Prehospital Paradigm Podcast

As the panel discussion continues, the discussion of medical direction arises as well as how to handle the potential rotating staff and continuity of responder training including incident command training. If interested in starting or growing your campus-based EMS system, feel free to get in touch with the National Collegiate EMS Foundation.

The group continues to take questions from the audience regarding how to start a campus-based EMS system, funding, and how to impress upon the university/college administration members the importance of such a in-house response system at any level,

This episode was recorded at the National Collegiate EMS Foundation annual conference. NCEMSF is a group of campus-based EMS agencies that a part of the student organizations.  Some have vehicles. Some respond on foot and mainly are volunteering their time to do this during their college careers.  Let's learn more!  Joining the group is Eric Pohl and Zack Matuzsan. 

The crew gathered at Madison Fire to finish up their discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad.  Thanks to the MFD for hosting us.

In part 3 of our discussion of explosive ordnance disposal operations with Detective Brian Yenkevich of the Lake County Bomb Squad. Oddly enough shooting water and water pellets is one of the main tools and constant research is part of how the team refines their methods between all bomb squads across the country. Finally, they discuss signs of what might be a questionable item on a scene that may be helpful to EMS and fire responders.

The conversation with Lake County Bomb Squad team member, Brian Yenkevich continues. Part of the discussion reviews weapons of mass destruction including radiological and biological weapons and detection equipment.  We also discuss the types of old artillery and suspicious package types of calls and types of responses.

Lake County Bomb Squad team member, Brian Yenkevich joins Dr. Hill, Caleb and Scott for a different kind of discussion.  Explosive Ordnance Disposal Operations. In Part 1, Detective Yenkevich outlines how the team trains, operates and defines its mission.

In this engaging and surprisingly eye-opening episode, the crew sits down with Dr. Jordan Singer, an emergency medicine physician with unique experience providing in-flight medical command. Together, they explore the complexities of managing medical emergencies in one of the most austere environments imaginable—an airplane at cruising altitude. From physiology at altitude and cabin pressurization to legal protections and what's actually in those onboard emergency kits, this episode offers critical insights for any EMS or healthcare provider who's ever heard the overhead call: "Is there a doctor on board?"

In Part 3 the crew addresses some loose ends including why the drop-down masks cannot be used for in flight medical emergencies, what patients should NOT get an a commercial airliner, specific emergencies such as seizures and treatment of and commercial airline diversion decisions.

Dr. Jordan Singer continues his in flight emergency discussion and includes the Aviation Medical Assistance Act which is similar to the Good Samaritan Laws is the discussion on this episode.  You are covered as a trained EMS professional as long it is within reasonable parameters of your typical skills.  There is an interesting caveat to this discussion as far as when flying nondomestic flights.

This episode, we are joined by Dr. Jordan Singer, an Assistant Professor and Core Faculty member in the EMS Fellowship at the University Hospitals of Cleveland.  Part of Dr. Singer's specialty, has become "in flight emergencies" on commercial airlines.  One in twenty flights, globally, experience some type of inflight emergency. In this episode, a general discussion ensues regarding cabin pressure and its affect on the human body.

As has been the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, wide complex bradycardias and tachycardias, the symptoms and the treatments.

In this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Tony Crino, a registered respiratory therapist and paramedic. They continue the discussion of the growing role of advanced ventilator management in EMS. Tony Crino brings both respiratory therapy and paramedic perspectives, breaking down the essentials of ventilator physiology, modes, patient-ventilator synchrony, and how these advanced tools can elevate prehospital care.

As the crew starts to summarize their time with Tony, a few things are addressed: What if a department doesn't have the inclination to initiate advanced mechanical ventilation?  If they do, what kind of education needs to be commence and be continued. Also, what about mechanical ventilation in pediatric patients?

Research shows that 93% of clinicians are improperly bagging patients.  Using mechanical ventilation support can be more effective as long as the proper training is done initially and continued regularly.

The crew continues to go through the basics of the respiratory system.... the anatomy, tidal volumes, pressure ventilation, the terminology, etc. As EMS professionals, we need to understand the basics of the respiratory system's operations in detail before mechanical ventilation can be applied. When you think of oxygenation, there are 2 ways to fix it, pharmacologically or with mechanical ventilation.

The crew is talking to Tony, a Respiratory Therapist educator and paramedic, about the portability and use of mechanical ventilators in the prehospital setting. Some EMS agencies have already purchased more advanced mechanical ventilators to move this concept forward. When they take this step, there needs to be a strong understanding of mechanical ventilation physiology.

