Summary

In this episode of the Overrun Podcast, Ed Bauter speaks with Greg Clopp, a former paramedic turned nurse anesthetist, about the evolution and nuances of Rapid Sequence Intubation (RSI) in emergency medicine. They discuss the importance of understanding patient needs, the role of various medications, and the shift towards Delayed Sequence Intubation (DSI) as an alternative to RSI. The conversation also touches on the challenges faced by EMS professionals, the importance of patient assessment, and the potential for career growth within the industry. Greg shares insights on how to navigate the EMS landscape and the importance of having diverse options in medication protocols.

Takeaways

RSI is taken more seriously in modern practice.
One size doesn’t fit all in patient care.
Aggressive treatment is necessary in emergency settings.
Career opportunities in EMS are limited on the East Coast.
Understanding patient needs is crucial for effective treatment.
Video laryngoscopy has its limitations, especially with cervical spine injuries.
Push dose pressors can be beneficial in fragile patients.
Diverse medication options are essential for effective care.
Patient assessment should guide treatment decisions.
Career pathways in EMS can lead to advanced practice roles.

Chapters

00:00 Introduction to RSI and Its Evolution
03:09 The Nuances of RSI in Practice
05:59 Exploring Alternatives: DSI vs. RSI
09:01 The Role of Medications in RSI
11:56 The Disconnect Between Field and Hospital Practices
14:59 Video Laryngoscopy: Benefits and Risks
18:10 Career Pathways in EMS and Nursing
20:58 Final Thoughts on EMS and Career Growth