students featuring news, comments, products, interviews, tips, tricks and more.
Monday, November 02, 2009
This week's episode of the MedicCast is a special interview by the podmedic and Chris Montera of the EMS Garage with Skip Kirkwood, the director of Wake County, North Carolina EMS. Get the feel of being on the scene as they talk about their expectations right at the EMS Expo with live spontaneous interviews with people at the event. Watch out for more interviews like this over the coming weeks.
Listen to EMS Expo Preliminary interview
See interview shownotes
The MedicCast is a weekly show for students and providers of all kind which offers news, products, interviews, commentaries, tips, tricks and more.
Monday, October 26, 2009
In responding to cases of toxic gas inhalation, EMS providers should remember scene safety measures such as respiratory precautions and eye protection to keep them from the hazards of the poisonous gas. Since there were recent cases of attempted suicides using such gases, they should also inspect for cans or containers that could possibly have been the source to be able to provide the necessary interventions. All these and more are in this week's episode of the MedicCast, a toxicology segment on poisonous gases, with Lisa Booze of the Maryland Poison Center. Also in the show are EMS news and links to this week's tip for a more comprehensive review.
Listen to this toxicology episode
See toxic gases episode shownotes
The MedicCast is a weekly show for students and providers of emergency medical services featuring news, interviews, comments, products, reviews, tips, tricks and more.
Monday, October 19, 2009
Early diagnosis is an important aspect in providing immediate interventions. In emergency medicine, there are situations, where ultrasonography is the best way to diagnose a patient's problem. In this week's episode of the MedicCast, the podmedic, Jamie Davis, is joined by special guests Dr. Eric Brader and EMT-P Brian Dunnigan in a discussion on EMS ultrasound, its importance in the prehospital setting, progress in the integration of ultrasound in EMS and more. Also included in the show are links for more information and insight on EMS ultrasound.
Listen to EMS Ultrasound discussion
See EMS Ultrasound shownotes
The MedicCast is a weekly show for EMT's, paramedics, and EMS students featuring news, interviews, comments, products, tips, tricks and more.
Tuesday, October 13, 2009
Not all patients are the same. Some special groups require adjustments in the standards and procedures of emergency care. In this week's episode of the MedicCast, Jamie Davis, the podmedic, offers a discussion on how EMS providers deal with four groups of non-standard patients which are pediatrics, geriatrics, obese, and disabled. Also included in the show are the latest news in EMS and tip links for a more comprehensive review.
Listen to EMS adaptation episode.mp3
See EMS adaptation shownotes and links
The MedicCast podcast is a weekly show for providers of emergency medicine and EMS students offering news, products, interviews, comments, reviews, tips, tricks and more.
Monday, October 05, 2009
Last Monday night, EMS podcasters Greg Friese and Chris Montera joined the podmedic host a live discussion about the premier episode of the new NBC paramedic show Trauma. The hosts were joined by guests from the production team and one of the actresses, Aimee Garcia, called in to share her experiences during her preparation for the show. Comments include comparison of TV paramedics to actual paramedics and the accuracy of the actors' and actress' demonstration of EMS procedures.
Listen to the live discussion.mp3
See shownotes and links
The MedicCast is a weekly podcast for professionals and students in emergency medicine featuring news, interviews, products, comments, tips and tricks.
Monday, September 28, 2009
Join leading EMS Podcasters Jamie Davis, Chris Montera, Greg Friese and others in watching and discussing the premiere of the new NBC show Trauma. Browse to http://MedicCastLive.com at 9 p.m. EDT/ 8p.m. CST on Monday September 28, 2009 for live conversation and commentary. Trauma, the dramatic new show about paramedics in San Francisco promises to be an action packed exploration of the profession and the stresses it places on relationships.
During the premiere, using the online platform TalkShoe.com, Jamie, Chris, Greg along with other podcasters and EMS bloggers will be discussing the action, plot, and EMS technique of the show and its cast. Listeners will be able to text chat with one another and the hosts as the premiere unfolds.
After the show Jamie Davis, an RN, paramedic, and host of the MedicCast (http://mediccast.com/blog) – the highest ranked EMS podcast – will take calls from listeners. Jamie Davis is watching the premiere of trauma because “I am looking for a program that will portray the real issues in EMS while inspiring a new generation to join the profession as previous shows like Emergency inspired me to become a paramedic.”
