Remember That Patient Podcast
Remember That Patient is an Ontario/Canadian focused prehospital podcast that is different. We deliver the lived experiences of Paramedics through a case study style review to improve the education of providers of all levels.
Episodes
Tuesday Sep 06, 2022
Episode 1.5 - Paramedics and Patient Outcomes
Tuesday Sep 06, 2022
Tuesday Sep 06, 2022
In the first of our "half episode" series which focuses on a various of melting pot of prehospital topics, I sit down with Jay Loosley. Jay is the Superintendent of Education for the Middlesex-London Paramedic service. Jay along with some colleagues at his service and local hospitals (along with more I'm sure) put together a fantastic research project on this topic which we delve into.
Paramedic Research Poster:
Can't see the image above or want to download the high resolution PDF? CLICK HERE
Additional studies
Blog: John P. Schuman: Can Paramedics Find Out About Patient Outcomes?
Research: Academic Emergency Medicine Education & Training: Clinical Performance Feedback to Paramedics: What they receive and what they need.
Research: Canadian Medical Association Journal: Patient and paramedic engagement in prehospital emergency medicine research.
Wednesday Jul 27, 2022
Episode 1 - Beyond The Toxidrome
Wednesday Jul 27, 2022
Wednesday Jul 27, 2022
The Case:
Male in his 20's in the early morning hours unconscious. Upon arrival the patients father came home and found his son unconscious on the living room floor. House is not in disarray, no trauma is noted to the patient, and nothing around the patient. Father states he has no diagnosed medical history, no Rx meds, however years ago the patient struggled with cocaine abuse. Despite such his understanding is the patient has been cocaine free for the last 8 months. States it would be unlikely for him to consume excessive alcohol, no other Rx or recreational drug use, and the fathers Rx meds are all accounted for.
Initial vitals:GCS 3, flushed, sweatyHR 128 Reg, RR shallow 22, SPO2 88% ra, BGL 7.2, 82/54, T37.5C, Pupils sluggish at 4-5mm.
Prehospital 12-Lead ECG here:
If the 12-Lead is not showing properly you can click HERE to open it up in a browser window.
Sympathomimetic toxidromeClinical features:delusions / paranoia / tachycardia / hypertension / hypotension (severe) / hyperthermia / sweating / piloerection / mydriasis / hyperreflexia / seizures
Useful Links (will open in separate browser windows):
Internet Book of Critical Care - Sodium Channel Blocker Toxicityhttps://emcrit.org/ibcc/nacb/
Internet Book of Critical Care - Sympathomimetic intoxicationhttps://emcrit.org/ibcc/symp/
StatPearls - Cocaine Toxicityhttps://www.ncbi.nlm.nih.gov/books/NBK430976/
Medscape - Cocaine Toxicity (free registration required)https://emedicine.medscape.com/article/813959-overview
Life in the Fast Lane - Cocaine Toxicityhttps://litfl.com/cocaine-toxicity-ccc/
Saturday Jun 25, 2022
Episode 0 - Trailer
Saturday Jun 25, 2022
Saturday Jun 25, 2022
The Remember That Patient Podcast - Introduction or Episode 0
This brief trailer will highlight our ideas, and what we hope to accomplish going forward on our show.
Better care through case review
"Good judgement comes from experience. Experience comes from bad judgement."
Through Paramedic submitted actual calls the RTP Podcast endeavors to broaden the knowledge base of prehospital providers via anonymous case review and outcome data (where available). Whether it's a unicorn diagnosis or an atypical presentation of the things we see often, it's our goal to improve the knowledge of all levels of providers.