EMS Today
354 episodes - English - Latest episode: 21 days ago -News, updates and commentary on the world of emergency medical services powered by JEMS.
Homepage Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
Fall Down, Stand Up: EMS Research on Fall Injuries
April 04, 2024 17:25 - 39 minutes - 29.3 MBIn this episode, we interview Will Chapleau, RN, EMT-P, from the International Prehospital Medicine Institute about research related to falls. This podcast is sponsored by ESO. It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid overdoses. Your FREE copy is available now at eso.com/ems-pod.
A Sound Policy for Armed EMS Providers
April 03, 2024 15:31 - 28 minutes - 17.2 MBCentral Berkeley (SC) Fire and EMS Deputy Chief Justin Miles-Miller talks about his department’s policy of allowing select EMS providers to carry weapons on-duty. You can read more about an armed EMS policy here. This podcast is sponsored by ESO. It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insights from over 12 million EMS responses in 2023, it covers topics like bystander CPR, ambulance offload times, and opioid ov...
Brett Lyle
April 01, 2024 16:18 - 1 hour - 40.2 MBOn this episode, Brett Lyle of Brett Lyle Coaching joins the podcast to discuss the importance of branding, networking and getting ideas from people outside of EMS. She also talks about the importance of coaching and mentoring within your organization, how leaders should also be followers and ways to continue to improve as a leader. This podcast is sponsored by ESO. It’s that time again! ESO just dropped their 2024 EMS Index — a must-read benchmarking tool for every EMS agency. With insigh...
Dr. Molly McCann-Pineo
March 29, 2024 16:28 - 33 minutes - 61.9 MBJEMS Editor-in-Chief Dr. Ted Lee speaks with Dr. Molly McCann-Pineo, director of Clinical Research in the Emergency Medicine Service Line at Northwell Health. Dr. McCann-Pineo is also an assistant professor of Emergency Medicine and Occupational Medicine, Epidemiology and Prevention at the Zucker School of Medicine at Hofstra/Northwell.
JEMS Salutes Women's History Month
March 27, 2024 13:57 - 28 minutes - 52.7 MBJEMS Editor-in-Chief Dr. Ted Lee talks with MEDIC Deputy Director Sharon Taulbert about the importance of women in EMS.
The Impact of Belonging
March 21, 2024 13:41 - 53 minutes - 33.8 MBEric Chase has a conversation with Reggie Brock about belonging and how progress starts with honesty.
Hope is No Longer a Tactic
March 19, 2024 17:11 - 33 minutes - 38.5 MBJEMS Editor-in-Chief Dr. Ted Lee talks to Joseph Campbell and David A. Greene about the success of Colleton County's blood program in South Carolina. Article: https://www.jems.com/patient-care/whole-blood-colleton-county/
Trailblazing Women in EMS
March 18, 2024 14:38 - 33 minutes - 25 MBChief Douglas Randell talks with EMS researcher Dr. Remle Crowe about the achievements of women in prehospital care and elsewhere.
Clarion Events Partners with the National Association Of Mobile Integrated Healthcare Providers
March 11, 2024 14:16 - 26 minutes - 47.8 MBClarion Events is pleased to announce today that the Journal of Emergency Medical Services (JEMS) and the National Association Of Mobile Integrated Healthcare Providers (NAMIHP) have partnered to advance community paramedicine and mobile integrated healthcare (MIH) in the prehospital setting. Read the announcement here.
Most Dangerous Job: EMS Responder Injuries and Fatalities
March 07, 2024 18:41 - 49 minutes - 56.5 MBIn this episode, we interview Brian J. Maguire, Dr.PH, MSA, EMT-P, about the serious realities faced by EMS responders, exploring the intricate details of responder injuries and fatalities. Dr. Maguire's insightful 2023 research in "Prehospital and Disaster Medicine" provides a sobering look at the risks these brave individuals encounter daily, offering valuable perspectives on safeguarding those who are first on the scene to save lives.
