In this episode, Ginger talks to Dr. Jason Pickett. They hunkered down in a recording closet and pretended the world didn’t exist for an hour with one mission: data-mining Dr. Pickett’s brain for his thoughts on syncope.

Dr. Jason Pickett has appeared on two previous episodes: Talking Teaching and Shock the System

He also has his own podcast. Check it out.

Dr. Jason R Pickett, MD, FACEP, FAEMS, serves as the EMS System Deputy Medical Director for the City of Austin and Travis County, Texas and is an Assistant Professor in the Department of Emergency Medicine at Wright State University. Dr. Pickett is the Tactical EMS Co-Chair for the Special Operations Medicine Scientific Assembly and is a member of the Guidelines and Practice Committee for the National Association of EMS Physicians. He is also a member of the Guidelines Committee for the Committee on Tactical Emergency Casualty Care. Dr. Pickett is Board Certified in Emergency Medicine and Subspecialty Board Certified in Emergency Medical Services.

Prior to his position in Austin, Dr. Pickett served as the Director of the Center for Prehospital and Operational Medicine at Wright State University. He has served as Medical Director for several fire departments and police SWAT teams in the Dayton, Ohio area. He is currently a Major in the West Virginia Army National Guard as a Battalion Surgeon in a special operations unit.


Seizure versus syncope differential

Spinal motion restriction decision making in ground level falls

“Syncope and…” Syndrome

Epsilon Wave

Vasovagal syncope

Dr. Pickett’s episode about continuous EKG monitoring

Orthostatic hypotension (debunked)

Spoon Feed

Clinical signs and labs for dehydration

Measuring the IVC using Ultrasound

EMSPOCUS (EMS Point of Care Ultrasound) Education

Thinking: Chest Pain with Dr. Brandon Bleess

LITFL (Life in the Fast Lane) ECG Basics

Thanks to Michael Herbert (@bigGermanMike on twitter) for sharing his original art made for the episode.

Every episode of the Thinking Series uses original art made by a medic. If you know an artist who is a medic (or a medic who is an artist), send them to Ginger.

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