For paramedics, click HERE for CAPCE credit! This episode is brought to you by Eolas Medical.  General Devices is the one-stop app for healthcare professionals.  The Eolas platform is a mobile-first file-sharing and communications platform designed specifically for frontline clinical staff. It's built for clinicians, by clinicians and our mission is to connect healthcare professionals with the information they need at the bedside super-fast and super-easily Artificial Intelligence (AI) is here whether you like it or not.  On the one hand, AI evokes nefarious images of Skynet from the Terminator movies.  On the other hand, our conversation with United Kingdom cardiologist, self-proclaimed tech nerd, and Chief Scientific Officer with Eolas Medical reassures us that AI is not as threatening as Hollywood would have us believe.   In this upcoming episode, the But Why EMS podcast hosts interview Robert Brisk MD Chief Scientific Officer with Eolas Medical Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, In the current state of affairs and the decreasing number of OB/GYN specialists in our communities, EMS will endure long transports of high-risk OB to tertiary care facilities.  As a prehospital clinician, you will be the one caring for these sick OB patient(s).  Are you ready?  To help you prepare, the But Why EMS podcast team discusses high-risk OB pathologies with our content expert Dr. Karin Fox, OB/GYN, Maternal Fetal Medicine, and EMS Physician at Texas Children's Hospital   Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, Happy New Year But Why EMS Podcast listeners!  And with a new year comes the promise to become a better you personally and professionally.  So let’s start with changing our mindset when it comes to education.  In this episode, we have our But Why crew, Gina, Paul Schuler, and I talking with our special guest:   Elizabeth Kendrick NREMTP about how amazing paramedics can be as healthcare clinicians, but how paramedics get in their own way when it comes to improving themselves.    Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,   While we in EMS LOVE new shiny toys or flashy treatments that were only used in the hospital, some patient treatments require us to take a step back and see our patients as more than just that traumatic accident.  Enter Trauma Informed Care, which is a way to treat our patients not only with their immediate medical needs but a way to prevent the long-lasting effects of trauma.  This requires us to take a step back and see trauma in all its forms and treat our patients by the better angels of our nature.  To understand this further, the But Why EMS team interviews:     Dr. Lekshmi Kumar Emergency Medicine, EMS Physician, and Medical Director of Grady EMS    Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real time, Happy EMS Week you prehospital studs!!! We’ve all heard of the law EMTALA or otherwise known as the Emergency Medical Treatment and Labor Act.  But how does this law affect what we do in the world of EMS?  We know it’s usually hospitals who are liable…not EMS systems...right!?!?!?  Maybe not!  Little do you know, that EMS systems can be liable.  Why do you ask?  Well in this episode of the But Why EMS podcast, the team explores what EMTALA is and how it affects your everyday practice of Prehospital Medicine.  We’re joined by our special guest.  Hashim Zaidi MD (Right) @hashimzMD Medical Director and Emergency Physician in Houston Texas Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

This episode is brought to you by General Devices.  General Devices is a health tech company specializing in communication solutions that help EMS and hospitals deliver simply seamless patient care. Don't you love having dropped calls when signing out a patient?  Isn't it fun repeating your sign-out over and over?  How about explaining your EKG findings over the phone? Welcome to communication in EMS :).  On top of everything else, communication between the prehospital and in-hospital world is complicated by technical glitches and multiple healthcare clinicians.   In this upcoming episode, the But Why EMS podcast hosts talk with a fellow paramedic and Regional Manager for General Devices, Kayla Jacquez, talk about prehospital communication with hospitals and what we can do about it.  Brought to you by General Devices, the creators of e-Bridge, a communication platform for prehospital and in-hospital clinicians, get ready for Episode 34 of the But Why EMS podcast to be released THIS Friday 6/30/23 at NOON.   Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! This episode is brought to you by General Devices.  General Devices is a health tech company specializing in communication solutions that help EMS and hospitals deliver simply seamless patient care. Don't you love having dropped calls when signing out a patient?  Isn't it fun repeating your sign-out over and over?  How about explaining your EKG findings over the phone? Welcome to communication in EMS :).  On top of everything else, communication between the prehospital and in-hospital world is complicated by technical glitches and multiple healthcare clinicians.   In this upcoming episode, the But Why EMS podcast hosts interview Kayla Jacquez FF-P Paramedic & Regional Manager for General Devices Click here to download it today! Click here for the Prehospital Emergency Care Journal Manuscript: "Impact of a Standardized EMS Handoff Tool on Inpatient Medical Record Documentation at a Level 1 Trauma Center" Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,   Hello But Why EMS podcast listeners!  Have you ever seen the quarterback of a professional football game review videos of the last play in real-time?   The act of reviewing your actions with the intent of figuring out what you can improve upon is the key to improvement.  What if we can do that with our intubations?  In this episode, we talk with Dr. Brian Miller as he shares his experience and lessons learned when his EMS system recorded intubation attempts. Dr. Brian Miller  Emergency Physician/EMS Physician Associate Assistant Medical Director for MedStar Mobile Healthcare Deputy Medical Director of Dallas Fire Rescue Assistant Professor of Emergency Medicine at UTSW Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time,   Hello But Why EMS podcast listeners!  Disaster medicine is a unique field of prehospital medicine.  Planning for a possible disaster is one thing, but preparation goes out the window when it happens in real life.  In this episode we interview Dr. Joshua Stilley FAEMS Chief of Division of EMS at the University of Missouri Medical Director of Chariton County EMS about lessons learned at a train derailment disaster. Click here to download it today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito NRP John Reagan NRP Paul Schuler NRP Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

