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Medic Class Citizen

Author: Brandon Carey, Jason Grady

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Brandon Carey and Jason Grady discuss evidence based medicine in EMS, the culture of EMS professionals, and what they face on a day to day basis.
53 Episodes
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Join Jason and Brandon as they get back into the game with a bang, and interview Pediatric Intensivist, Medical Director, researcher, and entrepreneur, Mark Piehl, MD, MPH. Listen as the conversation revolves around recent updates in pediatric epidemiology, and transitions to a very popular topic - management of hemorrhagic shock in the pediatric population. 
Join us in | 42 | as we kickoff the foundation for several up and coming episodes revolving around the subject of cardiogenic shock. In this episode, Jason and Brandon discuss the basic pathophysiologic principles of cardiogenic shock, and how it differs both in diagnosis and treatment from other more prominent forms of shock. This episode also features a recent classification system that categorizes phases of cardiogenic shock to help the clinician determine treatment, destination decision, and patient acuity. Use the cover art to follow along as Jason breaks down each category.  Check out www.scai.org and www.medicclasscitizen.com for more information. 
Listen as we sit down with fetal maternal expert physician, Dr. Jane Ellis, and discuss the current state of maternal mortality and fetal mortality in the world and the United States at large. Hear as Dr. Ellis identifies principles for EMS providers to know, as well as epidemiologic information showing shocking statistics that uncover medical disparities. 
In this episode, we sit down with emergency physician and EMS medical director, Dr. Jon Allen, and discuss the application of push dose pressors in the EMS setting, particularly regarding ground transport. For more info on Doc Allen, hit up our previous episode where we introduce him. 
Join us as we continue our discussion about the 4-Minute-City project with Avive Co-founders Rory Beyer and Sameer Jafri. In the end of this episode, we also have the opportunity for an AED reveal.  Learn more about Avive Solutions and the 4 Minute City project at www.avive.life
Tyler Christifulli and Samuel Ireland are flight paramedics and co-founders of the project, FOAM Frat. Listen as Sam and Tyler discuss the beginning of FOAM Frat as a blog and podcast, and how it evolved to the revolutionary continuing education platform that it is today. Find out more about FOAM Frat by visiting www.foamfrat.com, @foamfrat on Instagram and Facebook, and @FOAMfratStudios on YouTube. www.medicclasscitizen.com
Rory Beyer and Sameer Jafri introduce their revolutionary "connected" smart AED and the 4-Minute-City Project. This episode is the story of how Avive was born, and the vision of how Avive can solve the discrepancies that are present in how we approach out-of-hospital cardiac arrest. Make sure to watch this episode for an introduction to Rory and Sameer, but keep an eye out for Part 2, where Rory and Sameer introduce the 4-Minute-City and reveal the Avive Connect AED.
In this episode, Jason and Brandon talk with emergency medicine physician and EMS medical director, Dr. Jon Allen, or, as his medics call him, "Doc Allen."  Doc Allen has a passion for all things emergency medicine and EMS, and it definitely shows in his work and day to day operations. As the medical director for multiple EMS services (Cherokee County Fire & Emergency Services, Pickens County Fire Rescue), tactical law enforcement teams, and the Georgia Smoke Diver Association, Doc Allen hopes to influence EMS by engaging with the paramedics on the ground level by ways of running calls with them, training with them, and protocol development. Doc Allen truly has a vision of EMS being part of a global system of care, and the benefits that come with practicing based on evidence based medicine.  This is the first of many conversations with Dr. Allen, as he will be back with Jason and Brandon to discuss various calls, case studies, and research.  www.medicclasscitizen.com
Join Jason and Brandon as they sit down with renowned author, journalist, writer, and paramedic, Kevin Hazzard.  Hazzard's 2016 release, "A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back" quickly became a cult classic among the EMS community. His September 2022 release, "American Sirens: The Incredible Story of the Black Men Who Became America's First Paramedics," is a major topic of this discussion, along with reminiscing about being a Paramedic on the streets of Atlanta, Georgia.  In this conversation, giants in the history of EMS are recognized. Specifically, Dr. Peter Safar and Dr. Nancy Caroline. Even more important, however, are their students; the first paramedics in the nation. The men of Freedom House Ambulance Service. Their story, and the story of their perseverance in the face of discrimination and adversity is the remarkable truth behind the beginning of EMS in the United States.
Join us in our 34th clinical episode as we discuss the basics and the pathophysiology of Pulmonary Embolism. We discuss Massive, Submassive, Sub-Acute Massive, and CTEPH, as well as a deeper dive into the patho behind increased right ventricular pressure, and decreased oxygenation.  Join us in the next episode where we will dive in to the assessment and diagnostic principles of PE.   
| 33 | The Future of Resuscitation, with Dr. Michael Kurz Join us as we talk about the future of resuscitation with emergency physician, resuscitation scientist, and EMS physician champion, Dr. Michael Kurz. Dr. Kurz is an Associate Professor at the University of Alabama School of Medicine in the Department of Emergency Medicine and Department of Surgery.   Dr. Kurz serves as Immediate-Past Chair of the AHA Emergency Cardiac Care Subcommittee on Systems of Care and has contributed to the ECC guidelines since 2010. He regularly reviews for Circulation, Resuscitation, Critical Care Medicine, and has authored more than 100 peer-reviewed articles in resuscitation science. Dr. Kurz’s research interests are focused upon intra- and post-arrest care including coagulation dysfunction, optimizing hemodynamic support, and rehabilitation for survivors.
