EMS Today: Recent Episodes
JEMS
FDA has cleared Ezplaz, a shelf‑stable freeze‑dried plasma product, opening new possibilities for prehospital transfusion. In this episode Dr. Matt Levy and Dr. Randi Schaefer walk through the history, physiology, and practical realities of dried plasma: why it can stabilize bleeding patients, how it’s reconstituted, and where it fits alongside whole blood and component therapy. They emphasize that this is not a plug‑and‑go item—dried plasma remains a regulated blood product requiring medical director oversight, temperature management, documentation, and stewardship. Listen for implementation tips, regulatory limitations (approved for adults and currently intended where liquid plasma isn’t available), cost and distribution considerations, and how to prepare your system and crews.
NOTE: The military was officially approved to use FDP in 2018. Efforts started earlier.
This episode breaks down the ICEBERG Study and why driving pressure may provide a clearer measure of ventilator stress and patient outcomes than plateau pressure alone. We define driving pressure, explain how it is calculated, and review evidence showing that higher driving pressures are associated with worse outcomes in mechanically ventilated patients. The discussion explores why plateau pressure can be a useful trend but may not fully reflect lung stress, how changes in PEEP can affect driving pressure and lung recruitment, and why monitoring compliance, SpO₂, and end-tidal CO₂ is essential when assessing response to ventilator adjustments. We also examine the rapid changes in lung mechanics that can occur after cardiac arrest or repeated intubations and discuss how driving pressure and compliance data, when available on transport ventilators, can help guide safe ventilator management during transport.
Lt. Stephen Zachar, lead recruiter for the Memphis Fire Department, explains how the department rebuilt recruitment and retention by hiring EMS licensed candidates, fast-tracking recruits with Firefighter I, and using lateral hires to reduce academy time and overtime costs. Learn how the department hired 1,000-plus EMS licensed recruits from 42 states, increased local retention to 77%, saved upward of $2.4M in a year, and staffed a 57-station, 1,700-person department more efficiently. Stephen walks through Memphis’ interview and onboarding and demos ResponderGrid — a new recruiting and networking platform for candidates and agencies (www.respondergrid.com) — and describes how it connects applicants, recruiters, chiefs, and vendors. Visit www.joinmemphisfire.com to learn more.
Three members of the Cool Fireman Podcast join the Salty Paramedic on Just a Little Salt for a wide-ranging conversation about firehouse culture, leadership, and life on shift. Brian Kelly, Doug "Big City" Bishop, and Adam "Unkie" McCoy discuss crew integrity, how phones and station design have changed the kitchen-table camaraderie, what earns a rookie respect, and leadership lessons like "inspect what you expect" and owning mistakes. They share favorite episodes and guests, podcasting realities, social media’s pros and cons, and even the lighter side — pranks, firehouse food, bourbon and bad meals. If you run shifts, recruit, or lead, this episode digs into practical advice on training, mentorship, and balancing friendship with command.
EMS has long been technologically underserved compared to hospital systems, forcing medics to perform high-stress mental math in the field. On the JEMS Podcast, OneDose co-founders Tristan and Colton Hazlett share how they're changing that dynamic. What started as a hardware project in their parents' basement, resulting in the OneWeight smart gurney scale, has evolved into a comprehensive medication safety platform.
The OneDose app integrates directly with major EPCRs like ESO and ImageTrend to streamline clinical workflows and reduce cognitive load. Its standout features include a voice-to-voice AI Assistant for quick protocol summaries and a digital cross-check system that scans medication vials to flag concentration mismatches. By replacing manual calculations with precise dosing support, OneDose helps medics keep their focus on patients rather than screens.
This podcast is brought to you by OneDose. https://myonedose.com/ems-app/?utm_source=jems&utm_medium=podcast&utm_campaign=ai_healthcare
Tracey Loscar, deputy director-EMS for Matanuska-Susitna Borough (AK) joins the Not A-Fib Podcast. We discuss the challenges of working in Alaska. Some of those challenges include the lack of resources, the distance to care, the difficulties in reaching patients, and all versions of EMS in the state. We also discuss the vastness of the Alaskan wilderness and the long hours of daylight and darkness in the summer and winter, respectively.
Mike Brown and Jesse Carroll from Hamilton Medical break down ventilatory management for the DKA patient and other metabolic-acidosis presentations in the prehospital setting. They focus on why minute ventilation, not just rate, matters when you take a patient's airway: match or exceed the patient’s compensatory minute volume, size tidal volume to ideal body weight), and account for dead space. Practical demos cover when to favor a mechanical ventilator over BVM, using NIV-ST to support fatigued spontaneous breathers, and how to set tidal volume and rate to replace 17–20 L/min minute volumes seen in severe hyperventilation. They also unpack the ICEBERG Study and the concept of driving pressure, why driving pressure may better reflect lung stress than plateau pressure alone, and why higher driving pressures are associated with worse outcomes. The discussion reviews current evidence supporting efforts to keep driving pressure low when clinically feasible.
In this episode we walk through how noninvasive ventilation for pediatric respiratory distress moved from an idea to standard practice in central Ohio. Guests Rob Glaze and Kyle Goodknight describe a child’s near‑miss, the partnership with Nationwide Children’s Hospital, and Westerville Fire’s rollout. They debunk myths—kids won’t tolerate masks, PEEP will harm hypotensive children, blow‑by works—and explain why work of breathing, not SpO2, should trigger CPAP. Check out a link to their ebook here: https://pages.kylegoodknight.com/peds-cpap-landing
Jana Williams, president and CEO of the Association of Air Medical Services (AAMS), joins Mike Brown to discuss the evolving role of air medical and critical care transport. They cover AAMS’ three pillars—advocacy, collaboration, and education—highlighting current priorities: Medicare reimbursement that reflects modern clinical and aviation investments, the mental health and aviation bill, and a cost study showing underpayment. Jana explains how air medical teams act as mobile critical-access beds for rural communities, the expansion of point-of-care diagnostics, ECMO and whole blood transport, and the operational realities driving higher costs. She outlines workforce initiatives: the Flight Ready Institute (formerly the Critical Care Transport Academy), leadership schools (MTI, SMT, LIFT), and the annual Air Medical Transport Conference (MTC).
Matt Zavadsky from PWW Advisory Group (PWW|AG) joins the podcast to discuss the economics of EMS. We discuss the current economic landscape of EMS and how it has strained some services to the point of closure. We also discuss the Medicare Ground Ambulance Data Collection Surveys conducted over the past few years and how some of the data collected were not included in the final results published. We wrap up with a brief discussion on what could be seen in EMS economics and reimbursement in the future.
This podcast is brought to you by Medical Shipment: https://medicalshipment.com/
Dr. Tim Nutbeam, a consultant and professor of emergency and prehospital medicine at a major trauma center in Plymouth, UK, explains evidence that should change how teams manage vehicle entrapment. Key takeaways from the EXIT research program: self extrication often produces less spinal movement than complex “slow and steady” techniques; minimize entrapment time because clinical observations poorly predict rapid deterioration; pelvic binders mainly help rare open book fractures and may be unhelpful or contraindicated for the common lateral compression patterns; long spine boards are for extrication/transfer only; cervical collars can be removed or loosened once a conscious patient is ready to self move, but use briefly for rapid extrication of unconscious patients. Dr. Nutbeam also stresses the human side: assign an extrication buddy, explain noisy steps, hold a hand, and prioritize analgesia and oxygen.
Mike Brown sits down with Dr. Sarah Fabiano and Mike Ellis as they distill pediatric diabetic ketoacidosis into a clear prehospital approach. Using a “sour blood stew” recipe metaphor, they explain how zero units of insulin produces ketones, osmotic diuresis, dehydration, and electrolyte shifts.
Key takeaways for EMS: prioritize perfusion with IV fluids (lactated Ringer’s preferred), monitor rhythm, obtain potassium before giving insulin, use a two bag insulin/dextrose strategy to close the anion gap safely, and avoid intubation unless absolutely necessary as spontaneous ventilation supports the physiologic need for higher alveolar tidal volumes.
This podcast is brought to you by Medical Shipment: https://medicalshipment.com/
Paramedic Brad Lawson joins Just a Little Salt to talk about founding the PIERCE Foundation and PIERCE Provisions, running mental wellness summits and a new Responder Fest. Brad explains why cumulative trauma drives PTSD and emotional numbness, how healing looks, and why peer led, story driven summits cut through the usual PowerPoint culture. He announces upcoming events: Responder Fest (Greenville, SC — Sept 10–11), Nashville summit (Oct 5–6) and Asheville (Oct 28–30, couples workshop + themed events).
This podcast is brought to you by Medical Shipment: https://medicalshipment.com/
Melody Mesmer tells the story behind Foundation 1023, a peer driven nonprofit born after a string of 2015 line of duty tragedies.
Melody explains how 1023 (Kristen McLean’s badge number) connects first responders, dispatchers, medical crews, tow operators and families in Texas and Colorado to culturally competent, trauma informed counselors, peer support training, and outdoor resiliency programs like paddle boarding and movement-based therapies.
She covers what early intervention looks like, how peer support reduces isolation, confidentiality protections for peer teams, and practical steps to access help. Melody emphasizes rural volunteer gaps, the importance of community outside the workplace, and why asking for help is a hero’s act.
This podcast is brought to you by Medical Shipment: https://medicalshipment.com/
Mark Flauter sits down with registered nurse Tammy Scott to share her powerful and deeply personal story of survival and advocacy. In April 2022, Tammy was stabbed and critically injured by a patient while working in a St. Louis–area emergency department. She recounts what she remembers from that traumatic day and opens up about her long and challenging journey toward physical and emotional recovery.
Tammy also discusses her experiences navigating the workers’ compensation system and shares her perspective on where hospital administration, and the healthcare system more broadly, can do more to protect frontline professionals from violence. The conversation expands to explore the alarming prevalence of assaults against healthcare workers, both in prehospital settings and inside hospitals, and the troubling normalization of these incidents within the profession.
The episode concludes with a look at Tammy’s ongoing advocacy work, including her foundation, The Nightingale Front, her memoir Frontline Survivor, and her upcoming appearance in the documentary Suck It Up, Buttercup, soon to be available on streaming platforms.
This episode is brought to you by Medical Shipment: https://medicalshipment.com/
On EMS Remembrance Day, we speak with Jana Williams, Tony O’Brien, and James Robinson of the National EMS Memorial Foundation about honoring fallen EMS providers, the annual National EMS Memorial Service, and the drive to build a permanent memorial in Washington, D.C. Learn about Moving Honors (a traveling Tree of Life memorial that visits communities June 1–July 2), the Weekend of Honor (July 17–19, Alexandria, VA), MIT’s pro bono conceptual designs, and how volunteers power this effort. Hear firsthand why memorials matter to families and colleagues and how remembering supports safety and healing. Want to help? Attend or volunteer for events, donate to the three memorial organizations, or contact your senator to support reauthorization in Congress (S.2546). Share this episode to spread the word and help build a permanent home for EMS remembrance and honor our colleagues' service.
Join the JEMS Podcast as we celebrate EMS Week 2026 with Dr. C. Ryan Keay and Chief Christopher Wray. They cover the frontline issues shaping modern prehospital care: sustainability and stewardship of whole blood programs; rural supply-chain challenges and drone delivery ideas; rapid adoption of point-of-care ultrasound; growth of treatment-in-place and mobile integrated health; AI for documentation and decision support; and legal/operational considerations for body-worn cameras. Dr. Keay and Chief Wray share practical examples, federal policy priorities, and how reimbursement and community partnerships can sustain clinical advances. This episode honors paramedics, EMTs, dispatchers, flight crews, educators, and leaders while offering actionable insights for agencies planning new programs, quality review, and cross-sector collaboration.
Mike Brown hosts this JEMS Podcast Save a Life Day special during EMS Week 2026, joined by Chief Rom Duckworth and Dr. Shira Schlesinger. We celebrate EMS professionals and focus on two lifesaving interventions: bystander CPR and bleeding control. Topics include barriers to community CPR, Sidewalk CPR Week and practical, low-cost ways to increase engagement. They discuss Stop the Bleed realities: tourniquet over application concerns, the need for tourniquet correction and conversion by trained prehospital clinicians, and strategies to co locate tourniquets with AEDs.
Mike Brown talks with Dr. Kathleen Adelgais and Dr. Manish Shah during EMS Week 2026’s EMS for Children Day for a conversation about where pediatric readiness in EMS stands, and where it still needs to go. Drawing on findings from the 2024 Pediatric Readiness Project national assessment, they examine the progress agencies have made, the persistent gaps that remain, and the practical steps EMS leaders can take now to better prepare for pediatric patients. With more than 7,000 of roughly 15,000 U.S. EMS agencies participating, the survey produced an overall readiness score of 66, highlighting strengths in equipment and supplies, medication and patient safety, and pediatric protocols, while also revealing continued challenges in family-centered policies, pediatric quality improvement, and disaster preparedness.
Mike Brown hosts an EMS Week Safety Day conversation with Dr. Douglas Kupas, president of the National Association of EMS Physicians, on practical strategies to protect providers and transform EMS into integrated healthcare. Topics include evidence on reducing lights-and-sirens use; rising ambulance thefts and simple vehicle interlocks; low-cost countermeasures like 3D‑printed stretcher buckle covers and pager-sized CO detectors in first-due bags; training options for managing assaults and the shift toward treat-in-place, mobile integrated health programs; and reimbursement reform. This talk offers practical, field-tested ideas for agencies, medical directors, and EMS providers who want safer, smarter EMS operations.
On today’s EMS Week Education Day episode, Mike Brown speaks with Dr. Navin Ariyaprakai and Michael Kaduce about how national partnerships, accreditation, and modern learning strategies are reshaping prehospital care. They explain why accreditation lifts program standards, improves outcomes, and strengthens medical director involvement; and give examples where evidence changes field practice. They cover the difference between initial and continuing education, the value of timely, collegial feedback from medical directors, and pragmatic uses for microlearning and emerging micro‑credentials in continuing education.
In this special 2026 EMS Week episode of the JEMS podcast, Mike Brown hosts Gamunu “Gam” Wijetunge from NHTSA’s Office of EMS and Dr. Nicholas Cozzi, an emergency physician from Chicago. The conversation centers on a significant shift in emergency medicine: moving high-level clinical interventions like blood transfusions directly to the point of injury. With roadway fatalities hovering around 40,000 annually, NHTSA is prioritizing "post-crash care" by aggressive funding through the Safe Streets and Roads for All grant program.
Beyond the equipment, the guests discuss the power of data linkage between dispatch centers and hospitals to measure bystander intervention and long-term patient survival. Dr. Cozzi highlights the human element, sharing how simple acts—like sending letters of praise to field clinicians—boost morale and strengthen the bond between medical directors and front-line providers. From grant deadlines on May 26th to Save a Life Day demonstrations in D.C., this episode outlines how federal advocacy and local clinical excellence are converging to save more lives in the field.
Dr. Jonathan Warren discusses practical uses, evidence, and implementation challenges for prehospital ultrasound. We cover lung ultrasound for acute heart failure and B line quantification, trauma FAST exams, cardiac arrest applications including focused pulse checks and transesophageal echocardiography, and how prehospital transfusion and early diagnostics change diagnostic momentum on ED arrival. Dr. Warren also outlines real-world barriers to sustained uptake—cost, training, tech issues, clinical workflows—and describes a national survey from the ACEP prehospital/austere ultrasound subcommittee aimed at identifying why adoption often dwindles after initial implementation.
At FDIC International 2026, our panel of EMS providers and critical‑care physicians break down ventilation during cardiac arrest: what the science supports, where practice still fails, and practical fixes you can use tomorrow. We cover why bag‑valve‑mask ventilation is a high‑risk skill (and best performed as a two‑person procedure), how over‑ and under‑ventilation change intrathoracic pressure and cardiac output, and why properly opening the airway and achieving a seal are fundamental. We discuss supraglottic airways, intubation pitfalls, CPAP and high‑flow strategies, the pros and cons of mechanical ventilators in the field, and the role of objective feedback devices. The panel emphasizes regular, low‑cost simulation training, equipment readiness, pit‑crew coordination, and the hard truth: patients die from poor ventilation more often than from the absence of intubation.
Dr. Brandon Morshedi, a paramedic turned emergency physician and EMS medical director, joins Eric Chase to map a practical path toward EMS 3.0. He explains his driving “why”: improving the systems of care he and his family rely on. The conversation ranges from training paramedics as clinicians and the realistic role of degrees, to on call decision making—when to contact your medical director versus a receiving hospital. Dr. Morshedi outlines priority research areas (resuscitation science, prehospital transfusion, and low acuity treatment in place), federal traction for alternative reimbursement models, and a ten-year horizon for the paramedic practitioner credential.
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This episode of the Not a-Fib Podcast features Dr. Sarah Jahnke, someone who spent over a decade researching the health of first responders. The conversation moves past the usual surface-level advice to tackle the deep-seated cultural issues that lead to burnout and chronic disease. Jahnke challenges the "badge of honor" mentality surrounding sleep deprivation, citing evidence that shift work itself is a likely carcinogen.
The discussion also reframes mental health through a unique lens, comparing it to hypertension—a condition that requires constant monitoring rather than just emergency intervention. While the statistics on depression and PTSD in the fire service remain high compared to the general population, Jahnke highlights the protective power of the fire service's unique camaraderie.
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JEMS Development Editor Mike Brown interviews Hannah Herbst, founder and CEO of Golden Hour Medical, about a compact, automatic tourniquet designed to guide anyone through life‑saving hemorrhage control. The device uses audio‑visual prompts and a simple three‑step interface to let a bystander or first responder apply, monitor, and adjust pressure on arm or leg wounds. It initially inflates to 300 mmHg and can be increased in roughly 20 mmHg increments; an internal sensor monitors pulse absence and informs reassessment. The cuff detaches for multi‑patient use, and the unit recharges via USB‑C — batteries last about two years between charges with monthly status updates. Golden Hour pairs the product with online training and a small trauma first‑aid kit.
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Dr. Alexandra Jabr, a longtime paramedic-turned-educator and founder of Emergency Resilience, tells the story how therapy reshaped her life and purpose. She explains practical boundaries and vulnerability, why collaboration beats competition in EMS education, and how clinicians can support peers after moral injury and critical incidents. Alexandra walks through emerging options for treatment—emphasizing ketamine-assisted therapy only when delivered in a medically supervised, ethically framed model with skilled therapists and integration work—and describes immersive retreats that combine somatic modalities, group therapy, and clinician-led psychedelic-assisted sessions for women first responders. This conversation blends lived experience, clinical nuance, and concrete guidance for providers seeking mental-health resources, workplace culture change, and pathways back to joy.
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JEMS Development Editor Mike Brown speaks with Dr. Simon Grosjean about shifting EMS from “prehospital transport” toward “territorial medicine.” They unpack alternative transport/non‑conveyance, physician response units, and why many low‑acuity calls may be better managed outside the ED. The conversation contrasts systems across Europe and the UK, highlights gaps in data collection, and exposes practical barriers—staff shortages, fractured clinical records, and reimbursement models—that stop promising approaches from scaling. They also explore where technology and AI can help: rapid chart summarization, context‑aware decision support, microlearning for clinicians, and automated handoffs to primary care.
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Firefighter Jake Ryks joins the Just a Little Salt podcast to dismantle the "hero" archetype often taught in fire science programs. He reflects on his early career, admitting he’s actually less confident now than as a rookie because he finally understands the sheer depth of the profession.
The conversation shifts to the unique culture of the fire service, specifically the "sacred" firehouse table where rankings vanish and conflicts are settled in-house rather than through a formal chain of command. Jake also dives into the misunderstood world of Hazmat, demystifying it as a discipline of basic chemistry rather than a horror movie. From sampling jars of menstrual blood at government protests to discussing the "Hazmat Guys" podcast network, this episode offers a grounded look at the reality of special operations and the importance of sharing knowledge to elevate the entire crew.
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JEMS Development Editor Mike Brown sits down with Dr. Stacy Shackelford, a coauthor of a new JAMA Network Open paper, to unpack findings about calcium abnormalities in trauma patients. The authors tracked a cohort of 1,270 trauma patients arriving at three level I trauma centers and found that 22% presented with hypocalcemia and 5% with hypercalcemia. Early mortality varied significantly by calcium status: 11.9% among hypocalcemic patients, 4.3% among eucalcemic patients, and 22.8% among hypercalcemic patients. Although hypercalcemia was less common than hypocalcemia, it was associated with substantially worse early mortality, suggesting the need for further research into the underlying mechanisms.
Paramedic, educator and consultant John Todaro joins Eric Chase to trace a 49-year career at the intersection of prehospital care, nursing, and public health. Todaro argues for degree-based education for paramedics, emphasizes soft skills—communication, empathy and cultural awareness—and explains how broader clinical training strengthens judgment and the patient narrative. He examines professional tensions between nursing and EMS, advocates collaborative roles instead of hierarchical oversight, and offers organizational culture and work-life balance strategies to reduce burnout and moral injury. Through a vivid helicopter rescue—holding a young trauma patient’s hand and later being recognized by that child—Todaro shows why human connection matters as much as clinical skill.
Jennifer Pearsall joins the Not a-Fib Podcast to share insights from her Naval Postgraduate School thesis on the strengths that can emerge in emergency managers after life‑changing events. We explore her career across local and federal emergency management, the contrasts she encountered along the way, and the experiences that inspired her to create EM Wellness and define its mission. She reflects on her time at the Naval Postgraduate School, and we dive deep into the core findings of her thesis. Our conversation covers the types of transformative events that can lead to post‑traumatic growth, the conditions that make that growth possible, and the personal and organizational factors that either support or hinder it.
In this episode of Just a Little Salt, Cody Spaulding talks with Jon Vought, a firefighter and the owner of Rescue 1 CBD, to break down what CBD actually is and why it’s become a serious topic in the fire service. Jon explains the difference between hemp and marijuana, how cannabinoids interact with the body’s endocannabinoid system, and what the research says about CBD’s impact on inflammation, sleep quality, mood, and anxiety.
They also get into the biggest concern most firefighters have: drug testing. John shares details from a university-backed study involving the University of Arcadia and the University of Maryland, including how urine samples were tested under strict lab conditions for THC.
Respiratory crises in the field rarely fit textbook categories. JEMS Development Editor Mike Brown talks with Hamilton Medical’s Jesse Carroll to separate Type 1 (hypoxemic) from Type 2 (hypercapnic) respiratory failure and recognize the mixed presentations clinicians actually see. They walk through practical cues (SpO2 trends vs end‑tidal CO2), common causes (CHF, COPD, obesity, neuromuscular weakness), and epidemiology: roughly 360,000 prehospital respiratory calls annually with 41% involving COPD and obesity rates rising from 32% to about 60% since 1988. Jesse explains why pressure, flow and volume, not oxygen alone, drive meaningful physiologic change, how device limitations (disposable CPAP, pneumatic and turbine systems) affect flow delivery, and when early noninvasive strategies can buy time or prevent intubation.
JEMS Development Editor Mike Brown sits down with Jonathan Epstein, who leads the American Red Cross healthcare product management team, to unpack the Red Cross’s new Resuscitation Suite. Jonathan explains how the suite reimagines BLS, ALS and pediatric/neonatal resuscitation with EMS-first blended learning, a “practice as you perform” approach that embeds local protocols and integrated cognitive aids, including a digital app with step-by-step algorithms and clinical decision support. They discuss adaptive learning and computer-adaptive testing that shrink classroom time, an upcoming VR pathway that delivers team-based practice and certification, and realistic expectations for AI, dual sequential defibrillation and mechanical CPR. Ventilation, measurement and device design are highlighted as targets for education and engineering solutions.
Trevor Williams didn’t take a typical path into the fire service. He grew up overseas, living in places like Zaire during the Rwandan genocide and later Haiti during periods of civil unrest. His family’s missionary work with humanitarian organizations exposed him early to crisis, relief work, and the reality of helping people when things fall apart. Years later, that mindset carried straight into a career with the Los Angeles County Fire Department.
In this conversation, Williams talks about the long road to getting hired, the culture shifts he’s seeing among newer firefighters, and why mentorship inside the firehouse still matters. He also breaks down how a homemade tool he built for forcing doors eventually turned into a widely used product across departments and industries. The story moves from firehouse camaraderie to small business lessons, covering product design, marketing mistakes, fraud scares, and what it actually takes to turn an idea into something firefighters trust on the job.
Flight nurse and creator Nurse Gwenny joins the show to talk frankly about what it really takes to thrive in emergency care when the textbook ends and the hard calls begin. She walks through her path from pre‑med burnout to ER and flight nursing, why traditional courses left her memorizing instead of understanding, and how that frustration drove her to build highly visual, short-form education that actually sticks for busy medics, EMTs, and nurses. Along the way, she shares the cases that still sit with her, the mentors who modeled clinical excellence with zero ego, and concrete ways to protect your mental health in a career built around other people’s worst days.
Infection control consultant Katherine West breaks down the latest HIV post-exposure prophylaxis (PEP) guidelines published in mid-2025. Highlighting key changes since the 2013 update, she explains the shift toward less toxic antiretroviral regimens, elimination of routine baseline lab testing for PEP, and new protocols for exposures involving patients with undetectable viral loads. West emphasizes the importance of expert follow-up care, clarifies who is responsible for source patient testing, and underscores the low risk of occupational HIV transmission. She also discusses challenges faced by emergency providers managing exposures outside regular occupational health hours and the role of 24/7 consultation services. The segment covers legal nuances, especially OSHA and state laws regarding HIV testing consent, and reiterates the CDC’s push for routine HIV screening to aid in the national goal of ending the HIV epidemic by 2030.
Host Chief Shane Wheeler and Assistant Chief Jon Detweiler dive into the complexities of team conflict and the essential role of trust in leadership. Drawing from his decades-long career, Jon shares firsthand experiences managing difficult conversations, especially transitioning from peer to leader. He highlights why many leaders mistakenly view conflict as failure rather than opportunity, and stresses the importance of emotional awareness, asking thoughtful questions, and fostering psychological safety. Jon also emphasizes the power of modeling behavior and setting clear expectations to maintain respect and accountability within teams. Whether you're a new leader or aspiring to grow, this conversation offers practical strategies for creating a culture where honesty, trust, and collaboration thrive, ultimately aligning teams to achieve shared missions effectively.
In this episode of Just a Little Salt, licensed counselor Kimberly Ingram dives deep into the unique challenges first responders face in their relationships. Drawing on her extensive experience working with law enforcement officers, firefighters, and other public safety professionals, Kimberly sheds light on the impact of shift work, chronic stress, and trauma on emotional connection at home. They discuss common misconceptions about therapy, the critical need for culturally competent mental health support, and how partners can build stronger communication even amid the toughest schedules. Kimberly also explores the delicate balance between a first responder’s identity and personal life, the risks of emotional distancing, and practical advice for couples recovering from infidelity.
Matt Aalto shares insights on cultivating a resilient fire department culture through clear expectations and genuine accountability. Drawing from decades of experience leading both volunteer and career crews in Oregon, Matt highlights how trust, communication, and proactive conflict resolution create an environment where firefighters thrive—both on and off duty. The discussion tackles the challenge of managing multiple generations within the ranks, the importance of addressing informal as well as formal expectations, and strategies for improving recruitment and retention by “getting your house in order” before adding new members. Real-world examples illustrate how supportive leadership tackles underperformance and fosters behavior change rather than punishment. Matt also offers practical advice for those looking to develop their voice in the fire and EMS community by writing and speaking.
Eric Chase sits down with John Graham, a respected EMS leader with 27 years of experience, to explore the challenges of mental health in emergency medical services. Reflecting on personal losses within the EMS community and the long-standing culture of “tucking away” trauma, John shares his journey toward embracing vulnerability and therapy. The conversation uncovers the often-unspoken struggles EMS professionals face, the delicate balance between leadership and friendship, and the importance of honest communication—even when it’s uncomfortable. John highlights the value of passion and commitment in leadership roles and stresses the need for grace, both toward oneself and others.
