Parhaat Paramedic Podcastit (2024)

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Episode 170 - The MCHD EKG Manifesto - Part 2 39:07

13d ago39:07

39:07

Applied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient. While an understanding of EKG foundational physiology is an absolute must, consideration of how to combine the 12-lead and patient presentation is vital as well. Join the podcast crew as they start a…

1
The NREMT ALS Exam Have Changed Forever! 12:46

25d ago12:46

12:46

Pass School & NREMT Exams, Go Here: https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com All of the NREMT links mentioned in this video: https://nremt.org/Document/Get-Ready-For-The-New-Examinations#ImportantTimelinesAndInformation NREMT's New Podcast: https://nremt.org/Document/Registry-Insider Today is July …

1
PragChat about Professionalism 1:21:40

5d ago1:21:40

1:21:40

In today's episode, Aaron, Jason, DR, and Chris sit down and roundtable the topic of professionalism in EMS. We discuss appearance, uniforms, performance and how all these contribute to how EMS is perceived by the public. This topic is rarely discussed but we feel like the topic is worthy an indepth, intelligent conversation and contributes to how …

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Ep. 69: Scott Weingart- How to Master the Resuscitation 22:18

11d ago22:18

22:18

EMCRIT's Scott Weingart discusses the concept of being a true resuscitationist. The mindset necessary for providing aggressive, excellent care outside hospital boundaries and the emphasis on the importance of preparation, critical thinking, and meticulous attention to detail in emergency medical situations. Dr. Weingart shares insights on mental si…

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Ep. 68: Building Better Providers: Eric Bauer, Lessons from FlightBridgeED 28:01

26d ago28:01

28:01

Will and I recently attended FAST24, an educational conference hosted by FlightBridgeED in Wilmington, North Carolina. We had a fantastic time meeting industry top speakers, including Eric Bauer, one of the original founders of FlightBridgeED. In today's episode, we delve into Eric's journey in EMS education, how FlightBridgeED was conceived, and t…

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Episode 169 - Agitation Awareness - Fixed-Dose Ketamine 24:56

1M ago24:56

24:56

We've initiated a multi-pronged, system wide overhaul of our agitation management at MCHD. This included a move to fixed-dose ketamine for the severely agitated patients. Evidently we weren't the only ones thinking of this as there is exciting new data from Buffalo supporting this approach. Join the podcast crew as they review the recent literature…

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Ep. 67: The Perils and Pleasures of Mushrooms with Toxicologist Dr. Nik Matsler 47:40

1M ago47:40

47:40

In this episode, we delve into the fascinating and often perilous world of mushrooms. Join us as we explore with Dr. Nik Matsler how these fungi can be a culinary delight, a source of psychedelic experiences, or a deadly hazard. We discuss the challenges of identifying mushrooms, even for experts, and why toxicologists rely on mycologists for accur…

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PragChat Mental Health with Boomer 57:09

2M ago57:09

57:09

In this episode, Aaron and Jason sit down with James Boomhower (Boomer) from StayFit4Duty and talk about mental health and resources for first reponders. Boomer has been involved in EMS for over 20 years in a variety of health systems throughout New England. He currently functions in the role of Critical Care Transport Specialist-Paramedic/ Lead Pe…

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Ep. 66: Electrical Injuries and Lightning strikes 1:05:27

2M ago1:05:27

1:05:27

Derek Miller, outreach coordinator for the UNC JC Burn Center, joins us again to explore electrical injuries and lightning strikes. We discuss the various types of electrical injuries, the mechanisms behind these injuries, and the essential steps EMS providers must take to ensure their safety and provide effective patient care. Through real-life ca…

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S5 Ep6: How do you know what you are reading is reliable evidence? 43:20

2M ago43:20

43:20

Welcome back to the FINAL episode of the 'Research Mini-Series'. In this episode, Dr Sandy MacQuarrie helps us understand if the research that we are looking at is reliable and of good quality. This is crucial in all stages of our careers, from university student, to paramedic on road, to completing a research study. Our practice needs to be guided…

