Joshua Chan

Matthew Yelton

 I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter. Matthew Yelton is a flight paramedic/base lead for Mercy Flight Central and works as a fire captain at Constableville Ambulance Inc.

I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter. Matthew Yelton is a flight paramedic/base lead for Mercy Flight Central and works as a fire captain at Constableville Ambulance Inc.

Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton

Hudson Garrett

EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS &amp; Nursing.  www.foamfrat.com

EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS &amp; Nursing.  <a href="http://www.foamfrat.com" rel="nofollow" target="_blank">www.foamfrat.com</a>

Podcast 159 - Close Encounters of the Infectious Kind w/ Dr. Hudson Garrett

In this episode, Dan Rauh &amp; Mike Boone from Heavy Lies The Helmet join me to hash out our workflows and drugs of choice for four particular scenarios you may come across.       The combative head injury patient that needs to be intubated but has five firefighters holding them down and is actively trying to rip off his collar and IV.       The septic hypotensive patient is no longer protecting their airway but also needs resuscitation prior to induction.       The snoring head bleed with a BP of 220/140       The "almost dead, but needs a tube" population (induction med?)

Podcast 158 - RSI Cocktail w/ Heavy Lies The Helmet

Tom Bouthillet

Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the logistics to carry out a series of interventions crucial to preserving life. This class will serve not as a routine basic life support model, but as a deeper understanding and framework to guide resuscitation during your next cardiac arrest.

Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the logistics to carry out a series of interventions crucial to preserving life. This class will serve not as a routine basic life support model, but as a deeper understanding and framework to guide resuscitation during your next cardiac arrest.

Podcast 157 - Ventilation & Cardiac Arrest w/ Tom Bouthillet

 AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (if implemented correctly).   Systems like ChatGPT are only the beginning, and many companies are already working on or have already integrated with other healthcare specialties. We will see the same integration happen with EMS. While the response to this might be fear of losing our knowledge base, over-automating decision-making, cheating on tests and papers, and the like, we could adopt a very different outlook. We could view this as an opportunity to improve patient safety, offload menial work, automate documentation and communications, and always have an intelligent partner in our pockets we can bounce ideas off of.   One day, we'll wonder how we ever lived without it.

AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (if implemented correctly).  Systems like ChatGPT are only the beginning, and many companies are already working on or have already integrated with other healthcare specialties. We will see the same integration happen with EMS. While the response to this might be fear of losing our knowledge base, over-automating decision-making, cheating on tests and papers, and the like, we could adopt a very different outlook. We could view this as an opportunity to improve patient safety, offload menial work, automate documentation and communications, and always have an intelligent partner in our pockets we can bounce ideas off of.  One day, we'll wonder how we ever lived without it.

Podcast 156 - Is using AI cheating? EMS and AI

Shaylah Montgomery

In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.

In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.

Podcast 155 - Pattern Recognition vs. Autopilot w/ Shaylah Montgomery

Leon Eydelman

0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.

Podcast 154 - ROSC Temp & Sedation w/ Dr. Leon Eydelman

We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.

We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.

Podcast 153 - Pediatric Arrest w/ Dr. Banerjee

Sam Henne

Sam Henne is the creator of Mind Over Medic and a co-worker of mine at Life Link III. In this episode, we discuss the components of critical incident stress and ways to reduce adrenaline during threat appraisal. Check out www.mindovermedic.com 

Sam Henne is the creator of Mind Over Medic and a co-worker of mine at Life Link III. In this episode, we discuss the components of critical incident stress and ways to reduce adrenaline during threat appraisal. Check out <a href="http://www.mindovermedic.com" rel="nofollow" target="_blank">www.mindovermedic.com </a>

Podcast 152 - CISM & Processing w/ Sam Henne

Austin Brook

EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it’s usually permitted when the patient is (nearly) dead. This isn’t very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it’s learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?

EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it’s usually permitted when the patient is (nearly) dead. This isn’t very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it’s learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?

Podcast 151 - Central Line Access for EMS w/ Austin Brook

Prehospital emergency and critical care podcast by Tyler Christifulli &amp; Sam Ireland

CritDude

Awesome content very knowledgeable educators keep up the great podcasts

FOAMfrat

FOAMfrat Podcast

Recently I gave a lecture at Arrowhead EMS Conferenceon when to treat metabolic acidosis with sodium bicarbonate. I attempted to record the lecture live and had some AV difficulties that prevented me from being able to. Soooo I re-did an abbreviated version of this talk into a screen-cast.    I think we can all agree that there is never a reason to treat a metabolic acidosis with sodium bicarbonate. So we really are asking:   When do we treat a metabolic acidosis with sodium bicarb?

Recently I gave a lecture at <a>Arrowhead EMS Conference</a>on when to treat metabolic acidosis with sodium bicarbonate. I attempted to record the lecture live and had some AV difficulties that prevented me from being able to. Soooo I re-did an abbreviated version of this talk into a screen-cast.    I think we can all agree that there is never a reason to treat a metabolic acidosis with sodium bicarbonate. So we really are asking:   When do we treat a metabolic acidosis with sodium bicarb?

