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49 minutes | 22 days ago
Tips for a Successful Internship
Steve, Dan, and Holly return to discuss the pathway to a successful internship. The trio talks about how formative internship is for students and begins answering questions submitted by prospective students. The importance of studying protocols is highlighted; many agencies require that new interns be competent with their specific protocol. If possible, seek internships outside of areas that are familiar. Agencies with high call volumes allow for ample opportunities to practice a variety of medical skills in a short amount of time. The trio details the stress of the first day of internship, and what students can expect. Adaptation is key; different agencies operate differently and have their own unique challenges. Steve reminisces about his internship, and how the system he worked in operated. Holly, Dan, and Steve each give their number one tip for success during the internship. The importance of attitude is discussed, as well as being open to learning from professionals with years of experience. Steve reviews how to regroup after being stumped on a call. The trio talks about favorite qualities in their respective preceptors. Qualities that are important for emergency medical providers to cultivate are debated. To wrap up the podcast, the trio discusses common issues paramedics can run into, and the importance of self-care.
53 minutes | a month ago
Resiliency and Dan’s Story
Dan, Holly, and Steve return to discuss resiliency and its importance in emergency medical services. Dan and Holly open by highlighting their attendance at the Train the Trainer course for the FBI Officer Resiliency course. The definition of resiliency is debated, and the trio talks about how each individual will reflect resiliency differently. Steve recaps how his parents instilled resiliency in him from a young age, through de-stigmatizing psychological counseling. Holly and Dan further detail the organizational components of their course, and its emphasis on teaching resiliency early. Story-telling was focused on in the course, as a way to help everyone open up. Holly and Dan review the science behind dealing with stress and building resiliency. One main focus of the course was ABC: activating event, breathe, and then dealing with the consequences. Understanding how the human brain and body react to stress is a key element in dealing with the effects of that stress in all environments. Holly and Dan further discuss how identifying values helped them learn more about themselves. Setting goals that correspond with one’s values will make reaching those goals easier. The trio calls Scott, a fire chief from Texas, who recounts a story about finding peace and appreciating our individual journeys. The group highlights the importance of practicing gratitude. The trio wrap up the podcast reflecting on the material discussed in the FBI Officer Resiliency course, and how they apply the philosophies outlined into their own lives.
60 minutes | 2 months ago
Dealing With Chronic Stress With Dr. Tillman
Steve, Dan, and Holly are joined by special guest, Dr. Brenda Tillman of Readiness Group, to discuss how we as first responders can deal with chronic stress. In today’s world of Covid, natural disasters, social unrest, and political division, it’s hard to maintain our sanity when you throw in a stressful job on top of it. Dr. Tillman reviews ways we can practice good self-care to stay sane and improve our resilience.
44 minutes | 2 months ago
Lung Sounds and Case Review
In this episode, Steve, Dan, and Holly discuss lung sounds, their treatment modalities, and common misconceptions. Steve leads a Lung Sound recognition game while Dan and Holly square off to see who’s the best. After listening to the lung sound, they then discuss the correct sound by reviewing the textbook definition of it and the treatment options for it in the field.
73 minutes | 3 months ago
Cardiac Arrest Survival with Joe Powell
In this episode, Steve, Dan, and Holly talk about cardiac arrest response with the EMS coordinator at Rialto Fire, Joe Powell. After looking at Rialto Fire departments stats, Joe realized they had to do something different. At Rialto Fire, they have committed to the ‘wheel of survival’ which is a regularly evolving set of steps designed to maximize the interventions of EMS personnel with their patients who are experiencing cardiac arrest. Their stats on cardiac survivability have improved significantly since implementing this and they have multiple studies published in JEMS. Wheel of Survival: Rialto_Cardiac_Survivability_Toolbox
67 minutes | 3 months ago
IO’s with Co-Inventor Scotty Bolleter
Steve, Dan, and Holly introduce Scotty Bolleter, one of the co-inventors of the EZ-IO. Scotty details how he got started in EMS, and what led him to help create the EZ-IO. Scotty discusses his time as a flight paramedic, and how his time spent training in hospitals pushed him into EMS business ventures. Steve touches on his business ventures in EMS. Scotty walks the trio through his team’s process of modifying older devices to create their version of the EZ-IO. Scotty talks about his inter-disciplinary team of physicians, engineers, and others. The correct process of placing a humeral IO is discussed, from positioning the patient to proper placement for insertion. The process of IO flow is explained. Scotty discusses possible complications if an IO is placed wrong. Scotty discusses the use of the distal femur IO placement in cardiac arrest at his department. IO placement in the femur versus the humerus or the tibia is compared. Pediatric IO placement is reviewed. Scotty highlights the open IO, and when it is indicated. Correct IO placement is recapped, and Scotty touches on why EMS providers should not bury an IO needle into the bone. Steve reviews a call on a patient in status seizure where an IO is used for access.
