[audio:21_StableRhythm.mp3] (35:08) This week Ron experiences his first dead patient and CPR on them. We talk about capnography, and symptomatic bradycardia. Newbie asks about clearing C-spine and moving the head to a neutral position. And Kelly tells how to give informed consent to spinal immobilization. We also answer a number of listener questions.

Mentions:

Nexus Protocol for Clearing C-Spine

Listener Questions

Matthew:

Christine Springfield:

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The mp4

[audio:20_MaintainControl.mp3] (38:52) Is the scene safe, Kelly?

This week Ron and Kelly talk about maintaining your own pulse when dealing with a crazy call, what’s the reason to give pain meds, and the difference between the parasympathetic and sympathetic nervous systems. You’ll learn a new way to remember what part the parasympathetic system has on breeding.

This week Ron started giving IVs to the public at large and got to see a cath lab procedure.

UPDATE: After listening to the show and checking my pharmacology book I’m pretty sure the STEMI patient was not given Haldol. He was given Heprin. Haldol is an antipsychotic. Heprin is an anticoagulant which makes way more sense.

Listener Questions

I am wondering if there are personality types that are more successful than others in EMS? The reason I am asking this is because I have often been told that people can’t see me working on an ambulance or in an emergency department and have often been told that I should be a case worker. – Kim in Colorado

How familiar are EMTs/Paramedics with the Road ID wrist/ankle identification tags? Also, what information would you suggest to have on the tag? Typically it is name, city/state, 2-3 contact numbers, and any medical conditions or allergies. Eric – Las Vegas

Mentions:

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[audio:19_Pigs.mp3] (43:24) This week we talk about giving narcan, should you give nitro before or after getting an IV. Can an IV of Lactate’s Ringer cure a hangover?

Mentions

TOTWTYTR

Naloxone: The Most Abused Drug in EMS

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[audio:18_BusyBusy.mp3] (31:43) It’s been a crazy week for the newbie. 3 tests, first IV lab and first hospital clinical. We talk all about those tests, the ones that made him feel like a starfish and the ones that made him feel like Hank Arron. Kelly gives some tips on IVs and we answer a number of listener questions.

Questions:

How do you keep your skills up when you aren’t in the field? Advice for a teenager who wants to be an EMT. What’s the best way to do IV pass-off.

Mentions:

EMS Educast and the episode about EMS education for high school students.

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[audio:SP1_DrBledsoeInterview.mp3] (53:17) This is a special episode where the EMS Newbie, Ron Davis, interviews Dr Bryan Bledsoe. As Kelly puts it, Dr. Bledsoe is a rock star in EMS. He speaks at numerous EMS conferences, teaches Emergency Medicine at the UNLV Medical School, and literally wrote the book on Paramedic Care. The 5 volume set Paramedic Care Principles and Practices is the text book for Ron and many paramedic’s training to get his EMT-P. He also wrote another of Ron’s textbook, Prehospital Emergency Pharmacology (6th Edition). He co-wrote with Kelly the SUCCESS! for the Critical Care Paramedic book, to prepare paramedics to get their Critical Care certification.

In this interview Ron talks with Dr. Bledsoe about why he is so involved in EMS. What changes he’s seen over the years and where he sees EMS going in the future. He answers listener questions, including what makes a good paramedic, what’s up with O2 administration being a bad thing, and are standing orders enough. There is also a little talk about how patient assessment taught in his book for paramedics is like that taught to medical students and if paramedics make better med students.

Lot’s of interesting stuff so give it a listen.

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[audio:17_NeedToPee.mp3] (50:49) This week we talk about learning the 12 Cranial Nerves, in depth patient assessment, keeping fluids and drugs at the right temperature in the ambulance. Kelly tells you the secrets of peeing on long transports, both for the patient and the paramedic. Since Ron is learning IVs next week we talk about dealing with pediatric patients and needles, with Kelly the Pedi Stick King. Also what is a Critical Care Paramedic, does anyone really know? Apparently the Flight Medics do.

Kelly will be in Dallas this week at the EMS Expo starting on Wednesday and will be podcasting with EMS Educast, EMS Garage, and others as well as handing on EMS Newbie CDs.

On Thursday night, both Ron and Kelly will be on the Dr Anonymous show live on Blog Talk Radio.

Mentions:

Bevel Down IV for Pedis

Wenckebach Phenomenon, aka the Heart Block

Keys to Student Mastery of EMT Training

SEX, RELATIONSHIPS AND THE CARDIAC CONDUCTION SYSTEM

International Association of Flight Paramedics

University of Maryland Baltimore Department of Emergency Health Services

George Washington University EMS Degree

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[audio:16_ShootingFaceOff.mp3] (29:43) This week we talk about an EMS guide to suicide, and how to start an tube on someone without a face. Ron’s finally offical, having passed his National Registry test and be certified by Texas as and EMT.

From class we talk about taking a patient history from a hypoglycemic diabetic is a waste of time, and how to establish and maintain a relationship with other healthcare professionals.

Kelly will be at the EMS Expo in Dallas September 27-OCt 1 and will have CDs with the first 13 episodes of Confessions to hand out and autograph.

We’ll both be on the Dr Anonymous show Thursday Sept 30 at 8PM Central Time.

Mentions:

[audio:15_Agenda_Drugs.mp3] (41:16) In this episode Kelly and Ron talk about the 1996 EMS Agenda for the Future, EMS 2.0, the community paramedic. Studying for the NREMT and learning to learn after 18 years out of school. Narcotic tracking and security. Hypothermal treatment and the Morgan Lens.

Mentioned:

Study Hacks blog

How to Become a Straight-A Student by Cal Newport

Livescribe Pen

Keys to Student Mastery of EMT Training by Smith, Post and Jacobus

Kelly will be at the National EMS Expo in Dallas Sept 27-Oct1 and will be passing out CDs of the first 13 episodes of Confessions on an EMS Newbie.

Kelly and Ron will be on the Dr Anonymous show Sept 30 at 8:00 PM CT.

Kelly and Ron will be at the Texas EMS Conference in Austin Texas Nov 21-24 and will be doing a live episode.

And we are still taking questions for Ron’s interview with Dr. Bryan Bledsoe this month.

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[audio:14_BeginPSchool.mp3] (29:43) This week we talk about how many EMS schools there are in Texas and how many of them are accredited. Ron started the Lone Star College North Harris two year paramedic program, which is accredited, this week.

We talk a lot about that program and how it is structured. Ron asked the head of his program, Dr. Bill Drees about different rules they have like not requiring Anatomy and Physiology as a prerequisite and the no visible tattoo rule.

We also announced a few things that we will be doing. On September 23 we’ll be on the Dr Anonymous Show live on BlogTalk Radio. At that same time Kelly will be at the National EMS Expo in Dallas, Texas and wants you to meet him and buy him an adult beverage. In November we’ll be doing a live shot at the Texas EMS Expo in Austin, where you can meet both of us, ask your own newbie questions get autographs.

We also answer a listener question about going straight to P-school from basic.

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