The JEMS Report

EMS P.O.D. host Doug Randell discusses the EMS Commission in Indiana, the gubernatorial-appointed group that advises EMS on issues that affect EMS in the State of Indiana. 

In late September of this year, Hurricane Helene struck the mountains of Western North Carolina, bringing devastating flooding, mudslides and damage to the area. Host John Sammons is joined by Paramedic Garry Pomerleau to talk about his experience during and after the storm as not only a responder, but a resident of the area. You can read his article in JEMS as well.

After six doses of epinephrine, it may be too late for the CPR patient. Emergency physicians Dr. Zachary Boivin and Dr. Trent She, both from Connecticut, discussed their recent study entitled "Epinephrine in Cardiac Arrest: Identifying a Potential Limit for Resuscitation."1 This research sought to determine if there is a ceiling to the effective use of Epinephrine during resuscitation.

Peter Antevy, MD, who created the Handtevy System, a software-based pediatric resuscitation method and bag system is also an EMS Physician for Palm Beach County (FL) Fire Rescue and he made a post on LinkedIn advocating for abolishing Epinephrine in shockable rhythm protocols. He posts about how his protocol does not follow standard AHA guidelines at Palm Beach County Fire Rescue and their plan for ventricular fibrillation is to use esmolol, but no Epinephrine.

References

It appears that Viral Hemorrhagic Fevers – Lassa Fever, Ebola and Marburg virus are getting all the press. However, Pertussis (whooping cough) is an area that needs focus.

The cases for 2024 are at least four-times higher than in 2023, and many departments have not offered the required Tdap booster to protect healthcare personnel.

An additional dose of Tdap was first recommended in 2005 and then again in 2011. Pertussis is not on the radar, and we need to ensure that healthcare providers are protected. This session addresses vaccine, personal protective equipment and post-exposure medical follow up.

JEMS Editor-in-Chief Dr. Ted Lee speaks with Global Medical Response’s Natalie Jobst about training veterans for EMS careers.

Every month, North American Rescue (NAR) hosts a unique event called "Coffee with Veterans and First Responders." This initiative, now in its fifth year, offers a valuable space for local heroes to connect, network and discover new career opportunities.

Led by Anna Harris, a veteran and the director of Human Chemistry and Talent at NAR, Coffee with Veterans aims to bridge the gap between veterans and first responders and the civilian job market. With many NAR team members hailing from military and first responder backgrounds, this program is a personal passion for the company.

Brian Paul, president of Veterans for Life USA, shares his story of addiction, suicidality and how he now serves with hope and understanding through inspiration.

Susan Bailey, director of the Louisiana Bureau of Emergency Medical Services and president of the National Association of Emergency Medical Technicians (NAEMT) joins the podcast to discuss the association’s role in EMS. We discuss what got her involved in the association and how she ascended to the position of president. We discuss the benefits of being part of the association, the association's advocacy efforts at the federal level, and reimbursement issues for EMS. We also discuss being the director of EMS in a state prone to hurricanes.

Hosts: Bradley Dean and David Blevins

Guest: Joe Slattery, BS Homeland Security & Emergency Management, Certified Healthcare Simulation Educator (CHSE), Certified Healthcare Simulation Operations Specialist (CHSOS)

Overview: In this episode of the EMS Handoff Podcast, Bradley and David welcome Joe Slattery, a dual-certified healthcare simulation expert with over 30 years of experience in EMS. Joe’s extensive background and passion for EMS education, specifically in simulation, shine as he shares insights into his work developing state-of-the-art simulation labs and curriculum for multiple hospitals and residency programs across southeast Florida. His projects aim to elevate EMS education by integrating hands-on, realistic scenarios that build critical thinking and clinical skills for healthcare providers.

Key Takeaways

1. Joe’s Background in Simulation and EMS Education

• Objective: Assemble a nebulizer and administer 2.5 mg of Albuterol Sulfate.

Connect with Joe Slattery

• Joe shares his passion for teaching and simulation and discusses upcoming projects where he is expanding simulation training in hospitals and residency programs. His expertise is shaping the next generation of EMS professionals, bringing essential skills to the forefront of healthcare education.

Tune In To Learn

• Best practices for simulation-based EMS education.

Whether you're an EMS educator, a simulation enthusiast, or an EMS provider looking to refine your skills, this episode provides valuable insights into making simulations impactful, relevant, and effective for learners.

By Bram Duffee, PhD, EMT-P

Qualitative research often remains a mystery to those in medicine who are accustomed to the clear-cut, numerical results of quantitative studies. Yet, when it comes to understanding complex, human-centric issues, qualitative research is indispensable. Take the COVID-19 pandemic, for example—an event where numbers alone cannot fully capture the profound human experiences involved.

Unlike quantitative research, which answers yes or no questions or delivers numerical data, qualitative methods delve deeper into the human elements of a topic. One powerful approach is conducting interviews, especially when the interviewer shares a cultural or professional background with the participants as an insider to the community. This method promotes openness and authentic disclosure, as demonstrated in two studies exploring the experiences of paramedics during the COVID-19 pandemic.

The recent episode of "EMS Research with Professor Bram" a spotlight was cast on these insights.1 Paramedic researcher Nigel Barr, PhD, RN, RP, from Australia shared his research study where they interviewed Australian paramedics about the challenges and facilitators they faced while responding to COVID-19 cases. His research uncovered themes that included communication, fear and risk, leadership, protective work factors, and change. Intriguingly, some paramedics reported a reduced perception of risk and heightened empathy for COVID-19 patients after personally contracting the virus themselves.2

Highlighting the significance of qualitative research, Dr. Barr remarks, "Numbers work well for testing theories, but when it comes to generating new ones, the hard work of interviews, coding and theming is essential."

Parallel to this, as a paramedic researcher myself, I was conducting a similar study in the United States, interviewing American paramedics. This research was different because it sought to understand how treatment of respiratory patients shifted when looking at the time before covid versus during the pandemic. Findings of this study showed that paramedics had a tendency to over-categorize all respiratory patients as COVID-positive. Also, participants noted changes in practice, such as reduced use of stethoscopes and avoidance of nebulized treatments in confined spaces due to transmission fears.3

These qualitative studies offer insights that mere data cannot, underscoring the need for paramedics to engage in research that directly impacts their field. “We should be trying to support the capacity of paramedics to do research. We should have the control over our own discipline ... Because if we take research from another discipline, another area, another setting, it is always going to be a square peg round hole. We have to test those outcomes in our own environment. We have to find out what works. What doesn't work,” says Dr. Barr.

Research studies involving paramedics in both Australia and the United States demonstrate the unique benefits of qualitative research through interviews. By employing paramedic researchers to engage directly with their peers on topics that deeply impact them, these studies reveal the nuanced understanding that only rich, narrative-driven descriptions can provide. Qualitative interviews shed light on the human side of medical practice, revealing details and challenges that numbers alone might miss. These interviews help us understand the deeper aspects of healthcare, offering insights that go beyond traditional numbers.

References

1. https://youtu.be/_lBTF-8x7p4