Greg Friese, a paramedic and co-host of the EMSEduCast podcast (http://emseducast.com) reports, “I want Trauma to be authentic and respectful of EMS. Like many EMS professionals I am excited and skeptical about Trauma’s potential. I am excited to watch and discuss Trauma with an international audience.”
Chris Montera, a paramedic chief and host of the EMS Garage podcast (
These real life paramedics host their online radio shows or podcasts to share their knowledge, experiences, and training with other EMTs, paramedics, and students. The shows are available every week via the web, using popular podcast engines like iTunes or Zune marketplace, or RSS readers. EMS listeners use the programs to help remain up to date on news and training in emergency medicine.
All of the programs are part of the ProMed Network (http://promednetwork.com) a collection of independent medical programs for medical professionals of all types.
Airway management is one of the critical skills for emergency medicine providers that requires mastery. A few seconds of delay in the establishment of a patent airway could result in serious irreversible damage to the patient. In this week's episode of the MedicCast, the podmedic features a review on airway management skills essential for aspiring EMTs. Also in the program are the latest news in EMS and tips on how to pass, or even ace, the NREMT exams. Check out the shownotes for a more extensive review on airway anatomy and physiology together with direct links to the national registry site for downladable pdf's of NREMT skills sheets, the same ones used by examiners.
Listen to this review.mp3
See this episode's shownotes
The MedicCast is a weekly podcast for students and professionals in emergency medicine offering news, interviews, comments, products, articles, tips and tricks.
Monday, September 21, 2009
This weeks episode of the MedicCast with Lisa Booze of the Maryland Poison Center discusses some of the common myths regarding everyday products that may raise concerns from individuals. In this episode, facts are differentiated from fallacies and information on who to call or what to do in case of poisoning is included. Also in the program are the latest news in EMS and links to resources for further review or future reference.
Listen to this episode.mp3
Check out this episode's shownotes and links
The MedicCast is a weekly show for professionals and students in emergency medicine providing news, comments, products, interviews, tips and tricks.
Monday, September 14, 2009
This week's episode of the MedicCast features a special panel discussion on study tips and time management for EMS Students. Since most EMS students have divide their time between studies, work and family, finding quality moments for studying may be difficult. The discussion include EMS educators giving advice on how to set realistic goals for studying and keeping away from distractions. For educators, knowing students' learning styles can help in identifying ways to present a topic in class that can easily be grasped. Also in the program are links to articles on learning styles and study tips.
listen to EMS education discussion
See shownotes and article links
The MedicCast is a weekly podcast for emergency medicine providers featuring news, interviews, products, comments, reviews, tips and tricks.
Monday, September 07, 2009
Paramedics as well as other health providers are getting ready for the upcoming flu season and H1N1 pandemic. In response to this, the producers of the EMS Garage and MedicCast Productions did a special joint episode together with other health professionals and discuss the effects of these diseases to EMS. To help inform health care workers on ways to prevent contracting the flu virus, several precautions as well as situation updates on influenza were also included in the program.
Listen to the discussion.mp3
See update and tip links on shownotes
The MedicCast is a weekly podcast for emergency responders and EMS students providing news, artciles, reviews, interviews, comments, tips and tricks.
Monday, August 31, 2009
Performing a thorough assessment may take precious time critical for a patient's survival especially for victims of vehicular accidents. In this week's episode of the MedicCast podcast for EMTs and paramedics, host Jamie Davis, the podmedic, tackles mechanisms of injury in motor vehicle accidents. As a follow up on the other week's episode, kinematics of trauma, MVA mechanisms of injury episode shows emergency responders how to do a quick assessment and identify injuries by looking at the type of crash together with other factors to be considered.
Listen to this episode.mp3
See shownotes and tip links
The MedicCast podcast for EMTs and paramedics is a weekly show featuring news, articles, products, comments, interviews, tips, and tricks. The MedicCast is a proud member of the ProMed Podcast Network.
Monday, August 24, 2009
A special joint interview segment with Dr. Mickey Eisenberg by MedicCast host Jamie Davis, the podmedic, and Greg Friese of the EMS Educast podcast is featured on this week's episode of the MedicCast. In the program, they discuss about Dr. Eisenberg's book titled, “Resuscitate: How your community can improve survival from sudden cardiac arrest” challenging communities and EMS systems to change the way they look at cardiac arrest, survivability and code management.
Listen to the interview.mp3
Share your opinion on the program by posting a comment on this episode's shownotes
The MedicCast is a weekly podcast featuring news, interviews, comments, products, tips and tricks for individuals in emergency medicine.
