Welcome to the Firehouse Medic Podcast. This episode will be Part 2 of a 2 Part Series with special guest Dr. Michael DeFilippo. The guys will be discussing new research about EMS's most popular medication, Epinephrine, and what that research is saying about how much we give.

Disclaimer: The discussions and opinions shared in this podcast are for educational and informational purposes only and reflect personal experiences and perspectives in emergency medicine. This content should not be used as medical direction or clinical guidance. Always follow your local protocols, medical director guidance, department policies, and the standards of the EMS system in which you practice when treating patients.

For more information on Dr. Michael DeFilippo and his research articles, please visit his Substack page @ https://emsdrmike.substack.com

For more information on topics discussed in this episode, please visit our Substack page that Dr. Mike was kind enough to help contribute to @ https://emsdrmike.substack.com/s/the-firehouse-medic-podcast

Please visit our other social media platforms:

Spotify: thefirehousemedic https://open.spotify.com/show/39iqT2V6OQi0tqWgoE1zAC

Apple Podcasts: thefirehousemedic https://podcasts.apple.com/us/podcast/the-firehouse-medic-podcast/id1896045314

YouTube: thefirehousemedic https://www.youtube.com/@TheFirehouseMedicPodcast

Amazon Music: The Firehouse Medic https://music.amazon.com/podcasts/afb484fd-98ed-4ed0-bce0-1ab827bfa5f0/the-firehouse-medic-podcast

Instagram: thefirehousemedic https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedicpodcast https://www.tiktok.com/@thefirehousemedicpodcast

Facebook: The Firehouse Medic Podcast https://www.facebook.com/share/1EQvRTKnDY/?mibextid=wwXIfr

Here is a list of study references from this series:

1. Are We Giving Too Much Epinephrine?

M. DeFilippo

https://emsdrmike.substack.com/p/are-we-giving-too-much-epinephrine

2. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest (Paramedic2 Trial)

G. Perkins

https://www.nejm.org/doi/full/10.1056/NEJMoa1806842

3. Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

J. Wiggington

https://www.ahajournals.org/doi/10.1161/CIR.0000000000001376

Welcome to the Firehouse Medic Podcast. This episode will be Part 1 of a 2 Part Series with special guest Dr. Michael DeFilippo. The guys will be discussing new research about EMS's most popular medication, Epinephrine, and what that research is saying about how much we give.

Disclaimer: The discussions and opinions shared in this podcast are for educational and informational purposes only and reflect personal experiences and perspectives in emergency medicine. This content should not be used as medical direction or clinical guidance. Always follow your local protocols, medical director guidance, department policies, and the standards of the EMS system in which you practice when treating patients.

For more information on Dr. Michael DeFilippo and his research articles, please visit his Substack page @ https://emsdrmike.substack.com

For more information on topics discussed in this episode, please visit our Substack page that Dr. Mike was kind enough to help contribute to @ https://emsdrmike.substack.com/s/the-firehouse-medic-podcast

Please visit our other social media platforms:

Spotify: thefirehousemedic https://open.spotify.com/show/39iqT2V6OQi0tqWgoE1zAC

Apple Podcasts: thefirehousemedic https://podcasts.apple.com/us/podcast/the-firehouse-medic-podcast/id1896045314

YouTube: thefirehousemedic https://www.youtube.com/@TheFirehouseMedicPodcast

Amazon Music: The Firehouse Medic https://music.amazon.com/podcasts/afb484fd-98ed-4ed0-bce0-1ab827bfa5f0/the-firehouse-medic-podcast

Instagram: thefirehousemedic https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedicpodcast https://www.tiktok.com/@thefirehousemedicpodcast

Facebook: The Firehouse Medic Podcast https://www.facebook.com/share/1EQvRTKnDY/?mibextid=wwXIfr

Here is a list of study references from this series:

1. Are We Giving Too Much Epinephrine?

M. DeFilippo

https://emsdrmike.substack.com/p/are-we-giving-too-much-epinephrine

2. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest (Paramedic2 Trial)

G. Perkins

https://www.nejm.org/doi/full/10.1056/NEJMoa1806842

3. Part 9: Adult Advanced Life Support: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

J. Wiggington

https://www.ahajournals.org/doi/10.1161/CIR.0000000000001376

Welcome to the Firehouse Medic Podcast. This episode will be Part 2 of a 2 Part Series with special guests Darick Day from Mehlville FPD and Chip Lange from Practical Pocus. The guys will be discussing why Ultrasound is the future of EMS and why it should be a main piece of equipment for patient assessment and diagnosis in an acute emergency setting.

