The call reviewed here is a tough one, because the patient is a first responder. You’ll hear footage of Vermont police officer who, while conducting a pursuit, goes into sudden cardiac arrest. Paramedic Sarah Lamb and her colleagues, mostly volunteers from Richmond Rescue and other parts of rural Vermont, respond to this and save the officer’s life. We review some of the clinical and operational aspects of the call, as well as the significant issues that arise with calls like these: most importantly, the heightened emotion, the post traumatic stress and the importance of first responders’ ment ..read more

In honor of EMS Week 2023, today we celebrate EMS clinicians and the theme of "Save-a-Life" day.  We hope you are feeling appreciated, celebrated, and proud of your profession.  We feel proud to say with confidence that in the two years we’ve been doing Reel Emergency, we’ve helped you, the EMS clinician, save some lives.  For today’s episode, our panelists have each chosen a few clips from past episodes that they’d like to revisit. We will be focusing on those clips that provided lots of value, both clinically and educationally.  Reel Emergency covers the latest evidence w ..read more

Check out real footage from the medical tent at the end of a 7-mile road race in Mass. Multiple runners will be treated for hyperthermia. They are treated effectively and rapidly in an ice bath. Listen for how these protocols could be applied to your own practice in EMS. We are joined by subject matter experts in event medicine: Chris Troyanos is the owner of Sports Medicine Consultants, Inc. His team has provided care at road Races including the Boston Marathon for 44 years. John Jardine is an EM Physician in RI and Chief Medical Officer at the Korey Stringer Institute at UConn. Reel Emergenc ..read more

Check out footage of a few pediatric cases, specifically kids experiencing abdominal emergencies. The little patients are ones we don’t see frequently, so we picked cases that are unusual, and we'll also learn how they are managed at the hospital. Videos include the intestinal emergency of intussusception, Hirschsprung disease and appendicitis. Join Drs. Antevy, Spiro and Piehl who review this case with special guest Maia Dorsett. Reel Emergency covers the latest evidence with real cases in emergency and critical care medicine. Produced in partnership with ReelDx, Handtevy and 410 Medical.&nbs ..read more

This case includes footage from a police officer’s body cam as he manages the first critical minutes of a stabbing. Listen as he treats the patient’s wound and manages the scene until EMS arrives. The wound is in the hip and groin area, a spot where it is extremely difficult to gain control of the bleeding. This patient also happens to be receiving CPR from his wife, who is being instructed by the dispatcher. You'll also hear an incredibly helpful cadaver dissection to explain the A&P of the pelvic girdle. Join Drs. Antevy, Spiro and Piehl who review this case with special guests Marvin Wa ..read more

EMS clinicians respond to a man having an allergic reaction at an allergy clinic, of all places. Many EMS clinicians have experience responding to clinics of various kinds; what has been your experience interacting with another healthcare team? This EMS crew immediately recognizes the severity of the reaction, and they treat it accordingly with airway interventions and a variety of medications. Join Drs. Antevy, Spiro and Piehl who review this case with special guest Zach Dunlap, Clinical Director at Cypress Creek EMS in Houston, Texas. Also joining is Maia Dorsett, MD, PhD, Prodigy EMS's medi ..read more

Listen as EMS clinicians stabilize a very sick patient who was struck by a car while riding his bicycle.  Pay close attention to their management of his injuries, their impressive teamwork and how quickly they establish a definitive airway and administer blood products.  Spoiler alert— the patient survived this traumatic crash and was reunited with his EMS crew. Join Drs. Antevy, Spiro and Piehl who review this case with special guest Amber Rice, an Emergency Medicine Physician at the University of Arizona and a part of the TBI EPIC Study team in Arizona. Also joining is Maia Do ..read more

EMS clinicians bring vital assessment findings to neurology teams caring for patients with intracranial emergencies. Watch real patient video as the clinicians in the hospital care for a patient with a left-sided severe headache. This is a rare glimpse into what happens after EMS drops off a patient. You'll see a clinical exam, intubation and the drilling of the skull for an external ventricular drain. Join Drs. Antevy, Spiro and Piehl who review this case with special guests Chris Moore and Shaye Moskowitz. Reel Emergency covers the latest evidence with real cases in emergency and critic ..read more

Listen as EMS and law enforcement take care of a man who was found in public jumping on top of cars and exhibiting aggressive and paranoid behavior.  He says he has used methamphetamines, and he is profoundly diaphoretic and hyperthermic when EMS encounters him. Managing these patients is difficult and complicated and ketamine and other sedatives should be considered carefully.  Drs. Peter Antevy, Mark Piehl, & David Spiro and special guests Drs. Ken Scheppke, Jeffrey Bernstein and Doug Kupas join to evaluate provider-captured EMS video of this case.  Reel Emergency covers t ..read more

How should EMS providers treat patients at the end of life, in hospice or receiving palliative care? Drs. Peter Antevy, Mark Piehl, & David Spiro evaluate provider-captured EMS video of an end-of-life case of an elderly male.  They are joined by special guests Howard Capon and Elizabeth Clayborne. Reel Emergency covers the latest evidence with real cases in emergency and critical care medicine. Produced in partnership with ReelDx, Handtevy and 410 Medical.  CE available from Prodigy EMS. Like and follow us @ReelEmergency on YouTube, FB and Twitter.  Subscribe to the Reel Eme ..read more