In this episode of the Ten Minute Medic the listener will:

1.  understand the pathophysiology behind the development and destruction of clots after trauma;

2.  learn the findings of the CRASH 2 study regarding TXA administration;

3.  review one potential protocol for the administration of TXA.

 At the end of this podcast the paramedic student will:

1.  understand the signs and symptoms of hypoglycemia

2.  understand the treatment of hypoglycemia

3.  be able to differentiate the different levels of hyperglycemia

4.  verbalize the treatment approaches for hyperglycemia

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Some forms of diabetes have been called a disease of lifestyle.  There is no doubt that, in western culture, it is increasing.  In this two part podcast we will :

1.  review the anatomy and physiology of the pancreatic system

2.  understand the role that insulin, glucose and glycogen play in homeostasis

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In this final session of this two part podcast, the student will

1.  weigh the benefits versus the risks of moving from basic airway maneuvers to more advanced ones.

2.  understand the importance of adequate airway suctioning versus limiting it to 10-15 seconds.

3. be introduced to the concepts of rapid sequence intubation and drug assisted intubation.  The protocol established by the Kentucky Board of EMS will be used for this discussion.  Please refer to the EMS governing agency of your state for your particular regulation and protocol.  

The Ten Minute Medic takes a look at the airway of the trauma patient.  In this session, you will learn:

1.  the role of external and internal respiration.

2.  factors that influence alveolar and cellular gas exchange.

3.  the dangers of hyperventilation of your patient.

Next weeks podcast will continue the discussion of the airway of the trauma patient.  If you would like to have a topic covered, drop me a line at [email protected]. 

This is the second part of the Pathophysiology of Shock episode.  In this recording we'll look at:

1.  Why relying on a BP for indication of shock could be deadly for your patient,

2.  The three stages of shock and why you must be aggressive in its recognition and treatment and,

3.  How the movement of fluid in and out of the cells affects the hemostatic status of your patient. 

This week and next week the Ten Minute Medic will cover the workings of the body in shock and why this topic is probably the most important lecture you will cover in your paramedic class.  This is a two part episode. 

The rules of engagement for active shooting scenes have changed.  No longer can EMS sit back until the "scene is secure".  In this podcast, we will review the kinematics of gunshot wounds that will enable you to better assess, recognize and treat your gunshot patient. 

We come to the end of our series on acid base balance with a look at metabolic acidosis and alkalosis.  In this podcast you will learn:

1.  The most common cause of metabolic acidosis

2.  Why the administration of sodium bicarbonate for your patient in metabolic acidosis may be deadly

3.  A summary of pathophysiology pearls to remember when addressing acid base issues.

For your patient, there is, probably, no more frightening sensation than that of not being able to breathe.  This is never more true than in the patient who is in respiratory alkalosis.  In this podcast we look at:

1.  What respiratory alkalosis is.

2.  The pathophysiology behind it.

3.  The best way to treat, and not treat, your patient.