Leading the EMS World in Pediatric Education
Friday October 24th 2014

Pedi-U LIVE from New Orleans!

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Host Kyle David Bates is joined by an esteemed panel of pediatric care professionals to look at ways to improve emergency medical services care of child patients. This episode was recorded LIVE in the ProMed Network Podcast Studio sponsored by Physio-Control, Inc. We’d also like to thank special episode sponsors, Rapid Deployment Products, Inc. for their continued support of our EMS conference coverage. You can find out more about their fabulous EMS care products at RapidDeploymentProducts.com. Kyle is joined in this episode by:

  • Chris Cebollero, host of the EMS Leadership Podcast (EMSLeadership.com)
  • Peter Antevy, MD, Pediatric Emergency Physician
  • Lauie Romig, MD, FACEP, Emergency Medical Services Physician

All of this was recorded from the exhibit hall floor at EMS World Expo 2012. Plan now to attend next year’s conference in Las Vegas, Nevada in September 11 – 13, 2013.

Kids: Some are sweet, some…not so much! Episode 20

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Glucose abnormalities in children are not that uncommon and should always be a consideration with any changes with mentation. It is a fallacy that you should only check a blood glucose if the child has diabetes when in fact it should be evaluated anytime the patient is not acting appropriate. There are numerous reasons beyond diabetes that can cause alterations in blood glucose.

Join Dr. Lou Romig and Kyle David Bates as they discuss glucose abnormalities, and diabetes, with our new panel of Doug and Kathy Gadomski as well as Loiuse Laskaratos who are all experienced in this topic.

Learning Objectives

At the completion of the podcast the listener will be able to:

  1. Identify causes of alterations in blood glucose;
  2. Identify a pediatric patient that needs treatment for an abnormal glucose;
  3. Treat a symptomatic pediatric patient with an abnormal blood glucose.

Kyle’s a Disaster! Pediatric Disaster Preparedness, Episode 19

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In celebration of EMS Week 2012, and more specifically Emergency Medical Services for Children (EMS-C) Day, the Florida EMS-C Program brings to you experts in pediatric disaster preparedness from the State of Florida.

Join Kyle David Bates and Dr. Lou Romig as they welcome Jim Judge , Dr. Rex Northup, and Dave Freeman as they discuss the pediatric concerns of Florida’s EMS agencies and hospitals and how they should plan, prepare, and respond in the face of a disaster. 

Love Shouldn’t Hurt: Pediatric Non-Accidental Trauma, Episode 18

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What is child abuse? What picture comes to mind? Is it the same as to what your co-worker pictured? Now picture the abuser and again ask your co-worker. Are they the same? What about neglect and should these people go to jail?

Join Dr. Lou Romig, Kyle David Bates, Julie Bacon as they discuss not only typical injuries and those conditions that mimc abuse, but dispel the common picture that is associated with typical abuser, and discuss reasons beyond criminal prosecution why child abuse and neglect should always be reported.

AAP report on Abusive Head Trauma

LEARNING OBJECTIVES

At the completion of the podcast, the listener will be able to:

  1. Define “Non-Accidental Trauma”;
  2. Identify a child who may have been or is currently being abused;
  3. Discuss the profile of an abuser;
  4. Discuss the purpose of reporting child abuse and neglect.

 

The Cost of Education, Episode 17

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Recently, the NAEMT EPC Course was offered at EMS Today 2012 in Baltimore, Maryland. Afterwords I sat down with the faculty to discuss EMS and pediatric education.

Join Kyle David Bates, Chad McIntyre, Dave Aber, and Chris Cebollero as they discuss the financial costs of education, methods of delivery, whether EMS providers have the knowledge to care for pediatric patients, and instructor professionalism. 

Children with Special Healthcare Needs: Special in Other Ways, Episode 16

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This episode we continue our discussion on Children with Special Healthcare Needs from episode 15.

Join Dr. Patricia Cantwell, Linda Bell, Kyle David Bates, and Dr. Lou Romig as they explore patient assessment, caregiver interaction, and specialty equipment in patients of this special population.

 

Learning Objectives

At the completion of the podcast, the listener will be able to:

  1. Discuss the differences in assessment of the CSHCN
  2. Identify the importance of the caregiver;
  3. Communicate effectively with the caregiver;
  4. Describe common equipment that they may encounter.
  5. Identify common problems they may encounter with equipment.

To AIR is Human: Assessing and Managing Tracheostomies, Episode 15

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You receive a call for a 2-year-old girl with difficulty breathing. No problem, right? Upon your arrival you find that the 2-year-old girl has a tracheostomy and is on a ventilator. She appears listless and has retractions as well as a dusky appearance. Would you know what to do?

Join Kyle David Bates, Dr. Cantwell, and Dr. Romig as they walk through this case, discussing the assessment and management of a special healthcare needs child who has a tracheostomy.

Objectives

At the conclusion of the podcast, the listener will be able to:

  1. Identify the different types of tracheostomy tubes;
  2. Identify patients that may have a tracheostomy;
  3. Assess and manage a child with a tracheostomy having dyspnea and on a ventilator;
  4. Discuss transport considerations of a child with special healthcare needs. 
References

Death of a Child Part III: Notification

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In the third and final installment of Death of a Child we discuss how our focus of care shifts from the child to the family.

Join Dr. Patricia Cantwell, Scott Kier, Daniel McGuire, and Kyle David Bates as they discuss how to approach the family, possible reactions that you may encounter, and the concept of “Leave no Trace” when dealing with an out-of-hospital death of a child.

Learning Objectives

At the completion of the podcast, the learner will be able to:

  1. Perform a self-check regarding how they feel about death.
  2. Discuss death notification techniques.
  3. Discuss possible reactions by the survivors.

References

Under Standing Grief and Mourning

Grief and Loss

ATSM grieving

CISM Death Notify card

A special thank you goes to Dan for these references. If you have more questions about death notification or CISM please contact Dan.

 

Death of a Child, Part II: Calling the Code

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Last episode we talked about the philosophical, ethical, and emotional components that play a part when a child dies. This week we discuss medical futility.

We address the question of when it is appropriate to say “NO” or “STOP” in regards to a pediatric cardiac arrest. We also discuss if EMS should even be considering this in the first place.

Join Dr. Laurie Romig, Dr. BJ Coopes, Dr. Patricia Cantwell, Wilma Vinton, and Kyle David Bates as they once again delve into part II of this 3-part series.

Learning Objectives

The listener will be able to:

  1. Identify circumstances when resuscitation may be futile in the pediatric patient.
  2. Discuss pros and cons of in-field termination.

Death of a Child, Part I: Is it About Emotions? Episode 12

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Adults die. Children die. People do die and we may be the ones that determine death, viability, and ultimately be the final ones present as they complete their journey.

Nowhere does this concept seem to be more troublesome as when death comes to a child. Decisions are often based upon emotions, religion, personal philosophy and beliefs while putting aside medically sound judgement. Why is this?

Join Dr. Lou Romig, Dr. Laurie Romig, Scott Kier, Daniel McGuire, Dr. Todd Bindig, and Kyle David Bates as they only start to dissect this complicated topic in part 1 of 3 in the series entitled Death of a Child.

Join us over on our Facebook page to discuss this topic in-depth. 

You can download Dan MacGuire’s Death Notification Card for your PERSONAL USE only as it is copyrighted and may not be distributed. If you would like more copies, or information on CISM you can contact Dan through his website

Learning Objectives

At the completion of the podcast the listener will be able to:

  1. Discuss how medical, legal, ethical, and emotional issues play a role in decision making when a child dies;
  2. Discuss how and why people may view the death of a child differently.

References

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