Limiting Patient Choices During Call Overload

When people call 911 and then request transport to a specific hospital. Should EMS honor that request? 

Or should we transport to the closest appropriate facility based on the patients signs, symptoms and our suspected clinical picture of the patient?

In NYC they have attempted to take away the choice of facility for a patient  due to the call volume and hospital overloading from COVID

Specifically when people are calling for non emergency reasons and just want
a trip to the ED for minor issues or are looking for a COVID test to be done.

This week on the show Jim and Dave talk about this policy and also discuss
how we can be prepared for MCI’s and being the Incident Commander when no one wants  the job.

Plus we answer a listener question about being a new paramedic and overcoming stress.

Take a listen or watch this episode below

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Troublesome EMS Partners & Enabling Agencies

What do you do when your partner just doesn’t want to follow the rules or when your agency turns a blind eye to it? 

This episode Dave, Jim and Josh talk about dealing with rule breaking partners agencies that let it happen and the back in the day mindset of EMS.

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No One Wants To Work In EMS

EMS personnel shortage. Is there a shortage of people or pay? Is the answer more education? Take a listen to this age ole EMS conundrum below. Free Membership===> Turbo Medic Insider.  Get a variety of study and review … [Continue reading]

The “I Can’t Breathe” Myth

This episode asks: When a patient says "I can't breathe" How can we tell if they are telling the truth? Should that even be part of the assessment? Plus... Being eased into 911 or thrown in the deep end. Which is better? What to do when … [Continue reading]

Quitting and failing is easy, EMS classes are not

On episode "this one": Quitting and failing is easy, EMS classes are not. That's a good thing. Flipping the classroom The NY EMT having to take full recertifications because paperwork wasn't in on time? Take a listen below Free … [Continue reading]

Your EMS Mistake May Take You To Jail

Been seeing some news about EMS providers being charged criminally for medication errors. Will providers start thinking twice before giving a treatment if they don't have too? This and tips on treating transgender patients. Do we really need … [Continue reading]

The Time They Laughed At You

I wanted to share this NREMT exam struggle story on passing the NREMT.  One of my coaching students thought they knew it all. But when his classmates where moving ahead he was stuck behind and feeling like he was being laughed at.  True … [Continue reading]

The Lights Sirens Action Interview

Just did an interview with Lights Cameras Action and we talked about a variety of topics including: The EMS testing environment The importance of call reviews (even lift assists) How to be prepared for potential opportunities when they come … [Continue reading]

Where does your EMS duty start and stop?

https://youtu.be/UvGKUvhfiMo When you are off duty, what would you respond to? Would you help the "disheveled person lying on the sidewalk?" What is your off duty story? Watch the video or listen below.  Free … [Continue reading]

EMS Bathroom Breaks, Instructor Engagement and…

Dave, Jim and Josh talk about a method some instructors use to help their students even though the student probably thinks otherwise. Plus why bathroom breaks in EMS are different. Watch the video or just listen … [Continue reading]