MCHD Paramedic Podcast

Episode 94 - Freestanding ED Mythbusters

05 Dec 2020

Contributed by Lukas

Freestanding emergency departments are becoming more and more common across the United States. Here at MCHD, we feel that EMS transport to these site...

Episode 93 - COVID-19 Vaccine Update

23 Nov 2020

Contributed by Lukas

Thankfully, we finally have some positive COVID-19 news to discuss. Join the medical directors for a discussion of vaccine basics and some of the spe...

Episode 92 - Resilience in EMS With Kris Kaull

09 Nov 2020

Contributed by Lukas

We’ve discussed burnout on the podcast in the past. When thinking about ways to combat burnout, a word that often comes up is resilience. Emergenc...

Episode 91 - SVT Updates

26 Oct 2020

Contributed by Lukas

Sometimes in medicine, we do things just because they’ve always been done that way, which is terrible reasoning. Valsalva maneuver followed by the ...

Episode 90 - Bolus Dose Nitroglycerin With Mike Perlmutter

12 Oct 2020

Contributed by Lukas

If there is one topic that we love at MCHD, it’s discussing bolus dose nitroglycerin in acute pulmonary edema patients. We’re lucky to have more ...

Episode 89 - Oral Boards Breakdown

28 Sep 2020

Contributed by Lukas

When thinking of what strikes fear in paramedics, most would think of answers like pediatric arrests, precipitous deliveries, and unstable bradycardia...

Episode 88 - End Tidal Capnography - Back To The Basics

14 Sep 2020

Contributed by Lukas

The capnography tracing is an excellent tool that gives us insight into cellular metabolism, perfusion, and ventilation. This can yield vital informa...

Episode 87 - COVID Worldwide

29 Aug 2020

Contributed by Lukas

Join Dr. Dickson and our esteemed colleagues from across the globe to hear how their systems have responded to the COVID-19 pandemic and what they hav...

Episode 86 - Red Lights and Sirens With Dr. Jeff Jarvis

17 Aug 2020

Contributed by Lukas

We're joined by a special guest, Dr. Jeff Jarvis, to talk about his recent PEC manuscript investigating potential life-saving interventions in the pre...

Episode 85 - COVID-19 Summer Roundup

03 Aug 2020

Contributed by Lukas

The firehose of information that is COVID-19 has slowed somewhat since we last discussed the pandemic, but the first wave has obviously persisted. On...

Episode 84 - TXA For GI Bleeds: The HALT-IT Study

20 Jul 2020

Contributed by Lukas

We’ve discussed TXA, both for trauma and for epistaxis, on the podcast previously. Medics often ask about TXA in the acute GI bleed patients who ar...

Episode 83 - Stupidity In EMS With Kris Kaull

06 Jul 2020

Contributed by Lukas

This episode tackles the definition of "stupidity" and how this relates to prehospital medical care. Dr. Patrick is joined by Kris Kaull to discuss t...

Episode 82 - Serial Killer Series - Altered Mental Status

22 Jun 2020

Contributed by Lukas

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, ho...

Episode 81 - Serial Killer Series - Abdominal Pain

09 Jun 2020

Contributed by Lukas

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, ho...

Episode 80 - Serial Killer Series - Shortness of Breath

25 May 2020

Contributed by Lukas

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, ho...

Episode 79 - Serial Killer Series - Chest Pain

12 May 2020

Contributed by Lukas

We often start with a diagnosis and teach from there – for example CHF, asthma, and COPD are all podcast topics we have previously tackled. But, ho...

Episode 78 - The MCHD COVID-19 PPE Experience

28 Apr 2020

Contributed by Lukas

For the last couple months, we've been talking COVID-19 exclusively here at the MCHD Paramedic Podcast. On this episode, ops takes center stage with ...

Episode 77 - Hydroxycholoroquine Gone Bad With Dr. Jerry Snow

15 Apr 2020

Contributed by Lukas

Unless you live under a rock, you've heard discussions of the pros and cons of using hydroxychloroquine (HCQ) when treating COVID-19 patients. On thi...

