Josh and Cody unpack this clinical practice theory of Audacity. Cody posted a few months, this topic and here is what he said in the post. Audacity is having the balls to make a decision, when you know you need to make it, with only your thought processes and clinical judgement to defend you. Why, because blindly following a protocol that was not written for the exact situation you are in… is stupid. That is reckless and careless. Why? Because if you merely find the title of a protocol that “matches” the complaint you are dealing with, you are not collecting dots. You are forcing the patient into a box they may not belong in. In so doing, you doom them to suffer treatments from a recipe that does not even fit their problem. You are a clinician. You have to develop the situation and develop a gestalt or an impression. When you have to defend yourself. This is how you do it. “Here is the picture I made with the dots I collected. That is what drove the decision.” —> this avoids outcome bias. When people understand HOW you made the decision they tend to focus a lot less on the RESULT of the decision. You highlight and defend the thought process, NOT the result. You don’t control the result, you only control your responses to the information you gathered. You also cannot judge YOURSELF by the outcome. You hold the mirror up to the integrity of your process, how well you crafted a solution, and how well it was executed.

Josh and Cody unpack this clinical practice theory of Audacity. Cody posted a few months, this topic and here is what he said in the post. Audacity is having the balls to make a decision, when you know you need to make it, with only your thought processes and clinical judgement to defend you. Why, because blindly following a protocol that was not written for the exact situation you are in… is stupid. That is reckless and careless. Why? Because if you merely find the title of a protocol that “matches” the complaint you are dealing with, you are not collecting dots. You are forcing the patient into a box they may not belong in. In so doing, you doom them to suffer treatments from a recipe that does not even fit their problem. You are a clinician. You have to develop the situation and develop a gestalt or an impression. When you have to defend yourself. This is how you do it. “Here is the picture I made with the dots I collected. That is what drove the decision.” —> this avoids outcome bias. When people understand HOW you made the decision they tend to focus a lot less on the RESULT of the decision. You highlight and defend the thought process, NOT the result. You don’t control the result, you only control your responses to the information you gathered. You also cannot judge YOURSELF by the outcome. You hold the mirror up to the integrity of your process, how well you crafted a solution, and how well it was executed.

Josh and Cody unpack this clinical practice theory of Audacity. Cody posted a few months, this topic and here is what he said in the post. Audacity is having the balls to make a decision, when you know you need to make it, with only your thought processes and clinical judgement to defend you. Why, because blindly following a protocol that was not written for the exact situation you are in… is stupid. That is reckless and careless. Why? Because if you merely find the title of a protocol that “matches” the complaint you are dealing with, you are not collecting dots. You are forcing the patient into a box they may not belong in. In so doing, you doom them to suffer treatments from a recipe that does not even fit their problem. You are a clinician. You have to develop the situation and develop a gestalt or an impression. When you have to defend yourself. This is how you do it. “Here is the picture I made with the dots I collected. That is what drove the decision.” —&gt; this avoids outcome bias. When people understand HOW you made the decision they tend to focus a lot less on the RESULT of the decision. You highlight and defend the thought process, NOT the result. You don’t control the result, you only control your responses to the information you gathered. You also cannot judge YOURSELF by the outcome. You hold the mirror up to the integrity of your process, how well you crafted a solution, and how well it was executed.

Audacity: A Clinical Practice Theory

Cody Brdicko is an EMT/ Firefighter with the Omaha Fire Department and is assigned to Heavy Rescue 33.  He holds the certifications of Firefighter 1 & 2, Emergency Medical Technician, Hazardous Materials Technician, and Rescue Specialist. Cody is also a Rescue, Water and Logistics Specialist on the Federal Emergency Management Agency's (FEMA)Nebraska Task Force 1. He is a graduate from the University of Nebraska at Omaha with a Bachelor's of Science Degree in Emergency Management and is also a graduate from the Naval Postgraduate School's Emergence Program. Cody is an instructor at Metropolitan Community College where he instructs fire science and technical rescue classes.

Cody Brdicko is an EMT/ Firefighter with the Omaha Fire Department and is assigned to Heavy Rescue 33. He holds the certifications of Firefighter 1 & 2, Emergency Medical Technician, Hazardous Materials Technician, and Rescue Specialist. Cody is also a Rescue, Water and Logistics Specialist on the Federal Emergency Management Agency's (FEMA)Nebraska Task Force 1. He is a graduate from the University of Nebraska at Omaha with a Bachelor's of Science Degree in Emergency Management and is also a graduate from the Naval Postgraduate School's Emergence Program. Cody is an instructor at Metropolitan Community College where he instructs fire science and technical rescue classes.

Cody Brdicko is an EMT/ Firefighter with the Omaha Fire Department and is assigned to Heavy Rescue 33.  He holds the certifications of Firefighter 1 &amp; 2, Emergency Medical Technician, Hazardous Materials Technician, and Rescue Specialist. Cody is also a Rescue, Water and Logistics Specialist on the Federal Emergency Management Agency's (FEMA)Nebraska Task Force 1. He is a graduate from the University of Nebraska at Omaha with a Bachelor's of Science Degree in Emergency Management and is also a graduate from the Naval Postgraduate School's Emergence Program. Cody is an instructor at Metropolitan Community College where he instructs fire science and technical rescue classes.

Omaha On My Mind: Topics In EMS, Fire & Rescue With EMT/Firefighter Cody Brdicko

Ken and Mustafa sit down with former sheriff's deputy Garrett Stefan to discuss the nexus between EMS and law enforcement.

On Law Enforcement: Topics For EMS, With Garrett Stefan

Ken and Mustafa discuss flow of consciousness EMS topics as they present themselves

The Shock Index #4

The Shock Index #3

The Shock Index #2

Mustafa sits down with Battalion Chief Michael Lambert to discuss various topics in leadership.

On Leadership, with Battalion Chief Michael Lambert

The Shock Index #1

A Quick House-Keeping Item by Alert Medic 1

A Quick House-Keeping Item

[Explicit] The Alert Medic 1 Podcast - Various Topics on EMS w/ Cody Winniford by Alert Medic 1

[Explicit] The Alert Medic 1 Podcast - Various Topics on EMS w/ Cody Winniford

The AM1 Crew gathers with various medical students Maniraj Jeyaraju and Cole Zingas to discuss advanced renal physiology topics and their implications for EMS. Specific topics include the Renin-Angiotensin-Aldosterone system, fluid balance, and homeostasis.

Music: www.bensound.com

The AM1 Crew gathers with various medical students Maniraj Jeyaraju and Cole Zingas to discuss advanced renal physiology topics and their implications for EMS. Specific topics include the Renin-Angiotensin-Aldosterone system, fluid balance, and homeostasis. Music: www.bensound.com

Renal Physiology Deep Dive, Part 1

Alert Medic 1 is a podcast developed by EMS professionals with strict physician oversight focused on educating EMS providers on all aspects of the sciences and medicine. We accomplish our goal through blog entries, case studies, video lectures, and social media interaction. We encourage and welcome health care providers of all backgrounds to join in our discussion.

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