An award-winning cannabis podcast for women, by women. Hear joyful stories and useful advice about cannabis for health, well-being, and fun—especially for needs specific to women like stress, sleep, and sex. We cover everything from: What’s the best weed for sex? Can I use CBD for menstrual cramps? What are the effects of the Harlequin strain or Gelato strain? And, why do we prefer to call it “cannabis” instead of “marijuana”? We also hear from you: your first time buying legal weed, and how ...
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What Drives You with Kevin Miller
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Help me fill in the blanks of the practice of ED Critical Care. In this podcast, we discuss all things related to the crashing, critically ill patient in the Emergency Department. Find the show notes at emcrit.org.
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Send us a text On this very funny short Bonus Show, standup comic Mack Dryden shares his story about going to the Dentist...you'll never believe what happens...Hilarious! Look for Mack Dryden's "NEW" Dry Bar Comedy Special... Please Listen, Enjoy, and Share where you can...Thanks!! Support the show Standup Comedy Podcast Network.co www.StandupComedyPodcastNetwork.com Free APP on all Apple & Android phones....check it out, podcast, jokes, blogs, and More! For short-form standup comedy sets, listen to: "Comedy Appeteasers" , available on all platforms. New YouTube site: https://www.youtube.com/@standupcomedyyourhostandmc/videos Videos of comics live on stage from back in the day. Please Write a Review: in-depth walk-through for leaving a review. Interested in Standup Comedy? Check out my books on Amazon... "20 Questions Answered about Being a Standup Comic" "Be a Standup Comic...or just look like one"…
ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.
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Contenido proporcionado por Austin-Travis County EMS System Office of the Medical Director. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Austin-Travis County EMS System Office of the Medical Director o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma.
Why did we change over from D50 to D10 for hypoglycemia? And should we be treating hypoglycemic diabetics the same way we did 30 years ago? Should I have a hemostatic gauze in my kit? And how useful are chest seals really?
https://atcomd.files.wordpress.com/2017/10/ep-7-mishmash-d10-hemostatics-chest-seals.m4a
54 episodios
ATCEMS OMD Podcast Episode 7: Mishmash! Dextrose, hemostatic agents, and chest seals.
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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Manage episode 197658635 series 2021641
Contenido proporcionado por Austin-Travis County EMS System Office of the Medical Director. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Austin-Travis County EMS System Office of the Medical Director o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
Decided to address some reader comments with this one. Dextrose, hemostatic agents, chest seals. Little bit of medicine, little bit of trauma.
Why did we change over from D50 to D10 for hypoglycemia? And should we be treating hypoglycemic diabetics the same way we did 30 years ago? Should I have a hemostatic gauze in my kit? And how useful are chest seals really?
https://atcomd.files.wordpress.com/2017/10/ep-7-mishmash-d10-hemostatics-chest-seals.m4a
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Mental Health for First Responders, with special guest Dr. Joseph Martin (audio) 1:18:07
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Reproducir más Tarde Reproducir más Tarde Listas Me gusta Me gustaToday 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.
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Quick Bite: Carbon Monoxide 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)…
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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…
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Thinking: Abdominal Pain with Ginger Locke from the Medic Mindset 1:08:01
1:08:01 Reproducir más Tarde Reproducir más Tarde Listas Me gusta Me gusta1:08:01
Reproducir más Tarde Reproducir más Tarde Listas Me gusta Me gustaLike 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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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Episode 49: Icepocalypse 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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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Episode 48: COVID…Vaccines 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?
A
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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?
A
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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.…
A
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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.…
A
Austin-Travis County EMS System Office of the Medical Director » Uncategorized
1 Episode 43: What if… 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.
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
I don’t know if this is particularly profound, but I just wanted to offer some words of encouragement.
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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
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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Austin-Travis County EMS System Office of the Medical Director » Uncategorized
Are there better ideas for managing cardiac arrests in this pandemic? We talk about modifying response (don’t), calling it early (maybe if we have good info), airway management (you’ve got some choices here), and limiting provider exposure (always).
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What Drives You with Kevin Miller
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