Guest Authors: Dr. Frank Guyette & Dr. Josh Brown

Manuscript: https://pubmed.ncbi.nlm.nih.gov/30998533/

Hemorrhage is the leading cause of preventable death following injury. Large volume crystalloid resuscitation, the traditional prehospital intervention, may cause harm.  In this podcast, we discuss the benefits of prehospital packed red blood cells (PRBCs), plasma, or transfusion of both products compared to crystalloids.

Prehospital Blood Product and Crystalloid Resuscitation; Guyette et al. (PCRF Clinical - Mar 2021)

A&E's first responder favorite, Nightwatch, is back in the Big Easy for a new season that premieres March 25. In this special EMS World podcast, New Orleans EMS cast veterans Titus Tero and Holly Sherman join host Mike McCabe to discuss how filming has gone, the challenges of fame, and their role as EMS ambassadors. Share their insights before you catch the show! Sponsored by Braun Ambulances. 

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Nightwatch Returns to New Orleans

EMS providers often have uneasy relationships with their infusion pumps. How can they be better? In the latest EMS World podcast, host Mike McCabe speaks with L.J. Relle, a veteran paramedic and clinical consultant for Eitan Medical, about the attributes needed in a pump that's truly EMS-friendly. Sponsored by Eitan Medical. 

Follow EMS World (EMSWorldOFCL) on Twitter, Facebook, Instagram, and LinkedIn. EMS World Expo is live and in person Oct. 4–8, 2021 in Atlanta!

Infusion Pumps for EMS

Concerts and mass gatherings are reemerging, but in light of recent tragedies, the planning process for these events has evolved. In this episode Andrew Caruso, president of 503 Safety Consultants and safety officer for the New Jersey EMS Task Force, speaks with EMS World Podcasts host Mike McCabe about how event medicine has changed and how a more comprehensive and integrative planning process is necessary to be fully prepared. 

Follow EMS World (EMSWorldOFCL) on Twitter, Facebook, Instagram, and LinkedIn. EMS World Expo 2022 is October 10–14 in Orlando!

Event Medicine: Plan for the Best, Prepare for the Worst

Guest Authors: Dr. Matthew Harris & Dr. Lorin Browne

When it comes to injured children, pain is often underassessed and undertreated in the prehospital setting, but what effect does this have on ED care? In this study, the authors describe how prehospital analgesia influenced ED pain scores and the timing and dosing of ED analgesia.

EMS Pain Management and ED Management of Injured Children; Harris et al.(PCRF Clinical-Dec 2021)

In the last month, five EMS providers have been terminated and two of them were charged with murder as a result of treatment provided to patients. EMS is under the microscope and significant changes are coming.

In this sobering yet essential podcast, host Mike McCabe speaks with Peter Antevy, MD, pediatric emergency physician and EMS medical director for several Florida fire-rescue services, and Steve Wirth, founding partner of EMS law firm Page Wolfberg & Wirth, to analyze the ramifications of these cases and the crossroads at which EMS stands.

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EMS Indictments, Terminations, and the Need for Culture Change

The shortage of new ambulances being produced continues to pose a challenge for EMS agencies nationwide. One option that isn’t new but has been getting renewed attention is ambulance remounts. What exactly does this entail?

Mark Van Arnam is president of REV Group and oversees the Horton, AEV, Leader, Wheeled Coach, and Road Rescue lines. Here he speaks with Mike McCabe to demystify the remount process and how it can help your service keep its fleet going in challenging times.

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Demystifying Ambulance Remounts: A Key Solution to the Vehicle Crisis

Palm Beach County (FL) Fire-Rescue is not hesitant to challenge traditional paradigms, push the envelope and put progressive policy changes into action. But data drives the decisions. In this high-speed, cutting-edge conversation with two of his favorite guests—Chief Charlie Coyle and Dr. Peter Antevy—Mike McCabe learns about Palm Beach County’s process for integrating emerging evidence and the top 5 protocol changes you should consider in your agency today.

