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EMS Cast

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EMS Cast

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Ep. 64: The Critically Burned Patient - Part 2

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. Blog post- The Critically Burned Patient Key Topics Covered Complexity of Burn Injuries: Derek begins by explaining why burn patients require a unique approach compared to other trauma patients. He highlights the potential for burns to mask other critical injuries, underscoring the...

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Ep. 64: The Critically Burned Patient - Part 2

May 1, 2024

Ep. 63: The Critically Burned Patient - Part 1

April 15, 2024

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...

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

April 2, 2024

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...

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

March 15, 2024

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...

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

March 1, 2024

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...

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

February 15, 2024

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. Blog...

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

February 1, 2024

Overcoming Fear in Neonatal Resuscitation: A Step-by-Step Guide 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. Avery...

Ep. 57: Crush Injury and Crush Syndrome

January 15, 2024

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...

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

January 1, 2024

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...

Ep. 55: Managing Postpartum Hemorrhage in the Field

December 15, 2023

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...

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

November 30, 2023

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. Videos of each technique-...

Ep.53: Midazolam IV vs IM vs IN- a real world study

November 15, 2023

In this episode we look at a recent observational study out of the journal of neurology looking at the effectiveness of midazolam when comparing the IV vs IM vs IN routes. We'll discuss the study as well as other studies involving status epilepticus...

Ep. 52: The Game-Changing Tool of Non-Invasive Ventilation - Understanding the Physiology

November 1, 2023

There are few treatments in our tool box that can have more of a positive impact than non-invasive ventilation. This episode is designed to help you better understand the physiology of how it works and how to use it more effectively. Dr. Bo Burns,...

Ep. 51: End Tidal CO2 (ETCO2) as a predictor of mortality, morbidity, and need for massive transfusion in hemorrhagic shock, with Paramedic Courtney ”Coco” Wham

October 15, 2023

Coco Wham is a paramedic at the Denver Health Paramedic Division. She is also a 4th year medical student and has a masters in integrated sciences. She is an author on a recent study in the American Journal of Surgery with our previous guest, Dr....

Ep. 50: End Tidal CO2 in the Setting of Hemorrhagic Shock with Trauma Surgeon Dr. Eric Campion

October 1, 2023

Dr. Eric Campion is an attending trauma surgeon at Denver Health Medical Center in Denver, Colorado. He has several studies published on the utilization of End Tidal CO2 (ETCO2) in critically injured hemorrhagic shock patients. As a former...

Ep. 49: Personalized Approaches to Pain Management: Recognizing Individual Differences

September 15, 2023

Dr. Spencer Tomberg, a physician in the Department of Emergency Medicine and Orthopedics at Denver Health, discusses pain management and the complex nature of pain perception, highlighting the physical and emotional components. He describes how...

Ep. 48: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) - Legendary Trauma Surgeon Dr. Gene Moore teaches us how this is changing trauma resuscitative care

September 1, 2023

In the high-stakes world of emergency medicine, innovations continually push the boundaries of what's possible. One such groundbreaking procedure is Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Dr. Ernest E Moore, who has...

Ep. 47: Are you prepared for your next intubation? Dr. Stacey Trent Reviews the most up-to-date literature for intubation best practices.

August 15, 2023

Dr. Stacy Trent, an Associate Professor of Emergency Medicine at the Denver Health Emergency Department, discusses the importance of proper airway management in the emergency setting and introduces the mnemonic SOAPME (suction, oxygen, airway...

Ep. 46: Pediatric Disaster Preparedness with Dr. Jeffery Upperman

August 1, 2023

Is your EMS agency prepared for a pediatric disaster? In this episode of EMS CAST, Dr. Jeffrey Upperman joins the hosts live at the Rocky Mountain Trauma and Emergency Medicine Conference. Dr. Upperman gave an entertaining and engaging lecture on...

