The World’s Okayest Medic Podcast

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References: Akhtar, M., Shenasa, M., Jazayeri, M., Caceres, J., & Tchou, P. J. (1988). Wide QRS complex tachycardia: Reappraisal of a common clinical problem. Annals of Internal Medicine, 109(11), 905–912.

Baerman, J. M., Morady, F., DiCarlo, L. A., Jr., & de Buitleir, M. (1987). Differentiation of ventricular tachycardia from supraventricular tachycardia with aberration: Value of the clinical history. Annals of Emergency Medicine, 16(1), 40–43.

Brugada, J., et al. (2020). 2019 ESC Guidelines for the management of patients with supraventricular tachycardia. European Heart Journal, 41(5), 655–720.

Dancy, M., Camm, A. J., & Ward, D. (1985). Misdiagnosis of chronic recurrent ventricular tachycardia. The Lancet, 2(8450), 320–323.

Ohlow, M. A., Beierlein, A., Müller, S., von Korn, H., Geller, J. C., Yu, J., & Lauer, B. (2005). Stabile Tachykardie mit breitem QRS-Komplex in der prähospitalen Notfallmedizin [Stable tachycardia with wide QRS complex in pre-hospital emergency medicine]. Deutsche Medizinische Wochenschrift, 130(47), 2694–2698.

Steinman, R. T., Herrera, C., Schuger, C. D., & Lehmann, M. H. (1989). Wide QRS tachycardia in the conscious adult: Ventricular tachycardia is the most frequent cause. JAMA, 261(7), 1013–1016. Stewart, R. B., Bardy, G. H., & Greene, H. L. (1986). Wide complex tachycardia: Misdiagnosis and outcome after emergent therapy. Annals of Internal Medicine, 104(6), 766–771.

Tchou, P., Young, P., Mahmud, R., Denker, S., Jazayeri, M., & Akhtar, M. (1988). Useful clinical criteria for the diagnosis of ventricular tachycardia. American Journal of Medicine, 84(1), 53–56.

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Reference: Leggatt L, Van Aarsen K, Columbus M, Dukelow A, Lewell M, Davis M, McLeod S. Morbidity and Mortality Associated with Prehospital "Lift-assist" Calls. Prehosp Emerg Care. 2017 Sep-Oct;21(5):556-562.

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References: Almallouhi, E., Al Kasab, S., Nahhas, M., Harvey, J. B., Caudill, J., Turner, N., & Holmstedt, C. A. (2020). Outcomes of interfacility helicopter transportation in acute stroke care. Neurology: Clinical Practice, 10(5), 422–427.

Bartos, J. A., Clare Agdamag, A., Kalra, R., et al. (2023). Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for extracorporeal cardiopulmonary resuscitation. Resuscitation, 186, 109769.

Kashyap, R., Anderson, P. W., Vakil, A., Russi, C. S., & Cartin-Ceba, R. (2016). A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock. International Journal of Emergency Medicine, 9.

Stewart, K., Garwe, T., Oluborode, B., Sarwar, Z., & Albrecht, R. M. (2020). Association of Interfacility Helicopter versus Ground Ambulance Transport and in-Hospital Mortality among Trauma Patients. Prehospital Emergency Care, 25, 620–628.

Wang, H. E., Jaureguibeitia, X., Aramendi, E., et al. (2022). Airway strategy and ventilation rates in the pragmatic airway resuscitation trial. Resuscitation, 176, 80–87.

Listener discretion is advised. Sincere thanks to the Buda FD and Austin-Travis StarFlight for the permission for their staff to come onto the podcast and discuss this case.

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References: Galvagno SM Jr, Haut ER, Zafar SN, et al. Association between helicopter vs ground emergency medical services and survival for adults with major trauma. JAMA. 2012;307(15):1602-1610.

Jarvis JL, Jarvis SE, Kennel J. The association between out-of-hospital drug-assisted airway management approach and intubation first-pass success. Ann Emerg Med. 2025;86(5)

Kashyap R, Anderson PW, Vakil A, Russi CS, Cartin-Ceba R. A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock. International Journal of Emergency Medicine. 2016;9:15.

Orso, D., Flaibani, L., Sisto, U. G., Bonsano, M., Fonda, F., Pangallo, R., & Bove, T. (2025). Survival and cost-effectiveness of helicopter versus ground emergency medical services: A systematic review and meta-analysis with meta-regression and trial sequential analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 33, Article 160.

