Austin-Travis County EMS System Office of the Medical Director » Uncategorized

By Austin-Travis County EMS System Office of the Medical Director

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From the Austin-Travis County EMS System Office of the Medical Director, this blog will cover topics of prehospital care, emergency medicine, tactical medicine, rescue, community paramedicine, disaster response, and public health. Expect to hear medical pearls, the latest research, reviews of anything as it relates to EMS.

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Austin-Travis County EMS System Office of the Medical Director » Uncategorized episodes:

01.30.2023
Mental Health for First Responders, with special guest Dr. Joseph Martin (audio)
Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: it has a lot to do with...
12.23.2022
Quick Bite: Carbon Monoxide
Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning. We anticipate an increase in the number of Carbon Monoxide (CO) related calls in...
03.09.2022
Push Dose Pressors for EMS: Epinephrine and Norepinephrine
Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of...
03.09.2022
Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset
Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen,...
01.09.2022
Snakebites! with Dr. Spencer Greene (@ToxSpencer)
Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another. Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients. TL;DW:...
03.17.2021
Episode 49: Icepocalypse
YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything. ANYwhomst, this is our takedown of the...
12.15.2020
Episode 48: COVID…Vaccines
Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?
12.15.2020
Episode 47: COVID…Bamlanivimab
Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?
12.14.2020
Episode 46: What is Operation Warp Speed?
Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to...
11.29.2020
Episode 45: Ketamine for suicidal ideation
This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully...
10.17.2020
Episode 44: Data and outcomes in EMS
The Health Data Exchange allows the flow of information between EMS charts and the hospital chart, helping us to easily look at outcomes and how EMS care has affected the patient. The best way to check your own knowledge and...
08.28.2020
Episode 43: What if…
“What if” can be anxiety provoking and can send you down a rabbit hole of undesirable futures. But it can also be a powerful tool for the clinical preceptor and the clinician who is looking to improve their performance.
04.21.2020
Episode 42: COVID- A few words
04.10.2020
Episode 41: COVID CPAP, nebs, epi, terbutaline, proning
04.10.2020
Episode 40: COVID in Cardiac Arrest
04.08.2020
Episode 39: COVID- Tests! (and getting out of quarantine)
04.05.2020
Episode 38: COVID- Task Forces
04.05.2020
Episode 37: COVID- Isolation Facilities and Alternate Care Sites
03.24.2020
Episode 36- COVID: What about my ACE inhibitors
SUPER short one today about COVID and ACE inhibitors (-pril) and Angiotenstin Receptors Antagonists, like Angio Recept Antag. Maybe ang rec ant. Or artan. Artans yeah, that’s it.
03.24.2020
Episode 35- COVID: New therapies, and can I use ibuprofen?
We talk about some of the things you’ve seen in the news lately about treatments that might help COVID. AND WHAT DO THEY MEAN I CAN’T TAKE IBUPROFEN? *sad Army Doc noises*
03.21.2020
Episode 34: COVID-19, part 2. When can I go back to work?
So, you caught the COVID. You have endured the fever, cough, sore throat, diarrhea, and abject boredom of being home. When can you be let out of this prison? In this micro episode we talk about the return to work...
03.20.2020
Episode 33: COVID-19, Part 1
Covid is now a pandemic, the real kind, the not-the-zombie-kind. In this episode we talk about what the Office of the Medical Director, Austin Public Health, and Austin/Travis County EMS is doing to respond to what is now a declared...
12.16.2019
Ep 32: Talking with the Union Prez
Buy in from the workforce is necessary to bring any useful change to an organization. While unions and leadership are often set against each other, the things they can accomplish when they work together far exceed those they can accomplish...
12.16.2019
Episode 31: Headache
Some causes of headache are benign, but the EMS provider would be wise to consider carefully some “bad actors” that cause headache. Here we will talk too about how to manage these patients in the prehospital setting.
10.31.2019
Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN
Jessica Sasser, RN, is one of the amazing staff at our public safety wellness division which supports the physical and mental health of Austin/Travis County EMS and Austin Fire Department. In this episode she discusses meditation and how it can...
05.02.2019
Episode 29: Medic to PA to MD
Combat medic, paramedic, PA, and now medical student Andy Fisher talks about his journey. If you’ve thought about making the leap from #EMS, don’t miss this episode.
05.02.2019
Episode 28: Andy Fisher talks BLOOD
In patients with hemorrhage, nothing else can take the place of #blood. Andy Fisher talks about why, and how, you can bring #blood to your #EMS system.
05.02.2019
Episode 27: Syncope
