The MCHD Paramedic Podcast was launched in early 2018 in an effort to provide easily consumable core-content EMS education and insights from prehospital care thought leaders. The Clinical Services Department of The Montgomery County Hospital District EMS service developed the podcast as a tool to better engage and disseminate continuing education to our MCHD medics as well as first responders and EMS professionals nationwide. MCHD Medical Directors Dr. Robert Dickson and Dr. Casey Patrick rotate hosting duties and formats range from straight didactics, to discussion panels and guest interviews.

Recent posts by MCHD

7 min read

Building a Regional System of LVO Stroke Care

By MCHD on Nov 04, 2019

EDITOR'S NOTE: Special thanks to our guest bloggers, Casey B. Patrick, MD, FACEP, and Robert L. Dickson, MD, FAAEM, FACEP, FACEM of Montgomery County Hospital District EMS.

There are more than 700,000 strokes in the U.S. every year, and stroke is the number one cause of disability in our country. It’s estimated that up to one third of ischemic strokes are large-vessel occlusion (LVO) strokes.1 These occur in the large blood vessels that supply the brain, specifically the internal carotid, middle cerebral, and basilar arteries. Given the large portions of the brain supplied with blood by these arteries, these types of ischemic strokes cause significant morbidity and mortality.

Topics: Stroke
11 min read

The Evolution of a Regional System of Care in Large Vessel Occlusion Stroke

By MCHD on Aug 14, 2019

The Montgomery County Hospital District EMS experience paired a novel stroke assessment endovascular pathway with specialized training.

Starting in late 2015, MCHD began a regional quality improvement project in Southeast Texas to improve coordination of stroke care between EMS and our hospital partners. This effort has been a successful collaboration that started when the clinical team at MCHD engaged regional stakeholders to improve times to revascularization therapy in large vessel occlusion stroke.

Topics: Stroke Regional Systems of Care ELVO