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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.
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.
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.
This is our debut show for Wisconsin EMS Live!
The first program is dedicated to community paramedicine and EMS leadership. Joining the program is EMS Advisory Board Chairman Jerry Biggart, West Allis Fire Department’s Captain Dave Bandomir, and EMS leadership expert John Becknell.
Your co-hosts will guide and contribute to the conversation, to include. Chris Anderson, Joe Covelli, and Patrick Ryan.
Don’t miss a beat of the action – make a point to listen to the live broadcast of Wisconsin EMS Live the second Tuesday each month starting at 9:00 a.m.!
Father Donald E. Mowery is the retired leader of Youth Services globally. He has had a radio show, Talk it Out with Father Don, on WHBQ radio in Memphis, Tennessee, for the past 45 years. This month Joyce Graff appeared on his show. Joyce and Father Don have a great conversation about Powerful Patient and its mission, and also about Youth Services and its mission, highlighting many parallels. In both cases, they work to empower people to work through the issues they cannot change and tackle constructively the things they can change.
Learn more about Father Don. A new book, Spiritual Networking, by Darrell B. Uselton and David Yawn, recounts the history of Youth Services in Memphis and worldwide.
Patient assessment in EMS is pointed to as the key ingredient with our patient contacts. Yet how much time is really spent on this in class? Things like the importance of reassessment, differential diagnosis and treatments. We seem to have this pride of ABCDE, DCAP, BTLS and knowing it, sticking to primary and secondary surveys. But what about really knowing what we are looking for and identifying true emergencies instead of fitting patients into protocols? Join us for this episode, share your patient assessment tips and tell us your indoctrination into "patient assessment".
25% Off WANTYNU wrench use promo code "emsofficehours" at http://wantynu.com
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EMS has a language of it's own. Have you ever tried talking to someone outside of EMS about a call you had, the way you do things at work or even explaining how a protocol works? They usually get confused, don't understand or it's just too much and they don't care.
They may even think you are cold or uncaring based on a story you may tell or frustration you described from a call.
This week we talk about this language and why we do it, how it helps us cope and if we should even bring outsiders into our little inside stories.
We also plan on talking about how easy it is to treat from the sidelines and specifcally a recent EMS/Police issue from NYC that was video taped and is being judged from the sidelines of FaceBook and other social media outlets.
Join Jim, Josh and Dave as they discuss the above and welcome any guest callers and chat room participants live.
Mike and Joyce speak with Dr. Julia Hallisy about The Empowered Patient Coalition: providing healthcare improvement and patient safety tools directly to consumers.
About Dr. Hallisy:
Dr. Julia Hallisy obtained her BS in Biological Science from the University of San Francisco in 1984 and a second Bachelor’s degree from the University of California in Dental Sciences. In 1988, Dr. Hallisy received her Doctorate in Dental Surgery from the University of California at San Francisco School of Dentistry. Since that time, she has been a full-time practicing San Francisco dentist.
Her second child, Katherine Eileen, was diagnosed at five months of age with bilateral retinoblastoma. Dealing with her daughter’s life-threatening diagnosis, the many recurrences of cancer, and the subsequent treatments for the malignant and aggressive tumors marked the beginning an almost 20-year involvement in our healthcare system. The unique combination of her scientific training, her work as a healthcare provider, and guiding a child through a chronic illness has afforded her invaluable insight as an advocate for patients.
Dr. Hallisy began to research the topic of patient safety in 1998. She has lobbied for health care reform in Washington, DC with Consumer’s Union.
Dr. Hallisy is committed to and passionate about the subjects of patient safety, health care reform and medical error reduction. She is the founder and president of The Empowered Patient Coalition.
Dr. Hallisy was born and raised in San Francisco, where she lives with her husband, John Hallisy, and their two sons, Daniel and Kevin. The Hallisy’s ten-year old daughter, Kate, lost her life-long battle with cancer in February 2000.
This week we discuss the language of EMS. Using profesional communication as a standard vs communicating amoungst each other with common EMS slang. Is there a place for EMS slang or should we do away with it and focus on a standard of communication that leaves no room for error?
We also plan on talking about EMS Facebook pages and the culture of negativity as well as answer a few questions sent in by listeners.
Join us for another live episode and give your opinion via toll free call in or n the chat room.
Welcome to our NEW Time and Format
Giving us more time for conversation I have extended Conversations In Care to an hour and will be introducing you to Tony Fischer and The Fischer Report. Join us in conversation!
This Week on Conversations In Care
Let's welcome Aishling Dalton - Kelly. Aishling is going to help us understand how to find the best Home Care Team for your family and loved ones. She will help us to understand what to look for and the best questions to ask, to know that you have found a great fit.
Leran more about Aishling
Aishling Dalton-Kelly was born and raised in Ireland and is the youngest of ten daughters. She committed to helping those who are aging after her father was diagnosed with a terminal illness and she watched her mother develop dementia.
Aishling worked closely with her nine sisters to make decisions to care for her mother and father; keeping them home, healthy and happy for as long as they possibly could. It was through this hands-on and very personal experience that the idea of AishlingCompanion Home Care was born. The goal in this work is to provide the same level of care for your family's loved ones asAishling was able to provide for her own aging parents.
Aishling is a dedicated mother of four and business woman. All of her work building Aishling Companion Home Care is dedicated to her mother and father for the wonderful childhood and life of beautiful traditions and memories that were created for her and her sisters.
Fire Engineering EMS editor Mike McEvoy talks with John Sponholtz, RN, CHPN, AEMT (Tisch Mills FD, Wisconsin) who is a hospice case manager and author of an upcoming article on EMS response to hospice patients. This prerecorded episode will enlighten you on the various kinds of hospice and palliative care, hospice meds, POSLT and Do Not Resuscitate orders as well as why you should be communicating with hospice any time you respond to one of their patients.
Get ready for another rapid fire episode where anything goes. EMS is a great professional with lots of topics to discus and many opinions to be heard. Come listen to the latest in EMS culture and join in the conversation via phone or chat, or just listen in as Jim, Josh and Dave give their take on the latest in EMS.
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