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S5 Ep5: So you've got a research idea... what next? 19:04

2M ago19:04

19:04

Welcome back to the 'Research Mini-Series'. This episode follows on from starting out with a research idea and delves into different types of research methodology and the next steps in the process. Dr Sandy MacQuarrie helps us break down these concepts into easy to follow ideas. Have a passion or a strong interest in what you want to study. For all…

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S5 Ep4: Time to get your head out of the sand and get started with a research idea 24:22

2M ago24:22

24:22

Welcome back to the 'Research Mini-Series'. Things we've discussed in this episode to help you on your journey: Setting up 'Google Scholar Alerts' Using platforms such as: EndNote, Zotero, Mendeley etc. to keep all of your articles in one place - this can assist you with finding out a methodology to use and you may find that there are the same grou…

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S5 Ep3: Abbie Little's full circle journey into research 32:04

2M ago32:04

32:04

Welcome back to the Research Mini-Series! In this episode we interview paramedic, Abbie Little on her journey from paramedic to PhD candidate! In this episode we break down some of the attitudes and barriers that people have towards getting started in research. Abbie discusses her experience, the positives, the challenges and what she would like ot…

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S5 Ep2: Inspiring new knowledge w/ Dr Sandy MacQuarrie 36:48

2M ago36:48

36:48

Welcome to the first episode of our 'Research Mini-Series'. In this episode, we have a discussion with Dr Sandy MacQuarrie. Sandy is a paramedic, educator and researcher who has inspired both new knowledge as well as other students and clinicians in their research journey's. Today we discuss Sandy's journey into research and the exciting places tha…

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PragChat with Alert Medic 1 about NAEMT Interview 1:10:20

2M ago1:10:20

1:10:20

In this episode, Aaron and Jason sit down with Mustafa, Josh and Ken from Alert Medic 1. We discussed the interview they had with the oncoming NAEMT President-Elect Chris Wray. The discussion covered our differing views on education, pay, reimbursement, and our feelings about the NAEMT. There was also an indepth discussion on the Advanced Paramedic…

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Episode 168 - The VTach FACTs 35:50

2M ago35:50

35:50

We've recently had several challenging, wide-complex tachycardia cases here at MCHD, so the podcast crew decided to bring forth some VT vs. SVT with aberrancy knowledge. Learn the V-Tach FACT, and you'll feel more comfortable with your next wide rhythm at a rate of 185.REFERENCES1. https://litfl.com/vt-versus-svt-ecg-library/2. https://www.youtube.…

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S5 Ep1: Research Mini-Series Trailer 1:57

2M ago1:57

1:57

In 2024 we are trying something a little different & having a deep dive into certain topics. We wanted to change the ideas and attitudes held towards research. Dr Sandy MacQuarrie helps us tackle this topic, inspire and spark imagination! We have special guest Abbie Little, who shares her full circle experience. This topics is broken down into easy…

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Ep. 65: Stroke Care on the Streets: Bridging Research and Real-World EMS 59:46

2M ago59:46

59:46

Explore the nuances of stroke assessments, the challenges EMS professionals face in the field, and the impact of prehospital interventions on patient outcomes. Coco Wham, a former paramedic who's transitioned to a physician, and Dr. Layne Dylla, an associate professor of emergency medicine join us to dive into their ongoing research efforts aimed a…

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Ep. 64: The Critically Burned Patient - Part 2 55:03

3M ago55:03

55:03

This is Part 2. Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontli…

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Episode 167 - Ketamine Only Intubations With Dr. Andrew Partain 27:16

3M ago27:16

27:16

The podcast crew is joined by a special guest, Dr. Andrew Partain, an EMS Fellow from UTSW in Dallas. We will dissect his recent data surrounding ketamine-only intubation from MedStar in Fort Worth. This is not just another boring data rehash. There are some vital and applicable pearls that must be applied to the world of prehospital airway managem…