Podcast 74 - Bicarb or Bye-Carb

Andrew Merelman

Finally got Andrew Merelman (@amerelman) from The Paramedic Practioner Podcast on the show and we discuss: Social Media ECG interpretatuon vs. real life interpretation NSTEMI? What does that mean for my transport? STEMI Equivalents  (detailed blog on these by FOAMfratter Jared Patterson here) Stop points for nitro drip escalations. This is part one of a two part series. In a few weeks we will post the actual logistics and decisions DURING the transfer. As always, if you have any comments, tricks, or ideas - leave them in the comment section!

Finally got Andrew Merelman (@amerelman) from <a href="https://www.paramedicpractitioner.net" rel="nofollow" target="_blank">The Paramedic Practioner Podcast</a> on the show and we discuss: Social Media ECG interpretatuon vs. real life interpretation NSTEMI? What does that mean for my transport? STEMI Equivalents <a href="index.php/foamfrat-blog/12-foamfrat/509-gotta-catch-em-all-stemi-equivalents" rel="nofollow" target="_blank"> (detailed blog on these by FOAMfratter Jared Patterson here)</a> Stop points for nitro drip escalations. This is part one of a two part series. In a few weeks we will post the actual logistics and decisions DURING the transfer. As always, if you have any comments, tricks, or ideas - leave them in the comment section!

Podcast 87 - Routine (N)STEMI Transfer w/ Andrew Merelman

You jump in the back of an ambulance and see the crew you intercepted with is currently ventilating the patient through a supraglottic airway. Your partner looks at you and says: "should we just swap and intubate? What factors influence your decision to yank the SGA and perform endotracheal intubation?  Sam &amp; I have a quick discussion and the release a video from the FOAMfrat Paramedic Refresher. www. foamfrat.com 

You jump in the back of an ambulance and see the crew you intercepted with is currently ventilating the patient through a supraglottic airway. Your partner looks at you and says: "should we just swap and intubate? What factors influence your decision to yank the SGA and perform endotracheal intubation?  Sam &amp; I have a quick discussion and the release a video from the FOAMfrat Paramedic Refresher. www. <a href="http://foamfrat.com" rel="nofollow" target="_blank">foamfrat.com</a>

Podcast 86 - Should I Swap & Intubate?

Vahe Enders

A few weeks ago Brian Behn (The Brian Behn) put out a blog on FOAMfratraising the question "When is a patient too sick to transport?"   This question sparked a TON of good conversation on social media with a very diverse population of opinions.     "As long as crew safety is addressed, then we should make every effort to get this pt to definitive care. Declining a transport due to "instability" when the pt is 100% going to die at the sending, does a huge disservice to your pt. "     "Given the picture painted, after all my checks and additional resuscitation efforts I'll make my decision. 3 hours by ground through the mountains and the patient is still peri arrest with zero likelihood of intact neurologic outcome? Nope. I don't put my ass on the line for futility."     Knowing Flight Paramedic, Vahe Enders (@calldaburd), spoke on this in the past (ECHO2017). I asked him to come on the show and continue this conversation.

A few weeks ago Brian Behn (The Brian Behn) put out a <a>blog on FOAMfrat</a>raising the question "When is a patient too sick to transport?"   This question sparked a TON of good conversation on social media with a very diverse population of opinions.     "As long as crew safety is addressed, then we should make every effort to get this pt to definitive care. Declining a transport due to "instability" when the pt is 100% going to die at the sending, does a huge disservice to your pt. "     "Given the picture painted, after all my checks and additional resuscitation efforts I'll make my decision. 3 hours by ground through the mountains and the patient is still peri arrest with zero likelihood of intact neurologic outcome? Nope. I don't put my ass on the line for futility."     Knowing Flight Paramedic, Vahe Enders (@calldaburd), spoke on this in the past (ECHO2017). I asked him to come on the show and continue this conversation.

Podcast 79 - Too Sick To Transport w/ Vahe Enders

One of the most common stressors amongst new critical care clinicians, whether that be on the ground to in the air, is learning how to utilize, manipulate, and troubleshoot the mechanical ventilator. Join Sam Ireland, Brad Garmon, Bryan Winchell, and myself as we discuss  our upcoming pre-con at ECHO Camp 2019, REinVENTing the way we teach mechanical ventilation.

One of the most common stressors amongst new critical care clinicians, whether that be on the ground to in the air, is learning how to utilize, manipulate, and troubleshoot the mechanical ventilator. Join Sam Ireland, Brad Garmon, Bryan Winchell, and myself as we discuss  our upcoming pre-con at <a>ECHO Camp 2019</a>, REinVENTing the way we teach mechanical ventilation.

Podcast 75 - REinVENT (ECHO 2019)

When transporting pediatric or neonatal patients on a ventilator, are you eliminating all possible dead space?  Do you know to use the the capnography waveform to tip you off to CO2 rebreathing?

When transporting pediatric or neonatal patients on a ventilator, are you eliminating all possible dead space?  Do you know to use the the capnography waveform to tip you off to CO2 rebreathing?

