Remember That Patient Podcast

Episode Summary:

What really happens in the 8 to 12 minutes before you pull the parking brake at a scene? In this "Patch" episode, the second in our "Fog of Care" series, we go diving deep into the front seat of the ambulance. We break down the physiological reality of the "Transition of Arousal" and explore how the mental load of driving lights and sirens actively degrades your clinical bandwidth.

From the dangers of the "Dispatch...

Episode Show Notes: Rethinking the VF Paradigm with Dr. Sheldon Cheskes

Episode Summary

In this special "Offload" episode of the podcast, we sit down with out-of-hospital cardiac arrest (OHCA) and resuscitation expert Dr. Sheldon Cheskes. We look back at the landmark DOSE-VF trial that changed ALS protocols in Ontario, dive into the secondary analyses that emerged from the data, and tackle the heated debate between refractory and ...

Episode Notes: Drowning

In this "Patch" episode, we tackle one of the most misunderstood areas of resuscitation: drowning. We’re moving away from the cardiac-centric "CAB" model and returning to the physiological roots of the drowning process. Using research from multiple sources we break down why your first 60 seconds on scene dictate the patient’s neurological outcome.

The Big Terminology Scrub

• Drowning is a Process, Not a...

Episode Notes: "Patch" episode: The Fog of Care – Sickle Cell & The Pain We Miss Episode Overview

This is the first in our series of "The Fog of Care" - how cognitive bias can leak into our differentials and treatment. In this solo "Patch" Jeff Bilyk dives into one of the most misunderstood and frequently mismanaged emergencies in the prehospital setting: the Vaso-Occlusive Crisis (VOC). We peel back the layers of Sickle Cell ...

Patch Episode: Bridging the STEMI Gap with Zalunfiban (The CELEBRATE Trial)

Episode Description: The prehospital management of ST-Elevation Myocardial Infarction (STEMI) has evolved immensely, but we still face a major physiological roadblock: the delayed onset of oral P2Y12 inhibitors like ticagrelor. By the time our patients reach the cath lab, we are often racing our own medications. In this "Patch" episode, we explore a potenti...

In the first of our "half episode" series which focuses on a various of melting pot of prehospital topics, I sit down with Jay Loosley. Jay is the Superintendent of Education for the Middlesex-London Paramedic service. Jay along with some colleagues at his service and local hospitals (along with more I'm sure) put together a fantastic research project on this topic which we delve into.

Paramedic Research Poster:

Can't see the imag...

The Case:

Male in his 20's in the early morning hours unconscious. Upon arrival the patients father came home and found his son unconscious on the living room floor. House is not in disarray, no trauma is noted to the patient, and nothing around the patient. Father states he has no diagnosed medical history, no Rx meds, however years ago the patient struggled with cocaine abuse. Despite such his understanding is the patient has be...