August 24, 2008 @ 9:59 pm

Welcome to Episode 132

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A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey and you might win an iPod Touch!

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Link of the WeekNew Anticoagulant Test in Back of Ambulance

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News:

Quick thinking saved stroke victim’s life

New York Rescuers Deliver 3 Babies in Transit

Alabama’s Infant Mortality Rate Increases In 2007

Older Patients Less Likely to Be Taken to Trauma Centers

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Tip/Trick of the Week — Geriatric Trauma

Geriatric Trauma Article by Dr. Thomas Scalea

Australian and New Zealand Anaesthetists on Geriatric Trauma

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Med of the Week– Geriatric Polypharmacy Considerations

Polypharmacy Online Article from Geriatric Times Magazine

Polypharmacy in the Elderly (ppt download)

Walgreens Article on Polypharmacy Guidelines (pdf download)

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Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

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Music from The Podsafe Music Network

This week - Natalie Gelman with the song,”Always Was”

Click below for Natalie Gelman’s songs on iTunes

Natalie Gelman - Natalie Gelman -Always Was

Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

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Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



August 23, 2008 @ 1:29 pm

nsrhythm_2.jpgListener Woody asked (again) about good sites for EKG practice. I’ve looked around and come up with a few suggestions and gotten a few ideas from other listeners as well. First of all I’d like to stress that all of us need to work on skills maintenance all of the time. It is the reason for our continuing education requirements.

First a plug for the MedicCast Extra premium site.  The MedicCast Extra site has a whole series on cardiac emergencies, ACLS philosophy, and EKG reading.  Visit MedicCastExtra.com to learn more about the site.

Now, on to the rest of the links and resources.

EKG reading is a skill that is no different. For most of us, we look at monitor readings all of the time. But how often do you see some of the rare but critical heart rhythms. It is a good idea for all of us to review our common and uncommon heart rhythms on a regular basis. Practice makes our assessment and diagnosis skills sharper and may save a patient’s life down the road.

Here are the suggestions:

  1. The National Institutes of Health (NIH) Medline site on arrhythmias has a good resource for starters and general information.
  2. Check out the EKG learning section over at EMS Village with helpful definitions and animations on heart function and rhythm definition.
  3. Here is an interactive site from Merck on abnormal heart rhythms that is a good resource for review and includes a variety of possible treatment drugs for each.
  4. Longtime listener Helen sent this one in as well. Emergencyekg.com
  5. ECG Wave Maven includes a quiz mode
  6. Blaufuss Medical Media Site for ECG Learning and Heart Sounds, too!
  7. Chris Black, a good friend of the MedicCast offered this software package from Mad Scientist Software on ACLS and Heart Rhythm identification and treatment. Chris says, “I’ve used this stuff for years. It’s the best thing out there. It’s entertaning as well as very informative. The Code Team software is all anyone will need.” Thanks, Chris!



August 22, 2008 @ 3:14 pm

Listener Dan shared this with me over at my Facebook page (visit and be my friend). It’s an EMS video I’ve seen around on YouTube and other places but it does a good job of showing us at work and it’s a pretty good tune, too.

Thanks for sending this to me, Dan!



August 21, 2008 @ 9:42 pm

I found this review of the MedicCast Network over at the Materia Medica blog at Blogspot.com. I love it when I find that people are happy with the content here at the MedicCast podcast. This article recommends the show to any and all medical professionals from doctors and nurses all the way to EMTs and paramedics.

Thanks to Raphael, the author of the blog for the kind words. It’s an honor to provide resources for this community. If you have a blog, write a review of the MedicCast or Nursing Show sites and podcasts. I’ll return the favor and definitely add you to the MedicCast and Nursing Show blog rolls.