Sanchez, G., Gupta, S., & Johnson, M. E. (2024). Analysis of helicopter air ambulance accidents in the United States from 2010 to 2021. Air Medical Journal, 43(6), 499–507.

Shekhar AC, Blumen IJ. Fatal air medical accidents in the United States (2000–2020). Prehosp Disaster Med. 2023;38(2):264-269. doi:10.1017/S1049023X23000274. Eighty-seven fatal accidents, 239 deaths; 72.4% of deaths on helicopters. NTSB probable-cause reviews.

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References: Paterson BF, Grammer LC, Greenberger PA. The management of coexisting asthma and cardiac disease. N Engl Reg Allergy Proc. 1987;8(5):309-315.

Pauw EK, Stubblefield WB, Wrenn JO, Brown SK, Cosse MS, Curry ZS, Darcy TP, James TE, Koetter PE, Nicholson CE, Parisi FN, Shepherd LG, Soppet SL, Stocker MD, Walston BM, Self WH, Han JH, Ward MJ. Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients with anaphylaxis. J Am Coll Emerg Physicians Open. 2024;5(1)

Putland M, Kerr D, Kelly AM. Adverse events associated with the use of intravenous epinephrine in emergency department patients presenting with severe asthma. Ann Emerg Med. 2006;47(6):559-563.

Smith D, Riel J, Tilles I, Kino R, Lis J, Hoffman JR. Intravenous epinephrine in life-threatening asthma. Ann Emerg Med. 2003;41(5):706-711.

Spigner MF, Gussick M, Shah MN. The Estimated Benefit of Lights and Sirens During Ambulance Transport. Prehosp Emerg Care.

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References: Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50.

Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine.

Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency Medicine.

Kotnarin R, Sirinawee P, Supasaovapak J. Impact of Prehospital Antibiotics on in-Hospital Mortality in Emergency Medical Service Patients with Sepsis. Open Access Emerg Med. 2023 May 26;15:199-206.

Poynter, M. J., Farrugia, A., Kelly, E., & Simpson, P. M. (2023). Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – A systematic review. Paramedicine, 21, 52–65. Scales DC, et. al. Prehospital antibiotics and intravenous fluids for patients with sepsis: protocol for a 2×2 factorial randomised controlled trial. BMJ Open. 2025 May 27;15(5):e104257.

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References: Evans C, Quinlan DO, Engels PT, Sherbino J. Reanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence. Emerg Med Clin North Am. 2018 Feb;36(1):19-40.

Lott, C., Truhlář, A., et al. (2021). European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation, 161, 152-219.

Reuben Strayer’s ATLS Lecture at ResusX: https://youtube.be/OwgYKtB2Kj0?si=4YFkJ4oPB4l3VEGC

Zaf Quasim/Haney Mallemat Critical Care Now Podcast link: https://www.youtube.com/watch?v=HePF-mEtvOc

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References: Cardenas JC, Dong JF, Kozar RA. Injury-induced endotheliopathy: What you need to know. J Trauma Acute Care Surg. 2023 Oct 1;95(4):454-463.

Dietrich M, Hölle T, Lalev LD, Loos M, Schmitt FCF, Fiedler MO, Hackert T, Richter DC, Weigand MA, Fischer D. Plasma Transfusion in Septic Shock-A Secondary Analysis of a Retrospective Single-Center Cohort. J Clin Med. 2022 Jul 27;11(15):4367.

Kuldanek, S. A., Kelher, M., & Silliman, C. C. (2019). Risk factors, management and prevention of transfusion-related acute lung injury: a comprehensive update. Expert Review of Hematology, 12(9), 773–785.

SOARescue EZPLAZ Article: https://www.soarescue.com/handoff/ezplaz-freeze-dried-plasma

Toy, P., Gajic, O., Bacchetti, P., et al. (2012). Transfusion-related acute lung injury: incidence and risk factors. Blood, 119(7), 1757–1767.

Vossoughi, S., Gorlin, J., Kessler, D. A., et al. (2019). Ten years of TRALI mitigation: measuring our progress. Transfusion, 59(8), 2567–2574.

Dr. Greg Shea came onto the podcast to talk about the leadership and organizational lessons learned from the FDNY before, during, and after the 9/11 attacks.

Check out the book he co-authored at https://www.risingfromgroundzero.org/