Happy Turkey Day! Join host Dr. Phil Moy as we dive straight into a topic that has "stirred up more conversation than a potluck dinner at an EMS station": the prehospital management of spinal injuries. We are here to highlight the critical manuscript "Prehospital Management of Spinal Cord Injuries, an NAEMSP Comprehensive Review and Analysis of the Literature", a pivotal document within the Prehospital Trauma Compendium.

To discuss this hot topic, Dr. Moy welcomes two very special guests. First, we have Dr. John Gallagher, an emergency and EMS physician from Kona, Hawaii, and one of the authors of this comprehensive review. Second, we are thrilled to welcome Dr. Ken Milne, recognized as the podcaster from The Skeptic's Guide to Emergency Medicine. Our goal is to provide an objective discussion about the pros and cons of this manuscript so that you, our EMS clinicians and NAEMSP audience, can make your own informed decisions based on the facts.

Featured Article:

• Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2541258

Link to The Skeptic's Guide to EM review of this paper:

• SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions: https://thesgem.com/2025/11/sgem493-you-cant-hold-me-down-with-spinal-motion-restrictions/

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

Is Air EMS Overutilized for Kids?

Tune in to the latest PEC Podcast! Editors Maia Dorsett and Joelle Denofrio-Odmann sit down with authors Dr. Vishal Naik and Dr. Sriram Ramgopal to unpack their compelling research, "Rapid Discharge Following Air Transport in Children".

This multicenter study, published in Prehospital Emergency Care, reveals that more than two-thirds (66.0%) of children transported to the Emergency Department (ED) by air EMS are either discharged directly from the ED (20.0%) or within 48 hours of admission. While air transport is crucial for critically ill children, these findings emphasize the need for additional research into the decision-making processes surrounding pediatric air EMS to support optimal resource utilization and patient care.

Dr. Naik and Dr. Ramgopal discuss key factors associated with rapid discharge, including lower triage acuity and certain diagnoses like musculoskeletal and connective tissue diseases. Discover what this high rate of rapid discharge implies for potential over-triage in pediatric air medical transport systems.

Read the full article here: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2531074?src=#abstract.

Naik, V., Bhardwaj, P., & Ramgopal, S. (2025). Rapid Discharge Following Air Transport in Children. Prehospital Emergency Care, 1–8. https://doi.org/10.1080/10903127.2025.2531074
🔗 Read the article: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2531074?src=#abstract.

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!

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