Ep. 45: Spinal Emergencies with Dr. Bo Burns at the RMTEMC

July 15, 2023

Stop blowing off back pain patients! There may be a true emergency lurking underneath. Dr. Bo Burns teaches us why we should take atraumatic back pain so seriously. We're back with another episode from the RMTEMC. We dive deep into the topic of...

Ep. 44: Taking Care of Pediatric Trauma Patients with Dr. David Bliss at the RMTEMC

July 1, 2023

In this episode of EMSCast, hosts Ross Orpet and Will Berry discuss a lecture given by Dr. David Bliss on taking care of pediatric trauma patients. Dr. Bliss emphasizes the importance of supporting the psychosocial needs of pediatric patients, as...

Ep. 43: ECMO in the Trauma patient- Onsite at the Rocky Mountain Trauma and Emergency Medicine Conference

June 17, 2023

Earlier this month Ross and Will visited the Rocky Mountain Trauma and Emergency Medicine Conference. In addition to trauma games and sim wars, there were so many great lectures and EMS Cast was lucky enough to get to interview some of the speakers...

Ep. 42: Trauma Triage Update - New American College of Surgeons Guideline Updates

June 1, 2023

American College of Surgeons just updated their prehospital trauma triage recommendations. Learn about what the updates mean for paramedics and EMTs and how you can practice this on everyday EMS calls. Link to Blog...

Ep. 41: Is nitroglycerin dangerous in inferior STEMIs?

May 15, 2023

Pharmacist, Kevin Kaucher, joins us to discuss the ins and outs of nitro in acute coronary syndrome. Does it work? Is sublingual better than paste? Can it be dangerous? Come learn the latest on nitroglycerin. For more info and to see the EKGs from...

Ep. 40: Hydrogen Sulfide and Nerve Agent Poisonings

May 1, 2023

Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might...

Ep. 39: Cyanide Toxicity

April 15, 2023

Toxicology fellow Dr. Nik Matsler teaches us about the pathophysiology of cyanide toxicity and it's various antidotes. Learn how to recognize, learn when to treat, and learn some historical trivia while we're at it.

Ep. 38: The GCS Sucks! Why it’s a useless number and what we should use instead.

April 1, 2023

Dr. Whitney Barrett shares why the Glasgow Coma Score is a useless number and what we should use instead.

Bonus Episode: Serotonin Syndrome Q&A - how to recognize and treat serotonin syndrome Q&A with paramedic Will Barry and tox fellow Nik Matsler

March 22, 2023

This is a Q&A follow up to last weeks episode on serotonin syndrome. This week paramedic Will Barry asks toxicology fellow Dr. Nik Matsler the questions that came up for him after listening to last weeks case. And at the end we kept in an impromptu...

Ep. 37: Serotonin Syndrome - How to recognize and treat with toxicology fellow Dr. Nik Matsler

March 15, 2023

Toxicology fellow Dr. Nik Matsler helps us dissect a case that Matt saw working an EDM concert. As I interview Matt about the case, Nik gives us the dos and don'ts when it comes to serotonin syndrome.

Ep. 36: Your Mental Health Matters - Let’s talk about it.

March 1, 2023

This is a tough job and we all have scars from it. It's time to quit sweeping them under the rug and start openly discussing them. This episode was inspired by an upcoming documentary- "Into the Unknown, the Paramedics Journey". You can check out...

Ep. 35: Should we be giving steroids in cardiac arrest? With pharmacist Lance Ray.

February 15, 2023

Emergency pharmacist Lance Ray helps us breakdown the latest literature with regards to steroids in cardiac arrest. Andersen LW, Isbye D, et al. Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in...

Ep. 34: NAEMSP Conference Recap Part 1

February 1, 2023

Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction...

Ep. 33: Do you know all the new diabetic medications? - with emergency pharmacist Lance Ray

January 15, 2023

Emergency Pharmacist Lance Ray joins us to educate us on all the various new classes of diabetic medications. Learn which ones cause hypoglycemia, which ones don't, and a couple which cause some rare life threatening conditions.

