The AM1 team sat down to discuss "four-walled calls."

Cody and Mustafa sit down to discuss various topics related to EMS education.

Josh, Cody, Ken, and Mustafa get together to discuss Mindset Traps, part 2~

Alert Medic 1 - Pharmaceutical Management of TBI. Dr. Brian Spoeholf joins the Alert Medic 1 crew to discuss management of the TBI patient.

Ken, Josh, and Mustafa got together with Mike Grzyb from Zoll to discuss various topics related to Zoll's medical products.

Cody, Josh, and Mustafa get together to discuss various topics in EMS.

The Alert Medic 1 crew sat down with Bill Dungey, founder of the SIXFEET crew, to discuss various topics related to first responder resiliency.

The Alert Medic 1 team sits down with Dr. Zaffer Qassim to discuss various topics related to trauma resuscitation, marginal gains in patient care leading to better outcomes, and the utilization of SPARC teams in the prehospital setting.

Cody, Josh, and Mustafa from the Alert Medic 1 team sit down with Mike Carunchio, from the World's Okayest Paramedic, to discuss various topics related to the care of the patient suffering from cardiac arrest.

The Alert Medic 1 team sits down with Dr. Trevor Wilkins, also known as the Angry Viking Therapist, to discuss various topics related to mental health and trauma recovery. Topics discussed include his own personal journey, his work as a therapist, and the utility of EMDR (Eye Movement Desensitization and Reprocessing) therapy.

The Alert Medic 1 crew sits down with Aaron from Pragmed to discuss various topics, including EMS body cams, de-escalation techniques, and situation awareness for the EMS clinician.

The Alert Medic 1 team sits down with David Fifer to discuss various topics related to EMS education, instructor development, and the paramedic practitioner.

Cody, Mustafa, and Ken sit down to discuss mindset traps, and how they affect the EMS clinician.

The AM1 team sits down to discuss a case study where they utilized the Dual Sequential Defibrillation technique on a patient in persistent cardiac arrest.

The Alert Medic 1 team sits down with Ryan Winniford to discuss various topics related to military medicine and the transition to civilian medicine.

The Alert Medic 1 team sits down to discuss various topics related to EMS.

Mustafa, Cody, Ken, and Josh sit down with Owen Humphreys to discuss various topics related to EMS and flight medicine.

Mustafa & Josh sit down with Mike Carunchio, founder and host of The World's Okayest Medic podcast to discuss the use of esmolol in persistent vfib & vtach cardiac arrests. They then progress to discuss various topics in EMS, including point of care ultrasound, EMS education, and the federal recognition of paramedic practitioners.

The Alert Medic 1 team sits down with Amy Mauro to discuss various topics regarding EMS, leadership, and leveraging crisis.

Amy C. Mauro, Esq. is an accomplished attorney and transformative leader who worked on critical policy issues and strategic organizational change for twenty-five years, in both District and federal agencies and in three branches of government. She now advises leaders on organizational change as Principal and CEO at Mauro, PLLC. She also is the volunteer Director of the DC Fire & EMS Foundation. Amy is a results-oriented manager and problem-solver known for her depth of knowledge on policy, legal, agency operations, and budget issues. She has vast executive, legal, legislative, public safety and criminal justice experience from her time as Chief of Staff at the DC Fire & EMS Department, General Counsel and Chief of Staff at the DC Office of Risk Management (DCORM), and a staff member in the Office of the City Administrator, DC US Attorney’s Office and DC Council. In 2015, Amy was appointed by Mayor Muriel Bowser as Chief of Staff for the DC Fire and Emergency Medical Services Department, during a time of significant challenges for the Department. For eight years, she worked with retired Chief Gregory M. Dean, current Chief John A. Donnelly, Sr., and their executive leadership teams, to drive strategic budget investment, cultural and organizational change, and service improvements. The Department’s reforms and innovations, particularly in the area of EMS, have received national recognition and emulation. In her role as Chief of Staff, Amy oversaw the Department’s media and community relations, labor relations, office of the general counsel, budget, performance and data analysis, and EEO and diversity offices. Amy is a Washington, DC native and lives on Capitol Hill with her husband and two children.

Title: "Topics in EMS Communications with Lindsey Ewing, FP-C & Cody Winniford, FP-C"

Episode Description:

Join us in this episode of the Alert Medic 1 podcast, where hosts Mustafa Sidik, Ken Sanner, and Josh Cooke delve into the nuances of EMS communications. They're joined by guests Lindsey Ewing and Cody Winniford. This episode focuses on refining and improving communication between EMS professionals and patients, a crucial aspect of medical care.

