MCHD Paramedic Podcast

Episode 193 - What Can EMS Learn From An Emergency Pharmacist? - Part 2

20 Apr 2026

Contributed by Lukas

One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no...

Episode 192 - Med Error Reduction Part 1

23 Mar 2026

Contributed by Lukas

One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no...

Episode 191 - EMS Protocols 101

23 Feb 2026

Contributed by Lukas

As discussed on prior episodes, we recently overhauled our entire protocol structure here at MCHD. One of our MCHD paramedics, David Lozano, joins us...

Episode 190 - Geriatric Considerations In EMS With Dr. Maia Dorsett

26 Jan 2026

Contributed by Lukas

The most common podcast requests over the past couple of years have been focused on prehospital geriatric care. Dr. Maia Dorsett, EMS geriatric expert...

Episode 189 - EMS Airway Updates 2025 - Part 2

29 Dec 2025

Contributed by Lukas

There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why can't we take a look after sedatio...

Episode 188 - Prehospital OB Updates 2025

01 Dec 2025

Contributed by Lukas

Recently, some paramedics, obstetricians, and EMS medical directors were locked in a room and produced some fantastic collaborative prehospital guidel...

Episode 187 - EMS Airway Updates 2025 - Part 1

03 Nov 2025

Contributed by Lukas

There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why don't we intubate our cardiac arre...

Episode 186 - A Paramedic's Guide To The Opiate Epidemic

06 Oct 2025

Contributed by Lukas

We're lucky to have a special guest on this podcast episode to discuss a topic that, unfortunately, all of us in emergency care encounter all too freq...

Episode 185 - Chest Pain - The Next 30 Minutes

09 Sep 2025

Contributed by Lukas

We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the p...

Episode 184 - Recording Video Laryngoscopy In EMS

11 Aug 2025

Contributed by Lukas

On this episode, the podcast crew discusses the recent introduction of video laryngoscopy with recording capability at MCHD. What device did you use?...

Episode 183 - Pain Control In EMS - The MCHD Analgesia Ladder

14 Jul 2025

Contributed by Lukas

The podcast crew takes on the topic of prehospital analgesia. What pain medication do we choose when facing a complex patient with all analgesics ava...

Episode 182 - Traumatic Arrest With The Prehospitalist

16 Jun 2025

Contributed by Lukas

Lindsey Ewing (IG's The Prehospitalist) joins us to discuss updates and questions surrounding the EMS management of traumatic arrest. Sure, we must ad...

Episode 181 - Why You Should Attend The Resuscitation Academy

19 May 2025

Contributed by Lukas

We're joined by Dallas-area cardiac arrest management thought leaders from Best EMS and Parker County Hospital District to discuss the Resuscitation A...

Episode 180 - Orthostatic Vitals - Should They Stay or Should They Go?

21 Apr 2025

Contributed by Lukas

Orthostatic vitals are taught throughout medical training as a quick and easy way to assess patient volume status objectively. We also frequently see ...

Episode 179 - Transcutaneous Pacing Pearls and Pitfalls

19 Mar 2025

Contributed by Lukas

On today's episode, we're lucky to have a couple of special guests to discuss prehospital transcutaneous pacing. Medics turned medical students and EM...

Episode 178 - A STEMI Unlike Any Other

18 Feb 2025

Contributed by Lukas

We often discuss "one in a million" and "once in a career" cases in emergency medicine and EMS, and do we ever have one of those for you in this episo...

Episode 177 - A-Fib With RVR - A Medic Mindset Collaboration

22 Jan 2025

Contributed by Lukas

This is a special edition of the MCHD Paramedic Podcast. Ginger Locke, of the absolutely amazing Medic Mindset podcast, invited Dr. Patrick on to disc...

Episode 176 - Antibiotics & Open Fractures

28 Dec 2024

Contributed by Lukas

MCHD recently rolled out Ceftriaxone for long-bone open fracture care. The podcast crew welcomes our new assistant medical director, Dr. Mike DePasqu...

