Join us in | 21 | Journal Review: Pediatric Ketamine VS Fentanyl / SGA VS ETI as we dive into two separate journals. In the first part of the episode, we cover the study "PICHFORK" (Pain In CHildren Fentanyl OR Ketamine), providing more reliable data to the argument of whether or not to use Ketamine for pediatric trauma. Next in the episode, we cover a separate study that compared the negative intrathoracic pressures and hemodynamics contributed by different supraglottic airway devices versus ET...
Jul 23, 2020•24 min•Ep. 23
Join us in |20| Pre-Hospital Stroke Management as we sit down with the nationally renown, Director of Interventional Neurology and Neurosurgery, Dr. Rishi Gupta. Join us as Dr. Gupta gives his insight on how we can improve patient outcomes by development of stroke systems of care, the difference between primary versus comprehensive stroke centers, improving the paramedic's pre-hospital assessment, the future of stroke care, and why the tone and pace set by EMS is pivotal for patient outcomes. Ch...
Jul 03, 2020•46 min•Ep. 22
|19| - ALPS (Amiodarone VS Lidocaine VS Placebo Study) Journal Review Join us in |19|, as we discuss and analyze the study ALPS, by Resuscitation Outcome Consortium. This study compares the effectiveness of Amiodarone, Lidocaine, or no anti-arrhythmic at all during refractory pulseless VT / VF cardiac arrest. In this episode, we analyze the study systematically, and interpret the findings so that you, the listener, can take away the results. No bias, no spin, just objective data review. Check ba...
Jun 15, 2020•38 min•Ep. 21
Join us as we celebrate the lives and sacrifice of our American Heroes in this special edition of the podcast. In this episode, we talk about the true meaning of Memorial Day, and the heroic and selfless acts of bravery by military medical personnel which should never be forgotten. www.medicclasscitizen.com | "Subscribe" to receive email updates on the status of the store, and exciting things to come. Facebook: @medicclasscitizen Instagram: @medic_class_citizen Twitter: @medic_citizen...
May 25, 2020•15 min•Ep. 20
Join Us in |18| Respiratory Treatment During COVID 19 as we welcome Emergency Department physician, medical director, and pre-hospital physician champion, Dr. Nick Johnson. Listen as Dr. Johnson introduces himself, and discusses how he started his career on the streets of Chicago, and how it led to a passion for emergency medicine, and pre-hospital medicine. Then, Dr. Johnson gives us some advise on how to treat respiratory patients during COVID 19. Listen as he discusses alternatives to nebuliz...
May 18, 2020•35 min•Ep. 19
Join us in |17|, as Jason guides us through how to read and interpret the results of a study. Listen as Jason walks through how to identify bias, how to analyze the methods, and how to truly determine if the results of a study are significant enough to consider a practice change. Check back soon for updates, and be looking for |18| in the next week. For this and more: www.medicclasscitizen.com | "Subscribe" to receive email updates on the status of the store, and exciting things to come. Faceboo...
May 13, 2020•23 min•Ep. 18
| 16 | The Pandemic Paramedic - Featuring Jonathan Baker, AS, NRP Join us as we dive in to a a perspective commonly left out of the media discussions- The Paramedic's. In this episode, we discuss the pandemic with a 20 year veteran of EMS, and hear his perspective from the front lines of the pre-hospital arena, and how he and his colleagues have adapted to overcome the current challenges. Purposely excluding topics that are political, speculative, and discussion of curve models, we focus strictl...
Apr 22, 2020•29 min•Ep. 17
Join us in "|15| Excited Delirium" as we discuss excited delirium, and how to utilize ketamine in order to disrupt the lethal pathophysiology spiral that comprises this syndrome. From patient assessment to treatment, we walk through past examples, and how to mitigate a psychogenic problem from a drug induced problem, and why ketamine is an optimal choice for pharmacologically induced excited delirium patients. Check back soon for updates, and be looking for |16| in the next two weeks! For this a...
Apr 08, 2020•28 min•Ep. 16
Join us in |14|, as we introduce the popular medication, Ketamine Hydrochloride. We plan to explore the use of Ketamine heavily, so we think it's appropriate to start off with a base foundation of the history of the drug, how it has been used, recent changes involving ketamine, and a couple of uses in particular. In this episode, we also address some common myths about ketamine, specifically it's drug class, and contraindications for ketamine use. Join us in our next episode, |15|, as we plan to...
Mar 12, 2020•26 min•Ep. 15
Join us in |12| and |13| as we discuss the ins and outs of paramedic school with a recent graduate, along with how all the work paid off when the time came to perform. Airing on 02.11.2020 and 02.13.2020, we sit down with Chris Bowman (a recent paramedic school graduate) and discuss his experience while in paramedic school, and things for incoming students to keep in mind. From maintaining perspective, relationships with preceptors, and focusing on the training at hand, Chris shares some insight...
Feb 14, 2020•19 min•Ep. 14
Join us in |12| and |13| as we discuss the ins and outs of paramedic school with a recent graduate, along with how all the work paid off when the time came to perform. Airing on 02.11.2020 and 02.13.2020, we sit down with Chris Bowman (a recent paramedic school graduate) and discuss his experience while in paramedic school, and things for incoming students to keep in mind. From maintaining perspective, relationships with preceptors, and focusing on the training at hand, Chris shares some insight...
