Episode 201 - Introduction to 2016

 

Episode 201 - Introduction to 2016
Hosts: Bradley Dean, Eric McCullough, David Blevins

2015 brought the beginning of the Tuesday EMS Tidbit podcast as a collaboration between Bradley, Eric and I.  2016 brings the future of the podcast.  We have labeled our second year of operation the 200 series podcasts as we are still working on publishing some of the great episodes of our first season. 

In 2016, the #TEMSTB podcast is looking for a couple listeners that are willing to help out our project and allow us the opportunity to grow and sound even better.  Some of the things that we are looking for are as follows:

1 - Somebody that is interested in the field of post production.

2 - Somebody that is good with music and interested in coming up with a great new intro/outro music and possibly some in podcast transition music.  This would be recognized as advertisement during the episode and as a thank you at the end of the podcast. 

3 -  Somebody that is good with graphic design and is willing to work up something good for a new logo for the #TEMSTB podcast.  As with the good music, this would be recognized as advertisement (if in business) and in our credits. 

4 - Somebody, some group, or coupling of people that would be willing to help by sponsoring the program through advertisements/donations.  This will allow us to expand the equipment we use for the podcast and have even better quality. 

We are looking forward to recording more episodes in 2016 and hearing from you guys the listeners of the program. 

Episode 112 - Field Training and Evaluation Program

Episode 112 - Field Training and Evaluation Program

Hosts:  Bradley Dean, Eric McCullough, David Blevins
Guests:  Skip Kirkwood

Leaving school doesn't mean the learning process stops. On this week's episode, Skip Kirkwood, a passionate advocate for EMS Training and developer of the Field Training and Evaluation Program, joins the gang to discuss the impact of field training and the impact it has on raising the standards for those just entering the field and those who've been in for a while.

Locally known and nationally recognized, Mr. Kirkwood, MS, JD. EMT-P, EFO, CEMSO,  has an extensive history in EMS having served as frontline paramedic to Chief of the Emergency Medical Services Division in Wake County, NC and past president of the National EMS Management Association. He currently serves as the director of Durham County (NC) EMS and on the editorial advisory board for EMS World.

Links and Resources

EMS- FTEP


Durham County Names Howard 'Skip' Kirkwood as New EMS Director

"Beyond the Classroom"

Episode 111 - EMS Administration and Medical Direction (pt1)

 Episode 111 - EMS Administration and Medical Direction (part 1)

For this week Bradley, Eric, and David would like to focus on some things that EVERY administrator and Medical Director should know about their EMS System.  This will give every day EMS providers an insight into what Administration looks at whenever something new comes out and a snapshot of what an administrator does…..  Next week we will look at the new hire and training…..

 

1.       Community
2.       Purpose/Goal
3.       The System
4.       Diversion vs. EMTALA
5.       Medical Community

 

Episode 110 - FD-CPR

 

  

It has been another great week, and we are delighted to have Michael Herbert and Christopher Watford joining us for the Tuesday EMS Tidbits Podcast to discuss ‘Firefighter Down: CPR’.

 

Why FD-CPR? (information below is in part/whole/paraphrased or just plain copied from www.fd-cpr.com)

When the unthinkable happens, and a firefighter collapses on an emergency scene, we need to be prepared to provide the highest level of care possible.  We know that good neurological outcomes can be had in out of hospital cardiac arrest provided high quality chest compressions are initiated early.  Unfortunately, the resuscitation of a downed firefighter presents a special concern: they’re in full turn out gear with an SCBA!

 

In essence we have an access issue.  Before we can initiate chest compressions we must extricate the fallen firefighter from their gear.  Undirected attempts at removal of turnout gear is time consuming and chaotic.  Therefore, we have developed a simple technique to doff the gear from an unresponsive firefighter which requires minimal training and no additional equipment.

 

Michael Herbert, BS, NRP

Michael is a Clinical Educator with Advanced Circulatory and a FireFighter/Paramedic with Leland Volunteer Fire/Rescue Department, Inc.  He has worked all sides of Fire and EMS, from a tailboard rookie up to a line officer.  He is a two-time State of North Carolina champion paramedic, an enthusiastic educator, a physiology nut, and a lifelong learner.

 

Christopher Watford, BS, NRP

Christopher is a Lead Software Engineer with Global Nuclear Fuels, a part-time paramedic with New Hanover Regional EMS, and a volunteer paramedic / EMS Lieutenant with Leland Volunteer Fire/Rescue Department, Inc.  He is a senior editor with the EMS 12-Lead Blog and Podcast, and also a two-time State of North Carolina champion paramedic.  Christopher is an ECG fanatic, a devourer of research, and enjoys mixing software with medicine.

