Posts by: "jamie"

FEMA-USAR-CATF1-5What do we do to manage evacuees, patients, and responders in the coming Hurricane season, during west-coast wild fires, midwest floods, or any disaster? This week we talk about how the U.S. Federal and state disaster response teams are adjusting their plans to address handling the COVID crisis in the middle of disaster events.

FEMA has released their guidance on disaster response for the pending Hurricane season during the COVID-19 era. The guide provides actions emergency managers and public officials can take to prepare for response and recovery operations during ongoing COVID-19 pandemic response efforts. Specifically, the guidance:

  • Describes anticipated challenges to disaster operations posed by COVID-19;
  • Highlights planning considerations for emergency managers based on current challenges;
  • Outlines how FEMA plans to adapt response and recovery operations;
  • Creates a shared understanding of expectations between FEMA and emergency mangers; and,
  • Includes guidance, checklists and resources to support emergency managers response and recovery planning.

On the show were Dr. Joe Holley and meteorologist Kyle Nelson, along with co-hosts Sam Bradley, and Jamie Davis.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

coronavirus imageDisaster Podcast hosts Jamie Davis and Sam Bradley talk with Dr. Joe Holley once again for our tenth bonus update on the COVID-19 outbreak. Our understanding of the way this virus impacts our patients is still evolving. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this call:

COVID-19 Antibody Testing:

  • Fewer Signs and Symptoms leads to fewer antibodies produced
  • Due to variability of Antibody Testing, this may lead to more false negatives
  • Fever and Anosmia (loss of taste and smell) corresponds to highest instance of positive antibody tests. This makes these symptoms best early indicators of COVID-19 infection.

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

Major Event PlanningWe invited EMS manager Chris Prutzman on the show again to talk about his recent draft proposals for EMS management. Included in them are both provider care and conduct standards, and community care and outcomes standards.

He points out how the fire service has created national standards adopted by the property insurance industry around fire safety and apparatus availability. Chris wonders if a similar care and outcome standard could be created for EMS to be used to drive more equitable medical insurance billing standards.

Also on the show were Dr. Joe Holley and meteorologist Kyle Nelson, along with co-hosts Sam Bradley, and Jamie Davis.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

coronavirus imageDisaster Podcast hosts Jamie Davis and Sam Bradley touch base again with Dr. Joe Holley for our ninth bonus update on the COVID-19 outbreak. Our understanding of the way this virus impacts our patients is still evolving. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this call:

COVID-19 STEMI Presentation:

  • STEMI symptoms may be first sign of COVID disease in some patients.
  • Seems to be related to inflammatory response in coronary arteries mimicking thrombotic STEMI and heart disease.
  • EMS and Health Care pros should assume STEMI presentation may be COVID positive and take precautions.

COVID-19 Testing:

  • New testing avenues coming out for COVID disease.
  • However, many still show 7-10% false negative results.
  • Asymptomatic individuals may have significantly higher viral loads than previously suspected.

Masks for Public vs. Masks for Health Care Personnel

  • Masks for public use may be moderately effective for passing exposure in limited contact settings.
  • Health care pros who become ill with COVID seems to be related to prolonged exposure to high viral loads.
  • Therefore, ONLY N-95 or higher protection masks should be considered effective protection for health care professionals.

Question on Reusing Disposable Masks (cleaning)

  • Question for Dr. Joe on cleaning N-95 masks between uses/shifts.
  • Don’t use soap and water for disposable masks.
  • Instead – place in oven on low temperature (170-200 degrees F or at least 77 degrees Celcius) for a period of thirty minutes.
  • Include a separate pan of water to create a humid environment to assist in penetration of moist heat into fibers of mask.

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

We brought back Dan McGuire from CISM Perspectives to talk about stress management for all healthcare professionals in the face of the COVID-19 pandemic. Dan compares the stress seen by EMS, ER, and other hospital staff in major pandemic hot spots around the world to the stresses seen by responders on and after the 9/11 attacks.

We discuss the importance of stress management in the face of recent suicides by EMS, nurses, and physicians surrounding COVID. We also enlist 911 Dispatcher and Meteorologist Kyle Nelson into the discussion to talk about the impacts on that part of the first response community.

Also on the show were Dr. Joe Holley, Meteorologist Becky DePodwin, along with co-hosts Sam Bradley, and Jamie Davis.