Rethinking Medical History Queries:

Our guests discuss the importance of simplifying medical history questions. Instead of asking, “Do you have any medical history?” they recommend, “What medical conditions do you have?” This approach is more straightforward and less confusing for patients.

Clarifying Pain Descriptions:

The conversation shifts to how we ask about pain. Instead of the technical “Does your pain radiate anywhere?” a simpler “Does your pain go anywhere other than X?” is suggested for clarity.

Communicating About Death:

A sensitive topic, but our experts emphasize the need for clear communication. Saying “Your loved one is dead” leaves no room for misinterpretation, unlike softer phrases that might cause confusion.

Encouraging Patient Queries:

The group discusses the difference between “Do you have any questions?” and “What questions do you have?” The latter invites patients to engage more actively.

Discussing Medication Intake:

The team talks about the importance of understanding a patient's medication regimen by asking, “What medications are you prescribed?” and “What over-the-counter medications do you take?” This approach gives a clearer picture of the patient’s health status.

Describing Pain:

Instead of leading patients with “Is your pain sharp or dull?” the hosts suggest asking, “How would you describe your pain?” to get an unguided, honest description.

Calming Patients:

Lastly, the experts critique the ineffective “Calm down” directive. They recommend engaging in distracting conversation or calmly explaining symptoms to better manage patient anxiety.

This episode is a must-listen for anyone in the EMS field, offering valuable insights into improving patient care through better communication.

Episode Title: Article Discussion: Bag-Valve Mask Ventilation and Survival from Out of Hospital Cardiac Arrest: A Multicenter Study

Episode Description: In this episode of Alert Medic 1, Mustafa Sidik and Josh Cooke delve into the findings of the recently published academic paper "Bag-Valve Mask Ventilation and Survival from Out of Hospital Cardiac Arrest: A Multicenter Study." This study, a secondary analysis of a previously published paper's data, explored the effectiveness of bag-valve-mask (BVM) ventilation during cardiopulmonary resuscitation (CPR) before the placement of advanced airways.

The research, conducted from the data captured from six sites of the Resuscitation Outcomes Consortium CCC study, analyzed patients experiencing out-of-hospital cardiac arrest. The study's unique approach involved defining detectable ventilation waveforms and comparing the incidence of ventilation and outcomes between two groups of patients based on the frequency of these waveforms during CPR.

Key findings revealed that lung inflation with BVM ventilation during 30:2 CPR was infrequently observed. However, significantly higher rates of prehospital return of spontaneous circulation, survival to hospital discharge, and favorable neurological outcomes were associated with patients having lung inflation in 50% or more of CPR pauses.

Join us as we dissect these findings and discuss their implications for emergency medical practices and CPR guidelines. We'll also highlight the study's methods, its approach to data analysis, and the potential shift it may bring in treating out-of-hospital cardiac arrests​​.

Idris, A, et al. Bag-Valve-Mask Ventilation and Survival From Out-of-Hospital Cardiac Arrest: A Multicenter Study. Circulation. DOI:  10.1161/CIRCULATIONAHA.123.065561 

Title: Controversy, Consensus, or a Little Bit of Both? With Lindsey Ewing, FP-C, & Ben Lawner, DO

Episode Description:

In this episode of Alert Medic 1, we dive deep into some of the strategies that are crucial to prehospital emergency medicine. Join hosts Ken Sanner, Josh Cooke, and Mustafa Sidik as they welcome two star guests, Lindsey Ewing, FP-C, and Benjamin Lawner, DO, for a compelling discussion.

Together, our experts tackle the nuances of a two-person BVM technique enhanced with in-line ETCO2 monitoring for improved airway management. Lindsey Ewing elucidates the “double EC or thumbs-down with jaw thrust” approach, detailing how it revolutionizes patient ventilation.

Our conversation then pivots to the crucial timing of resuscitation before intubation, a strategy both guests passionately advocate for, emphasizing the importance of maintaining hemodynamics to prevent DASH-1A event.

Lindsey brings her front-line experience to the fore, arguing for the adoption of a guideline for IV epinephrine in crashing bronchospastic patients. The hosts discuss the quick action of IV epi over IM, potentially averting hypoxic brain injury and improving patient outcomes.

Next, the panel delves into prioritizing sepsis alerts and the criticality of avoiding hypoxia and hypotension in traumatic brain injury (TBI) cases, where proper airway management isn't just about technique—it's about the patient's survival.

