Summary

In this episode of the Overrun Podcast, hosts Ed Bauter and Dan Schwester engage with Scott Weingart to discuss critical topics in emergency medical services (EMS). The conversation covers the importance of whole blood in prehospital care, the logistical challenges of blood supply, and strategies for overcoming resistance to change within EMS systems. They also delve into advancements in defibrillation techniques, the use of pressors, and the significance of addressing burnout among EMS professionals. The episode concludes with a discussion on the potential role of ultrasound in EMS, emphasizing the need for effective tools in critical care settings.

Keywords

EMS, whole blood, defibrillation, push dose pressors, burnout, ultrasound, blood supply, logistics, critical care, emergency medicine

Takeaways

Whole blood is essential for critically ill trauma patients in the field.
Logistical challenges hinder the effective use of blood in EMS.
Evidence-based practice is crucial for implementing changes in EMS.
Dual sequential defibrillation shows promise in resuscitation efforts.
Dopamine should be phased out in favor of norepinephrine.
Push dose pressors should be used judiciously and not repeatedly.
Burnout is a significant issue in EMS that needs addressing.
Self-care and mental health are vital for EMS professionals.
Compassionate care can help combat cynicism in the field.
Ultrasound technology has potential benefits for EMS, especially in IV access.

Sound bites

“Whole blood is just the ideal product.”
“Stop using dopamine in EMS.”
“Ultrasound should be on the buses.”

Chapters

00:00 Introduction to the Overrun Podcast
03:03 The Importance of Whole Blood in EMS
07:42 Logistical Challenges in Blood Supply
08:35 Overcoming Resistance to Change in EMS
12:13 Advancements in Defibrillation Techniques
19:32 Pressors in EMS: What Works Best?
25:33 The Role of Push Dose Pressors
30:47 Addressing Burnout in EMS
36:53 The Future of Ultrasound in EMS

www.overrunems.com

www.emcrit.org