The World’s Okayest Medic Podcast

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Dr. David Rayburn (Medical Director for New Orleans EMS) and Dr. Michael Kling joined the podcast to talk about cold blood product administration and other trauma topics. Listener discretion is advised.

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References: Akhtar, M., Shenasa, M., Jazayeri, M., Caceres, J., & Tchou, P. J. (1988). Wide QRS complex tachycardia: Reappraisal of a common clinical problem. Annals of Internal Medicine, 109(11), 905–912.

Baerman, J. M., Morady, F., DiCarlo, L. A., Jr., & de Buitleir, M. (1987). Differentiation of ventricular tachycardia from supraventricular tachycardia with aberration: Value of the clinical history. Annals of Emergency Medicine, 16(1), 40–43.

Brugada, J., et al. (2020). 2019 ESC Guidelines for the management of patients with supraventricular tachycardia. European Heart Journal, 41(5), 655–720.

Dancy, M., Camm, A. J., & Ward, D. (1985). Misdiagnosis of chronic recurrent ventricular tachycardia. The Lancet...

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Reference: Leggatt L, Van Aarsen K, Columbus M, Dukelow A, Lewell M, Davis M, McLeod S. Morbidity and Mortality Associated with Prehospital "Lift-assist" Calls. Prehosp Emerg Care. 2017 Sep-Oct;21(5):556-562.

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References: Almallouhi, E., Al Kasab, S., Nahhas, M., Harvey, J. B., Caudill, J., Turner, N., & Holmstedt, C. A. (2020). Outcomes of interfacility helicopter transportation in acute stroke care. Neurology: Clinical Practice, 10(5), 422–427.

Bartos, J. A., Clare Agdamag, A., Kalra, R., et al. (2023). Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for extracorporeal cardiopulmonary resuscitation. Resuscitation, 186, 109769.

Kashyap, R., Anderson, P. W., Vakil, A., Russi, C. S., & Cartin-Ceba, R. (2016). A retrospective comparison of helicopter transport versus ground transport in patients with severe se...

Listener discretion is advised. Sincere thanks to the Buda FD and Austin-Travis StarFlight for the permission for their staff to come onto the podcast and discuss this case.

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References: Galvagno SM Jr, Haut ER, Zafar SN, et al. Association between helicopter vs ground emergency medical services and survival for adults with major trauma. JAMA. 2012;307(15):1602-1610.

Jarvis JL, Jarvis SE, Kennel J. The association between out-of-hospital drug-assisted airway management approach and intubation first-pass success. Ann Emerg Med. 2025;86(5)

Kashyap R, Anderson PW, Vakil A, Russi CS, Cartin-Ceba R. A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock. International Journal of Emergency Medicine. 2016;9:15.

Orso, D., Flaibani, L., Sisto, U. G...

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References: Paterson BF, Grammer LC, Greenberger PA. The management of coexisting asthma and cardiac disease. N Engl Reg Allergy Proc. 1987;8(5):309-315.

Pauw EK, Stubblefield WB, Wrenn JO, Brown SK, Cosse MS, Curry ZS, Darcy TP, James TE, Koetter PE, Nicholson CE, Parisi FN, Shepherd LG, Soppet SL, Stocker MD, Walston BM, Self WH, Han JH, Ward MJ. Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients with anaphylaxis. J Am Coll Emerg Physicians Open. 2024;5(1)

Putland M, Kerr D, Kelly AM. Adverse events associated with the use...

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References: Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50.

Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine.

Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency...

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References: Evans C, Quinlan DO, Engels PT, Sherbino J. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am. 2018 Feb;36(1):19-40.

Lott, C., Truhlář, A., et al. (2021). European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation, 161, 152-219.

Reuben Strayer’s ATLS Lecture at ResusX: https://youtube.be/OwgYKtB2Kj0?si=4YFkJ4oPB4l3VEGC

Zaf Quasim/Haney Mallemat Critical Care Now Podcast link: https://www.youtube.com/watch?v=HePF-mEtvOc

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References: Cardenas JC, Dong JF, Kozar RA. Injury-induced endotheliopathy: What you need to know. J Trauma Acute Care Surg. 2023 Oct 1;95(4):454-463.

Dietrich M, Hölle T, Lalev LD, Loos M, Schmitt FCF, Fiedler MO, Hackert T, Richter DC, Weigand MA, Fischer D. Plasma Transfusion in Septic Shock-A Secondary Analysis of a Retrospective Single-Center Cohort. J Clin Med. 2022 Jul 27;11(15):4367.

Kuldanek, S. A., Kelher, M., & Silliman, C. C. (2019). Risk factors, management and prevention of transfusion-related acute lung injury: a comprehensive update. Expert Review of Hematology, 12(9), 773–785.

SOARescue EZPLAZ Article: https://www...

Dr. Greg Shea came onto the podcast to talk about the leadership and organizational lessons learned from the FDNY before, during, and after the 9/11 attacks.

Check out the book he co-authored at https://www.risingfromgroundzero.org/

Unfiltered, no agenda, and no planning. Just Dan and I having a zoom call and recording it...

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References: Rezaei Zadeh Rukerd M, Shahrbabaki FR, Movahedi M, Honarmand A, Pourzand P, Mirafzal A. Single intravenous dose ondansetron induces QT prolongation in adult emergency department patients: a prospective observational study. Int J Emerg Med. 2024 Apr 2;17(1):49.

Yürük Mısırlıoğlu H, Öztürk İnce E, Akkaş M. The effect of intravenous ondansetron on QT interval in the emergency department. Am J Emerg Med. 2024 Nov;85:7-12.