 

As part of the podcast we will want to discuss their material, and how other people can access/download and use their material.  They have licensed their material in a manner which means that anyone can use this for your own training.  You can share it with other people, take what you need out, and put in your own material.  All they ask is that you provide attribution for the material used.  The material is licensed via Creative Commons Share Alike.

Firefighter Down: CPR

Episode 109 - Pain Management

Episode 109 - Pain Management

Pain Management and Prescription Drugs

Another ‘Hot Topics’ in EMS is Prehospital Pain Management.  I can not count the number of times that I have heard providers say “If it doesn’t hurt me, I am not giving them pain medicine”, or “if they don’t look like they hurt, I am not giving them pain medicine”.  There are many other things that should be debunked, or dismissed as part of our assessment.  Most medical conditions or injuries cause pain, and pain is often the marker that initiates the patient to seek care. 

 

The role of providers is to help alleviate pain and provide comfort for the patient.  This can be done in a number of ways to alleviate pain, but many providers are afraid of administering the medication or do not want to do the extra paperwork.  While analgesic practices vary widely across the nation, I believe that it will be worth while to discuss the pathophysiology and physical need for pain management.  The 5 or 6 different opiate receptor sites, why people become addicted, how other medications are often prescribed to begin weaning patients off of harsher narcotics, etc.

 

As a provider it was not until a few years ago that I began to truly understand the need and different aspects of pain relieve, why some people become addicted to narcotics and some do not.  Analgesia is not equally provided to those in need, and this is a discussion that we need to put out there for the prehospital community to encourage them to examine their practice more closely.

 

http://www.naemsp.org/Pages/dialogPrehospitalPainManagement.aspx

 

http://www.naemsp.org/Documents/Topic004-NAEMSP-PosPaperOnPainMgmntanagement.pdf

 

http://www.summa-ems.org/file.php/1/PROTOCOLS/Pain%20Management.pdf

 

https://www.jsomonline.org/Publications/20081111McManus.pdf

 

http://www.amr.net/About-AMR/AMR-Medicine/Clinical-Quality-Initiatives/The-Things-that-Matter/pain-attitudes--2013.aspx

 

http://informahealthcare.com/doi/abs/10.3109/10903127.2013.844873

Episode 108 - Flipping the EMT...classroom!

Flipping the EMT...classroom!

Scott Snyder will be joining us to talk about some educational theory in the EMS Classroom.  One of the hot topics over the last few years has been “Flipping the Classroom”, which has become something of a buzzword that has been driven by high profile publications in The New York Times (http://www.nytimes.com/2012/06/25/us/25iht-educside25.html?_r=0); The Chronicle of Higher Education (http://chronicle.com/article/How-Flipping-the-Classroom/130857/); and other publications.  The material presentation occurs outside of class through reading or lecture videos, and then the class time is used to do the harder work of assimilating the knowledge, through problem-solving discussions, or debates.

Episode 107 - Aeromedical

Episode 107 Aeromedical

    There's nothing quite like the sight of an air medical helicopter touching down in the middle of a critical scene to scoop away a critically ill or injured patient. In fact, most of us, at some point, had dreams of being that medic in the aircraft providing life-saving care "in the air." 

    We are excited to spend some time talking to a civilian and military flight medic. Jerome Lovelady is the regional trainer and Flight Paramedic for Air-Evac having served both on the streets as a field medic and in the air for over a decade. Sergeant First Class Banta is a flight medic/ trainer for the Tennessee Army National Guard having served in Operation Iraqi Freedom and Enduring Freedom. If you've ever wanted an inside scoop to what it takes to be a flight medic, this is THE podcast you must watch. Do. Not. Miss. It. 

Resources and Links:

The DUSTOFF Association

United States Army School of Aviation

Air Evac Lifeteam

Vanderbilt LifeLight

Appropriate Utilization of Air Medical Transport in the Out-of-Hospital Setting

Guidelines for Air Medical Dispatch

Prehospital use of tranexamic acid for hemorrhagic shock in primary and secondary air medical evacuation

Identifying Obstacles to the Utilization of Helicopter Emergency Medical Transport in the Eugene-Springfield Ambulance Service Areas (NFA – EFO Paper)

Air versus ground transport of major trauma patients to a tertiary trauma center

Study: Transport of Trauma Patients by Helicopter Costly but Effective

Helicopter Transport Increases Survival for Seriously Injured Patients

Benefits of Air Medical Access