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Welcome to PragMed. A podcast hosted by medics for medics. We talk about everything from best practice prehospital medicine to coffee. We are not the average clinical health podcast that pretends to know it all, we find the experts and ask them what they feel is best for prehospital medicine. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table, and we only ask that you be respectful of another. Otherwise, grab a cup of coffee ...
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In this episode of PragChat, Aaron and Jason sit down with Dr. Schauer (@armyemdoc) to discuss research papers and his thoughts on some trauma topics. Understanding research and how to interpret research papers is valuable to improving our practices and Dr. Shauer does a great job of breaking down how to interpret data and research. Dr. Schauer als…
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In this episode of PragChat, Aaron and Jason sit down again with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include psychology of starting IVs, best practices, and variety of additional topics. …
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In this episode of PragChat, Aaron and Jason sit down with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include ED and EMS relationships, why IV's are important, selecting the best catheter, and o…
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In this episode of PragChat, Aaron and Jason sit down with Dr. Jeremy Kaswer and discuss REBOA. REBOA has been a hot topic recently due to a recent paper that presented some new information concerning patient outcomes. Dr. Kaswer discusses what REBOA is, how it works, why it could become a valuable tool in trauma, and other aspects. Dr. Kaswer a su…
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This is the second episode in our education series with Max Dodge, where we discuss education and standards for EMS and why they’re so important to the growth of the industry. Currently, the highest level of practice for paramedics to attain is literally paramedic. Talk about a ceiling. Sure you can improve your skill set and be a better medic but …
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In this episode of PragChat, Aaron and Jason talk with Max Dodge about paramedic education. We discuss the reasons why we should have different levels of degrees and the reasons why they are important. We also discuss why EMS should be professionalized and how that process looks. We had a great chat with Max about this topic and how we can help inf…
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This is part 2 of our chat and the conclusion to this series with @disruptive_ranger where we talk about use of force, BWC, and carrying firearms on duty. We also have a fun little conversation at the end about weird things medics do and the motoring public. It was a great chat and DR is a great guest! If you don’t like our opinions, feel free to h…
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In this episode, the Pragmatic Paramedics, Aaron and Jason, sit down with the Disruptive Ranger and discuss scene safety, violent patients, BWCs, and if carrying on shift is smart. The Disruptive Ranger is a full-time ranger that is a paramedic, wildland firefighter, and law enforcement officer. The chat went so well we had to break into two parts.…
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Welcome to the third episode of Monday Morning Medic! In this series of episodes, Jason, Aaron, and Chris Rosa sit down and talk about real life calls and patients that we or our special guests have had. We discuss treatments and outcomes to help learn from real-world cases. In this episode, Aaron, Jason and Chris sit down with Mike from the World’…
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In this episode, the Pragmatic Paramedics, Aaron and Jason, sit down with Nick Petroski and discuss different career paths for medics. Nick is a flight medic and close protection medic in Northern Virginia who has a different career path than most medics. We discussed different ideas and ways for medics to expand their careers. If you are intereste…
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Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. This episode of Monday Morning Medics is a conversation about a worst ca…
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Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. In our first episode, we sat down and talked about a unique motor vehicl…
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During a recent chat with Doc Godfrey “Cric Em If You Got'em,” we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and…
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As we wrap our series, "A Thin Blurred Line," we take a moment to sit down with an investigative journalist who has covered incidents such as the ones in the media - Elijah McClain and Tony Timpa. We discuss both cases with her in this great conversation with someone outside EMS. Listen in as we talk with Cary about her experiences, what she found …
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In this episode we discuss trauma airway management with Doc Godfrey (CricEm if you got ‘em). Doc sits down with us as we look at a paper from The Journal of Trauma and Acute Care Surgery which discusses prehospital definitive airway not being associated with improved survival in trauma patients. Trauma airway management is complicated, but it does…
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As EMS providers we know all too well about violence, trauma, and the associated dangers of the job but we tend to struggle with what to do when we encounter violent scenes that involve our brothers and sisters in law enforcement and the patients we are committed to care for. However, what happens when the line we need to cross is one of our own? P…
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As we hop back in the saddle we want to a reaffirm our commitment to this industry through providing you with quality insight and information about clinical practice and evidence based medicine as well current events. We are you, not experts by any standard and hope that our conversations help improve the quality of EMS in all facets for generation…