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References: McGovern B, Garan H, Ruskin JN. Precipitation of cardiac arrest by verapamil in patients with Wolff-Parkinson-White syndrome. Ann Intern Med. 1986 Jun;104(6):791-4. doi: 10.7326/0003-4819-104-6-791. PMID: 3706931.

Strasberg B, Sagie A, Rechavia E, Katz A, Ovsyscher IA, Sclarovsky S, Agmon J. Deleterious effects of intravenous verapamil in Wolff-Parkinson-White patients and atrial fibrillation. Cardiovasc Drugs Ther. 1989 Jan;2(6):801-6. doi: 10.1007/BF00133211. PMID: 2488095.

UK Paramedic Assaults: https://collegeofparamedics.co.uk/COP/COP/News/2025/AACE_Calls_For_Further_Interventions.aspx#:~:text=New%20data%20shows%20UK%20ambulance,15%25%20on%20the%20previous%20year.<...

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References: Carunchio, M. (July 2020). Atypical Stroke Presentations. EMS World. Available: https://www.hmpgloballearningnetwork.com/site/emsworld/article/1224541/atypical-stroke-presentations

Clawson, J. J., Scott, G., Gardett, I., et al. (2016). Predictive Ability of an Emergency Medical Dispatch Stroke Diagnostic Tool in Identifying Hospital-Confirmed Strokes. Journal of Stroke and Cerebrovascular Diseases, 25, 2031-2042. Gardett, Olola, Scott, Broadbent, & Clawson. (March 22, 2017). Comparison of EMD Stroke Identification and Paramedic On-Scene Stroke Assessment. Annals of Emergency Dispatch & Response.

Peter Antevy Substack Article on RQI. Available: https://handtevymd.substack.com/p/jalen-brunson-didnt-win-a-championship?r=khz4&utm_campaign=post-expanded-share&utm_medium...

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References: My ResusX Talk: http://www.youtube.com/watch?v=ufC2LXtCzUI

Hana Hybasek Dzurikova. (29 Jan 2025). Unmasking Hyperkalemia: Highlighting Critical ECG Changes. Available https://www.powerfulmedical.com/blog/hyperkalemia-ecg-critical-changes/

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References: Gabayan, G. Z., Gould, M. K., Weiss, R. E., Patel, N., Donkor, K. A., Chiu, V. Y., Yiu, S. C., Jones, J. P., Hoffman, J. R., & Sarkisian, C. A. (2016). Poor Outcomes After Emergency Department Discharge of the Elderly: A Case-Control Study. Annals of Emergency Medicine, 68(1), 43–51.e2.

Ganetsky M, Lopez G, Coreanu T, Novack V, Horng S, Shapiro NI, Bauer KA. Risk of Intracranial Hemorrhage in Ground-level Fall With Antiplatelet or Anticoagulant Agents. Acad Emerg Med. 2017 Oct;24(10):1258-1266.

Gokhroo, R. K., Ranwa, B. L., Kishor, K., et al. (2015). Sweating: A...

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References: Buttner & Arlanger. (May 3, 2022). ST depression does not localise. Available: https://litfl.com/st-depression-does-not-localise/

Cannon, J. W., Khan, M. A., Raja, A. S., et al. (2017). Damage control resuscitation in patients with severe traumatic hemorrhage. Journal of Trauma and Acute Care Surgery, 82, 605-617.

Kabra, R., Acharya, S., Kamat, S., & Kumar, S. (2022). ST-Segment Elevation in Lead aVR With Global ST-Segment Depression: Never Neglect Left Main Coronary Artery (LMCA) Occlusion. Cureus.

Lee, G.-K., Hsieh, Y.-P., Hsu, S.-W., Lan, S.-J., & Soni, K. (2019). Value of ST‐segment change in...

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References:

Hair Tourniquet: PMID: 29092968

ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement

Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/

John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer

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References: ACEP. (2025). A Worthy Investment: What Every EM Resident Needs to Know About Reimbursement in 2025. Available: https://www.acep.org/administration/reimbursement/what-every-graduating-resident-needs-to-know-about-reimbursement

Dan Magdziarz. (Jan 5, 2021). High-Yield RVU Generation in Emergency Medicine. Emergency Physicians Monthly. Available: https://epmonthly.com/article/high-yield-rvu-generation-in-emergency-medicine/

John Proctor. Gauging Emergency Physician Productivity: Are RVUs the Answer? Available: https://www.acep.org/imports/clinical-and-practice-management/resources/reimbursement-imported/gauging-emergency-physician-productivity-are-rvus-the-answerEmer

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Dr. Rugna's Article: https://assets-che.mkt.dynamics.com/82359f7e-b7af-4cc1-a9fe-c8a35b467194/digitalassets/standaloneforms/7a39198e-7127-f011-8c4d-0022480cd54d#div_id

Listener discretion is advised. Language. Adult themes.

References: Anand Swaminathan, "Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?", REBEL EM blog, December 17, 2024. Available at: https://rebelem.com/clinical-conundrum-should-we-always-treat-fever-in-patients-with-sepsis/.

Jibril F, Sharaby S, Mohamed A, Wilby KJ. Intravenous versus Oral Acetaminophen for Pain: Systematic Review of Current Evidence to Support Clinical Decision-Making. Can J Hosp Pharm. 2015 May-Jun;68(3)

Scott Weingart, MD FCCM. EMCrit 132 – MoTR – Toughness Part I with Michael Lauria. EMCrit Blog. Published on September 6, 2014. Accessed on May 8th 2026. Available at [https://emcrit.org/emcrit/toughness-michael-lauria-i/ ].

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Listener discretion is advised: language, adult themes

Reference: Boland, Hokanson, et. al. (2016). Prehospital lactate measurement by EMS in patients meeting sepsis criteria. Western J. EM (17)5.

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