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Early in EMS education we are presented with the idea that "time" is a factor in much of what we do. Golden Hours, Platinum Ten Minutes, Time is Muscle etc.
While some of these can help us with our treatment and transport decisions, have you ever wondered or questioned if they are getting in the way of patient care?
As EMS providers we bring much of the Emergency Department to the patient. Even more so we are expected to provide certain levels of care to our patients prior to delivery to these ED's.
I am sure that you have been questioned or made to feel like less of a provider when you don't provide certain aspects of care. Even when it was due to trying to follow dictated "time" constraints that are expected and may have been in the patients better interest to transport rather than perform a skill prior to arrival at the ED.
So what do you think? Are these time markers valuable to us as providers or helpful?
Do we end up focusing too much on them and not on what is best for the patient?
Join us for this episode as we discuss this and other popular EMS topics. Call in Toll Free or come into the chat room to share your opinion.
Visit Jim at EMSSEO.com
Check out Josh over at WANTYNU.com and be sure to look up his newest EMS Tool - The PALM.
When thinking about rural EMS systems compared to an urban setting. Does the rural setting have certain advantages? What about disadvantages? Issues like available resources, transport times, volunteers, skills frequency and others can play a role in overall patient care.
So what are your thoughts? Do these two systems differ? Are they similar enough not to matter in the long run?
Join us for this episode and give your experiences in the chat room or call in toll free.
We focus a lot on response in EMS. Our response allong with our training can effect patient outcomes. But what about when response is the focus without equal attention to training. Getting there is only part of what we do, yet is often the one marker that is looked at when it comes to a patients outcome.
This week we talk about EMS response, call types, training and how they reflect on patient outcomes.
Does the 8-10 minute response have a positive impact or is it better training and equipment?
Join us for this discussion.
EMS Protocol Influences on Patient Care
Live from the show floor at FDIC 2015, EMS Editor Mike McEvoy leads a panel discussion with Drs. Jim Augustine (EMS Medical Director for services in Ohio, Atlanta, and Florida) and Sabina Braithwaite (Associate Medical Director Metro Oklahoma City/Tulsa and EMS Medical Director Wichita/Sedgwick County, KS) on transforming the EMS environment of care. This panel focuses on protocols and clinical aspects of care affecting safe EMS care during transport and potential solutions for the future.
This show was pre-recorded.
Patient Innovations and OnTime Care® is designed to focus on the needs and goals of both the patient and the facility they are in.
Aiming for a higher level of efficiency and care is always a goal. You can have any business and apply that thought. Ken Greenberg and Akram Boutros, MD FACHE have designed a system that can you take that thought and make it into an actionable idea.
Ken Greenberg, 516-983-4050, firstname.lastname@example.orgAkram Boutros, MD FACHE, 516-815-8118, | email@example.com
Ken Greenberg explains Patient Innivations on the Daily Blu with ask Mr. Long Island.
Strategies of Success
Brian A Cohen Host
Multi-Disciplinary Care for the Pediatric Patient with OI - Dr. Cathleen Raggio
In the United States we are privileged to have some of the best medical care facilities in the world, and some of the most talented physicians. But not everyone in the United States is able to access these services. What we are working to improve through the Affordable Care Act (ACA, sometimes referred to as Obamacare) is access to that care, and moving from a system that focuses on fixing medical problems, to a system and a mindset that focuses on PREVENTING medical problems.
Memphis, Tennessee, is an interesting case in point. In Memphis, some 20% of the population has incomes below the poverty line, and a very high percentage among the "working poor." Some qualify for Medicaid, but many do not. People who are uninsured or "under-insured" often find themselves in need of medical care that they cannot afford. One serious illness or automobile accident can easily bankrupt the household.
Church Health Center has worked for many years to help fill the gaps in health care in Memphis. Robin and Joyce speak with Jeff Hulett of Church Health Center about their work. With the ACA their role is changing, but their work is by no means done. See more at <a href="http://churchhealthcenter.org">http://churchhealthcenter.org</a>
David Houle and Jonathan Fleece are co-authors of the book The New Health Age: The Future of Health Care in America. Three years ago they co-authored a provocative short blog post in KevinMD, predicting that by 2020 one-third of American hospitals would close. http://www.kevinmd.com/blog/2012/03/onethird-hospitals-close-2020.html
They pointed to four factors for this:
First, America must bring down its crippling healthcare costs, and hospitals are one of the most expensive components of the system.
Second, statistically speaking hospitals are just about the most dangerous places to be in the United States. Three times as many people die every year due to medical errors in hospitals as die on our highways.
Third, hospital customer service is abysmal. Where else do you have to wait four hours for service?
Fourth, health care reform will make connectivity, electronic medical records, and transparency commonplace in health care, and customers will be able to do some comparison shopping for the first time.
We have invited them to speak with us about how we are doing along that path. Have hospitals taken notice and changed their ways? or are we still on a timeline toward closure of one-third of American hospitals? And if that is true, how will we receive our care in the new age?
David Houle is a futurist, advisor and speaker and Jonathan Fleece is a health care attorney, advisor, and speaker.
Recent two FDNY EMS Paramedics have been accused with faking an ambyulance call report after some confusion with a DNR. We all know that the Call Report is a legal document. But did these medics act on compassion based on the patients and family wishes? Or did they make such a grave error as to cost them their jobs and even jail time?
Join us for a special live show and give your thoughts on the topic.
Here is a link to the article in the Staten Island Advance. It should get your juices flowing for sure.
Next live show of EMS Live in Wisconsin podcast is Tuesday, Novemebr 10, 2015, starting at 9:00 a.m. central time.
Join co-hosts Chris Anderson, Joe Covelli, Patrick Ryan and Dan Williams for 60-minutes of conversation about emergency medical servcies and the ambulance industry in Wisconsin.
At 5 minutes First Responder Legislation author Representative Jeff Mursau
At 15 minutes HealthString's innovative approach to patient transport surveys - Buck McAlpin and George Willock
At 30 minutes Savvik Buying Group contract updates with Executive Director Mickey Schulte
At 45 minutes EMS stretcher cot quilt blanket to beat cold, harsh Wisconsin winters - Alpha Medical's CEO Jeff Grasto
Don't miss a beat of Wisconsin EMS action - listen to EMS Live!
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