In the LIVE version of this episode of the Pre-Hospital Paradigm Podcast, Dr. Jon Hill and Scott Wildenheim are joined by Ashley Rosser and Leisha Starkey of Thrive for Change, a Cleveland-based harm reduction nonprofit. They explore the real-life challenges and successes of harm reduction, tackling stigma, overdose response, safer use practices, and EMS integration. This episode bridges clinical EMS care with public health strategies, offering insights and tools for anyone committed to reducing overdose deaths and improving patient engagement. #prehospitalparadigmpodcast Thank you to Highland Heights Fire Department for hosting us!

Dr. Hill and Scott wind up this discussion in Part 3 by addressing proper terminology to use when interacting with the patients and the public record availability of previous abuse with guests Ashley Rosser and Elisha Starkey from Thrive for Change.

Ashley Rosser and Elisha Starkey from Thrive for Change continue the discussion of drug abuse patients and the treatment of in this episode.  The challenge of stigmatizing of these patients is significant but the crew also finds out there is stigmatization that goes on within the drug use patient community.

Ashley Rosser and Elisha Starkey from Thrive for Change join the crew this month to talk about the stigma of drug use or opiate use disorders. According to the Thrive for Change website, their "vision is a world free from drug overdose fatalities, where people who use drugs have equal access to basic needs and are empowered to advocate for themselves." In episode 1, Ashley talks about her personal addiction story including being "narcaned" by local police. Elisha opens with the types of programming and products for which the organization is known.

A question of Dopamine or Epinephrine initiates a discussion regarding what should/should not be in a drug box, how to have a good relationship with your pharmacy and the possible use of apps in the prehospital setting. The big question in this episode, when is it appropriate to downgrade a call from an ALS to a BLS?

Answering questions from the listeners as the grab bag episode continues.  Patient refusals, the use of Ketamine within in the seizure algorithm and sepsis are part of the discussion.

Some online questions have come in through the website.. time to clear out the email box. In this grab bag, chest pain assessment, the contraindications of epinephrine for anaphylaxis.

EMS Education Podcast

As will be the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, bradycardias, tachycardias and wide and narrow rhythms.

In this in-depth episode, host Scott Wildenheim is joined by regular contributors Caleb Ferroni and Ray Pace, along with special guest Falon Steiner, EMS Manager of Initial Training Programs. Together, they explore the full spectrum of modern EMS education—from foundational program structure and mentorship to test-taking psychology, AI integration, and simulation-based training. The team addresses real challenges that students, instructors, and program directors face while sharing actionable insights to build better clinicians and more effective EMS educators.

As the crew prepare to head out of the studio for the live version of the podcast, the discussion of medical math and "teaching for the test" vs. preparing providers for "the real world" of EMS, becomes a thing. And, yes, you still will have to memorize some things. Finally, how about letting potential students sit in on the courses?  Might that help interested students to realize that EMS is not what they want for a career, earlier, vs. waiting until the end of the course?

Continuing the EMS education talk with Falon Steiner of the UH EMS Institute team and discusses what is practical education for EMS students  and the ability to understand "why" vs. "how/when" to treat patients.  The national registry is also a topic as far as assessing student competency.

EMS Education is the topic this month with Falon Steiner, EMS Manager of Initial EMS Training. What are the basics? What changes do instructors need to make in teaching methodology?

EMT programs are still under oversite by the state. The paramedic programs have oversight from the Accreditation of Allied Health Education Programs (CAAHEP) is a programmatic post-secondary accrediting organization recognized by the Council for Higher Education Accreditation (CHEA). All training has been amended to be more of an ongoing competency-based evaluation vs. a course final memorization competency review.

Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals joined the team at this Live Episode held at Parma Fire Station #2.  The group discusses the varied capabilities of trauma center levels and the Golden Hour.

In this 3rd part of the team's discussion of adult trauma care with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals, the continuation of trauma center designation criteria continues. On-scene times and the use of ground and air transport methods are discussed which leads into a discussion of what will "kill" a trauma patient?

Ray, Caleb and Dr. Hill continue with Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals.  The discussion of having a defined Level 4 Trauma Center designation starts this episode and then the group discussion the changes in prehospital trauma care based .. i.e. tourniquets, lactated ringers and cervical collars that has been based on data collection.

Ray Pace takes the lead this month as the crew talks adult trauma topics with, Dr. Glen Tinkoff, System Chief, Trauma and Acute Care Surgery at University Hospitals.  In this first episode of the series, Dr. Tinkoff reflects on how he came to find Trauma Surgery as a specialty including his early life as a first responder. The group discusses the varied capabilities of trauma center levels and the Golden Hour.

