But Why EMS Podcast

For paramedics click her for CEU credits.

Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,

this But Why EMS podcast covers the sneaky chameleon known as Pseudo PEA.

Hear the But Why EMS Podcast team discuss with:

Dr. Ian Ferguson

&

Dr. Keith Marill

What Pseudo-PEA is, how to diagnose it, and more!

Click here to check it out today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Noah Bernhardson MD

Works Cited

1. Mehta C, Brady W. Pulseless electrical activity in cardiac arrest: electrocardiographic presentations and management considerations based on the electrocardiogram. Am J Emerg Med. 2012;30(1):236-9.

2. Littmann L, Bustin DJ, Haley MW. A simplified and structured teaching tool for the evaluation and management of pulseless electrical activity. Med Princ Pract. 2014;23(1):1-6.

3. Bergum D, Skjeflo GW, Nordseth T, Mjolstad OC, Haugen BO, Skogvoll E, et al. ECG patterns in early pulseless electrical activity-Associations with aetiology and survival of in-hospital cardiac arrest. Resuscitation. 2016;104:34-9.

4. Nordseth T, Olasveengen TM, Kvaloy JT, Wik L, Steen PA, Skogvoll E. Dynamic effects of adrenaline (epinephrine) in out-of-hospital cardiac arrest with initial pulseless electrical activity (PEA). Resuscitation. 2012;83(8):946-52.

5. Hogan TS. External cardiac compression may be harmful in some scenarios of pulseless electrical activity. Med Hypotheses. 2012;79(4):445-7.

6. Atropine sulfate for patients with out-of-hospital cardiac arrest due to asystole and pulseless electrical activity. Circ J. 2011;75(3):580-8.

7. Gaspari R, Weekes A, Adhikari S, Noble V, Nomura JT, Theodoro D, et al. A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study. Resuscitation. 2017;120:103-7.

8. Testa A, Cibinel GA, Portale G, Forte P, Giannuzzi R, Pignataro G, et al. The proposal of an integrated ultrasonographic approach into the ALS algorithm for cardiac arrest: the PEA protocol. Eur Rev Med Pharmacol Sci. 2010;14(2):77-88.

9. Badra K, Coutin A, Simard R, Pinto R, Lee JS, Chenkin J. The POCUS pulse check: A randomized controlled crossover study comparing pulse detection by palpation versus by point-of-care ultrasound. Resuscitation. 2019;139:17-23.

10. Paradis N.A., Martin G.B., Goetting M.G., Rivers E.P., Feingold M., Nowak R.M.Aortic pressure during human cardiac arrest. Identification of pseudo-electromechanical dissociation. Chest, 101 (1992), pp. 123-128

For paramedics, click here for CE credits!

We all know the standard phrase in EMS

But did you know that, in this episode, the But Why team added, "squirt mustard on the chest" to the EMS mantra?

Find out how the mustard phrase arose in this hilarious episode that covers cardiac arrest treatment history and myths with

Dr. Adam Heilman

Click here to check it out today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

1. American Heart Association. (n.d.). History of CPR. cpr.heart.org. https://cpr.heart.org/en/resources/history-of-cpr.

2. Bonnes JL, Brouwer MA, Navarese EP, Verhaert DV, Verheugt FW, Smeets JL, de Boer MJ. Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies. Ann Emerg Med. 2016 Mar;67(3):349-360.e3. doi: 10.1016/j.annemergmed.2015.09.023. Epub 2015 Nov 19. PMID: 26607332.

3. Cheskes S, Dorian P, Feldman M, McLeod S, Scales DC, Pinto R, Turner L, Morrison LJ, Drennan IR, Verbeek PR. Double sequential external defibrillation for refractory ventricular fibrillation: The DOSE VF pilot randomized controlled trial. Resuscitation. 2020 May;150:178-184. doi: 10.1016/j.resuscitation.2020.02.010. Epub 2020 Feb 19. PMID: 32084567.https://pubmed.ncbi.nlm.nih.gov/32084567/

4. Delorenzo A, Nehme Z, Yates J, Bernard S, Smith K. Double sequential external defibrillation for refractory ventricular fibrillation out-of-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation. 2019 Feb;135:124-129. doi: 10.1016/j.resuscitation.2018.10.025. Epub 2018 Oct 26. PMID: 30612966.

