The EMS Lighthouse Project

The FDA just granted EUA for the Johnson and Johnson vaccine against COVID. This is a big deal because it is a one-shot vaccination that is much more stable than the two mRNA vaccines. Dr. Jarvis does a quick overview of the data submitted to the FDA for their approval.

LIVE from a virtual Texas EMS Conference, we bring you a session moderated by Mike featuring Drs. Jeff Jarvis, Jason Pickett, and Heidi Abraham. This is the highly anticipated Part Deux of a session we all did at the Texas EMS Conference in Fort Worth 2019… back before “the situation” when we could all meet in person like civilized humans. We discussed a variety of topics including the new DEA rules about controlled substances, the new AHA guidelines, and lots of other goodies. But mostly, we just had fun.

Ketamine only intubation has been promoted by some as a safe approach to airway management in patients with anatomically or physiologically difficult airways. It turns out Dr. Jarvis has some thoughts on the subject. He uses a 2020 paper by Dr. Driver entitled “Success and Complications of the Ketamine-Only Intubation Method in the Emergency Department” to discuss this concept. If you like what you hear, please give us a 5-star rating wherever you get your podcasts and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all). All of our podcasts are now also released in video format on the FlightbridgeED YouTube channel. Take a look, subscribe, and give us a ‘thumbs up’. As always, we want to hear your feedback and questions/comments. You can reach us at @DrJeffJarvis, jeff.jarvis@flightbridgeed.com and @MikeVerkest, mike.verkest@flightbridgeed.com. Thanks y’all!

Children are often considered to be just small adults, much to the dismay of pediatricians everywhere. But when it comes to peri-intubation cardiac arrest, is it true? We know that, in adults, peri-intubation hypoxia is a strong predictor of cardiac arrest. Is this true in pediatric patients? This episode features another oral board case with Dr. Erin Lincoln (@ErinTWL) and live discussion with Mike (@MikeVerkest), Jeff (@DrJeffJarvis) and special guest Dr. Peter Antevy (@HandtevyMD). Our live segment had lots of great listener questions which led Peter and Jeff to go deep down the rabbit hole of safe intubation practices. If you like what you hear, please give us a 5-star rating wherever you get your podcasts and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all). All of our podcasts are now also released in video format on the FlightbridgeED YouTube channel. Take a look, subscribe, and give us a ‘thumbs up’. As always, we want to hear your feedback and questions/comments. You can reach us at @DrJeffJarvis, jeff.jarvis@flightbridgeed.com and @MikeVerkest, mike.verkest@flightbridgeed.com.

Dr. Jarvis and Mike Verkest are joined by a trio of guests to discuss the literature surrounding both the Pfizer BionTech and Moderna Vaccines. Dr. Ritu Sahni, Dr Veer Vithilani and Dr. Remle Crowe round out the panel. This episode is nearly 2 hours in length, and we hope we answered any questions you might have in a non-bias way. Feel free to share this episode or any of the mRNA series of podcasts and live broadcasts we have done this month. We appreciate you listening.

This episode was a LIVE media broadcast discussing a double-blind trial of IM Droperidol, Ziprasidone and Lorazepam for acute undifferentiated agitation in the emergency department. Join Mike and Jeff as they discuss the paper, take questions from the viewers and tease the newly released Standard of Care Podcast! Thank you for listening, sharing, rating and reviewing all the FlightBridgeED podcasts! We appreciate you being on this journey with us!

Part pre-recorded, part LIVE! Dr. Jeff Jarvis, Dr. Jason Pickett, and Mike Verkest discuss the results of the Resuscitation Outcomes Consortium TXA in TBI Trial. Thanks for coming to the channel! Be sure to subscribe here and wherever you listen to podcasts!

Have you had patients recently with repeat EMS calls and lots of ED visits for nausea and vomiting? They say the only thing th works for them is scalding hot showers and that drug that starts with a "D". Did they just happen to smoke a lot of weed? In this episode, Dr. Jarvis discusses cannabinoid hyperemesis syndrome and reviews an RCT comparing topical capsaicin cream (yes... the stuff of pepper spray fame) vs placebo.