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PragChat Scene Times with the PrepMedic 1:15:38

3M ago1:15:38

1:15:38

In this episode, Aaron and Jason sit down with Sam, the PrepMedic. Sam is a current flight medic, has a popular YouTube channel, and is the PrepMedic. We discuss scene times and why they are important, education, and other topics in this episode. Sam brings a ton of different, life experience and thought into this conversation that shows why our pr…

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Ep. 63: The Critically Burned Patient - Part 1 1:11:53

3M ago1:11:53

1:11:53

Derek, an experienced clinician in burn care, joins us to delve into the intricacies and challenges of treating burn patients. This discussion provides valuable insights into the unique aspects of burn injuries, the importance of a comprehensive assessment, and the latest trends in burn treatment. Enter to Win a FREE Pair of Frontline Optics Sungla…

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PragChat about Education with the APA 58:44

4M ago58:44

58:44

In this episode, Aaron and Jason sit down with Nick Nudell from the American Paramedic Association and discuss EMS education. Nick is a current paramedic, a Ph.D student, and a founder of the only advocacy group that is made up of paramedics. We chat about the different ways the APA advocates for paramedics and the ways that we can improve the curr…

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Critical Care Doctor Shares His Best Tips For Resuscitation 47:36

4M ago47:36

47:36

Conference ResusX:ReVolved: https://www.resusx.com/paramedic-coach Haney Mallemat, MD Instagram: https://www.instagram.com/criticalcarenow/ YouTube: https://www.youtube.com/c/criticalcarenow What a podcast! After watching a ton of Haney's instagram reels and seeing the high quality medical conversations he was having on his own page, I thought let'…

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Ep. 62: Rethinking Priorities in Out-of-Hospital Cardiac Arrest - Which Comes First Epi or Airway? 38:31

4M ago38:31

38:31

Which comes first epinephrine or airway? Out of hospital cardiac arrests involve critical and often complex decisions with sequence and timing of various procedure. What should you prioritize? We examine the nuances of advanced interventions, such as epinephrine and advanced airway placement, through the lens of recent studies, including a notable …

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This Man Is Visiting Fire Stations Across The Nation 31:08

4M ago31:08

31:08

Heroes Next Door, (Michael Borrello) Email Mike here: watchheroesnextdoor@gmail.com HND YouTube: https://www.youtube.com/c/HeroesNextDoor HND Instagram: https://www.instagram.com/watchheroesnextdoor/ After 24 episodes of The Paramedic Coach podcast, it is time to bring on some guests! My first guest to The Paramedic Coach podcast is my good friend …

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Episode 166 - The MCHD EKG Manifesto - Part 1 35:25

4M ago35:25

35:25

Applied EKG interpretation is often a difficult task in EMS and emergency medicine education. Getting bogged down in minutiae can obscure the patient. While an understanding of EKG foundational physiology is an absolute must, consideration of how to combine the 12-lead and patient presentation is vital as well. Join the podcast crew as they start a…

1
Ep. 61: Toxic Alcohols: A Hidden Danger in Everyday Products and an Everyday Call 52:16

4M ago52:16

52:16

Toxicologist Dr. Nik Matsler teaches us the critical topic of toxic alcohol poisoning. The discussion sheds light on the dangers lurking in everyday household and industrial products that contain methanol, ethylene glycol, and isopropyl alcohol—substances not far removed from the alcohol found in beverages yet capable of causing severe, sometimes f…

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Pragchat with Dr. Schauer(armyemdoc) 1:06:16

5M ago1:06:16

1:06:16

In this episode of PragChat, Aaron and Jason sit down with Dr. Schauer (@armyemdoc) to discuss research papers and his thoughts on some trauma topics. Understanding research and how to interpret research papers is valuable to improving our practices and Dr. Shauer does a great job of breaking down how to interpret data and research. Dr. Schauer als…

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What I Wish I Knew Before Starting in EMS 9:00

