Trying to Coach Your Patient To Death

FromEMS 20/20

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Trying to Coach Your Patient To Death

FromEMS 20/20

ratings:

Length:

37 minutes

Released:

Jun 24, 2020

Format:

Podcast episode

Description

Spencer and Chris dig into a call where assumptions run wild and a Paramedic makes an attempt to coach someone out of a life threatening disease.

Released:

Jun 24, 2020

Format:

Podcast episode

Titles in the series (100)

EMS 20/20 is podcast hosted by two experienced Paramedics. Spencer Oliver and Christopher Pfingsten discuss real calls run by real responders and pull out the lessons you won't find in a text book. This podcast is aimed at Paramedic students, seasoned Paramedics looking to refresh, or any one interested in a deeper dive into pre-hospital health care.

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Amputee with an AMI: Chris and Spencer talk about a call that just doesn't stop getting worse as a mix of veteran and new providers tackle a chest pain patient with a complicated history. by EMS 20/20
61 min listen
Dissecting an FTO's Failure: Spencer brings a case with a patient that is absolutely totally fine...until he absolutely totally isn't. A trainee and his trainer let their hopes for the best obscure the worst in a case that even had Chris shrugging his shoulders. by EMS 20/20
73 min listen
Soft Sell from Soft Shell: As a freshly minted lead Paramedic, Soft Shelled Turtle comes across a patient with a telling set of symptoms that go from bad to worse. To make matter more interesting, Softy decides that the patients condition is better delivered as a surprise to receiving ER, leading to pure pandemonium. by EMS 20/20
49 min listen
Hypothesis for Hypotension: Chris and Spencer dig into a call where a patient has a mysterious onset of sudden hypotension. A lone Paramedic has hard choices to make with little in the way of vital signs, presenting decision making roadblocks to overcome. by EMS 20/20
44 min listen
Shocking Mistakes by EMS 20/20
51 min listen
Trying to Coach Your Patient To Death: Spencer and Chris dig into a call where assumptions run wild and a Paramedic makes an attempt to coach someone out of a life threatening disease. by EMS 20/20
37 min listen
Critical Crossroads: The guys follow a harrowing call where two Paramedics, Dingo and Corgi, come to a crossroad on a very ill patient. The crew will need to make a decision on how to treat this critically sick patient. Are they able to make the right choice? Are they able to make a choice at all? In the follow up episode next week, we will be joined by Dr. Chris Seitz from Seitz and Sirens! https://www.seitzandsirens.com/emt-test-prep by EMS 20/20
71 min listen
It's Not You, It's Me by EMS 20/20
56 min listen
Seize... sure?: Chris and Spencer review a scenario in which a disagreement over a pediatric patient leads to delayed treatment. by EMS 20/20
49 min listen
Airway Anyone? ...Anyone? by EMS 20/20
54 min listen
Head and the Heart: This week's episode is a deep dive into what Lone Wolf nailed in They Have A History of Heart. Spencer and Chris talk about talking to patients, the one skill you need on quite literally every call, but the one skill that few have truly mastered... including us! by EMS 20/20
62 min listen
The Non-Episode Episode: This week Chris and Spencer do... nothing! Spencer is out helping areas affected by the fires here in Oregon as on site medical staff. But no worries! Next week we will be back on track with a new episode! by EMS 20/20
1 min listen
The Correct Way to do Things Wrong: Spencer and Chris pick a part a call where a tube stays in place longer than it should and the crew doesn't stay in place long enough. An end tidal of 0 and a load-and-go code 99? Someone messed up... or did they? by EMS 20/20
44 min listen
Sounds Like A Duck...: If it sounds like a duck, it must be one, right? Have a listen as Paramedics Baller, Shot Caller, and Impala unsuccessfully shock a patient. You too can be shocked: For the first time ever in the history of the universe... CHRIS IS WRONG. by EMS 20/20
70 min listen
Fight Night! Are Pricey Manikins Worth It?: In the first ever Fight Night episode, Spencer and Chris debate whether or not expensive dummies are worth the cost! Let us know who won! by EMS 20/20
24 min listen
Uncomfortably Pregnant: Spence and Chris talk about a call where two Paramedics cross their fingers, close their eyes, and just hope a call goes away. But guess what? In EMS, you don't get to do that. Listen and find out why! by EMS 20/20