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The 5 Protocol Changes You Are Too Scared to Make

During EMS World Expo 2023 in New Orleans, keynote presenters Drs. B. Woods Curry and Jason McMullan of the University of Cincinnati College of Medicine presented “A Shock Heard Round the World: Important Lessons for EMS Providers in the Wake of the Damar Hamlin Resuscitation” to thousands of attendees. The presenters described lessons learned from the high-profile response to an NFL player’s collapse on the field during a Monday Night Football game.

Mike McCabe caught up to Drs. Curry and McMullan later in the day to get their thoughts on the conference, the reaction to their keynote address, and the messages they hoped to convey to their audience.

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Live From Expo 2023: Drs. Woods Curry and Jason McMullan on the Damar Hamlin Resuscitation

EMS World Expo 2023 in New Orleans was buzzing with activity, and the “voice of EMS World” Mike McCabe was at the center of the action as usual.

In this episode direct from the exhibit hall floor, McCabe sits down with two esteemed friends—Chief Charlie Coyle and Dr. Peter Antevy from Florida—for a hard-hitting discussion on "wall time" in EMS. What can be done to combat this strain on EMS resources?

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Live From Expo 2023: Peter Antevy and Charlie Coyle on the Wall Time Problem

Responding to large-scale incidents depends on timely and dependable communications infrastructure, even in the most challenging of scenes.

Mike McCabe sits down with Verizon Frontline's vice president of public safety to discuss the significance of recently released survey findings that spotlight the communication needs of first responders. The first installment of our new Executive Interview series brought to you by Verizon Frontline.

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Cory Davis on the Present and Future of First Responder Communications

A career in EMS is physically, mentally and emotionally taxing—and can place tremendous strain on relationships and health. Are there life habits that can overturn the exhaustion and heal broken consciousness?

In this powerful and hard-hitting episode, Mike McCabe sits down with an EMS captain who shares her candid account of hitting rock bottom—and how you can follow her strategies to come back stronger than ever.

Read the companion article to this podcast at https://www.hmpgloballearningnetwork.com/site/emsworld/feature-story/nervous-system-resuscitation-first-responders

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Nervous System Resuscitation for First Responders

EMS World Expo celebrated its 35th anniversary in New Orleans in September 2023, and the best and brightest in the profession were there for the festivities as always. But this year had extra tangible energy among the attendees, the presenters and the exhibitors.

EMS World Editorial Advisory Board Member Rob Lawrence has been integral to the continued growth, momentum and prominence of the event through the years. In this interview recorded on the Expo floor, Rob talks with podcast host Mike McCabe about the origins, evolution and future of what he calls “the biggest and the best EMS conference in the country, if not the world.”

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Rob Lawrence on the 35th Anniversary of EMS World Expo

Sometimes in EMS, we overlook the importance of a safe and reliable vehicle to transport ourselves and our patients. The ambulance serves as a fast-track transport device, trauma bay, and code room all under one roof and on top of four wheels. Deciding how to outfit your fleet can be a daunting process with significant consequences to patient care and staff performance—not to mention how your service is perceived by the public.

In this episode sponsored by Medix, Mike McCabe sits down with two seasoned EMS leaders—John Smith, CEO of UT Health East Texas EMS, based in Tyler, TX, and Clay Hobbs, COO of Pafford Medical Services, with EMS operations across multiple states and the U.S. Virgin Islands—to discuss models, designs, and features desired by today’s prehospital personnel and the communities they serve.	

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Beyond the Sirens: Exploring First Responders' Essential Ambulance Requirements

How do you get the most out of your ambulance fleet while ensuring the highest-quality patient care, especially when funding and resources are stretched thin?

Host Mike McCabe sits down with Matt Hart, division chief of logistics for Washington County Ambulance District in Missouri, to learn success stories from his unique agency and service area. 

Brought to you by Demers Ambulances, featuring the all-new eFX Ambulance: a reimagined ambulance with never-before-seen clinical design including revolutionary new FX Action Seats.

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A Shift in Paradigm: Transforming EMS Ambulances for Better Patient Care

Mobile integrated healthcare and community paramedicine continue to evolve daily. And these rapid advancements often lead to questions and confusion.

