FOAMfrat podcast

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Konten disediakan oleh FOAMfrat Podcast, Tyler Christifulli, and Sam Ireland. Semua konten podcast termasuk episode, grafik, dan deskripsi podcast diunggah dan disediakan langsung oleh FOAMfrat Podcast, Tyler Christifulli, and Sam Ireland atau mitra platform podcast mereka. Jika Anda yakin seseorang menggunakan karya berhak cipta Anda tanpa izin, Anda dapat mengikuti proses yang diuraikan di sini https://id.player.fm/legal.

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Black Mirror Season 7 28:30

19 hari yang lalu28:30

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We're trying something different this week: a full post-show breakdown of every episode in the latest season of Black Mirror! Ari Romero is joined by Tudum's Black Mirror expert, Keisha Hatchett, to give you all the nuance, the insider commentary, and the details you might have missed in this incredible new season. Plus commentary from creator & showrunner Charlie Brooker! SPOILER ALERT: We're talking about the new season in detail and revealing key plot points. If you haven't watched yet, and you don't want to know what happens, turn back now! You can watch all seven seasons of Black Mirror now in your personalized virtual theater . Follow Netflix Podcasts and read more about Black Mirror on Tudum.com .…

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Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland

151 episode

#Fitness #Tyler Christifulli #Sam Ireland #Sam I Am #Emergency Medicine #Science #Medicine #FOAMfrat

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74 subscribers

updated sehari yang lalu

Beranda serial•Feed

Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland

151 episode

#Fitness #Tyler Christifulli #Sam Ireland #Sam I Am #Emergency Medicine #Science #Medicine #FOAMfrat

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Podcast 182 - AHORA Spanish Stroke Assessment 34:11

1 day yang lalu34:11

34:11

Stroke assessment tools like BEFAST are crucial for swiftly identifying symptoms and expediting treatment. However, language barriers can hinder prompt care for non-English speakers, particularly in the Hispanic community. Developed through a collaborative effort, AHORA adapts the traditional stroke assessment to be culturally and linguistically appropriate for the Spanish-speaking population. Designing Ahora The need for a specific tool became apparent when traditional tools like BEFAST were found to be ineffective for those who did not speak English. After discarding the complex "Rapido," Banerjee’s team crafted Ahora, including Marcia Wilson, MD, and Remley Crowe, PhD. This tool was made to mirror BEFAST but is simplified for practical use within the Spanish-speaking population.…

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Podcast 181 - Discrepancies in Testing & Treatment 53:02

15 hari yang lalu53:02

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Does medicine have dangerous side effects for women? Are the "normal" values we have set for diagnostics possibly endangering specific populations? In this episode of the FOAMfrat podcast, Tyler sits down with Dr.Alyson McGregor, emergency physician and author of Sex Matters, and Tim Redding, EMS educator and lecturer, to discuss the discrepancies in medical testing, diagnosis, and treatment between male and female patients. Dr. McGregor shares her journey of discovering gender bias in medicine, particularly how women’s symptoms are often dismissed or mislabeled as psychiatric in nature. The discussion explores how male-centric research has shaped clinical guidelines, leading to underdiagnosis and undertreatment of women across a wide range of conditions—from heart attacks to strokes and even pain management.…

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Podcast 180 - MCI Collaboration w/ ATCEMS & Travis County Star Flight 49:36

7 weeks yang lalu49:36

49:36

In this episode of the FOAMfrat podcast, join as we discuss mass casualty management with Chief Robert Luckritz of Austin Travis County EMS and Justin Soulier from Travis County Star Flight. Explore the strategies and challenges in mass casualty responses in one of the fastest-growing urban areas in the U.S.…

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Podcast 179 - Your First 5 Minutes of an MCI w/ Rommie Duckworth 41:32

12 weeks yang lalu41:32

41:32

Join Rommie Duckworth and FOAMfrat as we discuss the mental framing and big-picture thought process behind the first five minutes of any mass casualty incident (MCI). Rommie Duckworth, a fire captain and shift commander, is a wealth of knowledge on this topic and speaks globally to prepare emergency responders for these events.…

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Podcast 178 - ECPR Eligibility and Preparation w/ Alec Wilcox 41:06

