All in Controversy

Episode 108: DEI in EMS with Dr. Tristan Glenn and Dr. Alicia Rouff

Episode 108: DEI in EMS with Dr. Tristan Glenn and Dr. Alicia Rouff

Ed Bauter
Controversy, Interview, Medicine, Mental Health

A Block

 

Dr. Tristan Glenn discusses diversity, equity, and inclusion (DEI) in the context of EMS. He emphasizes the importance of understanding and valuing individual identities and lived experiences. Microaggressions are explored as harmful behaviors that communicate negative appraisals of individuals. The lack of diversity in EMS is highlighted, and the need for purposeful recruitment and community engagement is discussed. Dr. Glenn suggests embedding DEI principles throughout the entire organization and utilizing technology, such as mixed reality simulations, for training. Overcoming resistance to DEI initiatives requires cultivating a consciousness of the impact each individual has on creating an equitable and inclusive environment.

 

Takeaways

 

DEI involves understanding and valuing individual identities and lived experiences.

Microaggressions are harmful behaviors that communicate negative appraisals of individuals.

Recruitment and community engagement are essential for increasing diversity in EMS.

Embedding DEI principles throughout the organization and utilizing technology can support DEI initiatives.

Overcoming resistance to DEI requires cultivating a consciousness of the impact each individual has on creating an equitable and inclusive environment.

 

B Block

 

Dr. Alicia Rouff joins the podcast to discuss diversity, equity, and inclusion (DEI) in emergency medicine and EMS. The conversation explores the current state of DEI in the field, the challenges faced by underrepresented groups, and the need for proactive change. The importance of recruitment and creating opportunities for people of color in EMS is highlighted. The discussion also emphasizes the importance of cultural understanding and respect when interacting with patients from diverse backgrounds. The episode concludes with a message of showing up as your authentic self and promoting kindness in healthcare.

 

Takeaways

 

DEI in emergency medicine and EMS is an ongoing challenge that requires proactive change.

Recruitment and creating opportunities for people of color in EMS is crucial for increasing diversity in the field.

Cultural understanding and respect are essential when interacting with patients from diverse backgrounds.

Showing up as your authentic self and promoting kindness in healthcare can make a positive impact.

 

Episode 95: Haney Mallemat and Medicine in Social Media

Episode 95: Haney Mallemat and Medicine in Social Media

Ed Bauter
Cardiac Arrest, Controversy, Interview

Dr. Haney Mallemat (@criticalcarenow) joins Dan to discuss how social media can influence medicine and how recent medical events have shined a light on CPR and bleeding control.

In a matter of a few days, the world was shocked to hear that actor Jeremy Renner had been traumatically injured while on vacation in Nevada and Buffalo Bills player Damar Hamlin experienced a cardiac arrest on the field. These two tragic events have shown the world, albeit briefly, how important early CPR and bleeding control are to survival.

Episode 89: A Thriving Wage with Greg Friese

Episode 89: A Thriving Wage with Greg Friese

Ed Bauter
Controversy, Interview

Greg Friese is the Editorial Director of EMS1.com among other things. He brings a very interesting view of how EMS providers should be compensated for the work they do. In January of 2022, he wrote a piece discussing the importance of EMS providers not just receiving a living wage, but rather for EMS workers to make much greater than a living wage. He recently wrote about the dismal raise that Austin EMS providers received to provide a voice to workers who felt voiceless.

Greg's Bio

Episode 87: Abortion, Roe, and EMS medicine with Natalie Zink

Episode 87: Abortion, Roe, and EMS medicine with Natalie Zink

Ed Bauter
Controversy, FOAMed, Health and Safety, Interview, WTAF?!