Mike and Dr. Jarvis are joined by Drs. David Wampler and Emily Kidd to discuss their study on the performance characteristics of the VAN score for detecting large vessel strokes. Drs. Jarvis and Kidd run through a case of a patient with stroke to discuss the thought process of an emergency physician.

We talk headaches in this episode, specifically an RCT comparing haloperidol to placebo for benign headache. Joining us for this episode is special guest Dr. Erin Lincoln (@ErinTWL), EM resident and paramedic. Drs Jarvis and Lincoln will go through an oral boards-type case of a 45-year-old woman with a headache. We’ll include a review of the literature on headache treatments, hit on why opioids aren’t recommended, and discuss the differential diagnosis of headaches and the red flags that will help find those “can’t miss” diagnoses. This is a new format for us. We really, really want your feedback. Do you like the oral boards-style interview? Drop us a note on Twitter: @MikeVerkest, @DrJeffJarvis, or an email mike.verkest@flightbridgeed.com or jeff.jarvis@flightbridgeed.com. And don’t forget to give us a review on Apple Podcasts to help other likeminded clinicians find our show.

VL vs Augmented DL with Special Guest: Dr. George Kovacs. We’re starting a new format with this episode. We kick things off with a review of a paper: Brown CA, et al. Video Laryngoscopy Compared to Augmented Direct Laryngoscopy in Adult Emergency Department Tracheal Intubations: A National Emergency Airway Registry (NEAR) Study. Acad Emerg Med. 2020; 27: 100-108. After discussing the paper, we have an amazing interview with Dr. George Kovacs (@kovacsgj) to discuss the differences between types of VL devices. He drops some great pearls on some tips for intubation success. Then Mike joins us for a discussion of the paper and interview. We hope you like the new format. Please drop us a line and let us know what you think! As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse

There has been a lot of talk about the benefits of TXA in major trauma with small differences in outcomes. If you’re looking for a big treatment benefit for TXA, look no further than the very sexy nose bleeds. This is an easy and safe intervention that EMS can provide that makes a real difference in a growing number of patients. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).

Are you worried about what might happen in your jurisdiction if COVID breaks out in your nursing homes? You should be. Dr. Jarvis reviews a NEJM paper in this episode: Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Afterward, he’s joined by a special guest, Dr. Jason Pickett. Dr. Pickett is the deputy medical director for Austin-Travis County EMS, assistant local health authority for Austin Public Health, and the host of the EMS podcast with the longest name ever. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse.

We are living, in a COVID world. And I am a COVID doc. This is a special episode of the EMS Lighthouse Project Podcast. Since the entire Jarvis household is quarantined in our bunker in Central Texas, I brought the family together to discuss how this such a short little piece of RNA has changed our world. Oh, and we talk about the MMWR report from Singapore that, apparently, got the CDC to change its stance on the use of public face masks. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe. Most importantly, stay safe out there. Thank you for stepping up and caring for others in these difficult times. We appreciate each one of you. I’ve never been prouder to be in EMS.

Remember our podcast where we talked about amiodarone and lidocaine improving survival from arrest when given IV but not IO? Wait! There’s more. Another paper dropped looking at the same thing but with epinephrine instead of anti-dysrhythmics. Does this paper show the same thing? Is there really something to this IV superiority thing? Dr. Jarvis breaks this new paper down. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse

Remember Episode 12 where we reviewed a Houston paper on DSD showing worse outcomes with DSD? At the end of that pod, I spoke about an ongoing RCT trial comparing DSD to standard therapy AND vector change defibrillation. Well, the pilot phase of that trial is over and has JUST been published. It has some surprising preliminary results. Join us and find out how that study is going. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).

Have you ever given adenosine to a patient in SVT? Yeah? Did they like it? I didn’t think so. You’ve probably also given up trying to use the Valsalva maneuver because you’ve found it doesn’t work very often. Wouldn’t it be great if there were a way to make the Valsalva more effective and, perhaps, avoid kicking the patient in the chest with adenosine? Dr. Jarvis reviews a paper in this episode that may offer just this. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).