Mike Brown, William Belk and Mike Doss dive into the challenges and evolving practices of simulation-based training. They explore the idea of designing scenarios where even perfect performance doesn’t guarantee success, emphasizing the need to prepare students for unpredictable, high-stress realities without overwhelming beginners. The conversation highlights the important role structured debriefing to foster reflection and growth, while promoting psychological safety to embrace failure as a powerful learning tool. Incorporating resilience training early on is presented as a game changer for building mental toughness and coping strategies before entering the field. Drawing from decades of frontline and educational experience, the speakers advocate for tailored stress exposure to enhance cognitive function under pressure. Read Mike Doss' article that prompted this podcast here: https://www.jems.com/ems-training/no-win-scenarios-in-emt-and-paramedic-education/
FDNY Chief John Esposito shares insights from his 34-year career, revealing what sets a commissioner apart from a chief, and the realities of managing one of the largest fire departments in the world. Esposito reflects on his early days, the mentors who shaped him, and the profound impact of good leadership in firefighting. He offers a rare glimpse into the toughest decisions made during emergencies and the unique challenges of communication across thousands of personnel. The conversation also highlights firehouse traditions, from memorable meals to the iconic kitchen table, embodying the camaraderie that fuels their work. Chief Esposito closes by emphasizing the meaningfulness of saving lives and the unmatched sense of purpose his job has given him.
Steve Tafoya takes a dive deep into a new bill aimed at transforming treatment-in-place capabilities and establishing Medicare reimbursement models tailored for emergency medical providers. Drawing on 25 years of frontline experience and a strong legal and business background, Steve sheds light on the current reimbursement challenges EMS agencies face, with only about 14-25% of calls being fully reimbursed. The discussion highlights how this legislation could reshape EMS’s role beyond traditional 911 response—integrating community health, alternative destinations, and innovative care models. Steve emphasizes the critical need for provider voices in lawmakers’ offices and urges industry stakeholders to engage with representatives to support this bill. The podcast also explores the expanding career opportunities in EMS, including agency response units and industrial medical teams.
Eric Chase sits down with Jimmy Apple, aka EMS Avenger, to explore the often-overlooked realities behind emergency medical services. Jimmy breaks down the isolation many providers face, emphasizing the power of genuine relationships and networking in advancing EMS careers. They dive deep into the psychological challenges of frontline care, including the emotional toll of death notifications and the importance of accessible mental health support. With a spotlight on evidence-based practice, Jimmy contrasts the intense focus on cardiac arrest resuscitation with the relative neglect of sepsis recognition and treatment, urging a shift in EMS training priorities. Drawing from two decades of experience, he challenges outdated dogma around pediatric and adult care, encouraging providers to overcome fear and trust their skills. This conversation serves as a powerful reminder that EMS isn’t just about protocols—it’s about empathy, accountability, and continuous growth in service of human life.
By Bram Duffee, PhD, EMT-P
For EMS providers who respond to a traumatic cardiac arrest, the instinct to initiate CPR is almost automatic. But could this life-saving intervention inadvertently hinder recovery in cases of severe hemorrhagic shock? A recent study, “Effect of Cardiopulmonary Resuscitation on Perfusion in a Porcine Model of Severe Hemorrhagic Shock,” challenges conventional wisdom and offers new insights that could reshape trauma care protocols.
The Study: A Closer Look at CPR in Trauma-Induced PEA
The research, led by Dr. Patrick Greiffenstein, professor of clinical surgery at LSU New Orleans and trauma ICU director at the Norman McSwain Spirit of Charity Trauma Center, addresses a critical gap in trauma care.
While CPR is a cornerstone of resuscitation in cardiac arrest, its application in trauma-induced pulseless electrical activity (PEA) has not been rigorously validated. Trauma PEA, unlike medical cardiac arrest, is a low-flow state caused by severe blood loss (hypovolemia), where the heart shows electrical activity but fails to generate a palpable pulse.
“CPR is a cornerstone of resuscitation and cardiac arrest, but its application in trauma-induced PEA has not really been rigorously evaluated,” explains Dr. Greiffenstein. “Trauma PEA is fundamentally a low-flow state caused by hypovolemia—insufficient blood volume.”
The study aimed to determine how CPR affects tissue perfusion—specifically oxygen delivery to the brain and skin—during severe hemorrhagic shock. Using a porcine model, researchers simulated life-threatening blood loss and compared outcomes between two groups: one receiving automated CPR and the other left untreated during the shock phase.
Key Findings: When CPR May Do More Harm Than Good
The results were both surprising and concerning:
- No Improvement in Perfusion: CPR did not enhance oxygenation in the brain or skin. In fact, skin perfusion was significantly lower in the CPR group during both the shock and recovery phases.
- Adverse Hemodynamic Effects: While CPR increased systolic blood pressure (SBP), it significantly reduced diastolic blood pressure (DBP), which is critical for coronary and organ perfusion.
- Potential Harm: CPR caused a threefold increase in intracranial pressure (ICP), suggesting that chest compressions might disrupt normal blood flow dynamics in the brain.
“Knowing now that extreme efforts like lining people up to do CPR can cause turbulence within the system is a significant advancement,” says Dr. Greiffenstein. “It’s possible to have perfusion at these unreadable MAP scores, which is a critical insight for trauma care.”
Implications for Trauma Care
These findings challenge the one-size-fits-all approach to CPR in cardiac arrest scenarios. In cases of hemorrhagic shock, CPR might:
- Divert attention from more effective interventions, such as rapid blood transfusion or surgical control of bleeding.
- Worsen perfusion to vital organs, potentially exacerbating the patient’s condition.
“In military cases, field medics often don’t have the opportunity to perform full chest compressions on the battlefield. Sometimes, all they can do is drag a person to a safe position,” notes Dr. Greiffenstein. This study underscores the importance of prioritizing interventions that address the root cause of trauma PEA—severe blood loss—over traditional resuscitation techniques.
A Call for Updated Guidelines
The American Heart Association’s current guidelines broadly recommend CPR for all pulseless patients. However, this study adds to a growing body of evidence suggesting that trauma-induced PEA requires a different approach. By focusing on restoring blood volume and controlling bleeding, paramedics and EMTs can improve outcomes for patients in hemorrhagic shock.
As Dr. Greiffenstein puts it, “This research is a step toward more tailored and effective trauma care protocols. It’s about understanding the unique physiology of trauma and adapting our interventions accordingly.”
For EMS providers on the front lines, this study serves as a reminder to critically evaluate the tools and techniques we rely on in emergency care. While CPR remains a vital intervention in many scenarios, its role in trauma-induced PEA warrants careful reconsideration by physician medical directors. By staying informed about the latest research, we can continue to improve outcomes for the patients who depend on us most. Click below to watch the full interview
Reference
Greiffenstein, P., Cavalea, A., Smith, A., Sharp, T., Warren, O., Dennis, J., Gatterer, M. C., Danos, D., Byrne, T. C., Scarborough, A., Deville, P., & VanMeter, K. (2025). Effect of cardiopulmonary resuscitation on perfusion in a porcine model of severe hemorrhagic shock. The Journal of Trauma and Acute Care Surgery, 98(2), 251–257.
In this candid conversation, Ashlynn O’Dell reflects on the realities of EMS—from first calls amid rural landscapes to navigating complex patient care in unpredictable environments. She shares how EMS became her calling over nursing or firefighting and highlights the often unseen sides of the job: delivering care in difficult living conditions, managing mental health, and staying resilient against workplace judgment. Social media became a powerful outlet, helping her connect with peers and inspire young women entering this male-dominated field. With humor, vulnerability, and insight, she reveals the delicate balance between being serious professionals and embracing levity on the job. The discussion also tackles burnout, workplace culture, and the importance of finding your voice in high-pressure scenes.
Joanna Sokol, a seasoned EMT and paramedic, opens up in this revealing conversation on the EMS Improv podcast. Drawing from 13 years on the frontlines and a trove of personal journals, Joanna discusses the emotional turbulence embedded in EMS—from the constant flood of forgettable calls to the rare moments that “grab you by the throat.” She shares how writing her book, “A Real Emergency,” became a cathartic way to process the human stories often overshadowed by dramatic emergencies portrayed in media. Joanna candidly reflects on the physical and emotional toll EMS careers exact and the harsh reality many face when transitioning to new paths after years in the field. Her perspective on mentorship, resilience, and embracing the everyday reality of EMS work challenges common perceptions and offers raw, valuable insight for providers and those who rely on them alike.
In this episode of Let’s Get It Straight, infection control consultant and host Katherine West tackles the growing challenge of accessing dependable scientific guidance amid shifting government support and archived resources. With traditional CDC documents and expert advisory groups diminished or disbanded, she unpacks how critical recommendations—such as those comparing N95 respirators to surgical masks—are formed using evidence review methods like CHARM and GRADE. Katherine highlights key differences in medical versus EMS settings that affect mask use and safety protocols, and she points to regional alliances stepping up to fill guidance voids. Emphasizing the importance of verifying sources and cross-checking studies before accepting health data, this session arms healthcare professionals with the tools to sift through conflicting info and make informed decisions.
EMS Research Podcast Host Bram Duffee dives into a recent study examining ChatGPT’s ability to predict prehospital patient diagnoses based on paramedic care reports.
ChatGPT accurately identified conditions 75% of the time and often erred on the side of caution, potentially reducing dangerous under-triage. Duffee is joined by lead researcher Erik Miller, a nurse practitioner and paramedic turned researcher, who sheds light on the study’s design, limitations, and real-world implications.
They discuss how AI can support—but not replace—the critical thinking skills of EMS providers, the challenges of legal liability, and the risks of overreliance on technology. The conversation also explores future possibilities for AI integration in dispatch and patient care reporting, while emphasizing the irreplaceable human touch in emergency medicine.
In this episode of the JEMS Report, Mike Brown sits down with EMS advocates David Blevins and Sam Magill to discuss groundbreaking federal legislation introduced by Senators Collins and Welch that aims to expand treat-in-place programs and establish sustainable funding models for Mobile Integrated Health (MIH). They explore how this legislation could shift EMS from the traditional transport-focused model to one centered on delivering appropriate care at the right place and time—often right in the patient’s home. The conversation highlights the critical role of EMS providers in advocacy, the implications for liability and medical direction, and the potential to reduce hospital overcrowding and healthcare costs. Listeners will also hear about the real-world benefits of MIH programs, including improved patient outcomes and new career pathways within EMS.
The world of prehospital medicine is constantly evolving, driven by new research, technological advancements, and a shared commitment to improving patient care and provider well-being. As EMS professionals, staying informed about these developments goes beyond a professional obligation; it is an opportunity to improve our practice, champion our profession, and ultimately make a greater impact on saving lives. In this article, we will explore some of the latest research findings that are reshaping our field, from workplace culture to cutting-edge technology.
The Culture of Care: Supporting EMS Providers
Our work is demanding, both physically and emotionally, and the culture within our agencies plays a critical role in our well-being. A recent systematic review in the International Journal of Environmental Research and Public Health revealed that many EMS providers avoid using organizational mental health services due to stigma and a perception that these programs lack genuine care. The study emphasizes the need for person-centered support and a cultural shift that normalizes seeking help as a sign of strength (Johnston et al., 2025).
This cultural component also impacts retention. Another study in the same journal found that agencies with collaborative, team-oriented "clan" cultures had significantly lower turnover rates compared to those with rigid or chaotic structures. For leaders in EMS, fostering a supportive environment is not just about morale. It is a strategic imperative for retaining skilled clinicians (Kamholz et al., 2025).
Professional Recognition: Breaking Barriers
Across the globe, paramedics are striving for recognition as integrated healthcare professionals. A qualitative study in BMC Health Services Research identified common barriers, including outdated legislation, inconsistent regulation, and insufficient funding. While the pandemic temporarily highlighted our capabilities, the momentum has waned. The study calls for targeted policy reforms and investments in education and leadership to solidify our role in the broader healthcare system (Feerick et al., 2025).
Physical Demands and Injury Prevention
The physical toll of our work is undeniable. A scoping review in Applied Ergonomics confirmed that musculoskeletal injuries, particularly to the back, are rampant in EMS. Tasks like handling stretchers and patient extractions are among the most strenuous. The review also highlighted fitness disparities, with male paramedics generally showing more strength but less flexibility than their female counterparts. These findings underscore the need for targeted injury prevention programs and realistic physical standards to keep us safe throughout our careers (Marsh et al., 2025).
Advancements in Cardiac Arrest Care
When it comes to cardiac arrest, every second counts. A study in Resuscitation reinforced the value of bystander CPR, showing that dispatcher-assisted CPR significantly improves outcomes for untrained bystanders. For those with prior CPR training, acting independently yielded even better results. This highlights the importance of public CPR education alongside dispatcher support (Tagami et al., 2025).
On the scene, our interventions matter immensely. Research in The Journal of Emergency Medicine found that for traumatic cardiac arrest patients, aggressive interventions like prehospital thoracostomy can be lifesaving (McWilliam et al., 2025). Meanwhile, a study in Critical Care Medicine revealed that extracorporeal CPR (ECPR) significantly improves outcomes for patients with refractory ventricular fibrillation, emphasizing the need for early transport to specialized centers.
The Role of Technology in EMS
Technology is poised to revolutionize EMS, from dispatch to diagnosis. A study in The American Journal of Emergency Medicine demonstrated that large language models (LLMs) like ChatGPT could prioritize ambulance requests with remarkable accuracy, aligning with expert paramedic decisions over 76 percent of the time. This proof of concept suggests that AI could one day enhance resource allocation in dispatch centers (Shekhar et al., 2025).
On the diagnostic front, machine learning is opening new possibilities. For example, a study in Bioengineering showed that analyzing photoplethysmography waveforms could estimate blood loss in trauma patients, offering a non-invasive way to guide resuscitation (Gonzalez et al., 2025). Similarly, research in Medical Engineering & Physics explored using multidimensional data to differentiate ischemic from hemorrhagic strokes in the field, potentially enabling more targeted prehospital care (Alshehri et al., 2025).
Addressing Disparities in Care
Equity in EMS is a cornerstone of our profession, yet recent studies highlight troubling disparities. Research in JAMA Network Open found that ambulance offload times were significantly longer in communities with higher proportions of Black residents (Zhou et al., 2025). Another study in JAMA Surgery revealed that Black and Asian trauma patients were less likely to receive helicopter transport compared to White patients. These findings are a call to action for all of us to examine our systems and biases to ensure equitable care for every patient (Mpody et al., 2025).
Looking Ahead
The research discussed here represents just a fraction of the advancements shaping EMS today. From improving workplace culture and injury prevention to leveraging AI and addressing systemic inequities, these findings have real-world implications for our protocols, training, and advocacy efforts. As EMS professionals, we have a responsibility to stay informed and apply these insights to our practice.
For a deeper dive into these topics and more, I invite you to listen to the podcast, EMS Research with Professor Bram latest episode, https://youtu.be/rt_1AFzSLIk "Research Highlights and Innovations Shaping Our Field.”
References
Alshehri, A., Panerai, R. B., Lam, M. Y., Llwyd, O., Robinson, T. G., & Minhas, J. S. (2025). Can we identify stroke sub-type without imaging? A multidimensional analysis. Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364
Feerick, F., Coughlan, E., Knox, S., Murphy, A., Grady, I. O., & Deasy, C. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research, 25(1), 993. https://doi.org/10.1186/s12913-025-10993-7
Gonzalez, J. M., Holland, L., Hernandez Torres, S. I., Arrington, J. G., Rodgers, T. M., & Snider, E. J. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering, 12(8), 833. https://doi.org/10.3390/bioengineering12080833
Johnston, S., Waite, P., Laing, J., Rashid, L., Wilkins, A., Hooper, C., Hindhaugh, E., & Wild, J. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health, 22(4), 629. https://doi.org/10.3390/ijerph22040629
Kamholz, J. C., Gage, C. B., van den Bergh, S. L., Logan, L. T., Powell, J. R., & Panchal, A. R. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health, 22(5), 756. https://doi.org/10.3390/ijerph22050756
Marsh, E., Orr, R., Canetti, E. F., & Schram, B. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics, 125, 104459. https://doi.org/10.1016/j.apergo.2025.104459
McWilliam, S. E., Bach, J. P., Wilson, K. M., Bradford, J. M., Kempema, J., DuBose, J. J., ... & Brown, C. V. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010
Mpody, C., Rudolph, M. I., Bastien, A., Karaye, I. M., Straker, T., Borngaesser, F., ... & Nafiu, O. O. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery, 160(3), 313–321. https://doi.org/10.1001/jamasurg.2024.5678
Shekhar, A. C., Kimbrell, J., Saharan, A., Stebel, J., Ashley, E., & Abbott, E. E. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine, 89, 27–29. https://doi.org/10.1016/j.ajem.2025.05.004
Tagami, T., Takahashi, H., Suzuki, K., Kohri, M., Tabata, R., Hagiwara, S., ... & Ogawa, S. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation, 110617. https://doi.org/10.1016/j.resuscitation.2025.110617
Zhou, T., Wang, Y., Zhang, B., & Li, J. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open, 8(5), e2510325. https://doi.org/10.1001/jamanetworkopen.2025.10325
In this episode of Just Little Salt, Dr. Alexandra Jabr, founder of Emergency Resilience and a licensed paramedic, shines a light on the challenges of delivering death notifications in emergency medical services.
Drawing from years on the front lines and her advanced studies in health and depth psychology, Dr. Jabr, a new member of the JEMS Advisory Board, discusses why clear and compassionate communication is crucial and exposes common mistakes that can worsen an already painful moment.
Beyond the call, she tackles the emotional toll first responders face—from coping with repeated trauma to battling numbness and isolation—and the importance of mental health support, including the emerging role of ketamine therapy.
She also shares personal stories, her injury-induced career pivot, and her passion for education and advocacy.
In this episode of the Not A-Fib podcast, Virginia Beach (VA) EMS Chief Jason Stroud discusses a recent operational shift limiting the use of lights and sirens for non-emergent calls. Drawing on research and local data showing minimal impact on patient outcomes but significant safety risks—including increased ambulance collisions—Chief Stroud explains why the department is prioritizing safer, more measured responses for priority two calls, which make up 75% of dispatches. He details the unique combination career-volunteer EMS model in Virginia Beach, the close partnership with local military installations, and the department’s advanced life support heritage. They also explore how evolving dispatch protocols and ongoing evaluation guide this change, alongside challenges like workforce development and growing call volumes.
Ed Fowler’s 40-year career in fire and EMS culminates in a transformative chapter as he helps El Reno, Oklahoma, transition its EMS from private to an in-house, city-managed service—an innovative model focusing on sustainability, independence, and community trust. Ed shares his leadership philosophy grounded in accountability, clear communication, and mentoring future leaders. Amid this professional milestone, Ed confronts a life-threatening liver condition, navigating the transplant process while ensuring the EMS startup stays on course. His story offers rare insight into the human side of emergency services, touching on resilience, collaboration, and purpose when facing the edge of life itself. Beyond operational challenges, Ed’s vulnerability inspires those struggling with adversity to find reasons to keep moving forward.
Jack, known online as Electric Medic, shares an unfiltered look at his journey through EMS—from earning his med school diploma to working high-stakes gigs like Electric Daisy Carnival cruises. He reveals what keeps him grounded amid intense calls, the challenges of overnight shifts, and why the low-speed fender bender calls grind his gears. Jack dives into his unexpected rise on TikTok and Instagram, explaining how viral videos and smart collaborations launched his digital brand. Beyond ambulance life, he thrives on music festival EMS work, mixing adrenaline with creativity, including collabs with dubstep artist Subtropics. He also reflects on teamwork, mental toughness, and the importance of pursuing a clear social media focus. For anyone curious about the blend of healthcare hustle and online content creation, Jack’s story showcases the raw reality and unexpected opportunities within modern EMS culture.
In this episode of The Chief’s Cadence, Shane Wheeler sits down with Dr. Anthony Minge, senior partner at Fitch and Associates, to explore the overlooked role of structured communication in EMS leadership. Dr. Minge discusses why communication should be as prioritized as budgets or staffing. He highlights practical strategies like rounding, scheduled huddles, and purposeful meetings to build trust, improve culture, and reduce operational chaos. The conversation also addresses the challenges posed by modern communication technology and artificial intelligence, emphasizing the irreplaceable value of face-to-face dialogue and emotional connection. For aspiring and current EMS leaders, this episode offers actionable insights on fostering psychological safety, encouraging two-way communication, and leading with transparency and intentionality.
The 2025 AHA Guidelines for CPR and Emergency Cardiovascular Care introduce significant updates, including a focus on on-scene resuscitation, cautious use of mechanical CPR devices, and prioritizing IV over IO access. While these changes aim to improve outcomes, they’ve sparked debate among seasoned paramedics like Jimmy Apple, the “EMS Avenger,” who highlights the challenges of implementation.
Key Points:
• On-Scene Resuscitation: Emphasis on achieving ROSC on scene rather than rapid transport.
• Mechanical CPR Devices: AHA advises against routine use, but paramedics argue they’re essential for small or rural teams.
• IV vs. IO Access: IV is prioritized, but practicality for resource-limited teams is questioned.
• Empowering EMS Providers: Focus on critical thinking, quality compressions, and timely defibrillation.
• Cultural Shift: Training crews for compassionate death notifications and clear family communication.
In this candid episode of Just Little Salt, Nurse Stankk—an ER nurse and viral healthcare content creator—breaks down what really goes down behind hospital doors. He shares the tough realities of nonstop demands, overlooked tasks, and the emotional toll of burnout, especially dealing with difficult patients and tragic cases involving children. Yet amid the chaos, he reveals how healthcare humor and genuine mentorship have kept him sane. Nurse Stankk also opens up about launching his social media presence out of frustration, which quickly exploded, connecting him with fellow medical pros and fans nationwide. From wild patient stories and TikTok trends at work to navigating skepticism from coworkers, he unpacks the highs and lows of being a nurse with an edge. Whether you’re in healthcare or just curious, this episode offers a raw, relatable glimpse into the life of an ER nurse balancing care, comedy, and viral fame.
JEMS Development Editor Mike Brown sits down with Jason Nunn, the creator of Stetta Sleeves, a personal and innovative solution designed to protect healthcare workers from bites, scratches, and needle injuries. Drawing from over 20 years of experience in medical care, Jason shares the incident that inspired the product—his own injury during a hospital code involving an agitated patient—and highlights the alarming rise in violence faced by nurses, EMS providers, and other healthcare professionals. Stetta Sleeves offers a lightweight, easy-to-wear protective sleeve that’s scratch-, puncture-, and needle-resistant, providing confidence and safety in high-risk environments like emergency rooms, ambulances, psychiatric units, and beyond. Jason emphasizes the importance of equipping those on the front lines with practical tools to ensure better patient care and reduce costly injury claims.
Visit www.stettasleeves.com to learn more.
Dr. Richard Janka, CEO of the 911 Training Institute joins the podcast to talk about resilience. He talks about the mission of the training institute as well as what got him involved with the institute. The bulk of the podcast is spent discussing resilience and what it means for first responders, as well as the telecommunicators who have to take these calls. We talk about the key role leadership plays in the success of a resilience program as well as the key role they play in the culture of an organization. We also discuss some of the reasons that these resilience programs can fail and how to avoid them.
In this heartfelt episode of Just a Little Salt, Chris Spaulding sits down with his son, Cody, to explore a lifetime shaped by fire service. Chris recounts how a family tragedy set him on this path over three decades ago, sharing stories that blend humor and hardship—from prank wars and raw chicken mishaps to the heavy toll of witnessing trauma. Father and son reveal the deep bonds that grow in firehouses, lessons in discipline, persistence, and the importance of mental health awareness in a demanding profession. They also discuss the challenge of balancing career and family, reflecting on personal growth and the evolving culture within emergency services. Through candid anecdotes and thoughtful advice, this conversation captures the unique camaraderie and real-world impact of a life committed to helping others, offering inspiration and insight for first responders and civilians alike.
Host Bram Duffee explores research on epinephrine’s role in traumatic cardiac arrest. The discussion features a trauma surgeon and researcher from a Level 1 trauma center who explains why epinephrine may not only lack benefit but could cause harm in trauma cases like car crashes or gunshot wounds. Drawing from a six-year study across seven trauma centers involving over 1,600 patients, the findings challenge current EMS protocols by highlighting differences in outcomes between blunt and penetrating trauma. Bram also shares resources on EMS research and innovative communication techniques for emergency patients, offering valuable tools for practitioners and instructors alike.
Brought to you by Stetta Sleeves. http://www.stettasleeves.com
Rolling Sixes is a groundbreaking six-part documentary series spotlighting the combined police, fire, and EMS crews of Kalamazoo Public Safety—the largest integrated public safety agency in the U.S.
Created by Zach Hamelton, a former TV and film producer turned public information officer, the series blends cinematic storytelling with immersive, real-world footage captured via GoPros and cinema cameras.
Viewers get rare access to intense emergencies, day-to-day station life, technical rescues, and candid conversations revealing the emotional toll on responders.
With a focus on authenticity, the show highlights both heroic moments and routine calls, showcasing the personal bonds and dedication within the crews. It also aims to boost recruitment by letting the community see the people behind the badges.
Brought to you by Stetta Sleeves. www.stettasleeves.com
The JEMS Report: How a Timid Soul Found Purpose in EMS Service Eric Chase sits down with Jeffrey Hammerstein, a retired paramedic with over 40 years of experience in Wake County (NC) EMS. Jeffrey shares his journey from a fearful, shy child to a confident frontline responder who found meaning in offering reassurance and care during life’s most critical moments. He discusses the emotional toll of EMS work, the challenge of balancing professional detachment with genuine human connection, and the importance of vulnerability in healing. Jeffrey also explores the necessity of building transparent relationships with the community and media, emphasizing that EMS is about people first—not just procedures. Brought to you by Stetta Sleeves. www.stettasleeves.com
Just a Little Salt: Real Stories, Hard Truths and Humor with Fireman Lance
Fireman Lance opens up about the realities of life on the job—from brutal physical challenges and mental exhaustion to the tight-knit culture and unexpected humor at the fire station. Lance shares stories of rookie mistakes, intense calls and hilarious firehouse pranks involving ghostly dolls and prank sprays. He sheds light on the demanding balance between grueling shifts and family life, the importance of staying fit and the misunderstood role firefighters play beyond emergency response. Lance also reveals how creating relatable social media content grew into a platform that entertains and educates the fire and EMS community.
Brought to you by Stetta Sleeves. www.stettasleeves.com
JEMS Product Pod: TRAUMAGEL is Revolutionizing Hemorrhage Control
JEMS Development Editor Mike Brown welcomes Joe Landolina, co-founder and CEO of Cresilon, alongside Sean Allen, Director of Education for TRAUMAGEL, to dive into a breakthrough in hemorrhage control technology. TRAUMAGEL, a plant-based, easy-to-use hemostatic gel, stops moderate to severe external bleeding within seconds without the need for finger packing or complex dressings. Developed over 15 years and backed by a successful animal health platform, this innovative product adapts dynamically to wounds—crucial for moving patients—and supports natural clot formation without disrupting it. Sean shares firsthand insights on field use and training, highlighting TRAUMAGEL’s potential to reduce tourniquet necessity and simplify emergency care. The team also explores real-world applications, including rural trauma cases and gunshot wounds, emphasizing this gel’s transformative impact on prehospital hemorrhage management.
Not A-Fib: Criminal Liability and Legal Challenges for EMS Providers
This episode of the Not A-fib podcast looks into the increasing scrutiny EMS providers face from a legal standpoint, highlighted by high-profile cases like Elijah McClain's tragic death in Aurora, Colorado, and a recent Springfield, Missouri incident. Attorney and EMT Frank Flaspohler, who serves as legal counsel to Missouri ambulance districts, explains the differences between civil and criminal liability in EMS, the limits of governmental immunity, and the critical role of documentation. He discusses the legal thresholds around chemical and physical restraints, the importance of assessing mental capacity in refusals, and the risks tied to improper patient handling. Frank also shares practical advice on maintaining professionalism in reports and on scene, the nuanced challenges rural EMS agencies face, and emerging concerns such as mental health support for first responders.
The JEMS Report: Tylenol Use in Pregnancy
Dr. Sarah Fabiano and Dr. Jeremy Cushman break down the recent FDA release linking acetaminophen (Tylenol) use during pregnancy to autism spectrum disorder.