For paramedics, click HERE for CAPCE credit! Brought to you by Urgent Admin which is an intuitive one-touch solution that connects in-field clinicians and medical directors in real-time, What do I do with my hands?”  Have you ever been in an awkward conversation trying to keep it going…but run out of things to say?  Talking to a patient with psychiatric issues is similar.  And you want to know something?  That’s normal and it does feel weird.  But that doesn’t mean we should let it drive our care.     In this episode, we have our content expert, Dr. Jessica Gold, Assistant Professor of Psychiatry at Washington University    Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P Please subscribe and review our podcasts on: Apple Amazon Google Podcast Stitcher

Welcome to our first episode of "But Why?" A podcast dedicated to providing education to prehospital clinicians in an entertaining conversation with EMS Physicians, Paramedics, and some good old fashion humor.  This podcast is brought to you by Washington University and NAEMSP.  Our first episode explores why a Tour De France Cyclist, Tom Simpson,  (Tom Simpson) and high school football player, Max Gilpin, died competing in the sports they loved.  We also have a guest physician, Dr. Salvador Rios, who explains the pathology that can cause death if not treated in a time-sensitive manner.  Salvador Rios MD Download our first episode today! For paramedics, please click here for CEU! Than you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Works Cited "Le Tour de France for Newbies."  YouTube, uploaded by Phil Moy, August 10 2020, https://www.youtube.com/watch?v=1v6l1_lfFN0. "Why the Tour de France is so Brutal."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/ZacOS8NBK6U. "Accordion Romantic French Music-French Cafe Music."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/EOanEMfQ_Yg. "The Story of Tom Simpson Part 6/6."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc. Lake, Thomas.  "The Boy Who Died of Football - Sports Illustrated Vault."  SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football. "Tom Simpson."  Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.

For paramedics, please click here for CEU credits! In the last episode, we explored the role heat emergencies played in the deaths of Tour de France cyclist Tom Simpson and Kentucky high school football player, Max Gilpin.  But why were Tom Simpson and Max Gilpin the only athletes to suffer heatstroke?  The "But Why (@EMSBut)" team answers this question with guests:  Evan Schwarz MD @TheSchwarziee Kevin Baumgartner MD Download the episode today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Works Cited "Coach Not Guilty in Students Heat Death."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=OpNemKSFo1c&ab_channel=ABCNews. "Breaking Bad Main Title Theme."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=ilfYnhXD-bE&ab_channel=DavePorter-Topic "The Story of Tom Simpson Part 6/6."  YouTube, downloaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc. "Top 5 Walter White most powerful quotes."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=6MMrDLW4XQw&ab_channel=NiRatings. Lake, Thomas.  "The Boy Who Died of Football - Sports Illustrated Vault."  SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football. "Tom Simpson."  Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.

