The 10-8 Show (Ryan Cichowski and Jakob Rodger.)
Explore every episode of The 10-8 Show
| Pub. Date | Title | Duration | |
|---|---|---|---|
| 28 Mar 2025 | The Truth About Prehospital ROSC Management | The 10-8 Show | 00:26:32 | |
In this episode, Jakob and I dive into the complexities of managing post-arrest patients. We discuss the critical shift in mindset required once a pulse is regained and emphasize the importance of preventing secondary injuries before transport. Key topics include the priorities in post-arrest care, the role of vital signs, the use of dopamine for treating hypotension, and the ideal oxygen saturation and end-tidal CO2 levels for optimizing patient outcomes. We also explore the challenges of pre-hospital care and share practical tips for ensuring the best possible results for post-arrest patients.Chapters:00:00 Introduction and Initial Thoughts00:38 Post-Arrest Patient Management01:11 Prioritizing Patient Stabilization05:49 Addressing Hypotension and Fluid Responsiveness08:51 Dopamine Use and Considerations18:06 Oxygenation and Ventilation Strategies20:23 End-Tidal CO2 Monitoring25:08 Conclusion and Final ThoughtsReferences:https://www.bmj.com/content/384/bmj-2023-076019https://pmc.ncbi.nlm.nih.gov/articles/PMC8152988/https://pmc.ncbi.nlm.nih.gov/articles/PMC7703417/https://pubmed.ncbi.nlm.nih.gov/32286900/https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00152-3/fulltexthttps://www.ahajournals.org/doi/10.1161/CIR.0000000000001163https://cprguidelines.eu/assets/guidelines/European-Resuscitation-Council-and-European-Societ.pdf#ems #science #paramedic #emergencymedicine #pediatriccare #prehospitalcare #cardiacarrest #pediatricmedicine #paramedic #emt #firefighter#ambulance #medic #emergency #rescue#firstresponders #emtlife #ROSC #post-arrest #resuscitation #resuscitations | |||
| 01 Mar 2025 | Is Video laryngoscopy Better than Direct Laryngoscopy in the Pre-hospital Setting? | 00:35:17 | |
In this episode, we delve into Jakob's master thesis comparing the first pass success rate and overall success rate of laryngoscopy with video laryngoscopy for intubation by ACPs. The discussion covers the importance of advancing airway management, the challenges faced by paramedics in pre-hospital settings, educational and systemic interventions to improve first pass success rates, and the future of simulation in airway management training. Join us for an in-depth conversation on improving patient outcomes in paramedicine.Chapters:00:00 Introduction to the Master's Thesis00:27 Motivation Behind the Research03:17 Challenges in Pre-Hospital Intubation04:58 Improving First Pass Success Rate07:15 The Role of Bougies in Intubation10:02 Video Laryngoscopy vs. Direct Laryngoscopy14:36 Techniques and Tools for Successful Intubation22:49 Training and Mental Preparation24:27 Cross-Training and Teamwork31:28 Video Laryngoscopes and Quality Assurance31:59 Reducing Airway Trauma with Visual Laryngoscopy | |||
| 16 Feb 2025 | Understanding Pediatric Sepsis: Early Recognition, Treatment, and Key Interventions | 00:45:18 | |
Join us as Jakob and I delve into the complexities of pediatric sepsis in this informative podcast episode. We cover essential topics, including the mean arterial pressure targets for fluid and vasopressor administration, the appropriateness of vasopressors in pre-hospital settings, and the impact of socioeconomic status on sepsis outcomes. Learn about the critical differences between sepsis and septic shock, the main causes of mortality, and the importance of timely antibiotic treatment. We also discuss practical approaches to fluid administration, key clinical signs to look out for, and the role of early warning scores in improving patient outcomes. This episode is packed with valuable insights for healthcare professionals looking to enhance their understanding and treatment of pediatric sepsis. Chapters: 00:00 Introduction to Pediatric Sepsis 01:15 Understanding Sepsis and Septic Shock 02:30 Mortality Rates and Socioeconomic Factors 03:46 Immune Response and Analogies 06:06 Age Groups and Vulnerability 08:15 Clinical Manifestations in Newborns and Infants 09:58 Common Signs and Symptoms in Older Children 15:30 Differentiating Sepsis from Other Conditions 20:57 Pre-Hospital Interventions and Early Recognition 22:56 Streamlining Sepsis Response 24:40 The Role of Fluids in Pediatric Sepsis 27:31 Administering Fluids Safely 29:18 Vasopressor Therapy Considerations 33:28 Dopamine vs. Epinephrine Debate 38:36 Addressing Hypoglycemia in Sepsis 40:01 Demographics and Risk Factors 42:28 Communicating with Families 43:17 Empowering Paramedics 44:36 Conclusion and Next Episode Preview | |||
| 07 Mar 2025 | Pre-hospital Airway Management: Best Practices and Innovations | 00:16:28 | |
