Episode 39 - Cyanide Poisoning

Episode 39 - Cyanide Poisoning

Continuing with our recent theme of increased fire related inhalational risks with colder weather, MCHD Paramedic Podcast toxicology guru, Dr. Jerry Snow, joins us again to discuss cyanide poisoning. We’ll discuss ways to recognize cyanide toxicity and when to empirically treat. Combining this episode with our recent carbon monoxide podcast will make you razor sharp when you run on your next house fire. References: 1. Curry, Steven C., and Meghan B. Spyres. "Cyanide: hydrogen cyanide, inorganic cyanide salts, and nitriles." Critical care toxicology (2016): 1-21. 2. Purvis, M. V., et al. "Prehospital hydroxocobalamin for inhalation injury and cyanide toxicity in the United States-analysis of a database and survey of ems providers." Annals of burns and fire disasters 30.2 (2017): 126. 3. Kaita, Yasuhiko, et al. "Cyanide poisoning is a possible cause of cardiac arrest among fire victims, and empiric antidote treatment may improve outcomes." The American journal of emergency medicine 36.5 (2018): 851-853. 4. Parker-Cote, J. L., et al. "Challenges in the diagnosis of acute cyanide poisoning." Clinical Toxicology 56.7 (2018): 609-617.

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Jaksot(201)

Episode 197 - Altered Mental Status - The Next 30 Minutes

Episode 197 - Altered Mental Status - The Next 30 Minutes

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 ...

10 Elo 46min

Episode 196 - Cervical Spine Immobilization In 2026: Evidence Vs. Dogma

Episode 196 - Cervical Spine Immobilization In 2026: Evidence Vs. Dogma

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 col...

13 Heinä 26min

Episode 195 - Cold Water Immersion For Heatstroke - Lessons From Phoenix

Episode 195 - Cold Water Immersion For Heatstroke - Lessons From Phoenix

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 mir...

15 Kesä 41min

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

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

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...

18 Touko 38min

Episode 193 - What Can EMS Learn From An Emergency Pharmacist? - Part 2

Episode 193 - What Can EMS Learn From An Emergency Pharmacist? - Part 2

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 ini...

20 Huhti 31min

Episode 192 - What Can EMS Learn From An Emergency Pharmacist? - Part 1

Episode 192 - What Can EMS Learn From An Emergency Pharmacist? - Part 1

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 ini...

23 Maalis 30min

Episode 191 - EMS Protocols 101

Episode 191 - EMS Protocols 101

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 creati...

23 Helmi 36min

Episode 190 - Geriatric Considerations In EMS With Dr. Maia Dorsett

Episode 190 - Geriatric Considerations In EMS With Dr. Maia Dorsett

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 car...

26 Tammi 49min

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