The Off Shift Podcast by EMSconnect

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All patients die from what? SHOCK! It could be trauma related, it could stem from a medical condition like anaphylaxis or simple cardiac arrest. No matter the underlining cause, our patient's death occurs because of the lack of blood and oxygen moving to the vital organs and the removal of the toxins from the body. As EMS providers, our job is simple, recognize, assess, and treat shock! No pressure...If all people die from it, and our job is centered around finding and treating it, then there shouldn't be anything shocking about shock, right?  

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Echo call, cardiac arrest, or full arrest, whatever your agency calls it, it means the same, the heart has stopped and life is in limbo, or does it? Things have seemed to change, more often, the cardiac arrest call is overdose related and not truly a cardiac arrest. With these "false" arrest calls, does it make us complacent? Also, with the increase in overdose calls, comes the increase of naloxone use. In addition, has things like airway management and artificial ventilation have seemed to be moved down on the providers' priority list.  Paramedic Nathan and I talk about all of this, in a very relaxed way in this episode! 

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Dr. Crash, AKA Dr. Stanton, is back covering injuries all the way from your head to your tailbone! Did you know Dr. Stanton is the Medical Director for the AMR/NASCAR Safety Team! If anyone knows head, neck, or back injuries, it is this guy!

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I sit down with Dr. Dierks and share with him a recent post by Limmer Education called "Seven things your Medical Director wants you to know." I read him each one and get his feedback on each. Dr. Dierks than off the cuff gives his seven things, as well as gives some thoughts on how, us as responders, can bring changes to our departments. 

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Welcome to our first "book club," Dr. Dierks and I sit down and talk about the book "Who Moved My Cheese?" and how it affected our lives. We both recommend you pick up this book and check it out! Link to buy on amazon: https://www.amazon.com/Moved-Cheese-Spencer-Johnson-M-D/dp/0743582853

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Lines & Tubes & Catheters, Oh My!  EMSconnect hosts Sheri Worle our Critical Care Educator and Flight Nurse with Life Flight Network, as she breaks down the "What, Where and Whoops" of frequently encountered lines, tubes, drains, and catheters. 

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The clock ⏰ is ticking when it comes to lack of perfusion. How fast? On average in a large vessel ischemic CVA, 32,000 neurons are lost causing an age acceleration of 8.7 hours, every second! So, in the average stroke, 1.2 billion neurons are lost causing an age acceleration of 37 years! Time is tissue, and time is NOT on our side! How fast you assess, get vitals, and generally get information, comes into play with the extent of damage to your patient's brain. 

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Wow, this one was tough. I am joined by Caitlin Wilson who shares her stories of when she was called upon to provide care off-duty. "I am leaning over doing CPR on someone I have knelt next to doing CPR." Buckle up for this one, it hits a little differently than other episodes. 

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Cardiac arrest is not always as simple as the "typical" arrest. What if it is driven by trauma? What if you're operating in a law enforcement-generated warm zone? What if you are called upon to initiate and manage a cardiac arrest in front of thousands of people, criticizing your every treatment on LIVE TV? Are you ready? 
Join Dr. Dierks and Shaun Pitts as they cover the cardiac arrest practices of EMS providers in "When Shit Hits the Fan". 

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Our expert physician panel reviews the calls submitted by EMSconnect users! Our panel provides dialogue about their opinions and decisions. Want CE credit for out lectures, check out www.emsconnect.org! 

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