The SWORBHP Podcast

On this episode, Dr. Lauren Valdis and guest Dr. Rob Sogetrop present a webinar focusing on antidepressant overdoses in the world of prehospital medicine.

In this episode of the SWORBHP Podcast our very own Dr. Lauren Valdis and Dwayne Cottel discuss PICC lines and CVAD access.

References:

Ask MAC: https://askmac.sworbhp.ca/271

OBHG Companion Document (see pages 70/71): https://ontariobasehospitalgroup.ca/wp-content/uploads/2022/02/2022_02_ESC-Companion-Document-v4.9_final_v16_Feb-8-2022.pdf

Description: 

In this episode, Special Guest Dr. Alexander Chase (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) about pediatric endotracheal intubation. Together they discuss the evidence behind the switch from uncuffed to cuffed tubes, along with some of the other recent changes to pediatric airway management. Myths are debunked, evidence is unpacked. Join us for this deep dive into pediatric airway management!

Associated TOTW:

Pediatric ETT Size Equation Changes with Cuffed Tube

Resources for Pediatric Intubations Webinar:

· De Orange FA, et al. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Cochrane Database of Systematic Reviews 2017, Issue 11. Art. No.: CD011954. DOI: 10.1002/14651858.CD011954.pub2

· Eschertzhuber S, et al. Cuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs. Acta Anaesthesiol Scand. 2010 Aug;54(7):855-8. doi: 10.1111/j.1399-6576.2010.02261.x. Epub 2010 Jun 15. PMID: 20560884.

· Khine HH, et al. Comparison of cuffed and uncuffed endotracheal tubes in young children during general anesthesia. Anesthesiology. 1997 Mar;86(3):627-31; discussion 27A. doi: 10.1097/00000542-199703000-00015. PMID: 9066329.

· Topjian AA, et al. Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. PMID: 33081526.

· Wampler DA. Capnography as a clincal tool. August 2011. EMSWorld. From https://www.hmpgloballearningnetwork.com/site/emsworld/article/10287447/capnography-clinical-tool

· Weiss M, et al. Comparison of cuffed and uncuffed preformed oral pediatric tracheal tubes. Paediatr Anaesth. 2006 Jul;16(7):734-42. doi: 10.1111/j.1460-9592.2006.01844.x. PMID: 16879515.

Special Guest Dr. Sara-Pier Piscopo (Western Pediatric Emergency Medicine Fellow) sits down to talk to Dr. Lauren Valdis (Medical Director of Education at SWORBHP) to discuss the latest evidence and best practices in resuscitation of pediatric out of hospital cardiac arrest.  Topics include: Considerations in when to transport, when to consider IO vs. IV access and some hot-off-the-press local data to share.

March 2022 - Ask MAC referenced: SWORBHP Ask MAC

References:

• Burgert, JM et al.  An Evidence-Based Review of Epinephrine Administered via the Intraosseous Route in Animal Models of Cardiac Arrest, Military Medicine, Volume 179, Issue 1, January 2014, Pages 99–104,

In this episode our Medical Director of Education Dr. Lauren Valdis, and our Education Coordinator Gabby Willems, answer your questions from the 2021 MCME.

In this Podcast, Prehospital Care Specialist Dwayne Cottel sits down with Dr. Matthew Davis, SWORBHP Regional Medical Director, to discuss Base Hospital Physician (BHP) patching. SWORBHP recently conducted a pilot project to test the feasibility of Centralized Patching. This podcast highlights SWORBHP’s historical model of BHP patching and the impetus to move to Centralized Patching.

“What exactly is Centralized Patching?” and “What are some of the perceived benefits and drawbacks to this model?” are some of the questions that will be explored, and answered, in this podcast. In addition, how Centralized Patching will impact you as a frontline SWORBHP paramedic is discussed.  An overview of some of the lessons learned from our pilot project as well as some upcoming developments with BHP patching will be shared.

Read the Patching Post to keep up with all of the latest news regarding SWORBHP's centralized patching initiative:

https://www.lhsc.on.ca/southwest-ontario-regional-base-hospital-program/the-patching-post

Compassion Fatigue and Vicarious Trauma

This episode of the SWORBHP Podcast features Nancy Lawrence (Manager - Just Culture, Wellness & Staff Support at LHSC), Ryan Hall  (Deputy Chief - Oxford County Paramedic Services), and Ted Sanders (Paramedic and Peer Support Team Member - Oxford County Paramedic Services).

The topic of this episode is Compassion Fatigue and Vicarious Trauma. Nancy, Ryan, and Ted dive deep into this topic as they discuss real-world scenarios from their own personal experiences, and talk about how it relates to you as a paramedic.

Resources:

Professional Quality of Life Scale: https://proqol.org/uploads/ProQOL_5_English_Self-Score.pdf

Continuum Self Check: https://theworkingmind.ca/continuum-self-check

Continuum Self Check Graphic: https://i0.wp.com/safehouseapp.info/wp-content/uploads/2017/07/continuum-mobile.gif

Low Impact Debriefing: https://www.tendacademy.ca/wp-content/uploads/2019/07/Low-Impact-Debriefing-2019.pdf

Special Guest Dr. David Morden (PGY-4 Western Emergency Medicine Resident) takes us through the background of recent practice change in administration of IM Epi, per the Considerations for Paramedics Managing Patients During the COVID-19 Pandemic (https://www.lhsc.on.ca/media/9082/download). 

Dr. Danielle Kelton presents the first Western University Division of Emergency Medicine Grand Rounds of the year. These rounds, titled "Stayin' Alive', cover the evidence for and against the use of mechanical CPR both in the pre-hospital and emergency department settings.

Interested in more excellent and informative grand rounds, like Dr. Kelton's? Email [email protected] to be placed on the Email list for the Western University Division of Emergency Medicine Grand Rounds, to ensure you're not missing out!