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When I started as a paramedic in Hartford in January of 1995, I was given a 100-page protocol book to memorize. There were fewer than 50 protocols in the book, along with pages for 24 medications and 8 procedures. The book was approved by the two largest hospitals in Hartford. Paramedics didnt do 12-lead ECGs then.
Be Skeptical: This is the second important part of my EM philosophy. Be Kind: One more super important thing that you should consider as part of your EM philosophy is to be kind. Brian is the host of the amazing CBC show White Coat Black Art and has authored several great books. It is something I learned from Dr. Brian Goldman.
Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Their back has worsened significantly over the past 24 hours with radiation down the left leg.
Course Hotel: Hampton Inn Bulverde Texas Hill Country (Email Alison.McCully@hiscentre.com for Corporate Booking Link). CEU Pre-Hospital *Military Discounts Available* View Course Dates The post Levitan/Rezaie Practical Airway Course appeared first on REBEL EM - Emergency Medicine Blog. Enrollment limited to 32 maximum • Breakfast.
I am pleased to announce the availability of my latest paperback book. The foundational concept that drove the development of this book is that any agency who responds to emergency requests from the public needs to thoughtfully consider where their resources are located when they are not actively engaged on a call.
If you have enjoyed my blog over the years, please considered buying some of my books this Christmas, either as gifts or to read yourself. Johns Hopkins Press is holding a big sale on my book Killing Season: A Paramedic’s Dispatches from the Font Lines of the Opioid Epidemic. All books are available on Kindle. Only $6.95
At one of the hospitals, while my partner finished up the run form in the passenger seat –shed teched the call–I announced I was going back into the ED to the EMS room to see if they had any pizza. They had more food in the EMS room, but I wasnt in the mood for Oreos or ice cream or browning bananas.
Rezaie, MD (Twitter: @srrezaie ) The post REBEL Cast Book Club Episode 4 — The Rise of Superman: Decoding the Science of Ultimate Human Performance appeared first on REBEL EM - Emergency Medicine Blog. Simply put, flow is the peak of human performance, maximum focus with maximum responsiveness, an optimal state of consciousness.
During the resuscitation, a relative of the patient you have been treating named Rudy makes a derogatory/rude comment about Emergency Medicine (EM) staff. A better option is to try kindness as outlined in the excellent book by Dr. Brian Goldman. Background: Unfortunately, rudeness is a problem that is rife in medicine.
He is the host of the CBC radio show White Coat Black Art and the author of the bestselling books The Night Shift and the Secret Language of Doctors. Dr. Goldman had a fantastic new book published in 2018 called The Power of Kindness : Why Empathy is Essential in Everyday Life.
New ACEP Resource Encourages Employer Transparency, Information Sharing ACEP Open Book, developed with Ivy Clinicians, is a new tool for emergency physicians that uncovers employer practices and shares important information to help every emergency physician make the career decisions best for them. Learn more at openbook.acep.org.
Many of us grew up in the age of EMS, which emphasized the need to memorize everything. During the consultation, the physician medical director advised that she had no additional orders or direction at the present time, as the EMS care for PDCD is largely supportive. The reality is, nothing could be farther from the truth!
We had an amazing talk with Chief John Moon, (ret) of Pittsburgh EMS and Freedom House Ambulance, one of the first paramedics in the United States. With the guidance of Dr. Peter Safar and Dr. Nancy Caroline, (yes, THAT Dr. Caroline) Freedom House showed that timely EMS intervention contributed to improved outcomes.
The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart.
Am J EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. Am J EM 2018 Guest Skeptics: Dr. Robert Edmonds is an emergency physician in the US Air Force in Virginia. [display_podcast] Date: June 20th, 2018 Reference: Fox LM et al. Reference: Fox LM et al.
I apologize in advance to Sebastian Junger and his excellent book, The Perfect Storm. If you’ve read it or seen the movie with Mark Wahlberg; (and you should read the book), you know it’s about a combination of circumstances that come together in an unprecedented way to cause devastation. Kind of like observing EMS from a distance.
For the first time ever, Chris and Spencer will be squaring off to see who can pass the test the best as the guys test one another using the 100 Patient Scenarios book by Master Your Medics! Check out the masteryourmedics.com bookstore and get a copy of the 100 Patient Scenarios Book today!
The guest skeptic for SGEM#201 was Dr. Chris Carpenter, who literally wrote the book on diagnostic accuracy of clinical decision instruments in the ED with Dr. Jesse Pines. This article was covered on the SGEM with EM Nerd Dr. Rory Spiegel. Reference: Post et al. Reference: Post et al.
One of the most egregious disservices to EMS students is what passes for medicolegal education in EMT or Paramedic school. Far too often, students are subjected to myth, dogma and outright b t from instructors who have at best a superficial understanding of the subject, most of whom have never had their lessons taught or vetted.
Kevin Hazzard reads 2 chapters from his latest book, American Sirens: The Incredible Story of the Black Men Who Became American’s First Paramedics. Freedom House EMS is EMS’ origin story. Thank you, iSimulate!
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. An ECG was recorded immediately and is shown below. The patient is unstable.
The book that defines the thought process behind gestalt: [link] The HEART score for cardiac risk stratification: [link] 1st 10EM does a really great job breaking studies down for us in the FOAMed world; check them out explaining the Oliver paper: [link] Wang, et. It's been termed a hunch, a gut instinct; but it's much more than that.