For paramedics please click here for CEU Credits! In this episode, we discuss the dramatic rescue in Thailand, Ketamine’s pharmacology, indications, responsibilities of prehospital sedation, and what you should know about this medication in your own practice of medicine.    Using Ketamine affords you great power. And with great power... Download the episode today! Thank you for listening! Hawnwan Philip Moy MD Gina Pellerito EMT-P John Reagan EMT-P Works Cited "Thai Cave Rescue - Full Documentary HD."  YouTube, downloaded by Phil Moy, October 10 2020, https://www.youtube.com/watch?v=a4GqD0B-KjI&t=126s&ab_channel=ADVEXONTV

Happy Thanksgiving! For paramedics, click here for CEU Credits. This year the But Why EMS Podcast is thankful for you, our listeners, for being part of our family.  Thank you! In this episode, we hear about Gina and John's hilarious sedation story and John's personal experience with Versed.   We also have a special guest    Valerie Lew MD who enlightens the crew about the most up to date evidence of sedation usage in the prehospital world! Click here to download! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P   Works Cited "Can you breathe spontaneously through a BVM."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=HRgLUAvY7io&t=128s&ab_channel=PaediatricEmergencies. "Curly sleep." YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=fkUPSn7PeV0&ab_channel=auweia1. "Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel. "Hulk Smash & Fight Scenes (2008-2017) MCU| Ragnarok included."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=P4QCgtdMFxM&t=233s&ab_channel=CedricDumler. Isenberg DL, Jacobs D. Prehospital Agitation and Sedation Trial (PhAST): A Randomized Control trial of Intramuscular Haloperidol versus Intramuscular Midazolam for the Sedation of the Agitated of Violent Patient in the Prehospital Environment. Prehospital Disaster Medicine. 2015 Oct; 30 (5):491-5. Doi.10.1017. Epub 2015 Sep 1. https://www.ncbi.nlm.nih.gov/pubmed/26323511. "Lou Reed-Perfect Day (Audio)."  YouTube, downloaded on November 28, 2020. https://www.youtube.com/watch?v=9wxI4KK9ZYo&ab_channel=LouReedVEVO Macht M, Mull A, McVaney K, et al. Comparison of Droperidol and Haloperidol for Use by Paramedics: Assessment of Safety and Effectiveness. Prehospital Emergency Care. 2014; 18:3, 375-380. https://doi.org/10.3109/10903127.2013.864353 Martel M, Miner J, Fringer R, et al. Discontinuation of Droperidol for the Control of Acutely Agitated Out of Hospital Patients. 2009; 9:1, 44-48. https://doi.org/10.1080/10903120590891723. Page C, Parker L, Rashford S,et al. A Prospective Before and After Study of Droperidol for Prehospital Acute Behavioral Disturbance. Prehospital Emergency Care. 2018; 22:6, 713-721. https://doi.org/10.1080/10903127.2018.1445329 "Relaxing Music and Calming 4K Waterfall nature: Sleep Relaxation."  YouTube, downloaded by Phil Moy, November 28, 2020, https://www.youtube.com/watch?v=xJ4hsUE9zU8&ab_channel=321Relaxing-MeditationRelaxClips. Thomas H, Schwartz E, Petrilli R. Droperidol versus haloperi- dol for chemical restraint of agitated and combative patients. Ann Emerg Med. 1992;21(4):407–13. "To alcohol...the cause of...and solution to...all of life's problem's."  YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=hUVwR0rw5fk&ab_channel=Jappana.