Episode 76 - Part 2 - COVID Airway

01 Apr 2020

Contributed by Lukas

We've had continued rapid local and national developments surrounding COVID-19. On this special release, the podcast crew reconvenes to update our li...

Episode 75 - Attacking The COVID Airway - Part 1

25 Mar 2020

Contributed by Lukas

We've had continued rapid local and national developments over the past week surrounding COVID-19. On this special release, the podcast crew reconven...

Episode 74 - COVID-19 UPDATE

11 Mar 2020

Contributed by Lukas

We've had rapid local and national developments over the past week surrounding COVID-19. On this special release, the podcast crew reconvenes to upda...

Episode 73 - Febrile Seizures And BRUEs With Dr. Manish Shah

09 Mar 2020

Contributed by Lukas

Choking babies, seizing kids, and floppy infants turning blue...all of these events are significantly anxiety inducing for both emergency providers an...

Episode 72 - Esmolol And Electrical Storm

22 Feb 2020

Contributed by Lukas

We all love cardiac arrest with VF as the presenting rhythm. These are the ones that walk out of the hospital. But, what happens when you shock, sho...

Episode 71 - Safe Sleep Pearls With Dr. Lisa Owens

11 Feb 2020

Contributed by Lukas

A proper sleeping environment is vital for infant safety. On this episode Dr. Patrick is joined by two "safe sleep" experts - MCHD's own, Aston Herri...

Episode 70 - The 2019 Novel Coronavirus: What EMS Needs To Know

28 Jan 2020

Contributed by Lukas

Over the past week we’ve had several local false alarms with possible patients presenting with the 2019 Novel Coronovirus. On this special release,...

Episode 69 - The Terrible Tracheostomy

27 Jan 2020

Contributed by Lukas

Tracheostomy patients can be intimidating and confusing with complex recent medical histories and unfamiliar terminology surrounding the surgical hole...

Episode 68 - Texas CARES With Dr. Jeff Jarvis

13 Jan 2020

Contributed by Lukas

While attending the 2019 Texas EMS Conference, Dr. Dickson and Chief Crocker were lucky enough to sit down with Dr. Jeff Jarvis from Williamson County...

Episode 67 - Posterior Stroke Basics With Dr. Jeremiah Johnson

30 Dec 2019

Contributed by Lukas

Continuing with the dizziness theme for the 2019 holiday season, Dr. Dickson is joined on episode 67 by Dr. Jeremiah Johnson. Dr. Johnson is a neuros...

Episode 66 - Dizzy From Down Under With Dr. Alastair Meyer

30 Dec 2019

Contributed by Lukas

Join Dr. Dickson as he takes a trip down under to talk with Dr. Alastair Meyer about the often dreaded chief complaint of dizziness. Dr. Meyer is the...

Episode 65 - Managing The LVAD Patient

16 Dec 2019

Contributed by Lukas

Our population is aging, and heart failure is only going to increase. This will inevitably lead to an increase of patients with left ventricular assi...

Episode 64 - Bystander CPR - The Future Is Here

02 Dec 2019

Contributed by Lukas

MCHD is excited for the county wide roll out of the PulsePoint app. Community Outreach Coordinator, Ashton Herring, joins Dr. Patrick to discuss the ...

Episode 63 - "Beyond The Toxidrome" With Dr. Jerry Snow

18 Nov 2019

Contributed by Lukas

On this episode, Dr. Patrick and MCHD Paramedic Podcast toxicologist extraordinaire, Dr. Jerry Snow, pick up where they left off in our recent discuss...

Episode 62 - The Next Generation Medic

04 Nov 2019

Contributed by Lukas

Dr. Patrick is joined by two medics on the MCHD recruitment committee, Megan Steely and Russell Carter, to discuss the components of the "next generat...

MCHD Paramedic Podcast 360 - UPDATE!!

28 Oct 2019

Contributed by Lukas

We're excited to announce a new educational offering - MCHD Paramedic Podcast 360. There are many topics in paramedic/EMT education better taught wit...

