NAEMSP in Sunny San Diego… Just. SO. MUCH. GREAT. RESEARCH. Dr. Jarvis interviewed a small sample of the great work presented. There was so much we broke it into two parts. This episode features interviews with Dr. Amber Rice from Tucson, Arizona discussing a secondary analysis of the EPIC trial looking further into the impact of hypotension on TBI, Dr. Veer Vithalani from MedStar in Fort Worth, TX discussing how he used his CAD and ePCR data to determine which calls could safely get a BLS respo...
Feb 28, 2022•49 min
Are you still giving Calcium in undifferentiated cardiac arrests? Not those with hyperkalemia or hypocalcemia… you know, when it’s actually indicated. Be honest, now… Nobody’s looking. If you are, join us for this episode where we review a randomized, double blind, placebocontrolled clinical trial of calcium vs placebo in out of hospital cardiac arrest.
Feb 02, 2022•15 min
Do you even bougie, bro? Do you use the bougie on every intubation? If so, why? Do you think it improves first pass success? Well, I certainly did. At least before this trial was released. Join me to discuss this randomized controlled trial of bougie vs no bougie for intubation. I suspect the results will surprise you!
Jan 04, 2022•31 min
Dr. Jarvis and Mike Verkest return for part 2 of our interviews with some of the great researchers at the Prehospital Care Research Forum at EMS Expo in Atlanta. In this episode, we interview: Kevin Collopy on his RCT comparing ketamine and etomidate for RSI, Sean McAllister on Sepsis using the ESO dataset, and David Page about PCRF and his work on comparing Mexican and American EMT training. If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcast...
Nov 19, 2021•1 hr 1 min
Dr. Jarvis and Mike Verkest were at EMS Expo in Atlanta. We recorded some interviews from the FlightbridgeED booth on the exhibit floor and then discussed them when Mike stopped by the Casa Jarvis in Austin a bit later. There was so much goodness, we broke it up into two different episodes to keep these at a reasonable length.
Nov 04, 2021•39 min
Ketamine has been getting a lot of attention recently in the media. Its probably safe to say it’s had a bad year. We like ketamine. We felt bad it’s been having a rough year so we wanted to do something that would lift its spirits. Fortunately, Dr. David Barbic and his colleagues from Vancouver, BC published a wonderful, randomized trial comparing ketamine to a combination of haloperidol plus midazolam for undifferentiated agitation in the ED. This was the amazingly titled RACKED trial (Rapid Ag...
Oct 15, 2021•1 hr 14 min
Mike and Jeff get together to discuss some airway papers from the National Emergency Airway Registry (NEAR) and float an idea for some merch.If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts. Drop us questions/comments/suggestion for future pods at: Jeff.jarvis@flightbridgeed.com, @DrJeffJarvis, or Mike.Verkest@flightbridgeed.com, @MikeVerkest
Sep 17, 2021•51 min
In this episode, Dr. Jarvis discusses a paper that is hot off the presses and that he’s super excited to talk about. The good folks up in Seattle, WA and the Seattle FD looked at their cardiac arrest survival rates as a function of the number of intubation attempts needed to secure the airway. Results from this trial might help explain the 2.9% improved survival with King LT vs ETI that we saw in the PART trial. Join us to hear all the juicy details. As always, if you like the pod, give us a 5-s...
Aug 27, 2021•23 min
Every other year board certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM) to be something all EMS physicians should know. Dr. Jarvis and Dr. Casey Patrick (@cpatrick_89) from Montgomery County Health District EMS gave a lecture reviewing the 2020 ABEM EMS LLSA articles at the recent meeting of the Texas Chapter of NAEMSP. We got together right after our lecture to record this podcast going over these articles. Join us fr...
Jul 29, 2021•1 hr 18 min
Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inappropriate purposes. So much controversy. What should we believe? When in doubt, follow the data. Dr. Jeff Jarvis reviews a very timely paper just released in Annals of Emergency Medicine using the 2019 Data Collaborative data set that aims to describe the characteristics of patients getting ketamine as well as the potential deaths associated with it...
