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Hurry Up And Get Them In The Ambulance | The New Load and Go?

January 19, 2013 by Jim Hoffman Leave a Comment
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Sometimes a hectic scene or stressful call can have you hurrying your EMS care or transport. While it may not always affect patient care or outcome, it can give a poor perception if pictures are taken. It can also put you as the provider at risk depending on the patient, transport or details you might miss.  This week I focused on a discussion over at the JEMS page on Facebook regarding a picture taken at what I am sure was a hectic scene.


Take a look at this video and post below what you see going wrong in the picture. Can you understand the short cuts that seem to be taken or is there no excuse no matter the scene or call type?

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Filed Under: WWJD Tagged With: ambulance transport, ems patient treatment, paramedic patient care, spinal immobilization

EMS Zebra Hunting Or Doing What’s Right?

August 29, 2012 by Jim Hoffman 2 Comments
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This week we revisit a bit the idea of Zebra Hunting in EMS. Do you see more paramedics needing to do interventions than others? Do they have more patients who need saving or are they over reacting or hunting for something that isn’t there?

Take a listen to this episode and give your opinion below

Podcast: Download

Show notes

Josh from WANTYNU.com

Tim Noonan from RogueMedic.com

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Filed Under: The Podcast Tagged With: ambulance transport, ems, ems patient care, emt, Paramedics

EMS Protocol Deviation

July 11, 2012 by Jim Hoffman 3 Comments
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When do you deviate from your EMS protocols? When is it right  to do so? Many systems leave it vague on how to handle this aspect of EMS and most training and education doesn’t cover why, when or where we should be considering it.

Words like “may, consider, withhold” make it very hit or miss. Add to that the various interpretations by state, regional or even in house QA/QI and you can have providers treating patients in the interest of self preservation and not the best interest of the patient.

This was a great episode and each guest had thoughtful input on this passionate topic.

Podcast: Download



Show notes

David Aber – The EMS Difference

Bob Sullivan – EMS Patient Perspective

Josh Knapp – WANTYNU

Tim Noonan – Rogue Medic

Articles worth checking out

http://www.ems1.com/ems-management/articles/1308559-Judgment-calls-When-would-you-break-protocol/

http://emspatientperspective.com/2012/05/01/the-permisson-paradox/

http://www.ems1.com/ems-products/consulting-management-and-legal-services/articles/392962-The-Two-Most-Important-Words-in-an-EMS-Protocol/

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Filed Under: The Podcast Tagged With: ambulance transport, ems online medical control, ems protocols, ems treatment guidelines, paramedic patient care

One Step Forward, Two Steps Back – Focus People

June 6, 2012 by Jim Hoffman 1 Comment
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Great things are happening in EMS. New drugs, expanded protocols, high tech equipment. At the same time we deal with drug shortages, out dated and unproven standards of care and almost self sabotage of ourselves in the media, constantly putting up with the lowest common denominator in our ranks.

We need to find our focus. Sure work on the new stuff but maybe concentrate on the older issues too that are holding us back as a profession and as providers, lending for less than optimal patient care. How are you and your agency focusing on more steps forward and less steps back.

Podcast: Download

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Filed Under: The Podcast Tagged With: ambulance transport, ems career, ems patient care, nremt, paramedic education

Should We Lie To Patients?

May 9, 2012 by Jim Hoffman 4 Comments
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When your patient asks if he is having a heart attack, do you tell him, no matter how bad the 12 lead looks? Have you ever avoided these quesions, told white lies or just plain lied in what you thought was the best interest to the patient? What do you think? When does a patients stress level or anticipated reacition influence what or how you tell them?

Podcast: Download


 

Show notes:

Josh at WANTYNU

Tim Noonan – RogueMedic

EMS Web Summit – Free Live Online EMS Web Conference

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Filed Under: The Podcast Tagged With: ambulance transport, ems ethics, ems patient care, paramedic assessment, patient rapport

Whose Patient Is This Anyway?

January 18, 2012 by Jim Hoffman 1 Comment
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EMS goes beyond just you and your partner. Other EMS agencies, first responders, law enforcement and even doctors all may be a part of your next call. How do you deal with this interaction, decide on patient care and transport? Is it as simple as higher medical authority? Should it be? Listen to this episode and post your inter-agency interactions, patient treatment & transport decisions and whose patient is it anyway in the comments below.

Podcast: Download


 

Show Notes:

Bob Sullivan at EMS Patient Perspective

Josh Knapp at WANTYNU.com

EMS Continuing Education

EMS Continuing Education

 

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Filed Under: The Podcast Tagged With: ambulance transport, ems care, ems patient care, ems triage, paramedic assessment

Communication Failures | Part IV The ED

November 23, 2011 by Jim Hoffman Leave a Comment
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In this final installment on communication and interaction with various elements in EMS. We will discuss the ED. You know -nurses, techs, doctors. How does communication with these fellow healthcare providers help us in patient care? Does our interaction with the ED end up reflecting on the EMS profession? Listen in and share your experiences and tips on better communication with your favorite nurse or Doc.

Podcast: Download

 

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Filed Under: The Podcast Tagged With: ambulance transport, emergency room ems, ems, medical control ems, paramedic communication

Look At The Patient, Not Your Watch

August 22, 2011 by Jim Hoffman Leave a Comment
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Should we be concerned about meeting a time line like “The Golden Hour”? What about focusing more on what the patient looks like, what they need and what would be the safest way to provide them appropriate care and transport.

Podcast: Download

Check out this article over at EMS1.com

 

Speaking of trauma. Join us this week for a discussion on IV access in trauma patients. Do they really need 2 large bore IV’s? Motivated by a recent EMS1.com article, this should be a good discussion.

Join us live at 7PM EST on Wed 8/24. Click here to bookmark it.

In the meantime what are your thoughts? Take the quick survey below.
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Filed Under: Monday Minutes Tagged With: ambulance transport, ems trauma, paramedic care, the golden hour

How Big Or Little Should EMS Treatment Go?

July 28, 2011 by Jim Hoffman 1 Comment
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Ever notice how some EMS providers do everything to it’s maximum while others go at a slower, smaller pace? Which is right and which is wrong. Is there a right and wrong? Listen in on this weeks lively discussion on drug dosages, IV sizes and more.

Podcast: Download



 

Show guests:

Mark Albert

Tim Noonan

Josh Knapp

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Filed Under: The Podcast Tagged With: ambulance transport, ems drugs, ems patient care, emt, paramedic care

When Patients Attack, Handling Unexpected Confrontations

May 12, 2011 by Jim Hoffman Leave a Comment
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One role of the EMS provider is caring for emotionally disturbed patients. Most of these calls go without incident, with little more than some creative writing. But what about when that calm EDP decides he or she wants to rough house? What do you do? Following written guidelines can be tricky in these situations. Listen as Jim and Josh Knapp  discuss what really should be obvious points when dealing with these patients.

What are your agency policies with emotionally disturbed patients? How do you personally handle these situations? Post your thoughts below.

Podcast: Download



Show link:

MedicEmail.com

DT4EMS.com

Watch this video for some interesting stats.

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Filed Under: The Podcast Tagged With: ambulance transport, edp, emotionally disturbed patients, ems violent patients, patient transport
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