Ten Minute Medic

Dr. Bill Young

As a paramedic student, you are beyond busy! This podcast will not waste your valuable time, but will take one EMS topic and discuss it for ten minutes and no more. Written by a veteran EMS educator, we will get you prepared for that big exam!

  • 10 minutes 6 seconds
    Sepsis and ETCO2 Monitoring...Not Just For ET Tube Placement Anymore!

    Thanks to Yusuf Ahady for his suggestion on this week's episode.  I'll be in touch with Yusuf to get his SWAG package headed his way.

    End-tidal CO2 (ETCO2) monitoring, a noninvasive technique measuring the concentration of carbon dioxide in exhaled air, is emerging as a valuable tool in the management of sepsis, a systemic response to infection with potentially life-threatening consequences. In sepsis, the body's response to infection can lead to altered cellular metabolism and changes in respiratory function, both of which can affect CO2 levels. ETCO2 monitoring provides real-time insights into a patient's respiratory status and metabolic activity, which are crucial in sepsis management.

    I'd love to hear from you as to the topics that you would like to hear covered.  Visit the Ten Minute Medic Facebook page and leave a post on that topic.  If it is selected, I'll send you some awesome SWAG!

    17 December 2023, 7:44 pm
  • 10 minutes 47 seconds
    Pre-Eclampsia: The Stealth Condition

    Eclampsia, a life-threatening condition occurring during pregnancy, involves seizures and is preceded by preeclampsia. Understanding eclampsia is crucial for paramedics as it requires immediate medical attention to prevent severe complications for both mother and baby, highlighting the need for prompt recognition and emergency management in pre-hospital settings.

     

    In this episode, we look at the pathophysiology, assessment and treatment of pre eclampsia and eclampsia.  In particular a deep dive on the role of magnesium sulfate at the primary prevention and treatment of seizures in this deadly disease. 

    4 December 2023, 2:25 pm
  • 13 minutes 48 seconds
    Tiny Bubbles...Reviewing Acute Pulmonary Embolism

    Pulmonary embolism is a condition where one or more blood clots travel from elsewhere in the body, commonly from deep veins in the legs (a condition known as deep vein thrombosis), and lodge in the arteries of the lungs. This blockage can critically reduce blood flow to the lung tissue, causing damage. The lack of perfusion leads to impaired gas exchange as the alveoli are not able to oxygenate the blood effectively. Additionally, the presence of a clot in the pulmonary arteries increases the resistance against which the right ventricle must pump, which can lead to strain and potentially right-sided heart failure, a condition known as acute cor pulmonale.

     

    Make sure to join us for our next episode where we will do a review of pre-eclampsia and eclampsia in the pregnant patient.

     

    Visit our Facebook link.  While there, tell us what you would like for us to cover in future Ten Minute Medic episodes.  If selected, we'll give you a shout out as well as send you some cool SWAG.

    26 November 2023, 6:00 pm
  • 10 minutes 25 seconds
    Who Is Sgarbossa and Why Is Her Criteria So Important For The AMI Patient

    Understanding Sgarbossa's Criteria is important for paramedic students, similar to knowing that a defibrillator is not just a high-tech paperweight. These criteria are a set of electrocardiographic findings designed to sniff out myocardial infarction (MI) in the presence of a tricky accomplice—left bundle branch block (LBBB) or a paced rhythm.

    Understanding this, you can navigate through the confusion of LBBB, where AMIs might be playing an expert game of hide and seek. Applying the criteria allows for the early identification of ST-elevation MI, potentially saving precious heart muscle and, more importantly, the patient’s life—making the difference between a good day and a "why did I get out of bed" day.


    In the world of emergency medicine, where 'time is muscle,' knowing Sgarbossa's Criteria ensures that paramedics don't just bring patients to the hospital faster but smarter, with a keener eye for those not-so-obvious cardiac events. This knowledge can turn a paramedic from a simple transporter to a life-saving detective, one ECG at a time.

    Don’t forget that we need your help as to what you would like to see in future episodes.  Visit the Ten Minute Medic Facebook page and leave your suggestions.  If selected, we’ll give you a shout out and send you a small gift as our appreciation.

    19 November 2023, 2:46 am
  • 11 minutes 48 seconds
    Cardiac Arrest in the Pregnant Patient

    In this episode of the Ten Minute Medic, we delve into the complex pathophysiology of cardiac arrest in pregnant patients, emphasizing why a deep understanding of these unique physiological changes is crucial for effective pre-hospital care and improved maternal and fetal outcomes.

