LEARN WHAT THEY DIDN'T TEACH YOU
“Wish I could give 6 stars. These guys are the Bob Ross of emergency care.”
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About Us
Ross Orpet, MD
A board certified emergency medicine physician practicing in Colorado, I completed my residency at Denver Health Medical Center, as well as a fellowship in Emergency Medical Services. I got my start in emergency medicine working as a paramedic at the Denver Health Paramedic Division..
Will Berry, FP-C, NR-P
I have worked in EMS for 13 years and caught the bug to be involved in emergency response after working as a wilderness guide in Colorado. Most of my career was with the Denver Health Paramedic Division where I spent several years as a Lieutenant. I am currently a practicing critical care paramedic in North Carolina.
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Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A… do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. EMS cast is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters.
We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as ‘Steakhouse Syndrome,’ and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there’s any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases.
- Resources and links
- This episode was inspired by an article on EMSAirway.com– Friday Night Lights- Shift 9 Steak Night
- EMScast15 – code for 15% off an awesome pair of sunglasses
- Help Us By Filling Out Our Audience Survey
- Medic Box – awesome medical gear shipped directly to your door
- Articles-
Guest/Cast/Crew information-
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com
00:00 Introduction to Esophageal Foreign Bodies
00:43 Audience Survey and Sunglasses Giveaway
01:46 Interview with Contest Winner
06:11 A Choking Incident at Mile High Stadium
09:02 Discussion on Esophageal Obstructions
11:46 Life-Saving Story at Denver International Airport
13:28 A Life-Saving Outcome
14:11 The Choking Incident at the Tavern
14:57 Assessing the Patient’s Condition
19:38 Understanding Esophageal Food Impaction
21:49 Treatment Options and Challenges
29:01 The Role of Endoscopy
37:45 Managing Esophageal Impactions in the Field
39:32 Final Thoughts