Jun 30, 2021•1 hr 27 min
What is the impact of on-scene resuscitation vs intra-arrest transport on outcomes? Could the differences in first pass success between ETI and King LT have accounted for the differences in outcome in the PART trial? How about differences in compression interruptions? In this episode recorded on the road in Bend, Oregon, Dr. Jarvis reviews three new papers that address just these questions. He then has an interview and Petar and Amber Hossick about how Bend Fire Rescue has implemented tenets of ...
Jun 11, 2021•47 min
We saw the amazing performance of the two mRNA COVID vaccines from Pfizer and Moderna in their RCTs. As encouraging as trial performance is, we always want to see how those numbers hold up under large-scale, real-world pragmatic conditions. Well, we now have three new pieces of information on that. And, for the cherry on top, we get evidence of performance against asymptomatic infection! Dr. Jarvis does a quick review of the latest evidence on vaccine performance.
May 28, 2021•18 min
December 4, 2001. A bad day, indeed. That’s the day the FDA issued a black box warning for droperidol, citing evidence of QT prolongation, Torsades de Pointes, and death. This was a surprise warning because droperidol had been extensively used by emergency medicine and anesthesiology for decades without apparent problems. Since this bad day, we’ve essentially been without droperidol. Fortunately, it’s back! Before we start using it again, we should take a look at what got this drug on the FDA’s ...
Apr 02, 2021•24 min
The FDA just granted EUA for the Johnson and Johnson vaccine against COVID. This is a big deal because it is a one-shot vaccination that is much more stable than the two mRNA vaccines. Dr. Jarvis does a quick overview of the data submitted to the FDA for their approval.
Feb 27, 2021•16 min
LIVE from a virtual Texas EMS Conference, we bring you a session moderated by Mike featuring Drs. Jeff Jarvis, Jason Pickett, and Heidi Abraham. This is the highly anticipated Part Deux of a session we all did at the Texas EMS Conference in Fort Worth 2019… back before “the situation” when we could all meet in person like civilized humans. We discussed a variety of topics including the new DEA rules about controlled substances, the new AHA guidelines, and lots of other goodies. But mostly, we ju...
Feb 11, 2021•47 min
Ketamine only intubation has been promoted by some as a safe approach to airway management in patients with anatomically or physiologically difficult airways. It turns out Dr. Jarvis has some thoughts on the subject. He uses a 2020 paper by Dr. Driver entitled “Success and Complications of the Ketamine-Only Intubation Method in the Emergency Department” to discuss this concept. If you like what you hear, please give us a 5-star rating wherever you get your podcasts and tell your friends to subsc...
Feb 01, 2021•17 min
Children are often considered to be just small adults, much to the dismay of pediatricians everywhere. But when it comes to peri-intubation cardiac arrest, is it true? We know that, in adults, peri-intubation hypoxia is a strong predictor of cardiac arrest. Is this true in pediatric patients? This episode features another oral board case with Dr. Erin Lincoln (@ErinTWL) and live discussion with Mike (@MikeVerkest), Jeff (@DrJeffJarvis) and special guest Dr. Peter Antevy (@HandtevyMD). Our live s...
Jan 05, 2021•2 hr 46 min
Dr. Jarvis and Mike Verkest are joined by a trio of guests to discuss the literature surrounding both the Pfizer BionTech and Moderna Vaccines. Dr. Ritu Sahni, Dr Veer Vithilani and Dr. Remle Crowe round out the panel. This episode is nearly 2 hours in length, and we hope we answered any questions you might have in a non-bias way. Feel free to share this episode or any of the mRNA series of podcasts and live broadcasts we have done this month. We appreciate you listening.
Dec 22, 2020•2 hr 2 min
This episode was a LIVE media broadcast discussing a double-blind trial of IM Droperidol, Ziprasidone and Lorazepam for acute undifferentiated agitation in the emergency department. Join Mike and Jeff as they discuss the paper, take questions from the viewers and tease the newly released Standard of Care Podcast! Thank you for listening, sharing, rating and reviewing all the FlightBridgeED podcasts! We appreciate you being on this journey with us!
Nov 30, 2020•55 min
Part pre-recorded, part LIVE! Dr. Jeff Jarvis, Dr. Jason Pickett, and Mike Verkest discuss the results of the Resuscitation Outcomes Consortium TXA in TBI Trial. Thanks for coming to the channel! Be sure to subscribe here and wherever you listen to podcasts!
