2021

Paul Schuler Paul Schuler

Ep. 17: Peds Resp Distress = D-bolus?

This timely episode covers that time of year when our pediatric patients get the sniffles.  Most of the time, our kids are fine.  But every once in a while, those sniffles can become life-threatening.  How can you tell the difference?  In part 1 of this podcast, our content experts discuss what to look for and what to do when we become concerned about our little patients. Meet our special guests: Tara Copper MD, Pediatric Emergency Medicine Physician and Joseph Finney MD, Pediatric Emergency Medicine Physician and EMS Fellow.

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Paul Schuler Paul Schuler

Ep 16: All about Strokes-The Modified Reagan Stroke Scale

This episode covers the evolution of stroke care and how treatments of large vessel occlusion strokes are pivotal upon EMS clinical suspicion and triage destination. Meet our special guest: Dr. Peter Panagos MD, Vice-Chair for Academic and Faculty Affairs, Professor of Emergency Medicine & Neurology, as well as John Reagan telling us about his "Modified Reagan Stroke Scale." 

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Paul Schuler Paul Schuler

Ep. 15: The Treatment Inertia of Traumatic Arrests

This episode covers the complex nature of traumatic arrests. ,  Do we treat it the same as a medical arrest?  Do we have different treatment and decision priorities for these traumatic patients?  What makes caring for these patients in the prehospital environment so unique and how does that affect our care of these patients? We discuss these questions and more with our special guest: Dr.  Rawan Safa @rawansafa93, Emergency Medicine Resident at Washington University.

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Paul Schuler Paul Schuler

Ep. 14: Ghosting the Airway

This episode covers the challenge of the prehospital airway. The But Why team covers unique ways to secure the airway that include "Ghosting the Airway" and "Romantic Hands." Hear the But Why EMS Podcast team discuss this situation with: Dr. Robert Stephens, Emergency Medicine Resident at Washington University.

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Paul Schuler Paul Schuler

Ep. 13: Special K for Seizures?

This But Why EMS Podcast episode is a continuation of our last episode. In this episode, we discuss a unique case study that is terrifying for any healthcare clinician: a child in the field who is in status epilepticus that won't respond to typical treatments.  What then? Hear the But Why EMS Podcast team discuss this situation with: Dr. Rejean M. Guerriro DO, Pediatric Neurologist at Saint Louis Children's Hospital, Dr. Joseph Finney MD, Pediatric Emergency Physician and EMS Fellow at Saint Louis Children's Hospital/Barnes Jewish Hospital, Nikki Bain EMT-P, and Brandon Treiber EMT-P.

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Paul Schuler Paul Schuler

Ep. 12: Shake Your Sillies Out

This But Why EMS podcast covers the frightening presentation of a pediatric seizure that hasn't responded to traditional medications.  What do you prioritize?  How do you handle your treatment options? Hear the But Why EMS Podcast team discuss answers to these questions with Joseph Finney MD, Pediatric Emergency Medicine Fellow & EMS Fellow, and Michael Kim MD @michaelkim_md, Third-year Emergency Medicine Resident.

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Paul Schuler Paul Schuler

Ep. 11: The Chameleon PEA v. Pseudo PEA

This But Why EMS podcast covers the sneaky chameleon known as Pseudo PEA. Hear the But Why EMS Podcast team discuss with: Dr. Ian Ferguson & Dr. Keith Marill about what Pseudo-PEA is, how to diagnose it, and more!

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Paul Schuler Paul Schuler

Ep. 10: BSI, Scene Safe...Squirt Mustard on the Chest?

We all know the standard phrase in EMS, but did you know that, in this episode, the But Why team added, "squirt mustard on the chest" to the EMS mantra? Find out how the mustard phrase arose in this hilarious episode that covers cardiac arrest treatment history and myths with: Dr. Adam Heilman.

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Paul Schuler Paul Schuler

Ep. 9: Caring for the Caregiver

May is mental health awareness month. Unfortunately, EMS clinicians are at high risk for mental health due to long hours, low pay, and a chaotic work environment. Yet, mental health in the prehospital realm is a taboo topic. No one likes to talk about it and some don’t believe it exists. As part of mental awareness month, we will focus on clinicians' stories, EMS research on suicidal behavior, and resources for anyone who is hurting and feels that they are alone. In this podcast we have special guests: Fiona Thomas, EMT-P, President of the Code Green Campaign, and Bridgette Svancarek MD, FAEMS, and Assistant professor of Emergency Medicine at Washington University.

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Paul Schuler Paul Schuler

Ep. 8: When a Child Dies

In this episode, the But Why EMS Podcast team discusses why beginning the mourning process in the field benefits families as well as what to do or say when terminating p-OHCA resuscitation on scene with our special guest: Peter Antevy MD  @HandtevyMD, Pediatric Emergency Medicine Physician, EMS physician.

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Paul Schuler Paul Schuler

Ep. 7: They're Not Little Adults nor are they Little Aliens...

They're just kids. Pediatric Out of Hospital Cardiac Arrest (p-OHCA) is a terrifying case for any health care clinician. In this two-part series, the But Why EMS Podcast team covers the evidence behind p-OHCA and the growing push to resuscitate on the scene with special guest: John Graham MD, Pediatric Emergency Medicine Physician Fellow.

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Paul Schuler Paul Schuler

Ep. 6: BSI, Scene Safety, Get them Naked...

Happy New Year! We all know the standard phrase in EMS…But in episode 6, we take this maxim one step further when dealing with HYPOTHERMIC patients. In this episode we have: Dr. Conner Gessert, 2nd-year Emergency Medicine Resident at Washington University cover ALL things HYPOTHERMIC in the prehospital world.

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