NAEMSP in Sunny San Diego… Just. SO. MUCH. GREAT. RESEARCH. Dr. Jarvis interviewed a small sample of the great work presented. There was so much we broke it into two parts. This episode features interviews with Dr. Amber Rice from Tucson, Arizona discussing a secondary analysis of the EPIC trial looking further into the impact of hypotension on TBI, Dr. Veer Vithalani from MedStar in Fort Worth, TX discussing how he used his CAD and ePCR data to determine which calls could safely get a BLS response, Dr. Erin Lincoln from Austin discussing her work on disparities in analgesia, and Dr. Henry Wang on his latest secondary analysis of the PART trial, this one looking at the impact of airway type (LT or ET) on ventilatory rates.

Episode 54 – NAEMSP Research Part I

Are you still giving Calcium in undifferentiated cardiac arrests? Not those with hyperkalemia or hypocalcemia… you know, when it’s actually indicated. Be honest, now… Nobody’s looking.If you are, join us for this episode where we review a randomized, double blind, placebocontrolledclinical trial of calcium vs placebo in out of hospital cardiac arrest.

Are you still giving Calcium in undifferentiated cardiac arrests? Not those with hyperkalemia or hypocalcemia… you know, when it’s actually indicated. Be honest, now… Nobody’s looking. If you are, join us for this episode where we review a randomized, double blind, placebocontrolled clinical trial of calcium vs placebo in out of hospital cardiac arrest.

Episode 53 – Calcium in Out of Hospital Cardiac Arrest

Do you even bougie, bro? Do you use the bougie on every intubation? If so, why? Do you think it improves first pass success? Well, I certainly did. At least before this trial was released. Join me to discuss this randomized controlled trial of bougie vs no bougie for intubation. I suspect the results will surprise you!

Episode 52 – The BOUGIE Trial

Dr. Jarvis and Mike Verkest return for part 2 of our interviews with some of the great researchers at the Prehospital Care Research Forum at EMS Expo in Atlanta. In this episode, we interview: Kevin Collopy on his RCT comparing ketamine and etomidate for RSI, Sean McAllister on Sepsis using the ESO dataset, and  David Page about PCRF and his work on comparing Mexican and American EMT training. If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts.

Episode 51 – Abstracts from PCRF at EMS Expo 2021 - Part 2

Dr. Jarvis and Mike Verkest were at EMS Expo in Atlanta. We recorded some interviews from the FlightbridgeED booth on the exhibit floor and then discussed them when Mike stopped by the Casa Jarvis in Austin a bit later. There was so much goodness, we broke it up into two different episodes to keep these at a reasonable length.

Episode 50 – PCRF Research Abstracts from EMS Expo – Part I

Ketamine has been getting a lot of attention recently in the media. Its probably safe to say it’s had a bad year. We like ketamine. We felt bad it’s been having a rough year so we wanted to do something that would lift its spirits. Fortunately, Dr. David Barbic and his colleagues from Vancouver, BC published a wonderful, randomized trial comparing ketamine to a combination of haloperidol plus midazolam for undifferentiated agitation in the ED. This was the amazingly titled RACKED trial (Rapid Agitation Control with Ketamine in the ED). It has direct and important implications for EMS and is something all emergency providers should know about. Dr. Jarvis reviews the trial and then invites Dr. Barbic himself on the show to discuss this study. If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts.

Episode 49 – The RACKED Trial, with Dr. Barbic

Mike and Jeff get together to discuss some airway papers from the National Emergency Airway Registry (NEAR) and float an idea for some merch.If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts. Drop us questions/comments/suggestion for future pods at: Jeff.jarvis@flightbridgeed.com, @DrJeffJarvis, or Mike.Verkest@flightbridgeed.com, @MikeVerkest

Episode 48 – Airway Updates from NEAR

In this episode, Dr. Jarvis discusses a paper that is hot off the presses and that he’s super excited to talk about. The good folks up in Seattle, WA and the Seattle FD looked at their cardiac arrest survival rates as a function of the number of intubation attempts needed to secure the airway. Results from this trial might help explain the 2.9% improved survival with King LT vs ETI that we saw in the PART trial. Join us to hear all the juicy details. As always, if you like the pod, give us a 5-star rating wherever you get your pods. If you have any questions, drop us a note: jeff.jarvis@flightbridgeed.com or @DrJeffJarvis and mike.verkest@flightbridgeed.com or @MikeVerkest. You can also follow the pod on Twitter at @EMSLighthouseProject.

