In this episode, the PragMedics talk with Dr Timothy Durkin and  discuss Heat Stroke, the signs, symptoms, myths, and of course treatment modalities. The boys and Dr. Durkin look to find practical ways for street level providers to identify and treat heat stroke. Dr Durkin provides the listeners with useful tips and thoughts regarding management of heat stroke and ways for systems to improve their response and treatment of this completely treatable injury. Dr Durkin is a board-certified emergency & sports medicine physician and is Base Medical’s Chief Medical Officer. He has over 2 decades of response, patient care and teaching experience that drive his passion for excellence in Base Medical’s curriculum.  His premedical experiences included service as a camp staffer, SAR responder, urban/rural paramedic, BLS/ACLS/first aid instructor and work on a program management team for DARPA. You can follow him @colorado_rescue_doc on IG! Thanks as always for listening and please check us out on social media as well as Saint Fishers EBM and Trauma Daddy for medical and trauma content. Also checkout BaseCamp https://www.base-medical.com to see what Dr Durkin is up to! Here are some references provided by Dr. Durkin: https://www.researchgate.net/publication/322528359_Consensus_Statement-_Prehospital_Care_of_Exertional_Heat_Stroke This is the EHS position paper that was in PHEC in 2018    https://journals.lww.com/acsm-csmr/fulltext/2016/03000/a_tale_of_two_heat_strokes__a_comparative_case.13.aspx This is a paper called a tale of two heat strokes. It describes to service members clinical course after collapsing of heat stroke during the Marine Corps Marathon. One patient received immediate ice water cooling, the other got taken to a hospital. Although both patients survived, difference in outcomes is pretty stark.

Pragmatic Paramedics

PragMedics Discuss Heat Stroke w/ Dr. Timothy Durkin

In this episode, Jason and Scooby (Aaron was on shift doing real work) sit down with Ryan Kerr to discuss his free online ventilator book, reasons for writing and publishing a free book, and other ventilator thoughts.  Ryan is a current medic/nurse who flies for AirMethods in the Southwest. This is one of our favorite episodes and it is a great conversation that you shouldn't miss!  Please check out Ryan's work at www.rykerrmedical.com and on IG.  He also has published the ventilator resource on Amazon so check him out!  Thanks for listening! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, SayAgainOver, and finally Pelican, but also and more importantly to our listeners!

PragMedics Talk Vents with Ryan

In this episode, the PragMedics and Scooby sit down and discuss a proper disaster patient, one with an upper GI bleed (esophageal varices). We discuss a patient from the ICU perspective with lessons learned for paramedics.  These patients are challenging to manage, and it's a great conversation that will help a paramedic manage this type of patient.  Thanks for listening, and be sure to check out our "I had this patient" Facebook group!  As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out the First Responders Children's Foundation and Do It For Drew as well and donate to a couple of great causes!

I Had This Esophageal Varices Patient

The PragMedics decided to look inward and interview Aaron about a recent austere/disaster response mission he participated. Jason and Scooby talk with Aaron about his recent trip to a developing country in response to a natural disaster.  This episode has bits and pieces from disaster response preparation for paramedics, resource limitations, and better, best, good methods for treating patients post-disaster in austere environments. Thanks for listening and enjoy this episode! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

PragMedics discuss Paramedics and Disaster Relief

Welcome to our first episode of Cognitive Offloading with the PragMedics and Scooby! In this episode, Dr. Andrew Fisher (Trauma Daddy) and Jason Segal of P1 Air Rescue join us to chat about a wide range of topics, from acute traumatic coagulopathy to our thoughts on a hot EMS topic. So join us and enjoy this episode with some great guests!  Our next live Cognitive Offloading episode will be on Wednesday January 27th at 8pm EST!  This episode was originally recorded on Youtube and if you want to watch the original episode, check out our YouTube channel and hit the Subscribe button! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

Cognitive Offloading Session 1

The PragMedics are back and hoping everyone is looking forward to the New Year! In this episode, the PragMedics and Scooby sit down and discuss beta blocker overdoses.  Beta blocker ODs present with various indications and can be difficult to diagnose. It is a wide ranging discussion on different treatment options and ways to manage patients experiencing a confirmed or possible beta blocker overdose in the prehospital setting.  Thanks for listening and be sure to check out our "I had this patient" Facebook group!  As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

I Had This Beta Blocker OD Patient

In this episode, the PragMedics chat with Chris "Hutch" Hutchison about a wide variety of topics.  We chat about the changes he has seen in the military, the differences between military and civilian medics, and his thoughts on the transition from military to civilian paramedicine.  Chris is a 14 year veteran of the US Army, starting his career as a Ranger Medic and currently stationed at Ft. Bragg with USASOC.  This was a great chat with an excellent medic who has a ton of experience and fantastic thoughts, so tune in and give it a listen! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

PragMedics Chat with USASOC Medic Chris Hutchison

In this episode of "I Had This Patient," the PragMedics and Scooby discuss how to treat and manage a patient presenting with a STEMI or OMI.  It is a wide ranging discussion on different treatment options and ways to manage patient experiencing a STEMI in the prehospital setting.  Thanks for listening and be sure to check out our "I had this patient" Facebook group!  As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