Ep. 32: Mac 3 vs Mac 4 - Is there one blade to rule them all?

December 31, 2022

Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full...

Ep. 31: The Ideal Trauma Call

December 15, 2022

Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency...

Ep. 30: The Sick Asthmatic- why this is so different from other causes of respiratory distress

November 30, 2022

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But...

Ep. 29: Novel Drugs of Abuse

October 31, 2022

It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to...

Ep. 28: The Importance of the Physical Exam

September 30, 2022

Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams?

Ep. 27: The Physiologically Difficulty Airway - Part 4: Right Ventricular Failure

August 31, 2022

Join us for part four of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to RV failure why these patients are so dangerous to intubate.

Ep. 26: Snake Bites

August 17, 2022

We're back! We've missed you. Apologies for our absence this summer but we're officially back with a really good episode for you. Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about...

Ep. 25: Cocaine Overdose

May 31, 2022

Lesley Pepin joins us to talk about the nuances of cocaine overdose and it's various managements. There's more than you think. And the more you know could make a difference and save a life.

Ep. 24: The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis

May 1, 2022

Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and why these patients are so dangerous to intubate.

Ep. 23: The Physiologically Difficulty Airway - Part 2: Hypotension

March 31, 2022

Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate.

Ep. 22: Lit Review - Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma?

February 28, 2022

We discuss the following paper and its impact on our prehospital management. Prehospital narrow pulse pressure predicts need for resuscitative thoracotomy and emergent intervention after trauma Schellenberg M, Owattanapanich N, Getrajdman J, et...

Ep. 21: The Physiologically Difficult Airway - Part 1: Hypoxia

January 31, 2022

Ross and Matt discuss the importance of preoxygenating hypoxic patients prior to intubating them. This is the first of a 4 part series on the physiologically difficult airways. Link to the makeshift CPAP: https://www.youtube.com/watch?v=yHGMIQBak6A

Ep. 20: MCI series- Does your radio work?

December 31, 2021

Will Berry and Ben Fisher join the show again to teach us about the handheld device on your hip. Do you really know how to use your radio? What do you do if it fails? It's important to talk and think about these things before they happen.

Ep. 19: Carbon Monoxide

November 2, 2021

Paramedic Will Berry sits down with toxicologist John Rague to talk about all things carbon monoxide including why snorkels aren't helpful.

Ep. 18: Your Run Report Matters More Than You Think

September 30, 2021

Ben Fisher, paramedic and NEMSIS guru, joins us to talk about what NEMSIS is and it's importance to the career field.

Ep. 17: When the provider becomes the patient

August 31, 2021

Glen Andrews has 28 years of experience in medicine but on July 21st, he had to put all of his experience behind and surrender his fate to the care of others. Join us to hear how this event changed him and the insights he has gained from now being...

Ep.16: Treating Seizures Correctly with Lance Ray

July 26, 2021

After a month off, Lance Ray joins us to emphasize the importance of correct seizure treatment.

Ep. 15: Dirty Epi with Lance Ray - We Don't Call it Dirty For Nothin'

May 30, 2021

We sit down with pharmacist Lance Ray about dirty epi drips. These are probably our best prehospital option but they aren't silver bullets and they come with downsides. In other words, "we don't call em dirty for nothin."

Ep. 14: Digoxin Toxicity and Other Cardiac Glycosides

April 30, 2021

Emergency Physician and Toxicology Fellow John Rague joins us to discuss the presentation and management of digoxin toxicity in addition to other cardiac glycosides. Digoxin is not as commonly prescribed anymore thus our teaching on this topic has...

Ep. 13: MCIs

April 1, 2021

A deep dive and long discussion over beers with Will Berry. This is longer than our typical episode.