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In this episode, the PragMedics talk with Dr Timothy Durkin and discuss Heat Stroke, the signs, symptoms, myths, and of course treatment modalities. The boys and Dr. Durkin look to find practical ways for street level providers to identify and treat heat stroke. Dr Durkin provides the listeners with useful tips and thoughts regarding management of …
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In this episode, Jason and Scooby (Aaron was on shift doing real work) sit down with Ryan Kerr to discuss his free online ventilator book, reasons for writing and publishing a free book, and other ventilator thoughts. Ryan is a current medic/nurse who flies for AirMethods in the Southwest. This is one of our favorite episodes and it is a great conv…
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In this episode, the PragMedics and Scooby sit down and discuss a proper disaster patient, one with an upper GI bleed (esophageal varices). We discuss a patient from the ICU perspective with lessons learned for paramedics. These patients are challenging to manage, and it's a great conversation that will help a paramedic manage this type of patient.…
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The PragMedics decided to look inward and interview Aaron about a recent austere/disaster response mission he participated. Jason and Scooby talk with Aaron about his recent trip to a developing country in response to a natural disaster. This episode has bits and pieces from disaster response preparation for paramedics, resource limitations, and be…
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Welcome to our first episode of Cognitive Offloading with the PragMedics and Scooby! In this episode, Dr. Andrew Fisher (Trauma Daddy) and Jason Segal of P1 Air Rescue join us to chat about a wide range of topics, from acute traumatic coagulopathy to our thoughts on a hot EMS topic. So join us and enjoy this episode with some great guests! Our next…
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The PragMedics are back and hoping everyone is looking forward to the New Year! In this episode, the PragMedics and Scooby sit down and discuss beta blocker overdoses. Beta blocker ODs present with various indications and can be difficult to diagnose. It is a wide ranging discussion on different treatment options and ways to manage patients experie…
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In this episode, the PragMedics chat with Chris "Hutch" Hutchison about a wide variety of topics. We chat about the changes he has seen in the military, the differences between military and civilian medics, and his thoughts on the transition from military to civilian paramedicine. Chris is a 14 year veteran of the US Army, starting his career as a …
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In this episode of "I Had This Patient," the PragMedics and Scooby discuss how to treat and manage a patient presenting with a STEMI or OMI. It is a wide ranging discussion on different treatment options and ways to manage patient experiencing a STEMI in the prehospital setting. Thanks for listening and be sure to check out our "I had this patient"…
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In this episode, the PragMedics sit down with Doctor Fisher and discuss TXA. Doctor Fisher discusses the changes in dosage and administration of TXA, along with how the CoTCCC makes changes to the TCCC guidelines. Its a great discussion on another tool medics have in treating trauma patients, so tune in and give it a listen! As always, we want to t…
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In this episode, the PragMedics chat with Brad Morgans about ketamine. Brad retired from the US Army after 20 years of service and multiple deployments a a Lieutenant Colonel. He deployed with USSOCOM as a CRNA numerous times in support of Special Operations. He continues his service by teaching warfighters austere medicine and ways to utilize phar…
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In this weeks episode, the PragMedics chat with Jim Bollenbacher about what an event medic is and does. Jim is a retired lawyer turned medic who enjoys working as an event medic with some great stories. He wrote a book about his adventures and stories called "Molly, Mushrooms, and Mayhem." It's a great read and Jim donates every cent of profit to t…
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Scooby and the PragMedics are back again with Part 3 of a three-part series discussing intubation. In this episode, we discuss the intubation process from confirmation of tube placement to a failed airway. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back for…
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In this episode, we chat with Global Response Management (GRM). GRM is an international NGO and exists to bring emergency prehosptial care and training to those living in or displaced from conflict zones. Listen in as we learn from the medical providers who work within this organization and the challenges they see in low-resource, high-risk areas. …
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In this week's episode, we sit down with HSAR Medic Jason Segal and discuss the evolution of medical mission from his perspective. We chat about patient care, scene and flight management, time considerations, and ton of other topics. Jason is a HSAR Medic with our show sponsor, Priority 1 Air Rescue, and we are extremely happy to have them and Jaso…
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This week, we decided to re-release a previous episode from our early days! We chatted with Dr. Steffian who is a distinguished psychologist very well versed in mental health but, more specifically, high-stress situations and candidate selection within the military's special warfare groups. He has published several peer-reviewed articles on the top…
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This week's episode is a re-release of our conversation with Dr. Lauria. Dr. Lauria just released a great new YouTube video discussing checklists and it is well worth one's time to watch. We discussed how situational awareness pertains to the EMS provider and variety of other topics, to include his thoughts checklists and simulation training. Check…
