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You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life. To change an outcome that would have otherwise been catastrophic if you weren’t there.

There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “A” then “do B” but what do you do when "A” wasn’t in the book. We need to get away from the algorithmic thinking and instead shift to understanding the principles behind WHY if A then B.

The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you.

If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends.

We are your hosts, Ross Orpet & Will Berry and this is EMS Cast.

Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Adler shares insights from real-life cases and emphasizes the critical need for planning and knowing the resources available in urgent scenarios.

Resources

Gear We Like

Guest/Cast/Crew information-

Guest/Cast/Crew information-

Guest- Chris Meeks, Critical Care Flight Paramedic, Organ Recovery Coordinator

Host- Ross Orpet, Will Berry 

Catch up with us after the show

• Instagram- @emscast

Creating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fostering supportive relationships with staff and avoiding fear-based management. Additionally, Chris shares his journey from paramedic to Field Training Officer, offering advice on effective training and mutual support. This episode is packed with valuable insights for anyone in the EMS field aiming to enhance performance, commitment, and team dynamics. Don't forget to check below for further resources on just culture and motivational learning.

Guest/Cast/Crew information-

Guest- Chris Pfingsten, Co-host of EMS 20/20

Host- Ross Orpet, Will Berry 

Resources

• Other episodes you might like

• Ep. 72 From Errors to Excellence with Geoff Murphy, Master Your Medics

• Just Culture- https://amzn.to/4eOMN7w

• Why do Errors Happen? How can we prevent them?

Catch up with us after the show

• Instagram- @emscast

• Resources and links

• This episode was inspired by an article on EMSAirway.com- Friday Night Lights- Shift 9 Steak Night

American Society for Gastrointestinal Endoscopy- Guidelines for ingested foreign bodies

Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis.

Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial

Conservative management of oesophageal soft food bolus impaction

Esophageal Food Impaction: A Retrospective Chart Review

Food Bolus Impaction- Question and Answer Review

Guest/Cast/Crew information-

Host- Ross Orpet, Will Berry 

Catch up with us after the show

• Instagram- @emscast

Delve into a real-life rescue mission conducted by the U.S. Air Force Pararescue Jumpers (PJs) in the North Atlantic Ocean and learn ten crucial lessons for enhancing EMS practice. Dr. Michael Lauria shares these ten critical lessons from this challenging scenario that are essential for medical professionals working in any prehospital environment. From the importance of preparation and the power of a small team, to the significance of continuous learning and the dynamic nature of safety, these insights are invaluable for enhancing clinical practice. Tune in to learn how these lessons can be applied to improve how you approach the job.

Guest/Cast/Crew information-

Guest- Dr. Mike Lauria

Host- Ross Orpet, Will Berry 

Resources

Catch up with us after the show

Pediatric BVM Delivers More Ideal Volumes in Mannequins

Small BVMs Lead to Decreased Survival in a Small Real World Study