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The EMS Lighthouse Project
51 minutes | Sep 17, 2021
Episode 48 – Airway Updates from NEAR
Mike and Jeff get together to discuss some airway papers from the National Emergency Airway Registry (NEAR) and float an idea for some merch.If you like the show, please give us a like on YouTube and a 5-star rating wherever you get your podcasts. Drop us questions/comments/suggestion for future pods at: Jeff.email@example.com, @DrJeffJarvis, or Mike.Verkest@flightbridgeed.com, @MikeVerkest
23 minutes | Aug 27, 2021
Episode 47 – ETI Attempts and Outcomes in Out of Hospital Cardiac Arrest
In this episode, Dr. Jarvis discusses a paper that is hot off the presses and that he’s super excited to talk about. The good folks up in Seattle, WA and the Seattle FD looked at their cardiac arrest survival rates as a function of the number of intubation attempts needed to secure the airway. Results from this trial might help explain the 2.9% improved survival with King LT vs ETI that we saw in the PART trial. Join us to hear all the juicy details. As always, if you like the pod, give us a 5-star rating wherever you get your pods. If you have any questions, drop us a note: firstname.lastname@example.org or @DrJeffJarvis and email@example.com or @MikeVerkest. You can also follow the pod on Twitter at @EMSLighthouseProject.
78 minutes | Jul 29, 2021
Episode 46: 2020 EMS LLSA Review with Dr. Casey Patrick
Every other year board certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM) to be something all EMS physicians should know. Dr. Jarvis and Dr. Casey Patrick (@cpatrick_89) from Montgomery County Health District EMS gave a lecture reviewing the 2020 ABEM EMS LLSA articles at the recent meeting of the Texas Chapter of NAEMSP. We got together right after our lecture to record this podcast going over these articles. Join us from the Cavalier Room at the Historic Menger Hotel (@mengerhotel) in downtown San Antonio, literally next door to the Alamo.
87 minutes | Jun 30, 2021
Episode 45: ESO Ketamine Paperfrom Eagles
Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inappropriate purposes. So much controversy. What should we believe? When in doubt, follow the data. Dr. Jeff Jarvis reviews a very timely paper just released in Annals of Emergency Medicine using the 2019 Data Collaborative data set that aims to describe the characteristics of patients getting ketamine as well as the potential deaths associated with it. As an added bonus, Drs. Remle Crowe and Brent Myers join Dr. Jarvis for an interview about their paper and the controversies surrounding ketamine use.
47 minutes | Jun 11, 2021
Episode 44: OHCA Update from Bend, OR
What is the impact of on-scene resuscitation vs intra-arrest transport on outcomes? Could the differences in first pass success between ETI and King LT have accounted for the differences in outcome in the PART trial? How about differences in compression interruptions? In this episode recorded on the road in Bend, Oregon, Dr. Jarvis reviews three new papers that address just these questions. He then has an interview and Petar and Amber Hossick about how Bend Fire Rescue has implemented tenets of improvement science to impact survival in their community.
18 minutes | May 28, 2021
Episode 43: mRNA Vaccines – Real World Efficacy
We saw the amazing performance of the two mRNA COVID vaccines from Pfizer and Moderna in their RCTs. As encouraging as trial performance is, we always want to see how those numbers hold up under large-scale, real-world pragmatic conditions. Well, we now have three new pieces of information on that. And, for the cherry on top, we get evidence of performance against asymptomatic infection! Dr. Jarvis does a quick review of the latest evidence on vaccine performance.
24 minutes | Apr 2, 2021
Episode 42: Droperidol Black Box Warning
December 4, 2001. A bad day, indeed. That’s the day the FDA issued a black box warning for droperidol, citing evidence of QT prolongation, Torsades de Pointes, and death. This was a surprise warning because droperidol had been extensively used by emergency medicine and anesthesiology for decades without apparent problems. Since this bad day, we’ve essentially been without droperidol. Fortunately, it’s back! Before we start using it again, we should take a look at what got this drug on the FDA’s radar. Dr. Jarvis reviews the literature about the “evidence” behind the warning and describes how his systems will be bringing droperidol back into practice.