They discuss the distinction between association and causation, highlighting how studies can show correlations without proving direct cause and effect. The doctors also address the complexity behind autism diagnoses, genetic and environmental factors, and the known risks of fever during pregnancy.
They emphasize that acetaminophen remains one of the safest and most effective options for pain and fever relief in pregnancy, especially compared to alternatives like ibuprofen or aspirin, which carry documented risks.
This discussion aims to clarify confusion, steer clear of fear-driven decisions and encourage informed use of medication based on current science—not headlines.
Just a Little Salt: Kevin Hazzard on the Reality of Emergency Medicine, Burnout, and Storytelling
In this revealing episode of “Just a Little Salt,” seasoned Atlanta paramedic and author Kevin Hazzard shares the unvarnished truth about life on the front lines of emergency medicine. Reflecting on his decade-plus of experiences, Kevin dives deep into the emotional challenges of responding to traumatic calls, the harsh realities young EMTs face, and the impact of burnout on providers. He opens up about moments that forever shaped him, including encounters with vulnerable patients and the delicate balance between adrenaline-fueled rescues and raw human connection. Kevin also discusses his transition from medic to author, explaining how writing helped him process his career and why genuine storytelling matters. Along the way, he offers practical advice for new EMS providers and aspiring writers seeking to publish their own stories. This episode is a must-listen for anyone curious about the personal side of EMS, resilience under pressure, and the power of sharing these unheard voices.
Just a Little Salt: Badge 502 on EMS, Dispatch and Viral TikTok Fame
In this candid episode of “Just a Little Salt,” the Salty Paramedic sits down with Badge 502— Anthony Christian an EMT, 911 dispatcher, CPR instructor and viral content creator. Anthony shares his journey from retail to first responder during the height of the COVID-19 pandemic, how creating humorous EMS videos started as a way to find levity in a demanding job, and unexpectedly blew up with millions of views. He dives into the challenges and emotional weight of emergency calls, including delivering a baby in an ambulance and saving a child’s life. Anthony also discusses the unique perspective gained from working both sides—dispatch and field EMT—and how that shapes his communication and care. They wrap up with Badge 502’s advice for aspiring creators: focus on having fun, embrace imperfection and keep grinding.
The JEMS Report: ROSC and Roll
Cardiovascular perfusionist Brian Kress joins Mike Brown to dissect a high-stakes cardiac arrest case that underscores the critical moments following return of spontaneous circulation (ROSC). They walk through the fragile physiology of post-arrest patients and reveal how early, expert support in the field and hospital dramatically influences outcomes. From the importance of bystander CPR and prehospital interventions to advanced cardiac catheterization and mechanical circulatory support using the Impella device, Brian explains the science behind left ventricular end diastolic pressure (LV EDP) and how offloading the heart aids recovery. This conversation deep dives into the often-overlooked complexities of managing post-ROSC states, emphasizing the need for vigilant hemodynamic monitoring and judicious use of vasopressors. A must-listen for EMS, perfusionists and critical care providers seeking a nuanced understanding of cardiac arrest survival pathways beyond the initial resuscitation.
Just a Little Salt: Firefighter Fenton on Leadership, Family and Humor in Firefighting
Firefighter Fenton opens up about balancing two decades of firefighting with family life, creative content creation and staying true to himself. From the harrowing experience of losing a fire truck amid a wildfire threatening homes—teaching him tough lessons in leadership and priorities—to the lighter side of his persona inspired by a fake mustache and parody videos, Brent shares it all. He discusses the challenges of juggling a full-time career, four kids, homeschooling and his passion for music and comedy. Brant also reveals the power of community within firefighting content creators and how their work brings laughter and healing to those facing dark times. For anyone wanting to create meaningful content, Fenton’s advice rings clear: stay authentic, know your worth beyond the spotlight and never lose sight of what matters most—family and faith.
Just a Little Salt: Patrick Pianezza on ‘Code 3,’ EMS Realism and Mental Health
In this debut episode of Just a Little Salt, former paramedic and co-writer Patrick Pianezza shares the story behind the upcoming film “Code 3,” releasing September 12. Drawing on over a decade in EMS, Patrick reveals how a college creative writing assignment transformed into a heartfelt, medically accurate portrayal of a 24-hour shift’s highs and lows. He discusses the film's unapologetic look at EMS challenges—including burnout, mental health struggles and systemic issues—while preserving dark humor and camaraderie that help first responders cope. Patrick also reflects on working closely with actors to capture authentic medical procedures and the importance of educating the public about the skill behind EMS work. Wrapping up with encouragement for aspiring writers, he offers raw insight into perseverance, creativity, and gratitude toward those who serve on the front lines.
Chief’s Cadence: Ethical Leadership in EMS with Attorney Steve Wirth
In this episode of The Chief’s Cadence, Chief Shane Wheeler sits down with Attorney Steve Wirth, a pioneering paramedic turned attorney and EMS leader, to uncover the complexities of ethical leadership in emergency medical services. Drawing from decades of hands-on experience, Steve explores the hard choices EMS professionals face daily—from patient care errors and scarce resources to the challenge of maintaining compassion amid burnout. They discuss the vital role leaders play in modeling integrity, fostering transparency, and building a culture that empowers staff to speak up about mistakes. Steve also highlights mentorship as a powerful tool for guiding the next generation of EMS leaders through the ethical “gray zones” that often arise.
The JEMS Report: Inside EMS Medical Direction and Rehab Strategies at Large-Scale Fire Incidents Dr. Jeremy Cushman shares his journey from EMT to full-time EMS physician and regional medical director covering over 100 agencies in New York’s Finger Lakes and western regions. He talks about the evolving EMS physician role and the relationship between medical directors and first responders. The discussion dives deep into EMS response and rehab protocols for large-scale fires, highlighting lessons from a recent five-alarm fire in Rochester, NY. Dr. Cushman explains the importance of preplanning, hydration, acclimatization and post-incident recovery while stressing rehab as a command responsibility, not solely EMS’s. He explores how automatic scaling of EMS resources during growing incidents supports both firefighter safety and system capacity.
What is high-risk airway management (HRAM)? It is exactly the stuff nightmares are made of: Patients who present to us, outside of the hospital, with severe injuries and competing treatment priorities.
Performing RSI on these patients is a lot like walking alone down a scary alleyway in the big city.
Read the full article on EMS Airway.
Not A-Fib: Mobile Integrated Healthcare, Advocacy and Mental Health in Missouri
Chief Justin Duncan, CEO of Washington County Ambulance District in Missouri, shares insights on pioneering mobile integrated healthcare in a sprawling 1,500-square-mile rural area. Winning the $150,000 Building Bridges to Better Health challenge, his program blends community paramedics, telehealth, and partnerships with federally qualified health centers and social service organizations to close care gaps beyond traditional EMS responses. Duncan discusses the evolution from emergency transport to preventative, holistic care, tackling chronic diseases and social determinants of health, while navigating reimbursement challenges through managed care contracts and advocacy. He highlights the crucial role of public health in community needs assessments and stresses the urgent need to address mental health within EMS, sharing personal stories and calling for cultural change. As president of the Missouri EMS Association and chair of the NAEMT Economics Committee, Duncan emphasizes teamwork, mentorship and engagement at all levels—from local agencies to Capitol Hill—to shape the future of EMS and ensure sustainable, patient-centered care.
The JEMS Report: Practical Insights for Out-of-Hospital Birth Challenges
In this episode of the JEMS Report Podcast, managing editor Jeff Frankel sits down with Dr. Liz Travis, a maternal care researcher, to discuss the growing challenges EMS providers face with out-of-hospital births. They unpack the critical gaps in traditional EMS training, particularly as maternal care deserts expand, leaving medics increasingly responsible for delivering babies in the field. Dr. Travis shares evidence-based strategies like the importance of delayed cord clamping (“wait for white”), skin-to-skin contact, and encouraging comfortable, non-supine birthing positions to improve outcomes for mother and infant. She advocates for updated, hands-on EMS training that reflects modern obstetric knowledge, including collaboration with midwives and doulas. Above all, Dr. Travis emphasizes that birth is usually natural, not an emergency, encouraging EMS providers to remain calm and focus on simple, effective practices. This episode offers essential insights for paramedics and EMS agencies preparing to meet the demands of maternal care in underserved areas.
Airway management in the prehospital environment is difficult just by virtue of where we are doing it and the lack of resources available to help us manage the difficulties. Add to that a patient with mangled facial anatomy or is dangerously peri-arrest due to hemorrhage and the danger can seem insurmountable.
What the research tells us is that there are really three big buckets of problems in airway management that contribute to morbidity and mortality: hypoxia, hypotension and multiple intubation attempts; this is the stuff that airway nightmares are made of.
Read the full article on EMS Airway.
Not A-Fib :Inside New Orleans EMS’s Body Worn Camera Program and Mass Casualty Response
In this episode of the Not A-fib podcast, Deputy Chief Christopher Keller of New Orleans Emergency Medical Services shares the origins and impact of their innovative body worn camera program.
The program protects staff, supports quality assurance and aids patient care. Keller discusses navigating privacy concerns, storage challenges, and staff buy-in while prioritizing transparency over punishment. He also reflects on the agency’s rapid and coordinated response to the tragic January 1, 2025 Bourbon Street attack, highlighting lessons learned and multi-agency training efforts.
Additionally, Keller provides insight into preparing for massive events like the Super Bowl and Mardi Gras, where public safety coordination is key.
The episode closes with reflections on the department’s experience filming the Nightwatch TV series and the future potential of integrating body cam footage with EMS documentation.
The JEMS Report - How Drones Are Transforming EMS Logistics and Healthcare Delivery
JEMS Managing Editor Jeff Frankel sits down with Ryan Walsh, CEO and founder of Valqari, to explore how drones are revolutionizing emergency medical services and hospital logistics. Drawing on his special operations experience, Walsh reveals how Valqari developed autonomous drone technology to deliver critical medical supplies quickly, slashing delivery times.
The discussion covers real-world applications like transporting blood samples and emergency meds, plus cutting-edge AI integration that could enable fully automated, doctor-to-door healthcare. Walsh also highlights ongoing collaborations with first responders to provide life-saving supplies on-site faster than ever.
He breaks down FAA regulations shaping drone deployment and shares his vision for drones becoming as common as smartphones by 2030, drastically reducing delivery costs and reshaping industries. This episode offers practical insights for EMS leaders gearing up for drone adoption and a glimpse at the future of autonomous medical logistics.
EMS Research: Severe Hemorrhage Technology Developed by Military Researchers
Severe hemorrhage is one of the toughest challenges faced in the prehospital environment, especially when every second counts and resources are limited. But a recent study on the use of 25% human serum albumin (HSA) in trauma care could change how responders approach these critical moments.
The study was led by United States Air Force Scientist Alex Penn, PhD. The findings from his team suggest that this concentrated protein solution can stabilize blood pressure, reduce the need for additional fluids, and improve circulation in ways traditional methods cannot. For paramedics, this could mean a shelf-stable, easy-to-use solution that saves more lives in the toughest conditions, revolutionizing pre-hospital care as we know it.
The JEMS Report - How Critical Incident Response Canines Are Changing First Responder Support
JEMS Managing Editor Jeff Frankel sits down with Janeen Baggette, the founder of K9s for Freedom and Independence, to explore a unique approach to first responder well-being.
With a background as a military medic and law enforcement handler, Janeen shares how her nonprofit trains specialized Critical Incident Response Team (CIRT) canines. These dogs differ from typical therapy and patrol dogs—they’re specially conditioned to operate in chaotic environments, offering emotional support while maintaining confidentiality crucial for legal and occupational safety.
Janeen walks us through the rigorous selection and training process, highlighting their ability to detect cortisol levels reflecting human stress. Through heartfelt stories, she illustrates the quiet impact these canines have on victims and first responders alike.
Challenges around funding and awareness remain, but Janine’s vision for expanding certified teams across the country offers hope for better communication, reduced suicide rates, and stronger peer support in these high-pressure fields.
Infection control consultant Katherine West breaks down the critical distinctions between infection prevention practices in EMS settings versus medical facilities.
She clarifies how EMS-specific CDC guidelines account for unique factors like ambulance ventilation systems, the rear exhaust fan and closed suction systems that impact airborne and droplet disease transmission risks.
Katherine addresses the evidence behind mask and respirator use, emphasizing that clinical data since 2015 shows no clear advantage of N95 respirators over surgical masks for many respiratory infections in EMS contexts.
She also highlights post-exposure protocols, explaining why EMS personnel do not require immediate baseline blood testing, unlike hospital staff. Practical advice on COVID-19, tuberculosis, measles, Ebola precautions and aerosolized medication administration underscores why EMS must follow tailored guidelines rather than hospital-based protocols.
JEMS Managing Editor Jeff Frankel sits down with occupational therapist Bonnie Ekman and paramedic leader Alanna Badgley to explore sensory modulation therapy as a breakthrough tool for first responders’ mental health.
Bonnie explains how engaging all eight senses helps regulate the nervous system, moving beyond traditional talk therapy when first responders are stuck in fight-or-flight activation.
Alana shares her personal experience and the positive feedback from EMS professionals who have benefited from sensory rooms designed to soothe hypervigilance and stress.
They discuss practical, budget-friendly ways departments can implement sensory modulation spaces, emphasizing low-cost solutions like colored lighting, calming sounds, and tactile tools.
JEMS Managing Editor Jeff Frankel hosts a deep dive into the mental health challenges facing first responders. Featuring Dr. Robin Jacobowitz, interim director at SUNY New Paltz’s Institute for Disaster Mental Health, and paramedic and union leader Alanna Badgley, the discussion centers around a groundbreaking 2024 New York State Mental Health Needs Assessment.
The study exposes alarming rates of PTSD, depression, and suicidal ideation—20% of EMS respondents have thought about suicide linked to their work. The conversation addresses how chronic workplace stressors like mandated overtime and stigma create substantial barriers to care.
Alanna emphasizes that mental health struggles aren’t anomalies but an expected reality for first responders, advocating for open dialogue, culturally competent care, and union-backed mental health leave policies. This episode sets the stage for ongoing conversations and upcoming solutions to better support those on the front lines.
The other day I was working an arrest and I watched the provider preparing to intubate take a big deep breath and hold it while they used their fingers to scissor open the patient’s lips and then introduce the blade into the mouth. They had not elevated the head to optimize the airway angles and ease the need for vallecula displacement. They just went right in, holding their breath, and immediately started to struggle and shake. I tapped them on the shoulder and said, “Hey, let’s bag the patient, reposition the head, and try again.”
Read the full article on EMS Airway.
Before you start listening this article, I want you to sit back, relax, and take a deep breath. How refreshing was that? That was a nice 21.3% (ish) atmospheric oxygen breath that your body just enjoyed. Please keep that thought in the back of your mind for a minute. We will revisit that. We will spend a moment on PEEP, not the delicious and iconic Easter marshmallow treats that have become a yearly staple for many, but Peak End Expiratory Pressure. For this bit of time we have together, we will focus on why PEEP should be your go-to for desaturating patients or patients needing their SpO2 to rise.
Read the full article on EMS Airway.
JEMS Spotlight: How Memphis Fire Department Cracked the Code on Recruitment and Retention
Memphis (TN) Fire Medic Stephen Zachar breaks down how his department tackled the nationwide recruitment crisis in firefighting and EMS.
Moving past outdated hiring tests, Memphis revamped the entire process by prioritizing interviews, valuing real-world experience, and replacing the traditional Candidate Physical Ability Test with a coachable physical fitness matrix.
Stephen reveals how placing paramedics strategically across all units, not just ambulances, slashed burnout and boosted job satisfaction. Their innovative approach cut paramedic attrition by 60% and achieved a remarkable 75% retention rate overall.
With over 800 hires from 40 states, Memphis offers a blueprint focused on respect, career growth, and financial literacy from day one.
The JEMS Report: Women’s Health Challenges in EMS and Fire Service Culture
Description:
Stephanie White sits down with Stacee Ramirez and Dani Landholm to explore the overlooked health challenges women face in fire and EMS roles.
Drawing from Stacee’s extensive study revealing widespread reproductive health struggles, silent miscarriages, and the cultural stigma around pregnancy in male-dominated emergency services, the conversation uncovers a deep-seated culture of silence and blame.
Dani, a member of the International Association of Fire Fighters’ Female Health & Safety Standing Committee, shares personal experiences and discusses how outdated policies and lack of support impact women’s ability to advocate for themselves.
They highlight the urgent need for cultural change alongside policy reforms to create safer, more inclusive work environments.
Not A-Fib Podcast : Gwenny Winkler on Critical Care, Coaching and Embracing Growth
Veteran flight nurse and educator Gwenny Winkler shares her journey from accelerated nursing programs to helicopter EMS and becoming a sought-after critical care instructor. Gwenny opens up about the steep learning curve when transitioning from emergency department nursing to flight nursing and the rapid evolution of tools like blood transfusions and advanced ventilators in air medical transport. She dives into her passion for education through social media, emphasizing the importance of understanding the “why” behind protocols, not just memorizing facts. Gwenny offers insights on coaching across all experience levels, tackling EMS culture challenges, and balancing professional identity with personal life. She also discusses her unique approach to engaging learners with authentic, down-to-earth content on TikTok and Instagram.
In this inaugural episode of the Chief’s Cadence, Chief Shane Wheeler sits down with FDNY Chief of Department John Esposito to explore effective leadership approaches in fire and EMS services.
Drawing on over three decades of experience in one of the nation’s largest departments, Chief Esposito shares how leadership demands more than just command. It requires adapting styles to fit individuals and situations.
From the decisive authority needed on an emergency scene to the empathy and authenticity crucial for team trust, they break down autocratic, transformational, servant and authentic leadership.
They also discuss navigating generational differences, the value of honest feedback through personality assessments, and how new leaders can earn credibility without rushing change.
Managing pain in pediatric patients is a critical aspect of prehospital care. Yet, this remains a challenging area for many EMS providers.
A new study out called “Barriers and Enablers in Prehospital Pediatric Analgesia” sheds light on the complexities of assessing and treating pain in children during ambulance rides. Led by Dr. Hoi See Tsao, Assistant Professor in the Department of Pediatrics at UT Southwestern Medical Center, the research identifies key hurdles EMS workers face and suggests actionable solutions to improve care.
Dr. Tsao, a specialist in pediatric emergency medicine with a passion for prehospital care, shared her insights and findings during a recent interview. “When pain in kids is not treated, it can lead to adverse effects such as increased anxiety, decreased pain tolerance, and fear of future healthcare encounters,” she pointed out. The stakes are high, and the study highlights both challenges and opportunities for EMS professionals.
Elevating EMS Education: Insights and Innovations from Industry Leaders
Dr. Ted Lee discusses education as part of EMS Week. The discussion features Dr. Shira Schlesinger, Dr. Navin Ariyaprakai and Dr. Maia Dorsett
They highlight the importance of transitioning from traditional, time-based training to a more dynamic and critical-thinking-focused curriculum that fosters professional growth and clinical judgment among EMS providers.
The conversation touches on the value of accreditation, the role of preceptor training, and the increasing demand for lifelong learning within the field.
Celebrating Emergency Medical Services: Insights on EMS Recognition Day
JEMS Managing Editor Jeff Frankel talks with Dr. Thomas Lardaro to discuss the critical role of emergency medical services in our communities. Celebrating EMS Recognition Day, Dr. Lardaro reflects on the profound responsibilities and challenges faced by EMS professionals both in urban and rural settings. He highlights the importance of public understanding regarding the unique pressures faced by first responders and the need for meaningful recognition beyond traditional celebrations.
Advocating for EMS: Shaping the Future of Prehospital Care
Dr. Ted Lee talks with Dr. Nick Cozzi, Dr. David Tan and Henry Lewis. They talk about the importance of grassroots advocacy, exploring how every EMS provider serves as an ambassador for the profession.
By sharing their stories and building relationships at local and federal levels, they emphasize the need for a unified voice to promote essential changes in legislation and funding. The panelists highlight the evolving landscape of EMS, driven by innovative care strategies and partnerships that enhance patient outcomes.
Dr. Ted Lee looks at the impact and importance of Save a Life Day for EMS Week. Featuring expert guests Dr. Matt Levy and Corey Richter, the discussion underscores the critical role of community engagement in prehospital emergency medicine.
Both leaders share their extensive backgrounds in EMS and emphasize the necessity of equipping citizens with essential skills to respond effectively in emergencies, such as performing CPR, managing bleeding and advocating for blood donation initiatives.
They highlight that by fostering a proactive culture of preparedness, communities can significantly improve health outcomes and save lives.
Dr. Ted Lee speaks with Luke Estes, manager of Prisma Health's Mobile Integrated Health Program, to explore the transformative role of community paramedics in prehospital medicine. Dennis shares his journey from a young aspiring EMT in Missouri to leading a groundbreaking health initiative in South Carolina. The program, which has grown significantly since its inception in 2019, addresses various social determinants of health, aiming to reduce hospital readmissions and enhance patient care access. With a footprint spanning 18 counties—primarily rural—this initiative adapts to meet diverse community needs, breaking down barriers to healthcare through education and resource connection.
In this episode of the JEMS Report, Dr. Ted Lee convenes a panel of pediatric emergency medicine experts to discuss the significance of EMS Week 2025 and the critical EMS for Children program. The panel, featuring Dr. Ann M. Dietrich, Dr. Kathleen Adelgais and Dr. Lindsay Jaeger, highlights the essential role of EMS professionals in providing pre-hospital care for pediatric patients, particularly in emergency situations. With less than 10% of EMS calls involving children, the discussion sheds light on the urgency of enhancing pediatric readiness within EMS agencies. The doctors emphasize the wealth of resources available through the Pediatric Readiness Project, designed to fortify preparation and education for emergency providers. This episode serves as a vital reminder of the commitment to better serve our youngest patients and the importance of collaboration in advancing pediatric emergency care.
Dr. Ted Lee talks with Dr. Douglas Kupas and Dr. Joanne Piccininni on the topic of EMS safety during EMS Week 2025. With decades of experience in EMS, both guests highlight the significance of prioritizing safety within the EMS community, stressing that awareness and proactive measures can prevent injuries and fatalities. They discuss the need for a cultural shift in EMS, focusing on safety practices such as seatbelt usage and risk awareness. The conversation also reflects on the tragic loss of colleagues in the line of duty, reinforcing the essential nature of mentoring and supporting new practitioners.
In this episode of the JEMS Report, Dr. Ted Lee sits down with Shaun Gladney, executive director of the Bryant Gladney Foundation, a nonprofit established in memory of his father, a dedicated paramedic and educator who tragically lost his life in the line of duty. The foundation's mission is to empower future EMS providers through scholarships for paramedic education and innovative educational offerings. Sean shares his father’s impressive legacy in the field, emphasizing the importance of ongoing learning and mentorship in pre-hospital medicine. The conversation also unveils the foundation’s initiatives, including the upcoming All Star EMS Conference and its growing scholarship program aimed at fostering exceptional talent in emergency medical services.
JEMS Managing Editor Jeff Frankel talks with Matt Philbrick, an experienced paramedic and wellness advocate. Matt shares his insights into the importance of mental fitness, resilience and the need for emergency responders to foster a supportive environment.
When faced with the challenge of reviving a patient in cardiac arrest, paramedics rely on an arsenal of tools, techniques, and medications. Among these are two stalwarts of advanced cardiac life support (ACLS): amiodarone and lidocaine.
Although both drugs have long been included in protocols as viable options for shockable cardiac arrests, a new study published in Resuscitation sheds fresh light on their effectiveness, offering compelling insights into why lidocaine might deserve a closer look.
The research, led by Tanner Smida, MD/PhD candidate at West Virginia University, employed a meticulous approach known as “target trial emulation.” This method is designed to minimize bias in
observational studies, aligning results more closely with what randomized controlled trials would reveal.
The study analyzed data spanning five years, from 2018 to 2023, drawing on over 23,000 cardiac arrest cases treated by EMS professionals in real-world settings.
Lt. Holly O'Byrne from D.C. Fire & EMS joins the Not A-Fib Podcast to discuss their whole blood program. She talks about the impetus for the program, overcoming hurdles to getting the blood, and the training they needed to do before putting blood on the trucks. She also talks about their successes and the downstream effects of administering blood in the field. The episode wraps up by talking about her experiences as the planning section chief on the IMT at Reagan Washington International Airport after the midair collision of a helicopter and commuter jet over the Potomac River.
When many EMS workers first enter the field, their focus is entirely on helping patients in crisis. However, as time goes on, the relentless demands of the job often push self-care to the backburner. Meals become whatever can be grabbed on the go, energy drinks replace proper hydration, and exercise falls by the wayside. This gradual decline in self-care takes its toll, as long, unpredictable shifts and high-stress environments leave little room for prioritizing personal health.
EMS Editor-in-Chief Dr. Ted Lee talks with Dr. Kristin McCabe-Kline, a board member with the American College of Emergency Physicians and Chief Christopher Way, president of the National Association of EMTs. They explore the vital intersection between emergency medicine and EMS as they kick off EMS Week, discussing its significance beyond mere appreciation gestures like pizza and cake. The conversation emphasizes the transformation of EMS into a critical healthcare provider within communities, particularly amid rising demands and budgetary constraints. They call for stronger advocacy to ensure EMS receives the recognition, funding and support it requires to thrive.
In the latest episode of the Not A-fib podcast, host Mark Flauter welcomes back attorney Kevin Fairley to explore the tumultuous landscape of Medicaid funding and its impact on Emergency Medical Services (EMS). With a looming budget shortfall and proposed cuts to provider taxes, states face potential financial crises that could significantly impact healthcare delivery. The discussion delves into the complex interplay between state-directed payments, federal oversight, and the growing scrutiny from agencies like the Office of Inspector General (OIG). Fairley highlights the need for EMS leaders to adopt a proactive approach to compliance, emphasizing the importance of understanding the nuances of cost-reimbursement structures and maintaining accountability. As Medicaid faces critical changes under the new political landscape, this episode offers valuable insights for healthcare stakeholders to prepare for the uncertainties ahead. Tune in to stay informed about the evolving Medicaid policies affecting EMS agencies nationwide.
In honor of Women’s History Month, EMS P.O.D. host Chief Doug Randell sits down with Dr. Owusu-Anshan, associate professor of Pediatrics & Emergency Medicine University at Pittsburgh School of Medicine. She is a trailblazer for women who has improved the lives of patients and creates opportunities for those who otherwise would not. This interview gives you a chance to learn of many of the exciting activities she’s involved with, including “The Pitt” now streaming on MAX.
JEMS Report host Dr. Ted Lee interviews Jeremy Mast, CEO of Tri-County Ambulance Service, to discuss the pivotal role of leadership during challenging situations in EMS. Drawing upon his 30 years of experience in fire and EMS, Mast shares invaluable insights on preparing for unforeseen events, fostering a supportive organizational culture and ensuring crew well-being. He emphasizes the importance of strong leadership visibility during crises to reassure teams and facilitate effective decision-making. Through their conversation, they explore strategies for building robust community connections and the impact of training and mentorship on individual growth within the EMS landscape.
Moving Toward Safer Pediatric Transport Care in EMS
Insights from Dr. Nick Cochran-Caggiano’s Research on Pediatric Transport and Resuscitation
By Bram Duffee, PhD, EMT-P
Transporting children in ambulances presents unique challenges that EMS providers face every
day. Issues like the correct use of safety equipment, performance of life-saving procedures like
CPR, and the absence of universal standards can make pediatric care in emergency settings more
difficult than necessary.
Dr. Nick Cochran-Caggiano, an emergency physician and researcher, has taken a deep look into
these challenges through two pivotal studies that every EMS worker should know about. Both
studies were discussed on the latest podcast episode of “EMS Research with Professor Bram.”
The Unsafe Reality of Pediatric Transport in Ambulances
One of Dr. Cochran-Caggiano’s studies, published in Pediatric Emergency Care (2023),
examined how children are secured during ambulance transport. The study reviewed over 3,000
cases by observing video footage of ambulances arriving at a pediatric emergency department.
The findings reveal a troubling reality:
Just 53.5% of children were transported using the correct safety device for their weight.
A staggering 77.1% of transport restraints were not used properly, putting children at
significant risk.
