Prehospital Emergency Care Podcast

Welcome to the Prehospital Emergency Care Podcast! Rapid seizure termination is one of the most important priorities in pediatric prehospital care, yet establishing intravenous access can delay treatment. In this episode, Maia Dorsett and Joelle Donofrio-Odmann speak with Jonathan Mohnkern about his recent systematic review and meta-analysis comparing intranasal and intramuscular midazolam for pediatric seizures. Together, they review the available evidence, discuss the pharmacologic differences between administration routes, examine the implications for EMS protocols and medication dosing, and explore how these findings may influence future prehospital seizure management.   Featured Article: Mohnkern, J. D., Khalid, A., Ibrahim, M., Dave, V., Chierighini, P. P., Riaño, A. S., ... & Martins Shehan, T. S. (2026). Intranasal versus intramuscular midazolam in pediatric seizure control: a systematic review and meta-analysis. Prehospital Emergency Care, 1-9. https://doi.org/10.1080/10903127.2026.2658592 Additional References: Shah, M. I., Macias, C. G., Dayan, P. S., Weik, T. S., Brown, K. M., Fuchs, S. M., ... & Lang, E. S. (2014). An evidence-based guideline for pediatric prehospital seizure management using GRADE methodology. Prehospital emergency care, 18(sup1), 15-24. Shah, M. I., Ostermayer, D. G., Browne, L. R., Studnek, J. R., Carey, J. M., Stanford, C., ... & Lerner, E. B. (2021). Multicenter evaluation of prehospital seizure management in children. Prehospital Emergency Care, 25(4), 475-486. Remick, K., Redgate, C., Ostermayer, D., Kaji, A. H., & Gausche-Hill, M. (2017). Prehospital glucose testing for children with seizures: a proposed change in management. Prehospital Emergency Care, 21(2), 216-221. Silbergleit, R., Durkalski, V., Lowenstein, D., Conwit, R., Pancioli, A., Palesch, Y., & Barsan, W. (2012). Intramuscular versus intravenous therapy for prehospital status epilepticus. New England journal of medicine, 366(7), 591-600. Mohammed, M. Z., Elagouza, I., El Gaafary, M., El-Garhy, R., & El-Rashidy, O. (2024). Intranasal versus buccal versus intramuscular midazolam for the home and emergency treatment of acute seizures in pediatric patients: a randomized controlled trial. Pediatric Neurology, 158, 135-143.   Further Resources:  Pediatric EMS Podcast: Managing Prehospital Pediatric Seizures: https://naemsp.org/podcast-pediatric-em/expedite-the-route-simplify-the-dose-managing-pediatric-prehospital-seizures/  

Welcome to the Prehospital Emergency Care Podcast! In this episode, Greg Muller discusses the article Promotion of Emergency Medical Services: A National Analysis of Clinician Willingness to Recommend the Profession with authors Jacob Kamholz and Ash Panchal. This article explores a novel approach to assessing EMS workforce sentiment using the Net Promoter Score (NPS). Guests Jacob Kamholtz and Ash Panchal discuss how NPS can serve as a benchmark for EMS career advocacy, workforce sustainability, and future planning, highlighting key findings and implications for EMS leadership. Featured Article Kamholz JC, Gage CB, van den Bergh SL, Riel KM, Powell JR, Panchal AR. Promotion of Emergency Medical Services: A National Analysis of Clinician Willingness to Recommend the Profession. Prehosp Emerg Care. 2026 Feb 20:1-7. doi: 10.1080/10903127.2026.2619038.     As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD

It's HERE! The Airway Compendium podcast series part 1 of 5!  In this episode, we talk to the creators and editors of the Airway compendium about what it is, why it needed to be created, how the sausage was made, and what manuscripts they found most intriguing.  In this episode we have special guests:  Michael Levy MD FACEP FAEMS FACP @mklevy10 Henry Wang MD MS  @henrywangmd Nichole Bosson MD MPH FAEMS @nicholebosson John Lyng MD FACEP FAEMS NRP @jlyngemsmd Joelle Donofrio-Odmann DO @PEMEMS At the beginning of January 2022, the PEC Podcast team will publish 4 episodes at the same time giving you a taste of some of the manuscripts to be released during the NAEMSP Conference. Click here to download this episode today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH (@gradyMED1)  

