Alert Medic 1

SummaryIn this episode, the Dr. Brady, Josh, Cody, and Mustafa sit down to discuss a complex case involving a middle-aged female patient who presented with bradycardia. The conversation delves into the assessment of the patient, the identification of a third-degree heart block, and the treatment options considered, including the use of an Epi drip. The team explores the importance of understanding the nuances of cardiac rhythms and treatment protocols in emergency medicine.

Summary generated by RIVERSIDE AIIn this conversation, the Alert Medic 1 team discusses the concept of pseudo PEA in the context of cardiac arrest, exploring its implications for EMS. They delve into the role of ultrasound in identifying viable rhythms, the importance of clinical context in decision-making, and the management of reversible causes such as hyperkalemia. The discussion emphasizes the need for flexibility in protocols and the significance of understanding the patient's overall condition during resuscitation efforts. This conversation delves into the complexities of managing cardiac arrest, focusing on hyperkalemia, dynamic arrest strategies, the importance of pulse checks, and understanding PEA. The panel discusses the nuances of resuscitation techniques, the role of ultrasound, and the evolving landscape of emergency medicine practices. They emphasize the need for clinical acumen and the integration of technology in improving patient outcomes during cardiac emergencies.Chapters00:00 Introduction to Pseudo PEA03:04 Understanding PEA and Pseudo PEA05:34 The Role of Ultrasound in Cardiac Arrest08:06 Clinical Implications of Pseudo PEA10:43 Differentiating Narrow vs Wide Complex PEA13:23 Management Strategies for PEA15:56 Reversible Causes and Treatment Approaches18:29 Final Thoughts on PEA Management26:39 Navigating Management Approaches in Cardiac Arrest29:39 The Role of Ultrasound in Resuscitation Decisions35:46 Understanding Hyperkalemia and Its Impact on Cardiac Arrest43:01 Dynamic Arrests and the Importance of Clinical Context48:48 Termination of Resuscitation: A Critical Discussion49:18 Pulse and Rhythm Checks: A Critical Discussion54:55 Understanding PEA: Causes and Management Strategies01:01:31 Exploring Treatment Options for PEA and Pseudo-PEA01:08:18 The Role of Technology in Resuscitation: Ultrasound and Beyond01:13:10 Concluding Thoughts: The Future of Cardiac Arrest Management

Summary generated by RIVERSIDE AI: In this conversation, Mustafa Sidik and Josh Cooke sit down with Kenny Barajas discuss the implications of the ZODIAC trial (linked below), which investigates the effects of head positioning on stroke patients awaiting thrombectomy. They explore the trial's findings, limitations, and the importance of research literacy in emergency medical services (EMS). The discussion emphasizes the need for caution in changing EMS protocols based on new research and highlights the significance of the NIH stroke scale in assessing stroke severity. Overall, the conversation underscores the importance of evidence-based practice in stroke care and the need for further research before implementing new guidelines.Chapters00:00 Introduction to Stroke Expertise03:09 Exploring the Zodiac Trial09:25 Implications for EMS Practice13:21 Limitations of the Zodiac Study17:24 Research Methodology and Findings26:41 Critical Analysis of Research Implications32:27 Conclusions and Future DirectionsLINK TO THE PAPER: https://jamanetwork.com/journals/jamaneurology/fullarticle/2835054

