Standing Orders
By Standing Orders: The Podcast
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Podcast Description
Standing Orders: The Podcast is a resource for EMS administrators, medics, and medical directors. The regular Standing Orders crew of Dr. Chris Russi, DO; Matt Fults, Brad Buck, and JD Graziano bring you a bi-weekly podcast covering issues surrounding medical direction in EMS. Standing Orders: The Podcast brings leaders from throughout the industry to share ideas and discuss current issues.
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CleanEMSSO Episode 8: Surviving The Next Shift | On episode eight of Standing Orders Matt, Brad, JD, and Dr. Russi are joined by Mr. Art Hsieh of EMS1.com and Eric Dickinson (author, police officer, and EMT). Episode eight tackles a wide variety of issues relating to the well being of the EMS provider. From concealed carry to combative patients, this episode includes some great exchanges from the group and some excellent tips on surviving your next shift. Articles Discussed: "Survive Your Next Shift" by Eric Dickinson (published in the July 2009 issue of JEMS. On self defense and being a medic by Mr. Art Hsieh Mentioned in this episode: Blink The Gift of Fear | 12/13/11 | Free | View In iTunes |
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CleanEMSSO Episode 7: “Promoting a Culture of Safety” | In episode seven of Standing Orders Matt and Brad record live from EMS World Expo in Las Vegas, NV. Matt and Brad are joined by the editor-in-chief of JEMS Magazine, A.J. Heightman. Also joining the group is Mr. Chuck "CT" Kearns, at large director of the NAEMT. For the second half of the the show Jeramiah Bush takes part in the discussion on the health and safety of providers and patients. Recorded at the Metronic Foundation Heart Rescue Project Podcast Studio, episode seven is sponsored by the NAEMT (National Association of EMTs). Episode seven takes a closer look at the NAEMT's EMS Safety Course as well as several other issues regarding provider and patient safety in EMS. The theme of "promoting a culture of safety" is present throughout this recording of Standing Orders. Special thanks to Jamie Davis, Chris Montera, Anne Robinson, and Carissa Caramanis-O'Brien for their production of episode seven of Standing Orders. Also, special thanks to Mr. A.J. Heightman of JEMS Magazine, Mr. Chuck "CT" Kearns of the NAEMT, and Mr. Jeramiah Bush of www.jeramedic.com | 9/8/11 | Free | View In iTunes |
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CleanEMSSO Episode 6: “Posteriorly Speaking” – A novel use of the pre-hospital 12 lead | In episode six of Standing Orders: The Podcast the group discusses a recent published case study by Dr. Russi and colleagues. The case focuses on the identification and ultimate STEMI alert activation based on the use of an all posterior 12 lead ECG. This episode features The Rogue Medic - Mr. Tim Noonan, Mr. Russell (RJ) Stine of HybridMedic.com, as well as Brad Buck, Matt Fults, and Dr. Chris Russi D.O. The article discussed can be found here... Prehosp Emerg Care. 2011 Jul-Sep;15(3):410-3. Epub 2011 Apr 4. Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram. Russi CS, Myers LA, Kolb LJ, Steever K, Nestler DM, Bjerke MC, White RD, Ting HH. View abstract here Update: RJ is now done with chemotherapy as discussed in the opening of the show. | 8/23/11 | Free | View In iTunes |
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CleanEMSSO Episode 5: “A Cherry On Top” – a case for pre-hospital induced hypothermia | In episode five of Standing Orders: The Podcast the gang discusses pre-hospital, post resuscitation hypothermia. On this episode of Standing Orders Mr. Brad Buck, Mr. JD Graziano, Mr. Luke Myers, and Mr. Tom Bouthillet of ems12lead.com look closely at the implementation of induced cooling in EMS. Titled "A Cherry On Top", episode five touches on many issues at the forefront of pre-hospital induced cooling. | 8/17/11 | Free | View In iTunes |
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CleanEMSSO Research Review Episode 4: “Helicopters and the Civilian Trauma System…” | Dr. Russi is back with the fourth installment of Russi's Research Review. In episode number four Dr. Russi reviews an article from the Journal of Trauma on helicopter EMS. Some interesting conclusions are drawn in this review as always. Contact Dr. Russi with questions and to submit ideas for future episodes. Brown, J. B., Stassen, N. A., Bankey, P. E., Sangosanya, A. T., Cheng, J. D., & Gestring, M. L. (2010). Helicopters and the civilian trauma system: national utilization patterns demonstrate improved outcomes after traumatic injury The Journal of trauma, 69(5), 1030-4; discussion 1034-6. | 7/22/11 | Free | View In iTunes |