Mastering the SALAD airway technique is another hot topic, with a consensus on the importance of large-bore suction catheters over the traditional Yankauer to prevent failed airways.

Apneic oxygenation during intubation is discussed next, with our guests advocating for the nasal cannula at 15L to extend the apneic oxygenation period, potentially reducing DASH-1A events.

In a shift toward pharmacological considerations, the discussion turns to the vital steps of securing an IV before administering nitroglycerin, particularly in non-hypertensive patients, to manage any ensuing hypotension.

Finally, the episode concludes with a consensus on the importance of ventilation and oxygenation before administering Narcan to reverse opioid overdoses.

This episode is a must-listen for all emergency medical professionals seeking to refine their skills and optimize patient care. Tune in for a session filled with practical wisdom, cutting-edge techniques, and life-saving strategies.

Don’t miss this crucial conversation. Stream the episode now, and elevate your practice with Alert Medic 1!

#EmergencyMedicine #ResuscitationRevolution #AirwayManagement #BVMtechniques #PrehospitalCare #SepsisAlert #TBICare #VentilationStrategies #IntubationInnovation #EMSProtocols #ParamedicPractice #ApneicOxygenation #NitroProtocol #NarcanGuidance #MedicPodcast #AlertMedic1 #LifesavingStrategies #EmergencyResponse #CriticalCareTips #FieldMedicine #ERInsights

In this episode, Mustafa, Josh, and Ken sit down with Jonathan Brashears, a paramedic from Tennessee, who gives us a firsthand account of life on the front lines of emergency medical services in the Volunteer State . With years of experience in EMS, Jonathan sheds light on the ever-evolving EMS protocols that dictated his practice in various roles within EMS Our conversation dives deep into the heartbeat of emergency medical care, exploring the intricate dance between rapid medical intervention and the compassionate human touch that is essential in times of crisis. Jonathan walks us through typical EMS protocols and operational guidelines he deals with each and every day. But it's not just the physical demands of the job we discuss; Jonathan opens up about the often-overlooked aspect of EMS work: mental health. He shares his personal experiences and the coping mechanisms that first responders develop to manage the emotional toll of their vital work. We delve into the support systems that are, or more importantly, aren't, in place, what more can be done, and how society can better understand and aid those who dedicate their lives to working in EMS. Don't miss this enlightening conversation that's just as much about human connection as it is about the life-saving protocols of emergency care. #EMS #Paramedic #EMT #EMS Education #Emergency Medicine

From the Shoulders of Giants- EMS History, Victory, and Legacy with John Moon, Paramedic, Freedom House Ambulance

Join Mustafa Sidik, Ken Sanner, and Josh Cooke as they dive deep into the history of EMS with their special guest, John Moon. As a paramedic with Freedom House Ambulance, John was one of the trailblazers in the EMS profession.

From overcoming seemingly insurmountable odds, to providing care to those who needed it most, John sheds light on the real-life experiences that inspired the pages of "American Sirens." We discuss the challenges faced by Freedom House Ambulance, the evolution of EMS over the years, and the invaluable lessons learned along the way.

Looking to enrich your knowledge about the EMS world or curious about the behind-the-scenes stories from "American Sirens?" This episode offers a unique perspective of someone who lived it, guaranteeing insights you won't find elsewhere.

Key Takeaways:

• A firsthand account of life as a paramedic with Freedom House Ambulance.

• Behind the scenes look into the inspiration and real-life events from "American Sirens."

• The importance of EMS education and the ongoing challenges in the industry.

SEO Tags: EMS, paramedics, American Sirens, Kevin Hazzard, EMS education, Freedom House Ambulance, Alert Medic 1, Mustafa Sidik, Ken Sanner, Josh Cooke, John Moon.

Whether you're an EMS professional, or someone intrigued by the world of emergency medical services, this episode is a must-listen. Subscribe to the Alert Medic 1 podcast today and stay updated with all things EMS

The AM1 crew sits down with Dr. Jen Anders, Pediatric EMS Medical Director for Maryland, to discuss various updates to the pediatric protocol for the coming yaer.

On today's episode, the AM1 team sits down with Charlie Pendorff to talk about how we never know when our last shift will happen. Charlie suffered a career-ending injury while on duty and shares what he learned from this unexpected journey. What happens when you have a career-ending injury? Do you have a backup plan if you can no longer work due to that injury? These questions and many more on today's episode. Charlie is a paramedic and former firefighter who suffered a career-ending injury when he least expected it. Prior to his injury, he was a tactical medic, firefighter, and paramedic with a large county fire department. He now teaches in a local paramedic program and works within his family's agricultural business.