14 weeks yang lalu41:06

41:06

In this episode, Alec Wilcox & I discuss ECPR eligibility & preparation. ECPR, or extracorporeal cardiopulmonary resuscitation, involves taking a patient in cardiac arrest, sucking blood from their venous system, oxygenating it externally, and then pumping it back into their arterial system. This procedure helps maintain blood circulation and oxygen delivery during cardiac arrest, serving as a bridge to further therapy.…

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Podcast 177 - Implementing Ultrasound w/ Allen Wolfe 46:46

18 weeks yang lalu46:46

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The integration of point-of-care ultrasound (POCUS) is transforming emergency medical services (EMS) by enhancing diagnostic capabilities and improving accuracy in answering important clinical questions. Recently, I had the opportunity to discuss this topic extensively with Allen Wolfe, the Senior Director of Education at Life Link III. A significant challenge in incorporating ultrasound technology within EMS has been overcoming initial barriers to adoption. Many programs, burdened by cost concerns and technological intimidation, have historically relegated ultrasound units to the back shelves. However, as Allen outlined, strategic changes in accessibility and training can dramatically alter this landscape.…

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Podcast 176 - Pediatric TBI Protcol w/ Dr. Banerjee 29:39

20 weeks yang lalu29:39

29:39

In this episode, Dr Banerjee and I discuss a new traumatic brain injury (TBI) protocol his department is trialing for pediatric patients with moderate to severe TBI in collaboration with Arnold Palmer Hospital. This protocol involves administering Keppra and 3% saline in the pre-hospital setting.

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Podcast 175 - The Things We Do w/ PulmCCM 56:46

22 weeks yang lalu56:46

56:46

Matt Hoffman is the editor-in-chief of PulmCCM, a blog that frequently updates its readers on evidence and best practices in critical care medicine. I have always wondered how our work in the field affects a patient's care downstream. Do pulmonologists ever sigh to themselves and think, "God, I wish paramedics would just start/stop doing ____________?" It turns out that this is not the case, but the discussion was super interesting, and I thank Dr. Hoffman for coming to the show.…

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Podcast 174 - "I Rolled My Ambulance" Interview w/ Kyle Rice 45:06

26 weeks yang lalu45:06

45:06

In this episode of FOAMfrat, Tyler speaks with paramedic Kyle Rice to discuss a deeply personal and eye-opening experience—rolling his ambulance after running a red light. Kyle shares the lessons he learned about complacency, crew resource management, and the often-overlooked dangers of driving with lights and sirens. Together, they explore how EMS providers can stay vigilant behind the wheel, adopt safer driving practices, and shift their mindset when responding to emergencies. If you're an EMS provider, this episode is a must-listen for understanding the real-life risks of complacency and how to prevent accidents.…

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Podcast 173 - Rethinking Lights & Sirens w/ Jeff Jarvis & Jonathon Jenkins 41:30

29 weeks yang lalu41:30

41:30

In this episode, I sit down with Dr. Jeffrey Jarvis , author of a fascinating paper on the impact of lights and siren (L&S) use in EMS responses. If you’re like most of us, when you hear those blaring sirens and see flashing lights, you think, “Wow, someone’s really in trouble!” But the truth, according to Dr. Jarvis’ study, might surprise you.…

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Podcast 172- Hamilton T1 Hacks & Strategies w/ Joe Hylton 1:00:16

32 weeks yang lalu1:00:16

1:00:16

In this podcast, we discuss the nuances and strategy of the T1 ventilator with RRT, Joe Hylton. Whether you're a paramedic or a healthcare professional involved in critical care transport, understanding the nuances of this advanced ventilator is essential to safe and effective patient transport. We break down the pressure-controlled ventilation with volume adaptive options and offer practical guidance on managing obstructive lung conditions like asthma during transport. Plus, we cover essential troubleshooting techniques to help you address common issues when things don’t go as planned.…

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Podcast 171 - Thoracic Dissection Goals w/ Alex Greene 24:42

