Podcasts about EMS

About Paul: I help ministry boards learn to govern effectively by deploying my God-given strengths and gifts; my experience in and knowledge of business, risk management, and governance; my deep understanding of LCMS culture; and my love for theology as it relates to the joy and power of living as a baptized called and commissioned vocational missionary for Jesus.My passion is helping ministries advance God's mission and transform the culture by using a system of effective governance to accountably achieve strategic future-focused results.I grew up on the Concordia Senior College/Concordia Theological Seminary in Fort Wayne where my father served as professor and administrator from 1967-2001. Having graduated from Concordia Lutheran High School and Indiana University (Bachelor's degree and MBA), I moved with my wife Peggy to Midland, TX where I served as financial analyst with Exxon USA (now ExxonMobil). We subsequently moved to Fort Wayne where I served in a mid-sized independent insurance agency before owning and growing an agency that now is a national agency leader in insuring Fire & EMS organizations.I became interested in Policy Governance® while serving as a leader of my congregation. After being selected to attend John and Miriam Carver's Policy Governance® Academy in 2014, I joined in 2015 The Governance Coach, a foremost international Policy Governance® coaching and consulting firm. I have direct experience applying Policy Governance within a board context having served for nine years on the Lutheran Bible Translators board during its transition from “policy-based governance” to Policy Governance.Ministry boards are often preoccupied with prescribing operational details and managing one-step-up from the ministry leader instead of governing one-step-down from those on whose behalf they govern (“owners” for shorthand) to ensure real results are achieved for those served. Regrettably, too many ministries lack role clarity, leading to decision-making confusion and subsequent relational tension and a lack of proactive and strategic responses to meeting the urgent need of their communities to experience Jesus.Governing well requires board servant-leadership focused on accountably delegating to the ministry leader the achievement of results for targeted beneficiaries at a specified worth (“Ends” for shorthand) within board-established boundaries of ethics and prudence, both as reasonably interpreted by the ministry leader.If your ministry has the capacity for this type of governance system, you will be rewarded with the benefits of role clarity and accountability and the joy of knowing you are giving God glory by achieving through His Spirit real results for those you serve.Visit Uniteleadership.orgVisit uniteleadership.org

On August 8, 2007, EMS arrived at a residential property in Esto, FL to render life saving aid to an unresponsive 7-year-old girl who had been found floating face down in a backyard pool. The child’s mother, Amanda Lewis, showed every sign of a parent in distress as her daughter was airlifted to the hospital. 7-year-old Adrianna Hutto tragically died and almost became another statistic in a long list of annual accidental drownings…that is, until a key witness came forward saying her death was no accident at all…  Written by Michael Dunphy Jr., Executive Produced by Michael Ojibway. Excerpts from included police interrogations and interviews have been edited for time, context, and clarity.    Visit Our Sponsors:  Earth Breeze: Subscribe today and save 40% by visiting https://www.earthbreeze.com/invisible   Squarespace: Go to http://www.squarespace.com/choir for a free trial, and when you’re ready to launch, use offer code “CHOIR” to save 10% off your first purchase of a website or domain!  Hello Fresh: Go to https://www.hellofresh.com/invisible16 and use code “invisible16” for 16 free meals plus free shipping! Babbel: Learn a new language today and save up to 55% off your subscription at https://www.babbel.com/invisible    Visit Invisible Choir on the web:  Patreon - Invisible Choir Premium:  https://www.patreon.com/InvisibleChoir  Website:  https://www.invisiblechoir.com/  Facebook:  https://www.facebook.com/InvisibleChoirPodcast/ Instagram: https://www.instagram.com/invisiblechoir/ Twitter: https://twitter.com/InvisibleChoir   Written/Audio Sources:  What A.J. Saw: Mother's Fate Hinged on 7-Year-Old's Testimony - ABC News AMANDA E. LEWIS, v. STATE OF FLORIDA  Lewis v. Sec'y  Brain Development - First Things First. Weather.gov > TAE > Climate Telecommunicator CPR police creates lifeline during cardiac arrest - Fernandina Observer. What Really Happened to Adrianna Lewis? Mum drowned her seven year old daughter in front of her son as punishment for being naughty  Amanda Lewis is Innocent: Facebook Murder of Adrianna Hutto - Wikipedia Inmate Search: Amanda E Lewis Q21185, Ocala, Florida Criminal Minds - Amanda Lewis (Killer Women) - video Dailymotion Amanda Lewis's Complete 911 Call The Day Adrianna Drowned Amanda Lewis' first interview at Bay Medical on 08/08/2007 Alan Michael Carnley's taped interview about Adrianna Hutto drowning AJ Hutto Never Seen Whole Video of Sheriff's Department Interview about Adrianna Hutto drowning Amanda Lewis’ second interview with Holmes County SO. Here, she finds out AJ is blaming her. Pool Drowning Murder Trial (FL v. Lewis 2008) Court TV 4-FL v. Lewis: Charles Corcoran | Court TV Video Amanda Lewis Trial Opening Statements Larry Basford State FL and Walter Smith for Amanda Lewis Amanda Lewis/AJ’s full Testimony #AmandaLewisFull Testimony Sgt. Michael Raley Testimony/Crime Scene Photos/Amanda Lewis Police interview #AmandaLewis Trial (her boyfriend) Alan Carnleys first Testimony Did she really mean to say drown or DUNK? 2 More kids testify in the #AmandaLewis Trial What Did A.J. See?   Music & Sound Effect Sources Opening Track: “The Downside” by Matt Harvey Closing Track: “Satin” by JMPSCR   Music & Sound Effect Sources All music and sound effects used with express permission under unlimited blanket license authority from Epidemic Sound ® and SoundStripe ®.  Individual sources are available via request at info@invisiblechoir.com  