I Had This STEMI Patient

In this episode, the PragMedics sit down with Doctor Fisher and discuss TXA.  Doctor Fisher discusses the changes in dosage and administration of TXA, along with how the CoTCCC makes changes to the TCCC guidelines.  Its a great discussion on another tool medics have in treating trauma patients, so tune in and give it a listen! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

PragMedics Chat TXA with Doc Fisher

In this episode, the PragMedics chat with Brad Morgans about ketamine.  Brad retired from the US Army after 20 years of service and multiple deployments a a Lieutenant Colonel.  He deployed with USSOCOM as a CRNA numerous times in support of Special Operations.  He continues his service by teaching warfighters austere medicine and ways to utilize pharmacology to improve patient care.  We discuss the history of ketamine, why we should be using ketamine, and things to consider while using ketamine with our patients.  If you thought you knew about ketamine, think again! So tune in and thanks for listening! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners! Check out Global Response Management and the First Responders Children's Foundation as well and donate to a couple of great causes!

PragMedics Chat Ketamine w/ Brad Morgans

In this weeks episode, the PragMedics chat with Jim Bollenbacher about what an event medic is and does.  Jim is a retired lawyer turned medic who enjoys working as an event medic with some great stories.  He wrote a book about his adventures and stories called "Molly, Mushrooms, and Mayhem." It's a great read and Jim donates every cent of profit to the First Responders Children's Foundation.  If you've ever wondered what being an event medic entails or if you've never even heard of event medics, this is a great listen! Check out Jim's book on Amazon for a great discount and to support a great charity! Check out the First Responders Children's Foundation as well and donate to a great cause!  Also check out our IG and Facebook for a giveaway!  As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners!

PragMedics Chat with the Festival Medic

Scooby and the PragMedics are back again with Part 3 of a three-part series discussing intubation. In this episode, we discuss the intubation process from confirmation of tube placement to a failed airway. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for another great episode of “I had This Patient.” Be sure to follow Scooby at the Saint Fisher Church of EBM on Facebook and IG! Also, check out the Pragmatic Paramedics website, Facebook, IG, and Twitter! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners!

I Had This COPD Patient Part III

In this episode, we chat with Global Response Management (GRM). GRM is an international NGO and exists to bring emergency prehosptial care and training to those living in or displaced from conflict zones. Listen in as we learn from the medical providers who work within this organization and the challenges they see in low-resource, high-risk areas. GRM utilizes a diverse group of medical professionals, including paramedics. This is something very different from the 911 or critical care medic role – thanks for listening. Check out GRM on Facebook and IG! If you are interested in volunteering, check out their website as well! As always, we want to thank our supporters: Priority 1 Air Rescue, Red Clover Coffee, SayAgainOver, Black Wolf Helicopters and finally Pelican, but also and more importantly to our listeners!

PragMedics Chat with GRM

In this week's episode, we sit down with HSAR Medic Jason Segal and discuss the evolution of medical mission from his perspective. We chat about patient care, scene and flight management, time considerations, and ton of other topics.  Jason is a HSAR Medic with our show sponsor, Priority 1 Air Rescue, and we are extremely happy to have them and Jason on board.  Here is a link to the PEP litter discussed in the show! Check out P1AR on Facebook and IG! If you need any SAR equipment check their website out and give them some support!  If your agency is looking for some high speed, quality training, let them know and they can deliver! As always, we want to thank our supporters: Red Clover Coffee, SayAgainOver, Black Wolf Helicopters and finally Pelican, but also and more importantly to our listeners!

PragMedics Discuss a Helicopter SAR Medical Mission

This week, we decided to re-release a previous episode from our early days! We chatted with Dr. Steffian who is a distinguished psychologist very well versed in mental health but, more specifically, high-stress situations and candidate selection within the military's special warfare groups. He has published several peer-reviewed articles on the topic, and we ask him the down and dirty about how stress impacts us as EMS and paramedic professionals. As we all know, stress is something we all confront. However, the question is, are we prepared for it, and what does it take it to manage these situations? George Steffian Ph.D. answers all of these questions during this episode of the Pragmatic Paramedics. As always, we want to thank our sponsor, Priority 1 Air Rescue and our supporters; Red Clover Coffee, Black Wolf Helicopters, SayAgainOver, and finally Pelican, but also and more importantly to our listeners!

PragMedics Discuss Stressors and Work Performance

Welcome, and thank you for allowing us to serve you. Pragmatic Paramedics are two medics with the desire to talk about topics pertinent to EMS and paramedicine. We are clinicians, but this podcast is dedicated to the subjects you and your partners discuss riding to and from scenes, sitting in a parking lot, or at your station or firehouse waiting for the next run to come out. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table, and we only ask that you be respectful of another. Otherwise, grab a cup of coffee and let us get to chatting. Thank you, we look forward to learning about you and hearing your opinions.

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Pragmatic Paramedics

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