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CleanEMSSO Research Review Episode 3: “ACD CPR with ResQPod Augmentation | In episode 3 of the Standing Orders research review series Dr. Chris Russi reviews a recent article published in the Lancett. Dr. Russi discusses the data on ACD CPR (active compression/decompression) with augmentation of negative intrathoracic pressure using the impedance threshold device (ResQPod). Article Reference: Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomized trial Tom P Aufderheide, Ralph J Frascone, Marvin A Wayne, Brian D Mahoney, Robert A Swor, Robert M Domeier, Michael L Olinger, Richard G Holcomb, David E Tupper, Demetris Yannopoulos, Keith G Lurie To suggest articles for future reviews please contact Dr. Russi or leave a comment. Disclaimer: The opinions expressed in this podcast are that of Dr. Chris Russi. No compensation is received for any work presented on this website. | 4/11/11 | Free | View In iTunes |
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CleanEMSSO Episode 4: Making Sense of Confusion | In episode four of Standing Orders: The Podcast, "Making Sense of Confusion" Matt Fults and Dr. Chris Russi are joined by Mr. Tom Bouthillet of ems12lead.com for a spirited discussion on the Impedance Threshold Device and ACD CPR. Several articles were discussed as the show features an in depth discussion on the physiology of the impedance threshold device. Journal References Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomised trial. Aufderheide, T. P., Frascone, R. J., Wayne, M. A., Mahoney, B. D., Swor, R. A., Domeier, R. M., Olinger, M. L., et al. (2011). Lancet, 377(9762), 301-311. doi:10.1016/S0140-6736(10)62103-4 Implementing the 2005 American Heart Association Guidelines improves outcomes after out-of-hospital cardiac arrest. Heart Rhythm: The Official Journal of the Heart Rhythm Society Volume 7, Issue 10 , Pages 1357-1362, October 2010 Take Heart America: A comprehensive, community-wide, systems-based approach to the treatment of cardiac arrest. Crit Care Med. 2011 Jan;39(1):194-6. | 3/16/11 | Free | View In iTunes |
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CleanEMSSO Research Review Episode 2: “Fluid Administration in Traumatic Injury Patients” | In the second segment of Russi's Research Review, Dr. Chris Russi reviews a 2010 article from the Annals of Surgery on fluid administration in trauma patients. Haut et al. Prehospital Intravenous Fluid Administration is Associated With Higher Mortality in Trauma Patients. Annals of Surgery (2010) pp. 1 Contact Dr. Russi to submit ideas for future reviews. | 2/21/11 | Free | View In iTunes |
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CleanEMSSO Research Review Episode 1: “Prediction of Critical Illness” | In a new segment of Standing Orders: The Podcast, Dr. Chris Russi reviews a 2010 article from the journal of the American Medical Association. Seymour et al. Prediction of Critical Illness During Out-of-Hospital Emergency Care. JAMA: The Journal of the American Medical Association (2010) vol. 304 (7) pp. 747-754 Please contact Dr. Russi to suggest future review articles. | 2/21/11 | Free | View In iTunes |
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CleanEMSSO Episode 3: “A Hot Potato” The Future of Pre-hospital Airway Management | Episode three of Standing Orders: The Podcast takes on a controversial topic this week. Dr. Chris Russi, Brad Buck, Matt Fults, and JD Graziano are joined by Dr. Ray Fowler and Dr. Keith Wesley in an episode titled "A Hot Potato" - The Future of Pre-hospital Airway Management. In this episode the future of endotracheal intubation is discussed along with the combitube and the King LT airway. Several journal articles are discussed and can be found at the bottom of this post. Burns et al. Emergency airway placement by EMS providers: comparison between the King LT supralaryngeal airway and endotracheal intubation. Prehosp Disaster Med (2010) vol. 25 (1) pp. 92-5 Cudnik et al. Endotracheal intubation increases out-of-hospital time in trauma patients. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors (2007) vol. 11 (2) pp. 224-9 Davis. Early ventilation in traumatic brain injury. Resuscitation (2008) vol. 76 (3) pp. 333-40 Davis et al. The impact of prehospital endotracheal intubation on outcome in moderate to severe traumatic brain injury. J Trauma (2005) vol. 58 (5) pp. 933-9 Gaither et al. Tongue Engorgement Associated With Prolonged Use of the King-LT Laryngeal Tube Device. Annals of Emergency Medicine (2009) pp. Hubble et al. A Meta-Analysis of Prehospital Airway Control Techniques Part II: Alternative Airway Devices and Cricothyrotomy Success Rates. Prehospital Emergency Care (2010) vol. 14 (4) pp. 515-530 Lyon et al. Field intubation of cardiac arrest patients: a dying art?. Emerg Med J (2010) vol. 27 (4) pp. 321-3 Russi et al. A Comparison of the King-LT to Endotracheal Intubation and Combitube in a Simulated Difficult Airway. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors (2008) vol. 12 (1) pp. 35-41 Russi et al. A pilot study of the King LT supralaryngeal airway use in a rural Iowa EMS system. International Journal of Emergency Medicine (2008) pp. 4 Russi et al. The laryngeal tube device: a simple and timely adjunct to airway management. The American journal of emergency medicine (2007) vol. 25 (3) pp. 263-7 | 2/21/11 | Free | View In iTunes |