5. Fig Leaf Times Two by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1200096

Artist: http://incompetech.com/

6. Kette F, Ghuman J, Parr M. Calcium administration during cardiac arrest: a systematic review. Eur J Emerg Med. 2013 Apr;20(2):72-8. doi: 10.1097/MEJ.0b013e328358e336. PMID: 22990036.

7. Landry A, Foran M, Koyfman A. Does calcium administration during cardiopulmonary resuscitation improve survival for patients in cardiac arrest? Ann Emerg Med. 2014 Aug;64(2):187-9. doi: 10.1016/j.annemergmed.2013.07.510. Epub 2013 Aug 30. PMID: 23992943.

8. Mapp JG, Hans AJ, Darrington AM, Ross EM, Ho CC, Miramontes DA, Harper SA, Wampler DA; Prehospital Research and Innovation in Military and Expeditionary Environments (PRIME) Research Group. Prehospital Double Sequential Defibrillation: A Matched Case-Control Study. Acad Emerg Med. 2019 Sep;26(9):994-1001. doi: 10.1111/acem.13672. Epub 2019 Jan 6. PMID: 30537337.

9. Mount DB (2020). Treatment and Prevention of Hyperkalemia in Adults. In T.W. Post Sterns RH, Forman JP (Eds.). UpToDate. Available from: https://www-uptodate-com.beckerproxy.wustl.edu/contents/treatment-and-prevention-of-hyperkalemia-in-adults?search=hyperkalemia%20treatment§ionRank=1&usage_type=default&anchor=H462542914&source=machineLearning&selectedTitle=1~150&display_rank=1#H462542914

10. Poole K, Couper K, Smyth MA, Yeung J, Perkins GD. Mechanical CPR: Who? When? How? Crit Care. 2018 May 29;22(1):140. doi: 10.1186/s13054-018-2059-0. PMID: 29843753; PMCID: PMC5975402.

11. Pozner CN, Link MS (2020). Supportive data for advanced cardiac life support in adults with sudden cardiac arrest. In T.W. Page RL, Walls RM, Dardas TF (Eds.). UpToDate. Available from: https://www-uptodate-com.beckerproxy.wustl.edu/contents/supportive-data-for-advanced-cardiac-life-support-in-adults-with-sudden-cardiac-arrest?search=calcium%20cardiac%20arrest&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

12. Vallentin MF, Granfeldt A, Holmberg MJ, Andersen LW. Drugs during cardiopulmonary resuscitation. Curr Opin Crit Care. 2020 Jun;26(3):242-250. doi: 10.1097/MCC.0000000000000718. PMID: 32348092.

13. Velissaris D, Karamouzos V, Pierrakos C, Koniari I, Apostolopoulou C, Karanikolas M. Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review. J Clin Med Res. 2016 Apr;8(4):277-83. doi: 10.14740/jocmr2456w. Epub 2016 Feb 27. PMID: 26985247; PMCID: PMC4780490.

For paramedics, click here for CE credits

May is mental health awareness month. Unfortunately, EMS clinicians are at high risk for mental health due to long hours, low pay, and a chaotic work environment. Yet, mental health in the prehospital realm is a taboo topic. No one likes to talk about it and some don't believe it exists. As part of mental awareness month, we will focus on clinicians' stories, EMS research on suicidal behavior, and resources for anyone who is hurting and feels that they are alone.

In this podcast we have special guests:

Fiona Thomas EMT-P

President of the Code Green Campaign

Bridgette Svancarek MD FAEMS

Assistant professor of Emergency Medicine

Washington University

Click here to check out the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Noah Bernhardson MD

Gina Pellerito EMT-P

John Reagan EMT-P

Adam Hagar EMT-P

For paramedics, click here for CE credits.

Pediatric Out of Hospital Cardiac Arrest Part 2: When a child dies

In this episode, the But Why EMS Podcast team discusses why beginning the mourning process in the field benefits families as well as what to do or say when terminating p-OHCA resuscitation on scene

with our special guest:

Peter Antevy MD

@HandtevyMD

Pediatric Emergency Medicine Physician

EMS physician

Click here to check out the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Noah Bernhardson MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

I Am a Man Who Will Fight for Your Honor by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://chriszabriskie.com/honor/

Artist: http://chriszabriskie.com/

For Paramedics, click here for CEU credits!