Ep. 12: Calcium Channel and Beta Blocker Overdose

February 28, 2021

Toxicology fellow extraordinaire Alexa Camarena-Michel, MD joins us again to talk about one of sickest overdose patients you may see. Calcium channel blocker and beta blocker overdose patients can be really sick and are often refractory to our...

Ep. 11: Hypothermia with Martin Musi

January 30, 2021

A longer one than usual. We take a deep dive into hypothermia with wilderness medicine physician and expert Martin Musi.

Ep. 10: Caustic Ingestions

December 31, 2020

Alexa Camarena-Michel teaches us a simple approach to caustic ingestions and more.

Ep. 9: A lot of ARDS and a little bit of COVID

November 30, 2020

Dr. Wright joins us to discuss acute respiratory distress syndrome (ARDS). There has been a lot said about ARDS recently given some of it's similarities to the COVID-19 disease process. That being said ARDS has been around for a long time and is...

Ep. 8: Diabetes with Chief Harper

October 19, 2020

Undiagnosed or misdiagnosed diabetes is common because of how vague the symptoms can be. Chief Harper from Denver Paramedics tells us his incredible personal story dealing with his son's diagnoses, his path to becoming an expert on diabetes, and how...

Ep. 7: Making the call - tips on calling for medical direction

September 18, 2020

This month we sit down with Assistant Medical Director Whitney Barrett to discuss the dos and don'ts of calling in for medical control.

Ep. 6: Approach to the Tracheostomy

August 10, 2020

This is still included in the A of ABCs but I got essentially no training on this in paramedic school. I honestly didn’t get much formal training on this after becoming an ED doc either. I just had to bug RTs and ICU docs to learn what I know...

Ep. 5: Communication Pitfalls

July 8, 2020

We discuss where things go wrong with how we talk to each other and how we can do better.

Ep. 4: Taking Care of the Critically Ill Kid

June 6, 2020

EMS physician Whitney Barrett joins us to discuss some of the scariest and emotional calls we can go on and how we can manage these situations better. Caring for the critically ill pediatric patient is scary for all emergency providers....

Ep. 3: Penetrating Neck Wounds

May 1, 2020

Maria Moreira joins us to to discuss the intricacies to managing penetrating neck wounds. There are a lot of important structures in the neck and damage to these structures are often life threatening and require quick action to stabilize. We break...

SPECIAL EDITION: COVID-19 part 2: We don't know.

April 19, 2020

We sit down with Whitney Barrett to talk about where some of the stuff everyone is hearing about COVID comes from. Spoiler alert: there isn't a lot of data. We discuss things like 6-feet apart, what type of mask to use, paramedic-initiated refusals,...

Ep. 2: Large Vessel Occlusions (LVO)

April 1, 2020

First and foremost, we would like to thank all pre-hospital providers for the work you do. You are all underpaid, understaffed, and under appreciated. However, the unsung work that you do matters now more than ever. We go to work every day in order...

EMS Cast

Collaborative Network Creator

Ep. 64: The Critically Burned Patient - Part 2

Ep. 64: The Critically Burned Patient - Part 2

Ep. 63: The Critically Burned Patient - Part 1

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

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

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

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

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

Ep. 57: Crush Injury and Crush Syndrome

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

Ep. 55: Managing Postpartum Hemorrhage in the Field

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

Ep.53: Midazolam IV vs IM vs IN- a real world study

Ep. 52: The Game-Changing Tool of Non-Invasive Ventilation - Understanding the Physiology

Ep. 51: End Tidal CO2 (ETCO2) as a predictor of mortality, morbidity, and need for massive transfusion in hemorrhagic shock, with Paramedic Courtney ”Coco” Wham

Ep. 50: End Tidal CO2 in the Setting of Hemorrhagic Shock with Trauma Surgeon Dr. Eric Campion

Ep. 49: Personalized Approaches to Pain Management: Recognizing Individual Differences

Ep. 48: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) - Legendary Trauma Surgeon Dr. Gene Moore teaches us how this is changing trauma resuscitative care

Ep. 47: Are you prepared for your next intubation? Dr. Stacey Trent Reviews the most up-to-date literature for intubation best practices.

