The Clinical Concepts Podcast

In this episode we chat with Elizabeth McMaster, NRP, CP-C, to gain a better insight on community paramedicine, mobile integrated healthcare, and how it fits into the EMS system of care! Beth brings her experience as a community paramedic and acute care clinician to the table as we discuss bridging the gap in emergency medicine to meet the needs of the patients for which we care. Be sure to check it out! IBSC: https://www.ibscertifications.org/ NAMIHP: https://namihp.org/ NAEMSP: https://naemsp.org/ NAEMT: https://www.naemt.org/ ACEP: https://www.acep.org/ Get in touch with us! Beth McMaster, NRP, CP-C Email: EMcmaster@mutual-aid.com Jonathon Jenkins, BS, NRP, CADS, F-ABMDI Email: clinicalconceptspodcast@gmail.com LinkedIn: https://www.linkedin.com/in/jonathon-jenkins-58161719a/ Instagram: https://www.instagram.com/paramedic_jenkins_/ Facebook: https://www.facebook.com/jonathon.jenkins.520/ X (Twitter): https://twitter.com/Paramedic_JWJ **Views and opinions are my/our own and do not reflect those of my/our employer(s)** Stay safe, and do good care!

"Respond to a private residence for a 2-year-old female with an altered mental status, history of PDCD" A history of what? You know... PDCD! During this episode we explore Pyruvate Dehydrogenase Complex Deficiency, or PDCD. PDCD is a genetic abnormality which affects the conversion of pyruvate to Acetyl Coenzyme-A in the Krebs Cycle. This abnormality prevents mitochondrial energy utilization, leading to neurological degeneration. Join me as we take a dive into the EMS management of PDCD to help you best care for patients in your community! Stay safe, and do good care!

EMS providers often think about the acute care medicine component of their career. Although this is incredibly important, have you ever stopped to think about what is actually happening from an interpersonal perspective? By providing high quality, evidence supported patient care, we are providing a service to our communities and our patients which we ultimately bill and/or receive funding for. Because of this, patients are our customers, and deserve to be treated as such. As EMS professionals we need to be approaching EMS in a way that is clinically center, but driven by customer service, or as Will Guidara says, "Unreasonable Hospitality." How would you perform differently if Disney ran your ambulance service? Stay safe, and do good care!

Often as EMS providers we are called to the "fall" or even more mundane sounding, the dreaded "lift assist." We arrive, we help the patient up, and on our way we go. But when was the last time you stopped to think about how the patient ended up on the floor in the first place? Do some patients just trip over the cat? Certainly. But often, our fall patients are sicker than we perceive, and need our help to facilitate their care. Join me, as we explore the intricate components of patient assessment in a way that will help us all ensure there isn't more than meets the eye! **Views and Opinions are My Own*** Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Twitter: https://twitter.com/ClinConPod Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com Stay safe, and do good care!

On a daily basis, EMS clinicians utilize pulse oximetry to measure the percentage of hemoglobin bound to oxygen when evaluating respiratory adequacy, But have you ever had a need to measure a patient's carboxyhemoglobin? If you needed to, could you? More importantly, could you apply those readings to implement valuable clinical practice? Lets figure it out together! In this episode we explore the RAD-57 device to ensure proficiency the next time you encounter a patient who is actively obscuring the oxyhemoglobin dissociation curve! We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Twitter: https://twitter.com/ClinConPod Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com Stay safe, and do good care!

Have you ever delivered a baby in the ambulance? If so, how did it go? If not, are you ready to do so on your next shift? Does the thought of an obstetrical or neonatal emergency make you anxious and question your ability? I think we can all agree that the thought of child birth in an ambulance makes every EMS professional (and expecting mother) nervous, and we don't spend nearly enough time talking about it. Antepartum Emergencies is part of the Obstetrical Emergencies Series. The Obstetrical Emergencies Series will take a dive into obstetrical emergencies and provide "news you can use" information for the next time you care for an obstetrics patient. During this episode, we discuss antepartum emergencies and complications the EMS provider may encounter, and provide information to best be prepared to manage them. We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com Stay safe, and do good care!

Have you ever delivered a baby in the ambulance? If so, how did it go? If not, are you ready to do so on your next shift? Does the thought of an obstetrical or neonatal emergency make you anxious and question your ability? I think we can all agree that the thought of child birth in an ambulance makes every EMS professional (and expecting mother) nervous, and we don't spend nearly enough time talking about it. The next four episodes of The Clinical Concepts Podcast will be part of the Obstetrical Emergencies Series. The Obstetrical Emergencies Series will take a dive into obstetrical emergencies and provide "news you can use" information for the next time you care for an obstetrics patient. We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com Stay safe, and do good care!

Hospitals are busy, we all know that. But how can we, as EMS providers, help decompress the hospital systems while still providing a high standard of clinical care? Listen in for a short discussion on how you can help approach hospital volumes with a better outlook, a better attitude, and a patient centered focus. We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com Stay safe, and do good care!

In 1967 Dr. Peter Safar set out to do something that had never been done before in the United States: taking critical care and emergency medicine outside the walls of the hospital. But how would he accomplish this? The answer is simple, with the creation of paramedics! On this episode, we speak with best selling author Kevin Hazzard, as we discuss his newest book, American Sirens! American Sirens is the incredible story of Freedom House Ambulance in the City of Pittsburgh, and the black men that became American's first paramedics, under the expert tutelage of Dr. Peter Safar, Dr. Nancy Caroline, and many others. This episode was recorded during a live virtual meeting with Kevin Hazzard on November 3, 2022 during the Clinical Concepts hosted Emergency Medicine Journal Club. You won't want to miss it! We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com *This content is being publicized with the expressed written consent of Kevin Hazzard. Stay safe, and do good care!