53 min listen
They Have A History Of Heart: Lone Wolf, an experienced Paramedic, puts on a master class of communicating with a jackass of a patient... but makes one single misstep that almost costs the patient their life! Chris and Spence review a call that could be all too real to anyone in the field as a difficult patient makes history taking a challenge. by EMS 20/20
53 min listen
Passing the Baton: Q-tip and Cotton Ball respond to an urgent care clinic where staff has a reasonable plan with unreasonable expectations for a young asthma patient. The call goes from bad to better to way worse as Chris and Spencer comb through the details in this week's episode! by EMS 20/20
52 min listen
Sometimes Everyone Drowns: Chris and Spence talk about a drowning Paramedic... er, patient! Maybe both? What happens when the sole Paramedic on scene can't pull the trigger? Listen to find out as the guys talk about rapid and delayed sequence intubation as well the pushing the limits of the scope of practice! by EMS 20/20
62 min listen
I Wanna Roc!: Chris and Spencer review one helluva a breathing call! That's right, two back to back breathing episodes, but this one has a special twist: what happens when the thing that always works... doesn't? And can adding a doctor to a call always make things better? Have a listen and find out! by EMS 20/20
59 min listen
A Lazy Game of Hot Potato: Spencer and Chris unravel a complicated scene that didn't need to happen. The only thing harder to find than this patients pulse is the history of his present illness! Do they ever find it? Have a listen and find out! by EMS 20/20
59 min listen
The Sk8ter Boy: Nicknames return! A crew secures an airway in a calm, decisive manner and begins transport on their trauma patient. Easy going from here on in, right? ...right? by EMS 20/20
51 min listen
When School Gets It Wrong: Chris and Spencer examine a call where a patient goes from pretty OK to really, really bad. Is this something that school could have prepared the crew for? Or is this one of those reality check moments? by EMS 20/20
76 min listen
Soft Shell Redemption: Soft Shell returns from last week as Spencer and Chris discuss the ins and outs of subarachnoid bleeds. What can cause them, what they can do to the patient, and what we can do in the field, the guys cover it all as they review Soft Shell's redemption. by EMS 20/20
41 min listen
This Shouldn't Be Happening...: The guys review a substantially disjointed call in which a patient is coded... or are they? How can a densely, perhaps even over-resourced system miss THIS? by EMS 20/20
69 min listen
I See Dead People: Abdominal pain turns code turns DOUBLE CODE. A seasoned Paramedic finds herself alone at the top of the EMS food chain trying to get pulses back in not one but two people who really, really need pulses. How does she manage the chaos? Listen and find out! ALSO: New intro that Chris changed at the last minute... sorry Spence! by EMS 20/20
79 min listen
Critiquing the Crossroads: The guys are joined by Dr. Chris Seitz, and ER physician who helps bring some much needed perspective to last weeks complex episode. Was CPAP the right thing to do? Were pressers needed? What about intubation? It all gets answered on this week's deep dive! Need to pass your NREMT exam? Check out Seitz and Sirens and get it done! Use promo code EMS2020 for a discount! https://www.seitzandsirens.com/emt-test-prep by EMS 20/20
58 min listen
Sed8tion Lessons from the Sk8ter Boy: Spencer and Chris talk about Sedatives and Paralytics commonly used in EMS. Why should you pick one over the other? What are the pros and cons of each? Did you know that paralysis does not equal sedation? Because it really doesn't. by EMS 20/20
55 min listen
Forgetting How To Walk: Leading your first code with minimal resources can be likened to being birthed as a baby giraffe learning what legs are for. Spencer and Chris review a new Paramedic doing exactly that as they come back with another episode aimed at helping new providers climb those first hurdles! by EMS 20/20
46 min listen
Painful Realization: CONTROVERSY WARNING! So just how good are pre-hospital providers at evaluating and treating pain? Can we call a faker out with any accuracy? Are we giving too much pain medication? Too little? Dr. Seitz from https://www.seitzandsirens.com joins Chris and Spencer in one of the most controversial episodes yet! by EMS 20/20
66 min listen

