This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in hospital care providers through clinician interviews and expert clinical commentary.
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A podcast dedicated to the ongoing education of EMS professionals produced by the University Hospitals of Cleveland EMS Institute.
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This is the AMPED Air Methods Prehospital EDucation (AMPED) podcast brought to you by Air Methods, a leader in air medical transport, with the mission to deliver critical care discussion and content to both the prehospital and in-hospital care providers through clinician interviews and expert clinical commentary.
…
continue reading
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Prehospital Emergency Care Podcast
Hawnwan Moy, Scott Goldberg, Jeremiah Escajeda, Joelle Donofrio-Odmann, Maia Dorsett, Leshmi Kumar
This is the Prehospital Emergency Care Podcast, the official Podcast for the National Association of EMS Physician's (NAEMSP) journal, Prehospital Emergency Care. This bimonthly podcast contains in-depth interviews with manuscript authors and engaging commentary from EMS physicians Dr. Hawnwan Moy, Dr. Scott Goldberg, Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, Dr. Lekshmi Kumar.
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The aim of this podcast is to discuss and debate prehospital and retrieval medicine--its current practice and controversies. In many ways the philosophy espoused will be that of prehospital critical care. Whereas EMCrit brings upstairs care, downstairs; I aim to bring it out of the hospital. Many prehospital providers are doing this already.
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Air Methods Prehospital EDucation Podcast Ep. 39: Don't Let the Perfect Be the Enemy of the Good
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Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This ep…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 3
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As an EMS provider, what is the proper language with which to approach a possible domestic violence or sexual assault? The crew also discusses situations that may be 'hot" situations of active violence as the crew determines once on scene. The crew needs to have an excellent sense of intuition in these cases.…
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Ep. 139: Deep Dive Chest compressions and Football Pads
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Everyone witnessed the tragic event of Damar Hamlin's cardiac arrest during an NFL Football game. While he had a great outcome, there remains a paucity of algorithms in managing cardiac arrest emergencies in equipment-laden athletes. Expert consensus begins with research in the field of cardiac arrest for equipment laden athletes. In this deep dive…
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Air Methods Prehospital EDucation Podcast Ep. 39: Don't Let the Perfect Be the Enemy of the Good
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35:02
Any pediatric case comes with a higher degree of tension due to a variety of factors including compensatory responses to distress leading to a precarious "cliff" when those compensatory efforts cease. When our team is dispatched to a 5 year-old child struggling to breathe, yet still shows strong vital signs, how will the AMPED team respond? This ep…
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Prehospital Paradigm Podcast, Episode 19 - Sexual Assault Cases for EMS, Part 2
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This part of the discussion reviews what happens when your intuition is telling you to suspect a domestic violence situation but the patient doesn't seem to want to participate in that conversation?University Hospitals of Cleveland EMSi
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Prehospital Paradigm Podcast, Episode 19 - SANE - A Discussion of Sexual Assault Cases Part 1
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This month we are joined by Dr. Stephanie Gaines and Jennifer Moreland, RN and Sexual Assault Nurse Examiner (SANE), to overview sexual assault cases and the appropriate responses. In 2021, Dr. Stephanie Gaines was appointed as the Inaugural Director of the Blair Dickey-White Sexual Assault Survivor Program, formally known as the Adult Sexual Assau…
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Air Methods Prehospital EDucation Podcast Ep 38: Going the Distance No Matter What
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By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess t…
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Air Methods Prehospital EDucation Podcast Ep 38: Going the Distance No Matter What
39:29
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39:29
By necessity, our teams are dispatched to most extreme, most rare, most complex, and sometimes most hopeless-seeming cases any patient could ever experience. It would be easy to look at certain cases - like say, a man whose legs are stuck in a concrete augur on a precarious platform with injuries that are intermingled and devastating - and assess t…
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Prehospital Paradigm Podcast, Episode 18 - Psychiatric Emergencies - Live
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This is the final part of our "Psychiatric Emergencies" episode. We discuss psychiatric emergencies and even address physical vs. chemical restraint with Dr. Jordan Singer. We recorded live at the Richfield Fire Department.University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 3
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When alcohol and substance abuse is involved, it can make the difficult to judge the patient's capacity to refuse treatment. By the way, dementia itself does not steal a patient's capacity to refuse treatment. When does the POA decision overrule the patient's decision? The crew also goes through a number of real-life scenarios to help bring this to…
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Review of Psychiatrics Emergencies - Part 2
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The topic of soft restraints starts this episode with our guest Dr. Singer. No need to "MacGyver" some type of soft restraints. If you do any restraining, restrain all 4 points. A goal of restraining would be to minimize the patient's chance of injury but maximize proper ventilation.University Hospitals of Cleveland EMSi
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Review of Psychiatric Emergencies - Part 1
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This month, we talk about psychiatric emergencies. We even address physical vs. chemical restraint and actual cases with Dr. Jordan Singer who is back with us for the third time.University Hospitals of Cleveland EMSi
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Ep. 138 Deep Dive Under and Over Triage Field Triage Guidelines