16 minutes | Feb 27, 2021
Episode 41: Breaking News: Johnson and Johnson COVID Vaccine
The FDA just granted EUA for the Johnson and Johnson vaccine against COVID. This is a big deal because it is a one-shot vaccination that is much more stable than the two mRNA vaccines. Dr. Jarvis does a quick overview of the data submitted to the FDA for their approval.
47 minutes | Feb 11, 2021
Bonus Episode: Medical Directors Gone Wild, Part Deux
LIVE from a virtual Texas EMS Conference, we bring you a session moderated by Mike featuring Drs. Jeff Jarvis, Jason Pickett, and Heidi Abraham. This is the highly anticipated Part Deux of a session we all did at the Texas EMS Conference in Fort Worth 2019… back before “the situation” when we could all meet in person like civilized humans. We discussed a variety of topics including the new DEA rules about controlled substances, the new AHA guidelines, and lots of other goodies. But mostly, we just had fun.
17 minutes | Feb 1, 2021
Episode 39: Ketamine Only Intubation: Next Great Thing or Procedure In Search of an Indication?
Ketamine only intubation has been promoted by some as a safe approach to airway management in patients with anatomically or physiologically difficult airways. It turns out Dr. Jarvis has some thoughts on the subject. He uses a 2020 paper by Dr. Driver entitled “Success and Complications of the Ketamine-Only Intubation Method in the Emergency Department” to discuss this concept. If you like what you hear, please give us a 5-star rating wherever you get your podcasts and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all). All of our podcasts are now also released in video format on the FlightbridgeED YouTube channel. Take a look, subscribe, and give us a ‘thumbs up’. As always, we want to hear your feedback and questions/comments. You can reach us at @DrJeffJarvis, firstname.lastname@example.org and @MikeVerkest, email@example.com. Thanks y’all!
106 minutes | Jan 5, 2021
Episode 38: Pediatric Intubation: Are Children Just Small Adults?
Children are often considered to be just small adults, much to the dismay of pediatricians everywhere. But when it comes to peri-intubation cardiac arrest, is it true? We know that, in adults, peri-intubation hypoxia is a strong predictor of cardiac arrest. Is this true in pediatric patients? This episode features another oral board case with Dr. Erin Lincoln (@ErinTWL) and live discussion with Mike (@MikeVerkest), Jeff (@DrJeffJarvis) and special guest Dr. Peter Antevy (@HandtevyMD). Our live segment had lots of great listener questions which led Peter and Jeff to go deep down the rabbit hole of safe intubation practices. If you like what you hear, please give us a 5-star rating wherever you get your podcasts and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all). All of our podcasts are now also released in video format on the FlightbridgeED YouTube channel. Take a look, subscribe, and give us a ‘thumbs up’. As always, we want to hear your feedback and questions/comments. You can reach us at @DrJeffJarvis, firstname.lastname@example.org and @MikeVerkest, email@example.com.
106 minutes | Dec 22, 2020
Special Episode: mRNA Literature Review
Dr. Jarvis and Mike Verkest are joined by a trio of guests to discuss the literature surrounding both the Pfizer BionTech and Moderna Vaccines. Dr. Ritu Sahni, Dr Veer Vithilani and Dr. Remle Crowe round out the panel. This episode is nearly 2 hours in length, and we hope we answered any questions you might have in a non-bias way. Feel free to share this episode or any of the mRNA series of podcasts and live broadcasts we have done this month. We appreciate you listening.
55 minutes | Nov 30, 2020
Episode 37: Droperidol, Ziprasidone and Lorazepam in Undifferentiated Agitation
This episode was a LIVE media broadcast discussing a double-blind trial of IM Droperidol, Ziprasidone and Lorazepam for acute undifferentiated agitation in the emergency department. Join Mike and Jeff as they discuss the paper, take questions from the viewers and tease the newly released Standard of Care Podcast! Thank you for listening, sharing, rating and reviewing all the FlightBridgeED podcasts! We appreciate you being on this journey with us!
