The 2022 cold and flu season is off and running! Thus far emergency departments and EMS systems alike are caring for more RSV patients, than ever before, for this early in the season.

But what is RSV anyway? Join me as we take a dive into the pathophysiology and management of this virus and discuss the brain-tips to fingertips facts that every EMS provider should know when caring for the critically ill RSV patient of any age.

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References: 
Johnson, Denise A. “PENNSYLVANIA DEPARTMENT OF HEALTH 2022-PAHAN-668-10-27-ADV Increased Respiratory Syncytial Virus (RSV) Activity Nationally and in Pennsylvania.” Pennsylvania Department of Health, 27 Oct. 2022. 

“RSV Surveillance Data - NREVSS.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 27 July 2021, https://www.cdc.gov/surveillance/nrevss/rsv/index.html. 

“Updated Guidance: Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus Infection during the 2022-2023 RSV Season.” Home, American Academy of Pediatrics , 26 Aug. 2022, https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/interim-guidance-for-use-of-palivizumab-prophylaxis-to-prevent-hospitalization/. 

Stay safe, and do good care!

As EMS clinicians we intubate multiple patients every year. But, have you ever stopped to consider if you are setting  yourself, and the patient, up for the most optimal procedural outcome? Lets spend some time discussing the art of utilizing the gum elastic bougie, and setting yourself up for success while performing an endotracheal intubation in the prehospital environment.

Stay safe, and do good care!

As an EMS provider, we take care of thousands of acutely and chronically ill patients every year. When we encounter a patient with a tracheostomy the conversation usually goes like this:

Patient's Caregiver: "The patient has a "'trach!'"
Paramedic: "Crap."

If you are anything like me, I remember learning about tracheostomies and laryngectomies as a paramedic student, but I will be honest, I was so focused on everything else I was not as focused on this. But, the first time I ever encountered a  critically ill tracheostomy patient, I really wished I would have paid more attention.

Join me as we take a dive into the tracheostomy and laryngectomy patient as we discuss the "news you can use," "brain tips to finger tips," overview of how to recognize, manage, and not panic the next time you encounter a stoma with (or without) a tube in it!

Stay safe, and do good care!

Patient: "I'm nauseated, i'm vomiting, my belly hurts, and I use cannabis a lot! I have cannabis hyperemesis syndrome."

Paramedic: "You have what now?"

Cannabis (marijuana) use for medical and recreational purposes alike is more common now than ever before. Speaking of common,  EMS providers often encounter patients who fall into the trap of cyclic vomiting, chronic nausea, and diffuse abdominal pain. But, have you ever stopped to ponder whether or not  these two topics are related? Is Cannabis Hyperemesis Syndrome (CHS) on your differential diagnosis list for the nausea, vomiting, abdominal pain patient?

Join me as we take a dive into the "need to know" pathophysiology for EMS, diagnosis, and care plan development for the patient possibly experiencing CHS!

References: 

Beadle, K., et al. “385 Isopropyl Alcohol Nasal Inhalation Intervention for Nausea in the Emergency Department: A Randomized Placebo-Controlled Human Trial.” Annals of Emergency Medicine, vol. 66, no. 4, 8 Dec. 2015, https://doi.org/10.1016/j.annemergmed.2015.07.421. 

Hernandez, Jeremy M., et al. “Cannabinoid Hyperemesis Syndrome Presentation to the Emergency Department: A Two-Year Multicentre Retrospective Chart Review in a Major Urban Area.” CJEM, vol. 20, no. 4, 2017, pp. 550–555., https://doi.org/10.1017/cem.2017.381.

Pickett, Jason  R. “Cannabis Hyperemesis Syndrome.” Episode 13: Austin-Travis County EMS System Office of the Medical Director Official Podcast. Apple Podcasts, 22 Feb. 2018. 

Winstead-Derlega, Christopher. “More than a Hot Shower – Treatment for Cannabinoid Hyperemesis Syndrome (CHS).” EmDOCs.net - Emergency Medicine Education, EmDOCS, 20 Nov. 2020, http://www.emdocs.net/more-than-a-hot-shower-treatment-for-cannabinoid-hyperemesis-syndrome-chs/.

Stay safe, and do good care!

Greetings! Welcome to The Clinical Concepts Podcast! I am thrilled that you're here. The Clinical Concepts Podcast is being brought to you from just outside of Pittsburgh, Pennsylvania, one of the epicenters of EMS and emergency medicine innovation nationally!

The Clinical Concepts Podcast is an outstanding source of education and thought provoking discussion for all emergency medicine professionals, but specifically geared towards the astute EMS Clinician.  The Clinical Concepts Podcast will provide brain tips to finger tips, news you can use knowledge to help you and your patients during your daily adventures as an EMS professional.

The first episode of The Clinical Concepts Podcast, Welcome to Clinical Concepts, is simply a greeting and background of the show,  with the first content driven episodes (if you will) dropping this week!

In the mean time, visit us on Facebook at https://www.facebook.com/profile.php?id=100085408611085

or send us an email at [email protected], and let us know which topics you want to discuss! 

Stay safe, and do good care! 

Stay safe, and do good care!