They're not little adults nor are they little aliens...

They're just kids.

Pediatric Out of Hospital Cardiac Arrest (p-OHCA) is a terrifying case for any health care clinician. In this two-part series, the But Why EMS Podcast team covers the evidence behind p-OHCA and the growing push to resuscitate on the scene with special guest

John Graham MD

Pediatric Emergency Medicine Physician Fellow.

Click here to check out the episode today!

Also, check out our sister podcast The Prehospital Emergency Care Podcast's February episode discussing the utility of Pediatric intraosseous needles in p-OHCA!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

1. "Monty Python - "Not Dead Yet" Scene (HD)" YouTube, Downloaded by Phil Moy February 19, 2021. https://www.youtube.com/watch?v=Jdf5EXo6I68&t=2s&ab_channel=Browningate

2. Dreams Become Real by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

   Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1500027

   Artist: http://incompetech.com/

3. Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

   Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100238

   Artist: http://incompetech.com/

4. Eastin C, Karim S, Hawthorn C, Webb MH, Waheed MA, Buford A, Hutchison M, Mason C, Sexton K. Mandated 30-minute Scene Time Interval Correlates With Improved Return of Spontaneous Circulation at Emergency Department Arrival: A Before and After Study. J Emerg Med. 2019 Oct;57(4):527-534. doi: 10.1016/j.jemermed.2019.06.021. Epub 2019 Aug 28. PMID: 31472942.

5. Banerjee PR, Ganti L, Pepe PE, Singh A, Roka A, Vittone RA. Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival. Resuscitation. 2019 Feb;135:162-167. doi: 10.1016/j.resuscitation.2018.11.002. Epub 2018 Nov 6. PMID: 30412719.

6. Grunau B, Kime N, Leroux B, et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2020;324(11):1058–1067. doi:10.1001/jama.2020.14185.
7. Broughton W, Paediatric cardiac arrest: time to 'stay and play'? Journal of Paramedic Practice. 2015 Dec. https://www.paramedicpractice.com/features/article/paediatric-cardiac-arrest-time-to-stay-and-play

Happy New Year!

For Paramedics click HERE for CEU.

We all know the standard phrase in EMS...

But in episode 6, we take this maxim one step further

When dealing with HYPOTHERMIC patients.

In this episode we have

Dr. Conner Gessert

2nd-year Emergency Medicine Resident at Washington University

cover ALL things HYPOTHERMIC in the prehospital world.

Click here to check it out today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

1. "Censor Beep Sound Effect." YouTube, Downloaded by Phil Moy January 25, 2021. https://www.youtube.com/watch?v=RPfCZhvj1Ng&ab_channel=RyanCarvalho
2. "Find Your Vocal Range in 1 Minute.m4v." YouTube, Downloaded by Phil Moy January 25, 2021. https://www.youtube.com/watch?v=9IejHKpfHso&ab_channel=alanpiano1
3. Gilbert M, Busund R, Skagseth A, et al. Resuscitation from accidental hypothermia of 13.7 degrees C with circulatory arrest. Lancet. 2000;355(9201):375-376
4. Part 8: Advanced Challenges in Resuscitation. Circulation. 2000;102(suppl_1):I-229. doi:10.1161/circ.102.suppl_1.I-229
5. Podsiadło P, Darocha T, Kosiński S, Sanak T, Gałązkowski R. Body temperature measurement in ambulance: a challenge of 21-st century? BMC Emergency Medicine. 2019;19(1):44. doi:10.1186/s12873-019-0261-2
6. Rischall ML, Rowland-Fisher A. Evidence-Based Management Of Accidental Hypothermia In The Emergency Department. Emerg Med Pract. 2016;18(1):1-18.
7. "Ship Horn - Sound Effect." YouTube, Downloaded by Phil Moy January 25, 2021. https://www.youtube.com/watch?v=Nee8KfUtLBA&ab_channel=Copyleft
8. "The Sound of a Boat Motor." YouTube, Downloaded by Phil Moy January 25, 2021. https://www.youtube.com/watch?v=pngTkC321mI&ab_channel=yogaduke

Happy Holidays!

For paramedics, click here for CEU.

