You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress.

His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the most important first steps in managing his airway and breathing?

Read the full article on EMS Airway.

Special thanks to Debbie Herrell from Shriner's Hospital and Terrence Sheehy with Dare County (NC) EMS.

Introduction

• Welcome back to the EMS Handoff Podcast

Overview of Pediatric Burn Injuries

• Unique considerations in treating pediatric burn patients

Pain Management for Pediatric Burn Patients

• Effective methods for providing pain relief to pediatric burn patients

Addressing Emotional and Psychological Impact

• Understanding the long-lasting emotional and psychological effects of burn injuries on children

Resources and Training Opportunities

• Highlighting organizations such as the American Burn Association and the National Association of Emergency Medical Technicians

Conclusion

• Thanks to Debbie Herrell for sharing her expertise on pediatric burn injuries

Note: These show notes provide a brief summary of the 65th episode of the EMS Handoff Podcast featuring a discussion on pediatric burn injuries. For a comprehensive understanding, please listen to the full episode.

This week on the EMS Handoff Podcast, Hosts Bradley Dean and David Blevins take on the North Carolina EMS Expo and this episode brings together the Handoff team and the founder of Dt4EMS, Jason Brooks, to talk about the violence toward healthcare providers. There is a lot of information about the encounters and how to preemptively identify different threats, and ways to evade if needed. If you want to bring this to your service, reach out to Jason below.

Contact us

Bradley Dean: [email protected]

David Blevins: [email protected]

Guests

Jason Brooks. [email protected]

This week on the EMS Handoff Podcast, Hosts Bradley Dean and David Blevins bring on Howie Mell, a paramedic turned physician who talks all about physicians in EMS. This podcast is for those who happen upon a scene and offer to help, to those that have given orders. Have you ever wondered what you should do with physicians and what authorization do they have on your dispatched scene?

Contact us

Bradley Dean: [email protected]

David Blevins: [email protected]

Howie Mell - [email protected]

Here’s a talk Jonathon Feit gave at the National Association of Mobile Integrated Healthcare Providers in March 2023.

When applying a device to deliver noninvasive ventilation (e.g., CPAP or BiPAP) to a patient, many providers forget to pay attention to one of the most critical aspects of using these lifesaving devices: the mask that assists to deliver oxygen at the flow rate set on the device.

Read the full article here on EMS Airway.

In this episode, Dov and Raphael get into high-flying and hijinks of responding to medical emergencies that take place in flight.

From emergency calls of fainting and blood pressure problems to full-on anaphylactic shock and CPRs, Dov, and Raphael talk about a series of real-life stories of medical intervention from 35,000 feet and up. What would you do if you were asked to be the medical responder on-board a mid-air flight?