The Paramedics Guide to the Galaxy
By Paramedic Guide Team
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Medics Guide is for Prehospital core content and FOAM
||ExplicitEP. 8, Into the K-hole||Ketamine is a new Prehospital drug in Maine and Mass. We're gonna talk about Ketamine like it's our first born child.||2/26/2018||Free||View in iTunes|
||CleanEP. 7, Affective Domain in Paramedic Education||Eric Wellman joins us on the Paramedics Guide to the Galaxy to talk about the affective domain||4/7/2016||Free||View in iTunes|
||CleanEP.6 Chest pain, Zebras do exist!||Case review of an AA(RCH)A with pericardial effusion!||3/28/2016||Free||View in iTunes|
||CleanEP.5 Managing Cardiac Arrest as a Paramedic Student||Paramedic students talk about a Cardiac arrest save, What they think is important, and what a new paramedic student should think of.||3/7/2016||Free||View in iTunes|
||CleanEP.4 Cardiac Arrest... When to Transport.||Thank you for tuning into the MaineCrit podcast and checking out the show notes! Cardiac Arrest... When to Transport. First, Transporting a patient in cardiac arrest is NOT beneficial unless the receiving facility is prepared and equipped to continue the resuscitation by treating reversible causes that EMS cannot. This is for EMS and ED providers. The Case:A 42 year old man awoke in the middle of the night with sudden, sharp chest pain and shortness of breath. He had no previous cardiac history and appeared very fit. His wife called 911. EMS arrived to find their patient in severe extremis and poorly perfused. He progressed to PEA arrest and the crew performed high quality CPR immediately. Advanced airway Obtained IV access. Several rounds of epinephrine. They worked the code for 20 minutes per protocol but did not get ROSC in the field so they called it. The patient had minor surgery within the last week... The hospital was half a mile away... Take Home Points:Most patients who suffer an OHCA will not survive intact unless ROSC occurs in the field.There are reversible causes that most EMS systems cannot treat but an Emergency Department can.There will be a small subset of viable patients that may be saved if transported expeditiously.It is possible to transport patients in cardiac arrest safely with manual CPR and, perhaps someday, mechanical chest compressions and ventilation will open up additional options for longer transports to tertiary hospitals.We must give every patient a chance for a successful outcome if such a chance exists. That is what Resuscitationist do! We must not give up unless there is nothing else that can be done. References/SourcesSMACC/Cliff Reid - When Should Resuscitation Stop ED ECMO - Annie (May 2013), 60+ minutes of CPR Dr. Smith's ECG Blog - 68 minutes with chest compressions, full recovery. Continuous mechanical chest compression during in-hospital cardiopulmonary resuscitation of patients with pulseless electrical activity Double Bolus Thrombolysis for Suspected Massive Pulmonary Embolism during Cardiac Arrest A simplified and structured teaching tool for the evaluation and management of pulseless electrical activity.||2/23/2016||Free||View in iTunes|
||CleanMedic to medicine part 2, with Michael Lauria.||Dr. John Hinds#NIHEMS change.org petition. A tribute to @DocJohnHinds via @Eleytherius "Ride On" http://t.co/FAWhxUp8Ql#FOAMed#DeathIsAWankerpic.twitter.com/MgMgTPL2jI — Salim R. Rezaie (@srrezaie) July 7, 2015SMACCForce - dedicated to John Hinds from Mark Wilson on Vimeo . Cricothyrotomy, Training, and mental simulation. #FOAM Twitter references: Minh Le Cong @ketaminh Scott Weingart @emcrit Cliff Reid @cliffreid Anand Swaminathan @EMSwami Social mediaLast Mile Health SMACC Thank you so much for listening! Stay tuned for more material from MaineCrit!||7/14/2015||Free||View in iTunes|
||CleanMedic to Medicine: Michael Lauria||Review our show notes as you listen to the podcast! Michael Lauria, Paramedic and MS-1 MaineCrit traveled down to Hanover, NH to interview flight paramedic and MS-1, Michael Lauria(@ResusPadawan) Toughness Part I with Michael LauriaScott Weingart's interview with Michael on Mental toughness. The Importance of GRITJohn Greenwood's post about GRIT on IteachEM. Hofstra North-Shore"New Med Students Training as EMTs" Victoria Brazil - Evidence-Based Education- What WorksSMACC Gold lecture on what works in education. The answer is yes. The answer is also no. Mental practice: a simple tool to enhance team-based trauma resuscitation( PubMed ) Full article: Mental Practice for Trauma Resuscitation http://t.co/k1zOBjPRt8#FOAMed@CJEMonline@ResusPadawan@EMSwami@Inject_Orange — Christopher Hicks (@HumanFact0rz) April 11, 2015And finally, Dat library... Just a small piece.||5/22/2015||Free||View in iTunes|
||CleanShock Essentials in 8 Minutes||Shock: Inadequate perfusion at the cellular level. “The rude unhinging of the machinery of life” ~ Samuel D. Gross Adequate Perfusion requires: The Pump (heart)The Fluid (blood)The Container (vasculature)Air Exchange (oxygenation / ventilation)The Pump Adequate Cardiac OutputStroke Volume X Heart Rate (4-8L/minute)Affected by Preload, Contractile Force, and AfterloadThe Fluid Volume of blood must fill containerThe Container Vasculature is properly sizedPre and post capillary sphincters at local levelAir Exchange O2 into lungs and circulationElimination of CO2 and waste productsREQUIRES:Adequate FiO2 and ventilationDiffusion across alveoli / capillary membraneAdequate number of RBCsEfficient offloading to target cellsStages of Shock CompensatedDecompensatedIrreversibleTypes of Shock HypovolemicCardiogenicDistributiveObstructiveManaging Shock Primary Survey / ABCsO2BVMC spineMajor bleedingSupine / Keep warmIV, monitorSpecific Treatments Fluid challengeEpi / Benadryl (anaphylaxis)Chest decompression (tension pneumothorax)Pericardiocentesis (cardiac tamponade)Dysrhythmias (ACLS)Pressors (fluids first)Narcan (opiod OD)Take Home Points Shock: Inadequate perfusion at the cellular level.If you think shock, your patient is already there.Know and treat the root causes.Set a target MAP.Be aggressive!~Chip Getchell||3/26/2015||Free||View in iTunes|
I would not take any advise from these two yahoos!!!!
What a joke. These guys have no clue and should not ever give any advise, not even to a goat!!!