Episode 47 – ETI Attempts and Outcomes in Out of Hospital Cardiac Arrest

Casey Patrick

Every other year board certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM) to be something all EMS physicians should know. Dr. Jarvis and Dr. Casey Patrick (@cpatrick_89) from Montgomery County Health District EMS gave a lecture reviewing the 2020 ABEM EMS LLSA articles at the recent meeting of the Texas Chapter of NAEMSP. We got together right after our lecture to record this podcast going over these articles. Join us from the Cavalier Room at the Historic Menger Hotel (@mengerhotel) in downtown San Antonio, literally next door to the Alamo.

Episode 46: 2020 EMS LLSA Review with Dr. Casey Patrick

Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inappropriate purposes. So much controversy. What should we believe? When in doubt, follow the data. Dr. Jeff Jarvis reviews a very timely paper just released in Annals of Emergency Medicine using the 2019 Data Collaborative data set that aims to describe the characteristics of patients getting ketamine as well as the potential deaths associated with it. As an added bonus, Drs. Remle Crowe and Brent Myers join Dr. Jarvis for an interview about their paper and the controversies surrounding ketamine use.

Episode 45: ESO Ketamine Paperfrom Eagles

The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way.

Excellent &amp; pertinent podcast. Solid way for EMS professionals to learn why we do what we do. Down to earth but not &#34;dumbed-down&#34; explanations. Thanks!

Good science - not just for nerds

This is great. It’s like an EMS World science journal club. Wait wait, this type of science is actually fun to listen to! They go over essential papers, explain the science and results, and why it’s important to what we do out in the field. I love understanding the why we do and don’t do things in prehospital care. We definitely need more of this to further develop an evidence-based approach to all levels of EMS.

Need more of this!

The EMS Lighthouse Project

As a special Thanksgiving treat we bring a “Live” panel discussion featuring Drs.          Jeff Jarvis, Jason Pickett, Heidi Abraham, and Taylor Ratcliff. Skillfully (and tactfully) moderated          by the awesome Ginger Locke. Recorded 11/26/19 at the Texas EMS Conference in Fort Worth,          Texas. Topics include epinephrine and advanced airways in cardiac arrest, paramedic degrees,          intubation with paralytics vs “sedation assisted intubation”, whole blood, IV push nitroglycerine          for CHF, POCUS, and discussing clinical errors. This was a ton of fun to record. We hope you          enjoy it as much as we did. Happy Thanksgiving! If you like what you hear, please give us a 5-star rating on          Apple Podcasts and tell your friends to subscribe (or download each episode several times... we’ve gotta beat          Second Shift after all). You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

As a special Thanksgiving treat we bring a “Live” panel discussion featuring Drs. Jeff Jarvis, Jason Pickett, Heidi Abraham, and Taylor Ratcliff. Skillfully (and tactfully) moderated by the awesome Ginger Locke. Recorded 11/26/19 at the Texas EMS Conference in Fort Worth, Texas. Topics include epinephrine and advanced airways in cardiac arrest, paramedic degrees, intubation with paralytics vs “sedation assisted intubation”, whole blood, IV push nitroglycerine for CHF, POCUS, and discussing clinical errors. This was a ton of fun to record. We hope you enjoy it as much as we did. Happy Thanksgiving! If you like what you hear, please give us a 5-star rating on Apple Podcasts and tell your friends to subscribe (or download each episode several times... we’ve gotta beat Second Shift after all). You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

Episode 16: Medical Directors Gone Wild 

In this episode, we look at 3 papers that try to answer the question about airway in the adult cardiac arrest. Put your seat belt on, this episode is nearly 2 hours so we broke it into 2 parts!  We are joined By Eric Bauer from the FlightBridgeED podcast for a quick case review to start things off. Thank you for supporting the FlightBridgeED network of podcasts. We appreciate the subscriptions, comments, and ratings.    Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

The Lighthouse Project - Airway Management in Cardiac Arrest - Analyzing The Data!

In this episode of the EMS LHP Podcast, Dr. Jarvis and Mike Verkest are joined by David Olvera to see what the literature says about ketamine for pain. Is it safer? Does it take care of pain any better? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!  We appreciate the subscriptions, comments, and ratings.  Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

LHP Episode 6 | Subdissociative Ketamine for Pain

The debate has raged. In this corner, we have our established champion succinylcholine, or, as the oldsters call it, “because we’ve always done it this way”. In that other corner over there, we have the brash newcomer, rocuronium, or, as the youngsters call it, “OMG… what about the hyperK!.” Wouldn’t you just like an answer? Which is better? SAMU to the (potential) rescue. Our French colleagues published a Randomized Clinical Trial comparing FPS among prehospital patients undergoing intubation between succinylcholine and rocuronium. What did they find? Join Dr. Jarvis for a hot-off-the-presses podcast that will give you the down and dirty about this trial ON THE DAY IT WAS PUBLISHED! Take THAT Second Shift! If you like what you hear, please give us a 5-star rating on Apple Podcasts and tell your friends to subscribe. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

Episode 18: Roc vs Succ: The Randomized Control Trial! 

