News, updates, and commentary on the world of emergency medical services.
Epic New Book Shows ‘Principles, Pearls and Pitfalls’ in EMS
This podcast presents an in-depth discussion with the editors of a new in-depth book recently introduced for EMS providers, educators, students and EMS junkies.Prehospital Medicine: Principles, Pearls and Pitfalls was self-published by the International Prehospital Medicine Institute (IPHMI) with one purpose in mind: to get the most up-to-date EMS principles, pearls and pitfalls into the hands (and minds) of dedicated EMS providers.IPHMI dedicated the book in the memory of famed trauma surgeon, EMS leader and friend to all on EMS, Dr. Norman McSwain and priced the book at only $14.95 for the e-book version and $29.95 for the 737-page printed version to make it affordable to emergency providers and physicians who could benefit from its content.The book is written in a question and answer format, features 86 easy-to-read educational chapters on a multitude of subjects. It is 737 pages of amazing content that, in the e-book version, will be updated as topics, science or techniques change. There were 33 contributing authors in addition to the five primary authors whose mission it was to give providers the latest important information in 86 subject areas.Join A.J. Heightman for a conversational discussion of the book, its contents and its purpose with the five EMS educators who developed its content: Wilfred (Will) Chapleau, RN, EMT-P; Greg Chapman, BS, RRT, REMT-P; Michael J. Hunter, EMT-P, TP-C; Peter T. Pons, MD, FACEP; and Lance Stuke, MD, FACS.
Mobile Integrated Healthcare with Kevin Spratlin
The EMS Handoff guys talk to Kevin Spratlin, MS, NRP, about the Memphis Fire Department’s unique way of handling an overwhelming number of calls. Spratlin leads Memphis Fire Department’s Healthcare Navigator Program, an innovative mobile integrated healthcare/community paramedicine model which seeks to reduce the impact of non-emergent medical calls on the department’s emergency response capabilities. He also chaired the Tennessee MIH/CP Task Force. Spratlin has served in the emergency services field for over 28 years.Show Highlights Top three issues that patients faceChallenges confrontingMonetary cost of ambulance misuseAbuse versus misuseRADAR program (rapid assessment decision and redirection)Community educationHUG (High utilizer group) team and COVID-19Community paramedicine Connect with the Guesthealthcare.firstname.lastname@example.org Resources/Articles Mentioned in PodcastMemphis Fire Department Healthcare Navigator Program
Pediatric Restraint with Tim Nowak
The EMS Handoff crew is joined by Tim Nowak, AAS, BS, NRP, CCEMTP, SPO, MPO, CADS. Tim is the founder and CEO of Emergency Medical Solutions, LLC, an EMS training and consulting company that he developed in 2010. Through this venture, he is the editor-in-chief of EMS Director magazine, a webinar/app-based continuing education content developer, columnist and blog writer, product developer, instructor and speaker, podcast guest and host, and a social media influencer on LinkedIn.Tim is also the assistant chief of special operations with a county-wide EMS agency based in Florida, where he oversees the planning and logistics sections, special operations functions and community paramedicine programs for the agency.This podcast, the EMS Handoff crew is going to review Nowak's article, Training Day: 3 options for safely transporting your pediatric patient.1. Pediatric transports can be challenging!Safe versus Not Safe“Mom holding onto baby”2. Best practices for pediatric transport in the ambulanceThe “Working Group Best-Practice Recommendations for the Safe Transport of Children in Emergency Ground Ambulances” https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdfNHTSA 1999 “Dos and Don’ts of Transporting Children in an Ambulance” https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdf3. What is acceptable?Start with their own car seatParents tend to keep up with their child’s growthWhat if it was in an accident?2012 NHTSA document https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdfNo visible damageWhere do you place them in the vehicle?4. Car Restraint SystemsInflatable car seatsIn-seat/ convertible restraint systemsCot-secured, adjustable strapsContour-padded restraint systemsRoll-out restraint systems5. Four-point shoulder/ chest restrainsPad the voidsUse four-point straps6. What is not acceptableNo one in the ambulance – parents, caregivers, medics or other passengers should be unrestrained during transport.Consider your options and plan ahead so you are prepared when faced with a pediatric patient.7. 4 Safety considerations for Pediatric TransportDo tightly secure all monitoring devices and other equipmentDo ensure available restraint systems are used by personnel and other occupants, including the patient.Do not have the child/infant held in the parent’s caregiver’s or EMS personnel’s arms or lap during transport.Do not allow emergency vehicles to be operated by persons who have not completed an approved driving course.“The next time you are completing your PCR, take a look at all of the transport options. Via stretcher leads the pack, but mom holding onto baby…. Well, it is not there for a reason…”
New Information on HIV
While EMS is rightly focused on COVID-19 right now, Katherine West explains why keeping up-to-date on HIV infection is extremely important.
Project Mayday: Lisa Bertaccini, LCSW
Why did you choose to be a first responder? Is there a link between the impact of childhood trauma, or does a generational family history of career choices influence a person's career choice? Hear a different perspective from a military family life consultant from the Department of Defense on her experience with her psychological perspective on how to maintain mental wellness, the effects of PTSD on the family and how to do a mental health check on yourself.
The Role of EMS Data and COVID-19 with Dr. Remle Crowe
On this week’s Episode of the EMS Handoff, hosts David Blevins, Eric McCullough and Bradley Dean are joined by Dr. Remle Crowe, a research scientist with ESO. Dr. Crowe discusses the significance of data and how EMS data is being used to help support the understanding of COVID-19 in the country. Dr. Crowe is an expert in EMS research and quality improvement. From truck clutches to clinical care, she has shown how research and improvement science work to solve problems across fields. Prior to earning a PhD in epidemiology, her EMS career began with the Red Cross in Mexico City as a volunteer EMT. She has authored numerous peer-reviewed publications related to prehospital care and the EMS workforce. Now, as a research scientist with ESO, Dr. Crowe routinely uses EMS data to improve community health and safety.