Summary generated by Riverside AISummaryIn this episode, Mustafa sits down with Dr. Deb Stein, a trauma surgeon and neurointensivist, discusses her unique pathway in trauma surgery, emphasizing the importance of collaborative care in managing patients with brain injuries. She explains the complexities of brain anatomy, the Monroe-Kelly doctrine, and the significance of cerebral perfusion pressure. The discussion also covers the types of brain injuries, pre-hospital management strategies, and the critical roles of oxygenation, blood pressure management, and temperature regulation in patient outcomes. Dr. Stein highlights the need for improved engineering solutions in medical equipment, particularly cervical collars, to enhance patient care. This conversation delves into the complexities of managing traumatic brain injuries, focusing on seizure prophylaxis, hyperosmolar therapy, and surgical interventions like decompressive craniectomy. The discussion also highlights the emotional toll on healthcare providers and families, the challenges of prognostication, and the future of head injury management, emphasizing the importance of patient-centered care and the potential of technology in preventing injuries.Chapters00:00 Introduction to Dr. Deb Stein03:08 Unique Pathways in Trauma Surgery05:32 The Role of Trauma Surgeons in Patient Care08:25 Understanding Brain Anatomy and Function11:10 The Monroe-Kelly Doctrine Explained14:09 Cerebral Perfusion Pressure and Its Importance16:54 Primary vs. Secondary Brain Injury20:17 Management of Head Injuries in Pre-Hospital Settings23:02 Airway Management in Traumatic Brain Injury27:46 Hypoxia and Its Impact on Brain Injury34:56 Understanding Blood Pressure in Brain Injury Patients37:46 The Role of Pressors and Fluid Management39:29 The Importance of Plasma in Trauma Care42:12 Temperature Management in Brain Injury44:47 Cerebral Venous Drainage and Patient Positioning48:39 Seizure Prophylaxis in Traumatic Brain Injury51:08 Hyperosmolar Therapy and Its Applications56:53 Surgical Interventions: Decompressive Craniectomy01:02:22 Understanding Brain Injury Outcomes01:08:23 The Glasgow Coma Scale Explained01:14:22 Defining Coma and Patient Awareness01:17:45 The Emotional Toll of Brain Injury01:25:01 Future Directions in Head Injury Management

Summary generated by Riverside AISummary: In this episode, members of the R Adams Cowley Shock Trauma Center sit down with Cody & Mustafa Sidik to discuss the complexities of managing blunt force trauma patients. The conversation covers the importance of initial assessments, team dynamics, and the need for consistent protocols in trauma care. The team emphasizes the significance of communication and support among healthcare professionals to ensure optimal patient outcomes. Through case studies, they explore real-life scenarios that highlight the challenges and strategies in trauma management. In this conversation, the speakers discuss critical aspects of emergency medical procedures, focusing on needle decompression techniques, the importance of effective EMS reporting, and strategies for managing traumatic brain injuries in the field. They also explore the use of pelvic binders and external tourniquets in trauma care, emphasizing the need for proper training and communication among medical teams.Keywordsblunt force trauma, trauma management, emergency medicine, trauma team dynamics, patient assessment, airway management, trauma cases, communication in healthcare, trauma care protocols, trauma center, needle decompression, thoracotomy, EMS report, traumatic brain injury, pelvic binders, external tourniquets, pre-hospital care, emergency medicine, paramedics, medical educationChapters00:00 Introduction to the Shock Trauma Team02:38 Understanding Blunt Force Trauma05:33 Initial Assessment and Priorities in Trauma Care07:19 Airway Management in Blunt Trauma09:52 The Importance of Consistent Protocols14:20 Training and Team Dynamics in Trauma Care18:35 The Role of Experience in Trauma Response25:20 Building Trust and Communication in Emergency Settings28:51 Building a Culture of No Retribution34:35 Teamwork in High-Stress Situations35:22 Initial Management of Trauma Cases43:54 Landmarks for Needle Decompression48:40 Finger Thoracostomy vs. Needle Decompression53:33 The Importance of Effective Communication in Reports55:18 The Importance of Effective Communication in EMS57:21 Case Study: Managing Severe Traumatic Brain Injury01:03:32 Medication Choices for Head Injuries01:08:35 Managing Intracranial Pressure and Ventilation Strategies01:18:58 The Role of Pelvic Binders and External Tourniquets

