Episode 132 - Xylazine Update

Episode 132 - Xylazine Update

Friend of the podcast emergency physician, addiction specialist, and toxicologist extraordinaire, Dr. Jerry Snow joins the podcast crew to discuss a scary and potentially deadly twist in the opiate crisis…xylazine. Dr. Snow will school us all about xylazine pharmacology and treatment tips and why EMS high-dose naloxone may not be ideal. REFERENCES 1. https://www.acep.org/tacticalem/newsroom/oct-2021/xylazine-an-emerging-adulterant/ 2. https://www.kxan.com/news/drug-responsible-for-recent-overdoses-in-austin-travis-county-identified-by-officials/ 3. Reyes, J. C., et al. "The emerging of xylazine as a new drug of abuse and its health consequences among drug users in Puerto Rico." Journal of Urban Health 89.3 (2012): 519-526. 4. Ruiz-Colón, Kazandra, et al. "Xylazine intoxication in humans and its importance as an emerging adulterant in abused drugs: a comprehensive review of the literature." Forensic Science International 240 (2014): 1-8. 5. Nunez, Jacqueline, Maura E. DeJoseph, and James R. Gill. "Xylazine, a veterinary tranquilizer, detected in 42 accidental fentanyl intoxication deaths." The American Journal of Forensic Medicine and Pathology 42.1 (2021): 9-11. 6. Johnson, Jewell, et al. "Increasing presence of xylazine in heroin and/or fentanyl deaths, Philadelphia, Pennsylvania, 2010–2019." Injury prevention 27.4 (2021): 395-398. 7. Friedman, Joseph, et al. "Xylazine spreads across the US: A growing component of the increasingly synthetic and polysubstance overdose crisis." Drug and Alcohol Dependence (2022): 109380. 8.https://www.mdpoison.com/media/SOP/mdpoisoncom/ToxTidbits/2019/Jan%202019%20ToxTidbits.pdf 9. https://www.deadiversion.usdoj.gov/drug_chem_info/Xylazine.pdf

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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

Episode 189 - EMS Airway Updates 2025 - Part 2

Episode 189 - EMS Airway Updates 2025 - Part 2

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 pro...

29 Joulu 202529min

Episode 188 - Prehospital OB Updates 2025

Episode 188 - Prehospital OB Updates 2025

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, eclampsi...

1 Joulu 202529min

Episode 187 - EMS Airway Updates 2025 - Part 1

Episode 187 - EMS Airway Updates 2025 - Part 1

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 hyp...

3 Marras 202526min

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