Episode 174 - Push Dose Norepinephrine

02 Nov 2024

Contributed by Lukas

We recently implemented a "push-dose" norepinephrine protocol at MCHD and have already learned some valuable lessons. Join us for some vasopressor pha...

Episode 175 - The Rear View Mirror - Tunnel Vision

29 Oct 2024

Contributed by Lukas

Dr. Patrick is joined by MCHD District Chief Kelcie Adams to discuss the role of clinical case reviews at MCHD. Why are these so important, and what's...

Episode 173 - Med Minute - Magnesium

27 Sep 2024

Contributed by Lukas

We're working on a new series focusing on high-yield pharmacology reviews. Dr. Patrick starts us off with some background, mechanism of action discuss...

Episode 172 - The MCHD EKG Manifesto - Part 3

27 Sep 2024

Contributed by Lukas

Our final entry into the EKG Manifesto series moves into the STEMI/OMI world of acute coronary occlusion. Who do we activate and why? Where is the STE...

Episode 171 - Surgical Airway Lessons With Dr. Al Lulla

17 Sep 2024

Contributed by Lukas

One of the most fear-inducing procedures in all of emergency care is the surgical cricothyrotomy. Dr. Al Lulla from Dallas Fire joins the podcast to d...

Episode 170 - The MCHD EKG Manifesto - Part 2

14 Jul 2024

Contributed by Lukas

Applied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient....

Episode 169 - Agitation Awareness - Fixed-Dose Ketamine

17 Jun 2024

Contributed by Lukas

We've initiated a multi-pronged, system wide overhaul of our agitation management at MCHD. This included a move to fixed-dose ketamine for the severel...

Episode 168 - The VTach FACTs

20 May 2024

Contributed by Lukas

We've recently had several challenging, wide-complex tachycardia cases here at MCHD, so the podcast crew decided to bring forth some VT vs. SVT with a...

Episode 167 - Ketamine Only Intubations With Dr. Andrew Partain

22 Apr 2024

Contributed by Lukas

The podcast crew is joined by a special guest, Dr. Andrew Partain, an EMS Fellow from UTSW in Dallas. We will dissect his recent data surrounding ket...

Episode 166 - The MCHD EKG Manifesto - Part 1

25 Mar 2024

Contributed by Lukas

Applied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient....

Episode 165 - Intracerebral Hemorrhage

26 Feb 2024

Contributed by Lukas

We've spent countless hours (rightfully so) discussing ischemic stroke management over the past several years. Sometimes, the other 20% of strokes, th...

Episode 164 - EMS HOCUS POCUS

29 Jan 2024

Contributed by Lukas

MCHD's POCUS program has definitely involved both forward progress and lessons learned. In this episode, we'll discuss some of the reasons POCUS can b...

Episode 163 - Back Pain Beware

02 Jan 2024

Contributed by Lukas

MCHD paramedic Wes Hall joins the podcast crew to discuss a recent seemingly mundane back pain call. Please listen to find out how avoidance of premat...

Episode 162 - Post-ROSC Pressor Choice

04 Dec 2023

Contributed by Lukas

We recently made a significant vasopressor protocol change at MCHD, prioritizing norepinephrine in all shock situations except anaphylaxis and bradyca...

Episode 161 - MMQ#9 - The Angioedema Airway

06 Nov 2023

Contributed by Lukas

MCHD District Chief April Currie joins the podcast crew to discuss an angioedema case that repeatedly left more questions than answers. Dr. Patrick w...

Episode 160 - ST Elevation in aVR With Diffuse ST Depression

09 Oct 2023

Contributed by Lukas

The podcast crew dives deep into one of the early "STEMI equivalent" ECG patterns: ST elevation in aVR with diffuse ST depression. What does the evide...

Episode 159 - MMQ#8 - The Head and the Heart

11 Sep 2023

Contributed by Lukas

Dr. Dickson leads the discussion with recent cases involving the PECARN pediatric head injury decision rule and some super sneaky toxicology. There i...

