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

Have you seen the newest EMS Multi Tool by 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 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.



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?

Hemorrhage Types | Bleeding Control

While bleeding control is a basic and common EMS skill, knowing the different types of bleeding can help you anticipate how difficult managing the bleeding will be. It can also help you with your documentation and communication with ED staff.  This weeks episode talks about different hemorrhage types and basic bleeding control techniques.