Commercially made pediatric restraints were found to be the best option, yet these
were still improperly used half the time.
For many patients, ambulance cots were the default method of transport, but this was
only the correct choice in 18.2% of cases.
Dr. Cochran-Caggiano shared his thoughts on this alarming data during a recent interview,
emphasizing that the absence of consistent safety standards puts children at unnecessary risk.
"Having some sort of ability to transport children safely is a must," he said. He also pointed out
the pitfalls of the current patchwork approach to pediatric safety in EMS. "There’s no appropriate
way to secure [a child’s car seat] to an ambulance stretcher. You can make a good faith effort, but
that’s really all it is."
Why This Matters
Improper restraint practices don't just violate safety protocols—they create scenarios where
otherwise preventable injuries become inevitable. Reflecting on the need for systemic change,
Dr. Cochran-Caggiano pushed for a proactive approach, stating, "Let’s make a difference before
EMS Improv Podcast host Eric Chase welcomes Bonnie Rumilly, LCSW, EMT-B, EMDR therapist. In this conversation, Bonnie shares some personal experiences as well as offers insights and actionable takeaways. Bonnie shares her personal story of resilience, highlighting her journey from a challenging childhood to becoming a compassionate caregiver for her community. As they explore topics such as dysregulation, trauma bonding and the importance of addressing mental health, listeners gain valuable insights into recognizing the signs of trauma and seeking help. Bonnie emphasizes the critical role of early processing and trauma-informed care, offering hope and actionable steps for those navigating their healing journey.
EMS Improv Podcast host Eric Chase welcomes Jason Bazelow, a flight paramedic turned patient advocate. Jason shares his experience of surviving an aortic dissection, during which he faced a reality of clinical death for an astounding 34 minutes. Through vulnerability and transparency, he narrates the profound emotional, psychological and physical toll of his journey, not only on himself but also on his family. As Jason reflects on his transition from being a healthcare provider to becoming a patient, he emphasizes the importance of patient advocacy, mental health awareness and genuine communication within the healthcare system. Hear how Jason's story not only resonates with survivors and healthcare professionals but also serves as a beacon of hope and understanding for those navigating their own health challenges.
In this episode of the JEMS Report, Dr. Ted Lee and Jonathan Epstein from the American Red Cross discuss critical developments in prehospital resuscitation education, especially surrounding Heart Month. Epstein highlights the Red Cross's longstanding commitment to lifesaving training, evolving from traditional community-focused programs to a comprehensive suite that includes Basic Life Support, Advanced Life Support and the newly launched Neonatal Advanced Life Support. The conversation emphasizes the importance of tailored educational offerings for both public and healthcare professionals, aiming to bridge the gap in emergency medical response across diverse communities. The Red Cross’s innovative Mission CPR project looks to improve bystander CPR rates in underserved areas, underscoring that every second counts during cardiac emergencies. For EMS providers and healthcare professionals, this initiative represents a significant step forward in achieving better patient outcomes and preparedness in life-threatening situations.
In episode 18 of the Not AFib podcast, host Mark Flauter talks with paramedic Rachel Belcher to explore the often-overlooked topic of "duty-bound grief," a unique form of grief experienced by first responders. Looking into their shared experiences, Rachel discusses how cumulative exposure to traumatic events leads to emotional overwhelm, revealing the intricacies of compartmentalization and its long-term impacts on mental health. Through her advocacy for comprehensive mental wellness education, she emphasizes the importance of self-assessment, regular mental hygiene practices, and the value of peer support networks. Rachel’s personal journey to recovery from trauma and her call for systemic change underscore the urgent need for robust resources tailored to the needs of first responders. This episode serves as a vital reminder that acknowledging grief and seeking help is an act of courage, fostering resilience within those who dedicate their lives to serving others.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Kate Tataris, EMS director for Chicago EMS System and Chicago Paramedic-in-Charge Chris Powers about cardiac arrest and heart programs.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Christine McGuire-Wolfe, the director of Infection Control for Emergency Responders (ICER) Collaborative and Training Hub.
Read more about the program and how you can help by clicking here.
Eric Chase has a conversation with Shane Stephens, the EMS specialist for leadership development with the Commonwealth of Pennsylvania. Stephens talks about how his position and personal experiences help grow collaboration.
Chief Douglas Randell speaks with Dr. Remle Crowe and Dr. Jamie Kennel about following the data in EMS research.
In this special episode of the EMS Handoff Podcast, hosts Bradley Dean and David Blevins are honored to welcome the legendary Dr. Paul Pepe, a trailblazing EMS medical director whose groundbreaking work has shaped the foundation of modern-day EMS.
Dr. Pepe’s influence spans decades, and his passion for advancing prehospital medicine continues to inspire generations of EMS professionals. Join us as we take a deep dive into the fascinating history of EMS medical direction, exploring how this critical component of prehospital care evolved into what it is today.
In This Episode
- A look back at the early days of EMS and how medical direction began.
- Dr. Pepe’s personal journey and contributions to prehospital medicine.
- How medical directors bridge the gap between field providers and the healthcare system.
- Insights into the challenges and successes of shaping EMS protocols and education.
- Lessons learned and advice for current and aspiring EMS leaders and medical directors.
Whether you're a seasoned EMS professional, a new provider, or simply passionate about the history and future of prehospital care, this episode is packed with valuable insights and inspiration.
About Dr. Paul Pepe
Dr. Paul Pepe is renowned for his pioneering work in EMS systems development, resuscitation science, and disaster response. With a career dedicated to improving patient outcomes through innovation and collaboration, Dr. Pepe remains a cornerstone of EMS advancement worldwide.
Hennepin EMS in Minnesota is breaking new ground in prehospital care with the introduction of a clinical pharmacist consulting role, designed to tackle complex challenges and foster collaboration between paramedics and pharmacists through hands-on support and cutting-edge research.
The clinical pharmacist acts as a bridge between hospital and field operations, ensuring prehospital teams have the support they need to improve patient outcomes. A critical part of the pharmacist’s responsibilities includes hands-on engagement. From participating in ambulance ride-alongs to hosting open-door consultations, this role prioritizes practical and actionable solutions.
At the heart of this initiative is Holly Drone, PharmD, Hennepin EMS’s clinical pharmacist. Not only has Holly been integral to placing this program into action, but she’s also contributing to the field through her research. Her studies focus on essential topics such as Sodium Nitrate Overdose management, the initiation of Buprenorphine in prehospital settings, and the use of Oral Risperidone by EMS providers in the field.
To learn more about this innovative role and hear directly about her experiences and research, check out her recent interview on the podcast “EMS Research with Professor Bram.” Holly provides unique insights into the evolving relationship between paramedics and pharmacists as well as the critical role clinical pharmacy plays in improving prehospital care.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Michael J. Carr about how telemedicine is saving lives in Georgia.
Carr, the executive director of Prehospital & Ambulatory Virtual Emergency Services (PAVES) at Emory University, says patients in rural counties now have access to doctors and specialists even before they reach the hospital.
Join hosts Bradley Dean and David Blevins as they sit down with Dr. David Tan to explore the evolving role of medical direction in EMS. Together, they dive deep into the challenges and opportunities shaping EMS systems and the clinicians who drive them forward.
Dan Burke, EMS safety director for the Center for Patient Safety (CPS), joins the podcast to discuss CPS. We discuss the mission of the CPS and how it's grown in the last 25 years.
We also discuss the benefits of joining the CPS and how EMS agencies become better focused on patient safety.
Finally, we discuss his time as state EMS director for the District of Columbia and the challenges, and benefits, of guiding EMS in our nation's capital.
In this episode of The EMS Handoff Podcast, host Bradley Dean welcomes Janet Taylor, a seasoned flight nurse, educator and national EMS speaker, to discuss the seismic shifts in EMS education brought about by the COVID-19 pandemic.
Together, they explore what it means to be a “COVID provider,” the challenges of addressing knowledge gaps in the post-pandemic era, and the importance of going the extra mile to ensure the success of EMS professionals in a rapidly evolving healthcare landscape.
With her extensive background in nursing, flight medicine, and education, Janet shares her insights into how educators and providers can adapt and thrive, even in the face of unprecedented challenges. From innovative teaching strategies to practical advice for today’s EMS providers, this episode is a must-listen for anyone involved in EMS education or practice.
Key Topics Covered in This Episode
- The COVID-19 Impact on EMS Education: How the pandemic changed the way we teach and learn in EMS.
- Understanding the “COVID Provider” Phenomenon: What defines a provider trained during the pandemic era, and what unique challenges do they face?
- Addressing Knowledge Gaps: Practical strategies for bridging gaps caused by disrupted training and clinical experience during the pandemic.
- Going the Extra Mile: Why resilience, creativity, and commitment are more critical than ever for EMS providers and educators.
- The Role of Technology in EMS Education: Exploring innovative tools and methods that emerged during the pandemic and their lasting impact on training programs.
Infection Control Consultant Katherine West explains why Marburg Virus is not as worrisome as some recent media headlines suggest.
Watch the presentation on JEMS.
Chief Douglas Randell reviews the 2024 legal issues in EMS with Attorney Douglas Wolfberg.
When every second counts in a medical emergency like a stroke, deciding on the right course of treatment can be life-changing. Strokes come in two main types—ischemic and hemorrhagic—each requiring very different treatment approaches. But what if a critical intervention, like lowering blood pressure, could be started right there in the ambulance?
Could it improve outcomes for stroke patients before they even reach the hospital? These are some of the pressing questions tackled in the latest episode of EMS Research with Professor Bram. This discussion explores the complexities of early care for stroke patients and the role prehospital blood pressure management might play in recovery.
Paramedic Mic Gunderson and Neurologist David Rose offer a specialist’s perspective on stroke care. Together, they dissect groundbreaking research and share practical strategies that could transform how strokes are treated in the field.
Battalion Chief (Ret.) Tom Yahnke joins the podcast to discuss peer support teams. We discuss the importance of peer support teams, the difference between peer support and EAP, and what makes a good peer support team member. We also discuss the life-altering incident he experienced on a fire and how peer support, if available at that time, may have helped him avoid some of the problems he encountered trying to deal with that incident.
Eric Chase and Brett Lyle have a conversation to help us prepare our minds for the New Year. Let's share positive, contagious growth and development with accountability.
JEMS Editor-in-Chief Dr. Ted Lee speaks with T. Ryan Mayfield and Andrew Pearson of Hennepin EMS on how the agency is addressing its staffing shortage and empowering its education program.
Listen to Part 1 here.
You are dispatched to a pedestrian struck approximately seven blocks away at an off the beaten path intersection. You hop in the rig look over to your partner and voice your satisfaction with tonight‘s dinner choice. They nod in agreement and also highlight the fact you both were able to finish uninterrupted.
It’s an uneventful response and you arrive on scene to find what appears to be a male lying in the roadway. There is a minivan next to the patient with the headlights shining over where they’re lying. You see the patient moving their arms and legs ever so slightly and a group of people around them trying to talk to him.
Read the full article on EMS Airway.
EMS P.O.D. host Doug Randell discusses the EMS Commission in Indiana, the gubernatorial-appointed group that advises EMS on issues that affect EMS in the State of Indiana.
In late September of this year, Hurricane Helene struck the mountains of Western North Carolina, bringing devastating flooding, mudslides and damage to the area. Host John Sammons is joined by Paramedic Garry Pomerleau to talk about his experience during and after the storm as not only a responder, but a resident of the area. You can read his article in JEMS as well.
After six doses of epinephrine, it may be too late for the CPR patient. Emergency physicians Dr. Zachary Boivin and Dr. Trent She, both from Connecticut, discussed their recent study entitled "Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation."1 This research sought to determine if there is a ceiling to the effective use of Epinephrine during resuscitation.
Peter Antevy, MD, who created the Handtevy System, a software-based pediatric resuscitation method and bag system is also an EMS Physician for Palm Beach County (FL) Fire Rescue and he made a post on LinkedIn advocating for abolishing Epinephrine in shockable rhythm protocols. He posts about how his protocol does not follow standard AHA guidelines at Palm Beach County Fire Rescue and their plan for ventricular fibrillation is to use esmolol, but no Epinephrine.
References
- Boivin, Z., Duignan, K. M., Doko, D., Pugliese, N., & She, T. (2023). Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation. Western Journal of Emergency Medicine, 24(6), 1025.
It appears that Viral Hemorrhagic Fevers – Lassa Fever, Ebola and Marburg virus are getting all the press. However, Pertussis (whooping cough) is an area that needs focus.
The cases for 2024 are at least four-times higher than in 2023, and many departments have not offered the required Tdap booster to protect healthcare personnel.
An additional dose of Tdap was first recommended in 2005 and then again in 2011. Pertussis is not on the radar, and we need to ensure that healthcare providers are protected. This session addresses vaccine, personal protective equipment and post-exposure medical follow up.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Global Medical Response’s Natalie Jobst about training veterans for EMS careers.
Every month, North American Rescue (NAR) hosts a unique event called "Coffee with Veterans and First Responders." This initiative, now in its fifth year, offers a valuable space for local heroes to connect, network and discover new career opportunities.
Led by Anna Harris, a veteran and the director of Human Chemistry and Talent at NAR, Coffee with Veterans aims to bridge the gap between veterans and first responders and the civilian job market. With many NAR team members hailing from military and first responder backgrounds, this program is a personal passion for the company.
Brian Paul, president of Veterans for Life USA, shares his story of addiction, suicidality and how he now serves with hope and understanding through inspiration.
Susan Bailey, director of the Louisiana Bureau of Emergency Medical Services and president of the National Association of Emergency Medical Technicians (NAEMT) joins the podcast to discuss the association’s role in EMS. We discuss what got her involved in the association and how she ascended to the position of president. We discuss the benefits of being part of the association, the association's advocacy efforts at the federal level, and reimbursement issues for EMS. We also discuss being the director of EMS in a state prone to hurricanes.
Hosts: Bradley Dean and David Blevins
Guest: Joe Slattery, BS Homeland Security & Emergency Management, Certified Healthcare Simulation Educator (CHSE), Certified Healthcare Simulation Operations Specialist (CHSOS)
Overview: In this episode of the EMS Handoff Podcast, Bradley and David welcome Joe Slattery, a dual-certified healthcare simulation expert with over 30 years of experience in EMS. Joe’s extensive background and passion for EMS education, specifically in simulation, shine as he shares insights into his work developing state-of-the-art simulation labs and curriculum for multiple hospitals and residency programs across southeast Florida. His projects aim to elevate EMS education by integrating hands-on, realistic scenarios that build critical thinking and clinical skills for healthcare providers.
Key Takeaways
- Joe’s Background in Simulation and EMS Education
Joe discusses his journey in EMS and simulation-based education, including his academic background in Homeland Security and Emergency Management. He holds dual certifications as a Certified Healthcare Simulation Educator (CHSE) and a Certified Healthcare Simulation Operations Specialist (CHSOS). He has dedicated his career to advancing EMS training and has presented at leading EMS and simulation conferences, including the International Meeting on Simulation in Healthcare (IMSH). - Designing Effective Simulation Scenarios
Joe dives into the nuances of creating successful simulation scenarios, emphasizing how scenario design can either build or inhibit a learner’s critical thinking. He advocates for a thoughtful approach to setting learning objectives and aligning them closely with scenario details to prevent distractions or misdirected focus. - Safety in Healthcare Simulation: A Simple Scenario
Joe shares a scenario he uses in his “Safety in Healthcare Simulation” lecture: - Objective: Assemble a nebulizer and administer 2.5 mg of Albuterol Sulfate.
- Scenario Components: Using a manikin, a nebulizer, saline solution as a substitute for albuterol, and an oxygen source delivering 6-8 LPM.
- Patient Presentation: The manikin should have signs like wheezing, rhonchi, a history of asthma, or possible pneumonia. However, rales/crackles and peripheral edema are intentionally excluded as they would mislead the learner regarding the appropriateness of albuterol.
Importance of Testing Scenarios Before Implementation
Joe explains how testing scenarios can prevent potential pitfalls by ensuring they meet educational objectives without introducing misleading elements. He illustrates that adding symptoms like rales or peripheral edema would alter the scenario's purpose, forcing learners into unnecessary critical thinking exercises outside the intended scope. This testing step is crucial to ensure the simulation accurately reflects real-life decision-making.Practical Advice for EMS Educators
Joe offers practical tips for EMS educators looking to incorporate simulation in their teaching. From setting clear objectives to aligning simulation elements with real-world scenarios, he highlights how educators can provide safe yet challenging learning environments.Connect with Joe Slattery
- Joe shares his passion for teaching and simulation and discusses upcoming projects where he is expanding simulation training in hospitals and residency programs. His expertise is shaping the next generation of EMS professionals, bringing essential skills to the forefront of healthcare education.
Tune In To Learn
- Best practices for simulation-based EMS education.
- How to craft scenarios that support—and not confuse—learning objectives.
- Real-world applications of simulation in healthcare for better patient outcomes.
Whether you're an EMS educator, a simulation enthusiast, or an EMS provider looking to refine your skills, this episode provides valuable insights into making simulations impactful, relevant, and effective for learners.
By Bram Duffee, PhD, EMT-P
Qualitative research often remains a mystery to those in medicine who are accustomed to the clear-cut, numerical results of quantitative studies. Yet, when it comes to understanding complex, human-centric issues, qualitative research is indispensable. Take the COVID-19 pandemic, for example—an event where numbers alone cannot fully capture the profound human experiences involved.
Unlike quantitative research, which answers yes or no questions or delivers numerical data, qualitative methods delve deeper into the human elements of a topic. One powerful approach is conducting interviews, especially when the interviewer shares a cultural or professional background with the participants as an insider to the community. This method promotes openness and authentic disclosure, as demonstrated in two studies exploring the experiences of paramedics during the COVID-19 pandemic.
The recent episode of "EMS Research with Professor Bram" a spotlight was cast on these insights.1 Paramedic researcher Nigel Barr, PhD, RN, RP, from Australia shared his research study where they interviewed Australian paramedics about the challenges and facilitators they faced while responding to COVID-19 cases. His research uncovered themes that included communication, fear and risk, leadership, protective work factors, and change. Intriguingly, some paramedics reported a reduced perception of risk and heightened empathy for COVID-19 patients after personally contracting the virus themselves.2
Highlighting the significance of qualitative research, Dr. Barr remarks, "Numbers work well for testing theories, but when it comes to generating new ones, the hard work of interviews, coding and theming is essential."
Parallel to this, as a paramedic researcher myself, I was conducting a similar study in the United States, interviewing American paramedics. This research was different because it sought to understand how treatment of respiratory patients shifted when looking at the time before covid versus during the pandemic. Findings of this study showed that paramedics had a tendency to over-categorize all respiratory patients as COVID-positive. Also, participants noted changes in practice, such as reduced use of stethoscopes and avoidance of nebulized treatments in confined spaces due to transmission fears.3
These qualitative studies offer insights that mere data cannot, underscoring the need for paramedics to engage in research that directly impacts their field. “We should be trying to support the capacity of paramedics to do research. We should have the control over our own discipline ... Because if we take research from another discipline, another area, another setting, it is always going to be a square peg round hole. We have to test those outcomes in our own environment. We have to find out what works. What doesn't work,” says Dr. Barr.
Research studies involving paramedics in both Australia and the United States demonstrate the unique benefits of qualitative research through interviews. By employing paramedic researchers to engage directly with their peers on topics that deeply impact them, these studies reveal the nuanced understanding that only rich, narrative-driven descriptions can provide. Qualitative interviews shed light on the human side of medical practice, revealing details and challenges that numbers alone might miss. These interviews help us understand the deeper aspects of healthcare, offering insights that go beyond traditional numbers.
References
- https://youtu.be/_lBTF-8x7p4
- Howarth, U., Zimmerman, P. A., van de Mortel, T. F., & Barr, N. (2024). Paramedics’ experiences of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases: a qualitative study. BMC Health Services Research, 24(1), 678.
- Duffee, B. (2023). COVID-19 and paramedic response: Overcategorization concerns in respiratory patients. Journal of Paramedicine and Emergency Response. Available online https://www.airitilibrary.com/Article/Detail/P20210804002-N202311070009-00029
JEMS Editor-in-Chief Dr. Ted Lee speaks with Operative IQ President / CEO EJ Aufderheide.
Operative IQ is committed to serving first response industries with controlled substance tracking, RFID solutions and Operative IQ Front Line to address the need for faster and better answers for managing operational readiness.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Kerry Degen and Jill McCafferty of Hennepin EMS. Through it’s paramedic program, Hennepin has grown its system.
JEMS Editor-in-Chief Dr. Ted Lee talks with Richard Price, founder and president of the PulsePoint Foundation. PulsePoint is a 501(c)(3) public non-profit foundation building applications that help public safety agencies inform and engage their citizens.
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
New Orleans EMS Maj. Tom Dransfield has a wide-ranging conversation with host Eric Chase. Topics include: SPARC Academy, whole blood and blood product initiatives, POCUS, Axon body-worn cameras and more.
Nothing beats starting your overtime shift on a nice, clear Taco Tuesday night with your regular partner on overtime, too. You both play rock paper scissors to decide which of your favorite food trucks you’ll be getting dinner at. Your partner is hell-bent on chicken tacos while you’re craving your favorite grouper tacos at Rick’s with the mango salsa. As you throw down rock and she throws down paper, your CAD chirps.
Read the full article here.
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
Hosts: Bradley Dean and David Blevins
Guest: Dr. Andrew McCoy, MD, assistant professor of Emergency Medicine; medical director for Shoreline Medic One and AMR Puget Sound Operations; program director for the University of Washington EMS Fellowship; and medical director for the Resuscitation Academy.
Episode Summary: In this episode, Bradley Dean and David Blevins sit down with Dr. Andrew McCoy to explore everything about resuscitation and the Resuscitation Academy (RA). Dr. McCoy shares the history of the RA and its mission to improve survival rates for sudden cardiac arrest in communities.
With a focus on resuscitation science and EMS education, the discussion covers the impact of the CAROL Act, improvements in local EMS practices, and the ongoing growth of the RA, including the innovative Lighthouse Program.
Guest Bio: Dr. Andrew McCoy is an assistant professor of Emergency Medicine at the University of Washington and has been a faculty member at the Resuscitation Academy in Seattle for 10 years.
A graduate of the Cleveland Clinic Lerner College of Medicine, Dr. McCoy completed his Emergency Medicine residency in Buffalo, New York, before moving to Seattle for an EMS fellowship.
He now serves as medical director for Shoreline Medic One, American Medical Response (AMR) Puget Sound Operations, and the Resuscitation Academy, where he helps EMS professionals improve cardiac arrest survival rates across the country
Points of Discussion:
- What is the Resuscitation Academy (RA), and its history?
- Bradley’s experience with the RA and improvements made in his community.
- The future of the RA: How the CAROL Act will influence resuscitation efforts and the opportunities for growth.
- The Lighthouse Program and its role in driving continuous improvement in resuscitation practices.
Resources Mentioned:
- Resuscitation Academy: www.resuscitationacademy.org
- CAROL Act: Barr's CAROL Act
- American Heart Association – Resuscitation Guidelines: CPR and ECC Guidelines
- CARES Registry: CARES Registry
- RESUSCITATE!: Resuscitate! Book
Key Takeaways: Sudden cardiac arrest is one of the leading causes of death, but survival rates vary significantly from community to community. The Resuscitation Academy's mission is to train EMS personnel and equip them with the tools and knowledge needed to improve survival rates.
With programs like the Lighthouse Initiative and new legislation like the CAROL Act, the future of resuscitation looks promising, offering pathways to reduce preventable deaths from cardiac arrest.
Listen in to learn more about how your community can improve resuscitation outcomes and get involved with the Resuscitation Academy.
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
Dr. Orlando Rivera joins the Not A-Fib Podcast to discuss his writings for JEMS and his LinkedIn posts on EMS. We discuss why it's time for advocacy for a "revolutionary" change in EMS in the United States and getting that conversation started.
We also discuss why it's time to change the way EMS in our country is funded, and the downstream effects of that lack of adequate funding. We also discuss the importance of mental health, and end the podcast with a discussion on his passion for obstacle course racing.
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
Dr. Zachary Tillett, a paramedic who works as an emergency department physician in Maryland, talks about his new article, “Breaking Bad News in the Prehospital Setting: A Guide for EMS Clinicians.”
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
On this episode of the Patient Centered Paramedic Podcast, Catherine Sanderson joins John Sammons. In her book “Why We Act, Turning Bystanders Into Moral Rebels”, she talks about the psychology of bystander action—or inaction. In this talk, we tie this concept into scene management, interpersonal relations and patient advocacy.
ESO's Electronic Health Record makes it easy to produce high-quality EMS clinical documentation, saving your team time and ensuring accuracy. To learn more, visit eso.com/ehr/pod.
Curtina Blalock shares her family’s cancer journey with Chief Douglas Randell.
It's not the wave of the future, it is the standard of care. The "answer" to saving lives is right under our nose! Eric Chase has a conversation with Don Guillette, RN, paramedic, educator and author of “Capnography Capstone,” about the significance of ETCO2 in EMS, hospitals and more.
Indianapolis EMS is hosting a tactical medicine and rescue symposium, being held Sept. 26 – 27, 2024. Those interested can register for the event by visiting this website.
Daniel Gerard joins the Not A-Fib Podcast to discuss the articles he wrote for JEMS on EMS as a human right and an essential service. He also discusses the International Association of EMS Chiefs, of which he was immediate past president. He also talks about the uniqueness of ALS in New Jersey and the value in going to conferences.
JEMS Editor-in-Chief Dr. Ted Lee talks with Dr. John vonRosenberg about the challenges and thrills of being a flight paramedic.
Dr. Casey Patrick, an ER and EMS physician from Texas, talks about a recent study he helped publish that looked at how successfully surgical cricothyrotomy can be performed by paramedics.
We want to get it! We all desire a better understanding and support from our loved ones. This is a spouse’s call to action. Guest Ashley Pridgeon is a daughter and spouse of first responders.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Matt Merino, chief executive officer of Education Management Solutions, about its Training in Motion platform.
Find out more about the Training in Motion platform here.
On the first episode of The Patient Centered Paramedic Podcast, Matt Streger joins John Sammons to talk just culture and leadership! Just culture is often used as a buzzword and is often misunderstood. Matt helps us dig deep and get a better grasp on just what this concept is and what just culture truly means.
EMS P.O.D. host Douglas Randell speaks to technologist Jonathon Feit about closing information gaps.
It’s your first dayshift in a long time, but the overtime opportunity was a no-brainer. You and your partner hop in the rig and hit the road to grab early morning coffee at your local coffee spot down the street. Just as the barista hands you the steaming fresh pour-over the tones drop, the dispatch is for a 36-year-old female complaining of chest pain with shortness of breath. You hop in the rig, check the address, and find it conveniently two blocks down the street. You grab two quick sips of coffee and then make your way to the office park.
Read the full article here.
Capt. Matt Coppin of the Metro West (MO) Fire Protection District joins the podcast to discuss the importance of the public information officer (PIO), building relationships with other agencies and the media prior to an incident or needing something from the media . He also discusses the training opportunities to build the skills to be a PIO and appear on camera. We wrap it up by discussing the importance of providing good customer service to the community.
This podcast is sponsored by LogRX. For all your medication and narcotic tracking needs, check out the LogRx App, created by career EMS professionals. Visit https://logrx.com/ to learn more.
In this season finale episode, we talk about mental health in emergency medical services and interview Researcher and Psychologist Jacqueline O'Hagan, along with mental health counselor and host of the Enroute Podcast, Joseph Brigandi.
This podcast is sponsored by LogRX. For all your medication and narcotic tracking needs, check out the LogRx App, created by career EMS professionals. Visit https://logrx.com/ to learn more.
JEMS Editor-in-Chief Dr. Ted Lee talks about the future of EMS and health care with Col. Michael Wissemann.
This commentary reflects the opinion of the Col. Wissemann and does not reflect those of the Department of Defense, the Defense Health Agency or Army Medicine.
This podcast is sponsored by LogRX. For all your medication and narcotic tracking needs, check out the LogRx App, created by career EMS professionals. Visit https://logrx.com/ to learn more.