Episode 61 - An EMS Approach To Epistaxis

21 Oct 2019

Contributed by Lukas

We’ve recently rolled out a new epistaxis treatment protocol here at MCHD. Join the podcast team as we discuss some nosebleed background informatio...

Episode 60 - Toxidromes Part 1 - Back To The Basics

07 Oct 2019

Contributed by Lukas

This episode takes us back to the basics of toxic ingestions and poisonings to review the topic of toxidromes. Why do we look for specific patterns i...

Episode 59 - Car Seat Safety

23 Sep 2019

Contributed by Lukas

On this episode, the medical directors are joined by the MCHD car seat guru, Ashton Herring. The leading cause of death in children is motor vehicle ...

Episode 58 - REBOA Basics

09 Sep 2019

Contributed by Lukas

REBOA is a hot topic in the world of emergency medicine and prehospital trauma care. Join the medical directors for a review of “resuscitative endo...

Episode 57 - The Art of the Airway

26 Aug 2019

Contributed by Lukas

We’ve discussed airway management and our MCHD delayed sequence approach on past podcast episodes. On this episode, join the medical directors as t...

Episode 56 - Large Vessel Occlusion Stroke - 2019 Updates

12 Aug 2019

Contributed by Lukas

The evolution of emergent stroke care has rapidly evolved over the past decade. With the increased emphasis on recognizing large vessel occlusion (LV...

Episode 55 - The COACT Study - Journal Club Mini

29 Jul 2019

Contributed by Lukas

Last year, we rolled out the MCHD “ROSC to Cath” protocol via the podcast. Recently, some compelling data from the COACT trial has led us to reas...

Episode 54 - Human Trafficking - An EMS Perspective

15 Jul 2019

Contributed by Lukas

During a recent continuing education session at MCHD, one of the educational points of emphasis was recognizing and reporting human trafficking as a p...

Episode 53 - The Fast And The Furious - How To Approach Sinus Tachycardia

01 Jul 2019

Contributed by Lukas

Vital signs are called vital for a reason.  On this episode, Dr. Patrick takes us through a differential for the workup of sinus tachycardia.  Thi...

Episode 52 - Anticoagulant and Antiplatelet Meds - Phast Pharma

17 Jun 2019

Contributed by Lukas

We've addressed the ten most commonly encountered medications seen in EMS on a prior podcast. In this episode, Brad Ward joins Dr. Patrick to focus o...

Episode 51 - EMS Education Down Under

04 Jun 2019

Contributed by Lukas

We have been fortunate here at MCHD to develop an ongoing educational partnership with Victoria University in Melbourne, Australia. A group of 11 par...

Episode 50 - Recognizing and Treating EMS Burnout With Dr. Remle Crowe

20 May 2019

Contributed by Lukas

In recognition of EMS Week 2019, the MCHD Paramedic Podcast crew decided to directly address one of the most pressing issues in current EMS practice –...

Episode 49 - Back To The Basics - COPD Part 2

06 May 2019

Contributed by Lukas

Dr. Patrick and Dr. Dickson pick up where they left off on our Back to the Basics COPD Part 1 episode. We’ll delve further into the differential di...

Episode 48 - Back To The Basics - COPD Part I

22 Apr 2019

Contributed by Lukas

This episode takes us back to the basics of COPD pathophysiology and treatment. Dr. Dickson and Dr. Patrick start with the differential diagnosis of ...

Episode 47 - High Risk EMS Refusals

08 Apr 2019

Contributed by Lukas

One of the most difficult situations in prehospital care is the high-risk patient refusal of EMS transport. This topic is far from straight forward f...

Episode 46 - Tactical EMS Pearls With Dr. Kevin Schulz

26 Mar 2019

Contributed by Lukas

This episode is loaded with tactical EMS pearls. Houston Fire Department Assistant Medical Director, Dr. Kevin Schulz, joins the podcast again to len...

