Calming The Chaos With Will Johnston - Part 2 Critical Levels podcast

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Lost Cultures: Living Legacies

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Lost Cultures: Living Legacies podcast artwork

1
Bermuda: The Crossroads of the Atlantic 51:57

20 days ago51:57

51:57

On the Season 2 debut of Lost Cultures: Living Legacies , we travel to Bermuda, an Atlantic island whose history spans centuries and continents. Once uninhabited, Bermuda became a vital stop in transatlantic trade, a maritime stronghold, and a cultural crossroads shaped by African, European, Caribbean, and Native American influences. Guests Dr. Kristy Warren and Dr. Edward Harris trace its transformation from an uninhabited island to a strategic outpost shaped by shipwrecks, colonization, the transatlantic slave trade, and the rise and fall of empires. Plus, former Director of Tourism Gary Phillips shares the story of the Gombey tradition, a vibrant performance art rooted in resistance, migration, and cultural fusion. Together, they reveal how Bermuda’s layered past continues to shape its people, culture, and identity today. You can also find us online at ⁠travelandleisure.com/lostcultures Learn more about your ad choices. Visit podcastchoices.com/adchoices…

Critical Levels « »
Calming the Chaos with Will Johnston - Part 2

5 years ago 34:13

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Content provided by Zach Cantor and Critical Levels. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zach Cantor and Critical Levels or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.

In part 2 of our conversation with Will Johnston about Calming the Chaos, we discuss the importance of a pre-brief, the zero-point survey, communication/language, graded assertiveness, debriefing, and working with our allied partners.

… continue reading

50 episodes

#Fitness #Medicine #Zach Cantor #Critical Levels #Podcasting Education

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Calming the Chaos with Will Johnston - Part 2

Critical Levels

published 5 years ago

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MP3•Episode home

Content provided by Zach Cantor and Critical Levels. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Zach Cantor and Critical Levels or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.

In part 2 of our conversation with Will Johnston about Calming the Chaos, we discuss the importance of a pre-brief, the zero-point survey, communication/language, graded assertiveness, debriefing, and working with our allied partners.

… continue reading

50 episodes

#Fitness #Medicine #Zach Cantor #Critical Levels #Podcasting Education

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1
Neonates - Anthony Iacolucci 1:02:26

12 days ago1:02:26

1:02:26

Neonates are one of the most feared patient populations in EMS—and for good reason. In this episode, Zach Cantor talks with Anthony Iacolucci, a pediatric respiratory therapist and paramedic, about how to confidently approach neonatal calls. Anthony introduces NEO SECRETS , a practical acronym covering the top 10 causes of neonatal illness, and offers insight into assessment, common pitfalls, and key treatment considerations. NEO SECRETS Breakdown: • N – Inborn errors of metabolism • E – Electrolyte abnormalities • O – Overdose or toxic exposure • S – Sepsis (the leading cause of neonatal mortality) • E – Endocrine crisis (e.g., hypoglycemia, adrenal insufficiency) • C – Cardiac conditions (cyanotic vs. acyanotic presentations) • R – Recipe or formula mishaps (e.g., dilution errors leading to hyponatremia) • E – Enteric emergencies (e.g., malrotation with volvulus, gastroenteritis) • T – Trauma, including accidental and non-accidental injuries • S – Seizures (often subtle and hard to recognize in neonates) Key Takeaways: • Neonates are not small adults or even small pediatric patients—they are physiologically distinct and highly vulnerable. • Early identification of sepsis, cardiac issues, and metabolic errors can save lives. • Paramedics should rely on strong assessment skills, detailed history-taking, and high suspicion for uncommon causes. • Videos, glucose checks, pre-ductal saturations, and detailed caregiver interviews are essential field tools. • Understanding neonatal physiology, presentation timelines, and risk factors improves both confidence and outcomes. Why Listen: If you’ve ever felt unprepared when faced with a neonatal call, this episode provides a clear, practical, and memorable guide to the top threats to neonates—and how to recognize and respond to them in the field.…

1
Data-Driven Resuscitation & Seamless Transitions 52:53

10 weeks ago52:53

52:53

In this episode of Critical Levels, we dive into the cutting-edge strategies shaping pre-hospital and emergency department care. Our guests discuss how data-driven decision-making, high-performance CPR, and improved handover processes are revolutionizing patient outcomes. Key Topics Covered: ✅ High-Performance CPR: The role of real-time feedback, mechanical CPR devices, and quality metrics in improving survival rates. ✅ Data-Driven Protocols: How data influences resuscitation techniques, including push-dose epinephrine, early vasopressor administration, and optimizing CPR pauses. ✅ Seamless Transitions of Care: Addressing the challenges of pre-hospital to hospital handover, minimizing interruptions, and ensuring continuity of life-saving interventions. ✅ Training & Coaching: The impact of structured CPR coaching, debriefing sessions, and real-time monitoring in refining paramedic performance. ✅ Future Directions: Exploring nurse-led ACLS, multidisciplinary teamwork, and technology-driven improvements in emergency medicine. Key Takeaways: 🔹 Data analysis is critical in refining protocols and enhancing patient survival. 🔹 Effective communication and structured handovers reduce adverse events. 🔹 Continuous training and feedback loops lead to better resuscitation outcomes. Join us as we explore how collaboration, innovation, and data are shaping the future of emergency medical care.…

