PODCAST

The Overrun

Overrun Productions

The Overrun is a EMS podcast discussing currents trends in pre-hospital medicine

science & medicine medicine

All Episodes

Episode 54: Gestalt, Thinking, and EMS

The Overrun ·

2020/03/04

Gestalt. You hear it in almost anything you hear or see in pre hospital as well as the majority of medical education. It's really fancy, chic way of describing something we do every day in the field: make decisions on how and why we treat our patients. It's been termed a hunch, a gut instinct; but it's much more than that.We talk about what it is, how it seems to work, and how it can be incorporated in all levels of practice, and of course, there's some evidence to back it up!The book that defines

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Episode 53: Upper Airway Emergencies

The Overrun ·

2020/02/06

Mike takes the gang on a tour of some upper airway emergencies that you may (or may not have) seen in your practice, and we discuss some best practices for taking care of these challenging patients.This is a short episode for us; but packed with information!Feedback from Dr. Josh Farkas (@PulmCrit): https://twitter.com/PulmCrit/status/1195103809745440768The

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Episode 52: What The Actual, Rhode Island?!?

The Overrun ·

2020/01/16

The gang jumps back in from the holiday with both feet as we discuss another What The Actual episode. This time, we take a look at the Rhode Island intubation saga! What happened? Why? How can we learn from this and continue to advance our practice?

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Episode 51: Our Holiday Wish Lists!

The Overrun ·

2019/12/16

Dan and Ed talk about what they hope they get for the holidays and 2020....we also bring our medical director, Dr. Mark Merlin to talk about his wishes for the coming year in prehospital medicine! We talk about a lot of different topics: whole blood, trauma, developing our younger colleagues, and Ed's current disappointment with his sports teams. For more info and a free online course on whole blood resuscitation: www.rdcr.org Check out MD1 physician response at: www.md1program.org

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Episode 50: LIVE from Atlantic City! EMS and New...

The Overrun ·

2019/11/19

The gang went on the road to the National Conference on EMS to do a live-recorded episode discussing how new media is changing medical and EMS education.Why do we continue to use things we’ve used for centuries? What is new media, and what can it bring to you and your students? How have the Internet, blogging, and podcasting made some of our techniques obsolete? And how do we move forward fearlessly to improve education for our profession? We get into it in front of a live audience!There are a LOT

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Episode 49: MD1 Physician Response

The Overrun ·

2019/11/10

Dan sits down in a pre-Conference interview with Dr. Mark Merlin, the head of the New Jersey MD1 physician response program, the largest EMS physician program in the USADr. Merlin discusses the idea of physician response, how EMS physicians interact in the prehospital environment with paramedics and EMTs, the technology that they bring to the table, and using whole blood in resuscitation, to mention just a few things!Physician response can augment your prehospital care and bring life-saving

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Epsode 48: Why Your ConEd S***ks

The Overrun ·

2019/11/04

We pull another episode out of our vault to talk about con ed...Dan, Kevin, and Jess talk about continuing education! We all have to do it; but some is better than others. Why is yours bad? Why is someone else's good? And what is the value of "alphabet soup" classes in EMS continuing education? Do we need to think about another way?Continuing Education is more than reading slides off a page; it's about instructors with expertise and passion, sharing their experience with students and encouraging

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Episode 47: What The Actual?

The Overrun ·

2019/10/28

Anna and Dan talk about some of the more...let's say "out there" news items in EMS, and how culture and social media can hurt us as professionals.This is a controversial topic, and yes, we hope that we get some discussion on it. But the bottom line:If you're not doing the right thing for your patient; you're wrong.Article on starting IV on 13 year old:https://www.lancastereaglegazette.com/story/news/local/2019/08/20/one-firefighter-fired-another-suspended-after-april-incident/2024532001/Firefighters

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Episode 46: CROSSOVER with Pin The Q Podcast!

The Overrun ·

2019/10/08

For this episode, we joined up with Frank Melillo and the Pin The Q podcast! Frank is a fire officer and former volunteer and career EMT, and his show takes a close look at the culture and tradition of the fire service, which got us thinking: Why DON'T we have culture and traditions in EMS?If you're looking for the typical Fire vs. EMS slamfest; you're not going to find it on this episode. You may take away an idea, you might find something that changes how do you things in the future, you may get a

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Episode 45: POLST and End of Life in Prehospital Care

The Overrun ·

2019/09/25

Anna and Dan sit down with attorney and former paramedic Margaret Keavney to discuss end-of-life issues in EMS. How do we honor patient wishes, and the law? What is our standard, and how does our culture and training sometimes work against us?We don't get great initial training in the end of life, although EMS is present at the majority of these events. Check it out!Keavney-Streger Law Firm can be found here:https://keavneystreger.comOPALS study on cardiac arrest termination of

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Episode 44: Our Cric Show

The Overrun ·

2019/09/09

We talk about a wide variety of all things cricothyroidotomy: mental prep and training, the difference in the techniques that are out there, which one might work better, and lots of other stuff. We also shoutout to a LOT of other resources that will help you to really understand this low frequency, but critical procedure.If this is in your scope of practice; or possibly in a situation where a clinician will use this; you need to know about this to be able to care for your patient.Dr. Rich Levitan’s

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Episode 43: Medic To Medical School

The Overrun ·

2019/08/27

Dan sits down with Ed and Mike to discuss the journey from paramedic to physician…does it help? Can it hurt? And how do you do it? If you’ve ever thought of going to medical school; give this a listen!Also check out Ed’s Med School Medic podcast!