August 20, 2008 @ 9:29 pm

emsambo_sm.jpgAccording to an article link sent in to me by listener Rika, prehospital services may be getting a new mix of anticoagulant and clotbusting drugs in the future.  The study from the journal Lancet features a study from the Netherlands that looked at the addition of a new drug, tirofiban (Aggrastat), to the usual mix of aspirin, heparin, and clopidrogel (Plavix).

The researchers were looking for whether there was an increased risk of bleeding from the additional drug to the cocktail when compared to placebo and found there wasn’t a significant difference.  They also noticed a lower mortality rate and better post hospital outcome in the patients who received the additional drug than those who received the placebo, although that was not the intended focus of their study.

It is always interesting to me how the other world communities treat cardiac events in the field.  We all seem to use aspirin.  However, there are many differences in what some communities use compared to others.  While the use of thrombolytics seems to be more common in the U.S., other parts of the world seem to be more focused on stopping the formation of further clots in the prehospital field.  Their studies seem to back this practice up.

Aspirin and Heparin, along with both Tirofiban and Clopidrogel are all anticoagulants.



August 19, 2008 @ 9:24 pm

The summer hiatus is over and it’s time to start up the MedicCast Live segments again. It becomes so hard to schedule guests over the summer months because of vacation schedules that the MedicCast Live goes away over the summer months, but it’s back and will be featuring one of the MedicCast Listener’s favorite guests, Lisa Booze from Maryland Poison Control, along with our regular cohort of EMS podcasters and bloggers to chime in.

Next month, on Tuesday, September 9th at 10PM ET, Lisa will be my guest on the MedicCast Live.  September’s show will focus on poisonings, overdoses and using the resources of the poison control centers around the world to help medical personnel provider emergency care in the field.

The live call-in show will be hosted by Talkshoe.com which provides you the opportunity to listen online, type in the chat room, or call in live by phone to the show.

Spread the word!



August 18, 2008 @ 8:58 pm

I recently returned from the New Media Expo. The expo was a great opportunity to meet other podcasters and spread the word about the Science Podcasters site. Here are my impressions and a few of the people I met. My goals for Science Podcasters were to invite other science and medical podcasters to join the site and to run the Medical podcaster’s meet up.

I’ll start off with the Medical Podcaster’s meet up which was held on Friday morning before the Will It Blend keynote. In attendance were:

Also in attendance at my invitation were the guys from RawVoice.com. They are working to help arrange avenues for advertising in the medical and science space. They are all podcasters themselves and run the Blubrry Podcast community. They offered some insights into promoting podcasts, gaining listeners, and attracting advertising.

The group discussed how we marketed our podcasts and we all decided that we should do more cross promotion between medical and science podcasts. Dr. Dave offered to interview others on any psychological topic or to be interviewed on someone else’s show. The folks from AORN are just getting started in podcasting for their membership and welcome input and crossover promotion.

Also discussed were methods of gaining and assessing audience and website statistics. The Raw Voice team has a pretty good statistics package in both a free and a premium version. Barry Kranz from Raw Voice also suggested Quantcast.com as a way to gain info on site traffic. Other statistics sources included Podtrac’s free stats program and the resources available through Libsyn.com and Wizzard Media.

There were also some discussions about the gathering of survey information about listeners. Survey Monkey came up as a service that offers both free and paid services. Also, both Wizzard Media and Podtrac offer advertiser surveys for podcasters.

In addition to the Medical Podcasters Meet up, I also had an opportunity to talk with many other science and medical podcasters, including Donovan Steutel from ScienceAudio.net and Robert Frederick from Science Magazine. I invited them to check out the Science Podcasters site and consider joining in the cross promotion of their podcasts and sites.

In the NME exhibit hall, I found many vendors focused on helping podcasters to use online video. For those of us in the education sector, there were several options available in both software and hardware. Since I was speaking about using podcasting and new media in higher education, I was interested in ways lecturers could record their classes for later use by students.