Syncope, or fainting, is an incredibly common complaint seen by #EMS providers. This short episode discusses some of the exam findings and considerations. The Epsilon wave: https://litfl.com/epsilon-wave-ecg-library/ Wolff Parkinson White syndrome: https://www.youtube.com/watch?v=K098rnvqRE0 Lown Ganong Levine syndrome: https://ecglibrary.com/lgl.html
02.19.2019
Episode 26: EtCO2
If you are not using #EtCO2 during airway management and monitoring, then you are wrong. Fix yourself. Dr. Pickett tells you why. #EMS #Prehospital #Paramedic #maybeifIsqueezethisbagashardandfastasIcanthepatientwillgetbetter #morewavylines #butIjustlearnedEKGs #Isawthetubegothroughthecords #sodideveryonewhoevermisplacedanETtube
01.17.2019
Episode 25: Tracheostomy Disasters
Do you get nervous when you are faced with a patient with a tracheostomy tube? This short episode covers common problems and how to troubleshoot them. Be nervous no more. #paramedic #EMS #prehospital #criticalcare In this episode, I make reference...
01.17.2019
Episode 24: New Clinical Operating Guidelines
We undertook the unenviable task of revising our clinical operating guidelines to make them more usable, more manageable, and easier to read. We want to foster a clinician mindset and embrace the clinical flexibility medics need to take care of...
01.17.2019
Episode 23: Flight Rules
Today we are covering some of the flight rules for those studying for their #FP-C exam. #paramedic #EMS #prehospital #HEMS
01.17.2019
Episode 22: Flight Physiology, Part 3/3
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
01.17.2019
Episode 21: Flight Physiology, Part 2/3
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
01.17.2019
Episode 20: Flight Physiology Part 1/3
Today we are covering a bit of #flight physiology for those studying for their #FP-C exam. We broke this episode into 3 parts to make it a bit more manageable. #paramedic #EMS #prehospital #HEMS
06.21.2018
Episode 19: Heat illness
Heat illness ranges from the benign and temporary to the life-threatening. We dive into management of heat cramps, heat syncope, heat exhaustion, and heat stroke. Rule #1: Stay on scene to cool them down.
06.18.2018
Episode 18: Trauma reports
In person and on the radio, make the most of your concise patient report.
06.16.2018
Episode 17: The monitor should stay on.
If you felt the need to put a #cardiac monitor on at any point in the patient interaction, it should stay on as you walk into the ED. #EMS #paramedic #prehospital
06.16.2018
Episode 16: Airway Pearls
We dug into our QA data and the literature to bring you some pearls on #prehospital #airway management. #EMS #paramedic
06.15.2018
Episode 15: Sepsis
750,000 Americans will suffer from sepsis this year. Early recognition and treatment are key. Here we go into the field recognition of sepsis and treatment priorities.
03.21.2018
Episode 14- Fast facts for response to bombing victims
This is a short episode on the response to and care for bombing victims for #EMS, #Firedepartement and #Police. A longer episode will follow that covers #prehospital care in detail, but this is the initial response and considerations. #packagebombmurders #austinbombings...
02.22.2018
Episode 13: Cannabis Hyperemesis Syndrome
Neither rare nor mysterious, Cannabis Hyperemesis Syndrome causes pain and vomiting that can be difficult to treat. Marijuana use is growing for medical purposes and recreational abuse. With this has come a rise in Cannabis Hyperemesis Syndrome which is marked...
02.16.2018
Episode 12: Trauma Resuscitation
Fluid resuscitation, blood, acidosis, coagulopathy, hypothermia, TXA, intubation, push dose pressors! All the greatest trauma lit for your naughty bits.
01.17.2018
Episode 11: MRI for acute stroke- screening in the field
In this episode we sat down with Dr. Steven Warach the Director of the Clinical Research Institute and Vascular Neurologist from Dell Seton Medical Center to talk about acute MRI for stroke and how we might be able to reduce...
12.26.2017
Episode 10: Asthma!
Most asthma is pretty routine. Most. Dr. Pickett talks about tools for management of the severe asthmatic adult or child.
11.28.2017
Episode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital.
Some people have the natural gift of teaching. For others it does not come easily. Teaching is all about connecting with your student, finding out their abilities and weaknesses, and helping build them into stronger clinicians. Teaching is a learned...
11.09.2017
ATCEMS OMD Podcast Episode 8: Atrial fibrillation!
Ever had that patient that you just weren’t sure what pathway they fit in? You have a 75 yo F who called 911 due to palpitations and increasing shortness of breath. She looks fairly comfortable with belies the rate of...
10.19.2017
ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.
Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma. Why did we change over from D50 to D10 for hypoglycemia? And should we be treating hypoglycemic diabetics...
10.11.2017
ATCEMS OMD Podcast Episode 6: Flush rate oxygen, apneic oxygenation, and ramped positioning for intubation
Do you like it when your patient desaturates just as you are getting ready to intubate them? Of course not, nobody does. Here are some tricks to help keep the sat up while you secure the airway.
09.29.2017
ATCEMS OMD Podcast Episode 5: Breaking bad news