Episode 45 - Hypertensive Emergencies - To Treat Or Not To Treat

04 Mar 2019

Contributed by Lukas

Managing markedly elevated blood pressures has to be one of the most common EMS clinical dilemmas. Dr. Dickson joins Dr. Patrick to help dispel some ...

Episode 44 - Medical Literature 101 With Dr. Tony Seupaul

20 Feb 2019

Contributed by Lukas

With the explosion continuing education options, how do we decide who and what to believe? Dr. Tony Seupaul, evidence based medicine expert, joins th...

Episode 43 - SPECIAL RELEASE: Measles in Montgomery County

06 Feb 2019

Contributed by Lukas

The MCHD Podcast Crew just received word that we have a documented measles case here in Montgomery County. We decided to try and get out in front of ...

Episode 42 - Cal-PAT TXA Review - Journal Club Mini

29 Jan 2019

Contributed by Lukas

The MCHD Paramedic Podcast wants to help all of our listeners stay up to date. Earlier this year, we discussed TXA (Tranexamic Acid) following our MC...

Episode 41 - OB Part 2 - To Delivery and Beyond

29 Jan 2019

Contributed by Lukas

Despite Dr. Patrick's fear, we're delivering the second installment of our Obstetrics series. This is a potentially frightening topic that was actual...

Episode 40 - Phast Pharma - Dilaudid

14 Jan 2019

Contributed by Lukas

Join Dr. Patrick for a “phast” pharmacology update on hydromorphone/dilaudid. We’ll discuss its uses, relative strength, side-effects and the f...

Episode 39 - Cyanide Poisoning

14 Jan 2019

Contributed by Lukas

Continuing with our recent theme of increased fire related inhalational risks with colder weather, MCHD Paramedic Podcast toxicology guru, Dr. Jerry S...

Episode 38 - Carbon Monoxide Poisoning - An EMS Perspective

31 Dec 2018

Contributed by Lukas

Dr. Patrick is joined today remotely by toxicologist and friend of the podcast, Dr. Jerry Snow, to talk about the nuts and bolts of Carbon Monoxide po...

Episode 37 - Top Ten Meds

17 Dec 2018

Contributed by Lukas

Dr. Patrick and Clinical Manager Jordan Anderson run down the 10 most commonly prescribed medications in the US. The medication list can often feel l...

Episode 36 - Calcium Channel Blocker And Beta Blocker Toxcicity

11 Dec 2018

Contributed by Lukas

Shownotes: Cardiovascular medication poisoning can produce markedly unstable patient presentations. Dr. Patrick and Brad Ward review some of the basi...

Episode 35 - Live From Texas EMS Conference, It's Saturday Night!

27 Nov 2018

Contributed by Lukas

Join Dr. Dickson and Dr. Patrick live from the Texas EMS Conference with a special guest! Today we’ll discuss prehospital ventilator management as a...

Episode 34 - Field Amputations With Dr. Justin Hensley

08 Nov 2018

Contributed by Lukas

What would you do if you encountered a patient who you were unable to transport or even extract due to extremity entrapment? At MCHD, we asked oursel...

Episode 33 - Paralytic Pharma Phun

22 Oct 2018

Contributed by Lukas

The decision to administer paralytics may well be the most significant decision that we make as emergency providers. We have to understand and know p...

Episode 32 - EMS Opiate Interventions With Dr. Dan O'Donnell

22 Oct 2018

Contributed by Lukas

Dr. Dan O’Donnell serves as the Medical Director for Indianapolis EMS, as well as Medical Director for the Indianapolis Metropolitan Police S.W.A.T....

Episode 31 - Hyperoxygenation - Too Much of a Good Thing??

08 Oct 2018

Contributed by Lukas

Too much of a good thing can always end up being bad. On this episode, Dr. Patrick summarizes the ever increasing evidence that not only does supplem...

Episode 30 - Lung Protective Ventilation With Dr. Nick Mohr

08 Oct 2018

Contributed by Lukas

Lowering tidal volumes in effort to reduce lung injury following initiation of mechanical ventilation is far from a new idea, the original ARDS-NET da...

