Episode 179 - Transcutaneous Pacing Pearls and Pitfalls

Episode 179 - Transcutaneous Pacing Pearls and Pitfalls

On today's episode, we're lucky to have a couple of special guests to discuss prehospital transcutaneous pacing. Medics turned medical students and EMS researchers, Josh Kimbrell and Judah Kreinbrook recently published a case series decsribing EMS pacing capture. Like many of our favorite topics this came from a paramedic asking a clinical question with loads of dogma and little evidence. What they found should motivate us all to be skeptical when it comes to determining if TCP is actually working. REFERENCES 1. https://www.mchd-tx.org/media/podcasts/TCP-Podcast-Figures.pdf 2. Kimbrell, J., Kreinbrook, J., Poke, D., Kalosza, B., Geldner, J., Shekhar, A. C., Miele, A., Bouthillet, T., & Vega, J. (2024). False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case Series. Prehospital emergency care, 28(7), 928–936. 3. https://www.ems12lead.com/post/tcp-in-transit-part-i 4. https://www.ems12lead.com/post/transcutaneous-pacing-part-2 5. https://www.ems12lead.com/post/transcutaneous-pacing-part-3

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Avsnitt(198)

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 Maj 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 Mars 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

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 Dec 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 Dec 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 Nov 202526min

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