     

    After you have listened, visit the Ten Minute Medic Facebook page and let me know what topic you would like to hear.  If your idea is selected, I'll give you a shout out during the podcast.

    12 November 2023, 8:25 pm
  • 9 minutes 54 seconds
    The Hotel California of Obstructive Respiratory Diseases

     In this episode of The Ten Minute Medic, we dive into the essential aspects of asthma for paramedic students.  Like the song Hotel California, air checks into the alveoli, but doesn't (tend) to leave without help.

    Join us as we explore the pathophysiology behind this common respiratory condition, understanding the inflammation and bronchoconstriction that can lead to life-threatening situations. Learn how to assess a patient experiencing an asthma attack, including key signs and symptoms to watch for. We'll also discuss emergency treatment options, from administering bronchodilators like albuterol to the importance of oxygen therapy.

    Whether you're a seasoned paramedic or a newcomer to the field, this episode equips you with the knowledge and skills to manage asthma emergencies effectively in just ten minutes.

    After you listen, jump over to The Ten Minute Medic Facebook page at https://www.facebook.com/TenMinuteMedic/.  While there leave us a topic or two that you would like to see covered in a future episode.  Thanks!

    1 November 2023, 6:02 pm
  • 13 minutes 12 seconds
    The Great STEMI Imposters

    Welcome to our podcast, where we dive into the critical world of cardiology and explore a topic that's of paramount importance for paramedic students. Today, we're shining a spotlight on the often subtle, sometimes deceptive, yet incredibly significant issue of STEMI (ST-segment elevation myocardial infarction) mimics.

    These impostors can lead to misdiagnoses and mistreatment, potentially with life-altering consequences. Join the Ten Minute Medic, as we unravel the complexities of recognizing these mimics, understanding their impact, and ultimately, saving lives through informed decisions and early interventions. Discover the key to differentiating fact from fiction in the realm of cardiac emergencies.

    Once you have finished listening, head over to our Facebook page @The Ten Minute Medic and let us know what topics you would like to see covered.  If selected, we'll give you credit and a shout out on the podcast.

    25 October 2023, 12:22 am
  • 12 minutes 55 seconds
    ” Greasing the Skids” For Glucose Metabolism

    Picture insulin as a key that unlocks the doors of our cells, allowing glucose to enter and power our bodies. When this intricate dance falters, as in diabetes, it can lead to a terrible symphony of health issues. So, think of insulin as the ultimate conductor, directing the harmonious flow of energy that keeps us in tune with life's rhythms.

    In this week's episode of the Ten-Minute Medic, we look at how important this hormone is and a little deeper at how it works. 

    Our next podcast is entitled "The Three Great Imposters"...a look at three common STEMI imposters.  Identifying STEMI imposters is like distinguishing a wolf in sheep's clothing in the world of heart emergencies. These cunning look-alikes, such as pericarditis or benign chest pain, mimic the deadly ST-elevation myocardial infarction (STEMI), leading to unnecessary panic and invasive treatments.

    11 October 2023, 11:59 am
  • 11 minutes 7 seconds
    You Can’t Treat What You Don’t See

    The assessment skills of the paramedic are the most important ones that she has.  Yet this area continues to be one of the weakest parts of paramedic education.  In this episode, we take a look at how to have an organized assessment routine of our pediatric patients. 

    A brand new episode will drop by the middle of the week.  During this new session, we will review the important work that insulin does towards regulating blood sugar levels.

    9 October 2023, 2:00 pm
  • 10 minutes 28 seconds
    RSV...It’s Not Just For Pediatrics Anymore!

    Respiratory syncytial virus (RSV) is not limited to pediatrics and can affect geriatric populations too. In older adults, RSV can lead to severe respiratory infections, causing symptoms like coughing, wheezing, and shortness of breath, often requiring hospitalization. In this weeks podcast, we'll review the pathophysiology, symptomology and treatment of this dangerous respiratory disease.

    3 October 2023, 12:23 pm
  • 10 minutes 47 seconds
    Mechanism of Injury-A Replay

    Mechanism of injury is important for the paramedic student to learn as it takes you beyond the obvious.  You become a detective when you evaluate the clues found at the scene of a trauma...not to convict the perpetrator, but to ensure your assessment finds all of the injuries that could threaten your patient's life.

    24 September 2023, 8:13 pm
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