Prehospital Paradigm Podcast

The crew continues their discussion about the City of Cleveland's EMS agency.  From blood administration in the prehospital setting to CPAP and BiPAP to multiple way to secure airways and oxygenation... the ladies discuss the clinical operation which includes Paramedics and Basic EMTs.

Caleb is subbing in for Scott this episode as Dr. Hill and Caleb welcome representatives of Cleveland EMS.  In this first episode, we get some history on Cleveland EMS.  The agency is a 3rd service and just celebrated 50 years of service.  The agency runs over 70,000 calls per year with 25 units during daylight hours.

The final episode regarding addiction care wraps up the convo.  We were live at Amherst Fire Department.  If you missed the last 3 episodes, we definitely suggest going back in the timeline.  This episode may challenge your "veteran thoughts" on addiction care.

As the crew starts to wind up this topic, the discussion of the process of opioid withdrawal continues including inducing a more intense, or higher, level of withdrawal to help the patient's recovery progression. The guys discuss the Clinical Opiate Withdrawal Scale (COWS) score, its use and the interpretation of.
KEEPER NOTE: What words should we NOT be using to define these patients with "opiate disease disorder."

Dr. Singer continues to talk to the PPP crew regarding Project DAWN (Deaths Avoided With Naloxone), an Ohio-based network of opioid overdose education and naloxone distribution programs (OENDP) coordinated by the Ohio Department of Health.    Should EMS squads add Buprenorphine to the drug box in the long term?
KEEPER NOTE: The Narcan administration is just the beginning of the patient's opportunity to enter a recovery process.