Clarion Events, JEMS Announces Partnership with Mind the Frontline to Support First Responder Mental Health
March 06, 2024 16:52 - 26 minutes - 48.1 MBMind the Frontline, a 501(c)(3) registered charity dedicated to supporting the mental health and overall well-being of frontline first responders, is thrilled to announce its newest partnership with Clarion Events and The Journal of Emergency Medical Services (JEMS). This collaboration aims to provide valuable resources and support to first responders through monthly blogs, quarterly podcasts & webinars, and the inaugural First Responder Mental Health Week, scheduled for October 7th to 11th...
What to Know about the National Fire Academy's EMS Curriculum
March 01, 2024 19:39 - 1 hour - 51.7 MBMichael Stern, training specialist and curriculum manager for the National Fire Academy's Emergency Medical Services Curriculum, joins the Not A-Fib Podcast to discuss the EMS curriculum at the National Fire Academy, the classes offered and some upcoming changes to the curriculum. Additionally, we discuss some of the advantages of attending classes at the National Fire Academy, how to apply for classes and what to expect when you get accepted into a class.
Measles: A Current Review
February 29, 2024 18:30 - 22 minutes - 25.6 MBInfectious disease expert Katherine West discusses the current measles outbreak currently ongoing.
Taking It to the Streets
February 27, 2024 22:32 - 53 minutes - 36.9 MBChief Douglas Randell speaks with St. Louis Paramedic (Ret.) Chuck Bennett about working in a large city where anything can happen.
Dr. George Hatch on the Future of the AEMT
February 19, 2024 18:09 - 30 minutes - 34.8 MBJEMS Editor-in-Chief Dr. Ted Lee talks with CoAEMSP Executive Director Dr. George Hatch about the importance of EMS accreditation. CoAEMSP is the Committee on Accreditation for the EMS Professions.
Why Designated Officers Need Access to Employee Medical Records 24/7
February 15, 2024 18:55 - 24 minutes - 14.5 MBKatherine West and James Cross explain why employee medical records must be available around the clock.
The Effects of War on the Homefront
February 13, 2024 14:22 - 23 minutes - 27.4 MBDov and Raphael delve into some of the effects of the ongoing war between Hamas and Israel and how it is affecting the people. The episode focuses on how first responders on the home front are dealing with the fallout of war, both the physical injuries, as well as the psychological traumas. Each person in Israel is carrying around with them a lot of trauma from the war. How does this play out among the first responders who are already running into often dangerous situations? Listen to th...
Debriefing Tips for EMS Professionals
February 12, 2024 14:57 - 21 minutes - 13.9 MBJEMS Editor-in-Chief Dr. Ted Lee talks to Capt. Rommie Duckworth about about his JEMS article, "Debriefing Tips for EMS Professionals."
Chassis Availability
February 06, 2024 13:55 - 48 minutes - 30.9 MBDean Martin, of Crossroads Ambulance Sales & Service, LLC, joins the podcast to discuss the ongoing problem of chassis availability for new ambulances and what he's seeing as a dealer. Additionally, we discuss some of the advantages of ambulance remounts versus new builds.
CPR Scene Time and Its Impact on Survival
January 31, 2024 14:46 - 49 minutes - 56.5 MBJacob Hutton, a paramedic researcher from Canada, is interviewed about his research article in Resuscitation about how the length of on-scene time affects survival outcomes when EMS get ROSC after CPR. This 2023 article is titled “The association of the post-resuscitation on-scene interval and patient outcomes after out-of-hospital cardiac arrest.”
The Day Our World Exploded
January 23, 2024 14:41 - 41 minutes - 47.6 MBDov and Raphael go in-depth into how United Hatzalah, an organization made up of volunteers, showed up on October 7th and saved thousands of lives when Hamas attacked Israel and when government services collapsed. The two covers everything from operational procedures, heroic stories of volunteers, and straight-out miracles -- all of which culminated in the mobilization of more than 1,000 volunteers in mere hours The lives of more than 3,000 people were saved thanks to the quick response of...