In this insightful episode of The Pre-Hospital Paradigm Podcast, Dr. John Hill and co-host Scott Wildenheim dive deep into the evolving world of blood transfusion medicine with special guests Vicki Cary, Manager of Transfusion Medicine, and Matt Howlett, System QA Coordinator for Blood Banks. Together, they explore the critical role of blood and blood products in EMS and trauma care, the challenges of maintaining blood supplies, and recent advancements expanding paramedic scope of practice in Ohio. #prehospitalparadigmpodcast

As Dr. Hill, Scott, Vicky and Matt start to wind up the discussion regarding transfusion medicine for EMS, i.e. using blood products in the prehospital setting, they discuss the proper storage requirements necessary for products and the costs of maintaining the blood collection, storage and distribution process. What's being considered before implementing blood products into the streets.

Scott and Dr. John Hill continue with their guests from the UH blood bank. The discussion continues regarding the emergent useage of blood products before and after the type and screening which can be done with 10 minutes or less depending on the type of testing equipment. They also move on to educating EMS professionals regarding being a part of the collection/donation process.

This month, the crew gets together with, Victoria Cary and Matt Howlett, members of the UH system's blood bank to talk about the progress of transfusion medicine becoming within the practice scope of EMS.  The information is based on rules, regulations and laws of the state of Ohio.  In Part 1, the crew and guests reviews the A, B, Os basics of "blood science."

From a cardiology standpoint, what can be done by a basic level EMS provider vs. an advanced level provider? How can technology be utilized to expand the BLS scope of practice?

The basis of this discussion is the Ohio EMS Scope of Practice

In this month's episode, our guest, Brian Abbott, and the team discuss one of the most important topics for first responders - mental health. Thanks to the UH Portage Paramedic Program for having the team back in the classroom for this episode.

As the team prepares for the next live show, of course, the topic being the mental health of EMS and firefighting professionals, they wind up the in-studio conversation with local firefighter, Brian Abbott who has rebounded to the fire services after treatment for mental health issues related to being in the EMS/fire service.

Peer support, changing the stigma of the culture within the firefighter/EMS population is how Ray, Caleb, Dr. Hill and our guest, Brian Abbot start this episode.

Showing signs of mental health issues can be seen as a sign of weakness. However, personal vulnerability needs to be recognized and encouraged. It builds trust in the team and between the officers/leadership and the front line providers.

In Scott's absence, Ray leads the team of Caleb, Dr. Hill and our special guest firefighter Brian Abbott, currently with the City of Elyria Fire Department.

Source: The Ruderman White Paper on Mental Health and Suicide of First Responders

The crew traveled to Caleb's home department, Munson Fire, Department, to bring closure to the recent discussion of caring for neonate patient in the EMS setting.  Thank you Dr. Olicker for joining us this month!

The crew and Dr. Olicker start to put a close on this additional series regarding caring for neonate patients in the EMS environment.  Pediatric cardiology kicks this segment off and then the crew discusses "delivery head trauma" and wraps up with correcting developmental milestones for specific neonate patients.

Neonates with fevers start this discussion as we are still with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. We then go on to discuss vaccination differences between cultures and how to calm the parents/caretakers once EMS arrives.

The crew is back with Arielle Olicker, MD a clinician educator in the division of Neonatal-Perinatal Medicine at U.H. In no particular order, this episode reviews the neonate patient born into an opioid dependent situation as well as patients born with physical and/or mental impairments and appropriate sedation agents an dosages.

In this month's episode, we discuss EMS Pharmacy with our guest, Derek Frost, a system EMS pharmacist. We explore the challenges of managing medications in the field, how to prevent errors, and the best practices for ensuring patient safety. #prehospitalparadigmpodcast 

As the team starts to wrap up the the discussion of demystifying EMS pharmacology, they discuss, what it means to "lock up" the controlled substances and what the potential realistic ramifications might be of not doing that properly. They also dig into the challenges of calculating the varied pediatric dosages within the EMS scenario.  What steps have been taken with the UH EMS system, over 1000 standardized drug boxes to prevent errors and waste?  There are over $600 wirth of drugs within the UH EMS system's drug box.

The team continues the pharmacology discussion with UH Portage's pharmacy manager, Derek Frost.  Remember kicking around trade/brand names vs. generic name in your day?  What steps have YOU taken to reduce confusion? What drugs constitute "controlled substances?" How can we improve automated decision-making support of potentially conflicting medications?

The team gathers with Derek Frost, UH Portage pharmacy manager, to talk about all things pharmacology including trying to analyze and simplify the science behind pharmacology. In Part 1, the team digs right in and talks about medication errors evaluation and elimination there of.

