All Episodes
Displaying episodes 1 - 30 of 86 in total
Ep86 - The PREOXI Trial
What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Tria...
Ep85 - Intubation: Is More Better?
There is evidence that clinician experience with intubation is associated with improved success rates and evidence that missed intubation attempts are associated with ...
Ep84 - Nebulized Ketamine?
Description: Let’s say you were looking for a safe and effective BLS option for analgesia. Something other than oral acetaminophen or ibuprofen. You want the Green Whi...
Ep 83 - EtCO2 in Cardiac Arrest
What value does EtCO2 have when predicting survival from cardiac arrest? We all know a sharp spike in EtCO2 is associated with ROSC, but what about persistently elevat...
E82 - Ketamine v Etomidate for RSI: A Bayesian Meta-Analysis
The debate about which drug to use for sedation before RSI will... not… die. Advocates for both ketamine and etomidate approach the argument with near-religious zeal. ...
Ep81 - Treatment of Atrial Fib with RVR
Atrial Fibrillation with rapid ventricular response is a common cause of EMS activations and ED visits. It is associated with chest discomfort, palpitations, and hypot...
LHP E80 – IM Epi in Cardiac Arrest
Dr. Jarvis is joined by OG co-host Mike Verkest and Dr. Brent Myers from NAEMSP 2024. We discuss an intriguing concept in cardiac arrest… giving the initial dose of ep...
LHP E79 - Head Up CPR – Not So FAST
EMS History is full of interventions we've rapidly adopted, often at great expense and with disruption of existing processes, that later turned out to, how should I sa...
LHP E78 – Racial Disparities in EMS Analgesia
What would you say if I told you that Black patients were less likely to receive pain medication compared with white patients? My guess is you’d either question the me...
LHP E77 – Should We Reduce Sedative Dosing In RSI Of Hypotensive Patients?
Have you heard that you’re supposed to decrease the dose of your sedative when performing RSI on hypotensive patients? First, avoid asking why you haven’t addressed th...
EMS LHP – E76 – One and Done Epinephrine
Y’all know I have thoughts on epinephrine in cardiac arrest. Perhaps you might have heard me say epinephrine “saves the heart at the expense of the brain.” I’ve also s...
LHP E75 - The Device Trial
We’ve spoken a lot recently about intubation First-Pass Success, including the definition. We’ve also discussed different papers about the impact the type of laryngosc...
LHP – E74 – What Even IS First Pass Success
What even is FPS? There's been a long-running argument about the definition of FPS. By argument, I mean mostly established in the literature, with some people not liki...
Ep73 - Post-Mortem CT in Blunt Trauma
A new study describes the utility of post-mortem CT panscans in patients who died either in the field or in the ED to identify mortal and potentially mortal injuries. ...
EMS LHP E72 - DSI vs RSI
DSI (delayed sequence intubation) has been proposed as an alternative to RSI (rapid sequence intubation) for patients who can't tolerate interventions needed to proper...
Ep 71 - SGA Cage Match: Round 2
In episode 69, we interviewed Tanner Smida about his very interesting paper using the ESO dataset. It looked at the association between survival from out-of-hospital c...
Ep 70 - Crossover with the EMS Show from Ashland, Oregon!
Man, did we have fun recording this one? I found myself in a hotel room in Ashland, Oregon, with Drs. Ed Racht, Maia Dorsett, and Ritu Sahni talking about Sepsis. We d...
Ep 69 - iGel vs King LT in OHCA
The cage match you've all been waiting for! iGel vs King LT in cardiac arrest. Which is associated with higher survival?Airways-2 was an RCT of iGel vs. ETI in OHCA an...
EMS LHP - Episode 68 - The SAVE Trial
Remember AIRWAYS-2, the British RCT comparing iGel to ETI in adults with cardiac arrest? Have you wondered if those results would hold up in a different prehospital po...
EMS LHP EP67 - DOSED-VF
If one is good, two must be better, right? If it applies to cookies and ice cream, why not defibrillators? That’s the question the DOSED-VF trial set out to answer. We...
EMS LHP Episode 65: SpO2 vs SaO2 Variations Between Races
Dr. Crowe returns to the EMS Lighthouse Project Podcast from our “vacation” in Mexico to discuss the impact of variations between pulse oximetry and blood gas values a...
Real World Midazolam Use In Seizures
National guidelines for the management of seizures recommend midazolam 10 mg IM as first-line therapy. The big question is how often EMS follows this guideline or how ...
EMS LHP Episode 64: TXA for Epistaxis, Part Trois
First, there was Episode 31: TXA for Epistaxis (the Zahed RCT from Tehran), then Episode 40: TXA for Epistaxis, Part Deux (the NoPAC trial), and now Episode 64: TXA fo...
EMS LHP - E63 - Unpacking Paxlovid
COVID sucks, no doubt about it. Vaccination has been a game changer for how we live through the pandemic, but we still need therapeutics for those breakthrough cases a...
EMS LHP - E62 - Esmolol in cardiac Arrest?
Our good friends at Montgomery County Hospital District EMS in suburban Houston brings us a nice feasibility study about the use of esmolol for refractory v-fib. Dr. J...
EMS LHP Episode 61: Red Lights & Sirens Collaborative
Dr. Jarvis interviewed several EMS industry leaders, discussing why we should use Red Lights & Sirens as a clinical intervention and only as indicated. This podcast is...
EMS LHP – Episode 60 – Dueling ECMO Papers
During my FAST22 talk, I received a great question about what to make of two different papers, seemingly on the same topic, that give different results. In this case, ...
LHP E59 - Cardiac Arrest Transport & ECMO
Mikey V. and Dr. Jarvis get together again “live” from Planet Hollywood in Las Vegas for FAST22! We took the opportunity to sit down and discuss two papers on cardiac ...
EMS LHP – Episode 57 – Bicarb Use In Cardiac Arrest?
Y’all have had lots of questions about using sodium bicarbonate in cardiac arrest after we ran an interview with Dr. Menegazzi about an abstract he presented showing a...
LHP - E58 - Pediatric Pain
Join us for a joint release of the first episode of The Pediatric EMS Podcast. We collaborated with the great folks from the PEC podcast and MedicMindset to introduce ...
