Welcome to our first episode of "But Why?" A podcast dedicated to providing education to prehospital clinicians in an entertaining conversation with EMS Physicians, Paramedics, and some good old fashion humor.  This podcast is brought to you by Washington University and NAEMSP. 

Our first episode explores why a Tour De France Cyclist, Tom Simpson, 

(Tom Simpson)

and high school football player, Max Gilpin, died competing in the sports they loved. 

We also have a guest physician, Dr. Salvador Rios, who explains the pathology that can cause death if not treated in a time-sensitive manner. 

Salvador Rios MD

Download our first episode today!

For paramedics, please click here for CEU!

Than you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Le Tour de France for Newbies."  YouTube, uploaded by Phil Moy, August 10 2020, https://www.youtube.com/watch?v=1v6l1_lfFN0.

"Why the Tour de France is so Brutal."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/ZacOS8NBK6U.

"Accordion Romantic French Music-French Cafe Music."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/EOanEMfQ_Yg.

"The Story of Tom Simpson Part 6/6."  YouTube, uploaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc.

Lake, Thomas.  "The Boy Who Died of Football - Sports Illustrated Vault."  SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football.

"Tom Simpson."  Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.

For paramedics, please click here for CEU credits!

In the last episode, we explored the role heat emergencies played in the deaths of Tour de France cyclist Tom Simpson and Kentucky high school football player, Max Gilpin. 

But why were Tom Simpson and Max Gilpin the only athletes to suffer heatstroke? 

The "But Why (@EMSBut)" team answers this question with guests: 

Evan Schwarz MD

@TheSchwarziee

Kevin Baumgartner MD

Download the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Coach Not Guilty in Students Heat Death."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=OpNemKSFo1c&ab_channel=ABCNews.

"Breaking Bad Main Title Theme."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=ilfYnhXD-bE&ab_channel=DavePorter-Topic

"The Story of Tom Simpson Part 6/6."  YouTube, downloaded by Phil Moy, August 10 2020, https://youtu.be/m21PA7cNfWc.

"Top 5 Walter White most powerful quotes."  YouTube, downloaded by Phil Moy, September 10 2020, https://www.youtube.com/watch?v=6MMrDLW4XQw&ab_channel=NiRatings.

Lake, Thomas.  "The Boy Who Died of Football - Sports Illustrated Vault."  SI.com, 6 Dec. 2010, vault.si.com/vault/2010/12/06/the-boy-who-died-of-football.

"Tom Simpson."  Wikipedia, Wikimedia Foundation, 8 July 2020, en.wikipedia.org/wiki/Tom_Simpson.

For paramedics please click here for CEU Credits!

In this episode, we discuss the dramatic rescue in Thailand, Ketamine’s pharmacology, indications, responsibilities of prehospital sedation, and what you should know about this medication in your own practice of medicine.   

Using Ketamine affords you great power.

And with great power...

Download the episode today!

Thank you for listening!

Hawnwan Philip Moy MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Thai Cave Rescue - Full Documentary HD."  YouTube, downloaded by Phil Moy, October 10 2020, https://www.youtube.com/watch?v=a4GqD0B-KjI&t=126s&ab_channel=ADVEXONTV

Happy Thanksgiving!

For paramedics, click here for CEU Credits.

This year the But Why EMS Podcast is thankful for you, our listeners, for being part of our family.  Thank you!

In this episode, we hear about Gina and John's hilarious sedation story and John's personal experience with Versed.  

We also have a special guest

Valerie Lew MD

who enlightens the crew about the most up to date evidence of sedation usage in the prehospital world!

Click here to download!

Thank you for listening!

Hawnwan Philip Moy MD 

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

"Can you breathe spontaneously through a BVM."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=HRgLUAvY7io&t=128s&ab_channel=PaediatricEmergencies.

"Curly sleep." YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=fkUPSn7PeV0&ab_channel=auweia1.

"Endless rising notes." YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=5uXdOnTAxvQ&ab_channel=PhilsTrashchannel.

"Hulk Smash & Fight Scenes (2008-2017) MCU| Ragnarok included."  YouTube, Downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=P4QCgtdMFxM&t=233s&ab_channel=CedricDumler.

Isenberg DL, Jacobs D. Prehospital Agitation and Sedation Trial (PhAST): A Randomized Control trial of Intramuscular Haloperidol versus Intramuscular Midazolam for the Sedation of the Agitated of Violent Patient in the Prehospital Environment. Prehospital Disaster Medicine. 2015 Oct; 30 (5):491-5. Doi.10.1017. Epub 2015 Sep 1. https://www.ncbi.nlm.nih.gov/pubmed/26323511.

"Lou Reed-Perfect Day (Audio)."  YouTube, downloaded on November 28, 2020. https://www.youtube.com/watch?v=9wxI4KK9ZYo&ab_channel=LouReedVEVO

Macht M, Mull A, McVaney K, et al. Comparison of Droperidol and Haloperidol for Use by Paramedics: Assessment of Safety and Effectiveness. Prehospital Emergency Care. 2014; 18:3, 375-380. https://doi.org/10.3109/10903127.2013.864353

Martel M, Miner J, Fringer R, et al. Discontinuation of Droperidol for the Control of Acutely Agitated Out of Hospital Patients. 2009; 9:1, 44-48. https://doi.org/10.1080/10903120590891723.

