Refusal Heuristic Traps: How to avoid heuristic traps: Competency Vs Capacity: Competency is a global assessment and legal determination made by a judge in court. Capacity is a functional assessment and a clinical determination about

Chemical Casualties: Incapacitating Agents

Jun 13th, 2020 1h 2m

Joined by Peter D. Akpunonu, MD, Haedan Eager and Ben Doty, we discuss their recent paper on "Managing the Effects of Riot Control Agents" and throw in a little trivia - and discuss relevant and practical management principles for patients expo

Ryan Mynatt, PharmD on Virology

Apr 8th, 2020 1h 1m

Don't you wish someone explained what viral load, viral shedding, and all those other words we use loosely when talking about COVID-19? Well.... our guest on this podcast did, and we think you'll really enjoy getting back to the basics, and t

COVID-19 Update: Avoiding the Aerosols

Mar 22nd, 2020 18m 8s

In this podcast we discuss a gift box of items regarding treatment considerations for reducing aerosol generating procedures. As with the previous podcast, this is a dynamic situation, and the information is not guaranteed to be accurate. Pleas

COVID-19 - EMS Considerations

Mar 14th, 2020 22m 6s

Let's start by saying that I am not an expert. But, specific guidance from the CDC for managing these patients is available, but I feel like the dispersal of this information is critical to front line EMS providers. For links to important sites

C2B Podcast 24 - Needle Thoracostomy

Jan 3rd, 2020 25m 9s

In this episode we take a new look at the pathophysiology behind tension pneumothorax and how it presents in the real world population, and discuss why we should pause before inserting the needle in the 2nd intercostal space.

C2B Podcast 23 - Hyperkalemia

Nov 19th, 2019 40m 51s

Hyperkalemia Intro Potassium is primarily an intracellular ion responsible for maintenance of the resting membrane potential for normal cell conduction. Serum measured potassium is typically between 3.5 and 5.0 mEq/L. Serum K greater than 5

Diabetic Ketoacidosis

Sep 30th, 2019 29m 3s

Transporting a sick DKA patient is challenging. Surprisingly, there's a bit more to it than "just" administering fluid and monitoring an insulin infusion. Read more and find references at curbtobed.com

Rethinking Transcutaneous Pacing

Aug 19th, 2019 22m 23s

In our first official “vodcast”, we discuss pearls and pitfalls of transcutaneous pacing, and how it’s much more difficult than “you either have capture or you don’t”. “Phantom” complexes are rarely reported on or discussed in Paramedic school,

Are we Placing mCPR Devices too Early?

Jun 16th, 2019 12m 25s

First, there are two proposed mechanisms of CPR, brilliantly summarized in this paper: Cardiac Pump Mechanism: “blood is squeezed from the heart into the arterial and pulmonary circulations, with closure of the mitral and tricuspid valves, pre

An Assault on Preventable Trauma Deaths With Andrew Fisher

May 21st, 2019 1h 20m

Join us as we interview Andrew Fisher on the multiplicity of managing civilian trauma patients. Although the complexity of trauma management is often understated, the basics are often not managed appropriately, and can have an appreciable affec

Wailing for Risk Reduction

Apr 8th, 2019 40m 10s

Wantabe et al. (2018) "Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes?" was the first to definitively link L&S use with ambulance crashes. Data extrapolated from Wantabe et al. (2018) Response

Wailing for Risk Reduction: The Quantifiable Risks of Using Lights and Sirens

Apr 8th, 2019 40m 10s

Under Pressure - Vasopressor PEARLS with Dr. Regan Baum

Mar 3rd, 2019 1h 16m

Goals on Initiation Reverse shock and increase tissue perfusion: Improve blood flow BP (MAP >65) perfuse coronaries and brain Mental status End tidal CO2 Maybe: urine output (if Foley present) & capillary refill time Increase venous return

Pulse Oximetry: Basics and Biases

Feb 3rd, 2019 45m 47s

Topics Discussed in the Podcast: Provider bias and the pulse oximeter. CO oximetry. Pulse oximeter lag. Approach to the well-appearing patient with a low SpO2 reading. Relation of vascular tone to pleth wave amplitude and variability. Using

Modern Spinal Care

Dec 22nd, 2018 1h 9m

The following is a short list of salient points related to the podcast and the corresponding source literature. As always, read the source literature and critically appraise it for yourself. Take none of the following as a substitution for loca

Seeing Wisely: Decoding Stroke Care with Dr. Ben Newman

Nov 3rd, 2018 1h 28m

“The value of experience is not in seeing much, but in seeing wisely.” ― Sir William Osler Deciphering signal from noise as it relates to modern stroke care can be challenging and conflicting, especially as it pertains to the out of hospital

Avoiding Airway Disasters with Dr. Jeff Jarvis

Sep 30th, 2018 1h 12m

In this episode, we're graced by the presence of Airway Jedi Dr. Jeff Jarvis. We discuss a novel approach to the standardization of airway management in order to prevent peri-intubation hypoxia and valuable insight into the organizational cultu

Acute Pulmonary Edema

Sep 12th, 2018 22m 7s

What is SCAPE? For this podcast, we're discussing the acute pulmonary edema presentation. This patient is hypertensive (SBP >140mmHg), severely dyspneic, with diffuse rales and clearly anxious. The "no-shitter, drowning-before-your-very-eyes

FEELing for a Pulse and Shocking Asystole with Walt Lubbers

Jul 31st, 2018 43m 59s

This podcast is based on the Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients (FEEL) Study, and inferences made from it. The study was to determine the feasibility of prehospital ultrasound, but

Drowning

Jul 19th, 2018 28m 29s

Terminology Wet, dry, or near drowning are not medically accepted terms and should not be used. There is nothing “near” about drowning. It happened or it didn’t. Drowning is: “the process of experiencing respiratory impairment due to submersio

Exertional Heatstroke

Jul 12th, 2018 52m 15s

Intro Heat Stroke is broadly defined as a core temperature above 104 F with central nervous system abnormalities following strenuous exercise or environmental heat. - Wilderness Medical Society. Heat cramps, exhaustion, illness, stroke etc. a

The Great White Fright

Jun 1st, 2018 55m 7s

Narcan and Synthetic Opioids: vive la résistance? Probably not. Read this absolutely brilliant piece from The Tox & The Hound here. (They did all the hard work and we stole their sources.) Opioid "resistance" to naloxone is most likely not a t

Prehospital Cardiac Arrest with Walt Lubbers

May 6th, 2018 1h 35m

For this episode, we bring in an expert and an esteemed guest to answer all of your burning questions about resuscitation of cardiac arrest. Part man, part mystery, but wholly dedicated to furthering excellence in out of hospital care: Dr. Walt

"Prime the Pump" is Dead

Apr 1st, 2018 29m 11s

Why is “prime the pump”, dying? It’s now accepted that sepsis has more to do with vasodilation, and less to do with vascular permeability. Administering a vasopressor turns unstressed volume into stressed volume and improves venous return.