35 weeks yang lalu24:42

24:42

Thoracic dissections are surgical emergencies that require precise temporizing measures until surgery can be performed. In this session, participants will gain critical knowledge on recognizing key symptoms such as ripping back pain and unequal pulses, indicative of thoracic dissections. The discussion will focus on anti-impulse therapy, emphasizing using beta-blockers like esmolol and calcium channel blockers like nicardipine to control blood pressure and prevent further damage. Pain management strategies and the selective use of nitroprusside will also be explored. The class will address the unique challenges of managing blood pressure in prehospital settings, stressing the importance of a well-prepared plan.…

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Podcast 170 - Finger Thoracostomy w/ Dr. Cynthia Griffin 33:46

43 weeks yang lalu33:46

33:46

In this conversation, Tyler and Dr. Cynthia Griffin discuss the finger thoracostomy procedure. They cover topics such as when to choose finger thoracostomy over needle decompression, the equipment needed for the procedure, the technique for performing the procedure, and potential complications and tips for success. They also touch on the use of chest tubes and the management of tension physiology. Overall, the conversation provides a comprehensive overview of the finger thoracostomy procedure.…

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Podcast 169 - EVD Transport Logistics w/ Alaina Martini 45:39

45 weeks yang lalu45:39

45:39

Alaina Martini, a flight nurse at Allegheny Life Flight, shares her expertise on transporting patients with external ventricular drains (EVDs). She explains the indications for EVD insertion, such as aneurysmal subarachnoid hemorrhage and obstructive hydrocephalus. Alaina discusses the importance of assessing the color and texture of the cerebrospinal fluid (CSF) to detect changes and potential rebleeding. She also explains the process of inserting the EVD and how it is guided by CT scans to avoid damaging important brain tissue. Alaina emphasizes the need to know if the aneurysm is secure before adjusting the EVD drain level, as opening it too low can increase the risk of rebleeding. She also discusses the use of hypertonic saline and osmotic therapy to manage increased intracranial pressure. Tyler and Alaina discuss various aspects of managing patients with external ventricular drains (EVDs) during transport in this conversation. They cover topics such as the clamping of EVDs, positioning the patient's head, troubleshooting common issues, and securing the EVD during transport. Alaina provides insights and recommendations based on her experience as a neurocritical care nurse.…

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Podcast 168 - Procedure Preppers (Needle Decompression) w/ Dr. Aho 38:38

49 weeks yang lalu38:38

38:38

Dr. John Aho discusses needle decompression and the procedure's indications, techniques, and potential pitfalls. He emphasizes the importance of high clinical suspicion and the limitations of external signs in diagnosing tension pneumothorax. The conversation also covers the choice of needle insertion sites, the use of ultrasound, and the need for proper training and practice. Dr. Aho provides insights into the anatomical considerations and common mistakes made during needle decompression. He also explores the possibility of instant feedback to confirm successful decompression. The conversation discusses the problem of needle decompression failure rates and the need for a reliable indicator of successful decompression. The guest introduced the Cap-No-Spot, a device that uses colorimetric indicator paper to detect CO2 and determine if a needle decompression procedure was successful. The device has been shown to have higher sensitivity and specificity than human judgment. The conversation also touches on the importance of proper training and the device's potential applications beyond pneumothorax detection.…

FOAMfrat Podcast

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Podcast 167 - Placenta Previa w- Demi Wilkes 18:00

51 weeks yang lalu18:00

18:00

An iceberg typically shows only 10% of its mass above water. To appreciate the other 90%, you need to dive deep. That’s precisely what we’re doing in this series—discovering the deeper knowledge about obstetric topics. These topics can be massive, and much of the information is below the ‘surface-level’ knowledge that EMS is presented with. In this episode, Demi Wilkes & I will discuss Placenta Previa and the closely associated Placenta Accrete Spectrum.…

FOAMfrat Podcast

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Podcast 166 - Transcutaneous Pacing & False Capture 51:51