Moose and Josh talk with Dr. Andy Yancone on what EMS experience can add to a mid or high-level clinician's education and practice. Dr. Andy Yancone is a family practice physician currently practicing in the urgent care environment. He recently graduated from his residency program in Family Medicine. Prior to that he attended American University Carribean School of Medicine. He comes into medicine with a wealth of experience as an EMT in both volunteer and professional realms in Maryland.

The Alert Medic 1 Team sits down with Dr. Andy Yancone to deep dive Sepsis. We cover the physiology of Sepsis and what pre-hospital clinicians can do when encountered with these patients. Dr. Andy Yancone is a family practice physician currently practicing in the urgent care environment. He recently graduated from his residency program in Family Medicine. Prior to that he attended American University Carribean School of Medicine. He comes into medicine with a wealth of experience as an EMT in both volunteer and professional realms in Maryland.

Moose and Josh sit down with Paramedic Sam Weinstock to talk about medications in cardiac arrest that fall a bit farther down the algorithm. They talk about specifically why and when to use them as well as a couple that we do not give anymore and why that is. Sam Weinstock is a PM/FF working for a large department in the DC Metro region. Prior to joining that department, he worked as a hospital-based paramedic in New Jersey. Sam brings a wealth of experience in both EMS and Hazmat. He currently serves in a teaching role at his department's training academy. https://www.ncbi.nlm.nih.gov/books/NBK545201/

The Alert Medic 1 Team had a unique opportunity to sit down with FDNY EMS Deputy Chief Gregg Brady. During the episode, they talk about the largest EMS system in the United States, responding to approximately 1.4 million EMS calls every year. Deputy Chief Gregg Brady has been with FDNY for over 15 years and is currently an EMS Deputy Chief assigned to FDNY EMS Division 2 in the South Bronx. He has also worked as a Firefighter/Paramedic with the City of Kissimmee and operated as a Tactical Paramedic with the City of Kissimmee Police Department SWAT Team. Gregg has additionally worked as a contractor with the Department of State as a high-threat protection specialist/medic in Iraq and Afghanistan.

The Alert Medic 1 crew sit down with Dr. Jeff Nusbaum to discuss his view on various topics in Emergency Medicine and EMS from the perspective of a Medical Director. Dr. Jeff Nusbaum is an Emergency Medicine Physician who currently practices in the University of Maryland system. He is formerly the Assistant Medical Director of the Baltimore City Fire Department. In the very near future, he will be taking the reigns of Medical Direction of the Baltimore County Fire Department. He comes into the position with a wealth of experience and the AM1 Team looks forward to his work in the future.

The Alert Medic 1 Team is joined by Jasmin Cooke, LMSW to he given insight to the role of social workers in the total care of our patients. If you have ever wondered what happens within the case management realm, here is your chance to find out. Jasmin Cooke is a LMSW (Licensed Master of Social Work) that is currently working for a PRP (Psychiatric Rehabilitation Program). She is also an Mental Health Therapist that specializes in OCD using ERP and ICBT.

The Alert Medic 1 Team sits down with Battalion Chief Tony Scott to talk about numerous leadership topics. Battalion Chief Scott is a command officer in a department in DC Metro area. he has worked in numerous field, support, and liason positions throughout the department.

The AM1 Team has the opportunity to sit down with Dr. Jennifer Anders, the Associate State EMS Medical Director of Pediatrics. We explore protocol changes and ask some questions about pediatrics in EMS.

The AM1 team sits down with the Maryland State EMS Medical Director Dr. Tim Chizmar to have a discussion about the 2023 Maryland Medical Protocol updates. For the Maryland clinicians, hopefully this provides some insight to these changes. For those that are non-Maryland clinicians, maybe this will provide you with some ideas to bring to your system.

The Alert Medic 1 team sat down with Dr. Tim Chizmar to discuss the various protocol changes coming to the Maryland EMS protocol July 1st, 2024.

The team sits down with Dr. Jim Brady once again. This time to talk about seizures.

Josh and Moose talk about the Stop the Bleed Campaign. We thought it important to speak on this extremely important topic during May because it is Stop the Bleed Month.

The Alert Medic 1 team sits down with returning guest Cody Brdricko from Midwest Misfits to discuss various topics.

