The JEMS Report

By JEMSMedicine Health & Fitness

The JEMS Report episodes

January 13, 2021Pediatric Restraint with Tim Nowak
The EMS Handoff crew is joined by Tim Nowak, AAS, BS, NRP, CCEMTP, SPO, MPO, CADS. Tim is the founder and CEO of Emergency Medical Solutions, LLC, an EMS training and consulting company that he developed in 2010. Through this venture, he is the editor-in-chief of EMS Director magazine, a webinar/app-based continuing education content developer, columnist and blog writer, product developer, instructor and speaker, podcast guest and host, and a social media influencer on LinkedIn.
Tim is also the assistant chief of special operations with a county-wide EMS agency based in Florida, where he oversees the planning and logistics sections, special operations functions and community paramedicine programs for the agency.
This podcast, the EMS Handoff crew is going to review Nowak's article, Training Day: 3 options for safely transporting your pediatric patient.
1. Pediatric transports can be challenging!
Safe versus Not Safe
“Mom holding onto baby”
2. Best practices for pediatric transport in the ambulance
The “Working Group Best-Practice Recommendations for the Safe Transport of Children in Emergency Ground Ambulances” https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdf
NHTSA 1999 “Dos and Don’ts of Transporting Children in an Ambulance” https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdf
3. What is acceptable?
Start with their own car seat
Parents tend to keep up with their child’s growth
What if it was in an accident?
2012 NHTSA document https://www.nhtsa.gov/staticfiles/nti/pdf/811677.pdf
No visible damage
Where do you place them in the vehicle?
4. Car Restraint Systems
Inflatable car seats
In-seat/ convertible restraint systems
Cot-secured, adjustable straps
Contour-padded restraint systems
Roll-out restraint systems
5. Four-point shoulder/ chest restrains
Pad the voids
Use four-point straps
6. What is not acceptable
No one in the ambulance – parents, caregivers, medics or other passengers should be unrestrained during transport.
Consider your options and plan ahead so you are prepared when faced with a pediatric patient.
7. 4 Safety considerations for Pediatric Transport
Do tightly secure all monitoring devices and other equipment
Do ensure available restraint systems are used by personnel and other occupants, including the patient.
Do not have the child/infant held in the parent’s caregiver’s or EMS personnel’s arms or lap during transport.
Do not allow emergency vehicles to be operated by persons who have not completed an approved driving course.
“The next time you are completing your PCR, take a look at all of the transport options. Via stretcher leads the pack, but mom holding onto baby…. Well, it is not there for a reason…”
1 hr
January 12, 2021 New Information on HIV
While EMS is rightly focused on COVID-19 right now, Katherine West explains why keeping up-to-date on HIV infection is extremely important.
21 min
January 11, 2021 Project Mayday: Lisa Bertaccini, LCSW
Why did you choose to be a first responder? Is there a link between the impact of childhood trauma, or does a generational family history of career choices influence a person's career choice? Hear a different perspective from a military family life consultant from the Department of Defense on her experience with her psychological perspective on how to maintain mental wellness, the effects of PTSD on the family and how to do a mental health check on yourself.
33 min
January 06, 2021 The Role of EMS Data and COVID-19 with Dr. Remle Crowe
On this week’s Episode of the EMS Handoff, hosts David Blevins, Eric McCullough and Bradley Dean are joined by Dr. Remle Crowe, a research scientist with ESO. Dr. Crowe discusses the significance of data and how EMS data is being used to help support the understanding of COVID-19 in the country.
Dr. Crowe is an expert in EMS research and quality improvement. From truck clutches to clinical care, she has shown how research and improvement science work to solve problems across fields. Prior to earning a PhD in epidemiology, her EMS career began with the Red Cross in Mexico City as a volunteer EMT. She has authored numerous peer-reviewed publications related to prehospital care and the EMS workforce. Now, as a research scientist with ESO, Dr. Crowe routinely uses EMS data to improve community health and safety.
