EMSSO Episode 8: Surviving The Next Shift
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On episode eight of Standing Orders Matt, Brad, JD, and Dr. Russi are joined by Mr. Art Hsieh of EMS1.com and Eric Dickinson (author, police officer, and EMT). Episode eight tackles a wide variety of issues relating to the well being of the EMS provider. From concealed carry to combative patients, this episode includes some great exchanges from the group and some excellent tips on surviving your next shift.
Articles Discussed:
"Survive Your Next Shift" by Eric Dickinson (published in the July 2009 issue of JEMS.
On self defense and being a medic by Mr. Art Hsieh
Mentioned in this episode:
Blink
The Gift of Fear
EMSSO Episode 7: “Promoting a Culture of Safety”
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In episode seven of Standing Orders Matt and Brad record live from EMS World Expo in Las Vegas, NV. Matt and Brad are joined by the editor-in-chief of JEMS Magazine, A.J. Heightman. Also joining the group is Mr. Chuck "CT" Kearns, at large director of the NAEMT. For the second half of the the show Jeramiah Bush takes part in the discussion on the health and safety of providers and patients.
Recorded at the Metronic Foundation Heart Rescue Project Podcast Studio, episode seven is sponsored by the NAEMT (National Association of EMTs).
Episode seven takes a closer look at the NAEMT's EMS Safety Course as well as several other issues regarding provider and patient safety in EMS. The theme of "promoting a culture of safety" is present throughout this recording of Standing Orders.
Special thanks to Jamie Davis, Chris Montera, Anne Robinson, and Carissa Caramanis-O'Brien for their production of episode seven of Standing Orders. Also, special thanks to Mr. A.J. Heightman of JEMS Magazine, Mr. Chuck "CT" Kearns of the NAEMT, and Mr. Jeramiah Bush of www.jeramedic.com
EMSSO Episode 6: “Posteriorly Speaking” – A novel use of the pre-hospital 12 lead
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In episode six of Standing Orders: The Podcast the group discusses a recent published case study by Dr. Russi and colleagues. The case focuses on the identification and ultimate STEMI alert activation based on the use of an all posterior 12 lead ECG.
This episode features The Rogue Medic - Mr. Tim Noonan, Mr. Russell (RJ) Stine of HybridMedic.com, as well as Brad Buck, Matt Fults, and Dr. Chris Russi D.O.
The article discussed can be found here...
Prehosp Emerg Care. 2011 Jul-Sep;15(3):410-3. Epub 2011 Apr 4.
Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram.
Russi CS, Myers LA, Kolb LJ, Steever K, Nestler DM, Bjerke MC, White RD, Ting HH.
View abstract here
Update: RJ is now done with chemotherapy as discussed in the opening of the show.
EMSSO Episode 5: “A Cherry On Top” – a case for pre-hospital induced hypothermia
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In episode five of Standing Orders: The Podcast the gang discusses pre-hospital, post resuscitation hypothermia.
On this episode of Standing Orders Mr. Brad Buck, Mr. JD Graziano, Mr. Luke Myers, and Mr. Tom Bouthillet of ems12lead.com look closely at the implementation of induced cooling in EMS. Titled "A Cherry On Top", episode five touches on many issues at the forefront of pre-hospital induced cooling.
EMSSO Research Review Episode 4: “Helicopters and the Civilian Trauma System…”
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Dr. Russi is back with the fourth installment of Russi's Research Review. In episode number four Dr. Russi reviews an article from the Journal of Trauma on helicopter EMS. Some interesting conclusions are drawn in this review as always. Contact Dr. Russi with questions and to submit ideas for future episodes.
Brown, J. B., Stassen, N. A., Bankey, P. E., Sangosanya, A. T., Cheng, J. D., & Gestring, M. L. (2010).
Helicopters and the civilian trauma system: national utilization patterns demonstrate improved outcomes after traumatic injury
The Journal of trauma, 69(5), 1030-4; discussion 1034-6.
Coming Soon…
Hello to all of our loyal listeners. Recently we have been absent from the world of EMS podcasting but rest assured that we will be back soon. We are currently working on plans for several new episodes. We have some awesome topics and guests ahead. Please check soon for new episodes of "Standing Orders: The Podcast" as well as new episodes of "Russi's Research Review". Dr. Russi recently completed an excellent episode on helicopter EMS that will be available for download soon.
Standing Orders will be taking it on the road soon to EMS World Expo in sunny Las Vegas, NV at the end of August. We hope to be recording more than one episode with the EMS Radio group. Stop by and see us during our recordings and pick up some free stuff.
EMSSO Research Review Episode 3: “ACD CPR with ResQPod Augmentation
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In episode 3 of the Standing Orders research review series Dr. Chris Russi reviews a recent article published in the Lancett. Dr. Russi discusses the data on ACD CPR (active compression/decompression) with augmentation of negative intrathoracic pressure using the impedance threshold device (ResQPod).
Article Reference:
Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomized trial
Tom P Aufderheide, Ralph J Frascone, Marvin A Wayne, Brian D Mahoney, Robert A Swor, Robert M Domeier, Michael L Olinger, Richard G Holcomb, David E Tupper, Demetris Yannopoulos, Keith G Lurie
To suggest articles for future reviews please contact Dr. Russi or leave a comment.
Disclaimer:
The opinions expressed in this podcast are that of Dr. Chris Russi. No compensation is received for any work presented on this website.
EMSSO Episode 4: Making Sense of Confusion
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In episode four of Standing Orders: The Podcast, "Making Sense of Confusion" Matt Fults and Dr. Chris Russi are joined by Mr. Tom Bouthillet of ems12lead.com for a spirited discussion on the Impedance Threshold Device and ACD CPR.
Several articles were discussed as the show features an in depth discussion on the physiology of the impedance threshold device.
Journal References
Standard cardiopulmonary resuscitation versus active compression-decompression cardiopulmonary resuscitation with augmentation of negative intrathoracic pressure for out-of-hospital cardiac arrest: a randomised trial.
Aufderheide, T. P., Frascone, R. J., Wayne, M. A., Mahoney, B. D., Swor, R. A., Domeier, R. M., Olinger, M. L., et al. (2011).
Lancet, 377(9762), 301-311. doi:10.1016/S0140-6736(10)62103-4
Implementing the 2005 American Heart Association Guidelines improves outcomes after out-of-hospital cardiac arrest.
Heart Rhythm: The Official Journal of the Heart Rhythm Society
Volume 7, Issue 10 , Pages 1357-1362, October 2010
Take Heart America: A comprehensive, community-wide, systems-based approach to the treatment of cardiac arrest.
Crit Care Med. 2011 Jan;39(1):194-6.
EMSSO Research Review Episode 2: “Fluid Administration in Traumatic Injury Patients”
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In the second segment of Russi's Research Review, Dr. Chris Russi reviews a 2010 article from the Annals of Surgery on fluid administration in trauma patients.
Haut et al. Prehospital Intravenous Fluid Administration is Associated With Higher Mortality in Trauma Patients. Annals of Surgery (2010) pp. 1
Contact Dr. Russi to submit ideas for future reviews.
EMSSO Research Review Episode 1: “Prediction of Critical Illness”
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In a new segment of Standing Orders: The Podcast, Dr. Chris Russi reviews a 2010 article from the journal of the American Medical Association.
Seymour et al. Prediction of Critical Illness During Out-of-Hospital Emergency Care. JAMA: The Journal of the American Medical Association (2010) vol. 304 (7) pp. 747-754
Please contact Dr. Russi to suggest future review articles.