In Part 3 we discuss the best of SANE and sexual assault patients, field termination and DOA, air medical care, neonatal resuscitation, event medicine and access routes, capnography, MCI and the new procedures, and ECPR.

In Part 2 we discuss sports medicine and the hyperthermic patient, importance of EMS documentation, anaphylaxis in pediatric care, dosing, shock, RSI, cardiac arrest care, STEMI care and EMS, and patient capacity in psychiatric emergencies

We take a look back at the best five minutes of our early episodes. In part 1 we discuss CPAP and better hand off care, the use of ketamine in assisted airways, toxicology, stroke, tactical medicine, innovations in resuscitation, steroids, and speak with a cardiac arrest survivor.

As the final installment to this topic, the crew hit the road to Shaker Heights.  You will appreciate the open discussion.

The crew continues with Dr. Frank Ford and Dr. Colin McCluskey further discusscussing EMS professionals utilizing ECMO CPR. They continue define how to spread the reach and implementation of this new CPR treatment technology.

Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to further discuss EMS providers performing ECMO CPR. In part 2, we discuss application parameters such as a BLS-only crew, DNR patients, the age patients and geographical factors.  

Dr. Frank Ford and Dr. Colin McCluskey join the Caleb and Scott to discuss EMS providers performing ECMO CPR. It's not really that new of a concept. But new to EMS within the UH EMS Institute medical direction system. Exciting updates.

The crew and special guest, Don Zimmerman, wind-up the discussion about the new approaches to MCI's in this live show. Special thanks to Chardon Fire for hosting us!

In Part 3 of the "new" MCI episode, we are talking about changing the "paradigm" no pun intended) of planning, and on-scene thinking.  From tags, to staging, to determining accessibilty, all of it is changing and will continue to change by reviewing other agency's after-action reports.

The team is still talking with Don Zimmerman, MCI subject matter expert and instructor.  In this, part 2 of the New MCI episode, the group discusses what Don calls, "silly rules!"  For example, does the first ambulance really have to be the ambulance that stays at the MCI?

In this month's episode, the team discuss the evolving strategies in handling mass casualty incidents (MCI). They are joined by Don Zimmerman, an expert with extensive experience in fire service, paramedicine, and education. The episode dives deep into the traditional and modern approaches to managing MCIs, particularly in the context of active shooter events and other dynamic situations.

In this episode, the crew dives into the critical and high-stakes world of surgical airway management. The discussion focuses on needle cricothyrotomy, cricothyrotomy kits, and the essential skills and protocols for performing surgical cricothyrotomy. They explore the scenarios where these techniques become necessary, the tools required, and the step-by-step procedures. The expert panel shares their experiences, best practices, and the importance of proper training and preparation.

The podcast team goes "back to school," i.e. the Portage County Paramedic Class to record this live session. We're closing out the End Tidal CO2 session!  Thenk you to the class for having us!

What do Sponge Bob, sharks and the direction that sharks are swimming have to do with simplifying the interpretation of End Tidal CO2 for EMS? The pod crew brings the discussion of simplifying the use of End Tidal CO2 for basic and advanced level providers.

The crew continues to explain the theory and some practical, applicable knowledge related to the use of End Tidal CO2 for patient care.  They simplify how End Tidal CO2 is used to assess and tell  "the patient's clinical story" and emphasizes why it should be a day-to-day patient care standard.

End Tidal CO2 is not just an ALS skill. It is a "live feed" of the patient's ongoing condition. The capnograph is relatively easy to read and, at minimum, monitor changes to be reported to an ALS partner or medical control physician. The pod crew takes time to work backwards, explaining the fundamentals of CO2 production.

Where else would the crew go, other than to an event, to wrap up the event medicine episode? For this month's live session, the gang went live at the Canfield Fair. Thanks again to University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN. Thanks also to retired Chief Frost for the welcoming us.

For Part 3 of our event medicine podcast, University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss resources.  The key topic is, how do you get in touch with your supplemental resources when you need them?

And stay tuned for our live episode...it will be from the Canfield Fair!

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN continues to discuss the logistics of preparation and planning of event medicine. This includes familiarizing all of the event medical staff with how to access primary drugs and equipment as well as how to access supplemental support such as transportation and law enforcement. 

University Hospitals of Cleveland's Manager of EMS and Community Outreach, Laura Frost, RN joins the full crew to discuss event medicine planning and execution. From small community picnics to high school graduations to large national events, planning is the key. This month's discussion emphasizes pre-event assessment, logistical planning and patient care.

