LISTENER DISCRETION IS ADVISED.

Dr. Stephen Wood, host of the "Tac Medic Whiskey Podcast" joined us again! We talk about a wide-range of topics from politics (the EMS kind, not national), blood, airway, degrees, trauma...

Listener discretion is advised.

References:

Hannon L, St Clair T, Smith K, Fitzgerald M, Mitra B, Olaussen A, Moloney J, Braitberg G, Judson R, Teague W, Quinn N, Kim Y, Bernard S. Finger thoracostomy in patients with chest trauma performed by paramedics on a helicopter emergency medical service. Emerg Med Australas. 2020 Aug;32(4):650-656.

Harrison J, Bhardwaj A, Houck O, Sather K, Sekiya A, Knack S, Saarunya Clarke G, Puskarich MA, Tignanelli C, Rogers L, Marmor S, Beilman G. Emergency medical services level of training is associated with mortality in trauma patients: A combined prehospital and in hospital database analysis. J Trauma Acute Care Surg. 2025 Mar 1;98(3):402-409.

Life in the Fast Lane Article: https://litfl.com/finger-thoracostomy/

Patel, S., Green, A. Death by p-value: the overreliance on p-values in critical care research. Crit Care 29, 73 (2025). https://doi.org/10.1186/s13054-025-05307-9

Taming the SRU Blog Article: https://www.tamingthesru.com/blog/acmc/finger-thoracostomy

UVA Needle Decompression Presentation: https://www.vdh.virginia.gov/content/uploads/sites/23/2022/09/EMS-Needle-Decompression-PI-Project.pdf

Listener discretion is advised.

LISTENER DISCRETION IS ADVISED.

Listener discretion is advised.

LISTENER DISCRETION IS ADVISED.

LISTENER DISCRETION IS ADVISED.

Listener discretion is advised.

Thanks to Melody for coming back on the podcast to tie up some loose ends re: the COPD episode.

Listener discretion is advised (language).

References:

Bonilla Arcos D, Krishnan JA, et al. High-Dose Versus Low-Dose Systemic Steroids in the Treatment of Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Systematic Review. Chronic Obstr Pulm Dis. 2016 Feb 17;3(2):580-588.

Fawzy A, Wise RA. Pulse Oximetry Misclassifies Need for Long-Term Oxygen Therapy in Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2023 Nov;20(11):1556-1557.

Goldberg P, Reissmann H, Maltais F, Ranieri M, Gottfried SB. Efficacy of noninvasive CPAP in COPD with acute respiratory failure. Eur Respir J. 1995 Nov;8(11):1894-900.

Jennifer T. Thibodeau, Mark H. Drazner. The Role of the Clinical Examination in Patients With Heart Failure,JACC: Heart Failure, Volume 6, Issue 7, 2018, Pages 543-551.

Kartal M, Goksu E, Eray O, et al. The value of ETCO2 measurement for COPD patients in the emergency department. Eur J Emerg Med. 2011 Feb;18(1):9-12.

Ni, H., Aye, S., Naing, C. Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2022 May 26; 2022(5):CD013506.

Pertzov, B., Ronen, M., Rosengarten, D. et al. Use of capnography for prediction of obstruction severity in non-intubated COPD and asthma patients. Respir Res 22, 154 (2021).

Pu X, Liu L, Feng B, Wang M, Dong L, Zhang Z, Fan Q, Li Y, Wang G. Efficacy and Safety of Different Doses of Systemic Corticosteroids in COPD Exacerbation. Respir Care. 2021 Feb;66(2):316-326.

Tyagi D, Govindagoudar MB, et al. Correlation of PaCO2 and ETCO2 in COPD Patients with Exacerbation on Mechanical Ventilation. Indian J Crit Care Med. 2021 Mar;25(3):305-309.

van Gestel AJ, Steier J. Autonomic dysfunction in patients with chronic obstructive pulmonary disease (COPD). J Thorac Dis. 2010 Dec;2(4):215-22. doi: 10.3978/j.issn.2072-1439.2010.02.04.5.