For more information on Mehlville Fire Protection District, Deputy Chief of Training, or MFPD's Paramedic and CCP programs, please visit their website @ https://mehlvillefire.com

For more information on Chip Lange and Practical Pocus, and to take a Ultrasound class, please visit their website@ https://courses.practicalpocus.com

Please visit our other social media platforms:

Spotify: thefirehousemedic https://open.spotify.com/show/39iqT2V6OQi0tqWgoE1zAC

Apple Podcasts: thefirehousemedic https://podcasts.apple.com/us/podcast/the-firehouse-medic-podcast/id1896045314

YouTube: thefirehousemedic https://www.youtube.com/@TheFirehouseMedicPodcast

Amazon Music: The Firehouse Medic https://music.amazon.com/podcasts/afb484fd-98ed-4ed0-bce0-1ab827bfa5f0/the-firehouse-medic-podcast

Instagram: thefirehousemedic https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedicpodcast https://www.tiktok.com/@thefirehousemedicpodcast

Here is a list of study references from this series:

1. Pre-hospital ultrasound: a review of its applications and effectiveness - Jacob Ward Department of Health Sciences, Seminole State Collegehttps://jemsmed.org/journal/view.php?doi=10.35616/jemsm.2022.00038

2. Impact of Point-of-Care Ultrasound on PrehospitalDecision Making by HEMS Physicians in Critically Illand Injured Patients: A Prospective Cohort Study - Cambridge Universityhttps://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/impact-of-pointofcare-ultrasound-on-prehospital-decision-making-by-hems-physicians-in-critically-ill-and-injured-patients-a-prospective-cohort-study/114FCDB81341D3FB6F331690762D9DDD

3. The role of point of care ultrasound in prehospital critical care: a systematic review - Morten Thingemann Bøtkerhttps://pubmed.ncbi.nlm.nih.gov/29940990/

Welcome to the Firehouse Medic Podcast. This episode will be Part 1 of a 2 Part Series with special guests Darick Day from Mehlville FPD and Chip Lange from Practical Pocus. The guys will be discussing why Ultrasound is the future of EMS and why it should be a main piece of equipment for patient assessment and diagnosis in an acute emergency setting.

For more information on Mehlville Fire Protection District, Deputy Chief of Training, or MFPD's Paramedic and CCP programs, please visit their website @ https://mehlvillefire.com

For more information on Chip Lange and Practical Pocus, and to take a Ultrasound class, please visit their website@ https://courses.practicalpocus.com

Please visit our other social media platforms:

Spotify: thefirehousemedic https://open.spotify.com/show/39iqT2V6OQi0tqWgoE1zAC

Apple Podcasts: thefirehousemedic https://podcasts.apple.com/us/podcast/the-firehouse-medic-podcast/id1896045314

YouTube: thefirehousemedic https://www.youtube.com/@TheFirehouseMedicPodcast

Amazon Music: The Firehouse Medic https://music.amazon.com/podcasts/afb484fd-98ed-4ed0-bce0-1ab827bfa5f0/the-firehouse-medic-podcast

Instagram: thefirehousemedic https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedicpodcast https://www.tiktok.com/@thefirehousemedicpodcast

Here is a list of study references from this series:

1. Pre-hospital ultrasound: a review of its applications and effectiveness - Jacob Ward Department of Health Sciences, Seminole State Collegehttps://jemsmed.org/journal/view.php?doi=10.35616/jemsm.2022.00038