NOTE: Yes, Roaring Adventures is focused on helping first responders and active military find funding to support fertility journeys. For you “Too Long/Didn't Read (TL/DR)” people, even if you're NOT either of those, keep listening! There is a lot of great information here about resources for anyone needing help with infertility treatment. In order to qualify for Roaring Adventures, you need to meet a few criteria: one partner should be diagnosed with infertility. You should also be a firefighter, nurse, paramedic/EMT, EMS, law enforcement (police officer), or a 911 dispatcher. Be sure to listen to the full episode for a detailed rundown of who qualifies. Roaring Adventures knows how challenging it can be to fund fertility treatments. So in this discussion with Ruby and Anne, Mollie offers some very sound tips for anyone. Rule number one — be cautious sharing a lot of personal information and paying a fee when you apply for a family grant. Make sure the organization you're approaching is legitimate. Here are a few questions that might indicate red flags: Is the application fee fair and reasonable? Is the org a genuine 501(c)(3)? Have they had actual recipients in the past? Are they working with respected doctors, clinics, etc.? Can they answer your questions about their processes? A “no” answer to any of these questions might mean you should keep looking or for sure delve a little deeper.  So, let's say you qualify for a grant — how do you apply? Roaring Adventures' grant is open to submissions once a quarter. You'll find an application and a list of FAQs on their website, www.roaringadventures.org.