1
K9 Medicine - Dr. Jason Donohoe 54:34

14 weeks ago54:34

54:34

🔹 Key Topics: 🔸 Why medics need to understand K9 trauma care The overlap between human and canine emergency medicine Common injuries in police, military, and search-and-rescue dogs 🔸 MARCH for Canines—What’s Different? The first "M" stands for Muzzle —securing the dog’s “weapon” before treatment Understanding the similarities in trauma care between humans and dogs Key differences in how canines respond to injury and shock 🔸 Massive Hemorrhage Control—Why Tourniquets Don’t Work on Dogs Anatomical challenges—why dogs' limbs aren’t suited for tourniquets When to use direct pressure, wound packing, and hemostatic agents Junctional bleeding—where life-threatening hemorrhages happen in dogs 🔸 Airway & Breathing—Why Intubating a Dog Is Easier Than You Think How to recognize respiratory distress vs. normal panting Why dogs have larger, straighter airways than humans Needle decompression for pneumothorax—landmarks and technique 🔸 Transporting an Injured K9—Avoid These Mistakes Best positions and vehicles for safe transport What paramedics, police, and handlers need to plan for before an emergency 🔸 Shock & Fluid Resuscitation—The Critical Role of Femoral Pulse Checks How to assess perfusion in a dog without a blood pressure cuff Why EZ-IO is the best choice for vascular access in canines When and how to administer fluids, TXA, and blood products 🔸 CPR for Dogs—Does It Work? When CPR can save a dog—and when it won’t How to perform chest compressions correctly Naloxone for K9 opioid overdoses—it works, but dosing is different 🔸 Medications & Pain Management—What Paramedics Can Safely Use NSAIDs are dangerous for dogs—avoid them in trauma cases Opioids, TXA, ketamine, and antibiotics—what’s safe and effective?…

1
Frostbite - Dr. Maria Doubova 41:03

19 weeks ago41:03

41:03

In this episode of Critical Levels, we tackle frostbite with Dr. Maria Doubova, exploring its pathophysiology, symptoms, and treatment. From outdoor enthusiasts to vulnerable populations, frostbite affects diverse groups. Learn about early early recognition and management of frostbite - from mild frostnip to severe cases requiring advanced interventions - and the latest classification system to improve outcomes in this insightful discussion. What You’ll Learn in This Episode: What frostbite is and who is most at risk. Symptoms and early detection techniques. Frostbite classifications and their significance for prognosis. Practical pre-hospital and hospital management strategies. How frostbite overlaps with hypothermia and what to watch for.…

1
TXA - Dr Erik Vu 17:06

22 weeks ago17:06

17:06

Welcome to the first episode of 2025! This month, we’re diving into the critical role of Tranexamic Acid (TXA) in pre-hospital trauma care. Dr. Erik Vu, a critical care flight paramedic, emergency physician, and intensivist, joins us to discuss the latest insights and applications of TXA, particularly in dynamic and tactical environments. From its role in stabilizing clots to its use in mass casualty scenarios, we break down everything you need to know about this cost-effective and life-saving medication. Learn about the benefits of intramuscular (IM) administration, the importance of timely intervention, and how TXA fits into modern trauma care systems. What You’ll Learn in This Episode: What TXA is and how it works. The history and research behind its pre-hospital use. Why IM administration is a game-changer in tactical and unpredictable environments. Best practices for dosing and administration. TXA’s role in mitigating hemorrhagic shock and improving patient outcomes. Practical tips for integrating TXA into your trauma care toolkit.…

1
Prehospital Blood - Dr. Antevy 57:25

23 weeks ago57:25

57:25

On this month’s episode, we are going to talk about prehospital blood administration with Dr. Peter Antevy Some topics covered are: Historical trauma management Blood why blood components administration ratios blood type Blood administration who do we give blood to medical vs trauma (blunt vs penetrating) elderly vs peds vital sign parameters when do we administer it how do we give it IO vs IV (size matters…) temperature Logistics how do we get it patient side cold chain storage temperature management training (initial and ongoing) minimizing waste Challenges consent religion administering to females of child bearing age transfusion reaction Blood Adjuncts TXA calcium other What’s the data showing? Next steps…

1
Trauma-Informed Care for Children Youth - Marita Smith 1:01:15

28 weeks ago1:01:15

1:01:15

How prepared do you feel to care for children and youth who have experienced abuse or assault? 1 in 10 Canadians (7.8%) over 15 report at least one instance of sexual abuse before age 15 ( Stats Canada ) Up to 88% of people being trafficked access health care ( Polaris Project ) - many don’t disclose they are being trafficked Highest rates of intimate partner violence occur between age 12-24 ( Stats Canada ) Young people aged 15-24 years have the highest rate of sexual assault ( Gov’t of Canada ) In this episode, we will explore the presentation of sexual abuse, sexual assault and sex trafficking in the pediatric setting and discuss trauma and violence informed care practices to guide paramedic care. We will also discuss: - gaps and barriers to care in this population - practical tips to guide trauma and violence informed care including what not to ask - role of the Sexual Assault Nurse Examiner and care available in Ontario through the Network of Sexual Assault and Domestic Violence Treatment Centers (SADVTC's) - mandatory and consent based reporting - prevelence and risks of strangulation in the context of sexual assault and intimate partner violence and the importance of thorough assessment and imaging…

