EMS on AIR

In this episode, Dr. Mark Piehl and Dr. Peter Antevy discuss why EMS must adopt a more thoughtful approach to fluid resuscitation for critically ill or injured patients.  Specifically, patients in shock. It turns out that EMS needs to take a more of a proactive approach to recognizing the need for and administering fluids for certain patients. Dr. Piehl, and Dr. Antevy are here to put a spotlight on the value of fluid resuscitation in the pre-hospital setting, walk us through the data, and discuss the how EMS can provide the right amount of fluid in the right amount of time to make a big impact for our patients. Dr. Peter Antevy is a Pediatric Emergency Medicine Physician, as well as an EMS Medical Director for several fire-based EMS agencies in South Florida.  Dr. Mark Piehl is a Pediatric Intensivist at WakeMed Health & Hospitals.  He is also the Assistant Medical Director for WakeMed Mobile Critical Care, and an Associate Professor of Pediatrics at the University of North Carolina School of Medicine. On top of all that Dr. Piehl is the Chief Medical Officer and Co-Founder of 410 Medical, Inc. as well as the inventor of LifeFlow. LifeFlow is a device used to deliver rapid fluid boluses or blood transfusion for patients with signs of shock.  Visit 410medical.com for more information about LifeFlow. Click here for access studies and information that support the information expressed in this episode: https://drive.google.com/drive/folders/152po79RnJcXI53-AlxRsoUKbH_ODnqDh?usp=sharing [https://drive.google.com/drive/folders/152po79RnJcXI53-AlxRsoUKbH_ODnqDh?usp=sharing] Please keep emailing your questions, comments, feedback, and episode ideas to the EMS on AIR Podcast team by email at Geoff@EMSonAIR.com Visit EMSonAIR.com [http://emsonair.com/] for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR. Geoff Lassers, Paramedic I/C, AAS.  Host/Producer, EMS on AIR Podcast Firefighter/Paramedic, West Bloomfield Fire Department EMS System Manager, Oakland County Medical Control Authority Director of Sponsorships, GuardianCME.com Geoff@EMSonAIR.com [Geoff@EMSonAIR.com] Support the show [https://www.patreon.com/emsonair?fan_landing=true]

During this episode, we welcome Nathan Stanaway, MS, NRP and Alina Capatina MSN, CCRN-K, CNL. These skilled process improvement professionals discuss the strengths and potential roadblocks of integrating a new app that supports EMS when they notify the hospital of an incoming STEMI patient.  Nathan Stanaway is the Senior Manager of Mobile Care EMS, Critical Care Transport, and AHA Training Center at Baystate Health.  Alina Capatina is the former STEMI Program Coordinator at Baystate and has since moved on to the Operations Excellence Department.  In recent years, Alina and Nathan were directly involved in the implementation of e-Bridge into their system. Specifically, their focus was on maximizing care for STEMI patients being transported by EMS.  For scale, Baystate Health is the biggest and busiest STEMI program in Massachusetts.  They receive upwards of 400 STEMI patients per year from the field and from 10 sending facilities around the region.  To them, the importance of EMS in STEMI care is obvious. Please keep emailing your questions, comments, feedback, and episode ideas to the EMS on AIR Podcast team by email at Geoff@EMSonAIR.com Visit EMSonAIR.com [http://emsonair.com/] for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR. Geoff Lassers, Paramedic I/C, AAS Host/Producer, EMS on AIR Podcast Firefighter/Paramedic, West Bloomfield Fire Department EMS System Manager, Oakland County Medical Control Authority Director of Sponsorships, GuardianCME.com Geoff@EMSonAIR.com [Geoff@EMSonAIR.com] Support the show [https://www.patreon.com/emsonair?fan_landing=true]

This episode is a preview of the interviews and discussions scheduled EMS on AIR Podcast Season 3.  Below are links to information and references from this episode. Visit GuardianCME.com for access to free CAPCE accredited EMS CE courses. Visit https://general-devices.com/ [https://general-devices.com/] for more info about e-Bridge. Visit 410medical.com [http://410medical.com/] for more information about LifeFlow. Visit CarterKits.org [https://carterkits.org/] for more info about their sensory bags. Article:  Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities from the Prehospital Stroke System of Care Consensus Conference. (https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.033228) Visit Stroke.org/stroke transportplans [http://Stroke.org/stroke transportplans] Please keep emailing your questions, comments, feedback, and episode ideas to the EMS on AIR Podcast team by email at Geoff@EMSonAIR.com Visit EMSonAIR.com [http://emsonair.com/] for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR. Geoff Lassers, Paramedic I/C, AAS Host/Producer, EMS on AIR Podcast Firefighter/Paramedic, West Bloomfield Fire Department EMS System Manager, Oakland County Medical Control Authority Director of Sponsorships, GuardianCME.com Geoff@EMSonAIR.com [Geoff@EMSonAIR.com] Support the show [https://www.patreon.com/emsonair?fan_landing=true]

