In this episode we’re joined by Mike Taigman and Brad Cramer for a deep dive into the improvement science and framework behind our efforts to reduce lights and sirens responses.

Dr. Chizmar and Lt. Tipton go over the July 1 protocol changes in detail

We’re joined by Eric Jaeger who digs into the science of why people die in custody. We discuss tragic cases, define best practices, and review the medications used to treat severe agitation.

We’re joined by Dr. Johanna Innes from Buffalo for a deep dive into her research on post arrival cardiac arrests.

Digging into recent Clinical Practice Guidelines, LT Will Tipton and FP Lexi Tiemann review treatment of SCAPE and talk about the use of IV pumps

This is an update from our Mobile Integrated Health team including manager Avital Graves and our new MIH medics, Simon Marteli and Joseph Lee.

We’re joined by Dr. Robert Lowe whose diverse background as an aerospace engineer turned EMS medical director provides unique insight into the value of quality management.

Detailed review of the new Maryland IV nitro pilot protocol with one of the protocol authors.

We're joined again by Sam Weinstock who reviews more literature surrounding OHCA medications. This one takes a deep dive into dextrose and ketamine. BLUF – don’t give dextrose during arrest or immediately post ROSC, and ketamine is a great medication for bucking and CPR induced consciousness. The studies discussed are linked in the episode notes.

Heads up! There’s a major change coming this week with the July 1 Maryland protocol update. Inbound units with specialty alert and critical patients will make “notifications” instead of “consultations” in most cases. This is far more than semantics. Take a listen.

We are joined by BC Burns, Dr. Chizmar, and Dr. Guyther to talk about difficult patient refusals and the concept of patient capacity.

It's not as rare as you might think. We are joined by Camie Bruhweiler from Shady Grove who discusses a profound increase in incidence of this life threatening process that includes symptoms often written off by new moms.

Calls that are dispatched as a lift assist are often the result of patient falls. This “Hot Topics Shorts” format breaks this down and includes the advantages of assessing and documenting these interactions.

Captain Peter Dugan discusses his mindset and process for death notifications in the field.

We talk with three emergency room physicians about the opioid crisis. From USACS and Holy Cross Health, Dr. Holley Meers (EM), Dr. Beverly Naiman (Peds EM), and Dr. Ann Price (EM).

Maryland's State Medical Director Dr. Tim Chizmar and the lead author of the DOSE VF study Dr. Sheldon Cheskes discuss vector-change and double sequential external defibrillation.

We're joined by Sam Weinstock who reviews literature surrounding OHCA medications. The studies discussed are linked in the episode notes.

Maryland's State Medical Director Dr. Tim Chizmar joins us to talk about the protocol development process and the changes coming in July 2022.

We can transport Montgomery Hospice patients directly to the inpatient facility. Shawn Kessler and Avital Graves talk about improved disposition options for DNR-B patients who are enrolled in Montgomery Hospice.

This is a deep dive into the Clinical Practice Guideline 2022-01, Advanced Airway Management. We are joined by Dr. Henry Wang, the lead author on the groundbreaking PART trial.