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. PTSD is higher in firefighters: 14.6% to 22%, compared to 6.8% in the general population. Depression is also higher in firefighters: 11% in firefighters, compared to 6.7% in the general population. Firefighter thoughts of suicide are nearly double those in the general population, with estimates reaching up to 47%. 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.