Oct 13, 2020•1 hr 10 min
Have you had patients recently with repeat EMS calls and lots of ED visits for nausea and vomiting? They say the only thing th works for them is scalding hot showers and that drug that starts with a "D". Did they just happen to smoke a lot of weed? In this episode, Dr. Jarvis discusses cannabinoid hyperemesis syndrome and reviews an RCT comparing topical capsaicin cream (yes... the stuff of pepper spray fame) vs placebo.
Sep 25, 2020•29 min
Mike and Dr. Jarvis are joined by Drs. David Wampler and Emily Kidd to discuss their study on the performance characteristics of the VAN score for detecting large vessel strokes. Drs. Jarvis and Kidd run through a case of a patient with stroke to discuss the thought process of an emergency physician.
Aug 07, 2020•1 hr 24 min
We talk headaches in this episode, specifically an RCT comparing haloperidol to placebo for benign headache. Joining us for this episode is special guest Dr. Erin Lincoln (@ErinTWL), EM resident and paramedic. Drs Jarvis and Lincoln will go through an oral boards-type case of a 45-year-old woman with a headache. We’ll include a review of the literature on headache treatments, hit on why opioids aren’t recommended, and discuss the differential diagnosis of headaches and the red flags that will he...
Jul 08, 2020•1 hr 10 min
VL vs Augmented DL with Special Guest: Dr. George Kovacs. We’re starting a new format with this episode. We kick things off with a review of a paper: Brown CA, et al. Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study. Acad Emerg Med. 2020; 27: 100-108. After discussing the paper, we have an amazing interview with Dr. George Kovacs (@kovacsgj) to discuss the differences between types o...
Jun 18, 2020•1 hr 10 min
There has been a lot of talk about the benefits of TXA in major trauma with small differences in outcomes. If you’re looking for a big treatment benefit for TXA, look no further than the very sexy nose bleeds. This is an easy and safe intervention that EMS can provide that makes a real difference in a growing number of patients. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each epis...
Jun 02, 2020•12 min
Are you worried about what might happen in your jurisdiction if COVID breaks out in your nursing homes? You should be. Dr. Jarvis reviews a NEJM paper in this episode: Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Afterward, he’s joined by a special guest, Dr. Jason Pickett. Dr. Pickett is the deputy medical director for Austin-Travis County EMS, assistant local health authority for Austin Public Health, and the host of the EMS podcast with the longest name...
May 02, 2020•46 min
We are living, in a COVID world. And I am a COVID doc. This is a special episode of the EMS Lighthouse Project Podcast. Since the entire Jarvis household is quarantined in our bunker in Central Texas, I brought the family together to discuss how this such a short little piece of RNA has changed our world. Oh, and we talk about the MMWR report from Singapore that, apparently, got the CDC to change its stance on the use of public face masks. If you like what you hear, please give us a 5-star ratin...
Apr 07, 2020•28 min
Remember our podcast where we talked about amiodarone and lidocaine improving survival from arrest when given IV but not IO? Wait! There’s more. Another paper dropped looking at the same thing but with epinephrine instead of anti-dysrhythmics. Does this paper show the same thing? Is there really something to this IV superiority thing? Dr. Jarvis breaks this new paper down. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and s...
Mar 22, 2020•22 min
Have you ever given adenosine to a patient in SVT? Yeah? Did they like it? I didn’t think so. You’ve probably also given up trying to use the Valsalva maneuver because you’ve found it doesn’t work very often. Wouldn’t it be great if there were a way to make the Valsalva more effective and, perhaps, avoid kicking the patient in the chest with adenosine? Dr. Jarvis reviews a paper in this episode that may offer just this. If you like what you hear, please give us a 5-star rating on Apple Podcasts ...
Mar 03, 2020•16 min
Remember Episode 12 where we reviewed a Houston paper on DSD showing worse outcomes with DSD? At the end of that pod, I spoke about an ongoing RCT trial comparing DSD to standard therapy AND vector change defibrillation. Well, the pilot phase of that trial is over and has JUST been published. It has some surprising preliminary results. Join us and find out how that study is going. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and ...
Mar 03, 2020•20 min