Monday, August 17, 2009
This week's episode of the MedicCast features a review on kinematics of trauma. This is an important concept for emergency responders for them to know what injuries to anticipate based on the kind of trauma incident even in the absence of physical manifestations.
Also included in the program are EMS stories in the news and resource links for the tip of the week for reference and future review.
Listen to the Kinematics of Trauma review episode podcast
Check out EMS Kinematics show notes and links
The MedicCast is a weekly podcast for emergency medicine providers and EMS students featuring news, comments, reviews, products, interviews, tips and tricks.
Sunday, August 09, 2009
Spinal Immobilization is a typical procedure done by emergency responders to trauma patients with potential or actual spinal injury. In this week's episode of the MedicCast, Jamie Davis, the Podmedic discusses the details of spinal immobilization including the criteria for choosing procedure candidates and special considerations given to special cases. Also offered in the program are EMS news and links to sources for future reference.
Listen to the EMT and Paramedic Spinal Immobilization podcast
See Spinal Immobilization for EMS Providers episode shownotes and links
The MedicCast is a weekly podcast for emergency medicine providers like EMTs, paramedics, and EMS students featuring news, products, comments, interviews, tips, and tricks.
Sunday, August 02, 2009
This week's episode of the MedicCast podcast for EMTs and paramedics features an interview with Brian Dunnigan on ultrasound for EMS, including potential scenarios where the availability of ultrasonography in the prehospital setting would be essential. Also offered in the program are the latest EMS news and links to source sites for future reference.
Listen to the Ultrasound for paramedics episode podcast.mp3
check out EMS Ultrasound Interview shownotes and links
The MedicCast is a weekly EMS podcast featuring news, comments, products, interviews, tips and tricks for EMTs, paramedics, EMS students and the like. The MedicCast is a proud member of the ProMed Network.
Sunday, July 26, 2009
This week's episode of the MedicCast podacst for EMTs and paramedics features a review on Continuous Positive Airway Pressure (CPAP). This type of respiratory therapy is a must-know for paramedics since it is usually given in the prehospital setting and it caters to patients in respiratory distress. Indications, possible complications and contraindications of CPAP therapy are also discussed including news in emergency medicine and links to resource sites for future study.
Listen to this episode's CPAP for paramedics podcast.mp3
See shownotes for EMS CPAP therapy
The MedicCast is a weekly podcast for EMTs, paramedics, EMS students and the like featuring news, interviews, comments, reviews and tips.
Tuesday, July 21, 2009
After IO Insertion and IO Assessment
There can be some adverse events that happen when placing and IO needle in a patient. You want to make sure you’re very careful in identifying your site and your landmarks. You want to make sure that you are being careful with your device. When you’re placing your needle, you don’t want to do anything that would twist or bend that needle during insertion that could cause it to break off. The needle can become clogged during administration, so you want to make sure that it’s patent, that you’re able to push fluids through it. Flush it with normal saline or lactated ringers per your protocol (usually 20 mL).
Just after insertion and before you flush with IV fluid or normal saline, you also want to make sure that you always draw back to look for blood or marrow return. Attach a syringe with a short piece of tubing or a stop-cock and a short piece of I.V. tubing. We want to see if we can draw back, just to see if we can see a little bit of bone marrow or blood coming back into it as a return. You may not always see that again because it’s thicker and you might not be able to withdraw bone marrow through the I.O. device, but that’s one thing to try to do to help verify correct placement.
It’s going to be a little harder to push fluids in and push medications in than you’re used to with I.V. placement because the bone marrow is not a purely liquid environment. It’s more of a solid, spongy material with liquid infusing through it. You’re going to need to use a pressure device to get fluids in. One of the things that we’re taught to use is to just wrap a blood pressure cuff around your bag and pump it up until you start seeing that it’s infusing through—and you’ll be counting your drips in the IV drip set just like normal but otherwise you will see that you just can’t seem to get the fluids or meds in if you don't apply additional pressure.
Pump up the cuff around the fluid bag until you start seeing drips in the drip chamber that shows that it’s flowing and that will give you an idea of what kind of pressure you need. Generally, you’re trying to overcome intraosseous blood pressure here.
Then go ahead and flush it with about 20 cc of I.V. fluid, saline or Ringer’s Lactate, and you want to make sure that this is flowing in cleanly. You want to look around the site for signs of extravasation, just like you would with an I.V. flush. You want to make sure that you actually are in the bone. If you weren’t in the bone or somehow becomes dislodged, you would see signs of puffing up around the skin, around the site, just like you normally would with an extravasated IV line. You also want to look on the back of the limb for signs that the IO needle has penetrated the far side of the bone.