5M ago9:00

9:00

Learn More (Video Vault): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com I dive deep into the heart of what it truly means to begin a career in emergency medical services (EMS) sharing the lessons and reflections I've gathered from my journey as a paramedic and now The Paramedic Coach. From the decisions…

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25: Episode 25 - What would you do if.....your patient doesn't want to go to hospital? 38:27

5M ago38:27

38:27

Matt and Nick sit down to discuss this common challenge. What do you do if your patient refuses your advice? How to provide advice and break down the barriers to refusal How to assess capacity What do documents like power of attorney and an ARP really mean?Kirjoittanut The Shift Extension Paramedic Podcast

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Ep. 60: Art of Laryngoscopy- The SALAD technique (Suction-Assisted Laryngoscopy and Airway Decontamination) 47:20

5M ago47:20

47:20

In the high-stakes environment of prehospital medicine, the ability to perform a successful intubation on the first attempt is critical. The complexity of prehospital airway management cannot be understated, given the challenging conditions and the acuity of patients encountered. This episode delves into the strategies and techniques that can signi…

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PragChat IVs with The Vascular Guy Part 2 1:43:18

5M ago1:43:18

1:43:18

In this episode of PragChat, Aaron and Jason sit down again with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include psychology of starting IVs, best practices, and variety of additional topics. …

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Episode 165 - Intracerebral Hemorrhage 32:06

5M ago32:06

32:06

We've spent countless hours (rightfully so) discussing ischemic stroke management over the past several years. Sometimes, the other 20% of strokes, the hemorrhagic version, can get neglected. No, we don't have stroke-mobiles at MCHD to diagnose an ICH in the field, but there are some patient care keys to emphasize for EMS when we suspect non-trauma…

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Ep. 59: The Truth about Mechanical CPR Devices: What the Data Really Says 17:41

5M ago17:41

17:41

Despite the allure of consistent compressions and reduced provider fatigue, does the data actually show that mechanical CPR devices improve outcomes? Tune in for a nuanced exploration of evidence-based practice in emergency medical services. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Bl…

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24: Episode 24 - From student paramedic to chief executive of Ambulance Tasmania - A chat with Jordan Emery 1:01:04

6M ago1:01:04

1:01:04

Mr. Jordan Emery path has taken him from NSW ambulance to an NGO in New York, before landing the top job in Ambulance Tasmania. We sat down with Jordan earlier this year to talk about paramedic culture, making mistakes and the idea of heart centered leadership.Kirjoittanut The Shift Extension Paramedic Podcast

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PragChat IVs with The Vascular Guy Part 1 1:08:44

6M ago1:08:44

1:08:44

In this episode of PragChat, Aaron and Jason sit down with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include ED and EMS relationships, why IV's are important, selecting the best catheter, and o…

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Ep. 58: Neonatal Resuscitation: Conquering the Fear- a step by step guide for emergency providers 48:47

6M ago48:47

48:47

Overcoming Fear in Neonatal Resuscitation: A Step-by-Step Guide Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Blog post: Neonatal Resuscitation Introduction: Welcome to another episode of EMScast, where high-level education meets real-world emergency medical scenarios. Today, we have Dr. A…

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The NREMT ALS Psychomotor Exams Are Discontinued! 13:34

6M ago13:34

13:34

Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com I had to report on yet another important EMS education update from NREMT. The NREMT psychomotor exams for ALS providers such as advanced EMT and Paramedic level exams are being discontinued starting July 1st, 2024. I believe …

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Episode 164 - EMS HOCUS POCUS 29:20

6M ago29:20

29:20

MCHD's POCUS program has definitely involved both forward progress and lessons learned. In this episode, we'll discuss some of the reasons POCUS can be a game changer in the prehospital setting. However, unintended consequences do exist. We've begun to make the move to utilizing carotid ultrasound in OHCA, and we'll tell you exactly why.REFERENCES1…

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NREMT Has Changed Their Scoring Reports Again! 6:33

