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Talks on non-invasive ventilation, intubating the child and intubating the adult. This podcast does not reflect the views of John Stroger Hospital, Cook County Human Health Services or the Stroger Emergency Medicine Residency.

Airway, Airway, Airway (non-invasive ventilation, intubating the child and intubating the adult)

Sometimes, a non-rebreather mask is not sufficient for preoxygenation.  We discuss airway and oxygenation tips and tricks that will blow your mind -- or nostrils.

CritMedic - Episode 6 - Oxygenate Differently

We discuss a critical care scenario involving the management of a patient in DKA.

CritMedic - Episode 14 - Scenario: The DKA Patient

Is Dextrose giving our patients a chance at achieving sweet ROSC? Or consigning them to a sugary grave?

CritMedic - Episode 16 - Getting Sweet ROSC?

Discussion of errors in medical decision making that are linked to bad patient outcomes in abused children. Discussion of how do we change the narrative in society and the within the medical community to get people excited about tackling the issues of abuse.

Dr. Mary C. Pierce on Infant Bruising and Child Abuse

Hyperkalemia can send our patients to cardiac arrest in an instant.  Casey Patrick and Jordan Anderson begin with some background physiology review on the importance of potassium to cellular function.  They then move on to describing specific patient characteristics and ECG findings found in patients with hyperkalemia, and close with MCHD’s current protocol to preemptively treat these patients en route to the hospital.

PDF Summary: https://www.mchd-tx.org/wp-content/uploads/2022/09/MCHDPP-04.pdf

Episode 4 - Hyperkalemia Management

Hypertensive Emergencies

With the blazing Texas summer just around the corner, we thought it would be appropriate to discuss heat related emergencies.  Dr. Patrick leads a discussion of the various terminology, physical exam findings, differential diagnoses and pre-hospital treatments for heat-illness.

Episode 11 - Summer Series 1: Heat Emergencies

Dr. Patrick is joined on this episode by Dr. Elizabeth Weinstein.  Elizabeth is a dual trained in Emergency Medicine and Pediatrics, and she delivers clinical pearl after clinical pearl on how to recognize and manage non-accidental trauma in the prehospital environment.

Resources:
http://www.identifychildabuse.org

Episode 18 - Pediatric Non-Accidental Trauma With Dr. Elizabeth Weinstein

Pregnancy complications make us all a little diaphoretic and tachycardic.  On this episode, Dr. Patrick and Dr. Dickson break down the must know aspects of caring for the obstetric patient prior to delivery in the EMS setting.  

References:
https://www.acog.org/Clinical-Guidance-and-Publications/Task-Force-and-Work-Group-Reports/Hypertension-in-Pregnancy

Episode 19 - OB Part I

Despite Dr. Patrick's fear, we're delivering the second installment of our Obstetrics series.  This is a potentially frightening topic that was actually requested by several MCHD medics.  Part one focused on emergencies encountered prior to delivery and part two progresses into difficult deliveries and the postpartum period.

References:
http://www.emdocs.net/the-complicated-delivery-what-do-you-do/
https://coreem.net/core/shoulder-dystocia/

Episode 41 - OB Part 2 - To Delivery and Beyond

Managing markedly elevated blood pressures has to be one of the most common EMS clinical dilemmas.  Dr. Dickson joins Dr. Patrick to help dispel some long-standing and persistent hypertension management myths.  The concept of “end organ damage” is also introduced as a framework to properly identify those patients with elevated blood pressures who DO warrant emergent treatment in the prehospital setting.

Episode 45 - Hypertensive Emergencies - To Treat Or Not To Treat

This episode takes us back to the basics of COPD pathophysiology and treatment.  Dr. Dickson and Dr. Patrick start with the differential diagnosis of wheezing and move through the escalating COPD treatment options.   We then close with a review of common abnormal breath sounds and set the stage for COPD Part 2 which will be coming soon.

References:
1.     http://citeseerx.ist.psu.edu/viewdoc/download doi=10.1.1.624.2777&rep=rep1&type=pdf
2.     Ram, et al. NIPPV for treatment of respiratory failure due to exacerbations of COPD. Cochrane Database Syst. Rev. 2004
3.     https://www.easyauscultation.com/lung-sounds

Episode 48 - Back To The Basics - COPD Part I

Vi har været på besøg hos børnelægen Tim Kristensen for at optage en sommer føljeton om pædiatri. Tim er overlæge på Herlev hospitals børneafdeling. Han har undervist på Ambulancebehandler uddannelsen på Cames Herlev siden den startede og var med helt til slutningen i år (2019). Vi har derfor besøgt Tim for at få en snak om vurderingen af det akut syge barn, og hvad der er anderledes end ved voksne. Vi forsøger at få svar på på myter og andre faldgrupper. Ud over denne episode kommer tre mere. End om anafylaksi, en om kramper og til sidst en om meningitis.

Vurderingen af det akut syge barn | Ep. 25

I denne fjerde og sidste episode af vores børne føljeton, snakker vi igen med børnelæge og Hall of FOAMer Tim Kristensen fra Herlev Hospital. Denne gang vender vi hvad der er op og ned på Meningitis hos børn. 

Tak til Tim for hans enorme bidrag til FOAM kulturen.

Meningitis hos børn | Ep. 29

I denne episode af FOAMmedicPHARMA serien taler vi om Acetylsalicylsyre. Det kan virke kedeligt at skulle gennemgå et medikament som har en fast dosis og alle skal have hvis de har mistanke om AKS. Men, en af de mest fantastiske ting ved at arbejde i ambulancetjenesten er når man kan se effekten eller ved at effekten er afgørende af den behandling vi giver vores patienter. Derfor er det også væsentligt at vide noget om de medikamenter som faktisk gør størst forskel for patienterne, også selvom de ikke fremstår som de mest spændende at administrere. 
 De færreste ved nemlig at store studier viser at vi øger overlevelsen med op til 50% ved at give ASA.  50%!!! Det er der ikke mange andre medikamenter der kan prale af.

genhør

Christian