Happy Thanksgiving PEC Podcast listeners! As always, we are grateful to you, our listeners, for making us the show we are today.  Thank you.  The PEC podcast team brings to you the Prehospital Emergency Care Journal Volume 25 Number 4.  Hear Dr. Jeremiah Escajeda, Dr. Joelle Donofrio-Odmann, Dr. Maia Dorsett, and Dr. Lekshmi Kumar discuss fascinating manuscripts like: 1.  Multicenter Evaluation of Prehospital Seizure Management in Children 2.  The Association of Death Notification and Related Training with Burnout among Emergency Medical Services Professionals 3.  Ultrasound Use in the Prehospital Setting for Trauma: A Systematic Review Click here to download today! As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH (@gradyMED1)    

NAEMSP 2021 Annual Conference Podcast special continues... With a sneak peek into the talk:  "Community Response and Drone Technology to Improve Outcomes from Rural and Remote Cardiac Arrest: The Future is Now!" THIS Thursday 1/14 at 1:55 CST with the speakers: Paul Snobelen @psnobelen & Sheldon Cheskes MD CCFP(EM) FCFP @DrCheskes Sign up for the NAEMSP 2021 Annual virtual conference today to hear the full talk! As always THANK YOU for listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH (@gradyMED1)

Happy EMS Week!!! The PEC Podcast team is proud to celebrate EMS week with you!  In honor of your commitment to your community and dedication to your craft, we celebrate your hard work with a very special story that exemplifies Emergency Medical Services.   The mini-Dunkirk event of Jamaica Queens Hospital patients was an amazing rescue effort composed of Ground EMS, Helicopter EMS, FEMA, and the health care providers of that hospital.  When Jamaica Queens Hospital was overwhelmed with COVID patients, EMS answered the call.  Listen to the PEC podcast team interview: Flight Paramedic Jennifer Noce (with her Great Dane Murph) Flight Nurse/Medic Lisa Kettunen Flight Nurse Rebecca Akers talk about their experiences during the Mini-Dunkirk rescue of Jamaica Queens Hospital.  Click here to download today! As always THANK YOU for listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems)   Works Cited CNN.  "Go inside a NYC hospital on the front lines of the coronavirus outbreak." YouTube.  CNN March 30 2020. 10:19.  https://www.youtube.com/watch?v=rgpSC__Nxso&t=9s NBC News.  "New York City At The Epicenter Of Outbreak In The U.S. NBC Nightly News."  YouTube March 25, 2020.  10:57.  https://www.youtube.com/watch?v=OyfbHItsmhA&t=19s /staff/elizabeth-Kim, and /staff/jake-Offenhartz. "Coronavirus Updates: Queens Hospitals Forced To Transfer Dozens Of Patients Due To 'Malfunctioning' Oxygen Systems." Gothamist, 8 Apr. 2020, gothamist.com/news/coronavirus-updates-after-pressure-nyc-releases-racial-breakdown-covid-19-deaths. Sinatara, Frank. (2008).  Theme From New York New York (Remastered).  Frank Sinatra Nothing But The Best 2008.  Retrieved from https://music.youtube.com/watch?v=le1QF3uoQNg&list=RDAMVMle1QF3uoQNg Steinbuch, Yaron. "51 Patients Transferred from Queens Hospitals Due to Oxygen Demands." New York Post, New York Post, 9 Apr. 2020, nypost.com/2020/04/09/17-nyc-patients-on-ventilators-transferred-from-queens-hospital/.

Happy Fall PEC Podcast listeners!     As September winds to a close and the days are getting shorter, PEC Podcast Episode 68 is here to keep you company! In this episode, we review the Prehospital Emergency Care Journal Volume 23 Number 4 where we talk all about Dr. Joelle Donofrio's review of PEC's Pediatric EMS research, Dr. Scott Goldberg's "Punch the gut to stop the bleed", Dr. Escajeda's favorite unmanned aerial vehicles (drones) in EMS research, and so much more!  Download today!   Click here to download now!   We hope you enjoy this podcast and THANK YOU for listening! Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio DO (@PEMems)