Happy Holidays! For paramedics, click here for CEU. The COVID-19 vaccine is here!  Many celebrate this as a miracle of science.  Yet others remain skeptical of the vaccine. Episode 5 seeks to assuage and answer many of those concerns with our special guest star: Dr. Stephen Liang MD MPHS  Associate Professor of Emergency Medicine and Infectious Disease Click here to answer your questions about the COVID-19 mRNA vaccine! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P P.S.  Here is the graph that Dr. Liang mentioned in the FDA Report about the Pfizer Vaccine Works Cited “Inactivated Virus Vaccine.” Inactivated Virus Vaccine - an Overview | ScienceDirect Topics, www.sciencedirect.com/topics/medicine-and-dentistry/inactivated-virus-vaccine.  Pfizer-BionTech. (2020). FACT SHEET FOR RECIPIENTS AND CAREGIVERS EMERGENCY USE AUTHORIZATION (EUA) OF THE PFIZER-BIONTECH COVID-19 VACCINE TO PREVENT CORONAVIRUS DISEASE 2019 (COVID-19) IN INDIVIDUALS 16 YEARS OF AGE AND OLDER [Fact Sheet]. Retrieved from:  https://www.fda.gov/media/144414/download Federal Drug Administration.  “Vaccines and Related Biological Products Advisory Committee Meeting.”  10 Dec. 2020.  https://www.fda.gov/media/144245/download?fbclid=IwAR366lR9LuAUYtQGMBZKNimFtZCfTFs0CHivFGb8CfXZ7wedJyP4fdphmQw “Vaccines and the Immune Response: How They Work.” YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=Atrx1P2EkiQ&ab_channel=MechanismsinMedicine “Heaven Sound Effects All Sounds.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=2HwZo9Oqql4&ab_channel=AllSounds “Officials worry deadly coronavirus can spread to U.S.” YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ME6rg5enX9I&ab_channel=CBSThisMorning “1st case of coronavirus confirmed in US| ABC News.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=FMc280EtXxs&ab_channel=ABCNews “COVID-19 Spreads For 1st Time in US: How Serious are Risks Today| Dr. Anthony Fauci.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=X3GxF_6trDY&ab_channel=TODAY “Velcro Sound Effect [ HD ]”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=WiMfVStE6FA&ab_channel=nBeats “Typing Sound Effect (no copyright).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=OJhWtBBJw10&ab_channel=aboutVINCENT “Typewriter Ding - Sound Effect.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=nd8LOfAd4LY&ab_channel=SoundShelf “iPhone/Mac E-mail Sent Sound Effect (swoosh).” YouTube, Downloaded by Phil Moy December 23, 2020.   https://www.youtube.com/watch?v=l5_GD0-_EII&ab_channel=FreeToUseSound%E2%80%94Royaltyfreesoundeffects “Lets.  Get.  Bizzay.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=_Y1YaXvi1bk&ab_channel=BigRamifications “AOL Dial Up Internet Connection Sound + You've Got Mail (America Online) 90's.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=dudJjUU9Nhs&ab_channel=AdventuresinHD "Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel. “Whaat? - Minions| Despicable Me.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=J5Wj8Q6OTcg&ab_channel=JiriKolarik “Money Sound Effect.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=0cWGdrndeD4&ab_channel=AudioSounds “Toccata and Fugue in D Minor (Best Version Ever).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ho9rZjlsyYY&ab_channel=MovieMongerHZ “Sesame Street Podcast Number 2.”  YouTube, Downloaded by Phil Moy December 23, 2020.   https://www.youtube.com/watch?v=6oNzKKb4TQI&ab_channel=VickiRoy “Ron Burgundy & Baxter.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=TCY0e77SQvM&ab_channel=roflsaur1337 Unfoldment, Revealment, Evolution, Exposition, Integration by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://chriszabriskie.com/reappear/ Artist: http://chriszabriskie.com/ “The good the bad and the ugly - Theme.”  YouTube, Downloaded by Phil Moy December 23, 2020. https://www.youtube.com/watch?v=AFa1-kciCb4&ab_channel=jordanharding “75 Atari 2600 Games (VCS).”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=ucRYLobga0g&ab_channel=jvgsjeff “How do vaccines work? - Kelwalin Dhanasarnsombut.”  YouTube, Downloaded by Phil Moy December 23, 2020.  https://www.youtube.com/watch?v=rb7TVW77ZCs&ab_channel=TED-Ed

Happy New Year! For Paramedics click HERE for CEU. We all know the standard phrase in EMS... But in episode 6, we take this maxim one step further When dealing with HYPOTHERMIC patients.  In this episode we have Dr. Conner Gessert 2nd-year Emergency Medicine Resident at Washington University cover ALL things HYPOTHERMIC in the prehospital world. Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P Works Cited “Censor Beep Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=RPfCZhvj1Ng&ab_channel=RyanCarvalho“Find Your Vocal Range in 1 Minute.m4v.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=9IejHKpfHso&ab_channel=alanpiano1Gilbert M, Busund R, Skagseth A, et al. Resuscitation from accidental hypothermia of 13.7 degrees C with circulatory arrest. Lancet. 2000;355(9201):375-376Part 8: Advanced Challenges in Resuscitation. Circulation. 2000;102(suppl_1):I-229. doi:10.1161/circ.102.suppl_1.I-229Podsiadło P, Darocha T, Kosiński S, Sanak T, Gałązkowski R. Body temperature measurement in ambulance: a challenge of 21-st century? BMC Emergency Medicine. 2019;19(1):44. doi:10.1186/s12873-019-0261-2Rischall ML, Rowland-Fisher A. Evidence-Based Management Of Accidental Hypothermia In The Emergency Department. Emerg Med Pract. 2016;18(1):1-18.“Ship Horn - Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=Nee8KfUtLBA&ab_channel=Copyleft“The Sound of a Boat Motor.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=pngTkC321mI&ab_channel=yogaduke

