EMS Zebra Hunting Or Doing What’s Right?

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

Show notes

Josh from WANTYNU.com

Tim Noonan from RogueMedic.com

Does Rural EMS Have A Patient Care Advantage?

When thinking about rural EMS systems compared to an urban setting. Does the rural setting have certain advantages? What about disadvantages? Issues like available resources, transport times, volunteers, skills frequency and others can play a role in overall patient care.

So what are your thoughts? Do these two systems differ? Are they similar enough not to matter in the long run? Take a listen to this lively episode.


Show notes

Please check out the quests this week.

Thanks to Tim, David and Rommie for joining us and lending their insight. Special thanks to David Aber for joining in the chat room and providing the links below to some interesting reports.

Tim Noonan at Rogue Medic

David Aber at EMS Difference

David Blevins on Facebook

Rommie Duckworth can be found at Rescue Digest

Co-host Josh Knapp is over at WANTYNU

Take a look at these reports that David Aber was kind enough to provide. Great information.

http://www.shepscenter.unc.edu/rural/pubs/finding_brief/FB84.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/FR99.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/WP89.pdf

http://www.shepscenter.unc.edu/rural/pubs/report/FR93.pdf

http://healthandwelfare.idaho.gov/Portals/0/Medical/EMS/NCSL%20EMS%20in%20rural%20america.pdf

One Step Forward, Two Steps Back – Focus People

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.

EMS EKG Help | PVC’s

This Monday Minutes gives a short EMS EKG help overview on premature ventricular contractions.


Check out the Ultimate EKG Study Guide Bundle by clicking here.

Should We Lie To Patients?

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?


 

Show notes:

Josh at WANTYNU

Tim Noonan – RogueMedic

EMS Web Summit – Free Live Online EMS Web Conference

EMS Pediatric Shock Tips

Understanding key tips for pediatric shock can help EMS providers stay ahead of the curve and treat pediatric patients during compensated shock. Helping to prevent progression to decompensated or irreversible shock. Listen to this Monday Minutes for some key points to keep you ahead of the game.


Watch the YouTube version here http://www.youtube.com/watch?v=h3y5nDXCBr8

 

If One Paramedic Is Good, Two Is Better Right? Not So Fast.

EMS systems vary across the US. Some run one medic one EMT crews, some run double medic crews. There are even those that have 3-5 medics show up on a call. Beyond cost, many are gearing towards the one medic one EMT model and tout better patient care and provider proficiency. Take a listen to this lively discussion and leave your views below.


Show Notes:

Tim Noonan – Rogue Medic

Bob Sullivan of EMS Patient Perspective

Josh from WANTYNU

Links to check out:

EMS World article on Austin-Travis TX staffing change

Check out these interesting articles on New Jersey as well.

http://www.jems.com/article/administration-and-leadership/specialized-ems-crews-jersey-city-improv

http://www.jems.com/article/administration-and-leadership/jersey-city-nj-obtains-five-national-rec

Update – 3/2/12

A few more links sent over by Tim.

Effect of crew size on objective measures of resuscitation for out-of-hospital cardiac arrest.
Martin-Gill C, Guyette FX, Rittenberger JC.
Prehosp Emerg Care. 2010 Apr 6;14(2):229-34.
PMID: 20128704 [PubMed – indexed for MEDLINE]

The association between emergency medical services staffing patterns and out-of-hospital cardiac arrest survival.
Eschmann NM, Pirrallo RG, Aufderheide TP, Lerner EB.
Prehosp Emerg Care. 2010 Jan-Mar;14(1):71-7.
PMID: 19947870 [PubMed – indexed for MEDLINE]

Whose Patient Is This Anyway?

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.


 

Show Notes:

Bob Sullivan at EMS Patient Perspective

Josh Knapp at WANTYNU.com

EMS Continuing Education

EMS Continuing Education

 

The Last Monday Minutes

Here it is. The last Monday Minutes. Well, for 2011 anyways. This week I point out how other peoples New Years Resolutions can trickle into EMS. What do you look out for or have experienced in early January?

 

Does EMS Need All These Certification Levels?

EMS seems to be always trying to find an identity. New guidelines on certification levels are out and some things have been removed, added etc. Wouldn’t it be easier and make more sense to just do away with all these levels and make one primary level to build upon. One that actually helps patients and is a serious part of the health care process? Listen in and find out.



Show notes:

Russell Stine – HyrbridMedic.com