73 minutes | 3 months ago
Vent Settings & Lessons
Steve, Dan, and Holly introduce their guest speaker, Kari, a respiratory therapist/paramedic from Washington. Kari discusses the endotracheal tube and the importance of having a correctly sized and placed tube. Kari highlights how critical it is to understand the disease processes that resulted in the patient being intubated. Ventilation and oxygenation issues are reviewed, along with the importance of PEEP in intubated patients. Kari talks about PEEP in intubated patients with asthma or COPD, as well as variations in tidal volume settings for various disease processes. The group discusses minute volume, and how a patient’s minute volume is calculated on the ventilator. Kari discusses her process of titrating ventilator settings to meet a CO2 goal. Do no harm is reviewed in relation to mechanical ventilation, and the consequences of a patient working against the ventilator are discussed. Assist control (AC) and synchronous intermittent mandatory ventilation (SIMV) modes are compared. Kari details what modes she prefers for specific patient presentations and disease processes. The group discusses volume and pressure control, and review a trauma scenario where the patient is intubated. Peak inspiratory pressure and peak alveolar pressure are reviewed, along with what abnormal values can indicate. The importance of driving pressure is highlighted. The PF ratio is discussed, along with the importance of weaning patients off of 100% FiO2. The group ends on discussing appropriate IE ratios in obstructive patients. The flow rate in both volume and pressure control is reviewed, as well as the effect of flow rate on a patient in both volume and pressure control settings. Another scenario is discussed, a COPD patient that has been intubated. Kari walks through troubleshooting tactics for ventilators and potential fixes for common issues with mechanical ventilators.
52 minutes | 3 months ago
My Craziest Trauma Call
Steve, Dan, and Holly introduce themselves, and today’s focus, trauma. Steve reviews his educational background, and how his university set him up for success in paramedicine. He then transitions into his craziest trauma call, dispatched a potential stabbing. Walking into the scene, Steve sees his patient, a 20-something-year-old who has been stabbed two times in the chest and once left arm. The crew bandages the superficial bleeding chest laceration, and places and tourniquet on the left arm laceration. When the patient loses consciousness, Steve has to act quickly to handle a tension pneumothorax. Steve, Dan, and Holly discuss the sequence of assessing a trauma patient. The physiological process of a tension pneumothorax is reviewed. The trio discusses what signs and symptoms indicate the need for a needle decompression in the field. Proper placement of the needle during a chest decompression is outlined. Holly sheds some light on what occurs in the hospital after a patient is dropped off with a decompressed tension pneumothorax. Dan details his craziest trauma call, which began on the way to a public education event. Enroute, Dan and his partner receive a call, a GSW to the face. The team performs a surgical cricothyroidotomy on scene in order to establish a patent airway. Dan discusses his thought process on the call and outlines his preferred method of performing a surgical cricothyroidotomy. Dan, Holly, and Steve review surgical cricothyroidotomy. Holly talks about her trauma call, which began as a search and assist on a mountain top. After assistance from a local volunteer firefighter, Holly and her partner arrive on scene to a single-vehicle MVC off the side of a cliffside. Five patients are present, three alive and two deceased. Holly describes the scene, and discusses challenges to care.