The Importance of Mentoring
January 22, 2024 14:56 - 33 minutes - 37.9 MBJEMS Editor-in-Chief Dr. Ted Lee talks with Upper Pine River Fire Protection District (CO) Chief Bruce Evans about his role in mentoring.
Training EMS for Field Ultrasound
January 17, 2024 19:40 - 38 minutes - 44.6 MBTraining EMS for field ultrasound is discussed with guest co-host Gordon Johnson, an internal medicine physician from Portland who published an article in POCUS Journal called “Demonstration of a Longitudinal Medical Education Model (LMEM) Model to Teach Point-of-Care Ultrasound in Resource-Limited Settings.” In this episode, Dr. Johnson leads an engaging conversation with distinguished experts from Norway. We have Dr. Nils Peter Overland, a specialist in air ambulance and anesthesia, and V...
Elijah McClain’s Case, Legally Speaking
January 06, 2024 00:13 - 31 minutes - 25 MBChief Douglas Randell talks with EMS Attorney Douglas Wolfberg about the Elijah McClain case and what it means for medics.
A New Medical Director for JEMS
January 05, 2024 15:38 - 15 minutes - 8.58 MBJEMS Editor-In-Chief Dr. Ted Lee speaks with Dr. Sarah Fabiano about her new role as medical director. Dr. Fabiano talks about her history in prehospital care and what she has planned for the future of JEMS.
State Supplemental Reimbursement Programs
January 03, 2024 15:19 - 1 hour - 39.6 MBAttorney Kevin Fairlie joins the Not A Fib Podcast to discuss state supplemental reimbursement programs and the scrutiny these programs are now receiving from the Office of the Inspector General. Additionally, we discuss the importance of compliance programs to protect agencies in the event of an OIG audit.
Neuroprotective CPR
January 02, 2024 18:15 - 21 minutes - 24.9 MBThis podcast reviews an article in JEMS by Flight Paramedic Ashley Buie about Neuroprotective CPR. Article discussed: Buie, A. (2023, July 25). Neuroprotective CPR. Journal of Emergency Medical Services JEMS. Available at https://www.jems.com/patient-care/neuroprotective-cpr/
We Must Do Better at Being Patient Advocates
December 29, 2023 02:59 - 29 minutes - 34.3 MBEric Chase gets input and advice from EMS attorney Steve Wirth, Esq., EMT-P, after the guilty verdict of two Colorado paramedics that had been on trial for the homicide of Elijah McClain.
Performing Remote Medicine
December 15, 2023 15:00 - 26 minutes - 24 MBThis podcast reviews research in prolonged field care with Aebhric O’Kelly from the College of Remote and Offshore Medicine Foundation. Article discussed: O'Kelly, A., & Mallinson, T. (2023). Prolonged field care (austere emergency care) principles in UK paramedic practice. Journal of Paramedic Practice, 15(9), 359-366.
The Answers Are Within You
December 13, 2023 13:00 - 1 hour - 38.5 MBEric Chase has a powerful and uplifting conversation with Crystal Little.
JEMS Talk: Ethics, Education and EMS: Calibrating a Moral Compass
December 06, 2023 20:36 - 1 hour - 41.2 MBHear an important JEMS Talk on ethics in emergency medical services and mobile medicine. Items Discussed • The belief that field clinicians can/should be trusted to make ethical and moral decisions. • Are we educating clinicians on how to make such assessments, or are we training clinicians to paint by number/practice by rote protocol? • Are “thinking” vs. a scientifically informed, protocolized approach mutually exclusive—or can they inform one another? • Are we training clinicians to ...
Not Just a Single Squirt: Understanding Nasal Drug Delivery
December 05, 2023 15:54 - 10 minutes - 14.8 MBParamedics in a rural setting respond to a young man who is unresponsive, barely breathing, has pinpoint pupils and has fresh needle marks along his arm veins. Recognizing this as an opiate overdose they assist ventilations and attempt to administer IV naloxone, but have difficulty starting an IV line. They heard about nasal naloxone, so they squirt a vial of naloxone into the patient’s nose with a syringe (1 ml of 0.4 mg). It does not have any effect but they manage to establish an IV and ...
