Welcome to the Prehospital Emergency Care Journal Podcast!

In this PEC Podcast Deep Dive, Rebecca Cash and Maia Dorsett interview Dr. Tony Fernandez
about his recent PEC paper comparing initial prehospital adenosine doses of 6 mg versus 12 mg
for presumed SVT. We explore the study’s origins, dataset design, and results—including the
finding that starting with 12 mg was associated with higher rates of cardioversion and fewer
redoses without an increase in complications. Along the way, we discuss the quirks of EMS data,
why some “standard” practices exist without strong evidence, and how retrospective studies fit
into the bigger picture of protocol change.

For those whose interest in study methods was piqued, here’s a great short primer on odds
ratios versus relative risk: https://www.youtube.com/watch?v=dWtzaKYFg00&t=175s

Fernandez, A. R., Bourn, S. S., Duncan, D., Slovis, C. M., Crowe, R. P., Treichel, A., & Myers, J. B. (2025). Comparing Prehospital Adenosine Initial Dosing of 6 mg Versus 12 mg for Presumed Paroxysmal Supraventricular Tachycardia (PSVT). Prehospital Emergency Care, 1–6. https://doi.org/10.1080/10903127.2025.2504521
🔗 Read the article: https://www.tandfonline.com/doi/abs/10.1080/10903127.2025.2504521

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

Welcome to the Prehospital Emergency Care Journal Podcast!

Today, we're tackling a critical and often deadly emergency seen at mass gatherings like music festivals: psychostimulant-induced hyperthermia (PIH). This condition carries high mortality rates, but what if early, aggressive intervention could dramatically improve outcomes?

Join us as we discuss the paper, "Physician Directed Prehospital Treatment in Psychostimulant Induced Hyperthermia: A Case Series," with one of its lead authors, Dr. Dorothy Habrat. Dr. Habrat will share insights into their physician-directed prehospital guideline, which integrates on-scene sedation, intubation, and rapid ice-water submersion for severe hyperthermia patients at electronic dance music festivals in San Bernardino County, California.

Discover how this innovative guideline, incorporating ice-water immersion before transport, offers a significant potential to decrease the mortality risk of PIH in the prehospital setting and achieve neurologically intact survival.

Habrat, D. A., Dukes, W. S., Neeki, M. M., & Schlesinger, S. A. (2025). Physician Directed Prehospital Treatment in Psychostimulant Induced Hyperthermia: A Case Series. Prehospital Emergency Care, 1–9. https://doi.org/10.1080/10903127.2025.2508788
🔗 Read the article: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2508788

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

How well do EMS teams manage critically ill pediatric patients—and how do we know? In this special crossover episode with the EMS Educator Podcast, hosts Rob Lawrence and Maia Dorsett speak with Mark Cicero, lead author of a landmark study published in Prehospital Emergency Care. The study used simulation to assess EMS performance in pediatric emergencies.

From medication dosing errors to missed fundamentals like cap refill checks, Dr. Cicero breaks down what the study revealed across more than 150 simulations in three states. Dr. Dorsett shares how the findings challenged her own assumptions as an educator and led to reflections on curriculum design, quality improvement, and the need for deliberate, high-frequency pediatric practice.

Quality of Care and Opportunities for Improvement in Prehospital Care of Critically Ill Pediatric Patients, An Observational, Simulation-Based Study
🔗 Read the article: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2500715

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