Episode 34: COVID-19, part 2. When can I go back to work?

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

#Prehospital #Emergency #Ambulance #Paramedics #Aemt #Fitness #Mental Health #Emergency Medicine #Science #Medicine #Podcasting Education #AustinTravis County EMS System Office Of The Medical Director #EMS #Medical #EMT

33:58

In this episode, we delve into the concept of being "qualified" in the workplace, examining who gets labeled as such, who doesn't, and the underlying reasons. We explore "competency checking"—the practice of scrutinizing individuals' abilities—and how it disproportionately affects underrepresented groups, often going unnoticed or unchallenged. Our discussion aims to redefine qualifications in a fair, equitable, and actionable manner. Our guest, Shari Dunn , is an accomplished journalist, former attorney, news anchor, CEO, university professor, and sought-after speaker. She has been recognized as Executive of the Year and a Woman of Influence, with her work appearing in Fortune Magazine, The Wall Street Journal, Ad Age, and more. Her new book, Qualified: How Competency Checking and Race Collide at Work , unpacks what it truly means to be deserving and capable—and why systemic barriers, not personal deficits, are often the real problem. Her insights challenge the narratives that hold so many of us back and offer practical solutions for building a more equitable future. Together, we can build workplaces and communities that don’t just reflect the world we live in, but the one we want to create. A world where being qualified is about recognizing the talent and potential that’s been overlooked for far too long. It’s not just about getting a seat at the table—it’s about building an entirely new table, one designed with space for all of us. Connect with Our Guest Shari Dunn Website& Book - Qualified: https://thesharidunn.com LI: https://www.linkedin.com/today/author/sharidunn TikTok: https://www.tiktok.com/@thesharidunn Related Podcast Episodes: How To Build Emotionally Mature Leaders with Dr. Christie Smith | 272 Holding It Together: Women As America's Safety Net with Jessica Calarco | 215 How To Defy Expectations with Dr. Sunita Sah | 271 Share the Love: If you found this episode insightful, please share it with a friend, tag us on social media, and leave a review on your favorite podcast platform! 🔗 Subscribe & Review: Apple Podcasts | Spotify | Amazon Music…

hace 5 años 4:28

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So, you caught the COVID. You have endured the fever, cough, sore throat, diarrhea, and abject boredom of being home. When can you be let out of this prison? In this micro episode we talk about the return to work criteria. BLUF: No, you don’t have to be in quarantine forever.

54 episodios

Episode 34: COVID-19, part 2. When can I go back to work?

Austin-Travis County EMS System Office of the Medical Director » Uncategorized

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published hace 5 años

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54 episodios

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1
Mental Health for First Responders, with special guest Dr. Joseph Martin (audio) 1:18:07

hace 2 years1:18:07

1:18:07

Today I sit down with Dr. Joseph Martin, (IG: @JaTXerd) a Family Practice and Addiction Specialist who is now an EMS physician, to talk about mental health in our first responders. Spoiler alert: it has a lot to do with sleep deprivation, uncertainty, community, and organizational support.

1
Quick Bite: Carbon Monoxide 11:20

hace 2 years11:20

11:20

Cold weather incoming! This is just a quick review of carbon monoxide poisoning treatment options, as well as what differentiates cold water immersion from regular drowning. We anticipate an increase in the number of Carbon Monoxide (CO) related calls in the system as people use charcoal grills and generators for heating. Symptoms include headache, nausea, vomiting, dizziness, syncope, altered mental status, and neurologic symptoms such as weakness, numbness, or paresthesia. During these winter events we frequently have calls with multiple patients. Anyone with RED FLAGS should be treated with 100% oxygen and transported to the hospital. These include: Pregnancy Cardiac history like arrhythmia, MI, CHF Significant pulmonary history like COPD or pulmonary fibrosis Neurological symptoms, even mild ones like paresthesias or numbness Altered mental status Emotional changes, which could be indicative of altered mental status Chest pain Difficulty breathing Neurologic symptoms may be subtle so it is vital that you do a thorough neurologic exam and ask specifically about numbness, tingling, and weakness. Treatment for CO poisoning is administration of 100% oxygen. For those with priority symptoms, hyperbaric treatment may be indicated. CO >25%: Start 100% oxygen and transport to the hospital, regardless of whether or not they have red flags. CO <25%: Start 100% oxygen. If they have red flag symptoms, transport to the hospital. If no red flags, may treat in place with oxygen until symptoms resolve and then complete a refusal. CO <15% with no symptoms: No treatment or transport is indicated. Consider STARFlight and direct transport to University Hospital in San Antonio for hyperbaric treatment for anyone with elevated CO level who is severely ill (unconscious, arrest with ROSC, stroke-like symptoms)…

1
Push Dose Pressors for EMS: Epinephrine and Norepinephrine 16:32

hace 3 years16:32

16:32

Sometimes a small dose of epinephrine or norepinephrine can keep a patient from becoming hypotensive during intubation, or may help bridge the patient to a continuous infusion. Dr. Pickett talks about simple methods for mixing and administering push doses of these pressors and how to administer the infusion. NOTE: It is ASSUMED you already know the indications, contraindications, and side effects of these drugs. This video is NOT a comprehensive review of these medications. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/__PWK4P85xc…

1
Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset 1:08:01

hace 3 years1:08:01

1:08:01

Like Starsky and Hutch, like peanut butter and jelly, like Riggs and Murtaugh, the inseparable duo is back together for Medic Mindset for an episode of the Thinking Series, this time on abdominal pain. Feast your ears, ladies and gentlemen, boys and girls. The audio is like butter. Available on YouTube, iTunes, Google Play, and Feedburner! https://youtu.be/qCpk3f3zPP8…