Feb 11, 2020•30 min•Ep. 13
Join us in episode 11, as we finish our discussion with Adam Morgan of the Philadelphia Phillies. Join as we discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about rebounding from a loss, not giving up on your profession, the importance of mentorship for your profession, humility, and further discussions about team dynamics. As we discussed last week, though we have incredibly ...
Jan 31, 2020•30 min•Ep. 12
Join us in episode 10, as we sit at the table with Adam Morgan of the Philadelphia Phillies. We were lucky enough, and very honored, to be able to sit and discuss the common ground between the mindset and thought processes of a major league pitcher, and a paramedic. Listen as we learn incredibly valuable lessons from Adam about preparation, falling back on your training, attention to detail, team dynamics, focusing in the moment, and dealing with failure. Though we have incredibly different jobs...
Jan 23, 2020•22 min•Ep. 11
In this episode, we discuss treatment recommendations found in recent literature, in regards to fluid administration in septic shock. We also discuss the updates to the definition of sepsis, and the criteria for diagnosing a patient with sepsis. In this episode, we discuss SOFA, and QSOFA, as well as the elimination of SIRS and "Severe Sepsis" from the sepsis spectrum. Join us as we dive in to the pathophysiology of septic shock, and how fluid administration is still considered a staple treatmen...
Jan 16, 2020•39 min•Ep. 10
Join us in Episode 8, as we sit down (on location) with Dr. Nathan Creel and Kyle Gibson, AGACNP (Northeast Georgia Medical Center: Trauma and Acute Care Surgery), and discuss the importance of blood product replacement in resuscitation of traumatic patients. In this episode, we discuss how we (EMS) have been giving crystalloid fluids for treatment during hemorrhagic shock, leading to the detriment of our trauma patients. In the words of Dr. Creel - "If the patient is losing blood, the best flui...
Jan 09, 2020•36 min•Ep. 9
In this episode, we open our series WTF (What the fluid), and focus on fluid administration during cardiogenic shock. Join us as we discuss the normal physiology of coronary perfusion, what actually makes up coronary perfusion pressure, and what goes wrong during cardiogenic shock. We also talk about the damaging trend of administering fluids during cardiogenic shock, and explain the more appropriate treatment (including medications and dosage) of administering vasopressors to mitigate dangerous...
Jan 02, 2020•42 min•Ep. 6
This is a short introduction clip explaining what you can expect to get out of the next three episodes of our podcast. Join us as we enter our three part series, "WTF?! - What the Fluid." During this series, we explore the use of fluid resuscitation during cardiogenic shock, hemorrhagic shock, and septic shock. Throughout this series, we provide self investigation of how we could be treating our patients in a more effective manner, and how if we do not change, we will cause harm. SEND US YOUR QU...
Jan 02, 2020•5 min•Ep. 8
In this episode, we discuss the benefits of membership in professional organizations for licensed EMS personnel. Join us as we welcome Georgia EMS Association Chair Chad Black, as we dive in to examples of benefits that every listener across the country should be seeking out in their individual states, provinces, territories and regions through affiliation in professional organizations. Chad also shares incredibly valuable experience from his years of leadership in various EMS agencies, as he wo...
Dec 26, 2019•52 min•Ep. 7
In this episode, we have another chance to dive in to the physiology of chest compressions, cardiac arrest, and resuscitation science with our friend and return guest, George Ordway, PhD, PA-C. Join us as George discusses whether or not compressions should be performed prior to defibrillation, and why the Law of LaPlace should challenge us to think about how we run cardiac arrests in the pre-hospital setting. Other topics of discussion include community based compression only CPR education, the ...
Dec 19, 2019•39 min•Ep. 5
In this episode, Jason and Brandon get to spend some time with the one and only, George Ordway. In the first installment of this two part series, get to know George as he talks about his background, what brought him to medicine, and his passion for cardiac physiology. George has not only taught physiology for medical schools around the country, but he is also very well published, and has performed remarkable patient care in his community. Listen as we talk about how George finds EMS to be an int...
Dec 13, 2019•28 min•Ep. 4
|3| Measure What Matters: Evidence Based Medicine In this episode, Jason and Brandon continue the discussion about evidence based medicine, but take it a step further, giving examples of how evidence based medicine has impacted EMS throughout the country, and in their local region. Examples include how EMS and the regional hospital system in their local territory have created a state-of-the-art STEMI system, fluid administration changes, review the (ROC) PRIMED trial, SOAP II trial, and more. In...
Dec 06, 2019•24 min•Ep. 3
| Episode 2: GOBSAT with Wooden Teeth | In this episode, Jason and Brandon discuss evidence based medicine. In the discussion, they dissect how EMS must use evidence based practices to move forward effectively, as well as how to actually analyze research. Through the different levels of evidence and recommendation, Jason and Brandon explain how to properly vet a study. Listeners will also gain knowledge in how to read through the lines to determine if current EMS practice is based off of "GOBSAT...
Dec 01, 2019•38 min•Ep. 1
|Episode 1: Ambulance Drivers| In this episode, Jason and Brandon introduce Medic Class Citizen. Listen as they explain the motivation behind the name, and as they begin to dive in to their purpose behind creating this podcast. While this episode is brief in comparison to episodes to come, this is a great way to get to know Jason and Brandon, their passion for EMS, EMS Education, and why quality progression of the EMS profession is incredibly important. Please like, subscribe, follow, and share,...
Nov 25, 2019•12 min•Ep. 2