This episode is yet another COVID update from our resident experts Steve McGraw, D.O. and Dr. Russell Faust, MD, PhD.  Steve and Russ are both considered experts in their respective fields and they’re back to give us a COVID-19 update, as well as answer recent questions we’ve received from the EMS and hospital communities.  Most importantly, what they have to say is based in the latest scientific data and literature. In this episode, our guests provide an update of the COVID-19 pandemic, variants, and vaccines for the EMS and ED communities. Our guests also discuss things to consider as we close out summer and enter a new school season. Please keep emailing your questions, comments, feedback, and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org [QI@OCMCA.org]. Visit EMSonAIR.com [http://emsonair.com/] for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR. Geoff Lassers, Paramedic I/C, AAS Host/Producer, EMS on AIR Podcast EMS System Manager, Oakland County Medical Control Authority Director of Education, American CME Firefighter/Paramedic, West Bloomfield Fire Department Qi@ocmca.org [Qi@ocmca.org] Steve McGraw, D.O. Co-Medical Director, EMS on AIR Podcast EMS Medical Director, Oakland County Medical Control Authority steven.mcgraw@ascension.org [steven.mcgraw@ascension.org] Russell Faust, MD, PhD Co-Medical Director, EMS on AIR Podcast Medical Director, Oakland County Health faustr@oakgov.com [faustr@oakgov.com] Support the show [https://www.patreon.com/emsonair?fan_landing=true]

In this episode, we welcome Dr. Christian Martin-Gill, MD, MPH, who is here to provide us with his perspective regarding the development of stroke systems of care in the suburban environment.  Doc is an ED physician with a deep background in a variety of EMS systems.  Specifically, Dr. Martin-Gill serves as Chief of the Division of EMS, the EMS Fellowship Director, and is an Associate Professor of Emergency Medicine at the University of Pittsburgh School of Medicine. He has been a nationally registered paramedic for over 20 years and is also a certified Flight paramedic. Doc was a co-author of the 2021 Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities from the Prehospital Stroke System of Care Consensus Conference, which is the focus of today’s episode.  This landmark consensus provides local and regional EMS agencies and stroke advisory committees with guiding principles and recommendations for how to integrate the elements of a stroke system of care in three key regional settings: urban, suburban, and rural settings.  The consensus seeks to inform or update EMS about new models and systems of acute ischemic stroke care, especially mechanical thrombectomy for large vessel occlusion stroke, and how they affect their stroke systems of care. To maximize the power of the recommendations, the American Heart Association / American Stroke Association produced a very cool and very useful website full of resources and information directly related to helping EMS develop and or fortify their stroke systems of care.  I highly recommend you visit www.Stroke.org/stroketransportplans [http://www.Stroke.org/stroketransportplans] and use it to consider evolving the stroke system of care in your community. Dr. Martin-Gill is here to help us appreciate what is at stake for stroke patients, as well as the nuances, advantages, and disadvantages of the suburban environment regarding EMS and stroke.  Finally, Doc provides his recommendations regarding how EMS systems should use the contents of the consensus and the stroke.org/stroketransportplans website resources to improve their Stroke Systems of Care and strengthen their stroke chain of survival. Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org [QI@OCMCA.org].Visit EMSonAIR.com [http://emsonair.com/] for the latest information, podcast episodes and other details.  Follow us on Instagram @EMSOnAIR. Recommended resources referenced in the episode: * www.Stroke.org/stroketransportplans [http://www.Stroke.org/stroketransportplans] * Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities From the Prehospital Stroke System of Care Consensus Conference [https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.033228]: https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.033228 [https://www.ahajournals.org/doi/10.1161/STROKEAHA.120.033228] Contact the episode participants: Geoff Lassers, Paramedic I/C, AAS Host, EMS on AIR Podcast EMS System Manager, Oakland County Medical Control Authority (OCMCA) FF/Paramedic, West Bloomfield Fire Department Director of Education, American CME Qi@ocmca.org [Qi@ocmca.org] Christian Martin-Gill, MD, MPH Associate Professor of Emergency Medicine University of Pittsburgh School of Medicine Chief, Division of EMS Program Director, EMS Fellowship martingillc2@upmc.edu [martingillc2@upmc.edu] Support the show [https://www.patreon.com/emsonair?fan_landing=true]