Practical EMS

Give the escalating patients some room, you don’t have to be within arm’s reach

I talk about what a bad code blue looks like and what a good code blue looks like and how this translates to running a good code grey

Assign roles, we don’t have to surround every aggressive patient with a ton of people

Don’t join in the fight or flight mindset that the patient may be operating in

We talk about who should be lead in these situations and how...

Josh has 20 years in Public Safety

Currently doing crisis prevention instruction

We often don’t get any education in med school or PA school in how to communicate well with patients or how to de-escalate their behavior

Code greys are the behavior health emergency response; someone has some concern that a patient is escalating to potentially violent behavior and a team will respond

Staff safety is priority

We are there to provide excelle...

Lucas gives his pitch for why it is still worth it to be a physician - it’s one of the best jobs in the world but you have to have the ability to adapt to change over time

Being a physician still allows you a rewarding, stable and consistent job. A comfortable lifestyle. Job portability

As a PA, this can be even better because you can switch between specialties

Our variable schedule in the ED has its cons but it has a lot of pros as w...

Longevity in a tough field is something you need to consider as well as the right mindsets that keep you there – be intentional about being grateful

Lucas gives some advice in doing triage shifts and focusing on the good people you have the privilege to interact with and trying to be intentional about not focusing on the mean, angry patient

Intentionality behind the things that improve your well-being are more important to prioritize...

ER physician for 15 years

He talks about this path into med school and emergency medicine as his first choice

He likes the challenge, lack of predictability and wide scope of problems we must solve. We have the honor to accept patients when no one else will

Lucas talks about how the term emergency medicine is almost becoming antiquated when we are doing acute, undifferentiated care

Some of the care is emergencies, but not all. And that...

Leave work on time
•David’s story: a skilled, compassionate paramedic who deeply connected with patients, especially during psychiatric crises.
oStruggled to separate work from life.
oRelied on alcohol as a coping mechanism, which ultimately cost him his life.
•Core lesson: In emergency medicine, you must leave work at work—emotionally and physically—otherwise burnout and unhealthy coping are inevitable.
•Health...

Introduction

• My first experience with a cardiac arrest as a new EMT → exhilarating, confirmed calling to emergency medicine.
• Early struggles: dropped out of college, lacked discipline, but EMT training provided a direction and purpose.
• Spent years balancing work as EMT/paramedic with school → long path to becoming a PA.
• Lessons from emergency medicine shaped clinical skills and mindset.
• Concept of standards:
  • Standards = benchmark...

Advice for new EKG techs:

Trust your knowledge and build your confidence over time, stay calm and take deep breaths when you start to get busy

Stay humble, ask for help

No one comes out of school knowing everything, you need to know your limits

Regardless of your role, don’t be afraid to advocate for the patient

Providers need to remember to project an approachable demeaner so that everyone has a level of comfort bringing things to thei...

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...