More Episodes from EMS 20/20

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LEGO my V-Tach!: "Stop shocking me!!" Is the quote of the day when listening to this episode! Spencer and Chris delve into a fall patient then ends up being just a little bit more than a band-aid. Can the crew follow the instructions and build a great call out of loose parts? by EMS 20/20
98 min listen
T is for Terrible Manners: N is for neuro symptoms, S is for stroke, and U is for uncaring agency that needs a reality check. What do you do when a responding agency is responding angrily? Listen and find out! by EMS 20/20
103 min listen
Please Don't Take Me There: So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder? Do you pass it up or go by the book? Listen to this week's episode and see if the Turtles go rogue or following the teachings of Master Splinter. by EMS 20/20
138 min listen
It's Just My Arm... Promise.: When is it ever really as easy at it seems? Take a helluva dive with the guys as they figure out what was missed as a vaping patient complains about their arm. by EMS 20/20
92 min listen
Quick! To The Bat Scanner!: Well now here's a fun one: what happens when a fall patient who just needs a hand up suddenly becomes an altered patient? Find out in this week's totally copyright infringement free episode! by EMS 20/20
104 min listen
Put The Bunny Back: Does this weeks crew get conned into using air for their cardiac patient? Spencer and Chris talk nitro, 90's movies, and Nicholas Cage in this weeks clip filled episode! by EMS 20/20
97 min listen
Systemic Failure: Each and everyone of Chris' triggers are pulled in this harrowing tale of herding cats. A severely injured/ejected patient is treated by a severely injured system... and the result is... not great. by EMS 20/20
132 min listen
It's All About the Delivery: Everyone's favorite call type is front and center as an expecting mother does what expecting mothers do. Listen as Chris makes terrible guesses at this episodes theme... but also be sure to listen to our SPECIAL ANNOUNCEMENT! by EMS 20/20
97 min listen
Vaguely Non-Emergent?: Does a crew let the dispatch information lead them astray? Are they able to see through the smoke screen of a convoluted history? Listen and find out if being sick for two days means you won't see a third! by EMS 20/20
109 min listen
Pulling a Code Out of a H.A.T.: Sometimes illusions of trauma can get the better of us. Spencer and Chris see if the crew in today's episode is fooled by sleight of... car, or if they manage to see past the tricks and get to the bottom of the magic hat. by EMS 20/20
112 min listen
That's Kenough Ketamine!: It's just a code one leg pain... how hard could it be? Spencer and Chris find out in today's episode as the guys examine easy errors with difficult consequences! by EMS 20/20
96 min listen
Salmon Stabs Spaghetti: Chris and Spence review a call that goes clinically... fine. But what happens when the patient suddenly doesn't like the direction the call is going? And what happens when a doctor is.... WRONG?! by EMS 20/20
103 min listen
Choosy Medics Choose STEMI: The guys review a nutty situation where a responder is sandwiched between a DNR and a very serious diagnosis... and also their partner... by EMS 20/20
109 min listen
A *Very* Sticky Case: Spencer and Chris bring in the big guns from the Standard of Care podcast, Samantha Johnson and Nick Adams! This episode is probably one of the most disturbing cases of neglect we've reviewed in a while, so you've been warned! by EMS 20/20
100 min listen
Railroading Rod: Ashlyn O'Dell joins Chris and Spence as the trio try and be very useful engines on a trauma call! With an object stuck... somewhere and a rather un-useful little engine on scene, the team has their work cut out for them. by EMS 20/20
176 min listen