Summary generated by Riverside AISummaryThis conversation delves into the National EMS Advisory Council (NEMSAC), its structure, function, and the recent challenges it faces. The speakers, Brendan Hayden and Tom Arkins, share their experiences and insights on the importance of NEMSAC in advocating for EMS at the federal level, the advisory process, and the impact of recent changes in governance. They emphasize the need for grassroots advocacy and the role of EMS professionals in shaping the future of the industry. The group also stresses the importance of groups such as the NEMSAC, along with the Federal Office of EMS, reaching out directly to EMS clinicians to make their work, and value, known. Chapters00:00 Introduction to NEMSAC and Its Importance02:10 Understanding NEMSAC and FICOMS07:45 The Role of NEMSAC in EMS Advocacy10:04 The Impact of Federal Regulations on EMS11:24 Grassroots Efforts and Local Changes12:47 The Structure and Function of NEMSAC19:40 The Advisory Process Explained23:39 Recent Changes and Challenges for NEMSAC27:54 Executive Orders and NEMSAC's Future35:07 Advocacy and the Future of EMS35:32 The Importance of Advocacy in EMS36:48 Evolving Communication in EMS37:15 Challenges of Federal Advisory Councils39:41 Addressing Misconceptions in EMS40:20 The Role of Social Media in EMS Awareness43:50 The Need for Transparency in EMS44:59 The Role of EMS Providers in Advocacy49:29 Future of NEMSAC and EMS Leadership54:09 The Impact of Federal Downsizing on EMS54:35 Counting EMS Professionals Accurately59:10 Closing Thoughts on EMS Advocacy and Future Directions

Summary generated by Riverside AIIn this episode, Mustafa and Cody reconnect after a brief hiatus to discuss the complexities of managing Congestive Heart Failure (CHF) in emergency settings. They emphasize the importance of medical directors, the pathophysiology of CHF, and the critical role of CPAP and nitrates in treatment. Through a case study, they explore practical management strategies and the controversies surrounding the use of Lasix. The conversation highlights the need for early recognition and tailored interventions in CHF management.TakeawaysThe importance of maintaining relationships with medical directors.Understanding the pathophysiology of Congestive Heart Failure (CHF) is crucial for effective management.CPAP is a vital tool in treating CHF, providing both preload and afterload reduction.Nitrates can significantly improve patient outcomes in CHF when used correctly.Early recognition of CHF symptoms can lead to better management strategies.Lasix use in emergency settings is controversial and requires careful consideration.Patient comfort and cooperation are essential when applying CPAP.The role of technology, like nasal capnography, can enhance patient assessment.Effective communication with patients can improve their experience during treatment.Continuous education and adaptation of practices are necessary in emergency medicine.Chapters00:00 Reconnecting After a Hiatus01:58 Exploring Congestive Heart Failure09:27 Understanding CHF Physiology and Terminology18:36 Diving into SCAPE and Its Implications24:11 Preload and Afterload: Key Concepts in CHF Management24:47 Understanding Fluid Overload and Hemodynamics27:43 The Role of CPAP in Patient Management36:40 Nitrates: Mechanism and Importance in CHF48:08 Initial Management of Heart Failure Patients49:54 Effective CPAP Application Techniques53:58 Nitrates and CPAP: A Balancing Act58:30 Exploring the Role of Lasix in Heart Failure Management01:04:09 Advanced Pharmacological Approaches in Emergency Care01:08:38 Distinguishing Between CHF and COPD in Emergency Settings

Summary Generated by Riverside FM AIIn this conversation, Mustafa Sidik, Josh and Carl discuss the intricacies of the healthcare system in Norway, focusing on the role of paramedics and the structure of ambulance services. Carl shares his journey from technician to advanced paramedic practitioner, highlighting the evolution of paramedic education and the importance of higher education in the field. The discussion also touches on the challenges and opportunities in EMS research, the cultural perceptions of paramedics, and the need for collaboration and change within the profession.Keywordsparamedic, healthcare system, Norway, EMS education, ambulance services, critical care, paramedic training, research in EMS, paramedic leadership, international perspectivesChapters00:00 Introduction to Carl's Background03:07 Healthcare System in Norway05:28 Ambulance Services and Their Structure07:49 Paramedic Training Evolution in Norway10:29 Advanced Life Support and Critical Care12:56 The Shift to Bachelor's Degree Programs15:14 Challenges in Rural EMS17:29 Cultural Perspectives on Paramedicine20:08 Norwegian Higher Education System22:27 Coursework in Paramedic Programs25:15 Research Literacy in Paramedic Education36:32 Understanding EMS Certification and Licensure40:31 The Variability of EMS Standards Across States42:18 The Role of Higher Education in EMS46:22 Research and Development in Paramedicine51:21 The Need for EMS-Led Research54:44 Advancements in Critical Care Paramedicine58:00 Union Representation in EMS01:05:05 The Future of Paramedicine: Collaboration and Change