Episode 29 - Pediatric Arrest With Dr. Greg Faris

28 Sep 2018

Contributed by Lukas

Peds EMS wizard, Dr. Greg Faris, joins us again on the podcast to discuss pediatric out-of-hosiptal cardiac arrest. This topic gives us all a bit of ...

Episode 28 - Shock States - B2B

26 Sep 2018

Contributed by Lukas

Many of the sickest of the sick patients that we see as EMS providers are hypotensive. These folks are often altered and come with spotty histories a...

Episode 27 - Slips, Trips, And Falls

10 Sep 2018

Contributed by Lukas

Falls are one of our most common calls in the EMS world. The potential disease processes and injuries can be wide ranging and difficult to sort. Joi...

Episode 26 - Push Dose Pressors

10 Sep 2018

Contributed by Lukas

Hypotension is one of our number one enemies in prehospital care. In this episode, Dr. Patrick and Dickson begin with a review of vasopressor physiol...

Episode 25 - Tactical EMS With Dr. Dan O'Donnell

29 Aug 2018

Contributed by Lukas

Join Dr. Patrick and Dr. Dan O'Donnell, medical director for Indianapolis EMS/Fire/SWAT, as we discuss multiple hot topics in the world of Tactical EM...

Episode 24 - Simple Thoracostomy

29 Aug 2018

Contributed by Lukas

On today’s cast our medical directors talk traumatic arrest care with Dr. Justin Hensley, the medical director of Robstown EMS, and lover of all thi...

Episode 23 - EMS systems and Emergency Care in Uganda

22 Aug 2018

Contributed by Lukas

Dr. Patrick went where? Dr. Dickson interviews Dr. Patrick about his recent medical journey to Uganda. Learn about the state of prehospital medicine...

Episode 22 - TXA (Tranexamic Acid)

14 Aug 2018

Contributed by Lukas

Tranexamic Acid (TXA) has been a hot topic in emergency medicine over the past several years with increasing acceptance for use in patients with hemor...

Episode 21 - Ketamine For Agitation

14 Aug 2018

Contributed by Lukas

Dr. Dickson and Dr. Patrick take on one of our favorite topics here at MCHD - Ketamine and the agitated patient. Agitated patients come in a wide spe...

Episode 20 - Pediatric Concussion With Dr. Greg Faris

30 Jul 2018

Contributed by Lukas

Concussions and management of mild head injury are topics that are rapidly evolving. Dr. Greg Faris joins Dr. Patrick to lend his pediatric emergency...

Episode 19 - OB Part I

30 Jul 2018

Contributed by Lukas

Pregnancy complications make us all a little diaphoretic and tachycardic. On this episode, Dr. Patrick and Dr. Dickson break down the must know aspec...

Episode 18 - Pediatric Non-Accidental Trauma With Dr. Elizabeth Weinstein

16 Jul 2018

Contributed by Lukas

Dr. Patrick is joined on this episode by Dr. Elizabeth Weinstein. Elizabeth is a dual trained in Emergency Medicine and Pediatrics, and she delivers ...

Episode 17 - One Pill Killers

16 Jul 2018

Contributed by Lukas

Join Dr. Patrick for a discussion of common drugs, both OTC and prescription, that can be deadly to our pediatric patients in doses as small as a sing...

Bonus Episode - Fentanyl Fever: Unnecessary Hysteria

28 Jun 2018

Contributed by Lukas

Dr. Jerry Snow, a medical toxicologist and emergency medicine physician from Phoenix joins the show for an interesting discussion about the opiate cr...

Episode 16 - Congestive Heart Failure Part 2 - Nitro, Nitro, Nitro

25 Jun 2018

Contributed by Lukas

Patients with acute pulmonary edema need rapid preload and afterload reduction and often their volume status is difficult to ascertain. Casey Patrick...