1 year yang lalu51:51

51:51

The conversation is about a paper on false electrical capture and pre-hospital transcutaneous pacing by paramedics. The guests, Tom Boutilet, Josh Kimbrell, and Judah Kreinbrook, discuss their research findings and the implications for paramedics. They conducted a retrospective study and found that paramedics often mistakenly believe they have electrical capture when they do not. They emphasize the importance of confirming electrical capture before assuming mechanical capture. They also discuss the challenges of pulse palpation and the need for more rigorous research in EMS and ED settings. The conversation discusses the challenges and considerations in transcutaneous pacing, specifically focusing on the verification of mechanical capture. The speakers explore the use of various methods to confirm mechanical capture, such as feeling for a pulse, using pulse oximetry, and utilizing ultrasound. They also discuss the difficulty of accurately assessing mechanical capture and the potential for false electrical capture. The conversation concludes with a discussion on the transfer of pacing from one device to another and the importance of verifying capture during the process.…

FOAMfrat Podcast

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Podcast 165 - Should Pressors Have A Max Dose? 50:38

1 year yang lalu50:38

50:38

In this episode we discuss whether the concept of having a "max dose" of your pressor has any evidence or physiological backing. Joining me in this discussion are Dan Rauh, Shane O'Donnell, and Shad Ruby.

FOAMfrat Podcast

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Podcast 164 - Suicidal Ideation w/ James Boomhower 32:35

1 year yang lalu32:35

32:35

How do you talk to a patient experiencing suicidal ideation? What if you're the one having these thoughts? We're interviewing James Boomhower from Stay Fit 4 Duty in this episode. We discuss suicidal ideation, therapeutic communication, and verbal de-escalation.

FOAMfrat Podcast

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Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom 18:09

2 years yang lalu18:09

18:09

Chris Carlstrom is a flight nurse at Life Link III and also works part-time at a ketamine infusion clinic. We’ve had some interesting conversations on shift regarding his experiences with ketamine in the clinic versus emergency medicine and I finally was able to get one of these conversations recorded for the podcast. Enjoy Podcast 163 - What Can We Learn From A Ketamine Infusion Clinic? w/ Chris Carlstrom.…

FOAMfrat Podcast

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Podcast 162 - Multimodal Pain Management w/ Shane O' Donnell 31:00

2 years yang lalu31:00

31:00

When I became a paramedic, being able to provide pain management was one of the "new interventions" that I looked forward to most. As an EMT, I remember countless times I was without ALS resources and had to watch a patient suffering in pain until we got to the hospital. Trying to obtain any history or perform an assessment on someone writhing in pain can be nearly impossible. As a BLS provider, I would attempt non-pharmacological ways to relieve pain, such as ice packs, warm packs, elevating extremities, and sometimes simply trying to distract them with conversation. While these methods should not be discounted, I will never forget the first time I could provide pain medication to an elderly woman who fell and fractured her hip. I started an IV right there on the floor of the assisted living facility, administered some fentanyl, and comfortably got her to the stretcher. Analgesia did not save this lady's life. Still, it did make her trip to the hospital a little more comfortable and allowed me to obtain an accurate history, including the dizziness and dyspnea she felt before falling. Performing an adequate assessment and obtaining pertinent medical history can be difficult when a patient is experiencing intense pain. For this reason, pain should be managed to a level that allows for comfort & communication. Total pain relief is ideal but may not always be feasible, given hemodynamics and underlying causes. Check out this episode with Tyler & Shane as they discuss multimodal pain management strategies.…

FOAMfrat Podcast

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Podcast 161 - EMT Pharmacology 28:53

2 years yang lalu28:53

28:53

Taking on pharmacology in EMT school is a big hurdle. We wanted to write something that not only explained the basics of the medications but also helped bridge the gap between what EMTs are taught and what paramedics learn when they go back over these medications in paramedic pharmacology. Each chapter discusses how the medications work, why they're given for specific indications, and the logistics of medication administration! We've also included medication profiles, tips and tricks from experienced providers, and flashcards for each medication to help you hone your med knowledge base! In this book, we're coving: Oxygen Albuterol and Atrovent Epinephrine Aspirin Nitroglycerin Naloxone Oral Glucose Gel and Glucagon + Flashcards in the back! This book is for students, EMTs, and paramedics who want an in-depth review of EMT medications! You can download the book for free at foamfrat.com…

FOAMfrat Podcast

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Podcast 160 - Autism Communication w/ Joshua Chan & Matthew Yelton 47:39

