All tagged ems

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 106: EMS Career Ladders

Episode 106: EMS Career Ladders

Ed Bauter
Interview

Dr. Peter O'Meara discusses the concept of paramedic practitioners and the need for higher education and professional recognition in the field. He compares paramedic practice in the US and Australia, highlighting the similarities in patient populations and the importance of a unified profession. The attrition rates and lack of a career ladder in the US are identified as issues that can be addressed through education and professional development. The role of NEMSAC and previous recommendations for degree programs are discussed, as well as the opposition from organizations like NAEMT. The importance of having a voice and separating paramedics from agencies and the need for modernization in EMS is emphasized. The conversation concludes with discussing paramedic terminology in Australia and the significance of publishing and discussing these topics.

  • The concept of paramedic practitioners and the need for higher education and professional recognition in the field

  • Comparison of paramedic practice in the US and Australia, highlighting similarities and the importance of a unified profession

  • The attrition rates and lack of career ladder in the US can be addressed through education and professional development

  • The importance of having a voice for paramedics and separating paramedics from agencies

Then, 

In this conversation, Louis Imperatrice, the National Manager of Clinical Excellence for DACA, discusses the absence of a clinical ladder and degrees in paramedicine, which he believes is detrimental to the field. He highlights the limitations of EMS and the lack of upward movement, leading to the loss of professionals. The fragmented nature of EMS systems and the need for change are also discussed. Imperatrice emphasizes the need for federal funding and lobbying in EMS, as well as the importance of modern-day leadership and education. He suggests the implementation of clinical and management tracks in EMS education to improve the industry.

Takeaways

  • The absence of a clinical ladder and degrees in paramedicine is detrimental to the EMS field, leading to a lack of upward movement and the loss of professionals.

  • EMS systems are fragmented, and there is a need for change and standardization.

  • Federal funding and lobbying are necessary to support EMS and promote necessary changes.

  • Modern-day leadership and education are crucial in improving the EMS industry.

Episode 105: 2023 Year in Review

Episode 105: 2023 Year in Review

Ed Bauter
Drugs, FOAMed, Medicine, WTAF?!

Summary

In this episode, Ed and Dan discuss several topics related to medicine and EMS in 2023. They start by reviewing a study on the use of nitroglycerin in acute pulmonary edema and congestive heart failure, highlighting its positive effects on blood pressure and oxygenation. They then move on to a comparison of succinylcholine and rocuronium in rapid sequence intubation (RSI), concluding that the choice of paralytic agent may not significantly impact outcomes. They also discuss a case in which a paramedic impersonated a doctor in Louisiana, highlighting the need for patient advocacy and responsible clinical practice. They conclude by expressing excitement for future episodes and inviting listeners to share their stories.

Takeaways

Nitroglycerin can be effective in improving outcomes in acute pulmonary edema and congestive heart failure.
The choice between succinylcholine and rocuronium in RSI may not have a significant impact on first pass success rates.
Patient advocacy and responsible clinical practice are crucial in preventing incidents of impersonation and ensuring patient safety.
Hindsight is 20-20, and it is important to learn from past mistakes and continuously evolve in the field of medicine and EMS.

Chapters

00:00 Introduction
00:26 Discussion of Nitroglycerin in Acute Pulmonary Edema Link Link
11:22 Comparison of Succinylcholine and Rocuronium in RSI Link
22:34 Case Study: Elijah McClain Case Link
31:04 Case Study: Paramedic Impersonates Doctor in Louisiana Link
36:01 Conclusion and Future Plans

Episode 98: Kate Bergen and the Rosies

Episode 98: Kate Bergen and the Rosies

Ed Bauter
Interview, Mental Health

Kate Bergen is a paramedic and artist that appeared on the show in 2020 to discuss how art therapy helped her get through Covid-19. Since then, her art has been featured in national news pieces and she has been featured in national magazines raising awareness of art therapy in our modern world. Her work earned her the EMS10 award in 2020. Now with a new book in the works, she returns to show to discuss how art therapy has helped her manage her mental health since Covid, and how it has helped other people she has met along the way.

Episode 88: Ceribell and Advancing Seizure Care with Dan Gerard

Episode 88: Ceribell and Advancing Seizure Care with Dan Gerard

Ed Bauter
FOAMed, Medicine

Dan Gerard is a man of many hats. He is the current President of the IAEMSC as well as the EMS Coordinator for Alameda county in California. He has spent his lengthy EMS career pursuing new advancements in pre-hospital medicine and is currently piloting a program in Alameda county that may be a game changer when it comes to recognizing and treating seizures in the field. Ceribell is a device that wraps around a patient's head like a headband and produces real-time EEG tracings that can be interpreted by an EMS clinician with little to no training. The best part about this system is that it is already FDA approved and is being used in hospitals with encouraging results. Take a listen and let us know what you think!

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.

Epsode 48: Why Your ConEd S***ks

Epsode 48: Why Your ConEd S***ks

Daniel Schwester
Conference, FOAMed

We pull another episode out of our vault to talk about con ed...Dan, Kevin, and Jess talk about continuing education! We all have to do it; but some is better than others. Why is yours bad? Why is someone else's good? And what is the value of "alphabet soup" classes in EMS continuing education? Do we need to think about another way?

Continuing Education is more than reading slides off a page; it's about instructors with expertise and passion, sharing their experience with students and encouraging them to learn and practice the material.

PCU, the movie....since we made the reference:

https://www.imdb.com/title/tt0110759/

Bretylium is BACK! Maybe??

https://www.resus.com.au/should-we-bring-bretylium-back-in-cardiac-arrest/

Ashley Liebig on nurse-led codes at dasSMACC:

https://rebelem.com/lessons-learned-and-take-home-messages-from-dassmacc-day-2/