A variety of papers, including CRASH-2, suggest that TXA can decrease mortality if given early for patients at risk of significant hemorrhage but exclude patients with TBI. CRASH-3 was a large, multi-national placebo-controlled randomized trial comparing TXA, 1 gm over 10 minutes, followed by a subsequent 1 gm infusion over the next 8 hours. So… what do we think of the paper’s results, and do we believe TXA should be given in TBI patients? The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been fantastic, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

Episode 13: TXA for TBI? CRASH-3 

This episode was recorded LIVE on Facebook with a ton of fun interaction.  Dr. Jeff Jarvis and Mike Verkest look at a recent paper that described stroke patients who underwent RSI had worse outcomes than their non-RSI counterparts! …do the benefits outweigh the risks? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

Episode 10: A closer look at RSI in Stroke

David Wampler

More and more EMS research is being presented at the PCRF research forum at EMS Expo. Dr. Jarvis sat down with Dr. David Wampler at EMS Expo 2019 in New Orleans. Dr. Wampler won the award for best research at EMS Expo 2019 for his research comparing inhaled isopropyl alcohol to oral ondansetron for nausea. He also discusses his other two posters. If you like hearing about the latest in EMS research, subscribe to our podcast. If you like what you hear, please give us a 5-star rating on Apple Podcasts to help others discover the EMS LightHouse Project Podcast!. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

Episode 14: Research from EMS Expo 2019 with Dr. David Wampler 

Ben Bobrow

Dr. Jarvis had an opportunity to sit with Dr. Ben Bobrow at the Texas EMS Conference. Dr. Bobrow is the chair of Emergency Medicine at UT Houston. During his time in Arizona, Dr. Bobrow was instrumental in the studies of Traumatic Brain Injury and approaches to improved outcomes in cardiac arrest. If you know about the dangers of hypoxia and hypotension in TBI or the importance of minimally interrupted chest compressions and passive oxygenation in cardiac arrest, you should hear this interview. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).

Episode 19: Dr. Ben Bobrow Interview 

What if we told you that neither amiodarone nor lidocaine did any better in cardiac arrest when given by IO? What if we told you neither one improved survival when given by IV? Would you think I was smoking crack? Yeah, I would have thought that too until last week. I’m going to give a quick recap of this important secondary analysis of the ALPS trial, but only as a precursor to get y’all warmed up for the main event on Facebook Live Wednesday, January 29th at 8:30 CST. Listen to this podcast, and then join me, Mikey V, Eric Bauer, and Ritu Sahni as we talk about what we should make of this interesting trial. Most importantly, what we should do (or not do) in our clinical practice. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse @FlightBridgeED

Amiodarone and Lidocaine in Cardiac Arrest – Does the Route Matter? 

You’ve all seen it. Most of you have probably taken (or fired) a round or two in it. It’s the Great Twitter "VL vs DL War". Everyone has their opinion. I certainly did. But now I’ve found peace by retreating from the madness. Ultimately, it’s WAY more about the training than the particular device being used. Dr. Jarvis reviews a randomized trial comparing AP Advance, CMAC, and King Vision to make his point. If you like hearing about the latest in EMS research, subscribe to our podcast. If you like what you hear, please give us a 5-star rating on Apple Podcasts to help others discover the EMS LightHouse Project Podcast!. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

Episode 15: Why I Quit The VL Wars 

In this episode, we continue from part 1 and look at 3 papers that try to answer the question about airway in the adult cardiac arrest. Thank you for supporting the FlightBridgeED network of podcasts. We appreciate the subscriptions, comments, and ratings.  Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

The Lighthouse Project - Airway Management in Cardiac Arrest - Part II

Should we chill out with the non-shockable cardiac arrests? Another look at targeted temperature management. First, we knew early hypothermia after ROSC saved brains. Then, we learned that doing it in the field didn’t make a difference and that there was no difference between 33C and 36C. This month, the NEJM published the HYPERION trial of non-shockable arrests randomized to hypothermia (33C) or normothermia (37C). If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat SecondShift after all).

