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	<title>Podcast for EMT Paramedics and EMS Students &#187; syncope</title>
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	<description>A blog for the MedicCast Podcast for EMT&#039;s, Paramedics and EMS Providers</description>
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	<itunes:summary>A blog for the MedicCast Podcast for EMT&#039;s, Paramedics and EMS Providers</itunes:summary>
	<itunes:author>Jamie Davis, the Podmedic</itunes:author>
	<itunes:explicit>no</itunes:explicit>
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		<itunes:name>Jamie Davis, the Podmedic</itunes:name>
		<itunes:email>podmedic@mac.com</itunes:email>
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	<managingEditor>podmedic@mac.com (Jamie Davis, the Podmedic)</managingEditor>
	<itunes:subtitle>A blog for the MedicCast Podcast for EMT&#039;s, Paramedics and EMS Providers</itunes:subtitle>
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		<title>Podcast for EMT Paramedics and EMS Students &#187; syncope</title>
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		<title>Emergency Care of Pulmonary Embolism and Episode 195</title>
		<link>http://www.mediccast.com/blog/2009/11/29/emergency-care-of-pulmonary-embolism-and-episode-195/</link>
		<comments>http://www.mediccast.com/blog/2009/11/29/emergency-care-of-pulmonary-embolism-and-episode-195/#comments</comments>
		<pubDate>Mon, 30 Nov 2009 02:04:05 +0000</pubDate>
		<dc:creator>pmproducer</dc:creator>
				<category><![CDATA[MedicCast Podcast Shownotes for EMT, Paramedic, Medic, EMS Students and Educators]]></category>
		<category><![CDATA[abdominal pain]]></category>
		<category><![CDATA[chest pain]]></category>
		<category><![CDATA[cor pulmonale]]></category>
		<category><![CDATA[deep vein thrombosis]]></category>
		<category><![CDATA[DIC]]></category>
		<category><![CDATA[disseminated intravascular coagulation]]></category>
		<category><![CDATA[dvt]]></category>
		<category><![CDATA[dyspnea]]></category>
		<category><![CDATA[hemoptysis]]></category>
		<category><![CDATA[PE]]></category>
		<category><![CDATA[pulmonary embolism]]></category>
		<category><![CDATA[pulmonary hypertension]]></category>
		<category><![CDATA[pulmonary thromboembolism]]></category>
		<category><![CDATA[seizure]]></category>
		<category><![CDATA[syncope]]></category>
		<category><![CDATA[thrombophlebitis]]></category>
		<category><![CDATA[venous thromboembolic disease]]></category>
		<category><![CDATA[Virchow triad]]></category>

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		<description><![CDATA[<h3>Welcome to Episode 195</h3>
<p>The MedicCast is a proud member of the <a  title="ProMed Network site" href="http://promednetwork.com" target="_blank">ProMed Podcast Network</a>.</p>
<p><a  title="podcastdownload.jpg" href="http://www.podtrac.com/pts/redirect.mp3/media.blubrry.com/mediccast/traffic.libsyn.com/mc/MedicCast_2009_11_30.mp3" target="_blank"><img title="podcastdownload.jpg" src="http://www.mediccast.com/blog/wp-content/uploads/2007/11/podcastdownload.jpg" alt="podcastdownload.jpg" align="absmiddle" /></a> Right Click here to download (Macs Ctrl Click)</p>
<p><a  title="itunesnew.jpg" href="http://phobos.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?id=165682697"><img title="itunesnew.jpg" src="http://www.mediccast.com/blog/wp-content/uploads/2007/11/itunesnew.jpg" alt="itunesnew.jpg" align="absmiddle" /></a> Subscribe with iTunes here!</p>
<p>A podcast for EMT&#8217;s, Paramedics, and other medical providers of all kinds.</p>
<p><a  href="http://www.mediccast.com/blog/2009/11/29/emergency-care-of-pulmonary-embolism-and-episode-195/" class="more-link">Read more on Emergency Care of Pulmonary Embolism and Episode 195&#8230;</a></p>
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			<itunes:keywords>abdominal pain,chest pain,cor pulmonale,deep vein thrombosis,DIC,disseminated intravascular coagulation,dvt,dyspnea,hemoptysis,PE,pulmonary embolism,pulmonary hypertension</itunes:keywords>
		<itunes:subtitle>Welcome to Episode 195 The MedicCast is a proud member of the ProMed Podcast Network.   Right Click here to download (Macs Ctrl Click)   Subscribe with iTunes here!  A podcast for EMT&#039;s, Paramedics, and other medical providers of all kinds.</itunes:subtitle>
		<itunes:summary>Welcome to Episode 195
The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com).

(http://www.mediccast.com/blog/wp-content/uploads/2007/11/podcastdownload.jpg) Right Click here to download (Macs Ctrl Click)

(http://www.mediccast.com/blog/wp-content/uploads/2007/11/itunesnew.jpg) Subscribe with iTunes here!

A podcast for EMT&#039;s, Paramedics, and other medical providers of all kinds.

Get the Brand New Commercial Free Version of the MedicCast (http://www.premiumcast.com/mediccast-adfree)!