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Scooby and the PragMedics are back again with Part 2 of a three-part series discussing intubation. In this episode, we discuss the intubation process from medications to confirmation and everything in between. In todays episode, Scooby discusses intubation steps and thoughts in a pragmatic, logical way with tons of information. Tube in and sit back…
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In today's episode, the PragMedics chat with Shane, a Community Paramedic, and Dr. Liao, a Medical Director, about Indianapolis EMS response to COVID. This is Aaron's last episode as a full time cohost but no worries, he is still planning on being a contributor and cohost with Scooby! This is a great episode that discusses how to effectively respon…
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Scoobs is back again with a three-part series of I Had This Patient. Over the next three episodes, the PragMedics led by Scooby, talk about DSI and intubation. We start from resus and work our way through the cords. In todays episode, Scooby discusses pre-intubation steps and thoughts in a pragmatic, logical way with tons of information. Tune in an…
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In this episode, The PragMedics chat/battle with the Free Radicals in an international meeting of the minds. The Free Radicals are an Australian based paramedicine podcast with critical care backgrounds. Their podcast focuses on all things paramedic and gave us the opportunity to collaborate. Listen in to hear — “Who won, who’s next, you decide.” C…
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This week, The PragMedics chat with the world famous Medic2Medic Host Steven Cohen. A man who has produced over 200 unique episodes from his own studio. Mr. Cohen is also a paramedic with nearly 30 years experience. He’s currently in a leadership position and is the chief of Cary Area EMS. Check out his story and why he does what he does. As always…
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In this week's episode, The PragMedics chat with Jason Segal of P1 Air Rescue. Jason is a helicopter search and rescue paramedic and educator. His background in EMS includes about everything the EMS community has to offer. He has been an oil rig medic, truck medic, and currently a HSAR Tech with one of the premier SAR companies. We discuss his expe…
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This week, the PragMedics with Jonathon "Scooby" Friedman discuss sepsis. This is our first clinical episode. We will be offering The "I Had This Patient..." series once a month and during will discuss a variety of clinical topics. Jonathon is a critical care paramedic that recently completed a BSN program. In this episode, he discussed the treatme…
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In this week's episode, the PragMedics sit down with a Medical Director, Dr. Miller, and Paramedic Kamryn. We chat about dynamics between the Medical Director and Paramedics. We also chat about rural EMS and some differences between rural and urban EMS. Dr. Miller has years of experience in emergency medicine and Kamryn is an experienced paramedic …
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This week, the PragMedics chat with Dr. Mike Simpson on a variety of topics. Dr. Mike Simpson is a former Ranger, Special Forces Medic, JSOC Augmentee, and current ER physician. We discuss gear, different setup options, trauma, hypothermia prevention, and a multitude of other topics. This is an awesome conversation that has a ton of great informati…
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PragMedics chat with Andy Fisher and Jonathon "Scooby" Friedman about two big announcements on Facebook Live! The PragMedics are adding some new content and looking to adding even more content in the future! Check it out and we are excited about where we are headed in the future! Check out Andy Fisher on Instagram at @fisherad1 and Scooby on Facebo…
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The PragMedics sit down with Matthew Heneghan, author of the book A Medics Mind. Matt tells us about why he chose to write the book and gives an in-depth look into his life as a military medic, his transition to civilian paramedicine, and finally life beyond. It is a gripping story. However, he is a funny and articulate man whose sense of humor mad…
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In this episode, the PragMedics sit down with Dr. Tania Glenn and discuss PTS and some treatment options for PTS. Lane Abshire also joins us and talks about some treatments that Dr. Glenn worked through with him after an incident. Dr. Glenn is a leader in PTS treatments for veterans and first responders. She has over 28 years of experience working …
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This week, the PragMedics rerelease the sit down with Dr. Michael Lauria to discuss Situational Awareness and the EMS provider. Dr. Lauria is an accomplished provider who has volunteered as an EMT while in college, became a Pararescueman in the Air Force, then a flight paramedic with DHART, and now a current medical resident in New Mexico. We discu…
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This week, the PragMedics sit down with Dr. Michael Lauria to discuss Situational Awareness and the EMS provider. Dr. Lauria is an accomplished provider who has volunteered as an EMT while in college, became a Pararescueman in the Air Force, then a flight paramedic with DHART, and now a current medical resident in New Mexico. We discussed how situa…
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This week’s episode, the PragMedics chat with Eric Bauer, the paramedic who started FlightBridgeED with his wife and close friend. Eric tells the guys about how he came up through the ranks and began his world-famous company. Eric started his career like most of us, on a truck and then became a flight medic and educator. He realized that he had a p…
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In this episode, the PragMedics sit down with flight paramedic "Boomer," who is the founder of the program and company Stay Fit 4 Duty. Boomer has an in-depth understanding of PTS and PTSD and the stressors that impact prehospital providers. He helps the PragMedics understand the differences between the different types of stressors, describes diffe…
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