resus10

What happens when the first responder to a medical emergency is not EMS? If law enforcement is first on scene, will they also be the first to arrive with the technology needed to help save a life?

In this episode of resus10, Sean Graham interviews Joe Bosman, administrative operations captain for the Minnehaha County Sheriff’s office in Sioux Falls, South Dakota, and member of the South Dakota Mass Fatality Response Team. Joe discusses how his team successfully implemented an AED program and ultimately supported the wider system of care for the department’s rural area.

Listen now to learn how Joe’s office implemented a new AED program by gathering all the “puzzle pieces” together: from the right time and place to the right training and equipment.

In the safety world, mitigating risk is only possible when you look at both the past and future simultaneously. 

In this episode of resus10, Sean Graham interviews Gregg Davidson, a risk and safety manager with Global Medical Response (GMR). In his role, Gregg is responsible for maintaining an aggressive safety program that includes a multi-faceted approach through employee engagement, training and enforcement of policies and procedures.

Gregg shares how GMR identified a specific need for improving stretcher safety and designed a training program to address that need while ultimately lowering their number of incidents.

“If you don’t build the relationships today, you’re not gonna be prepared for the disaster tomorrow.” 

 

In this episode of resus10, Steve Heightman interviews Carl Flores, NRP. Carl served as chief of EMS at New Orleans EMS to help rebuild the organization after Hurricane Katrina in 2005, where he was tasked with building a more sustainable organization in New Orleans and regionally.

 

He shares how his team implemented a Region One Protocol Effort to shift the department from its silos to a statewide system of care approach, ultimately improving their responses to disasters, acute illness and traumatic injuries.

The saying might be “one patient, one outcome” – but in reality, patients often pass through two very different worlds on their journey with EMS and hospital teams. What potential opportunities could come from bringing those two teams together from a medical education perspective? 

 

In this episode of resus10, Sean Graham explores education in both hospital and pre-hospital environments. He’s joined again by Janese Nichols, director of nursing education and quality at Unity Healthcare, and Michele Burkhammer, EMS nurse clinician at Montgomery County Fire and Rescue in Maryland. 

 

They discuss how their respective environments each feature unique challenges and strengths, and how combining their experiences might create even more opportunities for learning and improvement.

Capnography provides an objective tool for assessing respiratory status and is one of the most reliable methods in confirming, monitoring and documenting ET tube placement.

 

In this episode of resus10, Sean Graham interviews Janese Nichols, director of nursing education and quality at Unity Healthcare. She previously served as director of education and professional development at Fort Washington Medical Center and has facilitated teamwork throughout her career to improve patient outcomes.

 

Janese shares her experience with implementing capnography with her hospital’s team, including how she fostered employment of this technology and overcame barriers with adoption.

Sometimes the most obvious sign of an efficient code is found in a quiet room.  

 

In this episode of resus10, Sean Graham interviews Tamara Stern, MS, RN, CCRN, ACCNS-AG, and Lisa Owen, MS, RN, CCRN, ACCNS-AG, both clinical nurse specialists from the University of Rochester Medical Center in Rochester, New York. Tamara and Lisa discuss how their team has used the LUCAS chest compression system to quiet their codes, streamline their team and allow each responder to focus on their role of providing the best care possible.

 

They also discuss the wide range of applications for mechanical CPR, from transport and the ED to the cath lab, and how their team reduced their average ECMO application time from an hour to less than 15 minutes.

When it comes to systematic improvements, starting small can lead to big results. 

 

In this episode of resus10, Sean Graham interviews Dr. Catherine Counts, acting instructor for the department of emergency medicine at the University of Washington and research and quality improvement manager for Seattle Fire Medic One.

 

Catherine shares how her team uses comprehensive data along with a narrow focus to guide their improvement initiatives, the dangers of Shiny Object Syndrome and why “QA” should probably be eliminated from clinicians’ vocabularies.

The right metrics and constructive conversations can make a major difference for any department operating on any budget. 

 

In this episode of resus10, Sean Graham interviews Scott Wiebe, EMS shift supervisor for Lincoln Fire-Rescue, member of the Nebraska Board of EMS, guest lecturer at the Union College Physician Assistant Program and consultant for Stryker.

 

Scott shares how his department narrows its focus on specific markers to drive improvement and how they use that data as a positive feedback tool with their crews.

In stressful situations, our brains don’t always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care.

 

In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.

 

Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress.

In stressful situations, our brains don’t always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care. 

 

In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.

 

Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress.