The World’s Okayest Medic Podcast

Random Ramblings 12/10

11 Dec 2024

Contributed by Lukas

LISTENER DISCRETION IS SERIOUSLY ADVISED. I'm traveling (again) and decided to record a random ramblings episode with some thoughts that have been on ...

Chest Pain Differential Diagnosis

04 Dec 2024

Contributed by Lukas

Listener discretion is advised. References: PMID 28196622 PMID 35166796 PMID 26062607 Salim Rezaie, "Does My Patient with Chest Pain Have Acute Corona...

TEMS Wrap-Up

29 Nov 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED.

Steve Wood: TEMS, Trauma, & More

26 Nov 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED. Steve Wood came back to the podcast to talk about TEMS and more. Check out his new podcast, The Tac Medic Whiskey Pod...

Dr. Patrick Sullivan: Metabolic Health, First Responder Health

21 Nov 2024

Contributed by Lukas

Tactical EMS: Lessons Learned and Concept Evolution

15 Nov 2024

Contributed by Lukas

Listener discretion is advised.

Chris Wright: Lessons in Trauma from Ukraine

11 Nov 2024

Contributed by Lukas

Listener discretion is advised. Chris Wright is a flight paramedic who spent a few months working as a medic in the Ukranian conflict. He came on to ...

The Five Things that Make a Good EMS Provider

05 Nov 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED.

Responding to the Keyboard Warriors, Minor Chest Pain from Minor MVAs

29 Oct 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED.

Drs. Mark Piehl & Peter Antevy on the Prehospital Blood Debate

18 Oct 2024

Contributed by Lukas

It was an honor and a privilege to record an episode with Dr. Mark Piehl and Dr. Peter Antevy. They came on to discuss prehospital blood product admi...

Sick Little Kids - Redux

13 Oct 2024

Contributed by Lukas

Listener discretion is advised. References: CHOP Croup Clincial Pathway: https://pathways.chop.edu/clinical-pathway/croup-emergency-department-and-inp...

Do the Ordinary Extraordinarily Well

30 Sep 2024

Contributed by Lukas

Listener discretion is advised

Intubation Ramblings: Protocols, Devices, Techniques

27 Sep 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED References: Anand Swaminathan, "REBEL Cast Ep107: The BOUGIE Trial – Bougie First in All Emergency Intubations?", REB...

Random Talk: Sept 17, 2024

17 Sep 2024

Contributed by Lukas

LISTENER DISCRETION IS VERY ADVISED Topics: Meta-Analysis Fallout, NREMT stuff, Offensive idiot at EMS Expo

Thoughts on a Meta-Analysis Casting Doubt on Prehospital Blood

09 Sep 2024

Contributed by Lukas

LISTENER DISCRETION IS REALLY ADVISED. References: Meta-Analysis Civ Prehospital Transfusion: PMID 38517320 COMBAT: PMID 30032977 PamPER: PMID 3004493...

Blood Stuff with Rick Maricle

07 Sep 2024

Contributed by Lukas

Listener discretion is advised. EMS training guru Rick Maricle came onto talk about the regional blood program in Southern Texas and to talk unscripte...

"StArT a MeDiC 4 HyPeRtEnSiON"

31 Aug 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED Gauer, R. (2017). Severe Asymptomatic Hypertension: Evaluation and Treatment. Am Family Physician. 95(8). Oras, et. Al....

Listener Clinical Questions (Prologue: HEMS Rant)

24 Aug 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED References: Mag Sulfate for A-Fib: PMID 17449500, 34950320 Eclampsia: PMID 21154341

The First Two Years of Being a Medic are Hard

20 Aug 2024

Contributed by Lukas

Listener discretion is advised. Two "newer" medics - Ashlynn and Cameron (my partner) come onto the podcast to talk about the struggles and growth pot...

Culture of Safety, Culture of Stupidity

15 Aug 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED. Safety: culture of safety, buzzword, HEMS safety, ground safety, and more

Winning Paramedic School: Hard Work

06 Aug 2024

Contributed by Lukas

Listener discretion is advised.

MORE Rethinking Traumatic Arrest

27 Jul 2024

Contributed by Lukas

Listener discretion is advised. References (PMID): Compressions: 29132577, 35549924 Junctional TQ/Pelvic Binders: 31910475, 29889959, 38226570, 305078...

Glitchy Virtual Happy Hour with Wes

26 Jul 2024

Contributed by Lukas

Random talk with Wes Nelson...listener discretion is advised

Podcast Therapy: Me, My Story, & How the Podcast Started

19 Jul 2024

Contributed by Lukas

Listener discretion is REALLY advised.

Random Talk: Teaching in Baltimore with Cody and Moose

18 Jul 2024

Contributed by Lukas

Listener discretion is advised Cody (@ordinaryopsmedic) and Moose - both from the Alert Medic One team - came on to have a totally random and agendale...

Trauma, Blood, & Politics

12 Jul 2024

Contributed by Lukas

Paramedic, Nurse Practitioner, Associate Professor, and Bioethicist Stephen Wood came onto the podcast to talk about implementing prehospital blood an...

"Scoop & Run:" Police Trauma Transport

01 Jul 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED References: Band RA, Salhi RA, Holena DN, Powell E, Branas CC, Carr BG. Severity-adjusted mortality in trauma patients ...

Code Debrief with Josh from Alert Medic One

30 Jun 2024

Contributed by Lukas

Josh from the Alert Medic One Podcast came on to debrief a recent cardiac arrest call he ran and discuss some cardiac arrest topics.

Random Ramblings: 6/20/24

21 Jun 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED

Scene Flight: Masive Facial Trauma

16 Jun 2024

Contributed by Lukas

Listener discretion is advised. References: Grossman, Dave. (2004). On Combat. http://www.litfl.com http://deployedmedicine.com PMID: 26566339 (Pelvic...

More Respiratory! Melody Bishop RT is back!

07 Jun 2024

Contributed by Lukas

The enchanting and brilliant Melody Bishop, RT came back on to the podcast to answer your respiratory/vent/blood gas/monitoring questions. We are als...

"Drop Off Imposter Syndrome"

27 May 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED

Random Talk: Cardiac Monitors, Life & Death, LODDs

17 May 2024

Contributed by Lukas

LISTNER DISCRETION (IS REALLY) ADVISED

Random Talk: FOAMed, Social Media, "Progressive" Agencies

13 May 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED

Fire-Based EMS

09 May 2024

Contributed by Lukas

Alert Medic One Podcast's Josh came on to discuss the good and the bad about fire-based EMS. Spoiler alert, there's more good. The old paradigm of "...

Kirk from Hamilton: Bringing the ICU Vent to the Ambulance

05 May 2024

Contributed by Lukas

Kirk Smith, RT from Hamilton Medical came onto the podcast to talk about the Hamilton T1 and how EMS agencies from CCT to IFT to 911 services are usin...

I Pivoted on POCUS

29 Apr 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED

Peds Resus and The Tortured Paramedics Department

27 Apr 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED PMID: 35832199

Ashlynn O'Dell, Being a Young Paramedic, Imposter Syndrome

23 Apr 2024

Contributed by Lukas

Expert Panel: Mental Health

15 Apr 2024

Contributed by Lukas

Alex Jabr from Emergency Resilience and James Boomhower from StayFit4Duty came onto the podcast to have some unscripted real talk about first responde...

Mini Episode: Can't See the Cords

11 Apr 2024

Contributed by Lukas

Questioning the Prehospital Airway Narrative

09 Apr 2024

Contributed by Lukas

Listener Discretion is Advised. References: FPS ED: PMID 31843066 Improving ED FPS: PMID 34494654 HEMS FPS: PMID 36411447 HEMS MD vs. Medic FPS: PMID ...

Nurse Gwenny Takes Over the Podcast

01 Apr 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED. NurseGwenny takes over the podcast and interviews Mike (not like you don't hear enough from him...)

The Fine Print: Mechanical CPR Devices and SGAs (briefly)

30 Mar 2024

Contributed by Lukas

SAVE: PMID: 35179588 AIRWAYS-2: PMID: 30167701 PART: PMID: 30167699 2021 Devices: PMID: 35353993 2022 OCHA Mechanical devices: PMID: 35268537

Random Talk: Nurse Gwenny

27 Mar 2024

Contributed by Lukas

Listener discretion is advised

Boomer Medics

20 Mar 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED

The Boomer Medic Boogeyman: Albuterol and Flash Pulmonary Edema

09 Mar 2024

Contributed by Lukas

Listener discretion is advised. References: PMID 27863863 PMID 18572345 PMID 30582477

Ashley is Back with Listener Questions

06 Mar 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED REFERENCES CITED: PMID 36180168 PMID 26033128 PMID 30996631 PMID 32663410 PMID 33552437 OMI Manifesto. http://hqmeded-e...

Random Talk

23 Feb 2024

Contributed by Lukas

LISTENER DISCRETION IS ADVISED Topics: Bad Day to Be a SGA, Sim Labs, PA EMS Drama

Making the Transition from 911 Paramedic to Critical Care

18 Feb 2024

Contributed by Lukas

Right Heart Disasters with The Critical Care NP

15 Feb 2024

Contributed by Lukas

Probably the Best Vent Podcast Ever Made with Melody Bishop RT

01 Feb 2024

Contributed by Lukas

Read Melody's ventilator book! Available at https://ecampusontario.pressbooks.pub/mechanicalventilators/

Delayed Sequence Intubation

21 Jan 2024

Contributed by Lukas

Listener discretion is advised. References: PMID 37058727, 25447559, 29405806

Mental Health: Patrick Sullivan, DO and Ketamine Therapy

15 Jan 2024

Contributed by Lukas

My doctor. My story. My brain.

The Aorta did What?

10 Jan 2024

Contributed by Lukas

Listener discretion is advised. PMID 27407401, 25231423, 16890849,275945 Black & Drews & Rabkin (2022). Up-to-Date.

Journal Club with Gwenny

02 Jan 2024

Contributed by Lukas

Listener discretion is advised. Discussing: Thompson G, Miller B, Lenz TJ. Comparing Intubation Success Between Flight Nurses and Flight Paramedics in...

Unscripted Critical Care Talk with Ryan Bolger

30 Dec 2023

Contributed by Lukas

Ryan Bolger is a flight paramedic and soon-to-be nurse.

The Elijah McClain Case

23 Dec 2023

Contributed by Lukas

Listener discretion advised

Where is EMS Headed and Who is Driving?

20 Dec 2023

Contributed by Lukas

Listener discretion is advised.

Unscripted Listener Questions with Wes

14 Dec 2023

Contributed by Lukas

Too Sick for Transfer?

10 Dec 2023

Contributed by Lukas

Huge Pleural Effusion and Vile ABGs

02 Dec 2023

Contributed by Lukas

REFERENCES: PMID 31315808 PMID 29530870 PMID 29372629 Strange, C. (2023). Epidemiology, clinical presentation, and diagnostic evaluation of parapneumo...

Culture, Attitude, Professionalism with Rick Maricle

26 Nov 2023

Contributed by Lukas

CPR Induced Consciousness, Education, and Leadership

21 Nov 2023

Contributed by Lukas

Jake makdes his debut on the podcast.

Shock Trauma

15 Nov 2023

Contributed by Lukas

Listner Questions 11/1/23

01 Nov 2023

Contributed by Lukas

Answering listener questions..Topics: Pain management C-spine injuries Impact EMS rebranding Instructor pet peeves

Resus Sequence Intubation

15 Oct 2023

Contributed by Lukas

Janz D, Casey J, Semler M, et al. Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PrePA...

Degrees, The Paramedic Practitioner

01 Oct 2023

Contributed by Lukas

Tools, Toys, and Patient Assessment

16 Sep 2023

Contributed by Lukas

Friday Night Randomness

09 Sep 2023

Contributed by Lukas

Random rantings and thoughts: Reels and listener questions SWAT medic stuff "Worthless" trainings ASV Paramedic school sans EMT experience Just can't...

Case Study: AIDS/ARDS/Sepsis/TB Guy

29 Aug 2023

Contributed by Lukas

References: AIDS and TB: PMID 7629858 Owens, William. (2021). The Ventilator Book.

Leadership: It's Up to Us

18 Aug 2023

Contributed by Lukas

Raising the Bar for Paramedic Education - Part 2: Leadership, Sim, Stats

15 Aug 2023

Contributed by Lukas

References: Low-Fi Sim > HiFi: PMID 33872104 HiFi not necessarily better: PMID 27215280 Clincial outcomes and sims: PMID 19642147

Raising the Bar for Paramedic Education: Part 1 - The Right People

08 Aug 2023

Contributed by Lukas

References: Collins, Jim. Good to Great. Attrition Rates: PMID 37034493 Accreditation: PMID 16531381 Flipped Programs: PMID 33328795

Mentoring & Precepting: A "Philosophical" Discussion

28 Jul 2023

Contributed by Lukas

Wesley Nelson comes back onto the podcast to talk about mentorship and precepting.