2. Impact of Point-of-Care Ultrasound on PrehospitalDecision Making by HEMS Physicians in Critically Illand Injured Patients: A Prospective Cohort Study - Cambridge Universityhttps://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/impact-of-pointofcare-ultrasound-on-prehospital-decision-making-by-hems-physicians-in-critically-ill-and-injured-patients-a-prospective-cohort-study/114FCDB81341D3FB6F331690762D9DDD

3. The role of point of care ultrasound in prehospital critical care: a systematic review - Morten Thingemann Bøtkerhttps://pubmed.ncbi.nlm.nih.gov/29940990/

Welcome to the Firehouse Medic Podcast. This episode will be Part 2 of a 2 Part Series with special guest Brian Stewart from SCCAD. The guys will be discussing different ways to form an EMS response team with a mix of EMT's, Paramedics, and Critical Care Medics. They also discuss how the theory of "Load and Go vs. Stay and Play" may change with additional resources like CCP's and blood.

For more information on St. Charles County Ambulance District, BC Brian Stewart, or SCCAD's EMT, Paramedic, and CCP programs, please visit their website @ https://www.sccad.com/education/training-academy

Please visit our other social media platforms:

Spotify: thefirehousemedic

Apple Podcasts: thefirehousemedic

YouTube: thefirehousemedic https://www.youtube.com/@TheFirehouseMedicPodcast

Instagram: thefirehousemedic https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedic0

Here is a list of study references from this series:

1. Increased on scene time leads to reduction in mortality in Pediatric TBI - Johns Hopkins Universityhttps://media.handtevy.com/website/Emergency-Medical-Services-Time-on-Scene-Associated-with-Reduced-Dead-on-Arrival-Status-Among-Pediatric-Patients-with-Severe-Traumatic-Brain-Injury.pdf

2. PrehospitaL Ultrasound in Undifferentiated DyspnEa (PreLUDE) Observational Study -Denmark, Prehospital Critical Care Physicianshttps://pmc.ncbi.nlm.nih.gov/articles/PMC9899351/#Sec7

Welcome to the Firehouse Medic Podcast. This episode will be Part 1 of a 2 Part Series with special guest Brian Stewart from SCCAD. The guys will be discussing different ways to form an EMS response team with a mix of EMT's, Paramedics, and Critical Care Medics. They also discuss how the theory of "Load and Go vs. Stay and Play" may change with additional resources like CCP's and blood.

For more information on St. Charles County Ambulance District, BC Brian Stewart, or SCCAD's EMT, Paramedic, and CCP programs, please visit their website @ https://www.sccad.com/education/training-academy

Please visit our other social media platforms:

Spotify: thefirehousemedic

Apple Podcasts: thefirehousemedic

YouTube: thefirehousemedic

https://www.youtube.com/@TheFirehouseMedicPodcast

Instagram: thefirehousemedic

https://www.instagram.com/thefirehousemedic

TikTok: thefirehousemedic0

Here is a list of study references from this series:

1. Increased on scene time leads to reduction in mortality in Pediatric TBI - Johns Hopkins Universityhttps://media.handtevy.com/website/Emergency-Medical-Services-Time-on-Scene-Associated-with-Reduced-Dead-on-Arrival-Status-Among-Pediatric-Patients-with-Severe-Traumatic-Brain-Injury.pdf

2. PrehospitaL Ultrasound in Undifferentiated DyspnEa (PreLUDE) Observational Study -Denmark, Prehospital Critical Care Physicianshttps://pmc.ncbi.nlm.nih.gov/articles/PMC9899351/#Sec7

Welcome to our first episode! In this episode, we will be discussing why we created this podcast and why we think it is important to discuss the current culture change in EMS where fire-based departments and districts are starting to see a need for critical care.

Right now, the majority of emergency calls are for medical emergencies, not fire emergencies, and the ambulance has not been a popular assignment compared to the fire truck. Should we reconsider the importance of this position within the department or district? Listen in to find out what we think.

Please visit our other social media platforms:

Spotify: thefirehousemedic

Apple Podcasts: thefirehousemedic

YouTube: thefirehousemedic

Instagram: thefirehousemedic

TikTok: thefirehousemedic0