Two software options stood out for the education marketplace. On the individual podcasters or instructor level there was Profcast from Humble Daisy software. This is currently a Mac only application but a windows version is on the way. For institutional uses, there is Panopto.com. This software package may be free to educational institutions under their charter from Carnegie Mellon University where it was developed.

The expo was a huge success from my viewpoint and I can’t wait for next year’s show. If you are a science or medical podcaster, you need to make plans to attend next year’s show.



August 17, 2008 @ 9:00 pm

Welcome to Episode 131

blubrrybadge88x31.jpgThe MedicCast is a proud member of the Blubrry Podcast Network.

podcastdownload.jpg Right Click here to download (Macs Option Click)

itunesnew.jpg Subscribe with iTunes here!

A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey and you might win an iPod Touch!

—————————-

Sponsored by the MedicCast Extra

Extra Content for MedicCast Listeners for less than $1 per week (via Paypal subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members — Get the segments as a podcast
  • Extra Members-Only content added monthly

ems72.gifSave 10% on Pepid EMS — a revolutionary EMS pocket field guide for providers of all kinds

MedicCast Listener Deals at GoDaddy.com

Code BLU27 gets you 10% off your order at checkout
Code POD27 gets you 10% off any web hosting order at checkout
Try them out and get your piece of the internet at GoDaddy.com!

BLOCKBUSTER Total Access — activate coupon for $10 off your first month.

——————————–

Link of the WeekNational Library of Medicine Daily Med Link

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News:

San Francisco BART Hires Standby Paramedics

Ambulance response to improve

Gas Crunch Drives More NYC Bikers to ER

Risk Of Unintentional Injury Death Is High For Young Children

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Tip/Trick of the Week — Insecticide Poisonings

Lisa Booze from Maryland Poison Control


CDC on Organophosphate/Nerve Agent Poisoning

NIH on Pesticides
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Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

————————————————

Music from The Podsafe Music Network

This week - The Detonators with the song “Bugs”

Click here to check out other Songs from the MedicCast Network Podcasts at the iTunes Store.

————————————–

Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



August 13, 2008 @ 10:13 pm

xray_news.jpgFirst of all — OUCH!!!

Check out this article over at EMSresponder.com.  While running from police officers, a Philadelphia man miscalculated while climbing over a fence and ended up getting impaled on a wrought iron fence. There is some discussion over whether the man slipped or was pulled down onto the fence by pursuing officers.

For our purposes here the injury gels very well with the recent episode of the MedicCast on Mechanism of Injury.  When you are presented with an unusual situation like this one, you need to dig into your knowledge of the anatomy and physiology of the human body to make sure that the rescue effort doesn’t cause more damage than the injury.

Here are  a few of the things you need to have lined up with this rescue effort:

  • Pain management to limit patient movement
  • Sedation may be necessary
  • Calling in a hospital surgical team if available
  • Stabilizing the fence
  • Stabilizing the patient
  • Transport destination and mode of transport (air, ground)

What else can you think of  that I haven’t?

Add your comments below or shoot me an email and I’ll talk about it on the MedicCast Podcast in a future episode.



August 12, 2008 @ 9:10 pm

Press Release, August 1, 2008

National EMS Memorial Bike Ride

The National EMS Memorial Bike Ride has announced a search to find an official logo for the 2009 ride. The 2008 logo (the biker in the ribbon) has served us well, but, with a new year and a new ride, it only seemed right that there also be a new logo.

Several artists have already shown their work and the Board of Directors decided it would be fun to allow anyone interested the opportunity to submit candidates for the 2009 logo.

The contest runs from August 1, 2008 through September 1, 2008. The winning artist’s work will be prominently displayed on the 2009 jersey, website and our always popular fund-raising t-shirt.

Those interested are encouraged to submit their work to contest@muddyangels.org.

podmedic_avatar.jpg————————-

This is a great way to support our fallen comrades.  If you have a way with graphic design, try your hand at creating a design for this worthy cause!

Jamie, the Podmedic



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