The Overrun

The State of New Jersey, in the throes of an enormous opioid epidemic, has unveiled allowing their Mobile Intensive Care Units (Paramedics) to administer buprenorphine as a part of an optional formulary.

The National Registry...what is it, and why should it matter to you? As the only national organization of credentialing in the USA, the guidelines and structure they use has a huge impact on your license or certification.

We dig into the Overrun vault to find this episode....let us know what YOU think!

Is NREMT the be-all, end-all solution; or can it be improved to be a truly national licensing standard? We look at the strengths and weaknesses, and what we would like to see from the NREMT!

Does absence of evidence indicate evidence of absence? Resuscitative Endovascular Balloon Occulsion of the Aorta (REBOA) is a hot topic in prehospital care, especially with London’s Air Ambulance using it in the field.

What does it require? Are we ready for this? And what’s the benefit to the patient?

We break it down for you in this episode…and you’ll be surprised!

London HEMS can be found at:

https://www.londonsairambulance.org.uk

Paris SAMU is another program you should look at:

https://www.jems.com/articles/print/volume-42/issue-12/features/how-physicians-perform-prehospital-ecmo-on-the-streets-of-paris.html

The Knick was a cable series about turn of the century medicine:

https://www.cinemax.com/the-knick

Original Journal of Surgery paper on REBOA:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249899/

REBOA at the R. Adams Cowley Shock Trauma Center:

https://www.ncbi.nlm.nih.gov/pubmed/29190256

The latest study on REBOA:

https://journals.lww.com/jtrauma/Citation/2016/09000/The_AAST_AORTA_registry_and_data_on_REBOA.33.aspx

Dan recaps the MD1 EMS Conference and shares what he learned from a room full of EM/EMS physicians speaking to EMS clinicians!

Pip from 555fitness.org talks about getting in shape for EMS!

Ed, Jess, and Dan discuss where we've been with sepsis, where we are, and maybe where we're going.

Dan sits down with flight paramedic Dave Aromin to discuss the amazing state of Alaska, and the challenges of providing emergency and retrieval care to the largest state.

The gang discusses HEMS with our resident flight paramedic, Kevin Mazza

What happens when EMS fails?