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PODCAST

MCHD Paramedic Podcast

Montgomery County Hospital District

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Director Dr. Casey Patrick invites you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

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All Episodes

00:32:41

Episode 199 - Olanzapine In The Field - Who, What,...

MCHD Paramedic Podcast ·

2026/10/05

MCHD recently introduced ODT olanzapine to treat mild agitation in the field. Emergency pharmacist Kevin Mercer joins the podcast to discuss the medication’s pharmacologic foundations. How does it work? Who gets it and who doesn't? And why Olanzapine in the first place?

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00:44:35

Episode 198 - Dyspnea - The Next 30 Minutes

MCHD Paramedic Podcast ·

2026/09/07

We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the patient with shortness of breath once the ER doctor takes over? How does the workup advance? What imaging is ordered? What labs? Join us to discuss the "next 30 minutes" for the serial killer dyspneic patient.

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00:46:21

Episode 197 - Altered Mental Status - The Next 30...

MCHD Paramedic Podcast ·

2026/08/10

We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the patient with an altered patient once the ER doctor takes over? How does the workup advance? What imaging is ordered? What labs? Join us to discuss the "next 30 minutes" for the serial killer AMS patient.

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00:26:08

Episode 196 - Cervical Spine Immobilization In 2026:...

MCHD Paramedic Podcast ·

2026/07/13

We recently made some cervical spine immobilization protocol changes here at MCHD. Dr. Patrick and Dr. DePasquale discuss the history and literature that provide the foundation for rigid cervical collar use, along with the new MCHD protocol implementation. This has been a collaborative process with our local hospital partners, which has definitely involved give-and-take on both sides.REFERENCES 1. Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury. 1996

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00:41:36

Episode 195 - Prehospital Cold Water Immersion For...

MCHD Paramedic Podcast ·

2026/06/15

Drs. Geoff Comp and Jerry Snow join the podcast to discuss their recent paper describing their experience treating undifferentiated heatstroke in Phoenix with cold water immersion. Their protocol mirrors ours here in Montgomery County. Heatstroke is a time-sensitive emergency, and the rate of cooling directly correlates with mortality reduction. Learn how to implement CWI in your service. It's the best of all worlds: inexpensive, impactful, and applies to all EMS clinician levels.REFERENCES 1.

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00:38:57

Episode 194 - Mental Health Matters In EMS With Dr....

MCHD Paramedic Podcast ·

2026/05/18

MCHD's Spencer Lantz and Fort Bend County EMS Medical Director, Dr. Gill join the podcast to discuss the importance of allowing an open conversation around the mental health issues and strain of being an EMS clinician. We've finally started to recognize the issue, Spencer and Dr. Gill have some concrete solutions for the future.

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00:31:54

Episode 193 - What Can EMS Learn From An Emergency...

MCHD Paramedic Podcast ·

2026/04/20

One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're lucky to have a special guest with a unique perspective on this episode. Kevin Mercer, an emergency department pharmacist, joins Dr. Patrick to discuss all things medication administration. This is the second episode of our two-part series!REFERENCES 1. Harmer

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00:30:35

Episode 192 - Med Error Reduction Part 1

MCHD Paramedic Podcast ·

2026/03/23

One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're lucky to have a special guest with a unique perspective on this episode. Kevin Mercer, an emergency department pharmacist, joins Dr. Patrick to discuss all things medication administration. The episode went so well, we had to create a two-part

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00:36:11

Episode 191 - EMS Protocols 101

MCHD Paramedic Podcast ·

2026/02/23

As discussed on prior episodes, we recently overhauled our entire protocol structure here at MCHD. One of our MCHD paramedics, David Lozano, joins us to discuss the foundations of EMS protocol creation. Who writes them and how? Where are the potentially risky decisions? What should the MCHD field paramedics know about the process? Have a listen to better understand the true foundation of EMS clinical practice.

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00:49:58

Episode 190 - Geriatric Considerations In EMS With...

MCHD Paramedic Podcast ·

2026/01/26

The most common podcast requests over the past couple of years have been focused on prehospital geriatric care. Dr. Maia Dorsett, EMS geriatric expert, joins us to discuss pearls and pitfalls when caring for elderly patients in the prehospital setting. What are the common mistakes? What tools can be implemented to improve patient outcomes? Why does geriatric care even matter? This episode is packed with high-yield information that will make all of us better clinicians.REFERENCES 1. Dorsett M,

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00:29:20

Episode 189 - EMS Airway Updates 2025 - Part 2

MCHD Paramedic Podcast ·

2025/12/29

There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why can't we take a look after sedation only?" "Why doesn't MCHD have a crash airway protocol?" Join the podcast crew to discuss recent EMS airway literature that helps us answer these questions and provides invaluable tips. This is part two of a two-part series.REFERENCES 1. Jarvis JL, Jarvis SE, Kennel J. The Association Between Out-of-Hospital Drug-Assisted Airway Management Approach