Natalie Zink is a paramedic and medical student in Georgia who speaks extensively on women's rights and the medical treatment of abortion. Her work can be found in EMSWorld and in other publications. This episode, recorded May 22, 2022 discusses the leaked Supreme Court brief suggesting the overturn of 1973's Roe v. Wade and 1992's Casey v. Planned Parenthood. Ed and Natalie discuss what field providers can expect and how to treat abortions in the field. This episode is wide-ranging from the logistics of certain legislation to how it effects healthcare providers. Countries such as Poland have attempted similar legislation to no avail. Abortion is a safe and (currently) legal intervention that will occur regardless of the current laws. It is important that EMS and pre-hospital providers know how to treat these patients and what they can expect moving forward should this case become law.

Episode 76: A begrudging semi-annual Covid update

Episode 76: A begrudging semi-annual Covid update

Ed Bauter
Controversy, FOAMed, Health and Safety, Medicine

We know. We hate it too.

SARS-CoV-2 is still rampant in the United States, and with the emergence of the Delta variant, and the FDA approval of the Pfizer/BioNTech vaccine we thought it would be a good time to update the data.

What medications work? Are steroids useful? Dr. Antevy jumps in to discuss how to manage kids with Covid.

Give a listen, let us know what your shop is doing to keep their sanity during this time.

CDC Tracker

State of NJ Covid Data

Johns Hopkins updates

Recovery (Dexamethasone Study)

Let us know how you're doing: @OverrunEMS

FB/IG: Overrunproductions

Episode 74: The FDNY*EMS Struggle with Michael Greco

Episode 74: The FDNY*EMS Struggle with Michael Greco

Daniel Schwester
Controversy, Interview

Michael Greco is the Vice President of Local 2507, who represents the EMTs, Paramedics and Fire Inspectors of the Fire Department of the City of New York. You may remember we had him on last in Episode 29, and unfortunately, conditions have not improved much since our last talk.

The FDNY*EMS members will be boycotting the ticker-tape parade held for the City’s “Hometown Heroes”, because quite simply, while New York City will give them a parade; they will not pay them a fair living for the critical job they do in one of the most expensive places to live in the world.

Episode 71: What The Actual, Sedgwick?

Episode 71: What The Actual, Sedgwick?

Daniel Schwester
Controversy, Trauma, WTAF?!

Ed and Dan are the hosts for our latest “What The Actual…” episode, where we take a look at an EMS train wreck and try to learn from it…or at least try to figure out what the heck happened.

This time, we travel to Sedgwick County, Kansas, where a prehospital attempt at palliative care goes way off the rails, resulting in everyone involved being sanctioned…except the one you’d think

Episode 69: The Problem with Media and EMS

Episode 69: The Problem with Media and EMS

Daniel Schwester
Controversy, Interview

Have you ever wondered why the news media gets EMS stories so messed up? Do you cringe each time you see a news story talk about “ambulance drivers”? Is your agency concerned with sharing your work with the community because of “HIPAA”?

Dan sits down with journalist and clinician Rich Huff (@richmhuff) as well as our good friend Margaret Keavney (www.keavneystreger.com) to discuss the problems with EMS and media, and solutions we can use to tell our stories better to the people we serve.

“We don’t have to be first; we have to be better.”

The story on LA County cardiac arrest transport:

https://www.npr.org/sections/coronavirus-live-updates/2021/01/05/953653359/los-angeles-ambulances-told-to-conserve-oxygen-and-limit-hospital-transfers

EMS Aegis is a great source for training and information for both individual clinicians and agencies looking to do better:

Episode 64: Ketamine and Dunning-Kruger

Episode 64: Ketamine and Dunning-Kruger

Daniel Schwester
Drugs, Controversy

In the FOAMed world, nothing is more loved than ketamine. There have been multiple podcasts and talks about the drug, and it’s acquired a mythic status on the Internet med ed word.

But is what we think we know causing problems? Is the promise of ketamine as a drug the does it all lull us, and especially new clinicians, into a false sense of security? Has FOAMed put us on the wrong side of the Dunning-Kruger curve?