63 minutes | 4 months ago
PTSD – Ben’s Story & Dr. Tillman
Steve, Holly, and Dan are back with Dr. Brenda Tillman and Ben Wescott in part two of their PTSI series. Dr. Tillman emphasizes how important it is for senior providers to encourage open discussions on mental health. Ben shares his insight on how providers can challenge the stigma of discussing mental health. Ben shares his story and highlights his path to healing. Dr. Tillman and Ben discuss peer support groups and educating departments on PTSI and PTSD symptoms and prevention. Steve, Holly, and Dan field questions to Dr. Tillman and Ben. Dr. Tillman outlines ways departments can implement peer support groups.
52 minutes | 4 months ago
PTSD – Dr. Tillman from Readiness Group
Steve, Dan, and Holly introduce Dr. Brenda Tillman and Ben Wescott in their seventh podcast. Dr. Tillman discusses her experience as a clinician, and Ben introduces himself. Dr. Tillman details the difference between PTSD and PTSI, and why those differences are important when diagnosing first responders. Counseling programs for first responders are overviewed, as well as the training process for counselors counseling first responders. Dr. Tillman reviews the process of EMDR and why it is effective for improving symptoms of PTSI and PTSD. The physiological effects of PTSD and PTSI are detailed. Steve talks about his experience with EMDR. Coping mechanisms in first responders are debated. Dr. Tillman talks about the importance of normalizing the symptoms of PTSI in first responders, and why peer support group and counseling is so essential.
40 minutes | 6 months ago
My Craziest Cardiac Call
Steve outlines his “craziest” cardiac call for Holly and Dan, which was dispatched as a person down. He discusses logistical issues affecting patient care, and how those issues were addressed. Steve, Dan, and Holly review the call and talk about lessons learned. Dan breaks down his “crazy” cardiac call for Holly and Steve, which was dispatched as a cardiac arrest. The three review patient care rendered prior to arrival and patient care performed by Dan and his team. Lessons learned are discussed.
55 minutes | 7 months ago
Holly talks about her background as a paramedic and flight nurse. Dan discusses certifications he obtained to become a flight paramedic. Holly discusses her path to become a flight nurse. The trio outlines similarities in protocols for flying a critical patient in the field. Holly touches on the importance of flying patients with time-sensitive presentations, be it medical or trauma-related. Dan and Holly describe their typical day, and what their crew and individual agencies look like. The two talk logistics when responding to a scene call in the helicopter. The influence of weather on flying is discussed, and Holly goes over the limitations of IFR and VFR aircraft. Ground contact protocol and communication between ground units and the flight team are overviewed. Steve reviews a call from his agency and fields Holly and Dan some questions regarding logistics and patient care.
46 minutes | 7 months ago
COVID 19 and Case Review
In their second podcast, Dan and Steve discuss what their individual departments have done in response to COVID-19. Current statistics regarding the novel coronavirus are reviewed. Dan walks through what a call at his agency looks like in the midst of the COVID-19 pandemic. Steve touches on how COVID-19 has changed how departments respond to calls, as well as the mindset of medical providers on scene, exposure protocols, and PPE requirements. Steve discusses a call where proper PPE prevented him from having a life-threatening exposure. Dan outlines a breathing problem call at a care facility and the process of intubating a patient in respiratory failure. Dan details his decision to withhold intubation on a rapidly declining patient, and what backup airway he prefers to use in lieu of an ET tube. Steve and Dan talk about quarantine procedures for their agencies following exposure to COVID-19.
50 minutes | 8 months ago
Introductions and Airway Case Review
In their very first podcast, Dan and Steve introduce themselves and talk about their experience as medical professionals. The process of earning continuing education credit by listening to EMTpro podcasts is explained. Dan reviews two cases from his career, while Steve helps break down each case. The first case Dan reviews is a sick person call in a skilled nursing home. Dan discusses how unconscious bias influenced his initial resource management decisions before even arriving on scene. Scene assessment of the nursing facility is performed, along with the primary assessment of the patient and the first treatment decision. Dan attempts to stabilize the patient prior to hospital arrival. Dan and Steve talk about mistakes made and what could have been done differently. In the second case review, Dan is dispatched to a trauma scene call in the helicopter. The differences in airway management at the time of the call are discussed. Dan talks about how his attitude caused problems receiving information from resources on scene, and the consequences that resulted. Mistakes made were discussed, and important trauma assessment skills were highlighted.
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