REMSA Health’s Regional Emergency Communications Center in Reno, Nevada, is triple accredited by the International Academies of Emergency Dispatch (IAED). The center's director, Shannon Popovich, speaks to the accreditation process and how REMSA Health upholds and exceeds standards to enhance safety for the citizens it serves.
This podcast is sponsored by LogRX. For all your medication and narcotic tracking needs, check out the LogRx App, created by career EMS professionals. Visit www.logrx.com to learn more.
The night has been nonstop but as you arrive to the latest motor vehicle accident, the trooper waves you off signaling you aren’t needed. You give them a thumbs up, hit the in-service button on your computer-aided dispatch (CAD) system and excitedly ask your partner, “want to grab some food?” She enthusiastically smiles and enthusiastically says “hell yes!” Before you can even ask, “what’cha you want?” The CAD beeps dispatching you to a suicide attempt. You give the first few turn-by-turn directions to your partner and then read out the notes.
Read the full article here.
EMS P.O.D. host Douglas Randell spreads knowledge about the EMS Compact. Joining him are Donnie Woodyard, executive director of the EMS Compact and Kraig Kinney, Indiana EMS State Director.
This podcast is sponsored by LogRX. For all your medication and narcotic tracking needs, check out the LogRx App, created by career EMS professionals. Visit www.logrx.com to learn more.
On this week’s episode of the EMS Handoff Podcast, hosts Bradley Dean and David Blevins are joined by Dr. Tyler McCardell who is currently an EMS Fellow at the University of Pennsylvania and serving as chief resident and assistant medical director for AHN Lifeflight.
During this EMS Handoff, Dr. McCardell discuss the current state of sepsis in the prehospital environment to include SIRS Criteria, continuum of sepsis, early recognition and its effects on morbidity and mortality.
And just when you thought you have enough fluid, think again. About 3% of the calls that EMS agencies run in the United States are related to Sepsis. Putting that into a little more context, that is about 136 calls for service every hour of the day, all year long. Are you ready for that handoff?
JEMS Editor-in-Chief Dr. Ted Lee speaks with Stephanie DeLorenzo about her career in emergency management.
Is your EMS agency ready for pediatric emergencies? The National Prehospital Pediatric Readiness Project (PPRP) can help.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Kathleen Adelgais and Frank St. Denis to learn more about the program.
The PPRP is an initiative to ensure all U.S. EMS agencies and fire-rescue services that respond to public 911 medical calls have essential resources in place to provide high-quality emergency care for children. The project is led by the Emergency Medical Services for Children Program in partnership with more than 30 national organizations and stakeholders.
Learn more about the assessment here.
You and your partner are savoring the last drops of the best brew from the local coffee shop when the tones drop for a seven-year-old female with shortness of breath. It’s only about two miles away at the urgent care; as you start down the road, you bounce ideas back and forth with your partner. What are some of the things you think could cause this?
Read the full article here.
Infection control consultant Katherine West provides information about Dengue Virus, an ailment EMS providers may encounter this summer.
On this episode, Dr. Erik Axene joins the Not A-Fib Podcast to discuss his passion for teaching, continuing education and the uniqueness of Axene Continuing Education, LLC.
He talks about what led him to create his company and the stellar team he's built to deliver high-quality, engaging continuing education.
Finally, he wraps up by talking about his experience as an airway management physician for the Dallas Cowboys.
It’s a warm Friday evening in July. You’ve just wrapped up a transport and cleared the hospital. As your partner turns out of the hospital parking lot, your ambulance is dispatched to a local distribution warehouse for a worker complaining of shortness of breath.
On arrival, you load your stretcher with all your gear and prepare to get some steps in while traversing the expanse of the warehouse. As you know, warehouses are never built small, and there is always a possibility that the scene awaiting you at the patient is not what you expect.
Read the full article here.
It’s a cold Friday night in January. You just finished an uninterrupted meal at the local Chinese restaurant with your partner when you’re dispatched to a house in town for an 88-year-old male with trouble breathing. You pull up to a one-story house, sitting slightly up on a grade. The lights are on and the front door is open. As you enter a musty smell catches you as you lock your eyes on an older male. He’s tri-poding in an old, worn, puffy rocking chair. It’s clear from his fast, shallow, pursed-lip breathing he’s in distress. You introduce yourself and accept his outstretched hand for a shake.
Read the full article here.
In this episode, we interview Paramedic Jessica Thompson to talk about ambulance services closing in rural areas. The financial struggles faced by EMS providers, coupled with outdated reimbursement rates, have led many to economic collapse, forcing them to reduce staff or halt services altogether.
This reduction in services not only impacts the immediate area but also places additional strain on neighboring services, creating a domino effect that worsens response times and stretches resources thin across wider regions.
JEMS Editor-in-Chief Dr. Ted Lee finds out what it’s like to work for Sunstar Paramedics in Pinellas County, Florida. Joining him is Malachi White, director of recruiting, and Capt. Shelby Papa, clinical services coordinator.
Dr. Peter Antevy sits down with EMS P.O.D. host Douglas Randell to discuss whole blood administration and sepsis treatment in the field.
Infection Control Consultant Katherine West discusses the role of EMS in combating norovirus.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Melissa Taylor, RN, about mental health issues affecting all emergency responders.
In honor of National CPR and AED Awareness Week, JEMS Editor-in-Chief Dr. Ted Lee speaks to Courtney Schwerin O'Reilly, the executive director of Illinois Heart Rescue. You can reach out to Courtney at courtney.ilhr@gmail.com.
Bram Duffee, PhD, interviews Sarah E. Fabiano, MD, the medical director for JEMS, about the current EMS landscape in research and practice.
In this powerful episode, Bradley Dean and David Blevins sit down with Rob Hoadley, a cardiac arrest survivor, to discuss his life-changing encounter with sudden cardiac arrest. Rob shares his personal story of survival, his journey since the event, and his mission to improve community response to cardiac emergencies. From the chain of survival to implementing community-wide education programs and AED (Automated External Defibrillator) availability, this episode emphasizes the importance of preparedness and education in saving lives.
Kim Vest joins the podcast for Mental Health Awareness Month to discuss the importance of mental health for EMS providers. She discusses mental health screenings as part of an annual physical examination, the importance of selecting a therapist familiar with the specific needs of first responders and different types of therapies used when treating someone in a mental health crisis.
Bradley Dean sits down with paramedic and lawyer Matt Streger at the North Carolina EMS Expo to discuss a critical issue facing the healthcare industry: the criminalization of healthcare professionals, particularly in the context of medication errors and other inadvertent mistakes. Streger provides an in-depth look at the legal landscape, sharing his unique perspective as both a paramedic and an attorney.
Breaking the toxic cycle takes grit, grace and gratitude. Eric Chase has a real, raw and honest conversation with MaKenzie Tiegs, host of Raw Thoughts Podcast & Mindbase Podcast.
JEMS Editor-in-Chief Dr. Ted Lee speaks with National EMS Memorial Bike Ride Board of Directors member Eric Morrison about the sacrifices EMS providers make for the profession.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Jeffrey Goodloe about the maturing of EMS Week during its 50th anniversary.
For EMS Week, JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Jeff Jarvis about resiliency in EMS.
During EMS Week and Stroke Awareness Month, JEMS Editor-in-Chief Dr. Ted Lee speaks with MedicZero Inc. about the significant delays in stroke care arising from a lack of bystander stroke awareness and recognition.
For EMS Week, JEMS Editor-in-Chief Dr. Ted Lee speaks with Garrett Hedeen, chair of the NAEMT’s EMS Workforce Committee, on the importance of safety in EMS.
During EMS Week, JEMS Editor-in-Chief Dr. Ted Lee talks with Rick Ellis, chair of the NAEMT’s Education Committee, on changes to EMS education throughout the years.
JEMS Editor-in-Chief Dr. Ted Lee talks with Dr. Mandy Gattis, project and grants manager for the South Carolina EMS Association, about the special plans for the 50th anniversary of EMS Week.
Hosts Bradley Dean and David Blevins bring on Kelly Kirk discussed the impact of the COVID-19 pandemic on EMS education, the shift to online education, and the challenges and potential solutions in online education, particularly in the context of skills-based courses.
They also explored the concept of competency-based medical education, the use of Learning Management Systems (LMS) in education, and the importance of intrinsic motivation and flexibility in response to changing circumstances.
Lastly, they discussed the upcoming changes in the National Registry and issues related to their respective states, agreeing to further discuss these in the future.
Doug Randell speaks with Nathaniel Metz, president of Phoenix Paramedic Solutions and the Indiana EMS Association, Tadd Whallon, the behavioral health and addiction program director at Phoenix Paramedic Solutions, about the importance of Mental Health Awareness Month.
Hosts: Bradley Dean & David Blevins Guest: Jonathan Jenkins, Mutual Aid EMS
Summary: In this episode, Bradley Dean and David Blevins are joined by Jonathan Jenkins from Mutual Aid EMS to explore the integration of customer service principles into the EMS profession.
Does service excellence in EMS translate to better patient outcomes, more repeat business and stronger collections? The evidence of this in other areas of health care is well documented, so it’s logical to assume those results could be possible in EMS.
The age-old argument, “Those who summon our service are patients and not customers,” completely misses the point. It really doesn’t matter what we call them; individuals who seek medical assistance from EMS deserve to receive excellent service from those who provide care.
Questions….that patients often ask that measure our customer service.
- Did we arrive in a timely manner?
- Did we explain the treatment they received?
- Did we treat them in a respectful manner?
- Did we take care of their pain and make them comfortable?
The top 10 things for delivering good customer service…..
- Work together as a team to care for the patient.
- Control the patient’s pain and suffering.
- Include patients in their decision about their treatment.
- Have good skills…. Be able to perform smoothly….
- Have a good attitude toward the patient’s requests.
- Address the patient’s emotional needs.
- Keep the patient informed during your time with them.
- Be responsive to patients concerns and complaints.
- Be positive and interact with family when caring for the patient.
- Be friendly and courteous.
Marv Wayne, MD, gets real and shares his experiences with Eric Chase, talking everything from the Vietnam War, 50 years of emergency medicine, EMS and more.
Documentarian Bryony Gilbey joins the podcast to discuss her documentary, "Honorable but Broken: EMS in Crisis." She talks about what led her to make the film, what she found while making the film, and reactions to the film at screenings. She also shares how people can get involved to bring these challenges facing EMS to the attention of legislators.
JohnRey Hassan, JD, EMT-P, describes the legal and medical frameworks involved with patient death cases involving restraint and sedation.
Infectious disease expert Katherine West explains the new procedures for post-exposure medical follow-up and source patient testing that are now being required as EMS expands its role in the community setting.
You can read the article here.
This podcast is sponsored by ESO.
It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid overdoses. Your FREE copy is available now at eso.com/ems-pod.
In this episode, we interview Will Chapleau, RN, EMT-P, from the International Prehospital Medicine Institute about research related to falls.
This podcast is sponsored by ESO.
It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid overdoses. Your FREE copy is available now at eso.com/ems-pod.
Central Berkeley (SC) Fire and EMS Deputy Chief Justin Miles-Miller talks about his department’s policy of allowing select EMS providers to carry weapons on-duty. You can read more about an armed EMS policy here.
This podcast is sponsored by ESO.
It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid overdoses. Your FREE copy is available now at eso.com/ems-pod.
On this episode, Brett Lyle of Brett Lyle Coaching joins the podcast to discuss the importance of branding, networking and getting ideas from people outside of EMS. She also talks about the importance of coaching and mentoring within your organization, how leaders should also be followers and ways to continue to improve as a leader.
This podcast is sponsored by ESO.
It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid overdoses. Your FREE copy is available now at eso.com/ems-pod.
JEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Molly McCann-Pineo, director of Clinical Research in the Emergency Medicine Service Line at Northwell Health. Dr. McCann-Pineo is also an assistant professor of Emergency Medicine and Occupational Medicine, Epidemiology and Prevention at the Zucker School of Medicine at Hofstra/Northwell.
JEMS Editor-in-Chief Dr. Ted Lee talks with MEDIC Deputy Director Sharon Taulbert about the importance of women in EMS.
Eric Chase has a conversation with Reggie Brock about belonging and how progress starts with honesty.
JEMS Editor-in-Chief Dr. Ted Lee talks to Joseph Campbell and David A. Greene about the success of Colleton County's blood program in South Carolina.
Article: https://www.jems.com/patient-care/whole-blood-colleton-county/
Chief Douglas Randell talks with EMS researcher Dr. Remle Crowe about the achievements of women in prehospital care and elsewhere.
Clarion Events is pleased to announce today that the Journal of Emergency Medical Services (JEMS) and the National Association Of Mobile Integrated Healthcare Providers (NAMIHP) have partnered to advance community paramedicine and mobile integrated healthcare (MIH) in the prehospital setting.
Read the announcement here.
In this episode, we interview Brian J. Maguire, Dr.PH, MSA, EMT-P, about the serious realities faced by EMS responders, exploring the intricate details of responder injuries and fatalities. Dr. Maguire's insightful 2023 research in "Prehospital and Disaster Medicine" provides a sobering look at the risks these brave individuals encounter daily, offering valuable perspectives on safeguarding those who are first on the scene to save lives.
Mind the Frontline, a 501(c)(3) registered charity dedicated to supporting the mental health and overall well-being of frontline first responders, is thrilled to announce its newest partnership with Clarion Events and The Journal of Emergency Medical Services (JEMS).
This collaboration aims to provide valuable resources and support to first responders through monthly blogs, quarterly podcasts & webinars, and the inaugural First Responder Mental Health Week, scheduled for October 7th to 11th, 2024.
As a leading provider of information and news for the improvement of patient care in the prehospital setting, JEMS and JEMS Events & Training are committed to delivering the latest and most reliable information to the EMS community. With a focus on improving prehospital patient care and promoting positive change in EMS, JEMS is a trusted source of education and information for EMS providers, instructors, and administrators.
JEMS seeks to improve prehospital patient care and promote positive change in EMS by delivering information and education from industry leaders, change-makers, and emerging voices. With a rich tradition of editorial excellence and a consortium of subject matter experts, JEMS fulfills its commitment to EMS providers by providing state-of-the-science, high-quality content.
Read more about the announcement on JEMS.
Michael Stern, training specialist and curriculum manager for the National Fire Academy's Emergency Medical Services Curriculum, joins the Not A-Fib Podcast to discuss the EMS curriculum at the National Fire Academy, the classes offered and some upcoming changes to the curriculum. Additionally, we discuss some of the advantages of attending classes at the National Fire Academy, how to apply for classes and what to expect when you get accepted into a class.
Infectious disease expert Katherine West discusses the current measles outbreak currently ongoing.
Chief Douglas Randell speaks with St. Louis Paramedic (Ret.) Chuck Bennett about working in a large city where anything can happen.
JEMS Editor-in-Chief Dr. Ted Lee talks with CoAEMSP Executive Director Dr. George Hatch about the importance of EMS accreditation. CoAEMSP is the Committee on Accreditation for the EMS Professions.
Katherine West and James Cross explain why employee medical records must be available around the clock.
Dov and Raphael delve into some of the effects of the ongoing war between Hamas and Israel and how it is affecting the people.
The episode focuses on how first responders on the home front are dealing with the fallout of war, both the physical injuries, as well as the psychological traumas. Each person in Israel is carrying around with them a lot of trauma from the war.
How does this play out among the first responders who are already running into often dangerous situations?
Listen to the episode and be inspired by some stories of resilience that can only happen in war.
JEMS Editor-in-Chief Dr. Ted Lee talks to Capt. Rommie Duckworth about about his JEMS article, "Debriefing Tips for EMS Professionals."
Dean Martin, of Crossroads Ambulance Sales & Service, LLC, joins the podcast to discuss the ongoing problem of chassis availability for new ambulances and what he's seeing as a dealer. Additionally, we discuss some of the advantages of ambulance remounts versus new builds.
Jacob Hutton, a paramedic researcher from Canada, is interviewed about his research article in Resuscitation about how the length of on-scene time affects survival outcomes when EMS get ROSC after CPR.
This 2023 article is titled “The association of the post-resuscitation on-scene interval and patient outcomes after out-of-hospital cardiac arrest.”
Dov and Raphael go in-depth into how United Hatzalah, an organization made up of volunteers, showed up on October 7th and saved thousands of lives when Hamas attacked Israel and when government services collapsed.
The two covers everything from operational procedures, heroic stories of volunteers, and straight-out miracles -- all of which culminated in the mobilization of more than 1,000 volunteers in mere hours The lives of more than 3,000 people were saved thanks to the quick response of those volunteers in the organized chaos of the organization's response, all while under live fire.
JEMS Editor-in-Chief Dr. Ted Lee talks with Upper Pine River Fire Protection District (CO) Chief Bruce Evans about his role in mentoring.
Training EMS for field ultrasound is discussed with guest co-host Gordon Johnson, an internal medicine physician from Portland who published an article in POCUS Journal called “Demonstration of a Longitudinal Medical Education Model (LMEM) Model to Teach Point-of-Care Ultrasound in Resource-Limited Settings.”
In this episode, Dr. Johnson leads an engaging conversation with distinguished experts from Norway. We have Dr. Nils Peter Overland, a specialist in air ambulance and anesthesia, and Victoria Vatsvåg, PhD(c), with expertise in ultrasound. Tune in as we explore the intersection of paramedic training, point-of-care ultrasound and resource-limited settings.
Chief Douglas Randell talks with EMS Attorney Douglas Wolfberg about the Elijah McClain case and what it means for medics.
JEMS Editor-In-Chief Dr. Ted Lee speaks with Dr. Sarah Fabiano about her new role as medical director. Dr. Fabiano talks about her history in prehospital care and what she has planned for the future of JEMS.
Attorney Kevin Fairlie joins the Not A Fib Podcast to discuss state supplemental reimbursement programs and the scrutiny these programs are now receiving from the Office of the Inspector General. Additionally, we discuss the importance of compliance programs to protect agencies in the event of an OIG audit.
This podcast reviews an article in JEMS by Flight Paramedic Ashley Buie about Neuroprotective CPR.
Article discussed: Buie, A. (2023, July 25). Neuroprotective CPR. Journal of Emergency Medical Services JEMS. Available at https://www.jems.com/patient-care/neuroprotective-cpr/
Eric Chase gets input and advice from EMS attorney Steve Wirth, Esq., EMT-P, after the guilty verdict of two Colorado paramedics that had been on trial for the homicide of Elijah McClain.
This podcast reviews research in prolonged field care with Aebhric O’Kelly from the College of Remote and Offshore Medicine Foundation.
Article discussed: O'Kelly, A., & Mallinson, T. (2023). Prolonged field care (austere emergency care) principles in UK paramedic practice. Journal of Paramedic Practice, 15(9), 359-366.
Hear an important JEMS Talk on ethics in emergency medical services and mobile medicine.
Items Discussed
• The belief that field clinicians can/should be trusted to make ethical and moral decisions.
• Are we educating clinicians on how to make such assessments, or are we training clinicians to paint by number/practice by rote protocol?
• Are “thinking” vs. a scientifically informed, protocolized approach mutually exclusive—or can they inform one another?
• Are we training clinicians to develop their moral compasses?
• What happens when science suggests that the moral or ethical thing to do is the suboptimal choice (and by what yardstick is that judged)?
Panelists
Christopher Colwell, MD; chief of Emergency Medicine at Zuckerberg San Francisco (CA) General Hospital and Trauma Center
Michael Dailey, MD; director of Prehospital Care Services & Education at Albany (NY) Medical Center
Abby Dotson, PHD; executive director at the National POLST Collaborative, director of the Oregon POLST Registry
Jonathon Feit, MBA; co-founder and chief executive of Beyond Lucid Technologies, Inc.
Keep the conversation going by using #JEMSTalk on social media.
Paramedics in a rural setting respond to a young man who is unresponsive, barely breathing, has pinpoint pupils and has fresh needle marks along his arm veins. Recognizing this as an opiate overdose they assist ventilations and attempt to administer IV naloxone, but have difficulty starting an IV line.
They heard about nasal naloxone, so they squirt a vial of naloxone into the patient’s nose with a syringe (1 ml of 0.4 mg). It does not have any effect but they manage to establish an IV and administer another 0.4 mg IV. The patient awakens. Based on this experience, they decide nasal naloxone does not work and resist adoption of the concept during future discussions.
Read the full article here.
Congenital syphilis is a severe and often life-threatening infection seen in infants whose mothers were infected.
Firefighter/Paramedic Kate Freshman joins the Not A-Fib Podcast to discuss providing care while being recorded live on "Live Rescue" on A&E, and how she became involved with Women in Fire, which led her to create "Fire Up St. Louis.”
They also discuss her work on a peer support committee, working to channel members to the right resources to address mental health issues before they are in crisis.
This podcast reviews RSI research related to paramedics with nurse anesthetist Penny Chiasson. She is also a hypnotherapist with Genesis Hypnosis.
Article discussed: Alzaatreh, M. Y., Alsadi, M. R., Alkhsealat, Y., Alhemedi, M., & Alrabab’a, M. H. (2022). Pre-hospital rapid sequence induction by paramedics: A scoping review. Journal of Emergency Medicine, Trauma & Acute Care (5) 40.
Connections: If you want to connect with Penny Chiasson you can reach her at penny@pennychiasson.com and to connect with the show, reach out through www.ProfessorBram.com.
Eric Chase and Asbel Montes share stories of grace. Accountability still exists and grace allows for forgiveness. Pursue excellence from a place of grace.
Manual ventilation is a basic skill that every emergency medical services (EMS) responder is expected to perform proficiently. Improper manual ventilation may result in significant morbidity; however, there is no feedback mechanism or method of control for the volume, pressure, or frequency during manual ventilation. In this study, we aimed to quantify the ventilation parameters of manually delivered breaths using a simulated lung.
Read the full article here.
This podcast discusses the latest research in EMS bleeding control with Will Chapleau who is a paramedic, nurse, educator and writer.
Article discussed: IPMI. (October 1, 2023). International Prehospital Medicine Institute Literature Review, October 2023. Journal of Emergency Medical Services. https://www.jems.com/patient-care/international-prehospital-medicine-institute-literature-review-october-2023/
Eric Chase talks with Daniel Sundahl in a wide-ranging conversation, which includes post-traumatic growth.
Respiratory distress is one of the most common emergencies resulting in a 911 call. Whether it be an asthma attack, chronic obstructive pulmonary disease (COPD) exacerbation or complication of pneumonia, difficulty breathing is a symptom that prehospital providers encounter quite frequently.
Most patients that call for emergency medical services for breathing problems have known-disease pathologies that are respiratory in nature. For example, patients with asthma, an obstructive pulmonary disorder, often present with chest tightness, wheezing and difficulty breathing.
Nebulized albuterol and supplemental oxygen are normally first-line interventions for the typical asthma attack. Providers understand the mechanism of action for those medications since they aim to correct the impaired respiratory processes as a result of disease.
Read the full article here.
This podcast discusses hypoglycemia research and practice in EMS with Eric Chase who is a comedian, paramedic and educator.
Article discussed: Li, J. (2023, September 6). Article Bites: Is it safe to treat and release patients with hypoglycemia? In EMS1 after previously being printed by NAEMSP.
Dan Griffiths, Chris Winger, Kimberlyn Tihen, Mark Selapack, Brent Osborne and Alex Pafford (Team Mustang from the Spring 2023 Ambulance Service Manager Course) join the podcast to discuss their research project, "Saving Our Medics: The Case for Early Intervention." The focus of their project was identifying mental health issues in providers before it becomes a crisis.
Advanced airway management in EMS systems around the country ranges from surgical airways to laryngoscopy, either video or direct, to the use of a supraglottic airway (SGA) device. As a “blind” airway device, the King Airway has largely replaced the Combitube as the civilian and military SGA of choice due to its design and ease of use. However, over the past decade, there have been many other SGAs, particularly iterations of the laryngeal mask airway (LMA), that have come to market. It is the wide and varied options for an SGA that have necessitated this evaluation as we hope to provide guidance to EMS agencies in choosing a device for their service.
Read the full article here.
Bram Duffee, PhD, EMT-P, discusses “call jumping” in rural EMS with Latimer Hoke, M.Ed, NR-AEMT, who is a first responder and educator.
Article discussed: Hoke, L. (2023, August 22). Not Truly Off-Duty: True ‘First’ Responders in Rural Areas. Journal of Emergency Medical Services. https://www.jems.com/operations/not-truly-off-duty-true-first-responders-in-rural-areas/
Connections: If you want to connect with the Latimer Hoke you can reach him at latimerhoke@gmail.com and to connect with the show, reach out through www.ProfessorBram.com.
In this episode we talk with Devin Howell, DO, AEMT-CC, about his journey from EMT to EMS medical director.
Pulmonary hypertension (PH) is a chronic disease associated with significant morbidity and mortality, responsible for approximately 15,000 deaths per year in United States.
The deleterious cardiac effects associated with PH (e.g. Right Ventricular disease) render this population particularly susceptible to decompensation. Hypoxemia, acidosis and hypercapnia are not well tolerated in PH and will acutely increase pulmonary artery pressures, leading to hemodynamic collapse.
Read the full article here.
Eric Chase sits down with Oklahoma City Fire Department Lieutenant Danny Brown as he shares his story of failure and brokenness and how support from his wife, fire family and counseling helped him to realize it's ok to let go.
On this episode, Dr. Bryan Bledsoe joins the podcast to discuss a January article from JEMS, which he co-authored with Dr. Jeff Salomone, titled "Traumatic Cardiac Arrest (TCA): Maybe We Could Do Better?"
Additionally, we discuss his introduction to writing textbooks and his views on EMS education moving into the future.
Management of acute respiratory distress isn’t an exact science. Good patient outcomes rely on your ability to assess ventilation, oxygenation, work of breathing (WOB), lung function, airway resistance and air flow. The number of treatment choices is increasing, and they’re becoming more complex. Does your patient need medication, suctioning, airway management, ventilation, intubation, non-invasive ventilation or just close observation?
Some practices of the past served only to disguise deterioration. With everything available to today’s EMS provider, you need some pearls of wisdom for effectively assessing and successfully treating patients having difficulty breathing.
Read the full article here.
Not every patient experiencing a moderate level of hypoxemic respiratory failure does well on a high-flow nasal cannula. (Photo courtesy Hamilton Medical AG)When I first started as a hospital respiratory therapist, the nasal cannula was our go-to low-flow (LFNC) device, designed to deliver an FiO2 of approximately 24 to 44% at flows of 1 to 6 liters per minute. When patients needed more oxygen, we would typically consider a face mask using a humidified large volume nebulizer to deliver 35-50%. A tandem setup could deliver upward of 80-90%. When more oxygen was necessary, we had the NRB (non-rebreather) mask.
Read the full article here.
In this episode of the STAT Financial Health: EMS Personal Finance podcast, we talk with Amy Eisenhauer, also known as The EMS Siren, about starting a side-hustle or small business while working in EMS.
Infection control consultant Katherine West identifies mosquito-borne diseases and gives prevention measures for EMS providers.
Mark Flauter introduces the first episode of his "Not A-Fib" podcast and discusses his role as deputy chief of EMS for the Florissant Valley (MO) Fire Protection District.
Mark highlights several issues facing EMS, including personnel retention, leadership, career development, education, recruitment and mental health.
Next month's episode features Dr. Bryan Bledsoe. He invites listeners to share their thoughts and concerns about EMS either on Instagram or email.
Dov and Raphael get into some of the worst pet peeves that EMS responders experience. They happen to us all, in every profession, but in EMS when lives are in the balance, pet peeves take on a whole new meaning.
Give a listen and write in the comments some of the pet peeves that you've experienced on the job. We'd love to hear from you what really gets your goat on the job.
Together, we may not be able to solve them, but we can all identify with them and empathize with one another.
We all have it, some of us use it, but few use it to its full potential. I’m referring to the measurement of end-tidal carbon dioxide (ETCO2). The objective of this presentation is how to tell from those “expellings” the best way to optimize survival after cardiac arrest (CA). Our objectives will be to measure and use ETCO2, as an invaluable guide to resuscitation care.
Read the full article here.
It's time to rethink strategies and tactics to unify the workforce and achieve equity. Eric Chase has a conversation with Alanna Badgley, Anthony Almojera and Bryony Gilbey.