EMS World’s Mike McCabe sits down with Jeanine Newton-Riner, EdD, MHSA, RRT, EMT-P, CP-C, lead faculty for fire and emergency medical services for Columbia Southern University, to gain some clarity and guidance around getting yourself fully prepared to offer optimal MIH-CP services to your community.

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Delivering Optimal Community Paramedicine Services

Despite their variety of backgrounds, certifications and areas of expertise, the Verizon Frontline Crisis Response Team galvanizes behind a single mission when disaster strikes. Their first and primary objective is to restore network connectivity amid the worst of conditions so their partners in medical response, law enforcement and emergency operations can do their jobs.

“Verizon Frontline has basically built a 30-year partnership with public safety from the ground up, by meeting their unique and evolving needs,” says Jason Mitchell, associate director of the Verizon Frontline Crisis Response Team. “And we do that by having conversations with them consistently, finding out what's top of their mind, and what keeps them up at night.”

Host Mike McCabe sits down with Mitchell to learn more about this unique team and the critical work they do in damaged communities.

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Jason Mitchell on Mission-Critical Communications

Data-driven research might sound like a dry topic, but according to podcast host Mike McCabe it’s “the way we are going to progress as a profession.”

In our newest episode of EMS World Podcasts, McCabe sits down with Peter Antevy, MD, CEO and founder of Pediatric Emergency Standards and EMS medical director for several Florida agencies, and Charles Coyle, division chief at Palm Beach County Fire Rescue, to learn more about why research in EMS matters.

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Data-Driven Research: ‘The Way We Are Going to Progress as a Profession'

May 2018 EMS World article here: https://www.emsworld.com/article/220366/trip-report-paramedic-learning-styles

Paramedic Learning Style Preferences & CME Activities: Staple, et al - PCRF Education Journal Club

Sept. 2018 EMS World article here: https://www.emsworld.com/article/221172/pcrf-research-alert-test-enhanced-learning

Test-Enhanced Learning: Green, et al. - PCRF Education Journal Club

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-018-1356-2

Peer Teacher Training For Health Students: Burgess, et al - PCRF Education Journal Club

July 2019 EMS World article here:
https://www.emsworld.com/article/1222946/journal-watch-standard-vs-compression-only-cpr-survival

Survival After CPR With Chest Compressions Only: Riva, et al - PCRF Journal Club

Aug. 2019 EMS World article here: https://www.emsworld.com/article/1223053/journal-watch-prehospital-txa-trauma

Prehospital Administration of TXA In Trauma Patients: El-Menyar, et al - PCRF Journal Club

June 2019
https://www.physiology.org/doi/full/10.1152/advan.00199.2018

Active Learning Strategies and Student Outcomes: Sinnayah, et al - PCRF Education Journal Club:

EMS World Editorial Director Jonathan Bassett interviews members of the Princess Anne Courthouse Volunteer Rescue Squad about their recent EMS World Expo Award of Excellence: the 2019 Zoll Volunteer EMS Service of the Year. They also discuss how the squad has remained resilient after a mass shooting in their response area.  https://www.emsworld.com/article/1223272/commitment-excellence-meet-2019-national-ems-awards-excellence-winners

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Team Resiliency in Wake of Mass Shooting

Using Journal Clubs To Introduce Students To Research: Maloney, et al. - PCRF Education Journal Club

How can EMS help the family after a child dies? Peter Antevy, a pediatric emergency medicine physician and EMS medical director interviews Captain Adrian Castro, who ran the tragic scene in Palm Beach County mentioned in this Jan. 1 article.  Peter also interviews Jason Turchin, a victims' rights attorney who has vast experience in cases like these.  

Follow EMS World on Twitter and Facebook, and Instagram.  EMS World Expo will be held Sept. 14-18, 2020 in Las Vegas!