Episode 158 - Terrible Tracheostomy 2023

14 Aug 2023

Contributed by Lukas

The podcast crew is joined by MCHD In-Charge Paramedics, Ben Breaux, and Jesus Contreras to discuss a critical case that demonstrates why continuing e...

Episode 157 - Cardiac Arrest During EMS Care - Making MOVES

17 Jul 2023

Contributed by Lukas

There is nothing more stressful than seeing EMS peri-arrest progress to pulseless. CARES data suggest that cardiac arrest during transport is not an ...

Episode 156 - MMQ#7 A Shocking Save And Sneaky Serial Killer

19 Jun 2023

Contributed by Lukas

Sometimes it's easy on the individual level to miss the positive drift within EMS as systems of care evolve and change toward positive innovation. Dr...

Episode 155 - MMQ#6 - A Rapid AFib Riddle

22 May 2023

Contributed by Lukas

Join the podcast crew as they discuss one of the more sticky situations in all of emergency care: stable vs. unstable narrow complex tachycardia. 1. H...

Episode 154- Death Notification Lessons Learned

24 Apr 2023

Contributed by Lukas

The concept of emphasizing, discussing, and training on giving prehospital death notification is, unfortunately for medics and our patient's families,...

Episode 153 - MMQ#5 From The PNW - Spokane Frozen Solid

27 Mar 2023

Contributed by Lukas

The Podcast Crew is joined by Spokane Valley Fire Paramedic Noah Martinez to discuss a recent patient that he delivered to Dr. Patrick. After you hea...

Episode 152 - The MCHD SNORES Sedation Safety Bundle

13 Mar 2023

Contributed by Lukas

Chemical sedation is one of the riskiest decisions made in EMS clinical care, period. We've been working overtime at MCHD over the past couple of yea...

Episode 151 - MMQ#4 - Dr. Dickson's Strokes

27 Feb 2023

Contributed by Lukas

Join us as Dr. Dickson brings a couple of extremely difficult recent emergency department cases to take a hard look in his own clinical mirror. These...

Episode 150 - Hyperkalemia, BRASH syndrome, And Amiodarone BEWARE

13 Feb 2023

Contributed by Lukas

MCHD paramedic, Lily Trosclair, joins the podcast to discuss some in-depth hyperkalemia treatment details, including BRASH syndrome. We'll also pivot...

Episode 149 - Finding Joy In The Common

30 Jan 2023

Contributed by Lukas

This may seem like a curveball-type episode upon your initial listen, but this topic should be core material for all emergency medical clinicians. To...

Episode 148 - ET3 And Beyond With Dr. Gerad Troutman

16 Jan 2023

Contributed by Lukas

The podcast crew is joined, live at Texas EMS 2022, by Dr. Gerad Troutman to discuss the world of alternate destination EMS transports, EMS-facilitate...

Episode 147 - MMQ#3 - CAB For The Win

02 Jan 2023

Contributed by Lukas

MCHD medics Kelcie Adams and Rich Serra join the podcast to discuss a critically ill trauma patient they delivered to Dr. Patrick in the emergency dep...

Episode 146 - NTG In RVMI With Matt Wilkinson-Stokes

19 Dec 2022

Contributed by Lukas

Special guest alert!! We're lucky to have superstar Aussie medic and University of Melbourne Ph.D. candidate Matt Wilkison-Stokes, on this episode to...

Episode 145 - Where Do We Look? Who Do We Trust?

05 Dec 2022

Contributed by Lukas

We have MCHD Cpt. Megan Powell to thank for this episode as she posed an excellent question about where and how to look for trusted educational inform...

Episode 144 - The TBI "H-Bombs" With Dr. Al Lulla

21 Nov 2022

Contributed by Lukas

Join this discussion of some of the recent literature surrounding EMS care of traumatic brain injury with Dr. Al Lulla. This is the perfect confluenc...

Episode 143: Adrenal Crisis in EMS

07 Nov 2022

Contributed by Lukas

When it comes to exciting educational topics in EMS, oftentimes, the endocrine system, specifically the adrenal glands, can be left off the list. Dr....