Ginger is a paramedic and EMS educator who focuses on how to improve EMS education and how to progress the profession of EMS. How we learn and how we teach are principles that we don’t discuss enough in EMS. We also talk about a few books that might change your practice, or how you think. How do you learn?
Kevin Hazzard reflects on a TV show which is based on a book called “ 5 Days at Memorial ” by Sheri Fink. They were discussing his book “ 1000 Naked Strangers ” where he recounts memories from working for Grady EMS in Atlanta for over a decade. Kevin has been referenced many times on Medic Mindset.
Navy prior to starting medical school and pursuing a career as an emergency medicine (EM) physician. Few of us would thrive in EM if we did not have some sense of the value of teamwork. Lastly, our environment in EM relies on clear and effective communication—often when stakes are highest.
So, when I first began teaching ECGs and writing my books (in the early 1980s) — I decided to synthesize my impressions of the literature into what I felt (e.g. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort. Figure 1-2. Is it LBBB, or LAFB?
EMS providers in the future may even encounter this technology in the field, although in my personal opinion, we are still quite a few years away from this becoming a regular occurrence outside of the hospital environment. ECMO is rapidly becoming a popular therapy, with more and more hospitals and institutions establishing ECMO programs.
Manifestations You might be asking yourself why Im writing about eating disorders, considering the rarity of EMS responses to them. While eating disorders dont necessarily prompt a call or request for 911, complications from them can create the need for EMS assessment and intervention.
Annie Duke, a former World Series of Poker champion, details s ome of the psychology of decision making in the high-risk gambling in her book, Thinking in Bets. How sure are you? Think back to the last time someone asked you a difficult question regarding a patient on shift. How sure were you about your decision?
I’ve read all his books, seen him live, and watched all of his series. In his book, Kitchen Confidential , he talks about the business of cooking food a lot like colleagues I know talk about EMS. In one of the better parts of this book, he shares with you a typical day of his from waking up to end. Kind of like EMS.
The EMS industry is bombarded with incredible amounts of information on a regular basis in the form of ePCR reports and dispatch data. Book a Demo The post The Transformative Power of Good Data appeared first on ESO. So, how can you ensure your organization is making the most of its data?
With this in mind, it’s essential to show our appreciation and support for these incredible individuals. From practical tools and gadgets to thoughtful tokens of appreciation, these carefully-selected gifts are guaranteed to bring a smile to the face of the life-saving professional in your life.
I cleared my DNB EM Practical Exam and with that, I have successfully completed my Post Graduation in Emergency Medicine. Most of you are likely to belong to the above mentioned group, given the current political debacle and bureaucracy trends in EM in our country, which hopefully will change in years to come. It is quite a lot.
A committee of EMS experts composed the questions on the NREMT examination with approximately 85% of the questions relating to adults and 15% relating to children in one of the five categories mentioned above. The computer must be 95% certain of your competency in each category for a student to pass the exam.
Each state has their own challenges, as well as guidelines and laws, to practicing as an EMT, although with the National Registry becoming the norm, EMS will soon have similar protocols throughout the nation. It wasn’t until the 1970’s that EMT’s became certified, and by 1973, the modern day EMS system was established across the country.
Do you pass it up or go by the book? Do you pass it up or go by the book? Listen to this week's episode and see if the Turtles go rogue or following the teachings of Master Splinter. So what do you do when the nearest "appropriate" hospital is actually the lair of the Shredder?
In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! In a bid to clench the win, Chris navigates a chest pain call from the Master Your Medics 100 Patient Scenarios Book! Can he put up a strong enough performance and force Spencer to enjoy Dutch Bros? VOTE ON INSTAGRAM!
I usually do so good on tests, and every test in my EMS course I felt surprised by how well I did, I had to wrestle through a lot of self doubt, but at the end, I felt a lot more ready for this test. I went into it feeling over confident I think, I FELT really prepared with my knowledge of materials, but I guess that theory was proven false.
I'm currently a board-certified cardiovascular perfusionist and maintain my paramedic certifications, working part-time at a local EMS agency. What is Sweep? You may have heard this term in reference to medicine, or you may just be familiar with what your parents had you doing to help around the house when you were younger. Okay, easy enough.
911 is called and EMS professionals are 7 minutes away. The answer is found in how the brain processes different types of information, a topic beautifully written about by Dr. Daniel Kahneman in his best-selling book, Thinking Fast and Slow. The question is why?
Start reading the book and studying the material a few weeks before class begins and review any notes from prior sessions. Keeping up with courses will give you a well-rounded understanding of EMS principles and may even help unlock new advancement possibilities down the line.
Upon discovering how many EMT textbooks are out there – all of which have slight differences of opinion on certain matters – many EMT students panic and wonder if their course is using the right book. Whatever book your course is using will prepare you well for the NREMT exam. The answer is a resounding yes.
The man’s hair is long and unmatted, his blue jeans are muddy and his books are wrapped with duct tape. As I approach, I see he has the ambu bag out and is providing ventilations to a man who is dusky with agonal respirations. Good job,” I say to the young EMT. Thought I’d check behind the dumpster,” he says. You found him.”
As they told the story, a couple conversations with the director of EMS, the medical director, and the clinical management, and the student was gone. But was their success in EMS because of me being tough, or was it because they were fundamentally excellent, passionate people? I had a reputation as a tough preceptor. That was it.
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