For Paramedics, click here for CEU credits! They're not little adults nor are they little aliens... They're just kids.   Pediatric Out of Hospital Cardiac Arrest (p-OHCA) is a terrifying case for any health care clinician.  In this two-part series, the But Why EMS Podcast team covers the evidence behind p-OHCA and the growing push to resuscitate on the scene with special guest John Graham MD Pediatric Emergency Medicine Physician Fellow. Click here to check out the episode today! Also, check out our sister podcast The Prehospital Emergency Care Podcast's February episode discussing the utility of Pediatric intraosseous needles in p-OHCA! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P Works Cited “Monty Python - "Not Dead Yet" Scene (HD)”  YouTube, Downloaded by Phil Moy February 19, 2021.  https://www.youtube.com/watch?v=Jdf5EXo6I68&t=2s&ab_channel=Browningate Dreams Become Real by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1500027 Artist: http://incompetech.com/ Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100238 Artist: http://incompetech.com/ Eastin C, Karim S, Hawthorn C, Webb MH, Waheed MA, Buford A, Hutchison M, Mason C, Sexton K. Mandated 30-minute Scene Time Interval Correlates With Improved Return of Spontaneous Circulation at Emergency Department Arrival: A Before and After Study. J Emerg Med. 2019 Oct;57(4):527-534. doi: 10.1016/j.jemermed.2019.06.021. Epub 2019 Aug 28. PMID: 31472942.  Banerjee PR, Ganti L, Pepe PE, Singh A, Roka A, Vittone RA. Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival. Resuscitation. 2019 Feb;135:162-167. doi: 10.1016/j.resuscitation.2018.11.002. Epub 2018 Nov 6. PMID: 30412719. Grunau B, Kime N, Leroux B, et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2020;324(11):1058–1067. doi:10.1001/jama.2020.14185. Broughton W, Paediatric cardiac arrest: time to ‘stay and play’? Journal of Paramedic Practice. 2015 Dec. https://www.paramedicpractice.com/features/article/paediatric-cardiac-arrest-time-to-stay-and-play

For paramedics, click here for CE credits. Pediatric Out of Hospital Cardiac Arrest Part 2: When a child dies   In this episode, the But Why EMS Podcast team discusses why beginning the mourning process in the field benefits families as well as what to do or say when terminating p-OHCA resuscitation on scene with our special guest: Peter Antevy MD   @HandtevyMD Pediatric Emergency Medicine Physician EMS physician Click here to check out the episode today! Thank you for listening! Hawnwan Philip Moy MD  Noah Bernhardson MD Gina Pellerito EMT-P John Reagan EMT-P Works Cited I Am a Man Who Will Fight for Your Honor by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://chriszabriskie.com/honor/ Artist: http://chriszabriskie.com/

For paramedics, click here for CE credits May is mental health awareness month.  Unfortunately, EMS clinicians are at high risk for mental health due to long hours, low pay, and a chaotic work environment.  Yet, mental health in the prehospital realm is a taboo topic.  No one likes to talk about it and some don’t believe it exists.  As part of mental awareness month, we will focus on clinicians' stories, EMS research on suicidal behavior, and resources for anyone who is hurting and feels that they are alone.   In this podcast we have special guests:  Fiona Thomas EMT-P President of the Code Green Campaign Bridgette Svancarek MD FAEMS Assistant professor of Emergency Medicine Washington University Click here to check out the episode today! Thank you for listening! Hawnwan Philip Moy MD  Noah Bernhardson MD Gina Pellerito EMT-P John Reagan EMT-P Adam Hagar EMT-P

