Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock

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The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

Ryan Cichowski and Jakob Rodger.

40 episodes

1 week ago

The Inflection Point is the podcast that brings paramedics, EMS providers, and healthcare professionals the latest in prehospital medicine, critical care, cardiac and trauma management, pharmacology, and system design. Jakob Rodger and Ryan Cichowski dive deep into the intricacies of frontline care—combining clinical expertise, research, human factors, leadership, and interdisciplinary collaboration to help you think differently and perform at a higher level. We aim to take a holistic approach to sharing high-quality information that supports paramedics and healthcare professionals.

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All content for The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics. is the property of Ryan Cichowski and Jakob Rodger. and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

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Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock

The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

25 minutes 53 seconds

1 month ago

Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock

About The Inflection Point Podcast

The Inflection Point is a Canadian paramedic podcast advancing EMS education, prehospital care, and healthcare leadership.
Hosted by Jakob Rodger and Ryan Cichowski, the show brings evidence-based discussions on pathophysiology, pharmacology, trauma, cardiac care, human factors, and clinical decision-making — designed to bridge the gap between frontline care and clinical excellence.

🎙️ Topics: Paramedic podcast • EMS podcast • Prehospital care • Canadian paramedics • Emergency medicine • Critical care transport • Community paramedicine • Health quality • Leadership

Part 2 — Dr. Aws Almufleh: Dopamine, Vasopressors & Cardiogenic Shock

In this episode, we continue our in-depth conversation with Dr. Aws Almufleh, cardiologist at Kingston Health Sciences Centre (KHSC) and Assistant Professor at Queen’s University, exploring the complex management of cardiogenic shock across prehospital and in-hospital settings.

Dr. Almufleh shares world-class insight into heart failure, echocardiography, and mechanical circulatory support — breaking down how dopamine, norepinephrine, and dobutamine affect cardiac performance and outcomes. We discuss fluid resuscitation, hemodynamic monitoring, right-heart catheterization, and advanced therapies like ventricular assist devices (VADs) and transplantation.

Beyond pharmacology, Dr. Almufleh emphasizes team debriefing, interdisciplinary collaboration, and building learning-focused cultures that support clinicians caring for critically ill patients.

Dr. Almufleh is a cardiologist and clinician–scientist specializing in heart transplantation and mechanical circulatory support. His research focuses on optimizing advanced heart failure care, community-based management, and improving patient outcomes.

🔗 Department of Medicine – Queen’s University
🔗 ResearchGate – Publications

00:00 — Introduction & Context
00:31 — Prehospital Management of Cardiogenic Shock
01:52 — Hemodynamics & In-Hospital Assessment
03:40 — Advanced Treatment & Exit Strategies
09:03 — Dobutamine vs Milrinone
12:38 — Dopamine, Norepinephrine, and Vasopressor Selection
19:29 — Debriefing & Emotional Resilience
21:55 — Passion & Purpose in Cardiology
24:11 — Closing Reflections

If you found this episode valuable, please follow, rate, and share to support ongoing conversations around clinical excellence, resilience, and first-responder medicine.

This podcast is independent of our professional roles and does not constitute medical advice or formal instruction. Always follow your local Medical Directives and clinical governance standards.

• Edited in Wondershare Filmora 14 and Descript AI
• Script, transcription, and cleanup via Descript AI (Studio Sound, Remove Filler Words, Overdub)
• AI visuals generated with ChatGPT and Google Gemini

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