Episode 15 - Congestive Heart Failure Part 1 - The Basics

25 Jun 2018

Contributed by Lukas

CHF exacerbations are bread and butter emergency medicine. Casey Patrick and Brad Ward begin with some background physiology and review of CHF. They...

Episode 14 - Delayed Sequence Intubation (DSI) With Dr. Jeff Jarvis

19 Jun 2018

Contributed by Lukas

Today’s show is all about the changes in how we approach intubation in EMS. Dr. Jeff Jarvis will relate how he got interested in the topic of airway...

Episode 13 - Summer Series 3: Drowning (Adult and Pediatric)

12 Jun 2018

Contributed by Lukas

Join Dr. Patrick and Ashton Herring our community outreach coordinator as we discuss adult and pediatric drowning emergencies and best practices in pr...

Episode 11 - Summer Series 1: Heat Emergencies

11 Jun 2018

Contributed by Lukas

With the blazing Texas summer just around the corner, we thought it would be appropriate to discuss heat related emergencies. Dr. Patrick leads a dis...

Episode 12 - Summer Series 2: Snake Bites

10 Jun 2018

Contributed by Lukas

Dr. Jerry Snow, a medical toxicologist and emergency medicine physician from Phoenix joins the show for a fact-filled and often hilarious talk on preh...

Episode 10 - Stroke Systems Of Care Featuring Dr. Peter Antevy

29 May 2018

Contributed by Lukas

In the past 24 months, stroke care has evolved in the way we evaluate strokes in the pre-hospital space and how they are worked up and treated in the ...

Episode 9 - The State Of EMS Stroke Care In 2018

29 May 2018

Contributed by Lukas

In the past 24 months, stroke care has evolved in the way we evaluate strokes in the pre-hospital space and how they are worked up and treated in the ...

Episode 8 - Anaphylaxis Kits For EMT's - MCHD Back To Basics Series

14 May 2018

Contributed by Lukas

Anaphylaxis is a common life threatening disease that prehospital providers encounter on a regular basis. These patients are in need of early treatme...

Episode 7 - ROSC To Cath Lab Activations

27 Apr 2018

Contributed by Lukas

Join Dr. Casey Patrick and Brad Ward as they discuss a county wide initiative to expedite ROSC patients to definitive care in the cardiac cath lab. T...

Episode 6 - MCHD Ironman Medicine 2018 Featuring Dr. Kevin Schulz

24 Apr 2018

Contributed by Lukas

It's Memorial Hermann Ironman Texas time here in Montgomery County, and our MCHD crews are preparing to staff the 140.6 mile triathlon. After fieldin...

Episode 5 - Mobile Integrated Health/Community Paramedicine Featuring Dr. Peter Antevy

17 Apr 2018

Contributed by Lukas

EMS implementation of Community Paramedicine and Mobile Integrated Health programs is exploding. Dr. Peter Antevy joins Dr. Dickson for an informativ...

Episode 4 - Hyperkalemia Management

09 Apr 2018

Contributed by Lukas

Hyperkalemia can send our patients to cardiac arrest in an instant. Casey Patrick and Jordan Anderson begin with some background physiology review on...

Episode 3 - Syncope

02 Apr 2018

Contributed by Lukas

Syncope is a common and often confusing presentation. Dr. Casey Patrick leads a lecture style discussion with tips to approaching the syncopal patien...

Episode 2 - Pediatric Resuscitation Featuring Dr. Peter Antevy

02 Apr 2018

Contributed by Lukas

Featuring Dr. Peter Antevy Today’s show will focus on the evolution in the EMS approach to pediatric resuscitations. Historically these high stress...

Episode 1 - Lung Protective Ventilation

26 Mar 2018

Contributed by Lukas

Dr. Patrick and Clinical Manager Jordan Anderson discuss intubation and ventilator settings to help avoid lung injuries in the intubated patient.

Introduction to THE MCHD Paramedic Podcast

26 Mar 2018

Contributed by Lukas

Welcome to MCHD's Paramedic Podcast - a biweekly podcast dedicated to EMS Providers across the world.