This episode explores postpartum hemorrhage and what EMS providers need to know for early recognition and effective prehospital management. With insight from Dr. Rachel Harrison and Dr. Amy Stasik, we review the 4 Ts, updated guidelines, and whole blood considerations.

Email Mike: michael.cohen@milwaukeecountywi.gov

NAEMSP OB Emergency Guidelines:

Now Available: New EMS Obstetric Emergency Guidelines - NAEMSP

NAEMSP Postpartum Hemorrhage Guideline:

Postpartum Hemorrhage

A challenging Oak Creek call with seizure activity, head trauma, and a late DNR highlights decision-making in the gray zone of EMS. The crew reflects on airway management and ethics to strengthen clinical judgment in the field.

Email Mike: michael.cohen@milwaukeecountywi.gov

Spaite, D. W., Hu, C., Bobrow, B. J., Chikani, V., Barnhart, B., Gaither, J. B., Denninghoff, K. R., Adelson, P. D., Keim, S. M., Viscusi, C., Mullins, T., & Sherrill, D. (2017). The effect of combined out-of-hospital hypotension and hypoxia on mortality in major traumatic brain injury. Annals of Emergency Medicine, 69(1), 62–72. https://doi.org/10.1016/j.annemergmed.2016.08.007

Saving lives takes more than rapid response in today world. Host and OEM EMS Clinician Development Manager, Shane Hughes, welcomes Lt. Mason Barribeau of Oak Creek Fire Rescue, Kendall Wolter, City of Wauwatosa Social Worker and Dr. Amy Stasik, MCW Fellow to discuss the evolving roles, responsibilities and scenarios of Community Paramedicine in the Milwaukee County EMS system.

Host Shane Hughes, OEM EMS Clinician Development Manager, along with Dr. Mitch Byrd, Emergency Medicine Physician and MCW EMS Fellow, plus Lt. Jessica Ziems, Milwaukee Fire Department Paramedic, discuss a bradycardia case.

Co-Hosts Shane Hughes, OEM EMS Clinician Development Manager and Dr. Tom Grawey, Deputy Chief Medical Director of the Milwaukee County EMS System, welcome Medical College EM Fellows Dr. Amy Stasik and Dr. Mitch Byrd to discuss a unique case. Also, medical director messaging from EMS Division Director Dan Pojar (while Dr. Weston is on vacation) and a purpose statement of the new CDUs (clinician development units).

Host and Clinician Development Manager, Shane Hughes welcomes Drs. Amy Stasik and Mitch Byrd as Medical College of Wisconsin, EMS Fellows to OEM and the Milwaukee County EMS System. Plus, Chief Medical Director, Dr. Ben Weston highlights the importance of fellowship program and collaboration with the system.

Host and Clinician Development Manager, Shane Hughes, along with Deputy Chief Medical Director Dr. Tom Grawey, and Dr. Max Nanes from Aurora Advocate discuss Hospice and Palliative Care.

Host and Clinician Development Manager, Shane Hughes, along with Deputy Chief Medical Director Dr. Tom Grawey, and Clinical Neuro Psychologist Dr. Mike McCrea from Froedert and the Medical College of Wisconsin, discuss 'H' bombs and pearls of mastering Traumatic Brain Injury care.