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FOAMfrat Podcast

Jan 19, 2020

A few weeks ago Andrew Merelman (@amerelman) and I did part one of our "Routine (N)STEMI Transport" series. In this episode we get down to a granular level to discuss the logistics of:

Which infusions can I turn off until I get to the ambulance/helicopter?

Heparin is typically given as a bolus and then...


Dec 16, 2019

Finally got Andrew Merelman (@amerelman) from The Paramedic Practioner Podcast on the show and we discuss:

Social Media ECG interpretatuon vs. real life interpretation

NSTEMI? What does that mean for my transport?

STEMI Equivalents (detailed blog on these by FOAMfratter Jared Patterson here)

Stop points for nitro drip...


Dec 8, 2019

The basic question here is: If you add more oxygen delivery devices to a patient, does it increase the overall speed of oxygen delivery? Why does this even matter? Does a NRB at 15 LPM + NC at 15 LPM = 30 LPM of flow?


Nov 22, 2019

You jump in the back of an ambulance and see the crew you intercepted with is currently ventilating the patient through a supraglottic airway. Your partner looks at you and says: "should we just swap and intubate?

What factors influence your decision to yank the SGA and perform endotracheal intubation? 

Sam & I have a...


Oct 10, 2019

A few days ago I put up a thought experiment blog on generalizing the dose of rocuronium to 100 mg for anyone over the age of 18, and 200 mg if they are in a low flow state. You can find that post here.
 
Here are my thoughts: 
 
1. Based off height not weight. 
 
2. Some the dosing range of Roc is very wide 0.9 to...