1 hr
December 31, 2020 Diabetic Emergencies with Dr. Bryan Bledsoe
In this week’s episode of The EMS Handoff Podcast, Bradley and David talk with Dr. Bryan Bledsoe about clinical issues related to diabetic emergencies and the need to expand critical thinking within the profession. Dr. Bledsoe is certainly an individual that certainly needs no introduction. He is professor of emergency medicine at the University of Nevada, Las Vegas School of Medicine and an attending emergency physician at University Medical Center in Las Vegas. He is board certified in emergency medicine and EMS.
Dr. Bledsoe has over 40 years of experience in EMS and is the author of numerous textbooks, journal articles and peer-review papers. In 2008, he was named a “Hero of Emergency Medicine” by the American College of Emergency Physicians. In 2014, he received the John P. Pryor, MD, Award for exemplary service to EMS. He resides in Midlothian, TX and Las Vegas, NV.
1 hr 6 min
December 30, 2020 Project Mayday: Whitney Gaudaur
Hear the story of the private industry EMS through the lens of a female paramedic in a busy 911 system from Whitney Gaudaur.
29 min
December 23, 2020 Pinellas County (FL) Implements Model Vaccination Programs for Skilled Nursing Facilities and Emergency Personnel
Join JEMS Editor Emeritus A.J. Heightman and Pinellas County, Florida, EMS/medical direction officials as they discuss model COVID vaccination programs implemented for emergency responders and skilled nursing home facility (SNF) residents and staff.
56 min
December 23, 2020The Sex and Violence Issue
Topic #1: Paramedic Lauren Kwei and OnlyFans
https://www.rollingstone.com/culture/culture-news/onlyfans-medic-lauren-kwei-new-york-post-interview-1104943/amp/?__twitter_impression=true&fbclid=IwAR0oIS12IOLfE5cr93J9lI2Th_QybZdwz9bQUAsLhHlo1f9idQRh859Ap-U
Sexy brings readers in, but the point is that medics are not paid enough to survive in NYC
Not just EMS....
Nursing and Only Fans
https://www.buzzfeednews.com/article/otilliasteadman/pandemic-nurses-onlyfans-sex-work
Med Student and Only Fans
https://vt.co/lifestyle/medical-student-makes-over-70000-a-year-selling-pictures-of-her-feet-online
The poster child for the paramedic pay gap - Sexy gets them in the door, then they will hear the underlying point....
Bess Meyerson was the only Jewish Miss America and a heroine to the Jewish community, where "she was the most famous pretty girl since Queen Esther."
https://en.wikipedia.org/wiki/Bess_Myerson
FEMEN
https://en.wikipedia.org/wiki/Femen
https://www.google.com/search?q=femen&newwindow=1&sxsrf=ALeKk01Q7JNZYoNddHbZvgOqv4od0osrCQ:1608402565240&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjB6Lm81trtAhXup1kKHbNcAQ8Q_AUoAXoECAcQAw&biw=1920&bih=1001
Topic #2: Paramedics with Guns
https://www.arkansasonline.com/news/2020/dec/17/pine-bluff-man-fatally-shot-after-shooting-paramed/
-Should be able to carry legal weapons
-It depends on the culture
As State EMS Director, I made the commitment to go to court with every EMT and paramedic that has been assaulted, so that our county prosecutors (district attorneys) knew that State OEMS was paying attention and wanted to see people charged accurately. Because the criminal justice system is overwhelmed and wants to plead everything down.
N.J.S.A. 2C:12-1 Assault.
2C:12-1. Assault. b. Aggravated assault. A person is guilty of aggravated assault if he:
(5)Commits a simple assault as defined in subsection a. (1), (2) or (3) of this section upon:
(c)Any person engaged in emergency first-aid or medical services acting in the performance of his duties while in uniform or otherwise clearly identifiable as being engaged in the performance of emergency first-aid or medical services; or
NY Consolidated Laws, Penal Law §120.08 Assault on a peace officer, police officer, firefighter or emergency medical services professional.