Join us as we sit down with our friend Chris VanBrenk- former US Army Special Forces Officer, Delta team member, and Green Beret, as well as current Paramedic and paramedic instructor. Chris has a unique set of skills, and found an opportunity to utilize all of those skills for good when he and a surgical group traveled to Ukraine at the beginning of the Russia invasion to teach tactical combat casualty care to civilians, as well as provide any medical relief that was possible.  Listen to the conversation, because any type of introduction just doesn't do it justice.  Find more about Chris in our previous episodes where we feature him, as well as check out his blog and instagram at Morphine and Mindfulness.   
Join us in this episode as we hear from an expert cardiologist and professor of internal medicine, Dr. Thomas Porter. Dr. Porter and his team have been researching an exciting new therapy that can be utilized during STEMI and CVA care, known as Sonothrombolysis. This exciting research is bringing ultra sound from the world of diagnostic tool, to interventional therapy- and Dr. Porter believes EMS has an important role in the future of this therapy. 
In this episode, we sit down with an expert cardiac sonographer of more than 40 years, Paul Braum, to discuss the history, development, and future of ultrasound. Listen as Paul walks us through the beginnings of ultrasound, and how we have reached the point of potentially viewing ultrasound as a pre-hospital diagnostic tool. Paul is a champion of EMS, and believes with the right training, EMS can certainly make a huge impact on successful patient outcomes through the use of point of care ultrasound (POCUS) testing in the field.    If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 
Join us in the second installment of our High Performers Series, where we bring back our great friend, Ginger Locke (Medic Mindset). In this discussion, we focus on EMS Initial Education, and how Ginger utilizes several methods to connect with her students, as well as how her background has built her to be the high performing educator that she is today. 
Join us in the 5th installment of our Leadership Series as we bring back our good friend Chris vanBrenk (former Army Special Forces Officer, GoRuck Cadre, founder of Morphine & Mindfulness, Yoga Instructor, current Paramedic and Paramedic Instructor). In this discussion, we talk with Chris about a concept that is near to his heart, which is becoming comfortable being uncomfortable. Chris has extensive experience with this concept from his military career, and can now provide a positive impact to civilians and EMS providers by helping us develop mental processes and habits that create the ability to perform under chaotic conditions.    If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 
Join us in |30| JOURNAL REVIEW - EtCO2 Predicts Mortality & Mass Transfusion as we look at a study performed by EAST (Eastern Association of Surgery and Trauma). This study investigates the validity of using end tidal capnography and capnometry to predict the need for massive transfusion and the likelihood of mortality in intubated trauma patients.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 
| 29 | Intro to ECMO, with Dr. Allison Dupont, FSCAI, FACC In this episode, we were lucky enough to sit down with none other than Interventional Cardiologist, Dr. Allison Dupont.  Dr. Dupont is a board-certified cardiologist in interventional cardiology and cardiovascular disease. She has a clinical interest in cardiogenic shock, minimally invasive structural procedures including MitraClip and Watchman, and in catheterization techniques that help reduce complications in high-risk patients. Dr. Dupont has extensive experience in caring for critical cardiac patients, including being one of the leaders developing the ECMO (Extracorporeal Membrane Oxygenation) for one of the leading cardiac centers in the southeastern United States.  Join us as Dr. Dupont guides us through ECMO and the treatment of patients in cardiogenic shock, and how ECMO and ECPR is paving the way to the future standard of care.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 
Join us in the first official episode of Medic Class Citizen | HP as we sit down with our first high performer, Chris Vanbrenk.  Chris's story is beyond unique, as he has a perspective of a paramedic and paramedic instructor, but he also has even more to offer to his high performance experience. During his tenure in the U.S. Army, Chris was a member of one of the most elite military teams in the world, as he was a Green Beret. Not only was he a Green Beret, but Chris was also an Officer, tasked with the giant responsibility of leading men in battles, missions, and ultimately war.  Following his time in the military, Chris pursued and achieved EMS certification, including his paramedic certification. From there, Chris has excelled in the pre-hospital and hospital arena in North Carolina, where he is also a paramedic instructor.  Chris is also very passionate about fitness and mindfulness, as he has a project where he pours in to those suffering from PTSD, and teaches them mindfulness techniques through the use of yoga, and his blog.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop     
Join us in Leadership | 4 | as we sit down with Kim Littleton, Executive Director of Georgia EMS Association. As Executive Director, Kim serves as the main point of contact and voice for the EMS Profession in the State of Georgia. Kim and the board of Directors serve to provide strong legislation that supports and secures the future of our profession, along with promoting legislation that positively effects patient care in Georgia.  Our main focus in this discussion is the Georgia EMS Leadership Program, which serves as a bridge from truck or field medic, to more administrative and supervisory roles. From commissioner meetings and city council meetings, to PIO and interfacing with the public, to budgeting and finance, this program arms recently promoted EMS Professionals with the leadership tools to succeed, and successfully adapt and evolve in their new role. Visit www.georgiaemsassociation.com to learn more about the Annual Provider & Educator's Conference, The Annual Georgia EMS Leadership Conference, and the Georgia EMS Leadership Program.  If you like what you hear-  Make sure to download, subscribe, and share with your friends and co-workers.  Find us on all major platforms and podcast providers, as well as our socials! | Facebook | Instagram | Twitter | Linked-In | YouTube | www.medicclasscitizen.com |  MERCHANDISE NOW AVAILABLE! https://www.medicclasscitizen.com/shop 
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