The 2022 cold and flu season is off and running! Thus far emergency departments and EMS systems alike are caring for more RSV patients, than ever before, for this early in the season. But what is RSV anyway? Join me as we take a dive into the pathophysiology and management of this virus and discuss the brain-tips to fingertips facts that every EMS provider should know when caring for the critically ill RSV patient of any age. We want to hear from you! For additional information: Follow us on Facebook: https://www.facebook.com/profile.php?id=100085408611085 Follow us on Instagram: https://www.instagram.com/clinical_concepts_podcast/ Follow us on Linked-In: https://www.linkedin.com/company/the-clinical-concepts-podcast/?viewAsMember=true Visit us online: https://theclinicalconceptspodcast.buzzsprout.com/ Send us an email: clinicalconceptspodcast@gmail.com References: Johnson, Denise A. “PENNSYLVANIA DEPARTMENT OF HEALTH 2022-PAHAN-668-10-27-ADV Increased Respiratory Syncytial Virus (RSV) Activity Nationally and in Pennsylvania.” Pennsylvania Department of Health, 27 Oct. 2022. “RSV Surveillance Data - NREVSS.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 27 July 2021, https://www.cdc.gov/surveillance/nrevss/rsv/index.html. “Updated Guidance: Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus Infection during the 2022-2023 RSV Season.” Home, American Academy of Pediatrics , 26 Aug. 2022, https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/interim-guidance-for-use-of-palivizumab-prophylaxis-to-prevent-hospitalization/. Stay safe, and do good care!

As EMS clinicians we intubate multiple patients every year. But, have you ever stopped to consider if you are setting yourself, and the patient, up for the most optimal procedural outcome? Lets spend some time discussing the art of utilizing the gum elastic bougie, and setting yourself up for success while performing an endotracheal intubation in the prehospital environment. Stay safe, and do good care!

As an EMS provider, we take care of thousands of acutely and chronically ill patients every year. When we encounter a patient with a tracheostomy the conversation usually goes like this: Patient's Caregiver: "The patient has a "'trach!'" Paramedic: "Crap." If you are anything like me, I remember learning about tracheostomies and laryngectomies as a paramedic student, but I will be honest, I was so focused on everything else I was not as focused on this. But, the first time I ever encountered a critically ill tracheostomy patient, I really wished I would have paid more attention. Join me as we take a dive into the tracheostomy and laryngectomy patient as we discuss the "news you can use," "brain tips to finger tips," overview of how to recognize, manage, and not panic the next time you encounter a stoma with (or without) a tube in it! Stay safe, and do good care!

Patient: "I'm nauseated, i'm vomiting, my belly hurts, and I use cannabis a lot! I have cannabis hyperemesis syndrome." Paramedic: "You have what now?" Cannabis (marijuana) use for medical and recreational purposes alike is more common now than ever before. Speaking of common, EMS providers often encounter patients who fall into the trap of cyclic vomiting, chronic nausea, and diffuse abdominal pain. But, have you ever stopped to ponder whether or not these two topics are related? Is Cannabis Hyperemesis Syndrome (CHS) on your differential diagnosis list for the nausea, vomiting, abdominal pain patient? Join me as we take a dive into the "need to know" pathophysiology for EMS, diagnosis, and care plan development for the patient possibly experiencing CHS! References: Beadle, K., et al. “385 Isopropyl Alcohol Nasal Inhalation Intervention for Nausea in the Emergency Department: A Randomized Placebo-Controlled Human Trial.” Annals of Emergency Medicine, vol. 66, no. 4, 8 Dec. 2015, https://doi.org/10.1016/j.annemergmed.2015.07.421. Hernandez, Jeremy M., et al. “Cannabinoid Hyperemesis Syndrome Presentation to the Emergency Department: A Two-Year Multicentre Retrospective Chart Review in a Major Urban Area.” CJEM, vol. 20, no. 4, 2017, pp. 550–555., https://doi.org/10.1017/cem.2017.381. Pickett, Jason R. “Cannabis Hyperemesis Syndrome.” Episode 13: Austin-Travis County EMS System Office of the Medical Director Official Podcast. Apple Podcasts, 22 Feb. 2018. Winstead-Derlega, Christopher. “More than a Hot Shower – Treatment for Cannabinoid Hyperemesis Syndrome (CHS).” EmDOCs.net - Emergency Medicine Education, EmDOCS, 20 Nov. 2020, http://www.emdocs.net/more-than-a-hot-shower-treatment-for-cannabinoid-hyperemesis-syndrome-chs/. Stay safe, and do good care!

Greetings! Welcome to The Clinical Concepts Podcast! I am thrilled that you're here. The Clinical Concepts Podcast is being brought to you from just outside of Pittsburgh, Pennsylvania, one of the epicenters of EMS and emergency medicine innovation nationally! The Clinical Concepts Podcast is an outstanding source of education and thought provoking discussion for all emergency medicine professionals, but specifically geared towards the astute EMS Clinician. The Clinical Concepts Podcast will provide brain tips to finger tips, news you can use knowledge to help you and your patients during your daily adventures as an EMS professional. The first episode of The Clinical Concepts Podcast, Welcome to Clinical Concepts, is simply a greeting and background of the show, with the first content driven episodes (if you will) dropping this week! In the mean time, visit us on Facebook at https://www.facebook.com/profile.php?id=100085408611085 or send us an email at clinicalconceptspodcast@gmail.com, and let us know which topics you want to discuss! Stay safe, and do good care! Stay safe, and do good care!