In this episode we take a new look at the pathophysiology behind tension pneumothorax and how it presents in the real world population, and discuss why we should pause before inserting the needle in the 2nd intercostal space.
Author: Curbside to Bedside
Curbside to Bedside is a blogcast created by front line EMS Clinicians to provide simple and relevant initial and continuing prehospital EMS education.
C2B Podcast 23 – Hyperkalemia
Hyperkalemia is the most lethal electrolyte abnormality that can render therapeutic interventions obsolete unless corrected. Fortunately, it may manifest with ominous ECG changes that can drive treatment to rapidly stabilize the patient and stave off cardiac arrest.
Diabetic Ketoacidosis
Transporting a sick DKA patient is challenging. Surprisingly, there’s a bit more to it than “just” administering fluid and monitoring an insulin infusion.
Rethinking Transcutaneous Pacing
In our first official “vodcast”, we discuss pearls and pitfalls of transcutaneous pacing, and how it’s much more difficult than “you either have capture or you don’t”.
“Phantom” complexes are rarely reported on or discussed in Paramedic school, but one monitor manufacturer appreciates how they can make verifying true electrical capture very difficult.
The folks over at ems12lead.com have put a lot of work into providing education and spreading the word around the problem of false capture.
When Should we Place mCPR Devices?
Initiating mechanical chest compressions as soon as possible seems to make sense, right? There’s actually little evidence that they improve outcomes, and some evidence that outcomes are worse! Join Floyd as he discusses some literature that might help provide insight on if and when we should use mechanical CPR devices in Prehospital Medicine.
An Assault on Preventable Trauma Deaths With Andrew Fisher
Join us as we interview Andrew Fisher on the multiplicity of managing civilian trauma patients. Although the complexity of trauma management is often understated, the basics are often not managed appropriately, and can have an appreciable affect on trauma outcomes.
We discuss TEG, blood product administration, acute trauma coagulopathy, the MARCH algorithm, and when it comes to permissive hypotension, just how low can you go?
Wailing for Risk Reduction: The Quantifiable Risks of Using Lights and Sirens
“First, do no harm.”
The golden rule of medicine applies from the moment of dispatch onward. Are we risking harm with the use of Lights and Sirens to ourselves, patients, and the public?
Under Pressure – Vasopressor PEARLS With Regan Baum
Under Pressure – Vasopressor PEARLS With Regan Baum
Uncomfortable with initiating and transporting vasoactive medications? Dr. Baum discusses when to initiate, what to use, and how to handle complications!
Pulse Oximetry: Basics and Biases
With this episode, we explore the utility, limitations, and provider interface of one of the most basic pieces of equipment EMS practitioners carry.
Modern Spinal Care
Recently, the new NAEMSP position statement on spinal motion restriction provoked a flurry of controversy.
In this episode, we seek to make some sense of what spinal motion restriction is, what it isn’t, and how to best care for patients after spinal trauma.
See http://www.curbtobed.com for the full shownotes and resources.