Medic Minutes
BC Emergency Health Services
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Goodpods has curated a list of the 10 best Medic Minutes episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Medic Minutes for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Medic Minutes episode by adding your comments to the episode page.
12. COVID-19: Clinical Practice Summary
Medic Minutes
04/03/20 • 5 min
COVID-19: Clinical Practice Summary - April 3rd
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Hosts:
Gord Minaker - PCP-IV, UBC Medical Student
Kaela Richardson - Respiratory Therapist, UBC Medical Student
Date of Episode Release:
April 3, 2020
Episode Description & Summary:
In this episode, we review the clinical practice changes that have occurred this week at BCEHS with respect to the COVID-19 pandemic.
Please see below for a synopsis of this episode.
Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.ca
Contacts:
Clinical Questions - [email protected]
Podcast feedback & suggestions - [email protected]
Podcast Synopsis & Timeline:
1:45 - A reminder to listen to our PPE episode, to reduce COVID exposure amongst other crew members and to plan ahead for your safety during the COVID-19 pandemic.
3:36 - A reminder to use your full region, call sign, and reason for phoning when calling CliniCall.
4:08 - A reminder about no more nebulizers, and to try to use patient MDI's when possible. MDI's are being distributed in a prioritized fashion. We review ways to safely ensure that the patient's MDI is not expired and how to know when an MDI is empty.
6:48 - A discussion around new oxygen flow rates. https://handbook.bcehs.ca/covid-19/covid-update-march-31/clinical-practice-updates-covid-19-march-31/
8:30 - A review of the airway management updates to date: https://handbook.bcehs.ca/covid-19/covid-update-march-31/pandemic-airway-practice-update-v7/
10:10 - We discuss precautions for adult resuscitation, reminder to call CliniCall / EPOS at 15 minutes or earlier for transport discussion. Identifying reversible causes early and transport of patients with CPR ongoing will only be recommended in exceptional circumstances. We emphasize good communication with receiving ED if this is the case, and how to handle re-arrests en-route to the ED.
14:15 - We discuss where to find all clinical summaries to date with respect to COVD. https://handbook.bcehs.ca/covid-19/covid-19-clinical-practice-dashboard/
15:40 - Transport of COVID-positive patients in Victoria and Southern Vancouver Island. South Island COVID-19 Transport Directive
18:00 - A reminder to reach out to CISM if you experience Moral Distress. Stay tuned for resilience resources and sessions coming soon!
20:20 - Fire First Responders will not be attending covid positive patients. They will only be dispatched to purple calls, red calls where ambulances are expected to be delayed, and for technical rescues.
21:04 - Skincare with frequent hand washing - use moisturizer! Notify your supervisor and notify the workplace call centre if you think you have dermatitis.
2 Listeners
5. The Mongolia Project
Medic Minutes
10/18/19 • -1 min
In this episode, Dr. Floyd Besserer hosts BCEHS Director of Clinical and Professional Practice, Joe Acker, to talk about his 12 days in Mongolia to learn about the emergency medical services system and make recommendations about opportunities for improvement.
10. PPE, Precautions & Paramedic Safety: COVID-19
Medic Minutes
03/25/20 • -1 min
PPE, Precautions & Paramedic Safety: COVID-19
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*** March 26th Update *** The podcast is now current as of March 26th. Slight changes were edited and re-recorded near the end of the presentation regarding the cleaning of ambulances and the proper PPE to be worn while doing so. These changes are consistent with the policies found in the BCEHS Handbook under ‘Cleaning and Disinfection’, and have been validated by Janie Nichols, our infection control specialist. These changes include limiting PPE for routine cleaning of ambulances after COVID transports to using gloves and ACCEL wipes, ventilating ambulances for 20 minutes only after an aerosol-generating medical procedure was performed in the back, and very limited scenarios where N95's and full PPE are required for cleaning.