Just $2 a month gets you enhanced podcasts, no commercials, and delivery via iTunes!

Sign up now (http://www.mediccast.com/podcasts/MedicCast-aac-adfree.xml) and get the first week free!

----------------------------

Sponsored by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com)
Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) 

	* NREMT Study and Prep Tips
	* All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
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	* Extra Members-Only content added monthly


GoToMyPC: As secure as online banking. Try it FREE for 30 days (http://www.gotomypc.com/podcast).

---------------------------

Tim&#039;s Voicemail link for NAEMT Peds class (http://www.naemt.org/education/epc_a.aspx)

--------------------------
EMS News---
Bakersville Resident Asks for Ambulance Silence During Quiet Times (http://www.bakersfield.com/news/local/x930476205/Ask-TBC-Can-we-silence-ambulances-during-quiet-times)

Pediatric EMS Classes In and Around Richmond (http://www.examiner.com/x-27798-Richmond-EMS-Examiner~y2009m11d7-Pediatric-EMS-classes-in-and-around-Richmond--updated-November-7-2009)

Treating Trauma Victims Causes Its Own Trauma (http://www.emsresponder.com/online/article.jsp?siteSection=1&amp;id=10994)

--------------------------
Tip This Week  Pulmonary Embolism
Pulmonary Embolism is a sudden blockage in a lung artery. It is usually a result of a blood clot in the leg (DVT) that broke loose and traveled into the lungs via circulation.

About half the people who have pulmonary embolism do not show any symptoms, but clinical manifestations include shortness of breath, chest pain or coughing up blood. Treatment is aimed at breaking up the blood clots and preventing formation of new clots.

The most important thing that can be done in the prehospital setting is to transport the patient to a hospital. As long as no reliable method is available of making a clinical diagnosis of pulmonary embolism (PE) without diagnostic tests, treating PE in a meaningful way in the field will remain difficult. Emergency interventions are aimed at respiratory management and establishment of an IV line.

Pulmonary Embolism by Emedicine (http://emedicine.medscape.com/article/759765-overview)

Pulmonary Embolism by Medline Plus (http://www.nlm.nih.gov/medlineplus/pulmonaryembolism.html)

Critical Care Paramedic Protocols for Pulmonary Embolism (http://www.ssgfx.com/CP2020/medtech/procedures/protocols.htm#pulmonary_embolism)


----------------------------

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Contact Me!

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

email me at podmedic@mac.com (mailto:podmedic@mac.com)

---------------------------
Song this Week
Podsafe Holiday Music from Basic (http://basicmm.com/music/gc.html) -- Joy to the World </itunes:summary>
		<itunes:author>Jamie Davis, the Podmedic</itunes:author>
		<itunes:explicit>no</itunes:explicit>
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		<item>
		<title>Orthostatic Vital Signs and Episode 160</title>
		<link>http://www.mediccast.com/blog/2009/03/22/orthostatic-vital-signs-and-episode-160/</link>
		<comments>http://www.mediccast.com/blog/2009/03/22/orthostatic-vital-signs-and-episode-160/#comments</comments>
		<pubDate>Sun, 22 Mar 2009 23:04:52 +0000</pubDate>
		<dc:creator>producer</dc:creator>
				<category><![CDATA[MedicCast Podcast Shownotes for EMT, Paramedic, Medic, EMS Students and Educators]]></category>
		<category><![CDATA[fainting spells]]></category>
		<category><![CDATA[fluid deficit]]></category>
		<category><![CDATA[fluid replacement]]></category>
		<category><![CDATA[hypovolemia]]></category>
		<category><![CDATA[orthostatic]]></category>
		<category><![CDATA[syncopal]]></category>
		<category><![CDATA[syncope]]></category>
		<category><![CDATA[vital signs]]></category>

		<guid isPermaLink="false">http://www.mediccast.com/blog/?p=1351</guid>
		<description><![CDATA[<h3><a  title="ProMedNetwork.com" href="http://www.promednetwork.com/"><img src="http://www.promednetwork.com/pdata/badges/125x125.jpg" border="0" alt="ProMedNetwork.com" width="90" height="90" align="right" /></a><strong>Welcome to Episode 160</strong></h3>
<p>The MedicCast is a proud member of the <a  title="ProMed Network site" href="http://promednetwork.com" target="_blank">ProMed Podcast Network</a>.</p>
<p><a  title="podcastdownload.jpg" href="http://www.podtrac.com/pts/redirect.mp3/media.blubrry.com/mediccast/traffic.libsyn.com/mc/MedicCast_2009_03_23.mp3" target="_blank"><img title="podcastdownload.jpg" src="http://www.mediccast.com/blog/wp-content/uploads/2007/11/podcastdownload.jpg" alt="podcastdownload.jpg" align="absmiddle" /></a> Right Click here to download (Macs Ctrl Click)</p>
<p><a  title="itunesnew.jpg" href="http://phobos.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?id=165682697"><img title="itunesnew.jpg" src="http://www.mediccast.com/blog/wp-content/uploads/2007/11/itunesnew.jpg" alt="itunesnew.jpg" align="absmiddle" /></a> Subscribe with iTunes here!</p>
<p>A podcast for EMT&#8217;s, Paramedics, and other medical providers of all kinds.</p>
<p><a  href="http://www.mediccast.com/blog/2009/03/22/orthostatic-vital-signs-and-episode-160/" class="more-link">Read more on Orthostatic Vital Signs and Episode 160&#8230;</a></p>
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		<slash:comments>0</slash:comments>
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			<itunes:keywords>fainting spells,fluid deficit,fluid replacement,hypovolemia,orthostatic,syncopal,syncope,vital signs</itunes:keywords>
		<itunes:subtitle>Welcome to Episode 160 The MedicCast is a proud member of the ProMed Podcast Network.   Right Click here to download (Macs Ctrl Click)   Subscribe with iTunes here!  A podcast for EMT&#039;s, Paramedics, and other medical providers of all kinds.</itunes:subtitle>
		<itunes:summary>(http://www.promednetwork.com/pdata/badges/125x125.jpg)Welcome to Episode 160
The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com).