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The Field Triage Guidelines (FTG) are used across North America to identify seriously injured patients for transport to appropriate-level trauma centers. We should aim for an under-triage rate of 5% and an over-triage rate of 25-35%. But how faithful are we to these recommendations? In this podcast, we interview the lead author Joshua Lupton MD MPH…
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Prehospital Paradigm Podcast, Episode 16 - Part 4, STEMI Live
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We were live from the Bainbridge Fire Department this month taking your calls and your questions to close out the STEMI review!University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep 37: Asking for Help Isn't Giving Up
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When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, b…
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Air Methods Prehospital EDucation Podcast Ep 37: Asking for Help Isn't Giving Up
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When an infant patient faces seemingly insurmountable odds over the course of several hours, one of our clinicians suffers a mental health breakdown over the ensuing shifts, days and weeks. Thankfully her team recognized changes in her behavior and mood and offered abundant help. This episode covers not only the case involving the infant patient, b…
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A STEMI Discussion, Part 3
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When you're making decisions with STEMI patients, in the lab, there are a number of considerations. The patient's previous cardiac history and current condition is taken into consideration. When you're making decisions on cath labs, there's also information you need... can the facility perform open heart surgery? By the way, visualizing the actual …
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A STEMI Discussion, Part 2
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Our two guests, Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, are still with us talking about patients experiencing out-of-hospital STEMI situations. STEMIs can be confusing but, taking the assessment one step at a time and not being shy about activating…
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A STEMI Discussion, Part 1
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Two special guests join us this month to talk about STEMI assessment, recognition, treatment and in-hospital treatment. Thanks to Dr. Greg Stefano Interventional Cardiologist and Geoffrey Patty, Chest Pain Coordinator, with the UH Harrington Heart and Vascular Institute, for joining us to talk about STEMI cases.…
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Extra Monday Episode - UH EMS Airway Series, Part 1
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All of our Extra Monday Episodes in '24 are dedicated to airway and ventilation topics. Part 1, we talk about the basics, BVM, capnography, bougie and how prepared you are to use these tools. There are many tools.. back-ups to the back-ups but when is the last time, on your shift that you practiced each of them.…
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Air Methods Prehospital EDucation Podcast Ep 36: Sometimes the Solution Is Obscure
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Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help an…
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Air Methods Prehospital EDucation Podcast Ep 36: Sometimes the Solution Is Obscure
37:47
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Our profession requires extensive and exhaustive training. Much of it can seem esoteric and possibly unnecessary at the time, but we train on all of these things for a reason. When our team comes upon a severely burned patient, they extent of the burns causes a melange of difficulties. Could an obscure, and rarely used, procedure ultimately help an…
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Prehospital Paradigm Podcast, Episode 15 - Post ROSC Live
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Dr. Jordan Singer rejoins the team to talk about CPR and ROSC care. In the pre-recorded parts we talked about refractory VF, subglottic airways vs. endotracheal intubation, being near a tertiary center vs. being in a rural setting, LVAD, pacemakers, traumas, and Lucas devices. New for this year we will be streaming from various EMS agencies under U…
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CPR and ROSC Episode, Part 3 - Rapid Fire Questions for ROSC
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It's ROSC rapid fire question time with Dr. Singer.. LVAD, pacemakers, traumas and Lucas devices. This part moves quickly!University Hospitals of Cleveland EMSi
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Episode 137: The Prehospital Pediatric Readiness Project
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The Prehospital Pediatric Readiness Project In this episode, the PEC podcast team joins the Pediatric EMS Podcast- Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney-to talk to you about the National Prehospital Pediatric Readiness Project (PPRP). What is it? What do we do about it? And what does it achieve? We will be joined by two pivotal EMS physi…
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Episode 136: Tribute to Brooke Lerner
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A Tribute to Brooke Lerner PhD With the dawn of a new year, we all know that the 2024 NAEMSP Conference is approaching. While we are excited to see friends and colleagues from afar, we must acknowledge the void of someone who contributed so much to prehospital medicine, Dr. Brooke Lerner. Dr. Lerner was a prolific researcher, passionate paramedic, …
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CPR and ROSC Episode, Part 2 A Mixed Bag Discussion
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The ROSC discussion continues and it's a mixed bag including a discussion of the use of Esmolol, refractory VF, and the use of subglottic airways vs. endotracheal intubation. Being near a tertiary center vs. being in a rural setting is also included.University Hospitals of Cleveland EMSi
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CPR and ROSC Episode, Part 1 - Stay and Play
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Dr. Jordan Singer rejoins the team to talk about ROSC care. For part 1, the discussion focuses on good on-scene decisions and care that are the initial step to ROSC care.University Hospitals of Cleveland EMSi
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Air Methods Prehospital EDucation Podcast Ep 35: Hope Is a Good Thing...
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As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team a…
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Air Methods Prehospital EDucation Podcast Ep 35: Hope Is a Good Thing...