Congenital Syphilis
December 04, 2023 15:16 - 24 minutes - 14.7 MBCongenital syphilis is a severe and often life-threatening infection seen in infants whose mothers were infected.
Kate Freshman
December 01, 2023 15:46 - 1 hour - 47.8 MBFirefighter/Paramedic Kate Freshman joins the Not A-Fib Podcast to discuss providing care while being recorded live on "Live Rescue" on A&E, and how she became involved with Women in Fire, which led her to create "Fire Up St. Louis.” They also discuss her work on a peer support committee, working to channel members to the right resources to address mental health issues before they are in crisis.
Paramedic-Led Rapid Sequence Intubation
November 30, 2023 20:03 - 40 minutes - 46.9 MBThis podcast reviews RSI research related to paramedics with nurse anesthetist Penny Chiasson. She is also a hypnotherapist with Genesis Hypnosis. Article discussed: Alzaatreh, M. Y., Alsadi, M. R., Alkhsealat, Y., Alhemedi, M., & Alrabab’a, M. H. (2022). Pre-hospital rapid sequence induction by paramedics: A scoping review. Journal of Emergency Medicine, Trauma & Acute Care (5) 40. Connections: If you want to connect with Penny Chiasson you can reach her at [email protected] and to ...
Giving Grace
November 21, 2023 14:43 - 44 minutes - 29.1 MBEric Chase and Asbel Montes share stories of grace. Accountability still exists and grace allows for forgiveness. Pursue excellence from a place of grace.
Manual Ventilation Performance by EMS Responders
November 20, 2023 22:01 - 3 minutes - 4.16 MBManual ventilation is a basic skill that every emergency medical services (EMS) responder is expected to perform proficiently. Improper manual ventilation may result in significant morbidity; however, there is no feedback mechanism or method of control for the volume, pressure, or frequency during manual ventilation. In this study, we aimed to quantify the ventilation parameters of manually delivered breaths using a simulated lung. Read the full article here.
Hemorrhage Control Insights from Research
November 14, 2023 14:37 - 44 minutes - 50.6 MBThis podcast discusses the latest research in EMS bleeding control with Will Chapleau who is a paramedic, nurse, educator and writer. Article discussed: IPMI. (October 1, 2023). International Prehospital Medicine Institute Literature Review, October 2023. Journal of Emergency Medical Services. https://www.jems.com/patient-care/international-prehospital-medicine-institute-literature-review-october-2023/
Finding Benefits within Challenges
November 08, 2023 15:12 - 48 minutes - 34.3 MBEric Chase talks with Daniel Sundahl in a wide-ranging conversation, which includes post-traumatic growth.
Non-Respiratory Disease Pathologies That May Complicate Airway Management
November 06, 2023 18:41 - 18 minutes - 25.6 MBRespiratory distress is one of the most common emergencies resulting in a 911 call. Whether it be an asthma attack, chronic obstructive pulmonary disease (COPD) exacerbation or complication of pneumonia, difficulty breathing is a symptom that prehospital providers encounter quite frequently. Most patients that call for emergency medical services for breathing problems have known-disease pathologies that are respiratory in nature. For example, patients with asthma, an obstructive pulmonary d...
Hypoglycemia with a Comedian
November 02, 2023 18:56 - 49 minutes - 56.4 MBThis podcast discusses hypoglycemia research and practice in EMS with Eric Chase who is a comedian, paramedic and educator. Article discussed: Li, J. (2023, September 6). Article Bites: Is it safe to treat and release patients with hypoglycemia? In EMS1 after previously being printed by NAEMSP.
Team Mustang
November 01, 2023 11:01 - 1 hour - 52.3 MBDan Griffiths, Chris Winger, Kimberlyn Tihen, Mark Selapack, Brent Osborne and Alex Pafford (Team Mustang from the Spring 2023 Ambulance Service Manager Course) join the podcast to discuss their research project, "Saving Our Medics: The Case for Early Intervention." The focus of their project was identifying mental health issues in providers before it becomes a crisis.