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Snakebites! with Dr. Spencer Greene (@ToxSpencer) 44:13

hace 3 years44:13

44:13

Snakebites are a common patient encounter for #EMS here in Texas, though virtually all states have venomous snakes of one kind or another. Dr. Spencer Greene (@ToxSpencer) walks us through some pearls and pitfalls of caring for these patients. TL;DW: “Dry bites” are very uncommon. Most victims are not drunk young males that are intentionally messing with wildlife. Most are people who didn’t even know the snake was there. Don’t mess with wildlife. Snakes are not aggressive. They want to be left alone. Admire from a distance. If you leave them alone, they’ll leave you alone. Do NOT bring the snake to the ER. Taking a picture of it might be helpful. Any bruising or swelling from a snakebite indicates envenomation and should be treated aggressively. For crotalid bites (rattlesnake, copperhead, cottonmouth), raise the affected limb to reduce pain and swelling. For elapid (coral snake) bites, keep the limb level. No extractors, no sucking out the venom, none of that silliness. No tourniquets or constricting bands or pressure dressings. Applying these items may cause more tissue damage and pain. Snakebites are painful. Treat the pain. Watch here on YouTube: https://youtu.be/WGjy_mBsZD4 From the City of Austin, TX, this is the Austin/Travis County EMS System Office of the Medical Director channel. We will talk all things prehospital care here. It will be informative, it will be fun, it will be very poorly edited and not rehearsed.…

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Episode 49: Icepocalypse 48:55

hace 4 years48:55

48:55

YES I KNOW THE THUMBNAIL HAS EPISODE 4 and it’s episode 49. But we have a YouTube channel now so that’s why we have different episode numbers. It’s less confusing than renumbering everything. ANYwhomst, this is our takedown of the week long winter weather event that crippled the region starting around Valentine’s Day. The impacts to EMS were many and required a lot of creative thinking by responders. We are so proud of the bravery, ingenuity, and dedication that they showed during this event. Got some time? This is the story.…

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Episode 48: COVID…Vaccines 21:54

hace 4 years21:54

21:54

Vaccines are finally available. I’m getting mine, and you should too. How do they work? Are they safe? What are the side effects? What are the particulars of administration?

1
Episode 47: COVID…Bamlanivimab 6:49

hace 4 years6:49

6:49

Bamlanivimab is a monoclonal antibody for treating mild to moderate COVID-19. You’ve probably heard of it as it has rolled out here in Texas in force. What does it do and how is it given?

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Episode 46: What is Operation Warp Speed? 8:45

hace 4 years8:45

8:45

Operation Warp Speed is a public-private partnership that has helped speed development of vaccines and treatments for COVID-19. But what does that mean for safety of these treatments? TL;DR: The program does not cut safety corners. It supports industry to rapidly develop capability without the financial risk usually associated with experimental therapies.…

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Episode 45: Ketamine for suicidal ideation 13:54

hace 4 years13:54

13:54

This study looks at an intriguing concept: What happens when you give an acutely suicidal patient ketamine in the ED? This study intrigued me so I thought I’d cover it. This study will not change your practice but will hopefully interest you in participating in research on the topic. TL;DR/TL;DL: DON’T START DOING THIS YET. IT NEEDS MORE STUDY. But it is promising. Citation: Domany Y, Shelton RC, McCullumsmith CB. Ketamine for acute suicidal ideation. An emergency department intervention: A randomized, double-blind, placebo-controlled, proof-of-concept trial. Depress Anxiety. 2020 Mar;37(3):224-233. doi: 10.1002/da.22975. Epub 2019 Nov 16. PMID: 31733088. Strengths: Randomized placebo controlled design. Disposition and care for patients was determined before randomization, so study drug not likely to affect care delivered. Close assessment at multiple points. Administration protocol was over 5 min, so very conducive to the ED environment. Weaknesses: Too small to really tell us how effective this treatment is, though there is a body of literature that supports it in other settings. Evaluation of patients was thorough, more than what could be expected of a prehospital provider without substantial training. Study setting was an ED, not EMS. Does not answer the question of whether patients can be safely discharged to outpatient mental health treatment after receiving this drug.…

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Episode 44: Data and outcomes in EMS 43:47

hace 4 years43:47

43:47

The Health Data Exchange allows the flow of information between EMS charts and the hospital chart, helping us to easily look at outcomes and how EMS care has affected the patient. The best way to check your own knowledge and understanding of prehospital care is to know how the patient turned out. Was your diagnosis right? Did they decompensate after transport? Scan the patient’s sticker into our electronic patient care record and you can find this out. In this episode I sit down with 4 very special guests: Travis Baker, PA-C, our own Paramedic Practitioner; Remle Crowe, PhD, Data Scientist for ESO Solutions; Jason Gilliam, LP, Designated Medical Officer and Captain at ATCEMS; and Bill Leggio, EdD, our Clinical Standards and Practice Coordinator to talk about what we gain from this.…

1
Episode 43: What if… 10:55

hace 5 years10:55

10:55

“What if” can be anxiety provoking and can send you down a rabbit hole of undesirable futures. But it can also be a powerful tool for the clinical preceptor and the clinician who is looking to improve their performance.

1
Episode 42: COVID- A few words 7:47

hace 5 years7:47

7:47

I don’t know if this is particularly profound, but I just wanted to offer some words of encouragement.

1
Episode 41: COVID CPAP, nebs, epi, terbutaline, proning 12:42

hace 5 years12:42

12:42

We talk about a whole bunch of different interventions that have been recommended or not recommended and discussed our logic behind them here.

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Episode 40: COVID in Cardiac Arrest 10:20

hace 5 years10:20