CardioNerds (Daniel Ambinder) join Dr. Tomio Tran, Dr. Vid Yogeswaran, and Dr. Amanda Cai from the University of Washington for a break from the rain at the waterfront near Pike Place Market. They discuss the following case: A 46-year-old woman presents with cardiac arrest and was found to have cor triatriatum sinistrum (CTS). CTS is a rare congenital cardiac malformation in which the left atrium is divided by a fenestrated membrane, which can restrict blood flow and cause symptoms of congestive heart failure. Rarely, the condition can present in adulthood. To date, there have been no cases of sudden cardiac death attributed to CTS. Dr. Jill Steiner provides the E-CPR for this episode. Audio editing by CardioNerds Academy Intern, student doctor Akiva Rosenzveig. CardioNerds is collaborating with Radcliffe Cardiology and US Cardiology Review journal (USC) for a ‘call for cases', with the intention to co-publish high impact cardiovascular case reports, subject to double-blind peer review. Case Reports that are accepted in USC journal and published as the version of record (VOR), will also be indexed in Scopus and the Directory of Open Access Journals (DOAJ). CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - A Sinister Cause of Sudden Cardiac Death – University of Washington A 40-year-old woman with a history of recurrent exertional syncope had sudden loss of consciousness while kissing her partner. The patient received bystander CPR while 911 was called. EMS arrived within 10 minutes of the call and found the patient apneic and unresponsive. Initial rhythm check showed narrow complex tachycardia at a rate of 136 BPM. ROSC was eventually achieved. A 12-lead ECG showed that the patient was in atrial fibrillation with rapid ventricular rate. The patient was intubated and brought to the emergency department. The patient spontaneously converted to sinus rhythm en route to the hospital. In the emergency department, vital signs were remarkable for hypotension (76/64 mmHg) and sinus tachycardia (110 BPM). The physical exam was remarkable for an inability to follow commands. Laboratory data was remarkable for hypokalemia (2.5 mmol/L), transaminitis (AST 138 units/L, ALT 98 units/L), acidemia (pH 7.12), and hyperlactatemia (11.2 mmol/L). CT scan of the chest revealed a thin membrane within the left atrium. Transthoracic echocardiogram showed normal biventricular size and function, severe tricuspid regurgitation, pulmonary artery systolic pressure of 93 mmHg, and the presence of a membrane within the left atrium with a mean gradient of 25 mmHg between the proximal and distal left atrial chambers. Vasopressors and targeted temperature management were initiated. The patient was able to be re-warmed with eventual discontinuation of vasopressors, however she had ongoing encephalopathy and seizures concerning for hypoxic brain injury. There was discussion with the adult congenital heart disease team about next steps in management, however the patient was too sick to undergo any definitive treatment for the intracardiac membrane within the left atrium. The patient developed ventilator associated pneumonia and antibiotics were initiated. The patient ultimately developed  bradycardia and pulseless electrical activity; ROSC was unable to be achieved, resulting in death. Autopsy was remarkable for the presence of a fenestrated intracardiac membrane within the left atrium and lack of other apparent congenital heart defects. There was right ventricular hypertrophy and pulmonary artery intimal thickening with interstitial fibrosis suggestive of pulmonary hypertension. There were bilateral acute subsegmental pulmonary emboli present. The cause of death was declared to be arrhythmia in the setting of pulmonary hypertension and right s...

SPECIAL RELEASE EPISODE: This is a replay of a recent Entrepreneur Masters Series webinar recorded on April 5th with guest expert Mike Pacchione, an international speaker and speech coach who specializes in helping coaches, athletes and entrepreneurs deliver smart and engaging messages to audiences of all sizes. He has trained more than 10,000 employees from companies like Nike, Microsoft and Slack. The Entrepreneur Masters Series ("EMS") with The Real Jason Duncan is a 90-minute live webinar series designed to bring high-value content that is practical and tactical for today's successful entrepreneurs. Twice a month I bring in a top expert in areas related to entrepreneurship, leadership, sales, or financial literacy. It is a masterclass on specific topics related specifically to growing and building entrepreneurial companies. Each episode is conducted live on Zoom. Each episode is also released as a special episode of The Root of All Success podcast, which is an internationally syndicated podcast on the C-Suite Radio Network hosted by me, The Real Jason Duncan. Register for the next EMS for free at therealjasonduncan.com/ems Have you ever watched a TED talk and wished you could deliver a presentation that captivates the audience and leaves them with a standing ovation? Well, now you can! Join us on April 5 at 3:30 PM central time for a game-changing webinar with one the world's leading speaker coaches, Mike Pacchione. In just 90 minutes, you'll discover the secrets of delivering a winning main stage talk that will elevate your brand and set you apart from the crowd. Learn the mental game of speaking and how to win the audience over in the first few minutes. Discover how speaking is like text messaging and how to leverage the most important part of your speech to make a lasting impact. Whether you're an experienced speaker or just starting out, this webinar is for you. Mike Pacchione has helped countless speakers achieve success, and now he's ready to share his expertise with you. Don't miss out on this exclusive opportunity to transform your speaking skills and take your career to the next level. Register now and get ready to rock the stage! Mike's Website: www.bestspeech.co Love the show? Subscribe, rate, review & share! https://therealjasonduncan.com/podcast This episode is sponsored by Dubb. Up your email game and make videos that convert! Get two free weeks and 50% off your first two months with this link: therealjasonduncan.com/dubb Learn more about your ad choices. Visit megaphone.fm/adchoices

We're joined by Army Veteran, & veteran Fresno County paramedic Mario Torralva. Mario was enjoying the county fair with his wife and friends, when he began to feel ill. He rapidly got worse, & his wife called for help and had him transported (by his coworkers) to the nearest ER. Doctors assumed he had a stroke based on his symptoms, but all scans were negative. When Mario would improve and be close to being released home, he would suddenly become very ill again and was even transferred back to the ICU. Mario winds up staying in the hospital for 3 weeks, baffling teams of doctors as they try to find out what his actual illness was. He has to endure exploratory surgery attempts, a 2.5 hour MRI, a lumbar puncture, a Nasogastric tube insertion, & more. Mario describes all the emotion of the hospital stay & trying to figure out his own diagnosis as well. You wont believe what it winds up being, how they discover it, & how his surgery goes. On top of that, he finds out how much damage was done, and has even more complications post surgery.  Mario explains it all from the perspective of a veteran paramedic, & discusses his recovery, & how it changed the extent to which he listens to his body. This is a real life episode of "House".

