57 episodes
Practical EMS Practical EMS
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- Education
My mission is to use the stories we all have in emergency medicine to encourage and uplift you where you are. EMT, Paramedic, nurse, PA, NP or physician. Emergency medicine is a very difficult specialty with unique challenges, and it calls us all to be better than the average person in order to stay healthy for our patients, our families and own mental wellness. I want to connect with EMS crews, fire crews, ER RN's, ER techs and new ER advanced practice providers to better understand their current struggles. I also want to bridge the gap between prehospital medicine and the emergency department and to encourage those seeking to become an advanced practice provider. Disclaimer: All Practical EMS content is opinion only. It is unaffiliated with any company or organization and does not represent any company or organization that Aaron currently works for or has worked for in the past. No content should be taken as medical advice.
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The medical hierarchy, identity outside of the profession and creating healthy rituals
We discuss what things we want others to know about our careers.In EMS we can tend to jump immediately to being confrontational, even when the other person isn’t meaning to be confrontational.We all have different scopes and different levels of knowledge.Casey wants people to know that paramedic’s get extensive training in 12 lead interpretation.Lucas wants people to know that doctors are not the boss or supervisor or the manager, we are a team and we each have our roles.Egos tend to make peo...
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The price we pay
Meaningful patient interactions – Hold on to them.The mundane calls, the rude patients, the horrible things we see - those are the price we pay for the one call where you save someone or have a meaningful interaction.It is an honor to take care of patients that can’t get help in any other medical setting except the ER. Find one thing every shift that you find fulfilling. Be intentional. Find that thing. Someone sweet, someone grateful, someone you helped.You need the right expectat...
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How to heal and move past the difficult things
Our new panelists:Lucas- ER Physician, Micaela- Paramedic, Alex- Paramedic, Rebecca- ER RN, Casey- ParamedicWe discuss struggles with caring for patients that have perpetrated violent crimes.Recognize your own bias and your personal history that may affect patient care. It’s important to have a good self-care plan because you can’t pour from an empty cup.Pediatric calls will stick with you. They require intentionality to overcome.We all carry scars with us.Understand that we are human, a...
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Micaela's Black Cloud, The Power of Touch, Running Mass Shootings
Struggles in emergency medicineCasey struggles with keeping up with the changes, especially the technological changes. If you worry about keeping up, put yourself in a position to teach the new people. They will force you to learn as well.Micaela talks about her personal struggle with burnout and the significantly high acuity calls she has runShe ran a ton of high acuity in a short amount of time. She had difficult partners and students. She was a critical part of a shooting that made na...
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Moving from ER RN to ER NP and critical field procedures
We welcome our new panelists. Micaela (paramedic)Simone (former ER RN and now ER NP)Paramedic’s Alex and Casey returning. Simone gives us a glimpse into the tough transition from ER RN to ER NP. You need to love the medicine. Having to know so much of so many things was one of the toughest parts. You must be second best at every specialty. Alex talks about the transition from EMT to paramedic. Being in a system that creates strong EMT’s makes...
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Emergent Standards
Emergent StandardsI address a comment about how we mentally handle the patients we care for that have committed violent crimes. We still care for them to the best of our ability; in fact we often learn the whole story after we have finished caring for them. We don’t judge because that is not our role. We find ways to move on from the horrible situation.Emergency standard:Take care of yourself before you take care of patients. 75 Hard has completely changed my mindset. I actually stick co...