1
CANSOFCOM - Steve & Andrew 43:12

32 weeks ago43:12

43:12

On this month’s episode, we dive deep into the world of military medicine with special forces paramedics, pulling back the veil of secrecy surrounding their vital work. Join us as we explore the unique challenges and high-stakes scenarios these elite medics faced on the front lines. From advanced trauma care in combat zones to the mental resilience required for their demanding roles, our guests share their incredible experiences and insights. What is CANSOFCOM/JTF 2? What is your role within the team? What does training look like? Medical vs trauma treatment TCCC MARCHE management Blood Challenges of providing austere medicine Attributes of a great SOF medic Equipment selection Mindset/attitude/standards Relationship building…

1
Paramedic Violence - Dr Justin Mausz 52:59

41 weeks ago52:59

52:59

On this month’s episode, we’re joined by Dr. Justin Mausz to discuss violence against paramedics. During the episode, you’ll hear us cover: How often are we seeing violence against paramedics What is violence? Is it different from harassment? Does intent matter? Incident reporting How does it compare to other industries? What does violence against paramedics look like? How do we balance paramedic and patient safety? What do we do with this? PPE Policy development External vs internal violence The value of research…

1
Heat Emergencies - Dr Steve Sanders 57:09

45 weeks ago57:09

57:09

On this month’s episode, we’re joined by Dr. Steven Sanders to discuss heat related illnesses. During the episode, you’ll hear us cover: Health impacts of temperature increase Physics/physiology of temperature vs heat Spectrum of heat related illness heat rash heat cramps heat edema heat syncope heat exhaustion heat stroke exertional vs classic Comorbidities/confounders/risk factors Temperature assessment Disease management & treatment…

1
BVM - Dr. Bonnie Snyder 46:37

1 year ago46:37

46:37

On this month’s episode, we’re joined by Dr. Bonnie Snyder to discuss BVM as well her recently published paper in Resuscitation: Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. During the episode, you’ll hear us cover: There is nothing basic about the BVM - it is not a benign intervention Rate and volume based on the guidelines Consequences of excessive rate/volume Consequences of under ventilation General airway management positioning suction airway adjuncts mask seal C-E technique 2 person technique waveform capnography and other real time feedback importance of proper volume importance of proper pressure BVM sizing Dr. Snyder’s study research question/impetus P-I-C-O results feedback next steps…

1
TBI - Dr. Katie Lin 54:11

1 year ago54:11

54:11

On this month’s episode, we’re joined by Dr. Katie Lin to discuss TBI and the crashing brain. During the episode, you’ll hear us cover: head injury differentials and history gathering ischemic vs hemorrhagic head injury etiology head injury pathophysiology assessment 3 step neuro exam pupil assessments signs/symptoms of herniation ECG changes management avoid/manage the H bombs (hypoxia, hypotension, hyperventilation) airway management ICP management other medications seizure management paediatrics neuroprognostication…

1
Pediatric Cardiac Arrest - Dr. Janice Tijssen 35:30

1 year ago35:30

35:30

On this month’s episode, we’re joined by Dr. Janice Tijssen to discuss pediatric cardiac arrest. During the episode, you’ll hear us cover: The importance of our early interventions What is cardiac arrest incidence/epidemiology etiology risk factors/past medical history outcomes sociodemographics Differences between adult and pediatric cardiac arrest Simplifying our response Symptomatic bradycardia The importance of scene time The importance of CPR/ventilation IV vs IO, SGA vs ETT Epinephrine PRIME study Family presence during arrest Disposition…

1
Suboxone - Dr Louisa Marion-Bellemare 57:19

1 year ago57:19

57:19

On this month’s episode, we’re joined by Dr. Louisa Marion-Bellemare to discuss Suboxone (buprenorphine/naloxone) and managing patients who use illicit and controlled drugs. During the episode, you’ll hear us cover: history of the drug crisis lay of the land of the current drug crisis historical treatments opiate pharmacology healthcare utilization stigma suboxone use patient advocacy…

1
Wilderness Medicine - Matt Smith 55:17

1 year ago55:17

55:17

On this month's episode, we chat with Matt Smith about wilderness medicine. As we shift from a high resource to a low resource setting, there are 3 main concepts to consider: - Ideal to real - High risk to low risk - Stable to unstable These concepts are important as we shift our practice and prepare ourselves. For this patient context, we need to focus on the things we can't replace, and learn to manage that. Our approach to these patients need to be algorithmic, and focus on doing the basics well. Two mnemonics (H-E-M-P; A-B-C-D-E) are presented to help with our approach. Lastly, hypothermia assessment and management is discussed.…

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