Resources for Cleaning & Disinfecting: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/cleaning-and-disinfection/
Hosts:
Gord Minaker - PCP-IV, UBC Medical Student
Kaela Richardson - Respiratory Therapist, UBC Medical Student
Guest:
Kevin Lambert - Critical Care Paramedic, Paramedic Practice Educator
Acknowledgements:
Janie Nichols, Infection Prevention Specialist
Date of Episode Release:
March 25, 2020
Episode Description & Summary:
In this episode, we review best practices regarding personal protective equipment (PPE), precautions to be taken on COVID calls, and paramedic safety in the context of COVID-19.
Please see below for a timeline of the questions we ask during this episode, and for links to resources.
Please refer to the BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca
Contacts:
Clinical Questions - [email protected]
Podcast feedback & suggestions - [email protected]
Podcast Timeline:
1:03 - How is COVID-19 spread?
2:16 - What can paramedics do on a day-to-day basis?
4:21 - Are calls still being screened for “Influenza Like Illness” waits?
6:00 - What calls should we be wearing PPE on?
7:14 - What should do before we arrive on-scene to prepare?
9:23 - How should we prepare the ambulance for transport?
13:14 - Are surgical masks ever acceptable when encountering COVID cases?
14:59 - What sort of eye protection should we use?
16:35 - Should we use the buddy system for PPE?
18:19 - Reviewing Donning and Doffing
22:00 - Should we be double gloving?
22:44 - Should we wear boot covers?
24:08 - Limiting gear exposure in the ambulance during transport
26:47 - Reverse Isolation for Patients
27:49 - Who do we need to notify of COVID calls?
29:19 - Reducing the number of people exposed on calls
30:33 - When should drivers doff? What PPE should we wear in the cab of the truck?
32:36 - How should we reduce hospital exposure?
36:15 - How should we clean the ambulances?
39:50 - What PPE should we wear to clean?
44:20 - A final word from Kevin Lambert
References & Links:
BCEHS Doorway Assessment: https://handbook.bcehs.ca/covid-19/covid-19-update-march-23rd/on-scene-doorway-assessment/
Donning PPE video here: https://youtu.be/btrFMvj3Gm8
Hand Hygiene video here: https://youtu.be/J7aILlTnE78
Doffing PPE video here: https://youtu.be/Rro4RJ5Az88
Donning & Doffing Poster: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/ppe/donning-and-doffing/
Hand Hygiene Poster: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/hand-hygiene/cleani...
Stroke Care
Medic Minutes
11/15/19 • -1 min
In this episode, Kaela and Gord talk to Kevin Lambert, CCP and Lead Instructor of Critical Care Education at BCEHS about stroke care. They discuss the basic pathophysiology of stroke and it's mechanisms of injury, including clinical presentations and the use of the FAST-VAN assessment. They identify stroke mimics, prehospital treatment and explain the concept of "hot stroke," including the importance of timelines in hospital treatment.
We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey.
Email: [email protected]
1. Spinal Motion Restriction
Medic Minutes
05/07/19 • -1 min
In this inaugural episode, Dr. Floyd Besserer hosts Dr. Jan Trojanowski and Ole Olson to discuss the BCEHS guidelines for spinal motion restriction in the prehospital environment.
Send us your questions, comments and feedback: [email protected]
9. Metered Dose Inhalers & COVID-19
Medic Minutes
03/23/20 • -1 min
Metered Dose Inhalers (MDIs) & COVID-19
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Hosts
Gord Minaker - PCP-IV, UBC Medical Student
Kaela Richardson - Respiratory Therapist, UBC Medical Student
Date of Episode Release:
March 23, 2020
Episode Description & Summary
In this episode, Gord & Kaela review best practices for the use of Metered Dose Inhalers (MDIs) in the prehospital setting. They discuss the benefit of MDIs over nebulizer medications in the context of the COVID-19 pandemic.
Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.ca
Contacts:
Clinical Questions - [email protected]
Podcast feedback & suggestions - [email protected]
8. Ethics in Paramedicine
Medic Minutes
01/16/20 • -1 min
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Host
Ole Olson - Critical Care Paramedic and Paramedic Practice Leader with BCEHS
Guests
Nina Preto, Ethicist, [email protected]
Alexandra Olmos Perez, Ethicist, [email protected]
Date of Episode Release:
January 15, 2019
Episode Description & Summary
Ethics is a philosophical discipline. It reflects on questions such as: What is valuable? What is good/bad? Is this right/wrong? Why do we think this is right or wrong?
When we say we want to act ethically, we mean that we want to act according to our values, to what we think is important. Sometimes, we may encounter a situation in which we are not sure what to do because there are many options or courses of actions to choose from. Our values will help guide us in choosing what the right thing to do is. When the situation is such that we have to choose between two different values, we are encountering an ethical dilemma.
In the biomedical ethics field, there are many relevant principles, but there are 4 key principles that constitute the most widespread amongst the contemporary Western tradition: Respect for Autonomy, Beneficence, Non-maleficence, and Justice.
In order to have a more clear picture of the situation we are dealing with, there are certain tools that help us understand the situation better, and guide us in breaking down what our options are, and having a thorough analysis of their consequences, but mostly setting the ground for an open discussion, knowing who should be involved and what is really at stake. These are what we call ethics frameworks.
The EHS Ethics framework can be found online: https://intranet.bcas.ca/areas/qsrma/qps/pdf/bcehs-ethics-framework.pdf
Within an emergency care environment, sometimes there is no time to go through the five steps and engage in discussion with others, and must immediately make a choice and sometimes is hard to make a sound ethically justified decision within seconds. And this is when most providers go to the JAY Tool, which stands for:
J – Justifiable: Would I be able to justify my decision.
A - Accountable: Would my peers and coworkers perform this action? Do I think other team members would do the same in my situation? Would they make the same choice?
Y – You: Would you want this, if you were the patient?
To learn more about the BC EHS Ethics Framework or for any ethics related questions please contact the PHSA Ethics Service:
Alice Virani, Director
Nina Preto, Ethicist
Alexandra Olmos Perez, Ethicist
You can also find more about ethics at PHSA on the POD: http://2pod.phsa.ca/quality-safety/ethics/Pages/default.aspx
Question? Comments? Email: [email protected]
2. Pediatric Altered Mental Status
Medic Minutes
06/19/19 • 0 min
In this episode, Gordon Minaker and Kaela Richardson co-host Dr. Garth Meckler for a discussion around paediatric patients presenting with an altered mental status in the prehospital setting.
For show notes (coming soon!) and more episodes: https://handbook.bcehs.ca/clinical/bcehs-podcast-medic-minutes/
03/18/19 • -1 min
Coming soon! A new podcast for paramedics by BC Emergency Health Services. Listen to this trailer of Medic Minutes to learn more about this podcast series.
Send us ideas or feedback: [email protected]
3. AIME 3 ACP Refresher Podcast
Medic Minutes
08/28/19 • -1 min
In this episode, BCEHS Advanced Care Paramedic, Tim Makrides, along with Critical Care Paramedic and Paramedic Practice Educator, Ole Olsen, provide a short refresher for all advanced care paramedics on the principles of AIME 3 as well as a brief overview of ketamine and fentanyl in preparation for the medication rollout across the province in mid-October, 2019. It has been designed primarily for advanced care paramedics but is accessible to all license levels.
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FAQ
How many episodes does Medic Minutes have?
Medic Minutes currently has 16 episodes available.
What topics does Medic Minutes cover?
The podcast is about Health & Fitness, Medicine, Podcasts and Education.
What is the most popular episode on Medic Minutes?
The episode title '12. COVID-19: Clinical Practice Summary' is the most popular.
What is the average episode length on Medic Minutes?
The average episode length on Medic Minutes is 7 minutes.
How often are episodes of Medic Minutes released?
Episodes of Medic Minutes are typically released every 28 days, 3 hours.
When was the first episode of Medic Minutes?
The first episode of Medic Minutes was released on Mar 18, 2019.
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