You're Tearing Up My Heart: It might sounds crazy, but it ain't no lie... Spencer and Chris try to navigate what to do when a big mistake is made on a severe trauma patient... and it's not a mistake that is hard to make, either. by EMS 20/20
137 min listen
Avoiding SeDEADtion: The guys try to figure out exactly where the line between sedation and death is, and as a bonus, Spencer teaches you how to smoke meth. by EMS 20/20
91 min listen
12.875 Kilometer: Crossing into Canadian terrain, Spencer and Chris delve into a call where a patient does their best attempt at refusing treatment for their... gunshot wound? by EMS 20/20
103 min listen
MI Bleed?: Chris and Spencer see if they can solve why a man with the most rancid of toots can't stay upright. And also... Chris totally screws up! Also be sure to check out this week's sponsor, In Case at getincase.com/EMS2020! by EMS 20/20
104 min listen
Who has the Baby!?: Spencer throws Chris for a loop by making him critique... himself(ves)? In today's VERY strange episode, two BLS responders care for a sick baby, make a last minute switch on who is doing what, while the patient's mother seems to lose faith. Check out this week's sponsor, In Case at getincase.com/EMS2020 ! by EMS 20/20
122 min listen
You Can't Make Me!: Sometimes patients don't just say no, but sometimes they say f&^$ no! What happens when two responders are confronted by a verbally hostile patient? Does fighting fire with fire work? Spoiler: no, it does not. Check out this episode's sponsor at getincase.com/EMS2020, and use PROMO CODE EMS2020 for $5 off! by EMS 20/20
95 min listen
Methany and the Frog: In this week's episode, Spencer tells Chris a tale about meth, altered levels of consciousness, and maybe even child protective services. Also, frogs. by EMS 20/20
104 min listen
Hive-way to the Danger Zone: Can the guys see where (or if) a handful of secret agents went wrong? Did they go wrong? Try to keep up with the twists and turns of this weeks episodes as everything from airway management to scene management is discussed. by EMS 20/20
91 min listen
Making a List... For Low SaO2: In a Lucky Charms fueled rage, Chris shares his thoughts on what it takes to be a Paramedic before the guys try and figure why a patient is so short of breath. Is it bronchoconstriction? Pulmonary Edema? Heart problems? Listen and find out! by EMS 20/20
116 min listen
Snapping Necks and Calling Helis: So we might not be COPS, but this episode is still bound to make you sweat as an accident in treacherous terrain interrupts the Catalina Wine Mixer. From hiking to helicopters, Chris puts Spence through the paces in this week's episode! by EMS 20/20
95 min listen
The Legend of Vent Machina: Spencer and Chris roll the dice on today's episode as we follow brave adventurers into the unknown as they set out with a vented patient to a nearby kingdom. What could possibly go wrong? Lots. Lots can go wrong. by EMS 20/20
124 min listen
LetterSTEMI Problems: Pitter patter! New episode out TODAY! Chris hops on a bus driven by Spencer headed to struggle street when it comes to a wonky ECG. To STEMI or not to STEMI? Can Chris get it right, or is he 10-ply? by EMS 20/20
94 min listen
Breaking Blood Vessels: In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits. by EMS 20/20
97 min listen
Seizure Victim Unit: Is this episode's patient faking a seizure? Does it even matter? Or at least, does it matter more than the anger of a salty medic who terrorizes their trainee? Does THAT matter more than the ensuing medication error? by EMS 20/20
91 min listen
A-Hip-A: After Chris defends his position on TXA, Spencer UTTERLY STUMPS him in this week's episode where a patient is KILLED by HIP PAIN! Spoiler: Patient not actually killed by hip pain. by EMS 20/20
102 min listen

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Trying to Coach Your Patient To Death

Trying to Coach Your Patient To Death

Description

Titles in the series (100)

More Episodes from EMS 20/20