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00:29:44

Episode 188 - Prehospital OB Updates 2025

MCHD Paramedic Podcast ·

2025/12/01

Recently, some paramedics, obstetricians, and EMS medical directors were locked in a room and produced some fantastic collaborative prehospital guidelines for managing post-partum hemorrhage, eclampsia, and pre-eclampsia. Have a listen, take a look at the guidelines (links below), and we'll all take better care of our pregnant/post-partum patients.REFERENCES 1. https://naemsp.org/news/now-available-new-ems-obstetric-emergency-guidelines/

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00:26:23

Episode 187 - EMS Airway Updates 2025

MCHD Paramedic Podcast ·

2025/11/03

There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why don't we intubate our cardiac arrest patients like we used to?" "MCHD has been hyper-focused on recording video laryngoscopy over the past year. Why?" Join the podcast crew to discuss recent EMS airway literature that helps us answer these questions and provides invaluable tips. This is part one of a two-part series.REFERENCES 1. Galinski, M., Tazi, G., Wrobel, M., Boyer, R.,

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00:31:07

Episode 186 - A Paramedic's Guide To The Opiate Epidemic

MCHD Paramedic Podcast ·

2025/10/06

We're lucky to have a special guest on this podcast episode to discuss a topic that, unfortunately, all of us in emergency care encounter all too frequently: the opiate epidemic. Peter Canning is a paramedic who has lived through the epidemic while working on the ambulance in the New England epicenter. This discussion navigates Peter's progression through newer terminology like stigma and harm reduction in an effort to provide compassionate and best-practice care for our OUD

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00:43:59

Episode 185 - Chest Pain - The Next 30 Minutes

MCHD Paramedic Podcast ·

2025/09/09

We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the patient with chest pain once the ER doctor takes over? How does the workup advance? What imaging is ordered? What labs? Join us to discuss the "next 30 minutes" for the serial killer chest pain patient.

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00:30:50

Episode 184 - Recording Video Laryngoscopy In EMS

MCHD Paramedic Podcast ·

2025/08/11

On this episode, the podcast crew discusses the recent introduction of video laryngoscopy with recording capability at MCHD. What device did you use? How did you train? What lessons have you learned? All these and more will be addressed and answered.REFERENCES: 1. Zhao, Y., Zang, B., & Wang, Q. (2024). The Effectiveness of Bougie Use on First-Attempt Success in Tracheal Intubations. Annals of emergency medicine, 84(3), 331–332. 2. Weingart, S. D., Barnicle, R. N., Janke, A., Bhagwan, S. D.,

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00:19:18

Episode 183 - Pain Control In EMS - The MCHD...

MCHD Paramedic Podcast ·

2025/07/14

The podcast crew takes on the topic of prehospital analgesia. What pain medication do we choose when facing a complex patient with all analgesics available? Are there better options for hypotensive patients? What about pregnancy and the elderly? On this episode, we'll walk through our MCHD pain medication options, take a moment for a BLS reminder, and discuss some specific situations where certain medications are the best fit.REFERENCES 1. McArthur, R., Cash, R. E., Rafique, Z., Dickson, R.,

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00:40:27

Episode 182 - Traumatic Arrest With The Prehospitalist

MCHD Paramedic Podcast ·

2025/06/16

Lindsey Ewing (IG's The Prehospitalist) joins us to discuss updates and questions surrounding the EMS management of traumatic arrest. Sure, we must address the "reversible" causes, but what about ACLS/compressions/epinephrine? Which patients are exceptions to the rules? Lindsey had a tough case, asked some hard questions, and will provide solid answers—our favorite recipe for a jam-packed educational session.REFERENCES 1. Witt, C. E., Shatz, D. V., Robinson, B. R. H., Campion, E. M., Shapiro, M.

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00:37:16

Episode 181 - Why You Should Attend The Resuscitation...

MCHD Paramedic Podcast ·

2025/05/19

We're joined by Dallas-area cardiac arrest management thought leaders from Best EMS and Parker County Hospital District to discuss the Resuscitation Academy. Where did this thing start? How can you and your service benefit? What RA lessons have we implemented here at MCHD? Learn how to improve your cardiac arrest survival rates without breaking the bank.REFERENCES 1. https://www.resuscitationacademy.org

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00:20:18

Episode 180 - Orthostatic Vitals - Should They Stay...

MCHD Paramedic Podcast ·

2025/04/21

Orthostatic vitals are taught throughout medical training as a quick and easy way to assess patient volume status objectively. We also frequently see these documented in MCHD charts. Is there any evidence that orthostatics help our clinical decision-making? Has anyone ever evaluated their use in EMS? Could standing a patient to check their heart rate actually be harmful? Join the podcast crew as they address these questions and more. REFERENCES 1. White, JL, Hollander, JE, Chang, AM, et al.

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