Using Time To Guide EMS Patient Care

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.

Myocardial Infarction | EMS Assessment Tips

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.



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Stressful EMS Calls | The Pucker Factor

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

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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Your EMS Task At Hand

The last Monday Minutes for 2013. I end the year with tips on staying focused, how it can help you and your patient. I also talk about how when you know “You have a job” staying on task is vital. Take a listen and let me know if you or your partners have been guilty of these distractions.




 

Get the guide mentioned in the video by clicking here

EMS Patient Assessment | Syncope

The syncope call is pretty common in EMS. All too often we tend to RMA these patients. But there are some key assessment flags you should be thinking about when evaluating these patients. Check out the short video below for a few EMS assessment tips to look out for during your next syncope encounter.




 

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EMS Patient Assessment | Population Awareness

EMS patient assessments should be done on all patient contacts. This weeks video talks about some things to keep an eye out for with specific patient populations.


Those Tricky Splint Situations | WWJD 4/11/13

How do you handle those gross deformities and angulated fractures?



EMS Continuing Education

EMS Continuing Education

EMS 12 Leads | Tips On D2BT

We have the LifePak, the Zoll, the Phillips monitors. All capable of performing 12 lead ECG’s. Identifying and transmitting the potential STEMI tracing to the ED and PCI center can reduce the D2BT or “Door to balloon time”. Yet as providers we don’t always use this valuable tool soon enough. By using it sooner rather than later we can effectively reduce the D2BT and have better outcomes for our patients.

Check out this weeks video for some tips on reducing D2BT and be sure to post your tips and thoughts below as well.


Links mentioned in the video

The free 12 lead pocket card

12 Lead ECG Challenge

Rapid Interpretation of 12 Lead ECGs

 

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

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?