EMS Patient Assessment | Pulses and…

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This episode focuses on a common element in EMS patient assessment. Giving a patients heart rate is great but do we consistently describe a patients pulse quality so that every healthcare professional understands what we mean?

This video will give you an easy and accepted method in pulse quality description.


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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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A Cool Thing About EMS

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wwpmainLike any job EMS has it’s negative aspects. Often we can get bogged down with them and forget why we became EMT’s or Paramedics and miss out on the cool stuff. The opportunities that can matter and leave us as individuals feeling like we have a pretty cool job after all.

Recently I had the opportunity to do a stand by for a Wounded Warrior Project Bike Ride.

If you know me you know that this is a foundation that I support and have in the past donated a percentage of sales to them. I never have had the chance though to be at an event in person and see first hand the amazing dedication of its members and the participation of the Wounded Warriors themselves.

We arrived at the staging area and I did not know this but the Project provides all the bicycles and tricycles and helmets. They provide the water and organizational support to have these events succeed.  So as I watched the staff unload the bikes, lining them up I grew emotional knowing what this was all for. I began to realize this was more than the commercials I have seen on TV.

Not that I wasn’t aware of the depth of this organization and the importance of what they provide for our wounded veterans. I think it was more of seeing it first hand and perhaps knowing it was so much bigger than me and my simple donation.

As we began the riding route, a few bikes had issues. The WWP also had staff  to troubleshoot and fix any issues with the bikes along the way. This was a short 13 mile ride and included one short break midway. During this break I knew my role was to support them in a medical role. My partner would go around to see if the participants needed anything from us during the break and to let them we were there should they require us. There was one rider who fell early in the ride but got back on his bike and continued on.

In all there were about 35-40 participants and staff and the pace was set to the slowest rider, never leaving any one rider behind too far. It wasn’t a race. It was a ride to support the Wounded Warriors and the WWP.

The entire event lasted about 4 hours. Not long. But long enough to for me to realize that I get to do some pretty cool stuff in EMS.

I have been on Third Watch, meet actors, singers and athletes.

The honor I felt being a part of this Wounded Warrior Project Bike Ride was beyond anything I can think of in recent years. I suppose as a veteran myself I feel a connection to these warriors. While I can never compare what they have gone through or what they continue to struggle with. I still feel they are my brothers and sisters.

It is experiences like this that make me proud to be in EMS. That drive me forward to look beyond the negatives and focus on the positives.

Maybe we can’t all be a part of events like this. To sit back and say “What a cool job I have”.

Yet I have to disagree in that each day we have opportunities to say just that. The newborn we delivered, the STEMI we alerted, the CVA we recognized or even the hypoglycemic patients we treated. To me these are all pretty cool things we are a part of and do everyday.

I think by recognizing that we are professionals, that what we do for our patients and their families really can matter. We can say “What a cool job I have”.

We can feel honored in being in a position to help others when no one else can. It’s an honor that I think we all overlook sometimes. It’s an honor and privilege to be allowed into peoples homes everyday when they are at their worst. We must recognize this and treat it that way.

I hope you as my reader recognizes this. If not, my hope is that you get to do something cool like I have mentioned in this post. Something that makes you take a step back and realize that being offered these opportunities truly is a cool part about EMS.

I have posted some pictures below from the stand by and I hope you will go check out the Wounded Warrior Project by clicking here.

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Myocardial Infarction | EMS Assessment Tips

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Patients with chest pain are common call types in EMS. While we may treat them as common that can lend itself to missing key points when assessing these patients. This weeks Monday Minutes focuses on the key points you should be thinking about when presented with the chest pain patient and potential myocardial infarction.



If you liked this video, please share it on FaceBook or your favorite social media site by clicking any of the buttons below.

 

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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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ECG Tunnel Vision | Looking Beyond Just One Lead

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As paramedics and EMS professionals we often get stuck in one lane. Many have been taught or have the habit of using Lead II as their “go to” lead when determining a patients rhythm. But this is not always the best choice.

Check out this video for why and leave your ECG reading tips below.

 

For more EKG training check out this resource.

 

 

 

 

See the full article on this 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.

 

EMS Study Help

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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.

Check out these resources on Brugada… and no it’s not a casino in NJ.

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