Episode 165 - Intracerebral Hemorrhage

Episode 165 - Intracerebral Hemorrhage

We've spent countless hours (rightfully so) discussing ischemic stroke management over the past several years. Sometimes, the other 20% of strokes, the hemorrhagic version, can get neglected. No, we don't have stroke-mobiles at MCHD to diagnose an ICH in the field, but there are some patient care keys to emphasize for EMS when we suspect non-traumatic, acute intracranial bleeding. REFERENCES 1. Qureshi AI, Palesch YY, Barsan WG, Hanley DF, Hsu CY, Martin RL, Moy CS, Silbergleit R, Steiner T, Suarez JI, Toyoda K, Wang Y, Yamamoto H, Yoon BW; ATACH-2 Trial Investigators and the Neurological Emergency Treatment Trials Network. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med. 2016 Sep 15;375(11):1033-43. 2. Zeiler FA, Sader N, West M, Gillman LM. Sodium Bicarbonate for Control of ICP: A Systematic Review. J Neurosurg Anesthesiol. 2018 Jan;30(1):2-9.

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Episoder(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 Aug 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 Jul 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 Jun 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 Mai 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 Apr 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 Mar 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 Feb 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 Jan 49min

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