Summary generated by Riverside FM AISummaryThis conversation explores the evolution of emergency medical services (EMS) through the personal journey of Steve Proctor, a retired flight paramedic with the Maryland State Police. It delves into the historical context of EMS, the impact of media on career choices, the role of medical directors, and the advancements in training and protocols. The discussion highlights the challenges faced by EMS providers, particularly in urban environments, and the integration of new technologies in the field. Proctor reflects on the importance of understanding the roots of EMS and the ongoing evolution of the profession. In this conversation, Steve Proctor and Mustafa Sidik discuss the evolution of paramedic education, the importance of critical thinking, and the challenges faced by paramedics in the field. They explore the need for higher education standards, the blurring lines between EMT and paramedic roles, and the significance of mentorship in shaping future educators. Additionally, they delve into the unique aspects of tactical medicine and the impact of continuing education on patient care.TakeawaysThe TV show 'Emergency!' inspired many to pursue EMS careers.Early EMS was often run by funeral homes and lacked coordination.The introduction of ALS transformed emergency medical care.Medical directors play a crucial role in shaping EMS protocols.The evolution of training has led to more advanced techniques in EMS.Historical context is essential for understanding current EMS practices.The Red Cross has been pivotal in early first aid training.Urban environments present unique challenges for EMS providers.Aviation medicine has advanced significantly in recent years.The future of EMS will continue to evolve with new technologies. Continuing education is essential for EMS providers.The journey into education can be unexpected but rewarding.Critical thinking is crucial for paramedics.Repetition is key to instilling knowledge in students.Higher education standards are needed in paramedicine.The roles of EMTs and paramedics are becoming blurred.Mentorship plays a significant role in professional development.Tactical medicine involves more than just treating injuries.Education is vital for improving patient care.Paramedics must stay updated on both medical and law enforcement skills.Chapters00:00 The Journey into EMS: Early Influences05:39 The Role of Media in Shaping EMS Perception10:54 The Impact of the Hart Mobile and ALS Development15:51 The Importance of Historical Context in EMS Training21:05 The Role of Red Cross in EMS Education25:55 Early Experiences in Emergency Medical Services31:28 Transitioning to Paramedic Roles37:59 The Evolution of MSP and Trauma Care48:12 Influential Figures in Emergency Medicine54:12 Transitioning into Education: A Personal Journey01:01:02 Defining Clinicians vs. Technicians in EMS01:06:45 The Need for Standardized Education in EMS01:13:53 Effective Teaching Strategies and Approaches01:18:55 Exploring Controlled Substances in Emergency Medicine01:24:00 Education and Training in Paramedicine01:35:17 Insights into Tactical Medicine01:45:04 The Impact of Mentorship in EMS

In this episode, Josh & Mustafa sit down with Joe Graw, Chief Growth Officer for Imagetrend, to discuss various topics related to EMS documentation as it has evolved over the years.

In this discussion, Ken & Mustafa sit down with Rachael Belcher to discuss various topics related to EMS & mental health.Check out the book she just published below:https://a.co/d/73dbbEd

In this conversation, the Alert Medic 1 team is joined by the Okayest Medic Podcast host to discuss the 2025 guidelines for managing patients with acute coronary syndromes (ACS). They emphasize the importance of understanding clinical practice guidelines, the levels of evidence behind recommendations, and the critical role of patient history and assessment in emergency medical services (EMS). The discussion covers the significance of serial EKGs in detecting dynamic changes in cardiac patients, the appropriate use of oxygen therapy, and strategies for managing high-risk patients. The team highlights the need for effective communication with receiving hospitals and the importance of continuous education in improving patient care. In this conversation, the speakers delve into critical aspects of emergency cardiac care, focusing on the use of epinephrine in life-threatening situations, the significance of troponin levels in diagnosing myocardial infarctions, and the importance of posterior EKGs in identifying STEMIs. They also discuss pain management strategies, particularly the use of nitroglycerin versus fentanyl, and emphasize the need for clinical judgment in assessing chest pain. The discussion culminates in a series of insights and recommendations for emergency medical professionals.

