Medic Mindset

Dr. Casey Patrick, EM physician & EMS medical director at Montgomery County Hospital District (Texas), joins Ginger to discuss how he thinks during calls when the patient presents with rapid atrial fibrillation. Is the rapid A-fib the primary cause or a secondary result of another critical condition like sepsis, PE, DKA, hypovolemia, etc?

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"Some people love doing crosswords or Sudoku. I love finding my learner's cheat code. I love figuring out what really works for this person versus the previous people that I had. It's an opportunity for me to exercise my creativity." - Keith Velaski

This episode delves into the art of precepting in EMS. The episode features insights from Keith Velaski, a seasoned flight nurse with extensive experience in various clinical and transport settings. The discussion emphasizes effective preceptor-learner relationships, educational strategies, and essential traits for successful precepting.

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Medic Mindset

Love, Ginger

He's the White Tiger. Dr. J.R. Pickett. Or simply J.R. His teams follow him and in this episode he gives away some of the secrets of his leadership philosophies: How he gets buy-in from his team. What he understands about millenials. How he balances decisiveness with tactical patience. Why conflict is essential for successful teams. What he learned during COVID. 

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Paramedic, Taylor Kellogg (@kello011 on Twitter) joins us. This episode is a chance to take a break from clinical learning and listen to the story of a medic who has a passion for meteorology. Wildland fires in Southern California, a thunderstorm on a goat ranch, tornadoes while on shift, flooding that brought him eye-to-eye with a snake knocking on the station door & winter storms in Central Texas. He marvels at the good & the ugly that natural disasters provoke in humanity and how extreme weather makes us vulnerable in a way that connects us. 

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Dr. Maia Dorsett joins us again! You may remember her from the Thinking: Lift Assist episode. This time she shares what she knows about the process of death notification. It's a passion-topic for her because she knows how important these conversations are for the loved ones of patients who have died... and for us. She frames a death notification as a procedure that can be taught, learned and practiced.

NAEMSP Article Bite #33: Is Death Notification Training associated with decreased burnout among EMS professionals

This YouTube video was made by the Monroe-Livingston EMS Region at the beginning of the COVID-19 pandemic in anticipation of the rise of out-of-hospital death.

Paper outlining The GRIEV_ING algorithm in the Prehospital Emergency Care journal.

Kevin Hazzard reads 2 chapters from his latest book, American Sirens: The Incredible Story of the Black Men Who Became American’s First Paramedics.

Freedom House EMS is EMS’ origin story. It was almost erased until Kevin Hazzard meticulously researched the story so it can sit in the forefront of our our collective consciousness.

His first book, 1000 Naked Strangers, was recommended by Nyssa Hattaway in this Medic Mindset episode as the one book she’d give to a new paramedic.

Kevin Hazzard reflects on a TV show based on a book called "5 Days at Memorial" by Sheri Fink. In this story, the characters are faced with impossible challenges inside a hospital in the days after Hurricane Katrina. There are so many parallels between what they experienced and what out of hospital paramedics are presented every day.

The first time I heard Kevin's voice was in 2016 when he was a guest on NPR's Fresh Air with Terry Gross. They were discussing his book "1000 Naked Strangers" where he recounts memories from working for Grady EMS in Atlanta for over a decade. I was struck by this quote during that interview: "There are a lot of situations where it's just not practical to wait for it to be completely safe and you gotta just try to weigh the odds." With that quote, I knew he'd be a guest well-matched for Medic Mindset where we understand the grey in which decisions are made in EMS everyday.

Shownotes at medicmindset.com

How do we find our way out of this? Initial education, recruitment and retention in EMS are all in crisis. Paramedic and EMS educator, David Fifer proposes an educational pathway for paramedics in this keynote lecture at the 2022 National Association of EMS Educators' Annual Symposium.

Days before delivering this keynote talk, David was working with a crew to hoist people out of disastrous flooding in Kentucky. He called on those in attendance to offer financial support through this site if possible.

This episode was made possible through the collaboration of some of the best in EMS education: Prodigy EMS, NAEMSE and EKU's David Fifer

I don't have favorite episodes but if I did, this would be one of them. With my girlfriend Cassi by my side, I caught up with Kris and Sara Kaull at a conference. It's the first ever double-date on Medic Mindset! Cassi & Kris are both paramedics. Sara and I have the perspective of the significant-other to a paramedic. We swap stories and Cassi and Kris offer up ideas about what medics need from their spouses/partners. This episode is really a gift to the family members of medics. Take a listen and if it resonates with you, consider having your loved-ones listen. Maybe it will spark good conversation about what you need when you get home from shift or how best to connect with you while on shift. Kris and Sara were absolute gold. During a busy conference, where they were both speakers, they took the time to hide away with us in our hotel room for recording. The conversation was so special to me because conferences can be full of small talk, but this was different: we put away our phones and had a rich meaningful conversation that I hope you enjoy!

This is a special cross-post with the brand new pediatric podcast from NAEMSP: The Pediatric EMS Podcast created by Drs. Joelle Donofrio-Odmann and Dr. Joseph Finney. Dr. Donofrio-Odmann has been a guest on the show previously in Thinking: Pediatric Respiratory. Other guests in this episode are Drs. Maia Dorsett, Jeff Jarvis and Jeremiah Escajeda

They've created these show notes. While you are there subscribe to their podcast which is sure to be a hit.

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