The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.…

The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.Door University Hospitals of Cleveland EMSi

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode. This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demon…

The podcast is on the road at Kent Fire Department. Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!Door University Hospitals of Cleveland EMSi

As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…

This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?Door University Hospitals of Cleveland EMSi

This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…

This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.Door University Hospitals of Cleveland EMSi

When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…

The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.Door University Hospitals of Cleveland EMSi

This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.Door University Hospitals of Cleveland EMSi

We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!Door University Hospitals of Cleveland EMSi

When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …

Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…

Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…

All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…

Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…

It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!Door University Hospitals of Cleveland EMSi

The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.Door University Hospitals of Cleveland EMSi

Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.Door University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!Door University Hospitals of Cleveland EMSi

Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.Door University Hospitals of Cleveland EMSi

To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.Door University Hospitals of Cleveland EMSi

Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.Door University Hospitals of Cleveland EMSi

An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.…

Anticipating shock helps to keep you ahead of the curve. Sure, it sounds apparent but, is it truly done? Then we move into one of the rare types of shock, neurogenic and anaphylaxis gets a mention.Door University Hospitals of Cleveland EMSi

Dr. Donald Spaner sits in with us for the month of November to talk all of the levels and types of shock. There's a lot to unpack in this episode! Assessment, prevention and treatment of. Cardiogenic shock Hypovolemic shock Anaphylactic shock Septic shock Neurogenic shock Distributive shockDoor University Hospitals of Cleveland EMSi

Dr. Hill, Scott, Ray and Caleb gather together to talk about some random peds, protocol, drug administration and airway notes from the previous episodes. Heparin administration is the opening chat then we move into airway evaluation, using protocols and helpful items like Broselow tapes. We even through in some documentation for refusal tips!…

Dr. Regina Yaskey joins us to discuss pediatric emergencies. Everyone knows that pediatric patients are not small adults. Dr Yaskey talks about the intricacies of assessing and treating pediatric patients. We talk about the pediatric assessment triangle, advanced airways, simple practices that have great impact, common and not-so-common calls, as w…

In part 3 of our pediatric discussion with Dr. Yaskey, we review various pediatric cases from which we can learn. The discussion includes pharmacology for airway issues, child protective services and how pediatric trauma is different from adult trauma.Door University Hospitals of Cleveland EMSi

The gang and Dr. Yaskey talk about a multitude of pediatrics skills, treatments and hacks! From anaphylaxis, to cuff or no-cuff on the endo tube to seizures and determining weight and drug dosages.Door University Hospitals of Cleveland EMSi

This month we meet Regina Yaskey, MD who has a specialty in pediatric emergency medicine as well as disaster medicine. In part 1, the talk is about the basics... the need for proper equipment and protocols as well as a state of mind.... confidence.Door University Hospitals of Cleveland EMSi

Jon Cameron, Paramedic / EMS Data Management Specialist joins us for a discussion on documentation and helping to tell the patient's story and report the care you provide. We discuss medical-legal issues, correct recording of treatments and medications, what to write in your narrative, when and how to call medical control, prehospital notifications…

When calling med control, making hospital notifications and at bedside, your communication needs to be effective.. succinct, informative and organized. Good documentation follows. What can be helpful in the future, is to stay at the E.D. and ask questions or, on a later call do follow-up. Remember, we're a team.…

Jon Cameron, EMT-P / EMS Data Management Specialist are talking more about documentation. Remember this phrase from all documentation presentation's? It is soooooooooooo true! And, while we all have access to the latest technology... such as automated documentation and data transfer security for you ePCR. What actually gets read at the receiving fa…

As we start talking about documentation, let's get the correct mindset. Writing a great chart every time is how you tell your story. Sure, medicolegally, there are implications to charting but think of writing a great chart as how you're passing along your story.. your patient treatment so that those on the rest of the treatment continuum can plan …

The panel takes your sports medicine questions live on Facebook and YouTube.Door University Hospitals of Cleveland EMSi

The First Response for Sports Trauma Course (FRST) is discussed. This is not a course about orthopedic injuries, etc. It is designed to provide first responders with the skills required to recognize, treat and transport athletes who become ill or suffer traumatic injury during sporting events, for conditions including cardiac arrest, heart arrhythm…

Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is still with us. We discuss being on the same page with the team trainers and event medical team... especially when talking about hyperthermia in athletes. The decision point is, transport or stay-and-play.... in ICE!Door University Hospitals of Cleveland EMSi

This episode, we are doing a deep dive into the concept of sport medicine, i.e. it is more than orthopedic issues. Dr. Robert Flannery from the UH Drusinsky Sports Medicine Institute is with us for this 4 part series.Door University Hospitals of Cleveland EMSi

Just like May, July has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We're going over a few protocol updates, talking steroids and dextrose concentrations. It's a practical review of some drug box items.

This month Dr. Ross Campensa from Aultman Hospital joined us for a discussion on new innovations in resuscitation and a look at what Green City Fire Department is doing with Heads Up CPR. Dr.

The crew, still with Dr. Ross Campensa from Aultman Hospital, continues to reimagine CPR and resuscitation methods including re-thinking the equipment preparation and organization. So much of the re-thinking is “basic.”Door University Hospitals of Cleveland EMSi

Dr. Ross Campensa continues the discussion of re-thinking CPR techniques including the Lucas Device, rescue pumps, etc. The Aultman EMS crews actually did story boards regarding various CPR scenarios.Door University Hospitals of Cleveland EMSi

Dr. Ross Campensa from Aultman Hospital joined the crew. Aultman is part of designing a complete HDS, health delivery system with UH joint ventures. This episode, we discuss the evolution of heads up CPR and compression techniques.Door University Hospitals of Cleveland EMSi

Joe Schuerger and Brad Wilson joining Scott Wildenheim and Ray Pace for our live show discussing Tactical Medicine and answering your question. The group talks about Tactical Emergency Casualty Care (TECC) and how we teach and train with paramedics and law enforcement on SWAT teams with realistic role players and bleeding control trainers. Joe and …

What wounds get packed? What wounds do not get packed? What about airway control on scene? We pull everything together in this episode including real-life "hacks" for patient treatment on scene.Door University Hospitals of Cleveland EMSi

The group continues the discussion of how tactical medicine, as a specialty, is different from everyday EMS. The discussion starts with the an updated rapid assessment mnemonic MARCH in place of ABCs.Door University Hospitals of Cleveland EMSi

Dr. Tony Daher and Joe Schuerger join Ray and Scott to discuss tactical medicine which has evolved over the years mainly due to the number of active shooter events.Door University Hospitals of Cleveland EMS Institute

May has 5 Mondays which gives us a chance to offer up an extra episode of the Prehospital Paradigm Podcast. We take this episode to talk about the types of strokes, treatment, decisions on transport to destination other appropriate in-field treatment as per protocol.Door University Hospitals of Cleveland EMS Institute