Mustafa Sidik sits down with Dr. Jennifer Anders to discuss recent pediatric changes in the Maryland EMS prtocols, focusing on intraosseous access techniques, updates to dexamethasone administration, the implementation of enhanced CPR with ECMO, and the considerations for cardioversion in pediatric patients. The discussion emphasizes the importance of adapting protocols to improve patient outcomes and the need for ongoing education in emergency medical services.

SummaryThis conversation covers the 2025 protocol updates in Maryland EMS, focusing on significant changes in trauma care, sepsis management, alcohol withdrawal protocols, hypertensive disorders in pregnancy, submersion and drowning protocols, and the introduction of video laryngoscopy and high-performance CPR. The discussion emphasizes the importance of timely interventions, the evolving nature of EMS protocols, and the need for continuous education and training for EMS professionals.

Mustafa Sidik sits down with paramedic student Ben Gallagher to discuss various topics related to paramedic education and EMS systems.

This conversation explores the experiences and insights of paramedic students at UMBC, discussing their educational journey, the importance of EMT experience, essential skills for success, and the challenges of managing stress in the field. The speakers emphasize the significance of effective instructors and preceptors in shaping their learning experience, as well as the need for mental health support in the demanding field of emergency medicine. In this conversation, the speakers discuss the importance of teaching and learning in the paramedic field, the various career opportunities available, and the emotional challenges faced by paramedics. They delve into the concept of imposter syndrome, sharing personal experiences and strategies for managing stress and anxiety in high-pressure situations. The discussion emphasizes the value of mentorship, continuous learning, and the need for emotional resilience in the EMS profession.

This conversation provides a detailed recap of day 2 of the FAST25 conference, highlighting key insights from various lectures. The speakers discuss the evolving landscape of emergency medicine, focusing on the effectiveness of different medications in cardiac arrest scenarios, the importance of early interventions, and the need for improved airway management techniques. Additionally, the conversation emphasizes the significance of mental health in clinical practice and the necessity of building resilience among emergency service providers.

SummaryThis conversation reflects on the key insights and discussions from Day One of the FAST 25 conference in Lexington, Kentucky. Listen as Josh and Cody delve into various topics including the importance of patient positioning for oxygenation, the need for simplification in airway management, overcoming fear in pediatric emergencies, and the challenges of adhering to guidelines in emergency medical services. They also discuss the complexities of traumatic cardiac arrest and the role of vasopressors in trauma care, emphasizing the need for innovation and continuous improvement in medical practices.

SummaryIn this episode, Dr. Mike Winters discusses the critical aspects of resuscitation leadership, emphasizing the importance of preparation, team dynamics, and effective communication during emergency situations. The conversation covers the three buckets of preparation, the roles of team members, and the significance of debriefing after resuscitation efforts. Dr. Winters shares practical strategies and mnemonics to enhance leadership skills in resuscitation scenarios, ultimately aiming to improve patient outcomes.Keywordsresuscitation leadership, emergency medicine, team dynamics, CPR, patient outcomes, emergency response, medical education, simulation training, communication skills, debriefingChapters00:00 Introduction to Resuscitation Leadership10:09 The Importance of Preparation18:01 Mental Readiness and Visualization Techniques24:52 Team Dynamics and Role Assignment35:27 Creating a Psychologically Safe Environment40:19 The Importance of Simulation in Training45:16 Adapting to Variable Environments for Resuscitation48:33 The Primary Survey and Team Leadership in Resuscitation57:45 Effective Communication During Resuscitation01:11:55 The Critical Role of Debriefing After Resuscitation01:21:30 Communicating with Families During Difficult Moments

This is a recording of Josh Cooke's lecture at the 2025 R. Adams Cowley Shock Trauma Center EMS Conference. Josh delves into the evolving approach to trauma care, emphasizing the importance of a clinician's perspective in managing trauma effectively. It covers the MARCH algorithm, the critical role of tourniquets, the challenges with commercial tourniquets, innovative techniques for application, the proper use of chest seals, and the debate between needle decompression and finger thoracostomy. Additionally, it highlights advancements in hypothermia management, advocating for better practices in emergency medical services.