Full interview with Dr. Adam Bariteau will be live soon at PracticalEMS.com, make sure to subscribe to be notified when it is posted. 

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Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Subscribe on your favorite podcast player to access the full episode and support Practical EMS!

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Continuing my discussion with Cody, Chris and Vince around scene management and etiquette. 

Believe me, I've made all the mistakes you can make as an EMT and Paramedic. My goal is to help YOU avoid these mistakes and decrease the amount of miscommunication and confrontation on scenes with other providers. At the end of the day it's all about the PATIENT. That is what we are all here for.

A recurrent theme in the discussion is RESPECT. Respect for the patient first and foremost but also for the other providers on scene AND in the hospital. We can all put our egos aside and remember that it's usually the patient that suffers when we focus too much on ourselves. 

I hope you guys get something out of this episode. Please give me your feedback at [email protected].

Part 3, where we finish the discussion is live as well for PREMIUM members only. Check it out by subscribing as a premium member.

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Highlights from our scene etiquette part 1 episode. Don't forget to subscribe at PracticalEMS.com and check out the full episode on your favorite podcast player. 

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Thanks for checking out this new episode of Practical EMS. Don't forget to check out the video of this episode at PracticalEMS.com and subscribe to get updates on all new content, as well as receive the "How to Think Like an Emergency Physician" tip sheet PDF.

In this episode I discuss scene management and etiquette with experienced Fire EMT Cody Thomson, Fire Paramedic Chris Valentine and Paramedic Vince Holditch.
These guys share some great thoughts about how to navigate these sometimes tricky scene interactions with crews and other responders. Honestly, I learned a lot that I wish I knew when I practiced as a full time paramedic. 

Part 2 coming soon! 

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

In emergency medicine we use a top-down approach. What does the patient need? Not, what does the patient have?

4 Responsibilities of the Emergency Physician:

Resource stewardship - Not a lot of control over this variable
 
Customer service - Evidence based medicine doesn’t equal good customer service. You must be able to communicate well with your patients and manage expectations appropriately.

 Symptom relief - Don’t forget to address the pain or symptom that the patient came in for while thinking through DDX and orders. 

Patient safety - Most of our time is spent here. 

Patient safety is resuscitation and identifying dangerous conditions

Dr. Strayers system:

Identify patients needing resuscitation and triage appropriately 

Identify dangerous conditions using HPI, physical exam, testing. This list is narrowed down by each step in the process. 

 Have a plan for a negative workup as a positive work up will usually dictate a plan on its own.

Run the board frequently and after seeing new patients. 

Place orders before charting

Manage interruptions with a method that works for you. Multitasking isn’t possible.

Expand work up if the HPI and physical exam are limited. 

Huge thanks to Reuben Strayer! Check out his website EMUpdates.com

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Thank you to Reuben Strayer for allowing me to reproduce his awesome content here. Check out his website at emupdates – return if worse for more emergency medicine content. Email me with comments or questions at [email protected]

Quick tips:

Resuscitation
Does the patient need resuscitation?
- Vitals
- AMS
-Neuro deficits
- Sick appearing
- Threat to self or others

Prioritize patient appropriately and/or call for appropriate resources

Identifying dangerous conditions
- This is most of our ED patients
- Review RN/triage notes before seeing patient
- Prior visits/discharge summaries/ems runsheet
- Ask "What medical problems are you known for?"
- Ask for changes in medications
-  Med non-compliance
- Social questions
- Ask last "Why have you come to the ED on this fine evening?"
- Have you ever had these symptoms before?

- Plan: what else need to be ruled out with imaging/lab work?
- Plan on what will happen with negative results, before they come back
- Positive results will usually dictate the plan

Run your board frequently
- What are we waiting on?
- Patient improving or getting worse
- Should I offer update, food, pain meds
- Update charting
- Always place orders before charting

Find a method for managing interruptions that works for you

If HPI and physical exam are difficult or limited - expand your work up

Don't make waste basket diagnosis such as costochondritis, gastroenteritis, GERD, anxiety

Follow key cases

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

I discuss the misconceptions I once held when I was a full time paramedic about the PA profession. Don't let them become excuses for not pursuing the PA career path.
Full video at PracticalEMS.com or on YouTube @ PracticalEMS.

Support the show

Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics

Most efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours.

If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you.

1st Phorm | The Foundation of High Performance Nutrition

Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.