A person is guilty of assault on a peace officer, police officer, firefighter or emergency medical services professional when, with intent to prevent a peace officer, police officer, a firefighter, including a firefighter acting as a paramedic or emergency medical technician administering first aid in the course of performance of duty as such firefighter, or an emergency medical service paramedic or emergency medical service technician, from performing a lawful duty, he or she causes serious physical injury to such peace officer, police officer, firefighter, paramedic or technician. Assault on a peace officer, police officer, firefighter or emergency medical services professional is a class C felony. (3.5-15 years)
Three NJ EMS Clinicians were just suspended this week for punching a patient
https://www.ems1.com/violent-patient-management/articles/nj-emts-accused-of-punching-patient-in-ambulance-say-it-was-self-defense-Veew7de6yOYvMexe/
https://www.state.nj.us/health/ems/documents/reg-enforcement/actions/2020-0109V.EMT.SummarySuspension.Bonvenca.RED.pdf
https://www.state.nj.us/health/ems/documents/reg-enforcement/actions/2020-0108V.EMT.SummarySuspension.Han.RED.pdf
https://www.state.nj.us/health/ems/documents/reg-enforcement/actions/2020-0107V.MICP.SummarySuspension.Piro.RED.pdf
ONLY two EMS Clinicians have ever been shot in NYC history:
Kings County Hospital Ambulance Attendant Hannah Callahan was shot and killed by an EDP in December 1954.
Ambulance Surgeon Thomas Garvey was shot in the shoulder by a drunk Swede in the back of the ambulance on the way to the hospital in Spanish Harlem in September 1894.
No EMT or Paramedic in NJ to date has ever been shot by somebody else since 1874.
N.J.A.C. 8:40-4.11 (b) Crewmembers shall not wear or carry any weapons or explosives while on duty. For the purpose of this chapter, the terms "weapons" and "explosives" include not only offensive weapons, but also defensive weapons such as stun guns, stun batons, air tasers, pepper spray, mace defensive spray and/or telescopic steel batons.
N.J.A.C. 8:41-3.5 Physical behavioral restraints (d) Crewmembers shall not wear or carry any weapons or explosives while on duty. For the purpose of this chapter, the terms "weapons" and "explosives" include not only offensive weapons, but also defensive weapons such as stun guns, stun batons, air tasers, pepper spray, mace defensive spray and/or telescopic steel batons.
Should engage in self-defense
Should be able to carry legal weapons
Should be punished for going overboard
51 min
December 22, 2020 Mental Health Resilience with Tom Herron
On this week’s episode of The EMS Handoff Podcast, Eric, Bradley and David talk with Tom Herron, associate professor and clinical coordinator at Roane State Community College, about the hidden fears of EMS. Tom is an advocate for EMS and seeks to empower EMS professors to seek help for the injuries and scars that go unseen through experiences with prehospital providers' clinical experience. To reach out to Tom, you can email at [email protected].
1 hr 7 min
December 16, 2020 Medical Errors with Kevin Collopy
In this episode of the EMS Handoff Podcast, Eric, David and Bradley are joined by Kevin Collopy to discuss clinical errors in EMS. Kevin is the clinical outcomes and compliance manager for NHRMC AirLink/VitaLink Critical Care Transport where he oversees the program's research, education, risk management and quality assurance programs.
Kevin regularly speaks across the United States and has taught emergency and wilderness medicine on three continents. He's an author of over 150 articles and book chapters including 12 peer-reviewed research abstracts and papers. Additionally, Kevin serves on several national and international advisory boards, is a past president of the IAFCCP, teaches the paramedic program at Cape Fear Community College and is pursuing a Master's in Healthcare Leadership. He can be contacted via LinkedIn and Twitter (@ktcollopy).
1 hr 6 min