6M ago6:33

6:33

Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com The national registry of emergency medical technicians (NREMT) is the certification organization that allows all EMR, EMT, AEMT and Paramedics to become certified. Since NREMT has partnered up with the National Commission on …

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Ep. 57: Crush Injury and Crush Syndrome 1:07:09

6M ago1:07:09

1:07:09

Dr. Nik Matsler is back to discuss the treatment of patients with crush injuries and crush syndrome. Dr. Matsler's insight as an emergency physician and a toxicologist are put to work helping us understand the pathophysiology of crush related injuries. We also try to discuss very practical approaches to these situations which are complex. No two cr…

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23: Episode 23 - What would you do if.....your patient had a dysrhythmia. Clinical chats with Nick and Matt 46:05

7M ago46:05

46:05

We are back for our first episode in 2024. Time for Matt to pick Nick's brain about fast and slow dysrhythmias. Does electrode placement matter? How do I differentiate between SVT and VT? How do I manage these fast rhythms? When should I worry about atrial fibrillation? Do I need to be able to interpret all of the slow rhythms?…

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Episode 163 - Back Pain Beware 35:16

7M ago35:16

35:16

MCHD paramedic Wes Hall joins the podcast crew to discuss a recent seemingly mundane back pain call. Please listen to find out how avoidance of premature closure, a thorough exam, and professional patient advocacy led to an excellent outcome in a SCARY case.REFERENCES1. https://www.mchd-tx.org/wp-content/uploads/2023/12/Image-Episode-163.jpg…

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Ep. 56: Interview with Jim Barrick - Retired Flight Paramedic 1:42:41

7M ago1:42:41

1:42:41

Jim Barrick has more than 37 years of experience in Emergency Medical Services and Helicopter Emergency Medical Services (EMS and HEMS). His humble approach makes him a wealth of wisdom for anyone in this career field. As kickoff for 2024 we depart from our normal format of short education topics to long term reflection. If you work in and around E…

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Ep. 55: Managing Postpartum Hemorrhage in the Field 22:01

7M ago22:01

22:01

We delve into the high-stakes world of postpartum hemorrhage management with the esteemed Dr. Maria Moreira. Joins us to demystify the management of postpartum hemorrhage in the pre-hospital setting. Dr. Moreira presents a systematic approach to intervention. Learn about the four T's of postpartum hemorrhage and on-field strategies like tranexamic …

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Episode 162 - Post-ROSC Pressor Choice 30:39

8M ago30:39

30:39

We recently made a significant vasopressor protocol change at MCHD, prioritizing norepinephrine in all shock situations except anaphylaxis and bradycardia. The evidence supporting norepinephrine in septic and even cariogenic shock is relatively solid. However, recent data has emerged suggesting norepinephrine may be safer in post-ROSC shock as well…

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Ep. 54: It’s a boy! Difficult deliveries- Prehospital obstetrics 47:35

8M ago47:35

47:35

In this episode Dr. Maria Moreira joins us to talk us through prehospital pregnancy difficult deliveries. We'll discuss how to handle nuchal cords, cord prolapse, breech presentations, and shoulder dystocias. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Videos of each technique- https://e…

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The NREMT Exam IS NOT Tricking You 6:08

8M ago6:08

6:08

Learn More (Video Study Course): https://www.prepareforems.com Get my EKG/12-Lead EKG Masterclass: https://www.ekgforems.com After working with tens of thousands students with the goal of passing the NREMT exam, there are usually four main mistakes the student is making preparing for their NREMT exam. And the strategies I talk about here apply to e…

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22: Episode 22 - Pilot to Paramedic with Captain Sean Golding 38:41

8M ago38:41

38:41

Today we sit down Sean Golding, an Australian commercial airline captain, paramedic and technical dive instructor. Not long after completing Australia's first non-stop flight from New York to Sydney, Sean found himself out of work due to covid. We talk about how Sean became a paramedic, how he handles medical incidents during long haul flights and …

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