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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.
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.
This episode we discuss a recent video where EMS providers in NYC are shown with a patient in police custody who ended up dying. More importantly we talk about the all the Monday Morning Quarterbacks that have judged and sentenced these providers with knowing the full story, including local politicians and other EMS governing bodies.
We also talk about the perception in EMS with videos like this one and how that perception is damaged even more with countless FaceBook posts and comments.
This week is the second half of the live show from July 27 with Jim , Josh and Dave Brenner along with guest caller Donald as they try and give their views on the topic.
Every day in EMS we make decisions. They can be for patient care, transport, refusals and documentation. What do you feel influences these decisions each day? The simple answer may be "whatever is best for the patient". But sometimes the reality of the answer may be more like "what is best for me and what my agency wants".
Join us for this episode as we jump on this topic and also how we as indvidual providers can try and influence decisions that our agency makes. Decisions that can be focused on patient care alone.
Jane Cooper is founder, President and CEO of Patient Care, the nation’s leading advocacy company, based in Milwaukee, WI. The company began operations in August, 2001 and helped create the advocacy industry. Patient Care currently provides services for over 1 million members across the country.
Jane is a pioneer in health care reform. Her company equips consumers with information needed to make informed decisions. Her experience indicates when given cost and quality information consumers make better choices saving themselves and us money.
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".
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Fran Mott has been the Chapter Leader in Michigan for the VHL Family Alliance since 1994. What that means is that she is in charge of taking care of people with von Hippel-Lindau throughout Michigan.
Von Hippel-Lindau (VHL) is a genetic cancer syndrome, caused by one tiny misspelling in one gene, the VHL gene. People who carry this alteration are at increased risk of having one or more tumors in a variety of places in the body. There is currently no magical cure, it's all about watching out for issues, finding them early, and getting the right treatment at the right time.
Fran has worked with physicians at University of Michigan Medical Center and other hospitals throughout the state to become more aware of VHL, diagnose it earlier and more accurately, and help people manage their health. The University of Michigan has created a Clinical Care Center for VHL, part of the CCC program of the VHL Alliance.
Fran is retiring this year after nearly 20 years of volunteer service to her neighbors throughout the state. Joyce speaks with Fran about her experience as a patient herself, a mother, and a volunteer in service to others with this rare disease.
The VHL Alliance will hold its Annual Meeting September 21, 2013, in Ann Arbor, with a dinner September 20 honoring Fran and Dr. James Montie of the U of M.
For information or to register for the meeting, see http://vhl.org/meetings
Join us for the live EMS Paramedic radio show. Jim, Josh and Dave will bring their own topics and open the back of the ambulance doors so you can add your own to the jump bag.
The bag is as full as ever but we can jam some more in as always. This week:
OMG EMT <- Jim watched a few episodes - pleazzzzzzz.
In hospital time, EMS utilization and it's effects on patient care
Summertime, drownings and July 4th shenanigans.
Plus member questions and more.