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode.  This month, the team is talking Laryngoscopy. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demonstrate each of the skills discussed on this extra episode.

This is the final episode of our "Neonatal Resuscitation for EMS" series. We were joined by Arielle Olicker, MD. Thanks to the Willoughby Fire Department for hosting this month's live show.  If you would like to host one of our live shows, message us!

In addition to providing clinical care in the NICU, Dr. Olicker is part of the team providing follow-up care to our NICU graduates at the Neonatal Extended Outpatient Clinic. Dr. Olicker serves as the medical director for Neonatal Critical Care Transport and is the neonatal director of the Synagis administration program at UH Ra...

The crew and Dr. Olicker continue the conversation of undersstanding the neonatal patient, equipment, protocols and emotions. They start to wrap up the discussion in Part 3 as they prepare for the live podcast!

Dr. Olicker is still with the team for Part 2.  The team discusses the decision of transporting a neonate patient to the closest hospital vs. a facility with inhouse neonatal specialty care services as well as complications with the ductus arteriosus as well as the difficult decision of determining a the viability of a neonatal patient's viability for EMS.

Dr. Ariel Olicker, the medical director for Neonatal Critical Care Transport, joins the team for some practical conversation about understanding and being more comfortable with neonatal patients. Since traditional EMS doesn't encounter these patients regularly, the goal is to simplify understanding this patient category.

This month, we were live from the Chagrin Valley Fire Department.  We discussed air medical care with Kyle Schnarrs, Flight Nurse, and Nathan Brazytis, Flight Paramedic, from the UH AirMed critical care transport system. We talk how to become a flight paramedic/nurse, day-in-the-life, as well as just how much goes on in preparation for flight, plus so much more! 

In Part 3 of our discussion with crew members of UH AirMed, They wind up the recorded sessions discussion catching up on loose ends of the discussion, cricothyrotomy, laryngoscopy, the various drugs the helicopter carries and the use of blood on the aircraft.

UH MedAir's Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic continue to talk about the airmedical transport system.  First, they address the medical brief that can be helpfu to the communications specialists and the flight crew, distinctions between VFR flying and IFR flying for the crew, patients needing LVAD transportation as well as the most recent billing rules.  What is practical?

This month, we welcome Kyle Schnarrs, Flight Nurse and Nathan Brazytis, Flight Paramedic from the UH AirMed critical care transport system. In the first of a 4-part series, they discuss how to become a flight paramedic/nurse as well as answer many questions about air medical transport including a day-in-the-life-of!

This month we discuss field termination and DOA situations with Dr. Donald Spaner. We will dive into what the medical control physician is looking to hear from the field provider's report, the importance of the care of the family members on scene, and DNRs. Recorded at the Madison Township Fire Department.

In this 3rd part of our discussion of field termination of care and DOA situations, the crew and Dr. Spaner talk about the Do Not Resuscitation situations. DNR does NOT mean do NOTHING! Anything that gives the patient comfort can be utilized on a patient under a DNR order.

The discussion of EMS field termination of care and DOA situations continues with Dr. Don Spaner. More actual cases are discussed as peer review including BLS termination of care. "When in doubt, start resuscitation." Also, part of the profession of being an EMS provider is learning how to discuss field termination of care with the family on scene.

The team gathers with Dr. Donald Spaner joins for a discussion of field termination and DOA situations. This discussion includes a review of actual cases as a peer review. Part 1, what the medical control physician is looking to hear from the field provider's report.

As you already know, in the months when we have a 5th Monday, we have an extra airway series episode.  This month, the team is talking blind-insertion airways. Interesting note, even anesthesia prefer a supraglottic airway device over intubation in short cases. Be sure to head to our Prehospital Paradigm Podcast YouTube channel to see the team demonstrate each of th skills discussed on this extra episode.

The podcast is on the road at Kent Fire Department.  Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), hit the road with us to go live!

As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault?  The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.

This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?

This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. 

In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assault Nurse Examiner (SANE) Program. This endowment was funded by our beloved attending Dr. Howard Dickey-White & his wife, Linda, in memory of their daughter Blair.

This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.  

When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this topic full circle.

The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.

This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.

We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review! 

When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery?  By the way, visualizing the actual clogged artery with multi-view X-rays and contrast dye is extremely helpful in the treatment and diagnosis process.

Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations.  STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating a STEMI team is crucial.

Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.

All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics.  Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.

Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation,  being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under UH medical control and at a new later time. Thanks to Avon Fire Department for being the first to host the podcast.

It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices.  This part moves quickly!

The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation.  Being near a tertiary center vs. being in a rural setting is also included.

Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.