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00:48:06

Episode 42: Dr. Peter Antevy's Pediatric Pearls

The Overrun ·

2019/08/05

Dr. Peter Antevy joins Ed to discuss a few pearls about pediatric care and resuscitation in the field. Dr. Antevy wears many hats in EMS and has served as the medical director for Davie fire rescue, Coral Springs-Parkland Fire Rescue, Palm Beach County Fire Rescue. Additionally, he is the President of the Greater Broward EMS Medical Directors’ Association, the 2018 NAEMT Medical Director of the Year, a JEMS top-ten innovator of 2015, and an attending pediatric emergency physician at Joe Dimaggio

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Episode 41: Fluids and Pressors

The Overrun ·

2019/07/22

Ed, Mike and Dan get nerdy again talking about IV fluids and vasopressors! What works, why, and what do you need to know about the stuff we put into patients…and why it may be hurting more than helping!2008 JAMA article on fluid resuscitation:Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adultsR Bellomo, C Hegarty, D Story, L Ho, M Bailey – Jama, 2012 – jamanetwork.com… “Normal” 0.9 per cent salt solution

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Episode 40-Buprenorphine and New Jersey Paramedics:...

The Overrun ·

2019/07/03

The State of New Jersey, in the throes of an enormous opioid epidemic, has unveiled allowing their Mobile Intensive Care Units (Paramedics) to administer buprenorphine as a part of an optional formulary.What does this mean? Paramedics and EMTs can rescue patients with naloxone, but are we the right avenue to start people toward recovery? Trail-blazing tactics change in a battle we’ve been losing, or just another windmill to tilt at?We’re going to discuss buprenorphine, what it does, (and doesn’t),

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Episode 39: The National Registry

The Overrun ·

2019/06/26

The National Registry…what is it, and why should it matter to you? As the only national organization of credentialing in the USA, the guidelines and structure they use has a huge impact on your license or certification.We dig into the Overrun vault to find this episode….let us know what YOU think!Is NREMT the be-all, end-all solution; or can it be improved to be a truly national licensing standard? We look at the strengths and weaknesses, and what we would like to see from the NREMT!The National

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Episode 38: REBOA

The Overrun ·

2019/06/10

Does absence of evidence indicate evidence of absence? Resuscitative Endovascular Balloon Occulsion of the Aorta (REBOA) is a hot topic in prehospital care, especially with London’s Air Ambulance using it in the field.What does it require? Are we ready for this? And what’s the benefit to the patient?We break it down for you in this episode…and you’ll be surprised!London HEMS can be found at:https://www.londonsairambulance.org.ukParis SAMU is another program you should look

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50:44

SPECIAL EPISODE-RECAP of the EMS/MD1 Fellowship...

The Overrun ·

2019/05/23

Dan recaps the MD1 EMS Conference and shares what he learned from a room full of EM/EMS physicians speaking to EMS clinicians! If you saw the Facebook Live and Instagram streams from this show; you know there was an enormous amount of knowledge being put out!Check out Dr. Mark Merlin on Twitter at : @ccareanywhereThe NJ EMS and Disaster Medicine Fellowship can be found at: www.emsfellowship.comThe MD1 physician response program: www.md1program.orgDr. Qasim is on Twitter at: @emeddocDr. Callelo:

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Episode 37-Pip and 555 Fitness

The Overrun ·

2019/05/14

The gang let Anna handle this episode, and she crushed it! Anna talks with Robert (Pip) Piparo, firefighter, paramedic, and driving force behind the 555 Fitness team, bringing physical fitness to public safety professionals!We ask why, if we're so smart as clinicians, why do we do things we KNOW are bad for us, and why we absolutely have to Do Better.And here's an easy way to start: Anna and Pip created The Overrun Challenge! All you have to do is commit to walk ONE mile every day for 30 days

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Episode 36-Sepsis and Prehospital Care

The Overrun ·

2019/05/05

Ed, Jess, and Dan discuss where we've been with sepsis, where we are, and maybe where we're going. Fluids, pressers, scoring....there's a LOT of information out there, and we try to sort through it for you The Early Goal-Directed Therapy paper from 2001: https://www.nejm.org/doi/full/10.1056/NEJMoa010307 Listen to Dr. Weingart (@emcrit) tale with the author himself in a two-part interview: Podcast 054 – Dr. Rivers on Severe Sepsis – Part I https://emcrit.org/emcrit/rivers-sepsis-i/ Copy

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