Ep. 46: Pediatric Disaster Preparedness with Dr. Jeffery Upperman

Ep. 45: Spinal Emergencies with Dr. Bo Burns at the RMTEMC

Ep. 44: Taking Care of Pediatric Trauma Patients with Dr. David Bliss at the RMTEMC

Ep. 43: ECMO in the Trauma patient- Onsite at the Rocky Mountain Trauma and Emergency Medicine Conference

Ep. 42: Trauma Triage Update - New American College of Surgeons Guideline Updates

Ep. 41: Is nitroglycerin dangerous in inferior STEMIs?

Ep. 40: Hydrogen Sulfide and Nerve Agent Poisonings

Ep. 39: Cyanide Toxicity

Ep. 38: The GCS Sucks! Why it’s a useless number and what we should use instead.

Bonus Episode: Serotonin Syndrome Q&A - how to recognize and treat serotonin syndrome Q&A with paramedic Will Barry and tox fellow Nik Matsler

Ep. 37: Serotonin Syndrome - How to recognize and treat with toxicology fellow Dr. Nik Matsler

Ep. 36: Your Mental Health Matters - Let’s talk about it.

Ep. 35: Should we be giving steroids in cardiac arrest? With pharmacist Lance Ray.

Ep. 34: NAEMSP Conference Recap Part 1

Ep. 33: Do you know all the new diabetic medications? - with emergency pharmacist Lance Ray

Ep. 32: Mac 3 vs Mac 4 - Is there one blade to rule them all?

Ep. 31: The Ideal Trauma Call

Ep. 30: The Sick Asthmatic- why this is so different from other causes of respiratory distress

Ep. 29: Novel Drugs of Abuse

Ep. 28: The Importance of the Physical Exam

Ep. 27: The Physiologically Difficulty Airway - Part 4: Right Ventricular Failure

Ep. 26: Snake Bites

Ep. 25: Cocaine Overdose

Ep. 24: The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis

Ep. 23: The Physiologically Difficulty Airway - Part 2: Hypotension

Ep. 22: Lit Review - Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma?

Ep. 21: The Physiologically Difficult Airway - Part 1: Hypoxia

Ep. 20: MCI series- Does your radio work?

Ep. 19: Carbon Monoxide

Ep. 18: Your Run Report Matters More Than You Think

Ep. 17: When the provider becomes the patient

Ep.16: Treating Seizures Correctly with Lance Ray

Ep. 15: Dirty Epi with Lance Ray - We Don't Call it Dirty For Nothin'

Ep. 14: Digoxin Toxicity and Other Cardiac Glycosides

Ep. 13: MCIs

Ep. 12: Calcium Channel and Beta Blocker Overdose

Ep. 11: Hypothermia with Martin Musi

Ep. 10: Caustic Ingestions

Ep. 9: A lot of ARDS and a little bit of COVID

Ep. 8: Diabetes with Chief Harper

Ep. 7: Making the call - tips on calling for medical direction

Ep. 6: Approach to the Tracheostomy

Ep. 5: Communication Pitfalls

Ep. 4: Taking Care of the Critically Ill Kid

Ep. 3: Penetrating Neck Wounds

SPECIAL EDITION: COVID-19 part 2: We don't know.

Ep. 2: Large Vessel Occlusions (LVO)

SPECIAL EDITION: COVID-19 aka Coronavirus

Ep. 1: Toxidromes

Ep. 0: We Started A Podcast

Ep. 64: The Critically Burned Patient - Part 2

Ep. 63: The Critically Burned Patient - Part 1

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

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

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

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

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

Ep. 57: Crush Injury and Crush Syndrome

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