Positive End Expiratory Pressure, or PEEP, is getting a lot of attention lately. First described in 1938 as an addition to mechanical ventilation that improved oxygenation in acute pulmonary edema, asphyxia and sepsis, the hemodynamic effects of PEEP prevented its widespread use until the 1960s.
By 1970, PEEP had gained traction in treating premature neonates with respiratory distress and adults with acute respiratory distress syndrome (ARDS). Today, a growing body of literature suggests that PEEP benefits a wide variety of patients with respiratory distress and might well be useful any time you need to assist ventilations.
Read the full article here.
Raphael and Dov get a bit personal and talk about their first times in EMS, from the first EMS call they witnessed, to their first ambulance rides, to the first time they responded to terror attacks and many more. Join us on the road of nostalgia, because there is nothing like your first time, and you never forget it, either.
In this episode of the STAT Financial Health EMS Personal Finance podcast, we talk with Chief Bruce Evans of the Upper Pine River Fire Protection District about the benefits of charitable giving. Chief Evans shares his personal experiences with charitable giving throughout his life and professional career. We also discuss donor advised funds and how they can be used to support charities you care about.
Raphael and Dovie talk about how United Hatzalah developed several specialty programs that came out of the needs within various groups and communities that the organization serves across Israel, and within the EMS system itself, and how these programs fill the need that was recognized by volunteers with a heads-up attitude.
These programs include using an ambucycle to get through traffic; training community members in underserved sections of the country; a nationwide geriatric preventative medicine care program; as well as a hospital emergency room relief project; and the newest pilot program, flying pediatric oncology patients in Israel's periphery.
Give a listen, and when you're out there, if you see a need, try to find a way to fill it.
As a kid growing up in Fort Worth, Texas I had little interest in ambulances or medicine. I do remember one thing about the ambulances in the late 1960s in that they always had signs on the side that stated “oxygen equipped” in big letters. Before that, the ambulances were emblazoned with the phrase “radio equipped”—but that is a different story.
Read the full article here.
This episode’s theme is “The Link Between Money and Mental Health for Emergency Care Clinicians.” Host Sean J. Britton provides an overview of the link between money and mental health, within the framework of financial health being a component of overall well-being. This brief talk is focused on resources available to members of the emergency care profession.
Eric Chase talks with John Sammons about the importance of patient-centered care and service in EMS.
CPAP (Continuous Positive Airway Pressure) is a valuable tool for a wide variety of patients with acute shortness of breath. There are very few reasons why any acutely dyspneic patient should not have at least a trial of CPAP. In some situations, such as acute pulmonary edema, the beneficial effects of CPAP become apparent within seconds to minutes.
Read the full article on EMS Airway.
Norman (OK) Councilmember Rarchar Tortorello talks to Eric Chase about leadership, discipline, toxicity and more in the city and at the fire department.
Dov and Raphael delve into the most frustrating things that happen to us all. From not being able to arrive at a call on time, to receiving a wrong dress from dispatch, to being pulled away from the most important moments to help save a life. Perhaps the most frustrating things of all is realizing we can only help so much.
While trying to keep it light-hearted the pair offer some advice on how to deal with the most frustrating things of all.
Here’s an argument while BLS providers should be able to use continuous positive airway pressure when treating patients.
Read the full article on EMS Airway.
Infection control expert Katherine West explains why antibiotic resistance is a big problem right now.
As you enter the house your patient looks at you anxiously. He’s sitting upright, leaning forward. You note circumoral cyanosis and obvious respiratory distress as he attempts to speak. As you approach, you place him on oxygen with no relief. Upon auscultation of his chest, you note wheezing throughout his lung fields. You and your partner begin to administer a common bronchodilator albuterol when you remember — all that wheezes is not asthma.
Read the full article on EMS Airway.
You arrive on scene and find a 68-year-old man is lying on the couch with difficulty breathing. He’s obese and obtunded, with severe respiratory distress.
His wife tells you he has a history of congestive heart failure. He appears pale and diaphoretic, with snoring, slow, shallow breaths and his initial oxygen saturation is 72%. What are the most important first steps in managing his airway and breathing?
Read the full article on EMS Airway.
Special thanks to Debbie Herrell from Shriner's Hospital and Terrence Sheehy with Dare County (NC) EMS.
Introduction
- Welcome back to the EMS Handoff Podcast
- Hosts: David Blevins and Bradley Dean
- Special guest: Debbie Herrell, expert in pediatric burn injuries from the Shriner's Hospital and Terrance Sheehy with Dare County EMS
Overview of Pediatric Burn Injuries
- Unique considerations in treating pediatric burn patients
- Differences in burn classifications and assessing burn depth
- Importance of understanding the susceptibility of children's skin to burns
Pain Management for Pediatric Burn Patients
- Effective methods for providing pain relief to pediatric burn patients
- Pharmacological options and non-pharmacological interventions
- Distraction techniques tailored for pediatric patients
Addressing Emotional and Psychological Impact
- Understanding the long-lasting emotional and psychological effects of burn injuries on children
- Providing psychosocial support to pediatric burn patients and their families
- Involving parents and caregivers in the healing process and connecting them with appropriate resources
Resources and Training Opportunities
- Highlighting organizations such as the American Burn Association and the National Association of Emergency Medical Technicians
- Resources, training programs, and certifications specific to pediatric burn care
- Importance of interagency collaboration between EMS providers and burn centers
Conclusion
- Thanks to Debbie Herrell for sharing her expertise on pediatric burn injuries
- Reminder to subscribe for future episodes of the EMS Handoff Podcast
- Stay safe and keep up the great work in the field
Note: These show notes provide a brief summary of the 65th episode of the EMS Handoff Podcast featuring a discussion on pediatric burn injuries. For a comprehensive understanding, please listen to the full episode.
This week on the EMS Handoff Podcast, Hosts Bradley Dean and David Blevins take on the North Carolina EMS Expo and this episode brings together the Handoff team and the founder of Dt4EMS, Jason Brooks, to talk about the violence toward healthcare providers. There is a lot of information about the encounters and how to preemptively identify different threats, and ways to evade if needed. If you want to bring this to your service, reach out to Jason below.
Contact us
Bradley Dean: Bradley.dean@handoffmedia.com
David Blevins: David.blevins@handoffmedia.com
Guests
Jason Brooks. jbrooks@dt4ems.com
This week on the EMS Handoff Podcast, Hosts Bradley Dean and David Blevins bring on Howie Mell, a paramedic turned physician who talks all about physicians in EMS. This podcast is for those who happen upon a scene and offer to help, to those that have given orders. Have you ever wondered what you should do with physicians and what authorization do they have on your dispatched scene?
Contact us
Bradley Dean: Bradley.dean@handoffmedia.com
David Blevins: David.blevins@handoffmedia.com
Howie Mell - howie.mell@gmail.com
Here’s a talk Jonathon Feit gave at the National Association of Mobile Integrated Healthcare Providers in March 2023.
When applying a device to deliver noninvasive ventilation (e.g., CPAP or BiPAP) to a patient, many providers forget to pay attention to one of the most critical aspects of using these lifesaving devices: the mask that assists to deliver oxygen at the flow rate set on the device.
Read the full article here on EMS Airway.
In this episode, Dov and Raphael get into high-flying and hijinks of responding to medical emergencies that take place in flight.
From emergency calls of fainting and blood pressure problems to full-on anaphylactic shock and CPRs, Dov, and Raphael talk about a series of real-life stories of medical intervention from 35,000 feet and up. What would you do if you were asked to be the medical responder on-board a mid-air flight?
Douglas Randell speaks with NREMT President-Elect Mike McEvoy and Chief Operating Officer Alan Arguello at FDIC International. Doug later talks to Nina Powell, a public information officer for the Brownsburg (IN) Fire Territory.
In this week’s episode of the EMS Handoff Podcast, Hosts Bradley Dean and David Blevins are joined by Jonathan Jenkins, a paramedic, educator and innovator. He serves as the education and training administrator with Mutual Aid Ambulance, Inc. and program director with Mutual Aid – Excela Health Paramedic Training Program.
In this session, we talk about lift assist calls, or the cases that are simply quickly assessed and released. What is the true meaning behind that lift assist? Maybe it’s something more than you originally thought.
Contact us
Bradley Dean: Bradley.dean@handoffmedia.com
David Blevins: David.blevins@handoffmedia.com
Jonathan Jenkins: clinical conceptspodcast@gmail.com
Host Eric Chase sits down with Freedom House Paramedic John Moon about the history of the trailblazing service, and its legacy today.
On this week’s episode of the EMS Handoff, Bradley and David are joined by Rob Lawrence to discuss recruitment and retention, fees for readiness, and how to take that first bite out of the elephant in the room, or maybe the 10 of them. Joined live with Bradley Dean at the North Carolina EMS Expo, Rob has just concluded one of the keynote presentations.
How to reach us:
Bradley Dean: Bradley.dean@handoffmedia.com
David Blevins: David.blevins@handoffmedia.com
EMS Airway editor Jeff Frankel speaks to Chris Kroboth about his new series entitled “Friday Night Lights” at FDIC International. Read the first two installments here and here.
Medix Type I, Type II and Type III ambulances deliver the industry’s highest possible performance value. Go safely, effectively, and efficiently with ambulance models that provide best-in-class delivery. Learn more at https://medixambulance.com/.
Host Sean J. Britton provides an overview of the protections in place to safeguard deposits at banks and credit unions, and consumer protections in place to safeguard against fraudulent debit and credit card purchases. Additionally, you will be presented with three actionable strategies to protect yourself from credit and debit card fraud.
Medix Type I, Type II and Type III ambulances deliver the industry’s highest possible performance value. Go safely, effectively, and efficiently with ambulance models that provide best-in-class delivery. Learn more at https://medixambulance.com/.
Beyond Lucid Technologies’ Jonathon Feit talks with Larkspur (CO) Fire Protection District Chief Stuart Mills.
Chief Mills runs an extremely nimble and innovative transporting fire service nestled between Denver and Colorado Springs. This rural department was the first in the U.S. to share real-time consumable data with his hospital partners to participate interactively with a health information exchange.
The former Navy man at its helm has a unique management style that empowers every one of his crew members to step up and understand the burdens of leadership.
Medix Type I, Type II and Type III ambulances deliver the industry’s highest possible performance value. Go safely, effectively, and efficiently with ambulance models that provide best-in-class delivery. Learn more at https://medixambulance.com/.
Eric Chase has a conversation with three-time sudden cardiac arrest survivor Steve Dunn.
Medix Type I, Type II and Type III ambulances deliver the industry’s highest possible performance value. Go safely, effectively, and efficiently with ambulance models that provide best-in-class delivery. Learn more at https://medixambulance.com/.
Dov and Raphael delve into some of the challenges and humorous stories that take place in Israel during the spring holiday seasons. They advise how to avoid the pitfalls that many people find themselves in during this time of year.
As there currently is a concurrence of three major holidays in Passover, Ramadan, and Easter/Pascha the entire populace is out celebrating the holy and happy time, which means... you guessed it, far more emergency calls. From hiking and water drownings to dehydration and spring/Passover cleaning-related injuries, Dov and Raphael take you behind the scenes into some harrowing calls and talk about how preventable injuries and deaths are really hard to handle.
Demers Ambulances is one of the largest, most trusted ambulance design and manufacturers in the world with a vision to build safe, reliable, and efficient emergency vehicles to assist paramedics in saving lives. Demers manufactures Type I, II and III emergency medical and fire ambulances that set the bar for quality, innovation, attention to detail, and rigorous testing. To find a Demers ambulance dealer in your region visit https://www.demers-ambulances.com/ Your partner on the road, every day, on every call.
Katherine West provides an overview of Candida auris and why the fungal infection could easily spread.
Demers Ambulances is one of the largest, most trusted ambulance design and manufacturers in the world with a vision to build safe, reliable, and efficient emergency vehicles to assist paramedics in saving lives. Demers manufactures Type I, II and III emergency medical and fire ambulances that set the bar for quality, innovation, attention to detail, and rigorous testing. To find a Demers ambulance dealer in your region visit https://www.demers-ambulances.com/ Your partner on the road, every day, on every call.
Eric Chase talks to Keith Humphrey, the former police chief of Norman (OK) and Little Rock (AR) about command staff perspectives for current and aspiring leaders.
Demers Ambulances is one of the largest, most trusted ambulance design and manufacturers in the world with a vision to build safe, reliable, and efficient emergency vehicles to assist paramedics in saving lives. Demers manufactures Type I, II and III emergency medical and fire ambulances that set the bar for quality, innovation, attention to detail, and rigorous testing. To find a Demers ambulance dealer in your region visit https://www.demers-ambulances.com/ Your partner on the road, every day, on every call.
Eric Chase speaks with Valerie Bestland, flight paramedic and founder/CEO of All EMS Women. The group is about community, well-being and support. "I want to support every last woman that considers herself in EMS,” Bestland says. This is a good listen for individuals of any gender.
This episode’s theme is “Savings: Our Subconscious Beliefs and Actionable Strategies to Overcome Them.” Host Sean J. Britton provides an overview of money scripts, which is one psychological framework to describe how people approach money and personal finance. Additionally, you will be presented with three actionable strategies to help improve your personal savings by overcoming your own subconscious beliefs about money and personal finance.
Eric Chase speaks with Jeff Dill of the Fire Fighter Behavioral Health Alliance about making the internal size-up and helping our brothers and sisters in need.
In this episode, Dov and Raphael go behind the scenes on the recent launch of United Hatzalah's airborne medical unit and new medevac program. The newly launched program will consist of 30 specially trained paramedics who have all just recently graduated from intensive medevac flight training and will operate on three medevac helicopters that will be spread across the country.
This new unit, as all units run by United Hatzalah, will cut down response times a provide an additional option to the government-run medevac program which currently operates two medevac choppers.
With its inauguration, United Hatzalah operates, by land, by sea, and now by air!
From isolation to engagement, Eric Chase has a passionate and multifaceted conversation with Michael Chanat, BS, MS.
Dov and Raphael discuss how United Hatzalah got a relief team to Turkey following the earthquake in just a few hours and some of the work that the medical rescue team undertook while on the ground.
Dr. Rita Nakashima Brock and James Wong speak about moral injury, seeking connection, compassion and love.
Infection control consultant Katherine West compares and contrasts N95 respirators to surgical masks for protection for EMS personnel.
As Ukraine suffers a major electrical crisis due to Russian bombing attacks and the full onset of a freezing winter, United Hatzalah kicked into gear the next phase of our relief mission codenamed "Operation Orange Wings," which has been ongoing since the onset of the war.
Dov Maisel discusses his own personal experience in delivering more than 100 electrical generators to orphanages, schools, medical clinics, and community centers in need of power.
Our teams are in the middle of purchasing and dispensing close to 500 generators to those in need across the country. In a country where electrical generators are in scarily short supply and are often used as major currency currently, our teams jumped in to provide these much-needed devices that are actually saving lives.
In this episode, which had to be put on pause due to a terror attack against one of United Hatzalah's ambulances that resulted in an injury to and EMS provider, Dov and Raphael discuss the terror attack itself, Raphael's first real-life MCI that took place a few days earlier, and a crazy incident involving a Zebra. All of these incidents occurred within just a few days of one another really made us recognize, once again, that there is no dull moment in EMS.
Infection control consultant Katherine West identifies the role of EMS in the prevention of medical transport-associated infection.
Dov and Raphael delve into the harrowing tragedy that took place in Jerusalem on Nov. 23, 2022, when a double- bombing terror attack took place that claimed the life of an innocent teenage boy and injured 31 others.
The bombings took place at two separate highly-frequented bus stops in the city and stirred old traumas from attacks in the early 2000s.
This was the first such terror bombing to take place in the country since 2011.
Host Eric Chase has a conversation with Sean Britton, a strategic problem-solver/financial advisor, about financial health and wellness planning.
This podcast is sponsored by ZOLL.
In this episode, Dov and Raphael are once again joined by Gavy Friedson, United Hatzalah’s Director of International Emergency Management. Friedson acted as the mission commander for the organization’s relief efforts both in Puerto after Hurricane Fiona and in Florida after Hurricane Ian.
The trio discusses the team’s efforts in Florida and how the Psychotrauma and Crisis Response Unit once again worked to assist the residents who were adversely affected by the hurricane. Thanks to the many surprises along the way that challenged the group's efforts, teamwork and partnerships were essential in allowing the team to provide psychological treatment and relief for hundreds of residents who lost everything.
This podcast is sponsored by ZOLL.
Dov and Raphael are joined by United Hatzalah's Director of International Emergency Management Gavy Friedson, the mission commander for the organization's relief effort in Puerto after Hurricane Fiona.
The trio discusses the team's efforts in Puerto Rico and how the Psychotrauma and Crisis Response Unit worked to assist the island's residents while connecting with local service providers and individuals to be a force multiplier for relief efforts.
This podcast is sponsored by ZOLL.
Trauma Behind the Badge Co-Founder Christopher Scallon shares his truths and vulnerabilities.
Dov and Raphael delve into common EMS incidents where taking a second to stop and think quickly on one's feet about how to proceed can actually save precious minutes when responding. Taking a moment to stop and think can help prevent operational miscues and allow for faster treatment and transport of the patient. From the mayhem of the Jerusalem Bus Terminal to treating a crane operator 30 floors up on his crane, and from a car hanging on the brink of a cliff to a more run-of-the-mill call for a fallen patient and needing to get them down six flights of stairs, thinking fast and acting slow can save a lot of time and anguish for both the providers and the patients while showing them an extra level of care.
This is a stirring conversation with Michael Touchstone. Be a change agent. Be a student. Treat other humans well.
Sean J. Britton, MPA, NRP, speaks about his recently published JEMS article, Financial Health and Wellness for EMS Clinicians.
Britton is a practicing paramedic and EMS educator at Superior Ambulance Service in Binghamton, New York. Sean is the principal and financial Planner at STAT Financial Health. He was formerly the chair of the EMS workforce committee of the NAEMT.
In this episode, Raphael and Dov discuss how remembering to focus on the basics of EMS saves lives. The duo talks about some humorous, and some not so humorous, stories that took place recently in Israel and how focusing on basic protocols ended up saving the lives of the patients.
Host Eric Chase speaks with Aaron Rhone, PhD, MPA, the bureau director at Pennsylvania Department of Health Bureau of EMS, about flexibility, connection, education, vision, bias, and integrity, among other subjects.
In this episode, Dov and Raphael delve into the week that was (August 5th-12th) wherein United Hatzalah, as a national EMS provider, responded to a war, a major terror attack and a series of horrific bus accidents. Give a listen to get a taste of what that one week was like for the EMS first responders in Israel.
Hosts Scot Phelps and Maria Werner talk about Scot’s trip visiting EMS systems in Helsinki, Finland, Tallinn, Estonia and Vilnius, Lithuania.
This episode discusses the really tough calls, the ones that leave us scarred and filled with emotional and psychological baggage. It gets into a lot of heartfelt and tense issues. It may not be suitable for all listeners.
In today's episode, Dov and Raphael dig way down and discuss “That Call,” the call that no one wants to respond to, the worst calls that we have ever responded to, the ones that leave us wrecked at the end. Both of the presenters talk about the worst call that they have ever responded to and paint a picture of what a first responder goes through when these things happen. They touch upon how to deal with it and focus on a positive outlook for the future.
While this episode starts off very dark, both Dov and Raphael discuss what gives each of them hope and provides some lessons for other responders on how to keep focus both during and after “That Call.”
If you choose to listen, it is advised that you have some tissues on hand, and know that even in the darkest of times and the worst of calls, there is always hope.
On this week’s episode of the EMS Handoff, Bradley and David are joined by Jim Bazluki and Jeff Hinshaw where they take on the topic of the new school year and the rise in sports-related injuries. An extension of the “Jeff and Jim Show,” as they call it, our guests discuss the capabilities of athletic trainers at the local high school, university, and professional settings – as well as relationships with the EMS side during these events. As school years start up across the country, we will dive into what the athletic trainer knows, and how to integrate and collaborate for the highest level of care to our student athletes.
Episode Highlights:
A History of Athletic Training Education
The history between AT and EMS
Numbers of High School Athletes and Injuries Annually
Do you want to practice when it rains?
Heat and Head emergencies
Emergency Action Planning
How to Reach us
Bradley Dean: Bradley.dean@handoffmedia.com
David Blevins: David.blevins@handoffmedia.com
Jeff Hinshaw: jhinshaw@wakehealth.edu
Jim Bazluki: James.Bazluki@atriumhealth.org
This year, David had the opportunity to take the Handoff Podcast to the Tennessee EMS Educators Conference in Murfreesboro, Tennessee. In this compilation, you will hear from Tennessee EMS Education Association (TEMSEA) President Shannon Morphis, Medcognition CEO Russell Unrath, Sumner County EMS Training Officer and TEMSEA Board Member Brent Dyer, and John Scullin from the National EMS Museum.
On this week’s episode of the EMS Handoff, Bradley Dean and David Blevins take on multiple topics affecting EMS in today’s environment. From the proliferation of Monkeypox in the United States to the recently posted position from the NREMT on Accreditation, and lastly, retention efforts in EMS, Bradley and David take on these controversial topics to bring some conversational discussion. We would love to hear your feedback on these topics.
Show Highlights:
- Monkeypox threat and guidance
- NREMT Resolution 22-Resolution-13 on accreditation requirement
- Retention and leadership
Don’t forget to go by our website at www.emshandoff.com or reach out to us on our Facebook pages.
On this week’s episode of The EMS Handoff Podcast, hosts Bradley Dean and David Blevins get back in the Handoff Media Studios for another episode after an extensive break. They welcome Mr. D. Todd Spence, 911 director, paramedic, and author of the book, “What’s a Tactical Medic,” available from Amazon and on Kindle.
During this episode, we talk with Mr. Spence about his process for writing the book, and how he has used it to help educate the community of what is EMS and specifically what is tactical medicine. Over his long career, he had many experiences and his kids knew what he did, but they did not understand it. By creating this book, he was able to let them know, and make an impact on the community. We then go into how to jump into projects like this if you have something that will help the community.
Show Highlights:
- Putting pen to paper. The process for putting a project in motion.
- How to interact with the community and enhance the understanding of what is EMS
- Expanding your career into areas such as tactical medicine.
Contact with D. Todd Spence
- themedictodd.com
- Facebook @themedictodd
Resources:
- “What’s a Tactical Medic” by D. Todd Spence. Available in Hard copy of electronic at Amazon and Kindle.
Technologist Jonathon Feit has often said that the greatest innovations serving Mobile Medicine (Fire & EMS) come from rural spaces. The most obviously reason, perhaps, is that agencies have fewer resources to begin with, and it takes longer for their neighbors to arrive on-scene, therefore they have no choice but to learn how to do more for themselves.
This has always been the hallmark of those who live and work where the wild spirit of self-reliance abides. But there is something else, too: big skies, clean air, and the ability to better afford life and spend less time in traffic tend to attract those who need to be able to afford aspects of life that would be impossible where the norm is sitting in traffic going back-and-forth from long hours in an office: for example, the time to care for a child or parent who is seriously ill or disabled and need more regular attention.
For this reason, while they have fewer available resources that most cities, countrysides tend to attract a higher concentration of people who themselves — or whose parents or children — are more likely to need emergency healthcare. That sets up a Catch-22 and an important risk of health inequity that rural Mobile Medical agencies navigate around the clock. Reuben Farnsworth, who spearheaded Community Paramedicine, ET3, and other specialty care programs at Colorado’s Delta County Ambulance District — an agency that has won statewide honors, including as the first ambulance service to interoperate with the Quality Health Network health information exchange and local hospitals — will explain how a data — and economics-centric management style has powered his service’s success, from clinical medicine, to education and policy development, to advancing legislative priorities with partners.
In this episode, Dov and Raphael take an in-depth look into the challenges presented to first responders by one of Israel's deadliest highways, the Jordan Valley Highway, otherwise known as Highway 90.
Fire Captain Pete Evers shares his story of 30 years of experience catching up to him after retirement and how he started his mental health journey with therapy dogs. Pete is very involved in the non-profit organization 4Paws2Freedom. He currently has a therapy dog sponsored through this organization and encourages his fellow first responders to consider this resource and make mental health a priority.
Infection control expert Katherine West explains what needs to be done to eliminate syphilis in the United States.
Eric Chase talks with Adam Culbertson, fire/EMS coordinator of Edgecombe (NC) Community College. Joining them are instructors Sara Lewis and Gabby Robinson, lieutenants with Edgecombe County EMS, NC. They talk about education, leadership, accountability, patience, love and more.
In this episode, Dov and Raphael talk about how important it is for first responders to honor and get support from our families.
A Marine combat veteran and current law enforcement officer shares various stories of impulsivity and struggle about his journey to get to where he is now.
In today's episode, Dov and Raphael get into the issues surrounding the desire of all first responders to do everything that they can to help -- sometimes too much. The episode includes a harrowing personal story from Dov's past where his rig was involved in a serious accident that left the patient hanging, literally, and Dov had to treat his own crew members.
"As a firefighter, one can expect to be placed in high risk-situations such as an initial attack on a large scale incident.”
Hear clips of a “near miss” that Capt. Kelley Craig experienced. These events can cause fear and doubt about the job. Learn how Craig processed his emotions to have a long career.
"I was absolutely shocked because it was literally moonscaped. It was ash and black twigs sticking out of the ground. I might get really hurt or die, I don't know what is going to happen to me. There was a point when I finally took that deep breath and I cried for a second and thought, OK, we are OK now,” Craig said.
Tony O'Brien, a captain with Boston EMS and treasurer of the National EMS Memorial Foundation, talks about the progress being made to get an EMS memorial in Washington D.C.
In this episode, Dov and Raphael explore the rivalry between EMS rookies and EMS dinosaurs and discuss what each of these groups brings to the table so that each of us as first responders can "play at the top of our game" to benefit our patients.
Katherine West explains what monkeypox is, how it is transmitted and its signs and symptoms.
Celebrating STAR of Life recipients during EMS Week 2022, here’s a beautiful conversation with Juliana Castro, a paramedic with UT Health East Texas EMS.
The Case
RaDonda Vaught was a 39-year old registered nurse serving as the "help-all" nurse (for which there is no specific job description) at Vanderbilt University Hospital on Dec. 26, 2017. She also had an orientee. She was asked to go down to Radiology PET scan and administer the medication Versed to 75-year old Charlene Murphey who had been hospitalized for a subdural hematoma, because she was not able to tolerate the PET scan procedure or else they would have to send the patient back and reschedule it.
She pulled the medication from the Pyxis and put the medication vial in a baggie and wrote on the baggie, "PET scan, Versed 1-2 mg" and went to Radiology to administer the medication to Murphey. Since she had never been to PET scan before, she had to ask for directions, and once she found it, she checked the patient for her identity, and told her she was there to give him/her something to help him/her relax. She administered the medication and then left the area without continuing to monitor the patient.
The Errors
The facts currently understood in this case show that Vaught committed at least ten errors when administering the medication to her patient. These errors include, but are not limited to:
-Searching for the medication by trade name instead of generic, despite being trained to the contrary.
-Selecting vecuronium instead of midazolam or Versed, even though she reports that she was looking for Versed.
-Overriding the warning indicating a none-prescribed medication had been selected (potentially could be excused given the documented EMR issues at Vandy) five times
-Ignoring a warning that the selected medication was a paralytic.
-Failing to note the red all-caps paralytic warning on the cap.
-Failing to note that the medication name on the vial did not match what was ordered or what she was looking for.
-Failing to take action to further verify the medication after noting that the medication was in powdered form when the prescribed medication should have been packaged in liquid form (by her own admittance, she found this “odd”).
-Following the instructions for reconstitution on the vial again without noting that the medication name did not match what was prescribed and that the concentration did not match what was commonly carried in the hospital.
-Actually administered the wrong dose of the wrong medication (1 mg vecuronium instead of the ordered 2 mg versed).
-And, last but not least, failing to monitor the patient, even briefly, for any adverse effect after administering the medication.