Page C, Parker L, Rashford S,et al. A Prospective Before and After Study of Droperidol for Prehospital Acute Behavioral Disturbance. Prehospital Emergency Care. 2018; 22:6, 713-721. https://doi.org/10.1080/10903127.2018.1445329

"Relaxing Music and Calming 4K Waterfall nature: Sleep Relaxation."  YouTube, downloaded by Phil Moy, November 28, 2020, https://www.youtube.com/watch?v=xJ4hsUE9zU8&ab_channel=321Relaxing-MeditationRelaxClips.

Thomas H, Schwartz E, Petrilli R. Droperidol versus haloperi- dol for chemical restraint of agitated and combative patients. Ann Emerg Med. 1992;21(4):407–13.

"To alcohol...the cause of...and solution to...all of life's problem's."  YouTube, downloaded by Phil Moy, November 28, 2020.  https://www.youtube.com/watch?v=hUVwR0rw5fk&ab_channel=Jappana.

Happy New Year!

For Paramedics click HERE for CEU.

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.

Click here to check it out today!

Thank you for listening!

Hawnwan Philip Moy MD 

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

1. “Censor Beep Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=RPfCZhvj1Ng&ab_channel=RyanCarvalho
2. “Find Your Vocal Range in 1 Minute.m4v.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=9IejHKpfHso&ab_channel=alanpiano1
3. Gilbert M, Busund R, Skagseth A, et al. Resuscitation from accidental hypothermia of 13.7 degrees C with circulatory arrest. Lancet. 2000;355(9201):375-376
   
4. Part 8: Advanced Challenges in Resuscitation. Circulation. 2000;102(suppl_1):I-229. doi:10.1161/circ.102.suppl_1.I-229
5. Podsiadło P, Darocha T, Kosiński S, Sanak T, Gałązkowski R. Body temperature measurement in ambulance: a challenge of 21-st century? BMC Emergency Medicine. 2019;19(1):44. doi:10.1186/s12873-019-0261-2
6. Rischall ML, Rowland-Fisher A. Evidence-Based Management Of Accidental Hypothermia In The Emergency Department. Emerg Med Pract. 2016;18(1):1-18.
7. “Ship Horn - Sound Effect.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=Nee8KfUtLBA&ab_channel=Copyleft
8. “The Sound of a Boat Motor.”  YouTube, Downloaded by Phil Moy January 25, 2021.  https://www.youtube.com/watch?v=pngTkC321mI&ab_channel=yogaduke

For Paramedics, click here for CEU credits!

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.

Click here to check out the episode today!

Also, check out our sister podcast The Prehospital Emergency Care Podcast's February episode discussing the utility of Pediatric intraosseous needles in p-OHCA!

Thank you for listening!

Hawnwan Philip Moy MD 

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

1. “Monty Python - "Not Dead Yet" Scene (HD)”  YouTube, Downloaded by Phil Moy February 19, 2021.  https://www.youtube.com/watch?v=Jdf5EXo6I68&t=2s&ab_channel=Browningate

2. Dreams Become Real by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

   Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1500027

   Artist: http://incompetech.com/

3. Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

   Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100238

   Artist: http://incompetech.com/

4. Eastin C, Karim S, Hawthorn C, Webb MH, Waheed MA, Buford A, Hutchison M, Mason C, Sexton K. Mandated 30-minute Scene Time Interval Correlates With Improved Return of Spontaneous Circulation at Emergency Department Arrival: A Before and After Study. J Emerg Med. 2019 Oct;57(4):527-534. doi: 10.1016/j.jemermed.2019.06.021. Epub 2019 Aug 28. PMID: 31472942.

5.  Banerjee PR, Ganti L, Pepe PE, Singh A, Roka A, Vittone RA. Early On-Scene Management of Pediatric Out-of-Hospital Cardiac Arrest Can Result in Improved Likelihood for Neurologically-Intact Survival. Resuscitation. 2019 Feb;135:162-167. doi: 10.1016/j.resuscitation.2018.11.002. Epub 2018 Nov 6. PMID: 30412719.

6. Grunau B, Kime N, Leroux B, et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2020;324(11):1058–1067. doi:10.1001/jama.2020.14185.
7.  Broughton W, Paediatric cardiac arrest: time to ‘stay and play’? Journal of Paramedic Practice. 2015 Dec. https://www.paramedicpractice.com/features/article/paediatric-cardiac-arrest-time-to-stay-and-play

For paramedics, click here for CE credits.

Pediatric Out of Hospital Cardiac Arrest Part 2: 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

Click here to check out the episode today!

Thank you for listening!

Hawnwan Philip Moy MD 

Noah Bernhardson MD

Gina Pellerito EMT-P

John Reagan EMT-P

Works Cited

I Am a Man Who Will Fight for Your Honor by Chris Zabriskie is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/

Source: http://chriszabriskie.com/honor/

Artist: http://chriszabriskie.com/