Critical Levels

On this month’s episode, we’re joined by Dr. Justin Mausz to discuss violence against paramedics.  During the episode, you’ll hear us cover: * How often are we seeing violence against paramedics * What is violence? Is it different from harassment? Does intent matter?  * Incident reporting * How does it compare to other industries? * What does violence against paramedics look like? * How do we balance paramedic and patient safety? * What do we do with this? * PPE * Policy development  * External vs internal violence * The value of research

On this month’s episode, we’re joined by Dr. Steven Sanders to discuss heat related illnesses.  During the episode, you’ll hear us cover: Health impacts of temperature increase  Physics/physiology of temperature vs heat Spectrum of heat related illness * heat rash * heat cramps * heat edema * heat syncope * heat exhaustion  * heat stroke * exertional vs classic Comorbidities/confounders/risk factors Temperature assessment Disease management & treatment

On this month’s episode, we’re joined by Dr. Bonnie Snyder to discuss BVM as well her recently published paper in Resuscitation: Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest.    During the episode, you’ll hear us cover:   There is nothing basic about the BVM - it is not a benign intervention Rate and volume based on the guidelines  * Consequences of excessive rate/volume * Consequences of under ventilation  General airway management * positioning  * suction * airway adjuncts * mask seal * C-E technique * 2 person technique  * waveform capnography and other real time feedback * importance of proper volume * importance of proper pressure  BVM sizing  Dr. Snyder’s study  * research question/impetus * P-I-C-O * results * feedback  * next steps

On this month’s episode, we’re joined by Dr. Katie Lin to discuss TBI and the crashing brain.    During the episode, you’ll hear us cover:   head injury differentials and history gathering  ischemic vs hemorrhagic  head injury etiology  head injury pathophysiology  assessment 3 step neuro exam  pupil assessments  signs/symptoms of herniation  ECG changes management  * avoid/manage the H bombs (hypoxia, hypotension, hyperventilation) * airway management  * ICP management  * other medications  * seizure management  paediatrics  neuroprognostication

On this month’s episode, we’re joined by Dr. Janice Tijssen to discuss pediatric cardiac arrest. During the episode, you’ll hear us cover: The importance of our early interventions What is cardiac arrest * incidence/epidemiology * etiology  * risk factors/past medical history * outcomes * sociodemographics Differences between adult and pediatric cardiac arrest Simplifying our response Symptomatic bradycardia The importance of scene time The importance of CPR/ventilation IV vs IO, SGA vs ETT Epinephrine   PRIME study Family presence during arrest  Disposition