The Outcome
Within the hour, the Transporter found the patient unresponsive and the Radiology Technician called a rapid response and started CPR. By the time Nurse Vaught arrived, the patient had been intubated and the heart rate had returned to normal. Nurse Vaight told the team that she had administered Versed to the patient only a few minutes before. Vaught stated RN #2 approached him/her and asked, "Is this the med you gave Ms. Murphey?" and Vaught responded "yes." Vaught then stated RN #2 said, "This isn't Versed, It's Vecuronium." Vaught then went into Murphey's room and informed Physician #2, and the NP that she had made a mistake and administered Vecuronium to Murphey instead of Versed.
Murphey was declared brain dead on January 27th and removed from life support. She died a short time later.
So....Why Might This Be a Good Thing?
- The "Go Along" Attitude
Clinicians often violate the written policies of the organization because the organization does not want or expect the written policies to be followed. Murphey's care alone required at least 20 cabinet overrides in just three days, Vaught said. "Overriding was something we did as part of our practice every day," Vaught said. "You couldn't get a bag of fluids for a patient without using an override function." https://www.wesa.fm/2022-03-22/as-a-nurse-faces-prison-for-a-deadly-error-her-colleagues-worry-could-i-be-next
When peers face criminal charges for "going along," the willingness to "go along" comes to a screeching halt, and they will "work to rule".
Employees can force organizations to stop the "paper policy" model by simply demanding that they be allowed to comply with the actual written rules of the organization.
If the policy says that you need to check out your truck before responding to a job, then refuse (yes, REFUSE) to take a job until you have completely checked out your truck. That's not insubordination, that's the policy of the organization.
- The Martyr Problem
Clinicians also sacrifice their short- and long-term health and safety in order to try to correct long-standing system problems.
At several places where I once worked, the BLS crews would transport every patient, no matter how minor, to the hospital with red-lights-and-sirens in order to get available as soon as possible because the system did not have enough ambulances to respond to all of the jobs in the city in a reasonable time.
Worse, it is common in many places for clinicians to work for less-than-sustenance wages and meager or even non-existent benefits instead of EMS systems demanding that local government appropriately fund EMS costs that are not covered, BY DESIGN, by health insurance.
When peers face criminal charges for mistakes made (such as recently happened in Hamilton Paramedics Steve Snively and Christopher Marchant in Ontario), the willingness to be a Martyr dissipates once they see that the system does not value their sacrifice.
You're never going to get enough ambulances if you keep trying to fix the deficit by regularly risking your life. It is actually a compensatory mechanism that is working against your (and your community's) long-term interests.
Plus, if you hit a kid going to the hospital with red-lights-and-sirens with a stable patient, what do you think your department will do- back you up or fire you because you "violated department policy?"
References
CMS Report on Event: https://www.documentcloud.org/documents/5346023-CMS-Report.html?fbclid=IwAR2xQsxlfKxis4mecgrCSt-6XvKnSmKDeN7Sb_20is2oBbFICt_9xUDkyvQ#document/p6
Vanderbilt's Corrective Action Plan: https://www.documentcloud.org/documents/6535181-Vanderbilt-Corrective-Plan.html
Does Your Facility Have Your Back?: https://yournurseattorney.com/does-your-facility-have-your-back/
Vanderbilt Failed To Report Unnatural Patient Death: https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/
At Least 10 Errors: https://www.tennessean.com/story/news/health/2019/03/27/radonda-vaught-vanderbilt-nurse-homicide-trial-vecuronium-versed/3216750002/
Nurses quitting after Vanderbilt Verdict: https://www.npr.org/sections/health-shots/2022/04/05/1090915329/why-nurses-are-raging-and-quitting-after-the-radonda-vaught-verdict
Hamilton Paramedics Get 18-month term for conviction: https://globalnews.ca/news/8518655/hamilton-paramedics-to-be-sentenced-in-al-hasnawi-case/
Medical Errors: https://en.wikipedia.org/wiki/Medical_error
The Checklist, by Awal Gagande: https://www.newyorker.com/magazine/2007/12/10/the-checklist
Institute of Medicine's "To Err is Human" Report: https://nap.nationalacademies.org/catalog/9728/to-err-is-human-building-a-safer-health-system
"Just Culture" https://en.wikipedia.org/wiki/Just_culture#:~:text=Just%20culture%20is%20a%20concept,person%20or%20persons%20directly%20involved.
Agency for Healthcare Research and Quality Patient Safety Network Resources: https://psnet.ahrq.gov/issue/just-culture-guide
Wikipedia page for Outliers, by Malcolm Gladwell: https://en.wikipedia.org/wiki/Outliers_(book)
In this episode, Raphael and Dov discuss the recent wave of fatal and non-fatal terror attacks in Israel from the viewpoint of a first responder. How do first responders deal with scene safety? How do they treat patients under fire? What is the emotional and psychological fallout of responding to these attacks on a regular basis?
We go over tips on how to cope with responding to terror attacks and take an in-depth look into the makeup of each attack and how responders approached each one, both correct and incorrect approaches. We also touch upon how the first responders who go through responding to these continuing attacks deal with self-care after the incident is over while staying at the ready for the next one.
Please join us for a discussion on finding a common language in Mobile Medicine. Keep the conversation going by using #JEMSTalk.
Eric Chase talks with Dr. Michael Smith, an academic hospitalist and improvisor. They talk about the benefits of improv in the medical and public safety professions, building relational interactions vs. transactional interactions and much more.
In this third and final installment covering our operations assisting refugees at the Ukrainian border, Dov and Raphael are joined by Linor Attias, a United Hatzalah EMT and one of the mission leaders of Operation Orange Wings. Linor also serves as an emergency management specialist at the Israeli Ministry of Justice and was uniquely suited to be one of the co-leaders of the medical and humanitarian aid mission to assist Ukrainian refugees in Moldova.
In this episode, the trio shares a first-hand account of just a few of the activities that were undertaken as a part of the overall mission, one of which, was successfully opening Moldovan airspace to humanitarian aid and facilitating the evacuation of refugees via the Chisinau Airport which had been closed since the beginning of the war due to its proximity with Ukraine and Transitania. By doing so, Linor single-handedly made a huge impact on the lives of tens of thousands of refugees who were able to receive medicines, food, and humanitarian aid, as well as depart Moldova for their countries of choice.
In this episode, Dov and Raphael go behind the scene of some of United Hatzalah's black ops rescue operations that have been taking place inside Ukraine as part of Operation Orange Wings. The EMS organization, which took upon itself the task of providing medical care and humanitarian aid to refugees on the Ukrainian border in Moldova, could not sit idly by and allow people with severe medical conditions to wallow in the war-torn country. Instead, they sent in team after team to pull out people who needed medical care in a safe environment and bring them across the border to Moldova, Poland, and many, eventually to Israel.
Join us for a discussion on education in mobile medicine. Keep the conversation going by using #JEMSTalk.
Participants
Jonathon Feit, MBA, MA
Co-Founder & Chief Executive
Beyond Lucid Technologies, Inc.
Mike Touchstone, BSHS, FACPE
Fire Paramedic Deputy Chief, EMS Operations (Retired)
Philadelphia (PA) Fire Department
Past President, National EMS Management Association
In today's episode, Dov and Raphael come to you from the Ukrainian border with Moldova, where United Hatzalah has been undertaking a massive humanitarian and medical relief mission entitled Operation Orange Wings. The mission, which involved more than 150 EMS personnel thus far, has included providing humanitarian aid and medical care to tens of thousands of refugees crossing the border into Moldova.
Our teams have been active at the two border crossings connecting the countries, as well as in numerous refugee centers in and around the capital city of Chisinau. We set up a field hospital in the capital and converted an Irish pub that had been closed due to COVID-19 into an industrial kitchen that has provided more than 80,000 hot meals to refugees. We'll go behind the scenes into some of the stories that took place during the past month of our operation and discuss how our EMS organization began a daily airlift operation that has thus far brought more than 2,000 Ukrainian refugees to Israel.
Eric Chase speaks with Prescott (AZ) Fire Chief Holger Durre, who's the operations advisor for the All Clear Foundation. They discuss the support individuals, agencies and families receive when life gets tough and crises need to be addressed.
Hear about Alberto Uscanga’s journey to become a firefighter-paramedic through mentorship.
In this episode, we talk about the population that accounts for the majority of EMS calls related to illness – the elderly.
Whether the patient has loved ones by their side or is living alone or in a long-term care facility, this population grouping often requires an extra level of care. We'll discuss tips and ideas on how to provide that, even though these calls are often not the “heroic” ones that EMS personnel respond to. We're here to help the elderly like all our patients, and we'll discuss a specialized program that has been developed in Israel that aims to alleviate non-essential calls while providing routine check-ups for the elderly and at the same time alleviating sensations of loneliness among this target population.
Here's a great conversation with Jason Patton, creator of Fire Department Chronicles. He and host Eric Chase talk about taking care of yourself and others.
You can use this presentation to evaluate if your department meets education and training requirements.
Susan Bailey, the director of the Louisiana Bureau of EMS, talks about leadership, diversity, equity and inclusion, education, family, service to others and more.
Mobile integrated health is, at its core, a data program. And that’s how you’ll get paid for it. At the 2021 Atrium Health Community Paramedicine Conference in Cherokee, NC, Jonathon Feit of Beyond Lucid Technologies lays out four ways to maximize reimbursement for your MIH/CP program.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
In today’s episode, we’ll be sharing some of the more dramatic, hilarious and wacky stories of what it means to be a first responder 24/7 and respond anytime, anyplace and anywhere. What happens when you are dispatched to an emergency but are swimming at the beach? Or sleeping at home in your pajamas?
Sponsored by: MEDLITE® First in First Response
McKee Somerville shares her story about insecurities about entering EMS later in life, balancing motherhood, going through a divorce and pausing and restarting paramedic school.
"It was really hard when the personal side would come in. I wasn't home enough... I was being judged from family and close friends," Somerville said. "Being away from the kids is the hardest thing on my mental wellness, but the one thing they understand, is that I am helping someone."
Sponsored by: MEDLITE® First in First Response
Newly retired San Francisco (CA) Fire Department Lt. Cynthia Ricker reflects on her 27-year career and talks about why she chose to retire. She explores how she sustained a long career with calls she still carries.
"I made a pact with myself that if I needed help, I would get it outside of the fire department,” Ricker said.
Sponsored by: MEDLITE® First in First Response
Jonathon Feit and James McLaughlin talk about the real and opportunity costs of community paramedicine/mobile integrated health.
Sponsored by MEDLITE® First in First Response
----more----
Ryan Thorne, founder and CEO of Thorne Ambulance Service, talks about accountability, leadership, retention and more.
In this episode, we delve into the mistakes that can be made by making assumptions out there in the field. Everything from assuming that we received the correct information as a dispatcher or first responder from the person calling for help, to assuming we know where the road should be and that we have the correct address, to assuming the patient may have something they don’t or may have nothing wrong with them at all. In the field of EMS, we can’t assume. We need to use our common sense and play at the top of our game to make sure that all of our patients at any given scene get the care they need. There is a lot to juggle and we share some of the crazy and wacky stories where these assumptions could have made a difference and led to a loss of life, but thankfully, didn’t. Please note that we recorded this episode while wearing masks due to COVID-19 precautions amid the omicron wave and we apologize if the sound is a bit muffled.
Real Life Rescues is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch and goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah.
Firefighter-Paramedic Ryan Woodard-Fire Paramedic talks about traumatic events and how to heal from trauma.
Victoria Reinhartz, PharmD, CPh, joins the conversation on improving patient care while expanding the role pharmacists play in mobile integrated health and EMS. She provides actionable insight for EMS systems and educators.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
In this episode, we’ll be discussing the pandemic of violence against first responders. We delve into the problem of violence, discuss cultural differences, and offer a few suggestions on how to deal with violence if it ever erupts at the scene. We provide a few tried, tested and true tips on how to de-escalate a situation, keeping one’s wits about them and being ready to pull back when necessary.
More than anything, we wish all of our fellow responders to stay safe out there and be prepared.
This is Part 2 of the transformation of firefighter Pranay Manghirmalani, who had the courage to attend a PTSD retreat one year ago. Listen to Part 1 here. Project Mayday supports the journey of mental wellness for our first responders to reduce the unnecessary loss of life. Thank you for sharing your story and we hope this calls out to our brothers and sisters.
EMT Taylor Sprecher shares his story. Taylor highlights the need for building trust during patient interview and assessment in order to reduce adverse effects of medical treatment, mortality and morbidity of transgender patients. Taylor also shares the transition he had to make socially, professionally and spiritually.
Infection control consultant Katherine West explains why guidelines from the Centers for Disease Control and Prevention change using the current outbreak of COVID-19.
Project Mayday had the pleasure of having this unique podcast following first responder Pranay Manghirmalani during his mental wellness journey over the course of one year. This is Part One of a Two-part series where we explore signs of mental struggle and when to intervene. Pranay spoke with Project Mayday the night before he headed to a PTSD retreat and shared his thoughts and feelings before the experience.
This is a fantastic conversation with Anthony Correia, who, after an amazing 40-plus years of fire and EMS experiences, still maintains a growth mindset.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
In today’s episode, we’ll be taking a look at how United Hatzalah, as a national organization operating within the communities throughout Israel responds to wartime situations and deals with both regular EMS calls as well as emergency calls caused by the violence of war and barrages of rocket attacks on a single front or on multiple fronts in the civilian arena. We’ll take an in-depth look at what it means to be a first responder under fire during wartime.
Eric Chase spends time with the "Report Doctor," also known as Liz Angeli, PhD. Liz is an associate professor of English, an EMS researcher, an author and a writing specialist. Liz shares her frustration when she was in EMT school about the woefully inadequate training regarding documentation and much more. Liz is dedicated to heling those that serve others.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
We have a special episode for you as we are close to marking six months since the horrific collapse of the Champlain Towers South building in Surfside, Florida. It is therefore my pleasure to introduce a very special guest that we have on today’s podcast, Clinical Psychologist Dr. Sharon Slater. Dr. Slater was one of the team members of the mission that United Hatzalah sent to Surfside, together with Dov, Poch and three other members of our Psychotrauma and Crisis Response Unit. We hope you enjoy this in-depth look into the human tragedy that transpired during and after the collapse and how our team coped with the fallout while providing a small measure of solace for the families, survivors, and first responders who were struggling with the outcome.
Do you need inspiration while progressing toward your ideal career as a current or potential first responder? Justin Hester shares his 10 year search for a firefighter position and how he managed to progress to finish his paramedic license later in life. His ability to navigate life challenges and give back to his community while continuing to strive for balance is an example of mental wellness. Thank you firefighter paramedic Hester, for sharing your story.
“I am a student of the job.” - Justin Hester
Chris Fields, a retired Oklahoma City firefighter, was in the iconic photo with Baylee Almon, the young girl killed in the Oklahoma City bombing on April 15, 1995. He and Eric Chase have a real talk about addiction, infidelity, suicidal behavior, peer support, healthy connections and mental health resources. There is help for those of you that are struggling, so please listen to the end. Help and resources are available to you and your loved ones.
Chief Douglas Randell chats with Taz Meyer, bureau chief of emergency medical services in Missouri; Larry Penton, the managing partner of Penton Pending; and Oakland Fire Chief Reginald Freeman.
Host Eric Chase talks with Jonathon Alba, the chief operating officer with Code 4 Emergency Services, talk about engagement, leadership, accountability, communication – and the need for humility, honesty and vulnerability.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider, United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
Today, we’ll be talking about Bystander CPR 2.0, how engaging the community can – and has – revolutionized the speed at which basic CPR is initiated in cases of sudden cardiac arrest across Israel. In this episode, Dov and Raphael will discuss how a small and inexpensive program became a national initiative that resulted in a shift in the number of bystanders willing and able to perform basic CPR during an emergency.
We will discuss the “Safe Family” education program that involved community members taking a four-hour basic CPR and family safety course which has led to dozens of recent instances where bystanders became the “first” first responders and initiated near-immediate CPR that resulted in lives being saved.
How can certain cultural perspectives help with processing grief? Monte Fronk holds many positions as a tribal first responder for the Mille Lacs Band of Ojibwe. On May 26th, 2021, Monte’s daughter was murdered in her Minnesota apartment and is classified as a Missing and Murdered Indigenous Women victim. Monte reflects on how he is able to process his grief through his cultural and first responder lens. "The one unique thing is that in non-native culture we grieve for years... in our stories as our traditional Ojibwe funeral process... is tell everybody that we have to let our loved ones go," he said. "If we continue to grieve, where they are going to.. they wont be happy. They will come back to where they were at. As Ojibwe people, we have to let our loved ones go."
After a short vacation from recording, the EMS Handoff Crew returns to the studio to discuss all things Ketamine. In the news, there has been a significant focus placed on Ketamine after a number of cases have resulted in negative outcomes. How do we go about initial and continuing education regarding medication administration to include Ketamine? There are several questions to ask:
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Solution Looking for a Problem
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Ketamine for Agitated/ Excited Delirium
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Don't Throw the Baby Out with the Bath Water
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Ketamine Lollipops and Training
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Constitutional Rights and Ketamine
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14,000 vs. 1,400 Patients
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Minimum Competency
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De-escalation versus Pharmacology
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Three Traits of a Professional
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
The world of EMS in Israel has drastically changed in the past 20 years, and United Hatzalah has been at the forefront of technological innovations that have been pushing the field of EMS forward throughout the 21st century.
In this episode, we will be discussing some of our more recent large-scale innovations, such as the use of the Carbyne communication and location system; our new Rug Gear communications devices and communications technology that we have built with Widebridge systems and the Israeli Pelephone telecommunications network; and our most recent agreement with City Transformer, which will revolutionize the urban EMS system - utilizing a car-sharing program for first response vehicles that can modulate or transform to less than one meter wide. Due to their modular size, these vehicles are easy to park and drive through traffic and allow first responders who are not motorcyclists to respond to medical emergencies faster.
Ever wonder what else that Apple Watch on your wrist can do? How about that ECG the patient gave you that they took from it? Let’s explore what the Apple Health app and the Apple Watch can do for us in EMS in this episode of The Ready Room!
Paul Main, president of American Ambulance Visalia (CA), speaks about the importance of getting together at conferences and how to continue both professional and organizational development.
Leveraging ePCR Data to Identify the Risk of Post-Traumatic Stress Disorder
This special episode of "Sacred Cows & Data Cubes" was recorded at the HCA (Hospital Corporation of America) EMS Kansas City Symposium in November 2021. It features an emotional anecdote of post-traumatic stress and recovery by Atchison County (KS) EMS captain and retired Fire Chief Rob Brader.
There is safety in numbers: both the math and statistics — and the herd, where one stay anonymous by choice without worry that exorcizing the demons of Mobile Medicine will result in persecution for the dark thoughts that inevitably spawn of this emotional work.
“Let the numbers do the talking” is a core tenet of the approach first revealed to Jonathon Feit, chief executive of Beyond Lucid Technologies by Ron Nichols, director of Chambers County Emergency Medical Services in Texas. Ron uses a questionnaire to see sparks of mental health stress among his personnel in a manner similar to how others might identify infections (say, COVID-19) before they spiral out of control. His crew members have to write an ePCR after every call; and any member of the crew can catch a bad call. He recognized that this offers two opportunities for insight:
- The ePCR not only offers details about what happened on the call, it also offers details about what the crew experiencedduring the call;
- If every member of every crew completes a wellness survey after every call—or even after every call involving specific sentinel events—then the requirement to complete a mental wellness or trauma impact survey becomes, by definition, randomly distributed. There is no longer a need for anyone to “step forward” because everyone has the same requirement. Anyone can catch an unfortunate call.
The result is compelling: The data in ePCRs become vital to crews’ mental wellness and health. No longer are ePCRs mere busywork; no longer should they be despised. Instead, they become something akin to a recurrent Rorschach test for each member of the crew, revealing how they are doing call-by-call, and in aggregate — inviting management to pay attention. At the end of this discussion, we’ll ask: Can agencies really afford not to step in to help, especially amid a talent crunch?
If the analytics can be automated and tuned to examine ePCRs over time, then they can reveal who needs help without a crew member saying anything. This empowers watchful management to step ahead of a health crisis in-the-making, bolstering agency morale and resiliency, satisfaction and safety. ePCR data—maximized to their potential and strung together over time—therefore go beyond the collection of legal, billing, and NEMSIS data. They become a tool to safeguard Mobile Medicine’s most precious resource: its professionals on the line.
How does a family-owned private ambulance company progress in a competitive 911 system? How can private EMS industry promote mental wellness, and what does a chief operating officer (COO) do to maintain his personal stress level during critical incidents? Hear from Jimmy Pierson of Medic Ambulance in Solano County, California.
No topic is off-limits in this multi-party podcast featuring three renowned leaders of Mobile Medicine -- Scott Moore (Moore EMS Consulting, LLC / Workforce Dynamics, Inc), Art Groux (Bennington Rescue Squad, Vermont) and Sean Kukauskas (Spaulding Rehabilitation Hospital EMS, Boston).
The discussion goes far beneath bumper-sticker messages, seeking root causes to develop practical solutions in highly impactful areas of Mobile Medical education, economics, provider mental health and wellness, and management of people and processes. We even discuss issues related to the churn of personnel in and out of the industry — and the associated shortage of qualified new people.
All against the backdrop of the power of data to inform decision-making that elucidates the “invisible contracts” that operate all around us: assumptions made but infrequently clarified, which can lead to strained relationships in an industry that is built on trust. TRUST is perhaps more critical now than ever as Mobile Medicine seeks to navigate changes from all directions, forcing an evolution of the key skills required of both field crews and managers alike.
In the debut episode of the EMS Improv Podcast, Host Eric Chase sits down with Hanover (VA) Fire/EMS Chief Jethro Piland and Firefighter-Medic Craig Bodette. Piland shares his thoughts on LODDs, vulnerability and collaborative teams. Bodette, the department’s peer support coordinator, discusses how collaboration helps build a robust team and response during crisis.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider, United Hatzalah. The podcast is hosted by EMT-P Dov Maisel and EMT-B Raphael Poch
The world of EMS in Israel has drastically changed in the past 20 years, from the innovation of the ambucycle, to pocket BVM’s, and the creation of an nationwide Uber-like network of first responders who provide emergency medical services free of charge to anyone, anywhere, United Hatzalah has been at the forefront of technological innovations that have been pushing the field of EMS forward throughout the 21st century.
And the innovations continue. Due to the magnitude of instances where these devices and technologies have saved lives, this episode will be done in at least two parts.
Topics for this episode include: Socially disruptive innovation and how we used it to lower response times, putting the community at the forefront of lifesaving and small scale innovations at the scene of an emergency.
In part 2 we will discuss our newer innovations from the past year including our new communications and phone technology, the Carbyne system, and co-sharing collapsible cars.
This week, Eric, Bradley and David welcome Chief Mike McEvoy to the EMS Handoff Studios for a discussion about the EMS profession, COVID-19, staffing, leadership and a few other topics.
Chief Mike McEvoy is the EMS Coordinator for Saratoga County, New York, and a nurse clinician in the cardiothoracic surgical ICU at Albany Medical Center where he also chairs the hospital resuscitation committee and teaches critical care medicine. Mike is a paramedic supervisor for Clifton Park & Halfmoon Ambulance, a firefighter/paramedic and chief medical officer for West Crescent Fire Department. He is an EMS section board member for the International Association of Fire Chiefs (IAFC) and in his free time, an avid hiker and winter mountain climber. Mike has been a Nationally Registered paramedic since 1983.
As EMS transitions to a more proactive primary care role in the field, how are we in education creating the context needed for students to succeed?
Greg Johnson joins us for this discussion. He is the EMT/AEMT Coordinator at Columbia State Community College where he leads a highly successful EMT and Advanced EMT program. He is well-versed in didactic, practical, and clinical development of the EMS student and provides a wealth of experience for this discussion.
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Clinicians versus skill junkies
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Accreditation Critical Question
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Field Start
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Clinicians over Technicians
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Clinical Early Start
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Simulation Training
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Avocado Pit Poisoning
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Crawl- Walk- Run
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Into the Pass Rate Weeds
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Building the Autonomous Role in 15- Weeks
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Are Textbooks Needed?
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Paramilitary Style Approach
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Closing Words
Resources
ET3 Model
Don’t forget to go to our newly redesigned website at www.emshandoff.com. Subscribe rate and review the EMS Today Podcast by JEMS and the EMS Handoff YouTube Channel.
…and don’t forget to go to www.thepursueco.com and find the great EMS Handoff Merchandise.
What does an acute stress response look like from a critical incident? Should management have the responsibility of recognizing and intervening in their crew's mental health? Hear Karen O’Barr’s story of her mental growth after a severe traumatic incident as a paramedic.
Welcome to Real Life Rescues, a podcast that goes behind the scenes and takes an in-depth look into the operational and personal accounts of EMS first responders from Israel’s largest fully volunteer EMS provider United Hatzalah. The podcast is hosted by EMT-P (Paramedic) Dov Maisel and EMT-B (EMT) Raphael Poch.
Dov Maisel, in addition to being an innovator, volunteer and world-renowned expert in disaster management, has dedicated his life to saving the lives of others and is one of the founders of United Hatzalah of Israel. Formerly an army medic in the Israeli Defense Forces, Dov served as a combat paramedic in four different wars. He has worked as an EMT, dispatcher, ambulance driver and paramedic. In addition to his duties as one of the leading EMS first responders for United Hatzalah, Dov now serves as the organization’s vice president of operations. He invented what is now used as United Hatzalah’s uber-like GPS -based dispatch system which locates and sends the closest EMT to the medical emergency. Dov lead United Hatzalah’s international relief missions in Haiti, Nepal, Houston and Florida, following the devastating hurricanes of Harvey and Irma, and most recently to Surfside, Florida, following the Champlain Towers collapse.
Raphael Poch, in addition to being one of the organization’s 6,000 volunteer EMTs, is a member of the organization’s ambucycle unit, Psychotrauma and Crisis Response Unit, and serves as the Gush Etzion regional coordinator of the organization’s Ten Kavod project, wherein EMTs visit elderly people in their communities once a week to provide wellness checks and social visits to alleviate loneliness.
In today’s episode, Dov and Raphael will discuss the organization’s recent operational agenda to implement mass-casualty incident training to all of the volunteers throughout the country in response to the three large-scale MCI’s that took place in Israel this year including the largest civilian tragedy in the history of the country which occurred in Meron on April 30th, 2021. They will take an in-depth look into what parts of an MCI lead to the most confusion and difficulty, how the organization trains to become better at dealing with those critical issues. Later in the episode, they give an in-depth first-hand account of what took place during the Meron MCI and how it was different from pretty much every other MCI out there.
On this week’s episode of the EMS Handoff, Eric, Bradley and David take on a conversation about the changing status and laws around the country on the use of marijuana, hemp and CBD products. As the access to some of the derivatives become more readily available, what are the implications of the EMS practitioner in regards to personal use, and what expectations you have when it comes to being drug tested?
Furthermore, we get into possible cases you may see when it comes to the patients we see in the field.
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Legal System at Play
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State and Federal Oversight
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THC and CBD Metabolites
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Drug Testing
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Inner cannabinoid system
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Stress and Marijuana
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Hyperemesis Case Study
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Cannabis induced pneumomediastinum
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Final Notes
Resources
Cannabinoid Hyperemsis Syndrome
Is CBD Addictive?
Pneumomediastinum in marijuana users: a retrospective review of 14 cases
Don’t forget to go to our newly redesigned website at www.emshandoff.com. Subscribe rate and review the EMS Today Podcast by JEMS and the EMS Handoff YouTube Channel.
Don’t forget to go to www.thepursueco.com and find the great EMS Handoff merchandise.
Katherine West looks at how community paramedics need to play a role in infection control procedures.
In the intro podcast to the Ready Room, Derrick Jacobus discusses the word no one wants to hear – suicide. Clinician suicide is an issue that is kept quiet. Resiliency. Therapy. EAP. Counseling. These are words that are not spoken in EMS, so what can we do about it? Join in to hear the introduction to suicide in EMS and provider wellbeing.
In this week’s episode of the EMS Handoff, Bradley, Eric and David come back together behind the EMS Handoff microphones after a much-needed week of rest to discuss those common “lift assist” calls. Ambulance services and fire departments have regular calls to help citizens when they fall and are uninjured. Risk mitigation is not only something that should be done when looking at a community, it should be done when helping our patients. Are there aspects that we can advise on that would help those individuals in the future?
