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Science

MCHD Paramedic Podcast

by Montgomery County Hospital District

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About the show

The MCHD Paramedic Podcast is a place for prehospital providers to discuss best practices and offer clinical insights relevant to our daily practice. MCHD Medical Director Dr. Casey Patrick invites you to explore the many aspects of prehospital care. Along the way you can expect guest appearances by some of the brightest minds that influence modern EMS.

Latest episodes

  • Episode 199 - Olanzapine In The Field - Who, What, When, and How?

    October 5, 2026 · 33 min

    MCHD recently introduced ODT olanzapine to treat mild agitation in the field. Emergency pharmacist Kevin Mercer joins the podcast to discuss the medication’s pharmacologic foundations. How does it work? Who gets it and who doesn't? And why…

  • Episode 198 - Dyspnea - The Next 30 Minutes

    September 7, 2026 · 45 min

    We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the patient with shortness of breath once the ER doctor takes over? How does the workup…

  • Episode 197 - Altered Mental Status - The Next 30 Minutes

    August 10, 2026 · 46 min

    We're going to take our "Serial Killers" series and continue into the transition from the ambulance to the emergency department. What happens to the patient with an altered patient once the ER doctor takes over? How does the workup…

  • Episode 196 - Cervical Spine Immobilization In 2026: Evidence Vs. Dogma

    July 13, 2026 · 26 min

    We recently made some cervical spine immobilization protocol changes here at MCHD. Dr. Patrick and Dr. DePasquale discuss the history and literature that provide the foundation for rigid cervical collar use, along with the new MCHD…

  • Episode 195 - Cold Water Immersion For Heatstroke - Lessons From Phoenix

    June 15, 2026 · 42 min

    Drs. Geoff Comp and Jerry Snow join the podcast to discuss their recent paper describing their experience treating undifferentiated heatstroke in Phoenix with cold water immersion. Their protocol mirrors ours here in Montgomery County…

  • Episode 194 - Mental Health Matters In EMS With Dr. Joe Gill

    May 18, 2026 · 39 min

    MCHD's Spencer Lantz and Fort Bend County EMS Medical Director, Dr. Gill join the podcast to discuss the importance of allowing an open conversation around the mental health issues and strain of being an EMS clinician. We've finally…

  • Episode 193 - What Can EMS Learn From An Emergency Pharmacist? - Part 2

    April 20, 2026 · 32 min

    One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're…

  • Episode 192 - What Can EMS Learn From An Emergency Pharmacist? - Part 1

    March 23, 2026 · 31 min

    One of our major 2026 clinical and educational focus areas here at MCHD is medication error reduction. While medication errors are complex and have no simple solution, recognizing the issue is the initial step in changing culture. We're…