EMS Today

Delayed Sequence Intubation with Jason Haag

In this week’s episode of the EMS Handoff, Eric takes the lead as David took the week off. Eric and Bradley are joined in the EMS Handoff Studio to discuss the process of delayed sequence intubation. This spirited discussion, which may have a little heckling of David, includes the current evidence in airway management, especially when using medication to support the process. Tune in and see what you think. 

The People vs. EMS

Scot Phelps and Maria talk about the Elijah McClain indictment against three police officers and two paramedics.

The People of the State of Colorado vs.
RANDY ROEDEMA, JASON ROSENBLATT, NATHAN WOODYARD, JEREMY COOPER, PETER CICHUNIEC, Defendants. 

https://www.pwwemslaw.com/sites/default/files/elijah-mcclain-grand-jury-indictment.pdf

Legal analysis: What the paramedic criminal charges in the Elijah McClain case mean for EMS
By Douglas M. Wolfberg, Esq., EMT; and Stephen R. Wirth, Esq., EMT-P Sep 2, 2021
https://www.ems1.com/legal/articles/legal-analysis-what-the-paramedic-criminal-charges-in-the-elijah-mcclain-case-mean-for-ems-wIPxkOn0Hn4ToKVk/

Hamilton, Ontario: Conviction of paramedics following the death of Yosif Al-Hasnawi

R. V. Christopher Marchant and Steven Snively, 2021 ONSC 3901 (CanLII)
https://canlii.ca/t/jg9hb

2 paramedics found guilty in death of Hamilton teen Yosif Al-Hasnawi
June 8, 2021
https://ca.news.yahoo.com/verdict-expected-tuesday-trial-2-080700585.html

Why the conviction of 2 Hamilton paramedics in Yosif Al-Hasnawi's death may change health care
Christine Rankin June 10, 2021
https://www.cbc.ca/news/canada/hamilton/paramedic-trial-guilty-1.6058937

Disaster Preparedness with NAEMT

"We don't have any options." - Brian Schaeffer

This week, Eric, Bradley and David welcome the Disaster Preparedness committee to celebrate National Disaster Preparedness Month. This conversation begins with the work of the Disaster Preparedness Committee and then moves into discussion of preparedness of the practitioner. 

Guests on the show: Anthony Scott, Debra Bell, William Tatum, Brian Schaeffer, Allison Knox

* EMS in disaster management

* Who pays for disaster preparedness

* ESF #8

* Disaster within a Disaster

* When the annexes run dry

* Practitioner preparedness

* Emergency equipment and ziploc bags

* Joining the NAEMT disaster preparedness committee

* FEMA IS - 520 Continuity of Operations Planning for Pandemic

* www.emergency.cdc.gov

Tony Cota

U.S. Army Soldier Tony Cota started his first day of basic training on Sept. 11, 2001. Hear from a soldier's perspective of the impact of wartime and coming home with moral injuries and traumatic images. Cota entered the fire service and found the strength to attend the IAFF Center of Excellence where he was able to put his mental wellness first. "When I felt like everything was coming down on me at once, those were the worst times and I felt like I just can't do it anymore," he said. 

Hold the Nitro... Or Don‘t

This week, Bradley, Eric and David come together for a conversation over a case study. In this case, study we take a look at the treatment and transportation of a 56 year old who is complaining of chest pain; and subsequent 12-lead confirms that. Would you administer the nitroglycerin or hold for another treatment?

References

Prehospital Nitroglycerin Safety in Inferior ST Elevation Myocardial Infarction

https://pubmed.ncbi.nlm.nih.gov/26024432/

• NTG administration to patients with chest pain and inferior STEMI is not associated with a higher rate of hypotension compared to patients with STEMI in other territories.

 

The Era of Reperfusion

https://www.ahajournals.org/doi/10.1161/circ.102.suppl_1.I-172

 JEMS

https://www.jems.com/training-videos/nitro-in-an-inferior-mi/

Inferior Wall Acute Myocardial Infarction: Not as Preload Dependent as Once Thought?

https://www.researchgate.net/publication/312102992_Inferior_Wall_Acute_Myocardial_Infarction_Not_as_Preload_Dependent_as_Once_Thought

https://pubmed.ncbi.nlm.nih.gov/28089058/

Effect of early treatment with anti-hypertensive drugs on short and long-term mortality in patients with an acute cardiovascular event

https://pubmed.ncbi.nlm.nih.gov/19821384/

The EMS Physician Medical Director

On this week’s episode of The EMS Handoff, Tennessee EMS Medical Director Dr. Joe Holley, and Dr. Todd Heffern, emergency department director, EMS medical director and president of the Tennessee Chapter of the National Association of EMS Physicians, discuss the role of the EMS physician medical director in 2021 and beyond. 

* The "Active" Medical Director

* ASEP Position Statement

* NAEMSP Position Statement

* Pilot programs and new drugs

* Sparse data and medical decisions

* Medical director as conscience of EMS agency

* It's tough to a CQI process

* Top errors in EMS

* Most important approach for ANYONE in the field

* Abnormalities and notation

* Paint the picture of your decision making

* Difference between a clinician and technician

* Acronym courses as continuing education

* Bringing training from Okay to Great

* Patient Outcomes vs. Administrative Outcomes

John Spencer

"Nothing is done as an individual, not fighting and not dealing with trauma, life, war.... nothing." - John Spencer, U.S. Army Major (Ret.)

Retired U.S. Army Major John Spencer shares his story on his journey through war, family dynamics and his own perspectives of what "strength" means. Spencer has a book coming out that is referenced in the podcast in Spring 2022 called "Connected Soldiers; Life, Leadership, and Social Connections in Modern War."

A Conversation on Incident Contact of Fentanyl and Social Media

This week, Bradley and David take a look at body cam footage and a presentation that was put out by the Sheriff of San Diego County, California, after a recent incident in which a deputy was face-to-face with a powder substance and suffered a medical emergency.

This video has received publicity on both sides of the conversation. With limited information, we recognize the actions of the partner who went into immediate action for his partner, as well as the attempts to develop material that will help officers everywhere.  What are your thoughts?

More Parody Than Parity

Hosts Scot Phelps and Maria Werner talk about a potpourri of issues in EMS, everything from the San Diego (CA) Deputy Sheriff who allegedly OD'ed on fentanyl, raises coming to the FDNY EMS and COVID-19.

Body-Worn Cameras in EMS with Bradley, Eric, and David

In this week’s episode of the EMS Handoff Podcast, Eric, Bradley, and David discuss the hot-button topic of body worn cameras in EMS. This is a topic that has made its way through law enforcement, and now with multiple conversations, it is being discussed in EMS. Here are our thoughts.  

* Patient privacy concerns

* Blurring the line between us and law enforcement

* What is our use of force policy?

* NEMSIS body cam position paper 06/2021

* Video access and QA

* Consent

* Bodycam feedback

* Patient care documentation gap