Episode 17: Chillin’ in France with TTM 

In this episode of the EMS LHP Podcast, Dr. Jarvis and Mike Verkest take a look at the data regarding responding to and from calls with lights and sirens…you may be surprised and the risks we are taking…do the benefits outweigh the risks? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

Episode 9: A dangerous Proposition: Use of Red Lights and Sirens

HAPPY NEW YEARS! We hope you are celebrating 2020 at the NAEMSP National Conference in San Diego.  If you're around, stop by and say hi to the PEC podcast team! This year, we teamed up with our brand new podcast partners Mike Verkest (@MikeVerkest)and Dr. Ritu Sahni (@MD59) of the Second Shift Podcast and Dr. Jeffrey Jarvis (@DrJeffJarvis) of the EMS Lighthouse Project for the VERY first bi-annual EMS Collaborative podcast. In this special episode of the EMS Collaborative, we talk about the wonderful world of Mobile Integrated Health (MIH) and ET3.  It's a fascinating conversation filled with MIH history, MIH research, editorials, and, of course, checking to see if Dr. Sahni can qualify for medicare. Check out this fun, entertaining, and witty podcast today! As always THANK YOU for listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston), Jeremiah Escajeda MD, MPH (@jerescajeda), Joelle Donofrio-Odmann DO (@PEMems), Mike Verkest (@MikeVerkest), Ritu Sahni MD (@MD59), Jeffrey Jarvis MD (@DrJeffJarvis), and @FlightBridgeED!

The EMS Collaborative Podcast 

In this episode, Dr Jarvis looks at the first secondary analysis from the PART trial of advanced airway management in cardiac arrest (King LT vs. ETI).  The analysis looks at the impact of airway type and time to first epinephrine, with an expanded look at outcomes as a function of time to epi. We appreciate the subscriptions, comments, and ratings.  Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

LHP Episode 5 | Breaking News! Airway Management and Time To Epi in OHCA

In this episode of the EMS LHP Podcast, Dr. Jarvis goes solo and discusses an important paper regarding Airway and TBI. The Excellence in Prehospital Injury Care study (EPIC) published in May of 2019 in JAMA definitely sheds the bright light of science on current EMS Practice. Take a listen and tell us your thoughts! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

Episode 8: Lessons learned from the EPIC Study

Did y’all make it to NAEMSP 2020 in San Diego? If not, I’m sorry. It was awesome! If you did, you probably had a great time but still missed a lot. There’s just too much going on. Being the research nerds we are, we focused our time on the oral and poster presentations. We interviewed as many investigators as we could. In fact, we recorded more audio than we could fit in one episode. So… we’re cutting them into smaller chunks and will get them out faster than our normal q2 weeks release schedule. Join us as we sit down (or stand up as the case may be) for some great interviews from NAEMSP. As always, we want to hear your feedback. Let us know what you think: @MikeVerkest, @DrJeffJarvis and @EMSLightouse. Subscribe and give us a great rating on Apple Podcast.

NAEMSP 2020, Part 1 

Mike and Ritu bring Dr. Jarvis in the mix for the "cross over episode of the century"…um, described by Mike as a ménage a trois…it's not like that…he just meant it’s a 3 for one…even that doesn't sound right. He is simply saying how often do you get 2 AMAZING EMS Physicians on the same pod at the same time!? We tackle DROPERIDOL!! Remember that medication? It's was an amazing drug that lost its way. WE talk about why and how it's making a comeback.  Still considered one of the top 10 in the industry, we couldn’t do it without your support! Thank you for the comments, reviews and emails!  If you haven’t, please go to your favorite podcast app and leave a rating and review! We appreciate it!

Episode 11: Droperidol Review - Research Update

And we’re back for part 2 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed part 1, be sure to download it and take a listen. It was great! As always, we want to hear your feedback. Let us know what you think: @MikeVerkest, @DrJeffJarvis and @EMSLightouse. Subscribe and give us a great rating on Apple Podcast.

NAEMSP 2020, Part 2 

And…we are back for part 3 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed parts 1 or 2, be sure to download them and take a listen. They were great! In this episode, we have two great interviews. We talk with Dr. Veer Vithalani of MedStar in Fort Worth, TX about his work using EtCO2 to detect unrecognized BVM ventilation failures. We also chat with Drs. Casey Patrick and Rob Dickson from Montgomery County Hospital District EMS in Conroe, Tx about push-dose drugs including epinephrine and nitroglycerin.

Episode 24 NAEMSP 2020, Part 3 

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