Syndicated Columnists

Lessons to apply: Welfare check incident became a LODD

Syndicated Columnists - Mon, 01/28/2019 - 02:15
NIOSH line of duty death investigation recommendations for conducting welfare checks are applicable to every EMS agency
Categories: Syndicated Columnists

EMS quality improvement through clinical specialty teams

Syndicated Columnists - Mon, 01/28/2019 - 01:22
Harness a passion for care to identify improvement opportunities in clinical specialty areas and propose change
Categories: Syndicated Columnists

Increasing your career options with more education

Syndicated Columnists - Sun, 01/27/2019 - 21:36
Due to on-the-job injury, family demands or burnout, many EMS professionals eventually need to find work outside of EMS
Categories: Syndicated Columnists

All for nothing?

Michael Morse - Rescuing Providence - Sat, 01/26/2019 - 11:08

Sometimes, think it was all for nothing. Then I give it some thought. What we do matters.

Nothing much tops that.

At the end of your career, when the ink has not only dried, but has begun to fade from the pages of history, it all becomes clear. You DID matter. You were one of the ones who made a difference. And while you were too busy to realize just how important your contributions were, somebody, perhaps your partner, maybe a patient or even a bystander was not too busy to notice, and was able to take some of what you offered, and make it part of themselves, and become better at what they do, and continue to do.

 

 

You are going to miss this. It will always be part of who you are, and who you werewill always be a part of what EMS is.”

 

Categories: Syndicated Columnists

Hierarchy of EMS | Where Do You Fit In?

EMS Office Hours Podcast - Sat, 01/26/2019 - 10:05

Where do you stand in the hierarchy of EMS when it comes to skills and knowledge? Are you satisfied where you fit in?

You wouldn’t want a mediocre plumber or electrician doing work for you. Why would you expect a patient to accept a mediocre EMT or paramedic.

Take a listen to this weeks podcast below


Claim a Trial Membership to Turbo Medic by joining the ranks here. 

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Like Clockwork

Michael Morse - Rescuing Providence - Fri, 01/25/2019 - 08:59

Engine Co. EMS

By Michael Morse

“Rescue 1 with Engine 13, respond to Broad and Connor Street, at the nightclub for a reported shooting…”

We were out the door in 30 seconds, on scene in two minutes. A hostile crowd waited, kind of contained by a few police officers. More were on the way, but for now, our “safe scene” was anything but.

One of the firefighters from Engine 13 helped my partner with the stretcher and equipment from the ambulance; the officer of the EMS engine company kept an eye on the crowd; and the remaining two firefighters from the four-person company assisted me.

Sixty seconds later, we had a victim with three gunshot wounds to the torso immobilized, high-flow oxygen running, two large bore IVs established, bleeding controlled, a 12-lead EKG acquired, interpreted and transmitted to the ED. The captain of Engine 13 stepped into the driver’s seat of his truck, his chauffer drove the ambulance, the remaining two firefighters joined me and my partner in the back of Rescue 1, and we left the increasingly volatile scene. Seven minutes from time of dispatch we rolled our patient into the Level 1 trauma room at Rhode Island Hospital. I gave my report, which, because of the excellent work from the engine company, was detailed and accurate. The trauma team got to work and had the patient stabilized and headed up to surgery 15 minutes later.

A man who had every reason to die lived. We barely spoke during the call, every one of us confident in our ability to do our job, and, more importantly, confident in the ability of every member of the team.
You would think that we spent long hours training on how to treat a person shot three times in the torso at a nightclub a mile from our station, but that never happened.

The reason everything clicked is because the officer of the engine company responded to EMS calls with the same vigor as he did fire calls. His crew knew to bring their oxygen, med bag, and monitor into every ALS call, no matter how routine. His crew routinely established IV access on stable patients with recurring chest pain. They knew how and when to treat allergic reactions, knew their medications and correct doses, knew the difference between glucagon and 50-percent dextrose. They understood how the body reacts to adenosine; they learned to titrate naloxone to respiratory rate and did everything in their power to make every call they were dispatched to go as smoothly as possible. They were damned good firefighters and a pleasure to work with.

Lessons learned on routine calls are invaluable when the stakes are higher. Recognizing shock, staying calm and focused, nailing the IV on the first attempt, not fumbling with the oxygen bottle and mask, watching IV flow rates, cutting off clothing, locating exit wounds, re-checking vital signs, having the bag valve mask and defibrillator pads set up and ready to go…these are not skills anybody is born with, even firefighters. Repetition during less-stressful moments helps to develop expertise that shines at times when others struggle.

Even salty firefighters (who have seen it all) can benefit from getting involved on every call they run. When every responder is as efficient as their potential allows, teamwork develops, lives are saved, and the fire department earns the respect of the community.

Originally published in Fire Engineering

Categories: Syndicated Columnists

Medic Mindset Podcast: Thinking about the agitated patient

Syndicated Columnists - Fri, 01/25/2019 - 06:44
Emergency medicine physician Dr. Cynthia Griffin confronts bias when it comes to agitated patients
Categories: Syndicated Columnists

Medic Mindset Podcast: Thinking about the agitated patient

Syndicated Columnists - Fri, 01/25/2019 - 06:44
Emergency medicine physician Dr. Cynthia Griffin confronts bias when it comes to agitated patients
Categories: Syndicated Columnists

Tackling the education disparity across national EMS associations

Syndicated Columnists - Thu, 01/24/2019 - 05:39
Our co-hosts sit down with NAEMSE Board of Directors member Leaugeay Barnes to discuss the differences in education requirements across the industry
Categories: Syndicated Columnists

Coursera online ‘EMT Specialization’ course could be industry game-changer

Syndicated Columnists - Thu, 01/24/2019 - 02:32
New online EMT training provides an option for rural EMT candidates, those looking to learn more about emergency medicine
Categories: Syndicated Columnists

Rapid Response: Early incident command, multiple transport scenarios crucial to effective scene management

Syndicated Columnists - Wed, 01/23/2019 - 20:22
Latest shooting highlights need to stop debating and start implementing ballistic vest plans, protocols and distribution
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4 considerations for adopting a prehospital blood administration protocol

Syndicated Columnists - Wed, 01/23/2019 - 06:00
No longer just for hospitals and helicopters, blood products can benefit medical and trauma patients in the field
Categories: Syndicated Columnists

NAEMSP 2019 Quick Take: Improve quality improvement with data visualization

Syndicated Columnists - Tue, 01/22/2019 - 22:36
Data visualization illuminates patterns and connections, allowing providers to tell a story and direct actions to improve care and performance
Categories: Syndicated Columnists

The 5 Stages

EMScapades Cartoon - Tue, 01/22/2019 - 08:43
Categories: EMS, Syndicated Columnists

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