Watch our Facebook Disaster Podcast Discussion Group for links to a hotline for stress management aimed at all COVID-19 responders and healthcare workers.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

coronavirus imageDisaster Podcast host Jamie Davis touches base again with Dr. Joe Holley for our eighth bonus update on the COVID-19 outbreak kicking off the month of May 2020. Our understanding of the way this virus impacts our patients is still evolving. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this call:

COVID-19 and the New Normal for Health Care:

  • Systems settle into routines for care and staffing
  • Preparations are in place based on lessons learned so far

COVID-19 Young Patient Presentation

  • Younger patients may present with symptoms similar to Kowasaki Disease
  • This is rare response to viral infections in young patients
  • Causes obstructive coronary artery disease due to inflamatory response
  • Diagnosed by recognizing a constellation of symptoms outlined by Dr. Joe in episode

Other presentation in kids

  • Gastroenteritis symptoms including abdominal pain, diarrhea
  • If young patients present with fever and GI symptoms, suspect COVID as possible diagnosis
  • Take precautions with PPE

On the testing front

  • One Florida study tested city sewage for viral RNA present and found levels 4 times what would be expected with diagnosed cases in city.
  • This may indicate far more asymptomatic cases shedding virus via GI tract
  • Some areas testing unresuscitated (DOA) cardiac arrest patients for COVID and finding large number of positive cases

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

On this episode, we examine little known or talked-about side effects of the COVID pandemic. This is based on several articles from three of our favorite docs and show guests Seth Collings Hawkins, MD, FAEMS, FACEP, MFAWM , Sarah Frances McClure, DO, NRP , Benjamin Abo, DO, EMT-P, FAWM, along with paramedic David Fifer, co-host of the RAW Medicine Podcast with Dr. Seth. We also have our disaster weather and emergency management expert on with Becky DePodwin.

The gang talks about the following tough topics surrounding COVID:

  • Challenges with Long Term PPE Use
    • In the Wilderness Setting
    • Rebreathing CO2 over long shifts in hospital setting
  • Seth Coined the Term COVID-Lateral Damage in an article
    • Economic
    • Inherent Dangers Treating COVID Patients
    • Stress Management in Hospital Setting
  • “Impossible” now Possible in the Face of COVID Necessities
    • Increased Telemedicine Use
    • Changes to EMS Transport-Only Model Looming
    • EMS Use of Ultrasound Diagnostics in the Field
  • Managing a Pandemic in a “Post-Truth” World
    • Failure to trust science
    • Bad news treated as political in nature
    • Ignoring Expert Advice

Join the discussion with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

 

coronavirus imageWe touch base again with Dr. Joe Holley for our seventh bonus update on the COVID-19 outbreak wrapping up the month of April. Our understanding of the way this virus impacts our patients is still evolving. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this call:

COVID-19 Presentation and STEMI:

  • Patients present with STEMI indications
  • Subsequent Cath-Lab shows open coronary arteries
  • International Cardiology Organizations urge no change to STEMI protocols despite some false STEMI presentations due to COVID-19

COVID-19 Young vs Old Patient Presentation

  • Younger patients may present with coagulopathy symptoms (CVA, PE, Cardiac Arrest)
  • Older Patients may more often present with hypoxemia, respiratory symptoms
  • As testing continues to expand more signs and symptoms added to presentation

Testing in Workplace

  • Antibody testing requires medical oversight to provide interpretation of test results
  • Public safety organizations should consult with medical directors carefully about tests
  • Private sector companies seeking guidance on employee testing may want to engage a company medical director or utilize insurance resources for direction

Also on the show with Dr. Joe are co-hosts Sam Bradley and Jamie Davis, and our emergency management and meteorology expert Becky DePodwin.

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

Hurricane_Michael_EVX_loopOur own meteorologist Becky DePodwin comes on to discuss crisis management and the importance of messaging. In the middle of the current COVID-19 response and crisis, messaging is an important part of any emergency manager’s tool kit.

Becky and the podcast team discuss leadership styles and why being proactive as a leader is more important than being reactive to an ongoing crisis. Sam cites past disasters like Hurricane Katrina and Jamie talks about how weather messaging has changed over the years to improve understanding among the public when it comes to storm dangers.

Also on the show are Dr. Joe Holley, along with co-hosts Sam Bradley, and Jamie Davis.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.

coronavirus imageWe touch base again with Dr. Joe Holley for our sixth bonus update on the COVID-19 outbreak. Watch for more of these updates a one or two times a week on top of our normal episode rotation as Joe has more information to share with us.

Here are the key points Joe covered on this brief call:

General COVID-19 Presentation and Care:

  • Respiratory illness most common, however,
  • Early illness differs from typical ARDS
  • Ventilator settings vary widely across disease process
  • Mutiple body systems impacted possibly related to angiotensin II sites
    • Liver
    • Kidneys
    • Lower GI tract
    • Neurological
  • Stroke, Sudden Cardiac Arrest, Pulmonary Edema related to micro-clotting and micro-angiopathic damage (capillary injury)
  • Use PPE for ALL patients due to wide pattern of COVID presentation

More Updates Soon

Stay tuned for more updates periodically in the coming weeks as Joe reaches out amidst his duties and busy schedule to share his viewpoint on the response with us as he is able.

Join the Discussion


Join the discussion after the show with co-hosts Sam Bradley and Jamie Davis, the Podmedic in our Disaster Podcast Facebook Group now!



Paragon Brings “The Experience”

Paragon Medical Education Group

Paragon Medical Education Group specializes in bringing what they call “The Experience” to jurisdictions around the country. They bring together police, fire, EMS, and hospital teams to train together and learn what to expect from each diverse group in the response team so that each knows what to expect from the other and how to back the other groups up. Visit Paragon’s site at ParagonMedicalGroup.com for more information on how this can be brought into your system.