New Orleans EMS has been making headlines. But not for the reasons they SHOULD be making headlines. Bill Salmeron, the chief and director for New Orleans EMS joins me to tell me what New Orleans EMS is doing RIGHT, and acknowledging that whatever struggles New Orleans EMS has isn't a unique or localized problem. EMS is struggling. Not meeting response times is indicative of how outdated using response times as a benchmark of performance is to begin with. Recruitment and retention is a nationwide problem. Compensation is a nationwide problem. The social safety net that EMS becomes is not specific to New Orleans. But what IS specific to New Orleans is their early adoption of a blood/component program. They published the receipts and demonstrated how an EMS services rises above whatever challenges it faces and does right for the community it serves. Bill was also able to confirm that on the very day we recorded he secured increased compensation for his people!

Gavin Istre has done his bid for king and country and has come out a little worse for wear. After having served in an historic and storied city of New Orleans and starring on the EMS Reality show "Nightwatch", Gavin now finds himself in a position thousands of other providers have found themselves in- unable to continue give to a field that has taken everything. We also explore the enduring legacy of Nightwatch in the reels age, where social media has given Nightwatch clips new life and unfortunately- increased scrutiny. We also directly address a widely seen clip that I myself criticized in one of my reels.

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"One does not simply have a 3 minute conversation with Jeff Jarvis on airway management."

This was supposed to be a reel. But, like Dr. Jarvis, I can talk about this stuff all day. So 20 minutes later it became a podcast on airway management in cardiac arrest. I try to hit all of the beats I can when it comes to being practical and pragmatic with our approach, and I don't avoid putting our training paradigm under the microscope. Dr. Jarvis is an airway guru and die-hard intubation enthusiast, so his admission to what our challenges are, and what our practice should probably be is sobering.

Wind him up and let him go! The LEGEND! I loved talking to Bob in this episode. More than I loved talking to him, I loved LISTENING to him. Bob is a man who knows himself, knows his stories, knows his job and doesn't need help in talking about either. Bob is also a man who found his way after a bad outcome attributed to lack of understanding, and has pursued excellence in practice and teaching ever since. He is also someone who is still committed to learning and who will pivot to new information when it is presented. Bob has come to be my conference circuit buddy, something I could never have imagined decades ago when I was trying to work. My way through MultiLead Medic and Slap the Cap. I hope you enjoy listening to Bob as much as I did!

Manual Ventilation Academy: https://manualventilationacademy.org/

What do a bunch of nerdy EMS podcasters at an EMS conference do once the day of lecturing is over? Relax in a hot tub? Watch The West Wing reruns on Netflix? Go out to dinner? Take naps? NOPE! We re-convene and nerd out for one big crossover episode. And we nerd out on...AIRWAY! Because Jeff Jarvis. This crossover episode was a blast to record!

A patient becoming alert during a resuscitation is a best-case scenario, right? Mission accomplished! Not so fast, we're not talking about ROSC, we're talking about a patient who becomes alert during CPR because we're perfusing the brain THAT well. But they don't have a pulse. When compressions stop, the patient "stops". This is traumatic for the patient, but it's also traumatic for the provider. Dr. Alex Jabr and I break down CPR induced consciousness for talk about ways to mitigate the impact it has on everyone involved.

References: https://drive.google.com/file/d/1ptq8EeBp19E5rs_iWuEm-Io1gank2heV/view?usp=drivesdk

Emergency Resilience: https://www.emergencyresilience.com/

Elizabeth has it all! A great career! Influence in that career. She's a wife and mother. She has a home. She has recognition and brought the house down at EMS World. But at one point in her life she lost it all. Liz suffered from opioid use disorder, and her story from addiction to freedom is an inspiring account of how being offered kindness and compassion at your lowest point can be a seed that's planted that eventually sprouts and fuels recovery!

Link to Liz's Paramedic Scholarship Organization: https://www.paramedicpathways.org/

Podcast GOAT Ginger Locke of Medic Mindset joins me to discuss introversion in EMS. What is an introvert? Do introverts even like people? Are introverts barely surviving in an extrovert's EMS playhouse or are we actually the thrivers? Come recharge your batteries with Ginger and I as we settle into some quiet introspection and explore the minds of both introverts AND extroverts that make up the field of EMS. That's right extroverts, we saved a spot for you!

In the second episode of season 2, I discuss the successes, failures, lessons, and challenges of being an educator on social media with the always amazing Nurse Gwenny. We talk about the rewards of the job, navigating community engagement, disparities in the way men and women are treated in the creator space, what to do when you get it wrong, and what it feels like to get it right.

There is an overwhelming sense amongst EMS providers that they are trapped in EMS. They got in not quite knowing what the reality VS the promise of EMS was. That feeling was only intensified during the pandemic. Now they feel like there is no way out. It can almost feel like a prison sentence without a released date. Former inmate and now advocate Jesse Crosson relates to this as he served a considerable amount of time in prison (More so than sentence guidelines recommended) and found that while he couldn't change his surroundings, he COULD change his mind and his attitude. Hopefully this can inspire others to build resilience and internal change in order to rise above unfavorable circumstances.