Event Motivated Training | Frequent Flyers In The ICU

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AUDIO4For this second part of the live show we talk about how training motivated by events like 9/11 slowly fade into the background. Dave also talks about the frequent flyer and non emergency 911 calls we get that were shown in one private study to be admitted to the ICU 25% of the time.

Take a listen and be sure to share this episode and leave your comments below.

 

 

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Is The 9/11 Memorial Too Commercial?

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911MWith the anniversary of 9/11 tomorrow. Hosts Jim, Dave and Josh had a bit of a discussion about the Memorial itself. Mainly how many feel it is designed to earn revenue more than anything else. That can be hard to argue with the high price of entry, t-shirt sales and offerings of statue of liberty miniatures and jewerly designs.

Have you been to the Memorial? What do you think? Is it too costly and does the sale of tourist items lessen the meaning of this place of remembrance?

Click here for Jims article on the Ultimate Sacrifice

You can see the 9/11 Memorial website here.

 

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Using Time To Guide EMS Patient Care

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goldenhouremsEarly in EMS education we are presented with the idea that “time” is a factor in much of what we do. Golden Hours, Platinum Ten Minutes, Time is Muscle etc.

While some of these can help us with our treatment and transport decisions, have you ever wondered or questioned if they are getting in the way of patient care?

As EMS providers we bring much of the Emergency Department to the patient. Even more so we are expected to provide certain levels of care to our patients prior to delivery to these ED’s.

I am sure that you have been questioned or made to feel like less of a provider when you don’t provide certain aspects of care. Even when it was due to trying to follow dictated “time” constraints that are expected and may have been in the patients better interest to transport rather than perform a skill prior to arrival at the ED.

So what do you think? Are these time markers valuable to us as providers or helpful?

Do we end up focusing too much on them and not on what is best for the patient?

Join David, Jim, Josh and caller Donald for this episode as we discuss this and other popular EMS topics.

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Visit Jim at EMSSEO.com

Check out Josh over at WANTYNU.com and be sure to look up his newest EMS Tool – The PALM.

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Stressful EMS Calls | The Pucker Factor

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medicsmalefemaleMany calls we run in EMS are pretty basic. Easy assessments, uneventful transports. However we do actually run emergency calls. The critical pediatric, major trauma, police officer down, firefight down etc.

These call types can rapidly increase our anxiety levels and give us the “pucker factor” no one wants to experience.

If you really think about though, these are not always the calls that give us that anxiety and increase our performance as EMS professionals.

Take a listen to this episode to see what I mean. This is the second half of the live show recorded August 10th. Be sure to Like and Share this one and to leave us some feedback and comments on ITunes at http://emsseo.com/itunes

Have you seen the newest EMS Multi Tool by WANTYNU.com? Discover The PALM by clicking here.

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It’s All About Scene Safety Until It’s Not

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EMS1Ever get to the EMS call and find the door slightly open and no one is answering? What do you do? Does your decision to enter or not depend on the type of call? Does your agency have a written guideline for this scenario?

Lots of questions for what can be a very common occurrence in EMS. While the answers may very black and white on paper, as providers and EMS professionals we can struggle with safety vs. potential patient needs or outcomes.

Listen to this episode and be sure to comment below and what you would do in these situations and what drives your decisions.


Check out Jims EMS study and training resources at EMSSEO.com and claim your very own WANTYNU oxygen wrench by clicking here.

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Treating From The Sidelines | EMS Perception

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EMS1This episode we discuss a recent video where EMS providers in NYC are shown with a patient in police custody who ended up dying. More importantly we talk about the all the Monday Morning Quarterbacks that have judged and sentenced these providers with knowing the full story, including local politicians and other EMS governing bodies.

We also talk about the perception in EMS with videos like this one and how that perception is damaged even more with countless FaceBook posts and comments.

This week is the second half of the live show from July 27 with Jim , Josh and Dave Brenner  along with guest caller Donald as they try and give their views on the topic.

Read this post by The Social Medic and see part of the video here.

 

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I Love The Way You Talk | The Language Of EMS

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man-discuss-01EMS has a language of it’s own. Have you ever tried talking to someone outside of EMS about a call you had, the way you do things at work or even explaining how a protocol works? They usually get confused, don’t understand or it’s just too much and they don’t care.

They may even think you are cold or uncaring based on a story you may tell or frustration you described from a call.

This week Jim and Josh are joined by Donald E. and talk about this language and why we do it, how it helps us cope and if we should even bring outsiders into our little inside stories.

Be sure to subscribe and rate us over at ITunes by clicking here.

 

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Anyone Can See A STEMI | Why We Should Do Better

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EMS1This second half of last weeks live episode with Dave Brenner talks about reading 12 lead ECGs and why we should go beyond the basics of just identifying a STEMI.

We also discuss why you should want to go beyond the basics in this and in all things EMS.

Take a listen and jump over to Itunes when you can and give us a rating there. It really helps the Apple juju.

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Wake Up Sleepy Head | That 24 Hour Shift Isn’t Helping Anyone

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goldenhouremsDo you work 24 hour shifts in EMS or think that would be a great schedule option to have? What would your patients think about an overtired EMS provider showing up at their door?

There are a lot of negatives when it comes to a 24 hour schedule. Even when that schedule may be at two different agencies but split up into two 12 hour shifts. When you do this you are only fooling yourself and not your sleep deprived body and mind.

What about the potential liability factor? There’s no fooling a lawyer.

Take a listen as Jim and Dave give their take on this issue. There is no quick fix on this but Dave gave one suggestion that many EMS professionals might find as a good alternative to working 24 hours or more in a row.



 

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EMS Unit Utilization | Is Data Effecting Patient Care?

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As EMS professionals we do a job. Part of that job is being available to take calls and respond in a timely manner. Utilization of EMSmedicsmalefemale crews and tracking times on scene, in hospitals etc. ensure we are meeting the goals of response. However, when does this metric of time begin to effect patient care, documentation and even response?

Take a listen to this episode and share your thoughts below. I have a feeling we will be re-visiting this topic soon and hope to add your feedback to the discussion.

 

 

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