The Alert Medic 1 team sits down with Dr Jim Brady to talk about the uncommon endocrine emergencies we may encounter.

The AM1 team sits down with Dr. Jim Brady to discuss various basic aspects of endocrinology.

The AM1 team sits down with Dr. John Wendell and Paramedic Colin Bender to discuss fundamentals of treating the asthmatic patient

The AM1 team discusses prehospital administration of whole blood.

Responding to emergencies requires a high level of coordination and teamwork. One important tool that can help improve coordination and communication among any crew is Crew Resource Management (CRM). CRM is a systematic approach to enhancing teamwork and communication, with the goal of improving safety and efficiency. It was first developed in the aviation industry and has since been adopted by various other high-stress and high-reliability industries, including healthcare. In the context of emergency medical services (EMS), CRM involves using clear and effective communication, assertiveness, and mutual support to ensure that all members of the team are working together effectively. It also involves recognizing and managing risks and errors, as well as identifying and addressing any issues that may arise during the course of an emergency response. By adopting CRM principles, EMS crews can ensure that they are working as a cohesive team, with everyone aware of their roles and responsibilities. This can help to reduce the risk of errors and improve patient outcomes. It can also improve job satisfaction and reduce stress among EMS providers. The AM1 team thus sits down with Battallion Chief Michael Lambert to discuss various topics related to Crew Resource Management.

The Alert Medic 1 team sits down with Jasmin Cooke, LMSW, to discuss various topics related to first responder mental health. Mental health is one of the most sensitive and stigmatized topics that we don’t discuss on a daily basis. As is often said, we do a great job of taking care of others in EMS, but how well do we do when it comes to taking care of ourselves and each other? This episode is probably the most candid, vulnerable, and possibly important episode we’ve ever done. The topics are heavy and could be difficult to listen to for some people. Over the next two hours we discuss a wide variety of topics related to mental health with Jasmin Cooke, LMSW. We sincerely hope you get something out of this episode. Remember, if you are in crisis or have thoughts of harming yourself and are in the U.S., call the toll free National Suicide Prevention Hotline 24/7 at 988. Thank you for listening to Alert Medic 1.

The Alert Medic 1 team sits down to discuss a recent popular Reddit post discussing Connecticut House Bill 6581 and its potential implications for EMS.

The Alert Medic 1 crew sit down w/ Dr. Kim Boswell to discuss various topics related to extracorporeal membrane oxygenation and eCPR.

Dr. Boswell provides advanced, specialized critical care and emergency medicine for patients experiencing serious conditions like acute respiratory distress syndrome (ARDS) or those who have a severe traumatic injury. She also cares for critically ill patients who have been transferred to UMMC for specialty care.

Her patients typically require advanced mechanical support (such as a ventilator, ECMO and other lifesaving devices) in several critical care units at UMMS, including:

• Critical Care Resuscitation Unit
• Lung Rescue Unit
• Multi trauma Critical Care

Dr. Boswell’s dedication to her patients and profession has been recognized by her peers. She has been awarded the Aurelio Rodriquez Award during her fellowship and the Physicians Colleague Award by the University of Maryland Nursing in 2021.

The Alert Medic 1 team sits down with Battalion Chief Joe Cvach to discuss various topics in EMS and leadership

The Alert Medic 1 team sits down with Dr. Ben Lawner to discuss various topics related to medical direction. Dr. Lawner is an Associate Professor in the Department of Emergency Medicine at University of Maryland Medical Center. Dr. Lawner obtained his EMT certification in 1994 and worked with Alachua County (Florida) Fire Rescue as a paramedic/firefighter prior to entrance into medical school. Dr. Lawner is residency trained in emergency medicine. He completed an EMS fellowship jointly sponsored by the University of Maryland, the Maryland Institute for Emergency Medical Services Systems (MIEMSS), and the University of Maryland Baltimore County. From 2009-2010, he served as a Chief Resident and Faculty Development fellow for the emergency medicine training program. Dr. Lawner’s interests include resuscitation, airway management, and transport critical care. Dr. Lawner currently serves as the Medical Director for the Maryland ExpressCare Critical Care Transport Team and the Baltimore City Fire Department. Dr. Lawner works clinically a University of Maryland Medical System emergency physician and is a member of the Shock Trauma Center’s “Go-Team” He is actively engaged in medical education for students, residents, and prehospital clinicians.

The Alert Medic 1 team discusses various topics on this episode of the Shock Index!