Episode 142 - Reducing Medication Errors

24 Oct 2022

Contributed by Lukas

Across the world of health care, everyone is wrestling with how to reduce medication errors. With the decision in the Vanderbilt case, there is now t...

Episode 141 - Podcast Q&A

10 Oct 2022

Contributed by Lukas

Join the Podcast Crew as they answer some recent questions submitted to [email protected]. We discuss a wide range of topics including epinephrine ...

Episode 140 - MMQ#2 - A TBI Conundrum

26 Sep 2022

Contributed by Lukas

The Podcast Crew is joined by MCHD District Chief, Spencer Hall, to discuss a recent trauma patient that Chief Hall delivered to Dr. Patrick's ED care...

Episode 139 - Anchoring Bias In EMS

12 Sep 2022

Contributed by Lukas

The MCHD Paramedic Podcast would like to welcome EM/EMS physician Dr. Katherine Luu, to Montgomery County. Dr. Luu joins the podcast to discuss ancho...

Episode 138 - Beware of the BRUE - MCHD COTQ Q2 2022

29 Aug 2022

Contributed by Lukas

Brief resolved unexplained what?? MCHD paramedic, Cpt. Clayton Smith, joins Dr. Dickson to discuss an EMS approach to BRUE's. These can often be fal...

Episode 137 - Monday Morning Quarterback - STEMI vs. OMI/NOMI

15 Aug 2022

Contributed by Lukas

The Podcast crew is joined by MCHD In-Charge Paramedic Brady Walding to discuss a recent difficult STEMI case that intersected with Dr. Patrick in the...

Episode 136 - Mythbusters 2022

01 Aug 2022

Contributed by Lukas

The podcast crew welcomes newly transplanted Texan EMS physician, Dr. Louis Fornage, to join in on some rapid-fire mythbusting for 2022. We run the...

Episode 135 - First There Matters

18 Jul 2022

Contributed by Lukas

Join the podcast crew as they turn their attention from the EMS transport to the First Responders here in Montgomery County. We welcome MCHD FRO Coor...

Episode 134 - All Things Anaphylaxis

05 Jul 2022

Contributed by Lukas

True anaphylactic shock can be one of the most harrowing calls in all of EMS and emergency medicine. However, as is true with much of our core clinic...

Episode 133 - MCHD Bike Team

20 Jun 2022

Contributed by Lukas

Join Dr. Patrick and MCHD District Chief and Bike Team lead, Scott Sanders, as they discuss the MCHD Bike Team. What does it take to be an MCHD bike ...

Episode 132 - Xylazine Update

06 Jun 2022

Contributed by Lukas

Friend of the podcast emergency physician, addiction specialist, and toxicologist extraordinaire, Dr. Jerry Snow joins the podcast crew to discuss a s...

Episode 131 - Nebulized Ketamine, What??

23 May 2022

Contributed by Lukas

There is no possible way to improve ketamine, right? Join Dr. Patrick for a discussion of exciting recent literature investigating the effectiveness ...

Episode 130 - A Super Cool Case - MCHD COTQ Q1 2022

09 May 2022

Contributed by Lukas

Join the podcast crew, District Chief Kevin Mifflin and In-Charge Payden Seals as they discuss our MCHD Case of The Quarter for Q1 2022. This case is...

Episode 129 - Serial Killer Series - Trauma

25 Apr 2022

Contributed by Lukas

The medical directors revisit one of our old favorites "The Serial Killers Series" to discuss 5 trauma killers to keep in your front brain as you are ...

Episode 128 - MCI MCHD Style

11 Apr 2022

Contributed by Lukas

Join Dr. Dickson and the podcast crew as they dive into the MCHD approach to mass casualty incidents. We're lucky to be joined by MCHD Safety and Pre...

Episode 127 - Airway Patency Vs. Protection

28 Mar 2022

Contributed by Lukas

Episode 127 - Airway Patency Vs. Protection by Montgomery County Hospital District

Episode 126 - Droperidol With Dr. Jeff Jarvis - Live From Texas EMS

14 Mar 2022

Contributed by Lukas

On Episode 126, the podcast crew was able to catch up with the one and only Dr. Jeff Jarvis at Texas EMS in Austin. Dr. Jarvis is a longtime fan of d...