(http://www.mediccast.com/blog/wp-content/uploads/2007/11/podcastdownload.jpg) Right Click here to download (Macs Ctrl Click)

(http://www.mediccast.com/blog/wp-content/uploads/2007/11/itunesnew.jpg) Subscribe with iTunes here!

A podcast for EMT&#039;s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey! (http://mediccast.com/survey)

----------------------------

Sponsored by the MedicCast Extra (http://www.mediccast.com/amember/signup.php), MedicCast Store (http://store.mediccast.com), and Lexi-comp (http://www.lexi.com/mediccast)

Extra Content for MedicCast Listeners for less than $1 per day (via monthly 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


Lexi-Comp, the premium provider of mobile medication reference software including new iPhone and iPod Touch (http://click.linksynergy.com/fs-bin/stat?id=F8fXfrcbE/o&amp;offerid=146261&amp;type=3&amp;subid=0&amp;tmpid=1826&amp;RD_PARM1=http%253A%252F%252Fitunes.apple.com%252FWebObjects%252FMZStore.woa%252Fwa%252FviewArtist%253Fid%253D295207927%2526partnerId%253D30) apps, Lexi Tox and many other Lexi-Comp products.
Visit www.Lexi.com/mediccast (http://www.lexi.com/mediccast) and sign up to win a free iPod Touch and Lexi-Comp software.

---------------------------------
Link of the Week- Email Me (mailto:podmedic@mac.com) if You Want to Meet Up at EMS Today on Saturday for Lunch!

------------------------------------
EMS News- 
FEMA Gets a Storm-Tested Nominee (http://www.emsresponder.com/web/online/Top-EMS-News/FEMA-Gets-a-Storm-Tested-Nominee/1$9161)

Arkansas Passes Trauma Care Bill (http://www.emsresponder.com/web/online/Top-EMS-News/Arkansas-Passes-Trauma-Care-Bill/1$9172)

EMS Providers Urged to Clean Stethoscopes (http://www.newswise.com/articles/view/549903/)
Study Finds Heart Disease An Epidemic For Firefighter (http://www.emsresponder.com/web/online/Top-EMS-News/Study-Finds-Heart-Disease-An-Epidemic-For-Firefighters/1$9174)s (http://www.emsresponder.com/web/online/Top-EMS-News/Study-Finds-Heart-Disease-An-Epidemic-For-Firefighters/1$9174)


----------------------------------

Tip/Trick of the Week- Orthostatic Vital Signs (assessing for hypovolemia)
Taking orthostatic vital signs on the scene, before, and after fluid therapy can be a big help to the ER when you are bringing in a patient who is complaining of dizziness, light headedness, or syncopal episodes and there is no clear cardiac cause such as bradycardia or other arrhythmia.

Orthostatic vital signs, also known as tilt testing or postural vitals, is an assessment tool used to identify patients with a fluid volume deficit such as dehydration. It assesses the patient in multiple positions and tests the cardiovascular response to the changes in position after a short period of time (usually 1 to 2 minutes).

Changes of greater than 20 mm Hg systolic in the blood pressure reading or greater than 10 to 20 BPM in the heart rate after a postural change may indicate that the person is low on fluids and may be a candidate for a fluid bolus. (Refer to your own protocols or to online medical control before administering such a bolus)

Follow the links below for more on vital signs and orthostatic or tilt testing.

Orthostatic Vitals Overview (http://enw.org/Research-Orthostatic.htm)

Beyond the Basics: Interpreting Vital Signs (http://www.emsresponder.com/print/EMS-Magazine/Beyond-the-Basics--Interpreting-Vital-Signs/1$4655)

How is dizziness diagnosed? (http://www.medicinenet.com/dizziness_dizzy/page7.htm)

------------------------------

Contact the MedicCast EMS Podcast:

Comment or share ideas at the MedicCast Forums forums.mediccast.</itunes:summary>
		<itunes:author>Jamie Davis, the Podmedic</itunes:author>
		<itunes:explicit>no</itunes:explicit>
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