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During the EMS Live in Wisconsin podcast on Tuesday, October 13, co-hosts and guests discussed the following:

1. At the start of the program we received a Community Paramedicine update from PAAW President Patrick Ryan.

2. At 5:00 minutes into the program we discussed an innovative CPAP device manufactured by Pulmodyne.  Click images below to enlarge.

     

3. At 20:00 minutes into the program we learned about a technique at Lifestar EMS to improve congestive heart failure patient (CHF) treatment and outcomes using high dose nitro.  Assistant training coordinator Tyler Christifulli discussed the procedure approved by their local medical director.  This procedure is outside the "standard of care" and requires local medical director approval.  Tyler provided the following supporting information regarding high dose nitro for CHF:

Emcrit Podcast: http://emcrit.org/podcasts/scape/
 
Crashing Patients: http://crashingpatient.com/medical-surgical/cardiology/heart-failure-acute-pulmonary-edema.htm/
 
Annals EM 1997: http://crashingpatient.com/wp-content/uploads/2011/09/nitro-abstract.png
 
Piyush Mallick Study: http://emcrit.org/wp-content/uploads/2009/04/Nitro-Bolus-Abstract.pdf
 
Video of High Dose Nitro in action: https://www.youtube.com/watch?v=wAiJQeddf6I

4. At 40:00 minutes into the program Paramedic Systems of Wisconsin (PSOW) Conference Director Dan Williams discussed some of this year's topics and what was top of mind with EMS leaders in Wisconsin.  The conference was held in Green Bay and concluded on Friday, September 25.

The next live program of  EMS Live in Wisconsin is Tuesday, November 10, starting at 9:00 a.m.  The dial-in number is 646-929-1081.

Join co-hosts Chris Anderson, Joe Covelli, Patrick Ryan and Dan Williams for 60 minutes of live information sharing.  Don't miss a beat of Wisconsin EMS action - listen to EMS Live in Wisconsin.

>> Click to listen to the on-demand playback of this podcast.