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CleanEMSSO Episode 2: “Consciously Incompetent” The Safe Non-Transport of EMS Patients | In episode two of Standing Orders: The Podcast Dr. Chris Russi, Matt Fults, Brad Buck, JD Graziano, and Dr. Ray Fowler discuss the safe non-transport of the EMS patient. From a life threats approach to non-transport to Dr. Fowler's "Three Nots", episode two discusses improving the current system to ensure excellent patient care and reducing the liability of the emergency care provider. Key Points: 1) Dr. Russi spoke about a life threats approach to determining whether your patient is in danger. By assuming that every complaint is something more serious, we can provide excellent patient care and ensure that every patient who need to be evaluated is evaluated. 2) Dr. Fowler brought up some key points that he refers to as "the three nots". These three things are things that the pre-hospital emergency care provider should never do. - Never imply that you know the patient's diagnosis. - Never imply that you know the diagnosis and offer insight as to the patient's condition - Never imply that the patient is safe to remain at the scene. Please follow us on Facebook and Twitter by searching EMS Standing Orders on Facebook and @standingorders on Twitter. Standing Orders: The Podcast will be uploaded to iTunes very shortly. Look for Standing Orders along with all of your other favorite podcasts from the emsradio.com network. | 1/26/11 | Free | View In iTunes |
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CleanEMSSO Episode 1: “Ho, Ho, Ohhhhh! Santa’s Septic” Pre-Hospital Recognition and Treatment of Sepsis | On episode one of Standing Orders: The Podcast the crew of Dr. Chris Russi, Mr. Brad Buck, and Mr. Matt Fults is joined by Dr. Dave Ross, Dr. Bryan Bledsoe, and Mr. Steve Whitehead as we discuss sepsis. The pilot episode of Standing Orders: The Podcast focuses on the recognition and treatment of sepsis, severe sepsis, and septic shock. We also discuss bringing early goal directed therapy to EMS. Merry Christmas and Happy Holidays from all of us at EMS Standing Orders. Journal References: Please reference the following articles to expand your knowledge of sepsis, severe sepsis, and septic shock. Some of the following articles may need to be purchased but some are available to download through various resources. Please e-mail webmaster@emsstandingorders.com for information regarding a specific article. Dellinger et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Critical Care Medicine (2008) vol. 36 (1) pp. 296-327 Jones et al. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA (2010) vol. 303 (8) pp. 739-46 Jones and Lowes. The systemic inflammatory response syndrome as a predictor of bacteraemia and outcome from sepsis. QJM : monthly journal of the Association of Physicians (1996) vol. 89 (7) pp. 515-22 Kumar et al. Initiation of inappropriate antimicrobial therapy results in a fivefold reduction of survival in human septic shock. Chest (2009) vol. 136 (5) pp. 1237-48 Kumar et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock*. Critical Care Medicine (2006) vol. 34 (6) pp. 1589-1596 Linde-Zwirble and Angus. Severe sepsis epidemiology: sampling, selection, and society. Critical care (London, England) (2004) vol. 8 (4) pp. 222-6 Marchick et al. The significance of non-sustained hypotension in emergency department patients with sepsis. Intensive Care Medicine (2009) vol. 35 (7) pp. 1261-4 Nguyen et al. Implementation of a bundle of quality indicators for the early management of severe sepsis and septic shock is associated with decreased mortality. Critical Care Medicine (2007) vol. 35 (4) pp. 1105-12 Nguyen et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Critical Care Medicine (2004) vol. 32 (8) pp. 1637-42 Rivers et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N England Journal of Medicine (2001) vol. 345 (19) pp. 1368-77 Robson et al. Sepsis: a need for prehospital intervention?. Emergency Medicine Journal (2009) vol. 26 (7) pp. 535-538 Wang et al. National estimates of severe sepsis in United States emergency departments. Critical Care Medicine (2007) vol. 35 (8) pp. 1928-36 | 12/21/10 | Free | View In iTunes |
| Total: 12 Episodes |