Episode 125 - Why No MCHD Whole Blood (Yet...)

28 Feb 2022

Contributed by Lukas

Texas has been the epicenter of the ground-based EMS integration of whole blood programs for hemorrhagic shock in the prehospital setting. The MCHD c...

Episode 124 - Awful Asthma - MCHD COTQ Q4 2021

14 Feb 2022

Contributed by Lukas

Join the podcast crew and MCHD medic Lily Trosclair as she discusses our MCHD Case of The Quarter for Q4 2021. This one began with a pediatric cardio...

Episode 123 - Social Media and EMS - Live From Texas EMS

31 Jan 2022

Contributed by Lukas

Wherever you turn in the world today, social media is present with constantly expanding visibility and influence. Join MCHD's Chief of EMS James Camp...

Episode 122 - Cardiac Arrest Literature Update

17 Jan 2022

Contributed by Lukas

It’s time to review some recent cardiac arrest literature. Both of today’s articles come from Resuscitation and address predictors of OHCA surviv...

Episode 121 - Burn Baby Burns

03 Jan 2022

Contributed by Lukas

We sure do love myth busting on the MCHD Paramedic Podcast and there are definitely some persistent myths surrounding burn care in EMS. Join the podc...

Episode 120 - Live From Texas EMS - Respect The Lift Assist With Dr. Taylor Ratcliff

20 Dec 2021

Contributed by Lukas

Join the podcast crew and Dr. Taylor Ratcliff as they discuss the dangers of the "Lift Assist" calls in EMS. These responses can be under-appreciated...

Episode 119 - Nitrous Oxide in EMS With Dr. Corrie Chumpitazi

06 Dec 2021

Contributed by Lukas

In this episode, we’re lucky to have a special guest from Texas Children's Hospital, pediatric sedation and pain management expert, Dr. Corrie Chump...

Episode 118 - A Conversation on Clinical Consults

19 Nov 2021

Contributed by Lukas

Within EMS, significant time is spent learning high risk, low frequency procedures and the pharmacology and physiology surround these events. In most...

Episode 117 - Prehospital IV Tylenol

08 Nov 2021

Contributed by Lukas

With the recent transition of IV acetaminophen from patent to generic, it's a good time to discuss MCHD's 2021 NAEMSP abstract describing our prehospi...

Episode 116 - Hyperacute T Waves

25 Oct 2021

Contributed by Lukas

Everything occlusion MI isn't always STEMI. After a recent discussion of "STEMI equivalents" during MCHD continuing education, Dr. Patrick cared for ...

Episode 115 - Digging Up Droperidol

11 Oct 2021

Contributed by Lukas

We’ve recently rolled out a new medication protocol here at MCHD. Join the medical directors to discuss the why, when, and how behind MCHD’s drop...

Episode 114 - COVID And Asystole?

27 Sep 2021

Contributed by Lukas

It seems as though each week brings some crazy and bizarre COVID-19 related news. MCHD Cpt. Megan Powell joins the podcast to spread the word about a...

Episode 113 - The "AHORA" Stroke Scale With Dr. Remle Crowe

13 Sep 2021

Contributed by Lukas

**NOTE - THIS EPISODE WAS RECORDED PRIOR TO THE DELTA SURGE** The MCHD clinical crew (Pre-Delta, obviously)attended an actual in-person EMS meeting –...

Episode 112 - Awake And Paralyzed...BEWARE

30 Aug 2021

Contributed by Lukas

Join the podcast crew as they discuss a recent study investigating the risk of being awake while paralyzed when intubated in the emergency department ...

Episode 111 - Attacking Pandemic ED Wall Time Delays

16 Aug 2021

Contributed by Lukas

Like the rest of the country and world, our Montgomery County hospital partners and ED's have been under severe strain due to a myriad of factors rela...