Links from the show:* Lethal Tides: Mary Sears and the Marine Scientists Who Helped Win World War II* Connect Catherine* Rate the show* Never miss an episodeAbout the show:Catherine “Kate” Musemeche is a graduate of the University of Texas McGovern Medical School in Houston, Texas and the University of Texas School of Law. Musemeche's first book, Small, was longlisted for the E.O. Wilson/Pen American Literary Science Award and was awarded the Texas Writer's League Discovery Prize for Nonfiction in 2015. Her second book, Hurt, was named one of the top ten EMS books of the decade. She has also contributed to Smithsonian Magazine, the Wall Street Journal, New York Times' “Motherlode” blog, KevinMD.com, Creative Nonfiction magazine and EMS World. She lives in Austin, Texas.Lethal Tides: Mary Sears and the Marine Scientists Who Helped Win World War II tells the story of how the U.S. Navy was unprepared to enact its island-hopping strategy to reach Japan when World War II began and how oceanographers came to the rescue. Anticipating tides, planning for coral reefs, and preparing for enemy fire was new ground for the navy, and with lives at stake it was ground that had to be covered quickly. They turned to Mary Sears, an overlooked oceanographer with untapped talent who, along with a team of colorful and quirky marine scientists, became instrumental in turning the tide of the war in the United States' favor. Sears and her team helped the navy “solve the ocean” by guiding them to optimal landing sites in the Pacific and by identifying thermoclines, temperature gradients in the ocean, where U.S. submarines could hide from the enemy. Get full access to Dispatches from the War Room at dispatchesfromthewarroom.substack.com/subscribe

Reviewing case studies with trusted colleagues can be extremely beneficial. Not only does it provide a moment of reflection on actions taken, but it also provides different approaches that may be applicable to future scenarios. Occasionally we like to challenge each other, and this episode is no exception. Tune in as Amanda, Dan, and Mike present three real case studies and see if they would approach the same patient differently. We start from "bread and butter" to the complex critically ill. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com Creative Commons Attribution 3.0 Unported License https://creativecommons.org/licenses/by/3.0/deed.en_US

In this part 3 of a 3-part series, I sat down with Alex Isaac as we discuss what it means when someone says "don't go into EMS" and the importance of considering that, birthing babies on calls, and the importance of an EMT-basic when it comes down to the wire of keeping BLS before ALS.

Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might find them and most importantly how to keep yourself safe. We'll also discuss nerve agents and how to recognize and treat these as well.

Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases.   In our first episode, we sat down and talked about a unique motor vehicle accident involving a motorcycle.  We discuss the good, the bad, and the ugly of the call to help our listeners improve their care. If you have a patient that you would like to discuss, let us know! We would love to talk about patients and improving patient care with our listeners. Let us know what you think and if there are any topics that you'd like to discuss. Follow the PragMedics on Instagram and Twitter. You can find Chris on Instagram.

Chris Macklin is a 20 year veteran South Metro firefighter and the head of one of the country's most progressive wellness departments. We discuss his journey into EMS, responding to the Columbine massacre, his own mental health journey, the genesis of Peer Support, training the tactical athlete, the importance of subject matter experts, injury rehab, fitness standards and so much more.