For paramedics, click here for CE credits! We all know the standard phrase in EMS But did you know that, in this episode, the But Why team added, "squirt mustard on the chest" to the EMS mantra?   Find out how the mustard phrase arose in this hilarious episode that covers cardiac arrest treatment history and myths with Dr. Adam Heilman Click here to check it out today! Thank you for listening! Hawnwan Philip Moy MD  Gina Pellerito EMT-P John Reagan EMT-P   Works Cited 1. American Heart Association. (n.d.). History of CPR. cpr.heart.org. https://cpr.heart.org/en/resources/history-of-cpr. 2. Bonnes JL, Brouwer MA, Navarese EP, Verhaert DV, Verheugt FW, Smeets JL, de Boer MJ. Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies. Ann Emerg Med. 2016 Mar;67(3):349-360.e3. doi: 10.1016/j.annemergmed.2015.09.023. Epub 2015 Nov 19. PMID: 26607332. 3. Cheskes S, Dorian P, Feldman M, McLeod S, Scales DC, Pinto R, Turner L, Morrison LJ, Drennan IR, Verbeek PR. Double sequential external defibrillation for refractory ventricular fibrillation: The DOSE VF pilot randomized controlled trial. Resuscitation. 2020 May;150:178-184. doi: 10.1016/j.resuscitation.2020.02.010. Epub 2020 Feb 19. PMID: 32084567.https://pubmed.ncbi.nlm.nih.gov/32084567/ 4. Delorenzo A, Nehme Z, Yates J, Bernard S, Smith K. Double sequential external defibrillation for refractory ventricular fibrillation out-of-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation. 2019 Feb;135:124-129. doi: 10.1016/j.resuscitation.2018.10.025. Epub 2018 Oct 26. PMID: 30612966. 5. Fig Leaf Times Two by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1200096 Artist: http://incompetech.com/ 6.  Kette F, Ghuman J, Parr M. Calcium administration during cardiac arrest: a systematic review. Eur J Emerg Med. 2013 Apr;20(2):72-8. doi: 10.1097/MEJ.0b013e328358e336. PMID: 22990036. 7.  Landry A, Foran M, Koyfman A. Does calcium administration during cardiopulmonary resuscitation improve survival for patients in cardiac arrest? Ann Emerg Med. 2014 Aug;64(2):187-9. doi: 10.1016/j.annemergmed.2013.07.510. Epub 2013 Aug 30. PMID: 23992943. 8. Mapp JG, Hans AJ, Darrington AM, Ross EM, Ho CC, Miramontes DA, Harper SA, Wampler DA; Prehospital Research and Innovation in Military and Expeditionary Environments (PRIME) Research Group. Prehospital Double Sequential Defibrillation: A Matched Case-Control Study. Acad Emerg Med. 2019 Sep;26(9):994-1001. doi: 10.1111/acem.13672. Epub 2019 Jan 6. PMID: 30537337. 9.  Mount DB (2020).  Treatment and Prevention of Hyperkalemia in Adults. In T.W. Post Sterns RH, Forman JP (Eds.). UpToDate. Available from:  https://www-uptodate-com.beckerproxy.wustl.edu/contents/treatment-and-prevention-of-hyperkalemia-in-adults?search=hyperkalemia%20treatment&sectionRank=1&usage_type=default&anchor=H462542914&source=machineLearning&selectedTitle=1~150&display_rank=1#H462542914 10. Poole K, Couper K, Smyth MA, Yeung J, Perkins GD. Mechanical CPR: Who? When? How? Crit Care. 2018 May 29;22(1):140. doi: 10.1186/s13054-018-2059-0. PMID: 29843753; PMCID: PMC5975402. 11.  Pozner CN, Link MS (2020). Supportive data for advanced cardiac life support in adults with sudden cardiac arrest. In T.W. Page RL, Walls RM, Dardas TF (Eds.).  UpToDate.  Available from:  https://www-uptodate-com.beckerproxy.wustl.edu/contents/supportive-data-for-advanced-cardiac-life-support-in-adults-with-sudden-cardiac-arrest?search=calcium%20cardiac%20arrest&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 12. Vallentin MF, Granfeldt A, Holmberg MJ, Andersen LW. Drugs during cardiopulmonary resuscitation. Curr Opin Crit Care. 2020 Jun;26(3):242-250. doi: 10.1097/MCC.0000000000000718. PMID: 32348092. 13. Velissaris D, Karamouzos V, Pierrakos C, Koniari I, Apostolopoulou C, Karanikolas M. Use of Sodium Bicarbonate in Cardiac Arrest: Current Guidelines and Literature Review. J Clin Med Res. 2016 Apr;8(4):277-83. doi: 10.14740/jocmr2456w. Epub 2016 Feb 27. PMID: 26985247; PMCID: PMC4780490.