The final part of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed any of the first three episodes, be sure to download them and take a listen. They were great! In this episode, we wrap up the series with outstanding discussions. We discuss the epidemiology of pediatric trauma activations with San Antonio’s Dr. Craig Cooley and finish up with a discussion with Dr. Henry Wang. Dr. Wang talks to us through an oral abstract he presented here on a secondary analysis looking at the impact of FPS in the PART trial comparing ET and King LT in cardiac arrest. As a bonus, he talks us through the original PART trial for which he was the principal investigator. As always, we want to hear your feedback. Let us know what you think: @MikeVerkest, @DrJeffJarvis, and @EMSLigthouse. Subscribe and give us a great rating on Apple Podcast.

And…we are back for part 3 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed parts 1 or 2, be sure to download them and take a listen. They were great! In this episode, we have two great interviews. We talk with Dr. Veer Vithalani of MedStar in Fort Worth, TX about his work using EtCO2 to detect unrecognized BVM ventilation failures. We also chat with Drs. Casey Patrick and Rob Dickson from Montgomery County Hospital District EMS in Conroe, Tx about push-dose drugs including epinephrine and nitroglycerin.

What if we told you that neither amiodarone nor lidocaine did any better in cardiac arrest when given by IO? What if we told you neither one improved survival when given by IV? Would you think I was smoking crack? Yeah, I would have thought that too until last week. I’m going to give a quick recap of this important secondary analysis of the ALPS trial, but only as a precursor to get y’all warmed up for the main event on Facebook Live Wednesday, January 29th at 8:30 CST. Listen to this podcast, and then join me, Mikey V, Eric Bauer, and Ritu Sahni as we talk about what we should make of this interesting trial. Most importantly, what we should do (or not do) in our clinical practice. As always, please subscribe and give us a 5-star rating on Apple Podcasts. We’d love to hear your thoughts, questions, and suggestions. Join us on Twitter: @MikeVerkest, @DrJeffJarvis, @EMSLighthouse @FlightBridgeED

And we’re back for part 2 of our coverage of some of the research from NAEMSP2020 in San Diego. If you missed part 1, be sure to download it and take a listen. It was great! As always, we want to hear your feedback. Let us know what you think: @MikeVerkest, @DrJeffJarvis and @EMSLightouse. Subscribe and give us a great rating on Apple Podcast.

Did y’all make it to NAEMSP 2020 in San Diego? If not, I’m sorry. It was awesome! If you did, you probably had a great time but still missed a lot. There’s just too much going on. Being the research nerds we are, we focused our time on the oral and poster presentations. We interviewed as many investigators as we could. In fact, we recorded more audio than we could fit in one episode. So… we’re cutting them into smaller chunks and will get them out faster than our normal q2 weeks release schedule. Join us as we sit down (or stand up as the case may be) for some great interviews from NAEMSP. As always, we want to hear your feedback. Let us know what you think: @MikeVerkest, @DrJeffJarvis and @EMSLightouse. Subscribe and give us a great rating on Apple Podcast.

HAPPY NEW YEARS! We hope you are celebrating 2020 at the NAEMSP National Conference in San Diego. If you're around, stop by and say hi to the PEC podcast team! This year, we teamed up with our brand new podcast partners Mike Verkest (@MikeVerkest)and Dr. Ritu Sahni (@MD59) of the Second Shift Podcast and Dr. Jeffrey Jarvis (@DrJeffJarvis) of the EMS Lighthouse Project for the VERY first bi-annual EMS Collaborative podcast. In this special episode of the EMS Collaborative, we talk about the wonderful world of Mobile Integrated Health (MIH) and ET3. It's a fascinating conversation filled with MIH history, MIH research, editorials, and, of course, checking to see if Dr. Sahni can qualify for medicare. Check out this fun, entertaining, and witty podcast today! As always THANK YOU for listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston), Jeremiah Escajeda MD, MPH (@jerescajeda), Joelle Donofrio-Odmann DO (@PEMems), Mike Verkest (@MikeVerkest), Ritu Sahni MD (@MD59), Jeffrey Jarvis MD (@DrJeffJarvis), and @FlightBridgeED!