2 years yang lalu47:39

47:39

I had the privilege to bring on two passionate fathers of children with Autism to help me better understand how to approach and communicate with a neuro-diverse child. This episode is chock-full of insight, tips, tricks, and logistics of approaching a child in the field with Autism. Josh Chan is a Life Link III flight paramedic/base lead and a Glenwood FD firefighter. Matthew Yelton is a flight paramedic/base lead for Mercy Flight Central and works as a fire captain at Constableville Ambulance Inc.…

FOAMfrat Podcast

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Podcast 159 - Close Encounters of the Infectious Kind w/ Dr. Hudson Garrett 43:48

2 years yang lalu43:48

43:48

EMS providers encounter various infectious diseases daily and need to know the routes of exposure, risks, and preventive measures to protect themselves and their families. In this episode, We talk with Dr. Hudson Garrett, an infectious disease expert with the medical college of Louisville University, to discuss the practical points of infectious disease for the everyday provider. Want CE for this episode? Sign up for FOAMfrat Studio and access 300+ hours of continuing education for EMS & Nursing. www.foamfrat.com…

FOAMfrat Podcast

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Podcast 158 - RSI Cocktail w/ Heavy Lies The Helmet 1:08:01

2 years yang lalu1:08:01

1:08:01

In this episode, Dan Rauh & Mike Boone from Heavy Lies The Helmet join me to hash out our workflows and drugs of choice for four particular scenarios you may come across. The combative head injury patient that needs to be intubated but has five firefighters holding them down and is actively trying to rip off his collar and IV. The septic hypotensive patient is no longer protecting their airway but also needs resuscitation prior to induction. The snoring head bleed with a BP of 220/140 The "almost dead, but needs a tube" population (induction med?)…

FOAMfrat Podcast

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Podcast 157 - Ventilation & Cardiac Arrest w/ Tom Bouthillet 46:02

2 years yang lalu46:02

46:02

Moments after the heart stops the entire circulatory system finally has a chance to bring venous and arterial pressures to equilibrium. Cardiac arrest resuscitation requires the provider to have a strong mental model of physiology and the logistics to carry out a series of interventions crucial to preserving life. This class will serve not as a routine basic life support model, but as a deeper understanding and framework to guide resuscitation during your next cardiac arrest.…

FOAMfrat Podcast

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Podcast 156 - Is using AI cheating? EMS and AI 33:20

2 years yang lalu33:20

33:20

AI will be integrated into everything we do in medicine, perhaps sooner than we think. It will help keep our patients safe, our providers informed, and our communications connected, and change how we think about how we care for patients (if implemented correctly). Systems like ChatGPT are only the beginning, and many companies are already working on or have already integrated with other healthcare specialties. We will see the same integration happen with EMS. While the response to this might be fear of losing our knowledge base, over-automating decision-making, cheating on tests and papers, and the like, we could adopt a very different outlook. We could view this as an opportunity to improve patient safety, offload menial work, automate documentation and communications, and always have an intelligent partner in our pockets we can bounce ideas off of. One day, we'll wonder how we ever lived without it.…

FOAMfrat Podcast

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Podcast 155 - Pattern Recognition vs. Autopilot w/ Shaylah Montgomery 26:20

2 years yang lalu26:20

26:20

In this episode, Tyler is joined by Shaylah Montgomery to discuss decision-making, human factors, and mental shortcuts utilizing pattern detection. Shaylah is a flight nurse and paramedic for Pafford Air One and a member of the FOAMfrat team.

FOAMfrat Podcast

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Podcast 154 - ROSC Temp & Sedation w/ Dr. Leon Eydelman 32:17

2 years yang lalu32:17

32:17

0.9. When a patient is in shock, their volume of distribution changes, and peripheral blood flow is reduced. This means more blood is shunted to the brain,, and lower doses of sedation will give the agent therapeutic brain levels.

FOAMfrat Podcast

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Podcast 153 - Pediatric Arrest w/ Dr. Banerjee 23:43

2 years yang lalu23:43

23:43

We just finished re-recording our pediatric arrest class in Studio and decided to play the unedited version of my discussion with Dr. Paul Banerjee. Banerjee is a prolific researcher and medical director in Florida with a particular emphasis on pediatric arrest. Check out the class in Studio for more information on the logistics.…

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