Supraglottic Airways: A Look From Above
October 23, 2023 16:42 - 29 minutes - 40.2 MBAdvanced airway management in EMS systems around the country ranges from surgical airways to laryngoscopy, either video or direct, to the use of a supraglottic airway (SGA) device. As a “blind” airway device, the King Airway has largely replaced the Combitube as the civilian and military SGA of choice due to its design and ease of use. However, over the past decade, there have been many other SGAs, particularly iterations of the laryngeal mask airway (LMA), that have come to market. It is th...
’Call Jumping’ in Rural EMS
October 19, 2023 13:45 - 34 minutes - 39.8 MBBram Duffee, PhD, EMT-P, discusses “call jumping” in rural EMS with Latimer Hoke, M.Ed, NR-AEMT, who is a first responder and educator. Article discussed: Hoke, L. (2023, August 22). Not Truly Off-Duty: True ‘First’ Responders in Rural Areas. Journal of Emergency Medical Services. https://www.jems.com/operations/not-truly-off-duty-true-first-responders-in-rural-areas/ Connections: If you want to connect with the Latimer Hoke you can reach him at [email protected] and to connect with th...
Achieving Long-Term Goals
October 11, 2023 14:25 - 16 minutes - 29.3 MBIn this episode we talk with Devin Howell, DO, AEMT-CC, about his journey from EMT to EMS medical director.
Resuscitation of Acute Decompensated Pulmonary Hypertension
October 10, 2023 16:57 - 24 minutes - 33.7 MBPulmonary hypertension (PH) is a chronic disease associated with significant morbidity and mortality, responsible for approximately 15,000 deaths per year in United States. The deleterious cardiac effects associated with PH (e.g. Right Ventricular disease) render this population particularly susceptible to decompensation. Hypoxemia, acidosis and hypercapnia are not well tolerated in PH and will acutely increase pulmonary artery pressures, leading to hemodynamic collapse. Read the full arti...
’I Couldn’t Keep That a Secret Anymore’
October 04, 2023 13:38 - 42 minutes - 37.9 MBEric Chase sits down with Oklahoma City Fire Department Lieutenant Danny Brown as he shares his story of failure and brokenness and how support from his wife, fire family and counseling helped him to realize it's ok to let go.
Dr. Bryan Bledsoe on Traumatic Cardiac Arrest
October 02, 2023 12:00 - 47 minutes - 31.6 MBOn this episode, Dr. Bryan Bledsoe joins the podcast to discuss a January article from JEMS, which he co-authored with Dr. Jeff Salomone, titled "Traumatic Cardiac Arrest (TCA): Maybe We Could Do Better?" Additionally, we discuss his introduction to writing textbooks and his views on EMS education moving into the future.
Proper Assessment and Treatment of Acute Respiratory Distress
September 25, 2023 17:58 - 21 minutes - 29.6 MBManagement of acute respiratory distress isn’t an exact science. Good patient outcomes rely on your ability to assess ventilation, oxygenation, work of breathing (WOB), lung function, airway resistance and air flow. The number of treatment choices is increasing, and they’re becoming more complex. Does your patient need medication, suctioning, airway management, ventilation, intubation, non-invasive ventilation or just close observation? Some practices of the past served only to disguise det...
High-Flow Nasal Cannula: It’s Not Just a Bunch of Hot Air!
September 11, 2023 17:03 - 8 minutes - 11.1 MBNot every patient experiencing a moderate level of hypoxemic respiratory failure does well on a high-flow nasal cannula. (Photo courtesy Hamilton Medical AG)When I first started as a hospital respiratory therapist, the nasal cannula was our go-to low-flow (LFNC) device, designed to deliver an FiO2 of approximately 24 to 44% at flows of 1 to 6 liters per minute. When patients needed more oxygen, we would typically consider a face mask using a humidified large volume nebulizer to deliver 35-50...