In children, especially if you’re using a needle that might be a little large and even though you felt the pop of entry into the marrow space, you might have gone a little too far and you might have actually come out the other side of the bone in small children, you want to be very careful with that. You want to check the other side because you may actually have gone through and you’re pumping fluids out the other side of the bone. Again, look on both sides for extravasation.
IO Field Dressing and Stabilization
You want to stabilize an IO device just like you would any other impaled device or impaled object. Just like you have somebody with a stick through their arm, you would wrap it and stabilize it in place with some gauze rolls, or some pads, and tape it down very carefully to keep it stabilized and ensure that it’s perpendicular to the bone position, and then also make sure you secure your I.V. tubing very carefully as well. Again, you use a pressure device to infuse and you will go ahead and make sure that you follow through with re-assessing that regularly.
Complications that you see in IO placement in the EMS arena include local hematoma, and you’re going to have some bruising in the area, you may also have some compartment syndrome if you’re not careful. Frequent reassessment is the key. Come back and reassess to make sure you’re not pushing fluids in to the extravascular spaces, into the interstitial space and tissues, because obviously that will cause increased pressure locally and cause compartment syndrome in the localized area and eventually tissue death if you’re not careful. Significant amount of pain can be present with this particular intervention. You want to make sure that you are aware of that and as I said, I wouldn’t use this in any patient that is alert enough that they can complain about it.
One option that might not be the case is a serious burn patient where you have significant amount of burning in most of your regular I.V. access locations. I.O. access might be indicated and this patient may indeed be conscious. I would consult with medical direction. Make sure you follow your own protocols, but there may be a case where a severely burned patient without ready vascular access, I.O. may be indicated in a conscious patient. This would be an isolated and special case.
Other complications include growth plate injuries. The growth plate is that part of the bone that’s still growing in children. You want to make sure you’re using your landmarks and following your site guidelines carefully so that you can make sure you’re finding the site appropriately, but there can be a potential for problems if you are too close to the growth plate of the bone. There can be some other issues where there’s a fat embolism associated with this type of insertion.
For more tips and medication reviews for EMTs, paramedics and EMS students check out all of the MedicCast EMS podcast episodes each week at MedicCast.com.
Sunday, July 19, 2009
In this week's episode of the MedicCast podcast for EMTs and paramedics, Jamie Davis, the Podmedic interviews Dr. Jeff Guy, author of "Pharmacology for the Prehospital Professional". Since prehospital medications are necessary to the patient's survival, it is important for emergency medical services providers to have mastery on pharmacology and medication math. The latest EMS news and links to resource sites are also included.
Listen to the EMS pharmacology podcast here.mp3
See episode links and shownotes for EMT and Paramedic pharmacology here
The MedicCast is a weekly podcast or radio show featuring news, interviews, comments, reviews, tips and more, all for EMTs, paramedics, EMS students and the like.
Sunday, July 12, 2009
This week's MedicCast Podcast features a review of burns from lightning strikes and electrocution. Since everyone is using electricity and is at risk for electrical injuries, a review on the pathophysiology and emergency management of lightning and electrical injuries is an important update medical providers especially those in emergency medicine like EMTs and paramedics.
Listen to the lightning/electrical burns mp3 by clicking here (right click to for download options)
--The MedicCast is a weekly EMS podcast for emergency medical technicians, paramedics and students in the emergency medical services. It is a member of the ProMed Network (ProMedNetwork.com).
Sunday, July 05, 2009
This week's episode of the MedicCast podcast for EMT's and paramedics features Antidepressant Overdose with Lisa Booze of Maryland Poison Center.
Antidepressants are one of the most common causes of drug poisoning seen in the emergency department so paramedics should be on the lookout for clinical manifestations of antidepressant overdose. Emergency management and precautionary measures are also discussed. The program includes links to articles relevant to the topic for further studies and features the latest EMS news.
Listen to Antidepressant Overdose podcast.mp3
View this episode's show notes here.
The MedicCast is a weekly podcast featuring news, articles, interviews, commentaries and tips for EMT's, paramedics and EMS students.
Monday, June 29, 2009
Listen to this episode of the EMS podcast here. (mp3)
Visit the EMS Abdominal Pain episode shownotes pages here.
The MedicCast is a weekly podcast or online radio program for EMTs, paramedics, and EMS students and features tips, tricks, news and commentary every week.