The COVID-19 vaccine is here! Many celebrate this as a miracle of science. Yet others remain skeptical of the vaccine. Episode 5 seeks to assuage and answer many of those concerns with our special guest star:

Dr. Stephen Liang MD MPHS

Associate Professor of Emergency Medicine and Infectious Disease

Click here to answer your questions about the COVID-19 mRNA vaccine!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

P.S. Here is the graph that Dr. Liang mentioned in the FDA Report about the Pfizer Vaccine

Works Cited

"Inactivated Virus Vaccine." Inactivated Virus Vaccine - an Overview | ScienceDirect Topics, www.sciencedirect.com/topics/medicine-and-dentistry/inactivated-virus-vaccine.

Pfizer-BionTech. (2020). FACT SHEET FOR RECIPIENTS AND CAREGIVERS EMERGENCY USE AUTHORIZATION (EUA) OF THE PFIZER-BIONTECH COVID-19 VACCINE TO PREVENT CORONAVIRUS DISEASE 2019 (COVID-19) IN INDIVIDUALS 16 YEARS OF AGE AND OLDER [Fact Sheet]. Retrieved from: https://www.fda.gov/media/144414/download

Federal Drug Administration. "Vaccines and Related Biological Products Advisory Committee Meeting." 10 Dec. 2020. https://www.fda.gov/media/144245/download?fbclid=IwAR366lR9LuAUYtQGMBZKNimFtZCfTFs0CHivFGb8CfXZ7wedJyP4fdphmQw

"Vaccines and the Immune Response: How They Work." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=Atrx1P2EkiQ&ab_channel=MechanismsinMedicine

"Heaven Sound Effects All Sounds." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=2HwZo9Oqql4&ab_channel=AllSounds

"Officials worry deadly coronavirus can spread to U.S." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=ME6rg5enX9I&ab_channel=CBSThisMorning

"1st case of coronavirus confirmed in US| ABC News." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=FMc280EtXxs&ab_channel=ABCNews

"COVID-19 Spreads For 1st Time in US: How Serious are Risks Today| Dr. Anthony Fauci." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=X3GxF_6trDY&ab_channel=TODAY

"Velcro Sound Effect [ HD ]" YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=WiMfVStE6FA&ab_channel=nBeats

"Typing Sound Effect (no copyright)." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=OJhWtBBJw10&ab_channel=aboutVINCENT

"Typewriter Ding - Sound Effect." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=nd8LOfAd4LY&ab_channel=SoundShelf

"iPhone/Mac E-mail Sent Sound Effect (swoosh)." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=l5_GD0-_EII&ab_channel=FreeToUseSound%E2%80%94Royaltyfreesoundeffects

"Lets. Get. Bizzay." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=_Y1YaXvi1bk&ab_channel=BigRamifications

"AOL Dial Up Internet Connection Sound + You've Got Mail (America Online) 90's." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=dudJjUU9Nhs&ab_channel=AdventuresinHD

"Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel.

"Whaat? - Minions| Despicable Me." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=J5Wj8Q6OTcg&ab_channel=JiriKolarik

"Money Sound Effect." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=0cWGdrndeD4&ab_channel=AudioSounds

"Toccata and Fugue in D Minor (Best Version Ever)." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=ho9rZjlsyYY&ab_channel=MovieMongerHZ

"Sesame Street Podcast Number 2." YouTube, Downloaded by Phil Moy December 23, 2020.

https://www.youtube.com/watch?v=6oNzKKb4TQI&ab_channel=VickiRoy

"Ron Burgundy & Baxter." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=TCY0e77SQvM&ab_channel=roflsaur1337

Unfoldment, Revealment, Evolution, Exposition, Integration by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://chriszabriskie.com/reappear/

Artist: http://chriszabriskie.com/

"The good the bad and the ugly - Theme." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=AFa1-kciCb4&ab_channel=jordanharding

"75 Atari 2600 Games (VCS)." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=ucRYLobga0g&ab_channel=jvgsjeff

"How do vaccines work? - Kelwalin Dhanasarnsombut." YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=rb7TVW77ZCs&ab_channel=TED-Ed

Happy Thanksgiving!

For paramedics, click here for CEU Credits.

This year the But Why EMS Podcast is thankful for you, our listeners, for being part of our family. Thank you!

In this episode, we hear about Gina and John's hilarious sedation story and John's personal experience with Versed.

