Practical EMS

We talk about stat vs routine EKG orders as well as metrics that they are always working to hit on time

When EKG’s are not done on time the source of the problem needs to be found, sometimes it is the providers’ fault for not realizing the EKG order had not been placed 

We talk about how we should communicate between provider and EKG tech and how much info we like to get as providers

I talk about how providers need to become good at t...

Welcome to the show Sean and Cheyenne, EKG tech experience and scribe experience

Sean talks about certifications and expectations that go beyond merely obtaining an EKG as well as the stress testing role

Cheyenne talks about the role that scribes play in the ED

Scribing for providers is often used as a role to gain patient experience for medical school or PA school

They talk about how they got into scribing and EKG technician work and ...

I’d like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.

 You can reach him at dberrymd@hotmail.com

Burnout and moral injury – how do we avoid these in dealing with the addicted and psychiatric patients? We can’t control most fac...

I’d like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.

 You can reach him at dberrymd@hotmail.com

We must remember, when working up these patients with addiction, they can have poor health baseline anyway, so they are at higher...

I’d like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.

 You can reach him at dberrymd@hotmail.com

He has an incredible story. He was conceived following a one-night stand and was almost aborted before being put up for adoption ...

Creator of the philosophy The Art of Bending Time

You can find her work at Michelleniemeyer.com, LinkedIn and can text CLARITY to 33777 to get support

Michelle talks about what moved her away from law to helping others improve their lives

Finding fulfillment outside of work hours to pursue something that is important to you can have beneficial effects on your work hours

Work life balance is bullshit 

Sometimes building community and soc...

Creator of the philosophy The Art of Bending Time

You can find her work at Michelleniemeyer.com, LinkedIn and can text CLARITY to 33777 to get support

Michelle talks about a turning point in her life where she ended up in the ER and how this changed her perspective on health and nutrition after she was later diagnosed with PBC

Is burnout in our control?

Michelle says that the things that cause burnout are not in our control, but you ca...

Dr. Emma Jones is a hospice and palliative care physician, also worked as a pediatric oncologist and pediatrician. She’s been in the field for over 10 years and is active in helping healthcare professionals with burnout in the modern medical system. She is the author of The Phoenix Blueprint, Emerging Stronger from the Blaze of Healthcare

https://www.emmajonesmd.com

Boundaries are important to set up in your work. Proper emotional bo...

Dr. Emma Jones is a hospice and palliative care physician, also worked as a pediatric oncologist and pediatrician. She’s been in the field for over 10 years and is active in helping healthcare professionals with burnout in the modern medical system. She is the author of The Phoenix Blueprint, Emerging Stronger from the Blaze of Healthcare

https://www.emmajonesmd.com

Sometimes you need to realize you may be part of someone else’s plan...

Bryan Jepson MD and CFP, author of The Physician's Path to True Wealth: 12 steps to gaining control over your money and your time – you can find it on Amazon and at this website for free Bryan Jepson MD, CFP® | physician finance

Disclaimers:

This is not specific financial advice, this is general education. Talk with your own advisor or schedule with Bryan to get specific advice 

The easiest, most straightforward way to start crea...

Bryan Jepson MD and CFP, author of The Physician's Path to True Wealth: 12 steps to gaining control over your money and your time – you can find it on Amazon and at this website for free Bryan Jepson MD, CFP® | physician finance

Disclaimers:

This is not specific financial advice, this is general education. Talk with your own advisor or schedule with Bryan to get specific advice 

The earlier you can get financially literate and wo...

We need to remember that paramedic and EMT’s are solely focused on emergency medicine vs RN’s or even PA’s who are trained in general medicine then learn how to do EM later on

Learning sick vs not sick is a skill that develops with time, it’s not always easy

Gestalt can be an important factor in your assessment but don’t trust it all the time, it can lead you astray

A negative work-up does not always mean there isn’t something dangero...

How do we have long careers and avoid burnout?

Micah talks about burnout and how we have the advantage in emergency medicine that we can leave work at work and step back

Have time off and don’t work overtime every time an opportunity arises, don’t only discuss work with your spouse, have other interests that you can engage in

Emergency medicine is a fun job to identify with because we get to save lives, but you should not make it your...

How do we handle the sensitive hand-off reports from EMS to the ED?

Different aspects, like potentially violent family members, unsafe scenes, are often a critical details that need to be conveyed to the ED but don’t have to be announced to everyone in the hand-off report in front of the patient

Micah works as a field and ER paramedic. He talks about this situation and how it’s going for him. He enjoys the number of resources he has ...

New panel with Audrianna (RN), Alex (paramedic), Casey (paramedic) and Micah (paramedic)

What do the ER nurses like to get in the hand-off report from EMS?

Audrianna likes to hear clear, concise reports. How ambulatory was the patient on scene? 

Casey recalls from years ago how the ER nurses didn’t understand enough about what EMS did, that always made giving reports more difficult and how that has improved over the years

I always try ...

Some ambulance crews may not have the best understanding of how a fire crew is going to run a call, with everyone assigned specific roles – often the fire department will be allowing a new crew member to lead the call

I always struggled with arriving first on scene on the ambulance because that role is more work and more pressure 

What does fire like from the ambulance crews when they arrive first?

First on scene should be allowed to ...

How do we have successful, long careers in EMS?

John recommends living away from where you work, doing unrelated activities outside of work so your life doesn’t revolve around work things

Taking care of someone you know is an odd position to be in, it can mess with your ability to be objective

Jason says we need to have an awareness of how we are feeling and how those around us are feeling, therapy is always a great option, get outsid...

Our system has made access to EMS trained medical directors much easier, which is a huge benefit to the crews

The EMS fellowship for MD’s tends to attract those that are interested in helping EMS because they are passionate about it and not in it for the money

We are always trying to give EMS the amount of time they deserve when giving reports from the ER side

Kash talks about his technique in getting a good report from EMS on the hig...

New panel: Fire officer/paramedic John, fire paramedic Jason, retired fire paramedic Terry and EMS medical director Kash

How to determine capacity and how this differs from competency 

This becomes critical when doing refusals – when the patient decides not to be transported – a very high liability part of EMS

This is different than AAOX4

Capacity is very situational and specific, competency is determined by a judge

We determine capacit...