All Episodes

Displaying episodes 1 - 30 of 83 in total

Ep 83 - EtCO2 in Cardiac Arrest

What value does EtCO2 have when it comes to predicting survival from cardiac arrest? We all know a sharp spike in EtCO2 is associated with ROSC, but what about persist...

Ketamine v Etomidate for RSI: A Bayesian Meta-Analysis

The debate about which drug to use for sedation prior to RSI will.. just.. not… die. Advocates for both ketamine and etomidate approach the argument with near-religiou...

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 talk about an intriguing concept in cardiac arrest… giving the initial dose of...

LHP E79 - Head Up CPR – Not So FAST

Show Notes:EMS History is full of interventions we've rapidly adopted, often at great expense and withdisruption of existing processes, that later turned out to, how s...

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 the question about why you haven’t ...

EMS LHP – E76 – One and Done Epinephrine

Y’all know I have thoughts on epinephrine in cardiac arrest. And perhaps 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 what the definition is. We’ve also discussed different papers about the impact the type of l...

LHP – E74 – What Even IS First Pass Success

What even IS FPS? There's been a long running argument about the definition of FPS. And by argument, I mean mostly established in the literature with some people just ...

Ep73 - Post-Mortem CT in Blunt Trauma

A new study came out describing 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 ...

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

We interviewed Tanner Smida in episode 69 about his very interesting paper using the ESO dataset looking at the association between survival from out of hospital cardi...

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 de...

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 a...

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 there was Episode 40: TXA for Epistaxis, Part Deux (the NoPAC trial), now there's Epis...

EMS LHP - E63 - Unpacking Paxlovid

Description: 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 breakth...

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 interviews several EMS industry leaders discussing why we should use Red Lights & Sirens as a clinical intervention and only as indicated. This podcast is p...

EMS LHP – Episode 60 – Dueling ECMO Papers

I got a great question during my FAST22 talk about what to make of two different papers, seemingly on the same topic, that give different results. In this case, it was...

LHP E59 - Cardiac Arrest Transport & ECMO

Mikey V and Dr. Jarvis get together again, “live” from Planet Hollywood at 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 talking about an abstract he presented s...

LHP - E58 - Pediatric Pain

Join us for a joint release of the first episode of The Pediatric EMS Podcast. We collaborate with the great folks from the PEC podcast, and MedicMindset to introduce ...

EMS LHP – Episode 56 – Atrial Fibrillation Treatment

Do y'all treat a-fib? Have you wondered what the best method of rate control is? Should you use diltiazem or metoprolol? How about the best pad placement for electrica...

EMS LHP – Episode 55 – Research from NAEMSP 2022 – Part 2

We’re back with the second part of our interviews with researchers from NAEMSP 2022 conference in San Diego. In this episode, Dr. Jarvis interviews Dr. Brian Miller fr...

Episode 54 – NAEMSP Research Part I

Episode 54

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