70 minutes | Oct 12, 2020
Episode 36: EMS Lighthouse Project Podcast
Part pre-recorded, part LIVE! Dr. Jeff Jarvis, Dr. Jason Pickett, and Mike Verkest discuss the results of the Resuscitation Outcomes Consortium TXA in TBI Trial. Thanks for coming to the channel! Be sure to subscribe here and wherever you listen to podcasts!
29 minutes | Sep 24, 2020
Episode 35: Capsaicin Cream and Cannabinoid Hyperemesis Syndrome
Have you had patients recently with repeat EMS calls and lots of ED visits for nausea and vomiting? They say the only thing th works for them is scalding hot showers and that drug that starts with a "D". Did they just happen to smoke a lot of weed? In this episode, Dr. Jarvis discusses cannabinoid hyperemesis syndrome and reviews an RCT comparing topical capsaicin cream (yes... the stuff of pepper spray fame) vs placebo.
84 minutes | Aug 6, 2020
Episode 34: LVO and VAN Scores w/ Guests Dr. Wampler and Kidd
Mike and Dr. Jarvis are joined by Drs. David Wampler and Emily Kidd to discuss their study on the performance characteristics of the VAN score for detecting large vessel strokes. Drs. Jarvis and Kidd run through a case of a patient with stroke to discuss the thought process of an emergency physician.
70 minutes | Jul 7, 2020
Episode 33: Headaches with Special Guest Dr. Erin Lincoln
We talk headaches in this episode, specifically an RCT comparing haloperidol to placebo for benign headache. Joining us for this episode is special guest Dr. Erin Lincoln (@ErinTWL), EM resident and paramedic. Drs Jarvis and Lincoln will go through an oral boards-type case of a 45-year-old woman with a headache. We’ll include a review of the literature on headache treatments, hit on why opioids aren’t recommended, and discuss the differential diagnosis of headaches and the red flags that will help find those “can’t miss” diagnoses. This is a new format for us. We really, really want your feedback. Do you like the oral boards-style interview? Drop us a note on Twitter: @MikeVerkest, @DrJeffJarvis, or an email firstname.lastname@example.org or email@example.com. And don’t forget to give us a review on Apple Podcasts to help other likeminded clinicians find our show.
70 minutes | Jun 17, 2020
Episode 32: Near VL vs. aDL
VL vs Augmented DL with Special Guest: Dr. George Kovacs. We’re starting a new format with this episode. We kick things off with a review of a paper: Brown CA, et al. Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study. Acad Emerg Med. 2020; 27: 100-108. After discussing the paper, we have an amazing interview with Dr. George Kovacs (@kovacsgj) to discuss the differences between types of VL devices. He drops some great pearls on some tips for intubation success. Then Mike joins us for a discussion of the paper and interview. We hope you like the new format. Please drop us a line and let us know what you think! As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse
46 minutes | May 2, 2020
Episode 30: COVID Comes to The Nursing Home, With Special Guest Dr. Jason Pickett
Are you worried about what might happen in your jurisdiction if COVID breaks out in your nursing homes? You should be. Dr. Jarvis reviews a NEJM paper in this episode: Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Afterward, he’s joined by a special guest, Dr. Jason Pickett. Dr. Pickett is the deputy medical director for Austin-Travis County EMS, assistant local health authority for Austin Public Health, and the host of the EMS podcast with the longest name ever. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse.
28 minutes | Apr 7, 2020
Ep. 29: The Very Special Jarvis COVID Home Party Edition
We are living, in a COVID world. And I am a COVID doc. This is a special episode of the EMS Lighthouse Project Podcast. Since the entire Jarvis household is quarantined in our bunker in Central Texas, I brought the family together to discuss how this such a short little piece of RNA has changed our world. Oh, and we talk about the MMWR report from Singapore that, apparently, got the CDC to change its stance on the use of public face masks. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe. Most importantly, stay safe out there. Thank you for stepping up and caring for others in these difficult times. We appreciate each one of you. I’ve never been prouder to be in EMS.
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