Episode 63: Universal Truths with THE ADMIN

Episode 63: Universal Truths with THE ADMIN

Daniel Schwester
Controversy, Interview

Meme culture has come to EMS. And few are doing it better than the meme lord known to his many thousands of followers as simply, THE ADMIN.

His Facebook page, Burned Out Memes for EMS Teams, has over 40,000 followers who check out the material he puts out daily, and more join the page each day. THE ADMIN is one of a small group of EMS clinicians who use the medium of Internet memes as a way to point out inequities, share frustrations, and generally provide a group outlet for a profession trying to get through a pandemic, in addition to the usual job issues, and come out with a smile.

How did this get started? Where is it going? And how does THE ADMIN put out funny stuff on the regular that still makes you think and calls out substandard EMS? Kevin, Jess, and Dan sit down remotely and try to get a side of THE ADMIN you just may not know.

Check out his page on Facebook, or his Teespring store:

https://teespring.com/stores/burned-out-memes-for-ems-teams

Also check out:

Level Zero:

http://www.levelzeroems.com/

Saint Fisher Church of Evidence Based Medicine:

http://stfisherchurchofebm.com/

We will post some of our favorites on our social media as well....

Episode 55: Outbreak EMS

Episode 55: Outbreak EMS

Daniel Schwester
Airway Management, Controversy, FOAMed, Health and Safety, MD1

Dan and Ed sit down on short notice to get some information together about what we as EMS clinicians are up against with the arrival of novel coronavirus.

This is a totally off-label discussion about personal protective equipment, airway management, patient assessment, and items that we are seeing on social media and the FOAMed world.

Please follow your local policies and guidelines, and involve your medical director and leadership with any modifications to your practice.

Follow us at Overrun Productions' YouTube channel, and the MD1 Program YouTube channel for daily updates and practice tips. Leave us questions in the comments section, and we can have our medical director, Dr. Mark Merlin, share his answers on them!

The Overrun is on YouTube at:

https://www.youtube.com/channel/UCGqDBcqJl3B0HLigT5Wl9AA

MD1 Program on YouTube:

https://www.youtube.com/channel/UC93VE2Sr9AC3sMCN0W7uLQA

We're using the Johns Hopkins University Coronavirus Resource center for our data:

https://coronavirus.jhu.edu/map.html

Twitter has been a good resource for FOAMed lately; here's some of the experts we're following:

Minh LeCong: @ketaminh

Salim R. Rezaie, MD:@srrezaie (www.rebelem.com)

Episode 45: POLST and End of Life in Prehospital Care

Episode 45: POLST and End of Life in Prehospital Care

Daniel Schwester
FOAMed, Controversy

Anna and Dan sit down with attorney and former paramedic Margaret Keavney to discuss end-of-life issues in EMS. How do we honor patient wishes, and the law? What is our standard, and how does our culture and training sometimes work against us?

We don't get great initial training in the end of life, although EMS is present at the majority of these events. Check it out!

Keavney-Streger Law Firm can be found here:

https://keavneystreger.com

OPALS study on cardiac arrest termination of care:

https://jamanetwork.com/journals/jama/fullarticle/182615

https://www.nejm.org/doi/full/10.1056/NEJMoa052620

New Jersey's POLST:

https://www.nj.gov/health/advancedirective/polst/

About the late Dr John Hinds and his mission to bring advanced care to the patient:

http://www.delta7hems.com

#DoBetter

Episode 39: The National Registry

Episode 39: The National Registry

Daniel Schwester
Medicine, Controversy

The National Registry…what is it, and why should it matter to you? As the only national organization of credentialing in the USA, the guidelines and structure they use has a huge impact on your license or certification.

We dig into the Overrun vault to find this episode….let us know what YOU think!

Is NREMT the be-all, end-all solution; or can it be improved to be a truly national licensing standard? We look at the strengths and weaknesses, and what we would like to see from the NREMT!

The National Registry of EMTs is at:

https://www.nremt.org/rwd/public