The Death of a Child: Supporting the Family

EMS World is asking first responders and healthcare workers who have been diagnosed with COVID-19 to talk about their experiences battling the virus. 
Associate Editor Valerie Amato speaks with emergency registered nurse Emily Cornpropst, who treated one of the first COVID-positive patients in the state of Indiana at Franciscan Alliance in Indianapolis. After fighting and recovering from the virus, Emily shares her advice for other front line providers facing the COVID-19 crisis.
Check out other stories from the series “When COVID-19 Hits Home” at https://www.emsworld.com/article/1224297/when-covid-19-hits-home-fighting-fear-with-facts-coronavirus. A pediatric EM physician shares his harrowing experience being hospitalized for COVID-19 complications. An EMS provider reports on their roller coaster of life-threatening symptoms fighting this invisible enemy, and another EMT recounts what it takes to counter fear during the course of her illness.

If you or someone you know in the field has a story to share about contracting COVID-19, email us at editor@emsworld.com. Your story will remain anonymous if you so choose.

When COVID-19 Hits Home: The Fine Line Between Fear and Caution

Journal Watch Article: https://www.emsworld.com/article/1224536/journal-watch-pediatric-cpr-emergency-department-handoff

Manuscript: https://pubmed.ncbi.nlm.nih.gov/32299822/
Guest Moderator: David M. Williams, PhD
Guest Authors: Erin Hoehn, MD & Mary K. Cabrera, RN, BSN

In this episode, PCRF panelists and quality improvement expert, Dr. Dave Williams, interview study authors on their work related to CPR during EMS handoff at the ED. Using improvement science, the investigators decreased interruptions in chest compressions.

Enhancing CPR during Transition to ED: Hoehn et al. (PCRF Journal Club-May 2020)

Manuscript: https://pubmed.ncbi.nlm.nih.gov/33041114/
Guest Authors: Dr. Bryan Wilson, Dr. Natalie Akers, and Dr. Rebecca Jeanmonod

Can a simple EtCO2 measurement serve as a predictor of transfusion in trauma patients? This retrospective study found higher EtCO2 values for patients who died or needed transfusion compared to those who did not.

Prehospital EtCO2 as an Early Marker For Transfusion: Wilson et al. (PCRF Journal Club-Oct 2020)

Ann Hirschman is a founding member of the group of healthcare providers known as street medics.  She has a rich history of helping patients in various protests and gatherings, including working at Stonewall and Wounded Knee, beginning in the 1960s.  Join host Mike McCabe as Ann details the origins of street medics and their training:  "Our job is to be where EMS can't."  Read the accompanying article here: /article/1225374/guerillas-mist-what-ems-should-know-about-street-medics

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The "Grandmother" of Street Medics: Ann Hirschman

Manuscript: https://pubmed.ncbi.nlm.nih.gov/33278521/
Guest Author: Dr. Henry Wang

Does EMS first pass success for ETI or supraglottic placement affect cardiac arrest patient outcomes? Hear about the latest work from prehospital airway research guru and Editor-in-Chief of JACEP Open, Dr. Henry Wang, on the Pragmatic Airway Resuscitation Trial. 

Additional resource: The Plateau Point
https://pubmed.ncbi.nlm.nih.gov/29983393/

Airway Insertion First Pass Success and Outcomes in OHCA: Wang et al. (PCRF Clinical - Jan 2021)

Eventually we face the reality that there is absolutely nothing optional about coping with death. EMS providers will never overcome being uncomfortable with the death notification skill as long as we ignore the need for it. Alexandra Jabr, EMT-P, is the creator of Emergency Resilience, LLC and the course “Death Communication for First Responders: How to Deliver Unfortunate News.” In this month's first podcast she speaks with host Mike McCabe about this neglected portion of our training and its impacts. Don't miss the associated print article, “Death Communication—What We've Failed to Teach.”

Follow EMS World (EMSWorldOFCL) on Twitter, Facebook, Instagram, and LinkedIn. EMS World Spring is March 3–5, and EMS World Expo is Oct. 4–8, 2021 in Atlanta!

Death Communication: The Forgotten Skill

EMS World is a brand in the Emergency Medical Services (EMS) field, which includes EMS World magazine, EMSWorld.com, EMS World Expo and EMS World Americas.   Content focuses on clinical care, systems operation, funding, research and other aspects of the prehospital emergency care profession.

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