Saving Lives with M.A.R.C.H

11/10/23 • 37 min

In this episode of "Outside the Box," we sit down with Firefighter/ Paramedic Michael Dimitri to discuss the MARCH acronym — a critical approach for trauma patient assessment. Michael guides us through the life-saving techniques for handling massive bleeding, airway management, respiratory support, circulation, and hypothermia, along with the crucial identification of head injuries.
Listen as we delve into the nuances of shock identification without relying solely on vital signs, emphasizing the importance of touch and observation in the diagnosis. Michael shares invaluable insights on how to manage hypothermia, a stealthy and often overlooked trauma killer, and underscores the cyclic relationship between coagulopathy, acidosis, and hypothermia. This episode is essential listening for all emergency responders committed to elevating their trauma care capabilities and ensuring they're ready to face any situation with confidence and expertise.
Disclaimer: The Sugar Fire Department, including its officers, employees, and affiliates, shall not be held responsible or liable for any claims, damages, injuries, or losses arising from the use or misuse of the information presented in these videos. It is important to note that the videos are not a substitute for professional medical advice, diagnosis, or treatment. Emergency Medical Services (EMS) providers should always adhere to the local protocols set by their agency and Medical Director.

Previous Episode

Asthma and Respiratory Crisis Management

In the latest episode of "Outside the Box," join Chief Kevin Leverence and Firefighter/ Paramedic Sean Lackey as they cover the complexities of asthma and other reactive airway diseases. They discuss the efficacy and application of treatments like Albuterol, Magnesium, and the emerging use of Ketamine in respiratory emergencies. Through the conversation, they shed light on some common questions and concerns faced by Paramedics and EMS providers in high-pressure situations, emphasizing the importance of rapid, informed decisions. Whether you are a healthcare professional, a brand-new EMT, or just curious about emergency care, this episode offers a deep dive into real-world challenges and the strategies to tackle them. Dive in, learn, and always think "Outside the Box."
Disclaimer: The Sugar Fire Department, including its officers, employees, and affiliates, shall not be held responsible or liable for any claims, damages, injuries, or losses arising from the use or misuse of the information presented in these videos. It is important to note that the videos are not a substitute for professional medical advice, diagnosis, or treatment. Emergency Medical Services (EMS) providers should always adhere to the local protocols set by their agency and Medical Director.

Next Episode

Unlocking the Shock Index

Welcome back to "Outside the Box," the podcast that sharpens your clinical judgment. In this episode, our host, Kevin, delves into the crucial topic of the Shock Index with special guest Dr. Amanda Humphreys, the Sugar Land Fire Department Medical Director. With her rich ground and air EMS background, Amanda brings an insightful perspective on this pivotal tool in patient assessment.
Tune in as we decode the Shock Index, a simple yet profound calculation that acts as the 'canary in the coal mine,' signaling abnormalities before traditional vital signs catch on. Through engaging discussion and real-world examples, we explore how the Shock Index provides early warnings for conditions such as hemorrhagic shock and sepsis and its limitations in pediatric and geriatric care.
Join us for an episode that will elevate your understanding of hemodynamic stability and how to interpret vital signs more effectively. This episode is a must-watch to fine-tune your evaluation skills and potentially save lives.
Disclaimer: The Sugar Fire Department, including its officers, employees, and affiliates, shall not be held responsible or liable for any claims, damages, injuries, or losses arising from the use or misuse of the information presented in these videos. It is important to note that the videos are not a substitute for professional medical advice, diagnosis, or treatment. Emergency Medical Services (EMS) providers should always adhere to the local protocols set by their agency and Medical Director.