Push Dose EMS

February 2027 - Episode 63, Pediatrics: Five Percent of Our Calls, Zero Percent Complacency

Pediatric 911 encounters account for just over 5% of Milwaukee County EMS calls, but they require disciplined assessment and rapid recognition.  In this episode, we discuss assessment pearls, talk about common emergencies in the pediatric population, and take a look at our current pediatric EMS study, the Pedi-PART Trial.

 

Email Mike: michael.cohen@milwaukeecountywi.gov

 

Pedi-PART SOAR Card Reference:

https://county.milwaukee.gov/files/county/emergency-management/EMS-/Numbered-Notices/NN-24-04-Pedi-PART-Study-w-SOAR-Cards.pdf

 

Ramgopal S, Elmer J, Escajeda J, Martin-Gill C. Differences in Prehospital Patient Assessments for Pediatric Versus Adult Patients. J Pediatr. 2018 Aug;199:200-205.e6. doi: 10.1016/j.jpeds.2018.03.069. Epub 2018 May 11. PMID: 29759850; PMCID: PMC7073459.

January 2026 - Episode 62, EMS, OB, and the 4 Ts: A Collaborative Look at Postpartum Hemorrhage Care

This episode explores postpartum hemorrhage and what EMS providers need to know for early recognition and effective prehospital management. With insight from Dr. Rachel Harrison and Dr. Amy Stasik, we review the 4 Ts, updated guidelines, and whole blood considerations. 

 

Email Mike: michael.cohen@milwaukeecountywi.gov

 

NAEMSP OB Emergency Guidelines:

Now Available: New EMS Obstetric Emergency Guidelines - NAEMSP

 

NAEMSP Postpartum Hemorrhage Guideline:

Postpartum Hemorrhage

December 2025 - Episode 61, Curveball on Scene: A Complex Case from Oak Creek

A challenging Oak Creek call with seizure activity, head trauma, and a late DNR highlights decision-making in the gray zone of EMS. The crew reflects on airway management and ethics to strengthen clinical judgment in the field.

 

Email Mike: michael.cohen@milwaukeecountywi.gov

 

Spaite, D. W., Hu, C., Bobrow, B. J., Chikani, V., Barnhart, B., Gaither, J. B., Denninghoff, K. R., Adelson, P. D., Keim, S. M., Viscusi, C., Mullins, T., & Sherrill, D. (2017). The effect of combined out-of-hospital hypotension and hypoxia on mortality in major traumatic brain injury. Annals of Emergency Medicine, 69(1), 62–72. https://doi.org/10.1016/j.annemergmed.2016.08.007

November 2025, Push Dose EMS Podcast Episode 60 - MIH, The Wraparound Effect

Saving lives takes more than rapid response in today world.  Host and OEM EMS Clinician Development Manager, Shane Hughes, welcomes Lt. Mason Barribeau of Oak Creek Fire Rescue, Kendall Wolter, City of Wauwatosa Social Worker and Dr. Amy Stasik, MCW Fellow to discuss the evolving roles, responsibilities and scenarios of Community Paramedicine in the Milwaukee County EMS system.

October 2025, Push Dose EMS Podcast Episode 59 - Brady down and TCP out

Host Shane Hughes, OEM EMS Clinician Development Manager, along with Dr. Mitch Byrd, Emergency Medicine Physician and MCW EMS Fellow, plus Lt. Jessica Ziems, Milwaukee Fire Department Paramedic, discuss a bradycardia case.

September 2025, Push Dose EMS Podcast Episode 58 - Education on the Fly

Co-Hosts Shane Hughes, OEM EMS Clinician Development Manager and Dr. Tom Grawey, Deputy Chief Medical Director of the Milwaukee County EMS System, welcome Medical College EM Fellows Dr. Amy Stasik and Dr. Mitch Byrd to discuss a unique case.  Also, medical director messaging from EMS Division Director Dan Pojar (while Dr. Weston is on vacation) and a purpose statement of the new CDUs (clinician development units).

August 2025, Push Dose EMS Podcast Episode 57 - Paging the Fellows: Docs Gone Prehospital

Host and Clinician Development Manager, Shane Hughes welcomes Drs. Amy Stasik and Mitch Byrd as Medical College of Wisconsin, EMS Fellows to OEM and the Milwaukee County EMS System.  Plus, Chief Medical Director, Dr. Ben Weston highlights the importance of fellowship program and collaboration with the system.

July 2025, OEM Podcast Episode 56 - No Code, Full Compassion: Hospice patients - MANDATORY

Host and Clinician Development Manager, Shane Hughes, along with Deputy Chief Medical Director Dr. Tom Grawey, and Dr. Max Nanes from Aurora Advocate discuss Hospice and Palliative Care.

Push Dose EMS Ep 55 - Beyond The Bleed: Mastering TBI Care

Host and Clinician Development Manager, Shane Hughes, along with Deputy Chief Medical Director Dr. Tom Grawey, and Clinical Neuro Psychologist Dr. Mike McCrea from Froedert and the Medical College of Wisconsin, discuss 'H' bombs and pearls of mastering Traumatic Brain Injury care.

Push Dose EMS Ep 54 - First Blood: Milwaukee County EMS Update

Host and Clinical Development Manager, Shane Hughes, along with Deputy Chief Medical Directors Dr. Tom Grawey and Dr. Tom Engel discuss the status, successes and lessons learned of the Milwaukee County Prehospital Blood Program.