Episode 110 - EMS Charting Pearls And Pitfalls

02 Aug 2021

Contributed by Lukas

Charting is one of the more neglected skills from an EMS educational emphasis standpoint. As a result, what the medical director ends up reading duri...

Episode 109 - Bradycardia Breakdown

19 Jul 2021

Contributed by Lukas

The best clinical discussions always stem from real-life cases. MCHD paramedic Jarrett Kenning had a run of recent bradycardia patients and develope...

Episode 108 - EMS Worldwide - The French Perspective

05 Jul 2021

Contributed by Lukas

Join Dr. Dickson as he discusses all things French emergency medicine, EMS and prehospital care with Dr. Eric Revue - Emergency Department and EMS Chi...

Episode 107 - "My Legs Won't Work" - MCHD Case of the Quarter Q2 2021

21 Jun 2021

Contributed by Lukas

We’re going to attempt a new recurring podcast series based around the amazing pathology seen on a daily basis by MCHD medics. Cpt. Travis Clay joi...

Episode 106 - Whole Blood Down Under

07 Jun 2021

Contributed by Lukas

There may not be any hotter topic in EMS right now than whole blood administration for patients with hemorrhagic shock. Dr. Patrick is joined on toda...

Episode 105 - Should We Delay EKG Post-ROSC? The PEACE Study

24 May 2021

Contributed by Lukas

There has been significant development and change surrounding which patients are best served by immediate revascularization post-ROSC over the past 12...

Episode 104 - EMS Provider Mental Health Awareness

10 May 2021

Contributed by Lukas

May is Mental Health Awareness Month, so the podcast crew decided to dedicate an entire episode to discussing EMS provider mental health issues and re...

Episode 103 - The Artist Formerly Known As Pseudoseizure - An EMS Perspective

26 Apr 2021

Contributed by Lukas

We have all been guilty of caring for labeling and judging “pseudoseizures.” First of all, this term is outdated, and this episode looks at a stu...

Episode 102 - MCHD Ventilator Roundup - First Do No Harm

12 Apr 2021

Contributed by Lukas

This episode was directly drawn from a recent MCHD educational need surrounding ventilator management and a summary of our approach to using the vent ...

Episode 101 - Rules of the Road for New Medics

29 Mar 2021

Contributed by Lukas

Is there a more daunting time than those first few shifts as a new paramedic? Yes, clinical knowledge and operational knowledge are key, but how are ...

The Valentine's Blizzard of 2021 - SPECIAL EPISODE

01 Mar 2021

Contributed by Lukas

Dr. Dickson and Patrick are joined on this special episode by EMS Medical Directors from across Texas to discuss the recent winter storm that ravaged ...

Episode 100 - What Have We Learned Through 100 Episodes?

12 Feb 2021

Contributed by Lukas

After 100 episodes and almost 3 years, the podcast crew decided to celebrate a little bit and look back on our successes and failures thus far. Why d...

Episode 99 - Pediatric General Assessment Triangle

12 Feb 2021

Contributed by Lukas

Nothing scares an emergency provider quite as much as the “sick infant.” During today’s episode, Dr. Patrick and Dr. Dickson walk through the pe...

Episode 98 - EMS Legal Questions With Andrew James

01 Feb 2021

Contributed by Lukas

Emergency medical providers are comfortable in the chaos of a crashing medical or trauma patient. We know how to systematically address dangerous med...

Episode 97 - Autism And EMS

18 Jan 2021

Contributed by Lukas

Anytime we arrive on scene with blaring sirens and flashing lights, this can be exceedingly stressful on patients and families. This is especially tr...

Episode 96 - Medical Director Myths - Part 1

04 Jan 2021

Contributed by Lukas

Around the MCHD Clincial Department we’ve had some recurrent themes pop up over the past few months that always make the medical directors shake the...

Episode 95 - ECMO ALERT! The ARREST Trial

21 Dec 2020

Contributed by Lukas

Electrical storm has dismal outcomes. It is most frustrating because we know the cause is very likely coronary occlusion (~75%)! We have added esmol...