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As first responders, the odds of patient survival are not always in our favor. But that does not stop us from working quickly to provide the highest level of care for the chances of defying those odds. In this episode, a 10 year-old boy wrecks on his bicycle, a fairly common occurrence and one that rarely requires air transport, yet when our team a…
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The End of Year Grab Bag Episode - Part 3
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Ray, Scott, Caleb and Dr. Hill continue the discussion of grab bag topics to end the year!University Hospitals of Cleveland EMSi
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The End of Year Grab Bag Episode - Part 2
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Ray, Scott, Caleb and Dr. Hill continue the discussion of analgesics, specifically Toradol, and then move on to the patient assessment considerations on administering pain control meds.University Hospitals of Cleveland EMSi
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The End of Year Grab Bag Episode - Part 1
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To end '23, we are answering your random questions. The gang is together literally pulling questions randomly and answering them. In Part 1, the question of RSI being a standard protocol is reviewed as well as a review of the various analgesic agents.University Hospitals of Cleveland EMSi
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Episode 135: Deep Dive with paramedic Susie Burnnet and Dr. Innes
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Our EMS clinicians are a key link in the chain of survival of cardiac arrest patients. A critical part of prehospital medicine is recognizing cardiac arrest and then enacting appropriate treatment. In this podcast, we interview Susie Burnett MS, EMT-P, PhD candidate in Health Communication and Qualitative Methods & Dr. Johanna Innes MD, NRP, FAEMS …
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Shock - Part 4, The Live Episode Pulls it All Together
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Dr. John Hill joins us to discuss Shock and all the different levels and types of shock. Anticipating shock helps to keep you ahead of the curve, but is it always done? "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." Participants joined us live with their questions.University Hospitals of Cleveland EMSi
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Shock - Part 3, Anaphylactic Shock and Cardiogenic Shock
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An epi pen owned by the patient may actually be helpful in the resuscitation of a patient experiencing anaphylactic shock. There's also a discussion around the thought, "Patients don't suddenly deteriorate. Healthcare providers suddenly notice." A cardiogenic shock discussion then winds up the episode.…
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Air Methods Prehospital EDucation Podcast Ep 34: Don't Be a Canary
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Things are not as they seem on this month's episode of AMPED. Our team arrives on scene to find first responders dealing with a chemical burn and administering CPR. But something is amiss. This episode is a stark reminder that no matter the time of day, no matter the other circumstances, our role as clinicians is to stay vigilant in our analysis an…
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Air Methods Prehospital EDucation Podcast Ep 34: Don't Be a Canary
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Things are not as they seem on this month's episode of AMPED. Our team arrives on scene to find first responders dealing with a chemical burn and administering CPR. But something is amiss. This episode is a stark reminder that no matter the time of day, no matter the other circumstances, our role as clinicians is to stay vigilant in our analysis an…
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Shock - Learn to Anticipate it and Prepare
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Anticipating shock helps to keep you ahead of the curve. Sure, it sounds apparent but, is it truly done? Then we move into one of the rare types of shock, neurogenic and anaphylaxis gets a mention.University Hospitals of Cleveland EMSi
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Shock - Recognizing and Aggressivel Treatment Of
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Dr. Donald Spaner sits in with us for the month of November to talk all of the levels and types of shock. There's a lot to unpack in this episode! Assessment, prevention and treatment of. Cardiogenic shock Hypovolemic shock Anaphylactic shock Septic shock Neurogenic shock Distributive shockUniversity Hospitals of Cleveland EMSi
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Ep. 134: PEC Vol. 27 No. 5
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PEC Journal Volume 27 Number 5 In this episode, the PEC podcast team covers the Prehospital Emergency Care Journal Volume 27 Number 5. We talk about engaging manuscripts in this journal like: Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement & EMS Care of Adult Hospice Patients– a Position Statement and Resource…
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It's a PPP Extra - Catching up on Pharmacology, Peds, Protocols and Airways
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Dr. Hill, Scott, Ray and Caleb gather together to talk about some random peds, protocol, drug administration and airway notes from the previous episodes. Heparin administration is the opening chat then we move into airway evaluation, using protocols and helpful items like Broselow tapes. We even through in some documentation for refusal tips!…
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Pediatrics Real and Simplified, Live, With Dr. Regina Yaskey
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Dr. Regina Yaskey joins us to discuss pediatric emergencies. Everyone knows that pediatric patients are not small adults. Dr Yaskey talks about the intricacies of assessing and treating pediatric patients. We talk about the pediatric assessment triangle, advanced airways, simple practices that have great impact, common and not-so-common calls, as w…
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Air Methods Prehospital EDucation Podcast Ep 33: Look One Way, But Go Another
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In a Florida nature park, a woman is bitten by a snake, which is not terribly uncommon in this part of the country. What is unusual is her reaction to it, which is severely anaphylactic. With limited resources in the sprawling park, a closing window for treatment, and critical decisions to be made instantly, how will the team assess, handle and tre…
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