Unscripted: Urban EMS

28 Jul 2023

Contributed by Lukas

Thanks to Rob Friedman for coming on the podcast and shooting the breeze about life and issues working EMS in the big city...

LVADs

11 Jul 2023

Contributed by Lukas

Cabrera, Daniel. (Nov 2, 2014). A Basic Approach to the LVAD Patient in the Emergency Department. Available: https://emblog.mayo.edu/2014/11/02/a-basi...

10 Rules for BLS Providers

06 Jul 2023

Contributed by Lukas

20+ year paramedic and retired fire captain Steve came on to talk about his 10 Rules for BLS Providers!

Toolbags, Haters, FOAMed, & EBM

27 Jun 2023

Contributed by Lukas

Air Medical Ops: The Reality

11 Jun 2023

Contributed by Lukas

References: Miles MVP, Beasley JR, Reed HE, Miles DT, Haiflich A, Beckett AR, Lee YL, Bowden SE, Panacek EA, Ding L, Brevard SB, Simmons JD, Butts CC....

Nighttime Chatter with Ashley

09 Jun 2023

Contributed by Lukas

Topics: Tempus Pro, clinical competencies, bureaucratic comeuppance, IV acetaminophen

Product Review: Tempus Pro

31 May 2023

Contributed by Lukas

Sick Little Kids

29 May 2023

Contributed by Lukas

Gwenny and Ashley came on the podcast to talk about dealing with sick pediatric patients. References: Frank Lodeserto MD, "High Flow Nasal Cannula (HF...

The BLS Divide: Unscripted Ranting with Sarah

15 May 2023

Contributed by Lukas

"Stuff About Burns"

05 May 2023

Contributed by Lukas

Unscripted and Unprepared with Gwenny and Ashley

28 Apr 2023

Contributed by Lukas

Rippin' Aortas

15 Apr 2023

Contributed by Lukas

Q&A with Bill

12 Apr 2023

Contributed by Lukas

On-Line Medical Control Must Die

01 Apr 2023

Contributed by Lukas

Supraglottic Airway Update

28 Mar 2023

Contributed by Lukas

Bartos JA, Clare Agdamag A, Kalra R, Nutting L, Frascone RJ, Burnett A, Vuljaj N, Lick C, Tanghe P, Quinn R, Simpson N, Peterson B, Haley K, Sipprell ...

Paramedic School

14 Mar 2023

Contributed by Lukas

Rethinking Prehospital Trauma Arrest

05 Mar 2023

Contributed by Lukas

REFERENCES: Nick Costain. (2018). Management Controversies in Traumatic Cardiac Arrest. EM Ottawa Blog. Available at https://emottawablog.com/2018/04/...

Shooting the Breeze with Bill

02 Mar 2023

Contributed by Lukas

Unscripted Sunday with Ashley

19 Feb 2023

Contributed by Lukas

References: PMID 26557486 Wood, Owen. (2017). https://www.ditchdocem.com/2017/04/17/racemic-epinephrine/

Naloxone: A Rational Approach

09 Feb 2023

Contributed by Lukas

REFERENCES: Bhardwaj H, Bhardwaj B, Awab A. Revisiting opioid overdose induced acute respiratory distress syndrome. Indian J Crit Care Med. 2014 Feb;1...

Unscripted with Gwenny

08 Feb 2023

Contributed by Lukas

OMI and Prehospital 12-Lead EKGs

04 Feb 2023

Contributed by Lukas

REFERENCE: Meyers, P., Weingart, S., Smith, S. (2018). The OMI Manifesto. Available: http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html

Friday Night Thoughts

28 Jan 2023

Contributed by Lukas

REFERENCES: August, P., Siabi, B. (2022). Preeclampsia: Clinical Features and Diagnosis.  Up-to-Date. Judy AE, McCain CL, Lawton ES, Morton CH, Main ...

Pericarditis

20 Jan 2023

Contributed by Lukas

Helman, A. (2022). Pericarditis and Cardiac Tamponade. Emergency Medicine Cases. Available at: https://emergencymedicinecases.com/pericarditis-cardiac...

The Sh*t Storm in Springfield

13 Jan 2023

Contributed by Lukas

EPISODE WARNING: SENSITIVE TOPICS, FOUL LANGUAGE