911cast EMS Podcast Scott Topiol, MSN, RN, CEN, MICN

We've all been taught that the last thing you want to do to a sick child in respiratory distress is upset them by sticking an oxygen mask to their face. For many of us, "blow by" oxygen is our go-to in these situations.  But is it actually the right choice?  In this episode we'll take a closer look at the practice and the evidence. (Spoiler alert: it doesn't work).

References:

Barends, C. R. M., Yavuz, P., Molenbuur, B., & Absalom, A. R. (2018). Performance of blow-by methods in delivering oxygen to pediatric patients during transport: A laboratory study. Pediatric Anesthesia, 28(12), 1142-1147. https://doi.org/10.1111/pan.13515 
Blake, D. F., Shih, E. M., Mateos, P., & Brown, L. H. (2014). The efficacy of oxygen wafting using different delivery devices, flow rates and device positioning. Australasian Emergency Nursing Journal, 17(3), 119-125. https://doi.org/10.1016/j.aenj.2014.05.002 
Davies, P., Cheng, D., Fox, A., & Lee, L. (2002). The efficacy of noncontact oxygen delivery methods. Pediatrics, 110(5), 964-967. https://doi.org/10.1542/peds.110.5.964 
Harris, M., Lyng, J. W., Mandt, M., Moore, B., Gross, T., Gausche-Hill, M., & Donofrio-Odmann, J. J. (2022). Prehospital Pediatric Respiratory Distress and Airway Management Interventions: An NAEMSP Position Statement and Resource Document. Prehospital Emergency Care, 26(sup1), 118-128. https://doi.org/10.1080/10903127.2021.1994675 

Alcohol and benzodiazepine withdrawal are life-threatening conditions that are often under-appreciated by EMS providers.  In this episode, we discuss what makes these conditions so dangerous and how to improve your detection and care of these patients.  There's even an obscure music lyrics reference hidden inside.  Enjoy!

Audio of Sepsis Detective EMS CE presented via Zoom on June 15, 2023.

Whether you call it Excited Delirium, Agitated Delirium, or the newer Hyperactive Delirium with Severe Agitation, this controversial condition often leads to restraint-related sudden cardiac arrest.  Listen to this episode before you restrain your next agitated patient!
Madison Programs BrooklynCPR and First Aid training in New York. Available to train your personnel at your locationOneKit First Aid KitsMore than ever, you need to be prepared. Get your OneKit First Aid Kit today!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

Given for Hatzolah EMS on March 10, 2022.  Capnography for EMS Providers.

Watch the video version at https://youtu.be/MKgDG9KFMHE
Madison Programs BrooklynCPR and First Aid training in New York. Available to train your personnel at your locationDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.

Patients with Sickle Cell Disease often present to EMS with acute pain. In this episode we'll discuss best practices in assessing and treating that pain and discuss when to provide IV fluids and supplemental oxygen. 
Madison Programs BrooklynCPR and First Aid training in New York. Available to train your personnel at your locationOneKit First Aid KitsMore than ever, you need to be prepared. Get your OneKit First Aid Kit today!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.