Centre for Paramedic Education and Research
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Centre for Paramedic Education and Research
@cper-hhs.bsky.social
🚑 The Centre for Paramedic Education and Research (CPER) provides medical delegation, certification, education, and quality assurance for paramedics in the West Region of Ontario. 🏥 https://cper.myobh.ca/
Tune in to AskMED on the CPER YouTube Channel. Streaming live on Tuesday, August 19th at 3:30pm.

You've sent us your questions; we'll come up with some answers!

youtube.com/@CPER_HHS
August 14, 2025 at 9:30 PM
November 13, 2024 at 9:50 PM
That wraps it up for #MedTalk2024 from CPER. Thanks for following along online. We look forward to your thoughts on the subjects covered today.

Got questions for AskMED? Hit us up at askmed@cper.ca
November 13, 2024 at 9:07 PM
Pericardial tamponade -> Thoracotomy/needle pericardiocentesis
Tension pneumothorax -> Thoracostomy
Thoracic hemorrhage -> Thoracotomy
Abdominal hemorrhage -> Thoracotomy/REBOA
Extremity hemorrhage -> Tourniquet Application
Hypoxia -> Definitive airway management
#MedTalk2024
November 13, 2024 at 8:40 PM
Why do trauma patients arrest?

- Exsanguination.
- Brain Injury
- Tension/pressure conditions of the chest.
- High-spinal cord injury.

#MedTalk2024
November 13, 2024 at 8:32 PM
"Witnessed prehospital traumatic arrest: predictors of survival to hospital discharge."

For EMS witnessed arrests, 10% survived to hospital discharge, 22% with ROSC but did not leave hospital, 68% pronounced deceased on arrival or within the ED. #MedTalk

https://buff.ly/3Z3JuUr
November 13, 2024 at 8:28 PM
Next a talk from Dr. Paul Engels, from the Trauma Program at Hamilton Health Sciences. "Traumatic Cardiac Arrest" #MedTalk2024
November 13, 2024 at 8:23 PM
In pediatric resuscitation, what do paramedics do well? A smattering of feedback from some other medical professionals.

Be comfortable that paramedics are good at this stuff. You have the skills you need.

#MedTalk2024
November 13, 2024 at 7:54 PM
The PRIME Study is looking at whether IM epinephrine added to the standard of care will improve outcomes in pediatric cardiac arrest patients. Some of our CPER services are participants in this important research study. #MedTalk2024

https://buff.ly/3UPzpIq
November 13, 2024 at 7:49 PM
Don't cut your care to expedite transport. #MedTalk2024
'
"Survival After Intra-Arrest Transport vs On-Scene Cardiopulmonary Resuscitation in Children"

Paper: https://buff.ly/48QQgjx
November 13, 2024 at 7:46 PM
Thanks, Jeff. Next up is the incomparable Jonathan Lee with his talk on' "Everything You Wanted To Know About Pediatric Arrest But Were Too Afraid To Ask" #MedTalk2024
November 13, 2024 at 7:34 PM
Chemical sedation doesn't come /after/ physical restraint. It's not sequential. Consider them concurrently, and with just enough physical restraint to get chemical sedation on board and expedite your patient to the definitive medical care they need. #MedTalk2024
November 13, 2024 at 7:11 PM
This is the Physicians for Human Rights report (PDF) mentioned by Jeff Bilyk
in the current talk. Physical restraint plays the major role in in-custody deaths. #MedTalk2024

https://buff.ly/4fMC5ye
November 13, 2024 at 6:45 PM
Defining "Hyperactive Delirium." See also the recent statement from ACEP that provides their definition. #MedTalk2024
November 13, 2024 at 6:38 PM
The portrayal of "excited delirium" in the media certainly hasn't helped. #MedTalk2024
November 13, 2024 at 6:34 PM
How do you define "excited delirium?" You don't. Because it doesn't exist. Let's talk about Hyperactive Delirium with Severe Agitation instead. #MedTalk2024
November 13, 2024 at 6:29 PM
Dr, Andrew Healey up next, with a talk on Organ and Tissue Donation and Transplantation. #MedTalk2024
November 13, 2024 at 4:35 PM
Dr. Miller is back up to introduce our next speaker. #MedTalk2024
November 13, 2024 at 4:34 PM
Fail it until you nail it.
Repeat it until you beat it.
Face it until you ace it.
Learn it until you earn it.
Practice it until you master it.

#MedTalk2024
November 13, 2024 at 3:08 PM
“The normal curve is a distribution most appropriate to chance and random activity. Education is a purposeful activity and we seek to have students learn what we would teach. Therefore, if we are effective, the distribution of grades will be anything but a normal curve." #MedTalk2024
November 13, 2024 at 3:00 PM
"Repeat it until you beat it."
"Face it until you ace it."

Inadequately practiced skills don't manifest the neural connections we need to store that learning. You need to embrace practice and making mistakes. #MedTalk2024
November 13, 2024 at 2:55 PM
Does the phrase "fake it until you make it" obscure our anxieties and mistakes? Is there a better way to frame failure as a pathway to success? What about "fail it until you nail it" instead. #MedTalk2024
November 13, 2024 at 2:43 PM
Kai is tweeting too. We'll get him on Bluesky eventually. #MedTalk2024
November 13, 2024 at 2:39 PM
Up next on the #MedTalk2024 roster is Stephen Freyers and his talk "Failing to Success."
November 13, 2024 at 2:36 PM
Thank you for a very thought provoking talk, Dr. Ritchie! #MedTalk2024
November 13, 2024 at 2:28 PM