This video explores the critical aspects of pre-hospital airway management, emphasizing the importance of oxygenation and the variables affecting intubation success. The discussion covers systematic reviews, the pros and cons of endotracheal tubes versus SGAs in managing brain injuries, and the latest recommendations from medical guidelines. It highlights the benefits of simulation training in improving first-pass success rates and delves into the logistics of intubation positions, tools, and techniques. Expert insights are shared on the complexities of achieving better procedural outcomes and the importance of a multimodal approach in education and practice. Finally, the video outlines actionable steps and recommendations for enhancing both individual and systemic practices in paramedicine. Chapters: 00:00 Introduction and Importance of Oxygenation 00:17 Intubation in Pre-Hospital Settings 01:11 SGA vs. Endotracheal Tube 03:24 Challenges in Pre-Hospital Intubation 05:01 Improving First Pass Success Rates 06:30 Education and Training for Better Outcomes 09:20 Future of Simulation in Airway Management 11:36 Global Best Practices and Lessons Learned 13:03 Conclusion and Final Thoughts https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-021-00533-0 https://pubmed.ncbi.nlm.nih.gov/36106283/ https://www.sciencedirect.com/science/article/pii/S0007091222004287#:~:text=In%20this%20systematic%20review%2C%20the,benefit%20in%20mortality%20and%20morbidity. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-022-01049-7#Sec9 https://www.bjanaesthesia.org/article/S0007-0912(24)00061-8/fulltext | |||
| 12 Mar 2025 | The 10-8 Show| Should We Stay on Scene for 20 Minutes for a Prehospital Pediatric Cardiac Arrest? | 00:33:50 | |
In this episode, Jakob and I delve into essential aspects of pediatric cardiac arrest management. Key topics include the importance of on-scene resuscitation, differences in pediatric versus adult cardiac arrest causes, optimal treatment strategies, and best practices for airway management. We'll also discuss the significance of early epinephrine administration and the current evidence on supraglottic airways and intubation. Additionally, we touch on the importance of caregiver communication, the PRIME trial, and the impact of social determinants of health on pediatric outcomes. Chapters: 00:00 Introduction to Pediatric Cardiac Arrest 00:59 Key Differences Between Pediatric and Adult Cardiac Arrest 02:23 Respiratory Causes and Their Impact 07:23 Airway Management Strategies 16:47 Effective CPR Techniques 17:42 The Role of Epinephrine in Cardiac Arrest 19:36 IV vs. IO Access in Pediatric Resuscitation 21:41 The Handtevy Method and Medication Safety 24:31 Using Apps to Reduce Cognitive Load in Pediatric Care 25:35 Cross-Referencing with Partners for Best Practices 26:01 Handling High-Stress Pediatric Emergencies 27:01 Preferred Routes for Cardiac Epi in Pediatrics 27:38 IO Access in Pediatric Patients28:37 Reevaluating the Scoop and Run Approach 29:55 Managing Pediatric Cardiac Arrest on Scene 31:11 Dealing with Drowning and Airway Management #ems #science #paramedic #emergencymedicine #pediatriccare #prehospitalcare #cardiacarrest #pediatricmedicine #paramedic #emt #firefighter#ambulance #medic #emergency #rescue#firstresponders #emtlife References: https://www.ahajournals.org/doi/10.1161/circulationaha.116.023821https://www.cambridge.org/core/journals/prehospital-and-disaster-medicine/article/paramedics-success-and-complications-in-prehospital-pediatric-intubation-a-metaanalysis/B6A2D22EE46D2E713E1394F913786391https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2021.723327/fullhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4540668/ | |||
| 19 Mar 2025 | Pediatric Cardiac Arrest | Defibrillation, Meds & Family Presence | 00:08:58 | |
In this episode, Jakob and I discuss handling pediatric patients in shockable rhythms, including calculating defibrillation dosages—2 joules per kilogram for the first shock and 4 joules per kilogram for subsequent shocks. We delve into antiarrhythmic medications, highlighting that amiodarone and lidocaine are considered equivalent and outlining their dosages. The importance of family presence and communication during resuscitation efforts is stressed, with evidence suggesting it aids in their recovery from traumatic events. A recent trial on standardized intramuscular epinephrine injections to mitigate delays in administration is also explored. Lastly, the episode touches on the impact of socioeconomic factors on pediatric cardiac arrests and emphasizes the role of community paramedicine.Chapters:00:00 Introduction to Shockable Rhythms00:05 Dosage Calculations for Defibrillation00:56 Antiarrhythmic Medications02:17 Family Involvement During Resuscitation04:12 The PRIME Trial05:55 Pediatric Cardiac Arrest Statistics07:10 Key TakeawaysReferences:https://pubmed.ncbi.nlm.nih.gov/28009655/https://caep.ca/periodicals/Volume_16_Issue_6/Vol_16_Issue_6_Page_497_-_501_Motillo.pdfhttps://media.emscimprovement.center/documents/familypresencecpg3eaabb7cf0414584ac2291feba3be481_36JegLp.pdfhttps://www.thrasherresearch.org/grant/01695?lang=enghttps://pmc.ncbi.nlm.nih.gov/articles/PMC10423885/#ems #science #paramedic #emergencymedicine #pediatriccare #prehospitalcare #cardiacarrest #pediatricmedicine #paramedic #emt #firefighter#ambulance #medic #emergency #rescue#firstresponders #emtlife | |||