Dr. Jarvis had an opportunity to sit with Dr. Ben Bobrow at the Texas EMS Conference. Dr. Bobrow is the chair of Emergency Medicine at UT Houston. During his time in Arizona, Dr. Bobrow was instrumental in the studies of Traumatic Brain Injury and approaches to improved outcomes in cardiac arrest. If you know about the dangers of hypoxia and hypotension in TBI or the importance of minimally interrupted chest compressions and passive oxygenation in cardiac arrest, you should hear this interview. If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat Second Shift after all).

The debate has raged. In this corner, we have our established champion succinylcholine, or, as the oldsters call it, “because we’ve always done it this way”. In that other corner over there, we have the brash newcomer, rocuronium, or, as the youngsters call it, “OMG… what about the hyperK!.” Wouldn’t you just like an answer? Which is better? SAMU to the (potential) rescue. Our French colleagues published a Randomized Clinical Trial comparing FPS among prehospital patients undergoing intubation between succinylcholine and rocuronium. What did they find? Join Dr. Jarvis for a hot-off-the-presses podcast that will give you the down and dirty about this trial ON THE DAY IT WAS PUBLISHED! Take THAT Second Shift! If you like what you hear, please give us a 5-star rating on Apple Podcasts and tell your friends to subscribe. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

Should we chill out with the non-shockable cardiac arrests? Another look at targeted temperature management. First, we knew early hypothermia after ROSC saved brains. Then, we learned that doing it in the field didn’t make a difference and that there was no difference between 33C and 36C. This month, the NEJM published the HYPERION trial of non-shockable arrests randomized to hypothermia (33C) or normothermia (37C). If you like what you hear, please give us a 5-star rating on Apple Podcasts and other premier podcast purveyors and tell your friends to subscribe (or download each episode several times… we’ve gotta beat SecondShift after all).

As a special Thanksgiving treat we bring a “Live” panel discussion featuring Drs. Jeff Jarvis, Jason Pickett, Heidi Abraham, and Taylor Ratcliff. Skillfully (and tactfully) moderated by the awesome Ginger Locke. Recorded 11/26/19 at the Texas EMS Conference in Fort Worth, Texas. Topics include epinephrine and advanced airways in cardiac arrest, paramedic degrees, intubation with paralytics vs “sedation assisted intubation”, whole blood, IV push nitroglycerine for CHF, POCUS, and discussing clinical errors. This was a ton of fun to record. We hope you enjoy it as much as we did. Happy Thanksgiving! If you like what you hear, please give us a 5-star rating on Apple Podcasts and tell your friends to subscribe (or download each episode several times... we’ve gotta beat Second Shift after all). You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

You’ve all seen it. Most of you have probably taken (or fired) a round or two in it. It’s the Great Twitter "VL vs DL War". Everyone has their opinion. I certainly did. But now I’ve found peace by retreating from the madness. Ultimately, it’s WAY more about the training than the particular device being used. Dr. Jarvis reviews a randomized trial comparing AP Advance, CMAC, and King Vision to make his point. If you like hearing about the latest in EMS research, subscribe to our podcast. If you like what you hear, please give us a 5-star rating on Apple Podcasts to help others discover the EMS LightHouse Project Podcast!. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

More and more EMS research is being presented at the PCRF research forum at EMS Expo. Dr. Jarvis sat down with Dr. David Wampler at EMS Expo 2019 in New Orleans. Dr. Wampler won the award for best research at EMS Expo 2019 for his research comparing inhaled isopropyl alcohol to oral ondansetron for nausea. He also discusses his other two posters. If you like hearing about the latest in EMS research, subscribe to our podcast. If you like what you hear, please give us a 5-star rating on Apple Podcasts to help others discover the EMS LightHouse Project Podcast!. As always, we want to hear your feedback. You can reach us on Twitter at @EMSLighthouse, @MikeVerkest, and @DrJeffJarvis.