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Risk Mitigation
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Does five minutes now help later?
Potential Recommendations:
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If you have a walker or a cane that you are supposed to use, then use it.
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Don't get out of bed or up from a chair suddenly. Sit upright, pause, then push up from the bed or chair, while also standing up with the muscles in your legs.
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Move cords for lights, TVs and other appliances out of walking paths.
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Know where your pets are before you move.
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Use railings when going up or down steps.
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Wear shoes instead of slippers or socks for better traction.
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Don't use slippery area or throw rugs in the kitchen, hallways or bathrooms.
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Install handholds in the tub and near the toilet.
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Don't walk and attempt to use or read your smartphone or tablet at the same time. Especially, if you are walking up or downstairs.
References
National Council on Aging: https://www.ncoa.org/professionals/health/center-for-healthy-aging/national-falls-prevention-resource-center/falls-prevention-awareness-week
Journal Of the American Medical Association: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783628
What does nearly 40 years of a fire career look like? Hear the story of Chief Mark Romer and his self-reflection of how mental wellness has changed in the fire service – and in his own life.
In this week’s episode of the EMS Handoff, Eric takes the lead as David took the week off. Eric and Bradley are joined in the EMS Handoff Studio to discuss the process of delayed sequence intubation. This spirited discussion, which may have a little heckling of David, includes the current evidence in airway management, especially when using medication to support the process. Tune in and see what you think.
Scot Phelps and Maria talk about the Elijah McClain indictment against three police officers and two paramedics.
The People of the State of Colorado vs. RANDY ROEDEMA, JASON ROSENBLATT, NATHAN WOODYARD, JEREMY COOPER, PETER CICHUNIEC, Defendants.
https://www.pwwemslaw.com/sites/default/files/elijah-mcclain-grand-jury-indictment.pdf
Legal analysis: What the paramedic criminal charges in the Elijah McClain case mean for EMS By Douglas M. Wolfberg, Esq., EMT; and Stephen R. Wirth, Esq., EMT-P Sep 2, 2021 https://www.ems1.com/legal/articles/legal-analysis-what-the-paramedic-criminal-charges-in-the-elijah-mcclain-case-mean-for-ems-wIPxkOn0Hn4ToKVk/
Hamilton, Ontario: Conviction of paramedics following the death of Yosif Al-Hasnawi
R. V. Christopher Marchant and Steven Snively, 2021 ONSC 3901 (CanLII) https://canlii.ca/t/jg9hb
2 paramedics found guilty in death of Hamilton teen Yosif Al-Hasnawi June 8, 2021 https://ca.news.yahoo.com/verdict-expected-tuesday-trial-2-080700585.html
Why the conviction of 2 Hamilton paramedics in Yosif Al-Hasnawi's death may change health care Christine Rankin June 10, 2021 https://www.cbc.ca/news/canada/hamilton/paramedic-trial-guilty-1.6058937
"We don't have any options." - Brian Schaeffer
This week, Eric, Bradley and David welcome the Disaster Preparedness committee to celebrate National Disaster Preparedness Month. This conversation begins with the work of the Disaster Preparedness Committee and then moves into discussion of preparedness of the practitioner.
Guests on the show: Anthony Scott, Debra Bell, William Tatum, Brian Schaeffer, Allison Knox
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EMS in disaster management
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Who pays for disaster preparedness
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ESF #8
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Disaster within a Disaster
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When the annexes run dry
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Practitioner preparedness
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Emergency equipment and ziploc bags
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Joining the NAEMT disaster preparedness committee
* FEMA IS - 520 Continuity of Operations Planning for Pandemic
* www.emergency.cdc.gov
U.S. Army Soldier Tony Cota started his first day of basic training on Sept. 11, 2001. Hear from a soldier's perspective of the impact of wartime and coming home with moral injuries and traumatic images. Cota entered the fire service and found the strength to attend the IAFF Center of Excellence where he was able to put his mental wellness first. "When I felt like everything was coming down on me at once, those were the worst times and I felt like I just can't do it anymore," he said.
This week, Bradley, Eric and David come together for a conversation over a case study. In this case, study we take a look at the treatment and transportation of a 56 year old who is complaining of chest pain; and subsequent 12-lead confirms that. Would you administer the nitroglycerin or hold for another treatment?
References
Prehospital Nitroglycerin Safety in Inferior ST Elevation Myocardial Infarction
https://pubmed.ncbi.nlm.nih.gov/26024432/
- NTG administration to patients with chest pain and inferior STEMI is not associated with a higher rate of hypotension compared to patients with STEMI in other territories.
The Era of Reperfusion
https://www.ahajournals.org/doi/10.1161/circ.102.suppl_1.I-172
JEMS
https://www.jems.com/training-videos/nitro-in-an-inferior-mi/
Inferior Wall Acute Myocardial Infarction: Not as Preload Dependent as Once Thought?
https://www.researchgate.net/publication/312102992_Inferior_Wall_Acute_Myocardial_Infarction_Not_as_Preload_Dependent_as_Once_Thought
https://pubmed.ncbi.nlm.nih.gov/28089058/
Effect of early treatment with anti-hypertensive drugs on short and long-term mortality in patients with an acute cardiovascular event
https://pubmed.ncbi.nlm.nih.gov/19821384/
On this week’s episode of The EMS Handoff, Tennessee EMS Medical Director Dr. Joe Holley, and Dr. Todd Heffern, emergency department director, EMS medical director and president of the Tennessee Chapter of the National Association of EMS Physicians, discuss the role of the EMS physician medical director in 2021 and beyond.
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The "Active" Medical Director
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ASEP Position Statement
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NAEMSP Position Statement
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Pilot programs and new drugs
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Sparse data and medical decisions
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Medical director as conscience of EMS agency
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It's tough to a CQI process
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Top errors in EMS
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Most important approach for ANYONE in the field
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Abnormalities and notation
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Paint the picture of your decision making
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Difference between a clinician and technician
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Acronym courses as continuing education
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Bringing training from Okay to Great
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Patient Outcomes vs. Administrative Outcomes
"Nothing is done as an individual, not fighting and not dealing with trauma, life, war.... nothing." - John Spencer, U.S. Army Major (Ret.)
Retired U.S. Army Major John Spencer shares his story on his journey through war, family dynamics and his own perspectives of what "strength" means. Spencer has a book coming out that is referenced in the podcast in Spring 2022 called "Connected Soldiers; Life, Leadership, and Social Connections in Modern War."
This week, Bradley and David take a look at body cam footage and a presentation that was put out by the Sheriff of San Diego County, California, after a recent incident in which a deputy was face-to-face with a powder substance and suffered a medical emergency.
This video has received publicity on both sides of the conversation. With limited information, we recognize the actions of the partner who went into immediate action for his partner, as well as the attempts to develop material that will help officers everywhere. What are your thoughts?
Hosts Scot Phelps and Maria Werner talk about a potpourri of issues in EMS, everything from the San Diego (CA) Deputy Sheriff who allegedly OD'ed on fentanyl, raises coming to the FDNY EMS and COVID-19.
In this week’s episode of the EMS Handoff Podcast, Eric, Bradley, and David discuss the hot-button topic of body worn cameras in EMS. This is a topic that has made its way through law enforcement, and now with multiple conversations, it is being discussed in EMS. Here are our thoughts.
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Patient privacy concerns
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Blurring the line between us and law enforcement
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What is our use of force policy?
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NEMSIS body cam position paper 06/2021
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Video access and QA
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Consent
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Bodycam feedback
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Patient care documentation gap
Infection control expert Katherine West talks about best practices to protect yourself, coworkers and your patients from infection.
In this week’s episode of the EMS Handoff Podcast, Eric, Bradley, and David welcome each other (at least until David’s internet failed us all) to discuss the current status of coronavirus, vaccinations and misconceptions.
- Digging a hole in the boat
- Let’s talk about the numbers
- Deaths from COVID
- Fall 2021 Resurgence
- Smallpox and COVID
- Science Breakdown
What is the fear behind first responders calling employee assistance program resources? Daltona (FL) Fire Lt. Heather Langston discusses her mental wellness journey and her perspectives about the fire service.
Join Hostess Brett Lyle and caffeine scientist, author and speaker Danielle Robertson Rath as they talk through how to beat burnout in the workplace. In this information-packed episode, Danielle shares details from her book, "How to Get Sht Done When You Feel Like Sht," introduces the five levels of fatigue; gives Emergent Leaders three quick ways to identify fatigue levels in themselves and their teams; and leaves us with four management strategies that any individual, team or agency can adopt today to create more healthy and productive environments.
To continue the conversation with Danielle: Info@greeneyedguide.com or send a personal note with your request to connect on LinkedIn: LinkedIn: https://www.linkedin.com/in/greeneyedguide/.
Lonnie Ellis is a lieutenant for Rowan County Emergency Services. He has been with the agency for nearly four years but has been a paramedic for 15 years. Lonnie started his career in Volusia County, Florida in 2006. He serves in multiple roles besides his officer role as a tactical medic for the county and Salisbury PD SWAT Teams.
What does it say about us when your uniform makes you look like a delivery driver? Scot Phelps and Maria Werner discuss.
The EMS Handoff crew goes it solo discussing the EMS Agenda 2050.
Show Highlights
- Retro EMS in 2021
- Adaptive EMS Mindset
- Adequate Staffing the Clinician of the Future
- Virtual Hospital
- Telehealth, Community Paramedicine, and Home Health
- Auto-ambulances...Roll Out!
“It’s OK to get hurt, but fixers need fixing too.” - Chief White
What happens when a tragedy affects a first responder family? Chief Tray White discusses his own vulnerability during difficult times in his career and personal life.
This episode spotlights the National Registry of Emergency Medical Technicians. Executive Director Bill Seifarth, MS, NRP, explains who they are, what they are currently doing to have a fair, balanced and validated exam, and what is on the horizon.
Over the holiday weekend, host Bradley Dean takes to the microphone to continue the conversation about resuscitation on the EMS Handoff.
New Castle County (DE) Paramedics Implement an Innovative Pay-as-You-Learn Recruitment/Education Academy
Join A.J. Heightman and New Castle County (NCC) Paramedics’ Assistant Chief Chris Johnson for an enlightening 90-minute podcast on the innovative Paramedic Academy implemented by New Castle County (DE) paramedics and offered in neighboring state Pennsylvania at the nationally recognized Good Fellowship Ambulance and EMS Training Institute, West Chester/Chester County, which pays recruits/student applicants while they train at the Academy.
The podcast details the problems of recruitment, candidate training and paramedic retention being experienced nationwide and how the New Castle County Paramedic System developed their innovative approach to recruitment and retention of employees:
- NCC Paramedics conducts intense recruitment efforts over three months targeting a diverse population of New Castle County residents.
- They pay a good starting salary and great benefits to each recruit and it starts when they start school at the EMT level. Yes, all recruits, whether they are already EMTs or not, start at the BLS level of education at the Academy so they all learn it the NCC way.
- They now average 500-600 applicants per academy.
- Their goal is to retain an amazing 20-25 recruits/employees in the 4th academy scheduled to start in January 2022.
The EMS Handoff crew talks with Doug Smith, a co-founder of Platinum Educational Group, on his last day of a practicing paramedic.
Listen to the inside story of rescuing “Lone Survivor” Marcus Luttrell through the perspective of Dr. Tony Brooks, an U.S. Army Ranger on the recovery mission.
John Spencer is the director of Education for Platinum Educational Group. He is a certified firefighter, licensed paramedic and EMS instructor-coordinator in Michigan. John loves the EMS industry that he has been a part of for the past 28 years and enjoys sharing this love with others. He is passionate about advancing professionalism in EMS by teaching with a focus on the affective domain.
Has your department or agency dealt with a suicide involving a co-worker? How does your career change your perspective and personal life? Hear from Ralph McGill, a probationary officer for 21 years, about his experiences on and off the job.
Bradley Dean and Eric McCullough review the somber reality of dealing with deaths in the field. The moral and ethical dilemma that EMS providers can find themselves in should not be ignored.
Often relegated to the periphery, the aging population will increase demand for proper dealing with death training.
This is a perfect podcast for instructors introducing these concepts to students or those who just need a fresh perspective on a very old problem.
Tom Bouthillet is Battalion Chief of EMS for Hilton Head Island (SC) Fire Rescue.
Currently, he is a member of NREMT's Continued Competency Agenda Steering Committee, NEMSMA's EMS Quality Improvement Committee, and NENA's Telecommunicator CPR Working Group. He is also a member of the Editorial Advisory Board for EMS World and a Content reviewer for the British Paramedic Journal.
Previously, he was a member of NHTSA’s High Performance CPR Working Group, director of the South Carolina Resuscitation Academy, co-producer of the Code STEMI web series, content expert for the 12-Lead ECG Challenge smartphone app, and editor of EMS12Lead.com.
Tom is interested in process improvement, system performance, human factors, crew resource management and evidence-based performance measures for time-sensitive diagnoses.
Infection control consultant Katherine West gives an update on Tuberculosis testing for healthcare workers.
Phillip Wahby was a 20-year heroin addict who, with the help of a 12-step program, has been sober since May 2011. Phillip earned his Associate of Applied Science-Paramedic from St Louis Community College Forest Park in 1988. As a paramedic for St Louis, he spent 12 years on the front lines providing emergency care and crisis intervention in emergency settings, receiving multiple Dressel Life Saving Awards for his work.
After getting sober in 2011, Phillip completed a recovery dynamics program, lived in sober living for 2.5 years and has worked hard to mend, maintain and create relationships.
Phillip works with local police departments, fire departments and EMS as a First Responder Liaison to aid in removing the stigma that may come with dealing with substance use disorder. In the past 10 years he has participated in countless local community events such as rallies, legislation days, town hall meetings, street and park cleanups, harm reduction services and Narcan distributions.
He serves currently as the elected Area Chairperson for the St Louis Area of Heroin Anonymous and remains grounded in his own recovery.
Hear from the Friends of Firefighters Podcast, a program that was born from the wreckage of 9/11 and has helped the firefighters of the FDNY. Friends of Firefighters has become an example non-profit that is creating real change with mental wellness among first responders.
May was Mental Health Awareness Month and this episode focuses on the story of a firefighter/paramedic who had a traumatic on-duty discovery. Candace Cox, a licensed clinical social worker and therapist, joins the podcast for a clinical perspective.
In the EMS Careers segment, Dr. Scott Gilmore, the medical director of the St. Louis (MO) Fire Department, discusses his career path.
We’re not ambulance drivers and the public needs to know. The common refrain, “I didn’t know you could do that sort of thing,” should not be uttered by professionals and legislators adjacent to our profession. Fighting entropy in our profession takes a volunteer spirit and Nancy Magee joins us to discuss strategies for doing just this.
Nancy has been active in EMS for over 20 years. Having been a self-employed business owner and consultant for 25 years, and as a volunteer EMT, career AEMT, instructor, field supervisor and director of marketing and client relations for an EMS management service organization, Nancy combines marketing savvy and management perspective with a volunteer’s heart. Her workshop series “Redesigning Volunteer EMS-A Volunteer Survival Guide,” has been presented nationwide and is aimed at helping volunteer EMS agencies overcome fiscal, leadership and recruitment and retention challenges.
She is the author of “REDESIGNING VOLUNTEER EMS.” Her blogs on volunteerism, professionalism and ethics can be found on her website at medictrainingsolutions.org. She is a dynamic and passionate educator, subject matter expert and advocate for EMS volunteers, and presents clinical content geared towards rural BLS providers at EMS conferences across the country.
It’s the EMS Handoff crew on this one discussing medication error, how our squishy brains are terrible at handling complex numbers in high-stress situations and what we can do to offload some of that stress to do the right thing.
This EMS Week episode discusses careers in EMS. Joel Thacker is a paramedic and has ascended to the post of fire marshal for the State of Indiana. How did he get there? Learn how, what inspirations he received and his next steps.
Happy EMS week to our first responders! Hear from a medical director on her perspective on the relationship between hospital staff and field personnel. She has a unique perspective of starting in the medical field as an EMT and how she views EMS.
Preventing Burnout by Advocating for Change in EMS with Dr. Candice McDonald and Nurse Robin Goldinger.
Special guests are Shelly Carter and James Garcia.
Dysfunctional workplaces and a lack of control are two causes of burnout in the workplace. Ignored or unaddressed job burnout stressors can have significant consequences on an individual and the organization.
One way to prevent burnout is to advocate for change within your organization and industry as a whole. It is easy to complain about the way things are, but becoming a change agent is one way to gain power.
Jason Haag is a well-traveled EMS educator who currently works as the quality assurance analyst and clinical educator for MultiMed Billing in Baldwinsville, NY. With more than 18 years of EMS experience, Jason is a critical care paramedic who has experience as an EMS supervisor and CIC certification teaching agencies across New York. He also speaks at conferences, hosts classes and reviews texts for Jones and Bartlett Learning. Jason continues his EMS advocacy with multiple EMS agencies and committees. His involvement with Geneva Fire Department, Boy Scouts, Masons, Rotary, and Ducks Unlimited occupies his days after his daily family time with his wife and son.
Due to mandatory staffing patterns, could this force first responders to leave their chosen career path because of burnout? Mike Lucero explains his perspective as a father, husband and his struggle for mental wellness within his dream career.
Dr. Candice McDonald and Robin Goldinger, RN, talk about empowering women in emergency medical services.
Tim Nowak is the Founder & CEO of Emergency Medical Solutions, LLC, an EMS training & consulting company that he developed in 2010. His background includes nearly a decade of company officer and chief officer level experience, in addition to training content delivery and program development spanning his entire career. Tim also has active experience as a columnist and content developer with over 200 published works and over 100 hours of education content available online. He is also a social media influencer on LinkedIn within the EMS industry.
Infection control consultant Katherine West explains the new influenza vaccines for the upcoming year.
Chief Douglas Randell talks with Kraig Kinney and Dr. Michael Kaufmann from the Indiana Department of Homeland Security, EMS Division, and Dr. Kristina Box, commissioner of the Indiana Department of Health, on the state's Coronavirus response.
Doug Hexel has been in emergency services since 2004 and currently serves as a firefighter-paramedic for the City of Schenectady (NY), a rescue-medical specialist for New York Urban/Technical Search and Rescue Task Force 2 (NY-TF2), paramedic instructor at the State University of New York at Cobleskill and shift commander at the Albany County Sheriff’s Office EMS Division, where he is also a lead instructor. He is a New York State Certified Instructor Coordinator (CIC) and holds technician-level certification in rope, confined space, trench, swiftwater and collapse rescue. His professional passion is educating paramedics and paramedic students in all realms of EMS and technical rescue, as well as removing the stigma of “fire medics” among providers.
Scot Phelps and Maria Werner talk about why 911 controllers and communicators are handcuffed from doing their job the proper way.
If you’ve ever read a medical research study, even just the headline, this podcast is for you. If you’re an EMS educator leading the next generation of EMS providers to our field, this podcast is for you. If you’re a training officer or other EMS professional who presents to colleagues or medical directors, this podcast is for you. You don’t have to be a statistician to interpret all the studies. You don’t even have to be a statistician.
Tony Fernandez has been a nationally certified paramedic since 2005. Tony was the second individual to successfully complete the Emergency Medical Services Research fellowship offered by the National Registry of Emergency Medical Technicians. Upon completion of this program, Tony was a research assistant professor within the Department of Emergency Medicine at the University of North Carolina – Chapel Hill.
Within the department, Tony was the director of Emergency Medical Services (EMS) Research for the EMS Performance Improvement Center, which develops and maintains a comprehensive statewide EMS Data System for North Carolina, South Carolina, and West Virginia.
In addition to serving as research director, his own research focuses on patient care in the prehospital environment, EMS occupational health and safety, disaster preparedness, and understanding the EMS workforce. In 2012, Tony was elected as a Fellow for the American Heart Association (AHA). Tony currently works as a research scientist at ESO.
This is part two of a two-part mid-pandemic deep dive — Jonathon Feit sits down with Joseph Casciotti, battalion chief of Community Medicine at the Harris County (TX) Emergency Service District 48 Fire Department.
In this installment, the two explore the experience of sharing data with a state immunization registry… only to find errors in one’s own vaccine record.
Listen to part one here.
In honor of Telecommunication Week, the EMS Handoff has a special recording highlighting some telecommunication professionals as they discuss telecommunication, the job profile, challenges, and even, the “perfect” system.
Randy Beeman is the current National Emergency Number Association (NENA) chapter president. He is a 30-year retired medic with 40+ years in local government but currently serves as the director of Durham Emergency Communications Center. Randy holds a B.A. in business administration.
Ollie Wall is a communications shift supervisor at Durham Emergency Communications Center in Durham, NC, and has worked for the department for 20 years. Her career began as a telecommunicator and served as a mentor before stepping into her full-time supervisor role.
How fast should you operate an ambulance? How strong is a signature in a patient care refusal situation? Doug Wolfberg joins us to discuss this and more on this week’s episode about Doug’s top five EMS issues.
Doug Wolfberg, a founding member of Page, Wolfberg & Wirth, has been a practicing EMS attorney for 25 years. Doug is a nationally respected EMS leader who has been involved in the profession for over 40 years, having served as an EMS practitioner, a county EMS director and an EMS administrator at the regional, state and federal levels over the course of his career.
Hosts Scot Phelps with Maria Werner talk about why body cameras are a must in EMS for everyone’s sake.
Guest: Jason Patton, Fire Department Chronicles
Jason Patton is a 13-year career firefighter/paramedic and creator of the popular video series Fire Department Chronicles, which amassed 1.8 million followers and over 150 million views.
Jason is also the vice president of Fire Department Coffee, a board member and spokesperson for the Heroes Cup which works with NHL teams, such as the Boston Bruins, to raise money for first responders in need. Jason also represents Banyan Treatment Centers as an advocate for first responders seeking help for mental health or substance abuse issues.
How did the "don't ask, don't tell, don't pursue and don't harass policy" (DADT policy) affect the mental stress of a military soldier? How far have we come for an inclusive culture to promote mental wellness of our first responders? Hear the story of Pete Kruse and his experiences serving in the military and as an EMS specialist.
Guests: Susan Bailey, Chris Way, and Troy Tuke
NAEMT President-Elect Susan Bailey is the director of the Louisiana Bureau of Emergency Medical Services, and has been active in the EMS Industry since 1990. She has experience in both the rural and urban setting. She is the chair of the Commission on Accreditation of Prehospital Continuing Education (CAPCE) Board of Directors and serves as a curriculum and site reviewer, and is a member of the National Association of State EMS Officials (NASEMSO).
NAEMT Treasurer Christopher Way has been an emergency service professional for 28 years. Chief Way transitioned to Kootenai County Fire and Rescue as the fire chief in May of 2020 after serving as the chief officer for the Kootenai County EMS System for the previous seven years.
NAEMT Secretary Chief Troy Tuke began his EMS career after obtaining his paramedic and RN degrees from Brigham Young University-Idaho in 1989. He worked full time as an RN and paramedic specializing in critical care/trauma and flight nursing, before joining the Clark County Fire Department as a firefighter/paramedic in 1996. He was promoted through the ranks of fire engineer, EMS coordinator and assistant chief of EMS until his retirement from CCFD on October 4, 2019. Troy now works with the MountainView Hospital Paramedic Institute as the lead instructor.
Get to know Douglas Randell, what his favorite hobby is, what the EMS P.O.D. is, and learn about the type of podcast topics and people he will have on his show.
A&E Network’s hit non-fiction series “Nightwatch” returns for a new season following the skilled first responders on the front lines of one of America’s most dynamic agencies—New Orleans EMS.
Each one-hour episode of “Nightwatch” chronicles the sacrifice and heroic work of the first responders in New Orleans, a city filled with rich culture and a vibrant community – and an amazing array of EMS calls.
On this special addition of the EMS Today Show, host A.J. Heightman is joined by New Orleans EMS Chief Bill Salmeron and two Nightwatch “cast” members, Paramedic Supervisor Keeley Williams, Paramedic Shaquille Harris and NOEMS Public Information Officer Lt. Jonathan C. Fourcade.
A one-hour special leading up to the premier, hosted by Holly Sherman and Titus Tero, looked back at some of the past seasons’ memorable moments as well as introduced the new team members featured on the series this season.
Guest: Curtis Varone
Does being an emergency service worker impact your freedom of speech online on social media? Are there pictures you can take on scene? What should you do with pictures you need to delete? You may be surprised to learn what could happen if you delete an image prematurely.
Chief Curt Varone, a retired fire chief and current practicing attorney, explores social media and its legal impact for those in fire and emergency services. This podcast has valuable information for those entering our service and critical for those currently practicing.
Varone has over 40 years of experience in the fire service, retiring in 2008 as a deputy assistant chief with the Providence (RI) Fire Department. He is a practicing attorney licensed in both Rhode Island and Maine. Varone has written two books on legal issues in the fire service, is a contributing editor for Firehouse and runs Fire Law Blog. He remains active as a deputy chief with the Exeter (RI) Fire Department.
In the latest episode of Sacred Cows & Data Cubes -- Part one of a two-part mid-pandemic deep dive -- Jonathon Feit talks with Joseph Casciotti, battalion chief of Community Medicine at the Harris County (TX) Emergency Service District 48 Fire Department.
Chief Casciotti oversees Community Paramedicine/Mobile Integrated Health, infectious disease prevention and control, and COVID-19 response (both exposure tracking and vaccinations). No holds were barred in this frank discussion, which covers politics, misinformation, the now-very-clear consequences of raiding public health funding for years, and even the ease of documenting -- on white paper cards -- COVID-19 shots that one may or may not have actually taken.
(Coming soon: Part two will explore the experience of sharing data with a state immunization registry...only to find errors in one's own vaccine record.)
How can storytelling impact the first-responder culture? Hear from a ghostwriter Alee Anderson, who specializes in working with victims of trauma.
"Telling stories is one of the most powerful means that leaders have to influence, teach and inspire,” Anderson said. “What makes storytelling so effective for learning? For starters, storytelling forges connections among people, and between people and ideas. Stories convey the culture, history and values that unite people."
Join EMS TODAY Show host A.J. Heightman, and Douglas Butler, Director of Clinical Services for ImageTrend, one of the nation’s largest and diversified data service companies in the United States, for a deep dive into one of the most comprehensive reports ever produced in EMS.
Guest: President Oren Barzilay
March 17, 2021, marks the 25th anniversary of the merger between FDNY and NY EMS. FDNY EMS Local 2507 President Oren Barzilay was an EMT at the time of this merger. President Oren joins the EMS Handoff crew on this special episode celebrating this momentous occasion discussing not only the history of this merger but where he says FDNY and EMS in the future.
AerosoLess Medical has recently released a revolutionary new face mask that allows medical personnel to again provide nebulized treatments, targeted directly into the patient’s lungs. The SafetyNebTM Mask uses patent-pending technology to create a CPAP-like tight seal with the patient’s face and is also fitted with water-resistant viral filters over its vent holes. These features drastically reduce the ability of pathogens contained in patients’ exhaled breath and coughs to escape into the environment.
The SafetyNeb Mask was introduced to the market by Dr. Paul Louis, an emergency medicine physician. In our new era, where we have a new awareness about aerosols, particularly in the confined space of an ambulance, the SafetyNeb Mask allows frontline workers to treat patients effectively with nebulized albuterol, atrovent and even TXA, without exposing themselves to patient pathogens.
Read more about it in JEMS.
Infection control consultant Katherine West talks about Ebola. Why is she discussing it in 2021? Hasn’t it come and gone? Not exactly.
Guests: David and Kimberly Hughes
In this week’s episode of The EMS Handoff, the hosts take a week off and open up the chest of unreleased episodes from the days of the Tuesday EMS Tidbits Podcast. Back in the day, Eric, Bradley, and David were joined by David and Kimberly Hughes. They are the parents of Drew Hughes and the Founders of the Do It For Drew Foundation. They have a tremendous story about their son, and the events that precipitated the creation of the Do it For Drew Foundation. Their story has inspired many others, and their goal is to help EMS providers around the globe be better every day.
Find more about their story at https://www.doitfordrew.org
Don’t forget to get your EMS Handoff Gear at www.pursueoutfitters.com/emshandoff