What's Austin-Travis County EMS System Office of the Medical Director » Uncategorized about?

Download our free app to listen on your phone

Austin-Travis County EMS System Office of the Medical Director » Uncategorized episodes:

Mental Health for First Responders, with special guest Dr. Joseph Martin (audio)

Quick Bite: Carbon Monoxide

Push Dose Pressors for EMS: Epinephrine and Norepinephrine

Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset

Snakebites! with Dr. Spencer Greene (@ToxSpencer)

Episode 49: Icepocalypse

Episode 48: COVID…Vaccines

Episode 47: COVID…Bamlanivimab

Episode 46: What is Operation Warp Speed?

Episode 45: Ketamine for suicidal ideation

Episode 44: Data and outcomes in EMS

Episode 43: What if…

Episode 42: COVID- A few words

Episode 41: COVID CPAP, nebs, epi, terbutaline, proning

Episode 40: COVID in Cardiac Arrest

Episode 39: COVID- Tests! (and getting out of quarantine)

Episode 38: COVID- Task Forces

Episode 37: COVID- Isolation Facilities and Alternate Care Sites

Episode 36- COVID: What about my ACE inhibitors

Episode 35- COVID: New therapies, and can I use ibuprofen?

Episode 34: COVID-19, part 2. When can I go back to work?

Episode 33: COVID-19, Part 1

Ep 32: Talking with the Union Prez

Episode 31: Headache

Episode 30: Meditation and mindfulness for the first responder with Jessica Sasser, RN

Episode 29: Medic to PA to MD

Episode 28: Andy Fisher talks BLOOD

Episode 27: Syncope

Episode 26: EtCO2

Episode 25: Tracheostomy Disasters

Episode 24: New Clinical Operating Guidelines

Episode 23: Flight Rules

Episode 22: Flight Physiology, Part 3/3

Episode 21: Flight Physiology, Part 2/3

Episode 20: Flight Physiology Part 1/3

Episode 19: Heat illness

Episode 18: Trauma reports

Episode 17: The monitor should stay on.

Episode 16: Airway Pearls

Episode 15: Sepsis

Episode 14- Fast facts for response to bombing victims

Episode 13: Cannabis Hyperemesis Syndrome

Episode 12: Trauma Resuscitation

Episode 11: MRI for acute stroke- screening in the field

Episode 10: Asthma!

Episode 9: Bedside Teaching- Medic Mindset and ATCOMD joint podcast! Teaching at the bedside in the field or in the hospital.

ATCEMS OMD Podcast Episode 8: Atrial fibrillation!

ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.

ATCEMS OMD Podcast Episode 6: Flush rate oxygen, apneic oxygenation, and ramped positioning for intubation

ATCEMS OMD Podcast Episode 5: Breaking bad news