Podcast 70 - Pediatric Ventilation w/ The Hamilton T1

In order to be the best clinician possible, we need to first take care of ourselves. In this podcast Sam and I talk about the science of weight gain, and how to avoid it. What is the advice society typically tells  people? "Eat less and move more." You’ve got to go on a calorie restricted diet and exercise. That advice almost guarantees long term failure. 

In order to be the best clinician possible, we need to first take care of ourselves. In this podcast Sam and I talk about the science of weight gain, and how to avoid it. What is the advice society typically tells  people? "Eat less and move more." You’ve got to go on a calorie restricted diet and exercise. That advice almost guarantees long term failure.

Podcast 69 - Why Do We Gain Weight?

Brendan Riordan

Sam and I ran into Brendan Riordan (@concernecus) at Camp ECHO a few months ago in West Virginia. We had a fantastic conversation out in the lobby of the conference center on all the right ventricle! In this podcast we address questions like: How can we differentiate sepsis from pulmonary embolism (PE)? Does extrinsic application of PEEP reflect in CVP? Does a dilated RV in arrest always mean PE? (I know I'll charge my phone!) Does extrinsic application of PEEP reflect in CVP? www.foamfrat.com 

Sam and I ran into Brendan Riordan (@concernecus) at Camp ECHO a few months ago in West Virginia. We had a fantastic conversation out in the lobby of the conference center on all the right ventricle! In this podcast we address questions like: How can we differentiate sepsis from pulmonary embolism (PE)? Does extrinsic application of PEEP reflect in CVP? Does a dilated RV in arrest always mean PE? (I know I'll charge my phone!) Does extrinsic application of PEEP reflect in CVP? <a href="http://www.foamfrat.com" rel="nofollow" target="_blank">www.foamfrat.com</a>

Podcast 80 - Right Ventricularly Speaking w/ Brendan Riordan

Cynthia Griffin

Welcome to the Polar Vortex 2019 #povo, I hope you are all are staying warm.    Since I’ve been seeing more cold, etoh, and confused patients I thought I’d out a quick podcast discussing some hypothermia physiology and prehospital patient care info.     Here are some of the highlights. 

Welcome to the Polar Vortex 2019 #povo, I hope you are all are staying warm.    Since I’ve been seeing more cold, etoh, and confused patients I thought I’d out a quick podcast discussing some hypothermia physiology and prehospital patient care info.   Here are some of the highlights.

Podcast 73 - "Baby it's cold outside" w/ Cynthia Griffin

Eric Bauer

1.The 1st line agent for an exsanguinating patient is and always will be blood.   2.There may be circumstances in which MSFP needs to be adjusted in order to compensate for changes we cause through the process of intubation and PPV.   3. The only reason we have literature showing pressors associated with an increase in mortality in trauma is because this intervention is performed on a daily basis in emergency departments and operating rooms. We need a well designed study that reports dosing regimens, a control arm, and patients randomly allocated.     https://www.foamfrat.com/single-post/2019/09/19/If-I-Taught-Hemodynamics-Response-To-EricNaysayerBauer

1.The 1st line agent for an exsanguinating patient is and always will be blood.   2.There may be circumstances in which MSFP needs to be adjusted in order to compensate for changes we cause through the process of intubation and PPV.   3. The only reason we have literature showing pressors associated with an increase in mortality in trauma is because this intervention is performed on a daily basis in emergency departments and operating rooms. We need a well designed study that reports dosing regimens, a control arm, and patients randomly allocated.    <a href="https://www.foamfrat.com/single-post/2019/09/19/If-I-Taught-Hemodynamics-Response-To-EricNaysayerBauer" rel="nofollow" target="_blank">https://www.foamfrat.com/single-post/2019/09/19/If-I-Taught-Hemodynamics-Response-To-EricNaysayerBauer</a>

Podcast 83 - Pressors, Trauma, and Bad Data.. "Response to Eric Bauer"

Whenever discussing ventilator strategies, I feel like the discussion is a bit of a cold read whenever the waveforms are not taken into account. The waveforms tell you what the flow, volume, and pressure are doing over time - and they're extremely helpful in managing a patient. I realize that some of you do not have waveforms on your ventilators. If you don't have waveforms on your ventilator, when you do retrievals from outlying hospitals, examining the waveforms on their ventilator will help you set up a care plan for the transport. If you do have waveforms on your ventilator, you've very fortunate - because they can help you set up a precise strategy to fine-tune your settings.  www.FOAMfrat.com

Whenever discussing ventilator strategies, I feel like the discussion is a bit of a cold read whenever the waveforms are not taken into account. The waveforms tell you what the flow, volume, and pressure are doing over time - and they're extremely helpful in managing a patient. I realize that some of you do not have waveforms on your ventilators. If you don't have waveforms on your ventilator, when you do retrievals from outlying hospitals, examining the waveforms on their ventilator will help you set up a care plan for the transport. If you do have waveforms on your ventilator, you've very fortunate - because they can help you set up a precise strategy to fine-tune your settings.  <a href="http://www.FOAMfrat.com" rel="nofollow" target="_blank">www.FOAMfrat.com</a>

Podcast 84 - Cold Reads & Ventilation (Part 1)

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OwlTail

Best Startups Podcasts

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