We also have a special guest

Valerie Lew MD

who enlightens the crew about the most up to date evidence of sedation usage in the prehospital world!

Click here to download!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Can you breathe spontaneously through a BVM." YouTube, Downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=HRgLUAvY7io&t=128s&ab_channel=PaediatricEmergencies.

"Curly sleep." YouTube, Downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=fkUPSn7PeV0&ab_channel=auweia1.

"Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel.

"Hulk Smash & Fight Scenes (2008-2017) MCU| Ragnarok included." YouTube, Downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=P4QCgtdMFxM&t=233s&ab_channel=CedricDumler.

Isenberg DL, Jacobs D. Prehospital Agitation and Sedation Trial (PhAST): A Randomized Control trial of Intramuscular Haloperidol versus Intramuscular Midazolam for the Sedation of the Agitated of Violent Patient in the Prehospital Environment. Prehospital Disaster Medicine. 2015 Oct; 30 (5):491-5. Doi.10.1017. Epub 2015 Sep 1. https://www.ncbi.nlm.nih.gov/pubmed/26323511.

"Lou Reed-Perfect Day (Audio)." YouTube, downloaded on November 28, 2020. https://www.youtube.com/watch?v=9wxI4KK9ZYo&ab_channel=LouReedVEVO

Macht M, Mull A, McVaney K, et al. Comparison of Droperidol and Haloperidol for Use by Paramedics: Assessment of Safety and Effectiveness. Prehospital Emergency Care. 2014; 18:3, 375-380. https://doi.org/10.3109/10903127.2013.864353

Martel M, Miner J, Fringer R, et al. Discontinuation of Droperidol for the Control of Acutely Agitated Out of Hospital Patients. 2009; 9:1, 44-48. https://doi.org/10.1080/10903120590891723.

Page C, Parker L, Rashford S,et al. A Prospective Before and After Study of Droperidol for Prehospital Acute Behavioral Disturbance. Prehospital Emergency Care. 2018; 22:6, 713-721. https://doi.org/10.1080/10903127.2018.1445329

"Relaxing Music and Calming 4K Waterfall nature: Sleep Relaxation." YouTube, downloaded by Phil Moy, November 28, 2020, https://www.youtube.com/watch?v=xJ4hsUE9zU8&ab_channel=321Relaxing-MeditationRelaxClips.

Thomas H, Schwartz E, Petrilli R. Droperidol versus haloperi- dol for chemical restraint of agitated and combative patients. Ann Emerg Med. 1992;21(4):407–13.

"To alcohol...the cause of...and solution to...all of life's problem's." YouTube, downloaded by Phil Moy, November 28, 2020. https://www.youtube.com/watch?v=hUVwR0rw5fk&ab_channel=Jappana.

For paramedics please click here for CEU Credits!

In this episode, we discuss the dramatic rescue in Thailand, Ketamine's pharmacology, indications, responsibilities of prehospital sedation, and what you should know about this medication in your own practice of medicine.

Using Ketamine affords you great power.

And with great power...

Download the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Thai Cave Rescue - Full Documentary HD." YouTube, downloaded by Phil Moy, October 10 2020, https://www.youtube.com/watch?v=a4GqD0B-KjI&t=126s&ab_channel=ADVEXONTV

For paramedics, please click here for CEU credits!

In the last episode, we explored the role heat emergencies played in the deaths of Tour de France cyclist Tom Simpson and Kentucky high school football player, Max Gilpin.

But why were Tom Simpson and Max Gilpin the only athletes to suffer heatstroke?

The "But Why (@EMSBut)" team answers this question with guests:

Evan Schwarz MD

@TheSchwarziee

Kevin Baumgartner MD

Download the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Coach Not Guilty in Students Heat Death." YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=OpNemKSFo1c&ab_channel=ABCNews.

"Breaking Bad Main Title Theme." YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=ilfYnhXD-bE&ab_channel=DavePorter-Topic

"The Story of Tom Simpson Part 6/6." YouTube, downloaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc.

"Top 5 Walter White most powerful quotes." YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=6MMrDLW4XQw&ab_channel=NiRatings.

Lake, Thomas. "The Boy Who Died of Football - Sports Illustrated Vault." SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football.

"Tom Simpson." Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.