A variety of papers, including CRASH-2, suggest that TXA can decrease mortality if given early for patients at risk of significant hemorrhage but exclude patients with TBI. CRASH-3 was a large, multi-national placebo-controlled randomized trial comparing TXA, 1 gm over 10 minutes, followed by a subsequent 1 gm infusion over the next 8 hours. So… what do we think of the paper’s results, and do we believe TXA should be given in TBI patients? The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been fantastic, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

DSD is the current bright and skinny object. Many agencies (including mine) adopted it based on a few case series. Dr. Jarvis discusses a brand new paper looking at Houston Fire/EMS’ experience with DSD. Should we change our practice? Listen and find out. Thank you for the comments, reviews and emails! If you haven’t, please go to your favorite podcast app and leave a rating and review! We appreciate it!

Mike and Ritu bring Dr. Jarvis in the mix for the "cross over episode of the century"…um, described by Mike as a ménage a trois…it's not like that…he just meant it’s a 3 for one…even that doesn't sound right. He is simply saying how often do you get 2 AMAZING EMS Physicians on the same pod at the same time!? We tackle DROPERIDOL!! Remember that medication? It's was an amazing drug that lost its way. WE talk about why and how it's making a comeback. Still considered one of the top 10 in the industry, we couldn’t do it without your support! Thank you for the comments, reviews and emails! If you haven’t, please go to your favorite podcast app and leave a rating and review! We appreciate it!

This episode was recorded LIVE on Facebook with a ton of fun interaction. Dr. Jeff Jarvis and Mike Verkest look at a recent paper that described stroke patients who underwent RSI had worse outcomes than their non-RSI counterparts! …do the benefits outweigh the risks? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

In this episode of the EMS LHP Podcast, Dr. Jarvis and Mike Verkest take a look at the data regarding responding to and from calls with lights and sirens…you may be surprised and the risks we are taking…do the benefits outweigh the risks? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

In this episode of the EMS LHP Podcast, Dr. Jarvis goes solo and discusses an important paper regarding Airway and TBI. The Excellence in Prehospital Injury Care study (EPIC) published in May of 2019 in JAMA definitely sheds the bright light of science on current EMS Practice. Take a listen and tell us your thoughts! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app!

In this episode of the EMS LHP Podcast, Dr. Jarvis and Mike Verkest are joined by David Olvera to see what the literature says about ketamine for pain. Is it safer? Does it take care of pain any better? Tune in to find out! The EMS Lighthouse Project Podcast is the newest show on the FlightBridgeED clinical podcast network! Your feedback has been amazing, and we appreciate the support! If you haven’t, please leave feedback and give is a rating on your favorite podcast app! We appreciate the subscriptions, comments, and ratings. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, Dr Jarvis looks at the first secondary analysis from the PART trial of advanced airway management in cardiac arrest (King LT vs. ETI). The analysis looks at the impact of airway type and time to first epinephrine, with an expanded look at outcomes as a function of time to epi. We appreciate the subscriptions, comments, and ratings. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we continue from part 1 and look at 3 papers that try to answer the question about airway in the adult cardiac arrest. Thank you for supporting the FlightBridgeED network of podcasts. We appreciate the subscriptions, comments, and ratings. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

In this episode, we look at 3 papers that try to answer the question about airway in the adult cardiac arrest. Put your seat belt on, this episode is nearly 2 hours so we broke it into 2 parts! We are joined By Eric Bauer from the FlightBridgeED podcast for a quick case review to start things off. Thank you for supporting the FlightBridgeED network of podcasts. We appreciate the subscriptions, comments, and ratings. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way as they look deep into the research on epi in cardiac arrest. Does it help? Are there better outcomes? How do patients do based on neurological outcomes? Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!

The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!