First Responders can be reluctant to seek help due to stigma and 7 in 10 say that mental health services are seldom or never used. First Responders are 5 times more likely to experience depression and PTSD. So why, as a society, are we expecting First Responders to raise their hand and say they have a problem? What if the worst of the judgment and stigma was coming from the very department that is supposed to have your back? Kristi Tausinga gives us a front-row seat to the challenges that come with being a First Responder, how the culture promotes a "don't show your weakness" mentality, and how her desperation eventually ended in her contemplating suicide. Thankfully, Kristi met our partners at Responder Health and over time is healing and sharing her story to give hope to other First Responders. We know that she will inspire others to seek help. This is another reminder that waiting for someone to raise their hand is a failed model. Youturn Health and Responder Health are reaching out and engaging with education and peer support- a winning combination with no rock bottom needed!Kristi was a first responder for 25 years, working in EMS, fire, and law enforcement. She worked in Law Enforcement for 21 and Fire/EMS for 4. Those years were divided up between The City of Winslow, AZ, and the state of Arizona. During that time, she was in Patrol, a sergeant, in administration, a school resource officer, and worked with the Department of Suicide and Domestic Violence (DV) as a liaison. Kristi was also on the Board of Directors for Alice's Place, which created a women's DV shelter. She also taught High School Criminal Justice classes and is a Federally certified Commercial Vehicle Inspector, AZPOST Genera Instructor, High-Risk Stop Instructor, Addiction Recovery Coach, and recovering addict. Kristi is currently retired from law enforcement and working as a substitute teacher at a local High School. Kristi has four kids (a grandbaby on the way) and a husband of 18 years, living in Nevada. She teaches private softball pitching lessons and umpires little league, when not following her teenager around to her games. https://www.linkedin.com/in/kristi-tausinga-7a75801a3/https://responderhealth.com/https://www.linkedin.com/in/sean-riley-0604a824/

In this part 2 of a 3-part series, I sat down with Alex Isaac as we discuss being a female in EMS, the importance of having compassion in this field, haunted ambulances/EMS stations, the stigma of addiction, and a call involving baby Momma drama

In this BLS focused episode, what you get is quintessential EMS 20/20. Multiple treatment options, CVA symptoms with hypotension, complicated crew dynamics, agency culture issues, and Chris ranting about kits.

The concept of emphasizing, discussing, and training on giving prehospital death notification is, unfortunately for medics and our patient's families, a relatively new concept. Additionally, newer evidence shows that an increased frequency of fatality exposure increases EMS burnout rates. So...everyone wins by an increased focus on improving our skills and comfort with telling families that their loved ones have died. We were initially leery of doing an episode on death notification as The Medic Mindset podcast recently hit a home run on this topic recently. But, after educating over 500 EMS professionals, Dr. Dickson and I learned some valuable lessons from our crews that we felt were worth sharing. Enjoy! REFERENCES 1. https://medicmindset.com/2023/01/09/death-notification-choreography/ 2. Hobgood C, Mathew D, Woodyard DJ, et al. Death in the field: teaching paramedics to deliver effective death notifications using the educational intervention "GRIEV_ING". Prehosp Emerg Care. 2013 Oct-Dec;17(4):501-10. 3. Campos A, Ernest EV, Cash RE, et al. The Association of Death Notification and Related Training with Burnout among Emergency Medical Services Professionals. Prehosp Emerg Care. 2021 Jul-Aug;25(4):539-548.

On episode 127, Dan talks with Sherri Kovach and Jodi Keller with COTS Ohio about mass casualty preparedness in Ohio. Timestamps: 1:26 Assessment of Ohio's state of preparation and scenario planning  7:30 Learning from the response to the East Palestine train derailment 15:08 The challenges of operating in the background  19:36 Fostering collaborating in cultures of competition 21:30 - COTS and national emergency preparedness 23:30 - The 2024 Eclipse  Jodi and Sherri talk about planning for the worst case scenarios, coordinating the EMS response, and training with hospitals for such events. The thing that really keeps COTS up at night are “no-notice” incidents during a time when hospitals may already be overwhelmed and understaffed. They mention the shootings in Dayton, Columbine, Florida, and Las Vegas, as examples. COTS coordinates two healthcare coalitions, the Central Region Coalition with 15 counties and Southeast/Southeast Central Coalition. The coalitions are made up of hundreds of members that may be part of the healthcare response: hospitals, EMS, EMA, public health, long term care, dialysis centers, etc. Funding for COTS comes from the federal government's Assistant Secretary for Preparedness and Response (ASPR) through the Ohio Department of Health. Sherri gives a special shoutout to Red, White, and Boom and the security and emergency response preparation for that event. They mention the stabbing at the Ohio State University in 2016 and how they learned some processes that they now have in place, including a notification process and communicating to get blood in. In response to the blood shortage at trauma centers during the COVID pandemic, COTS helped develop a shared plan among hospitals to conserve blood. COTS is already preparing for the eclipse on April 8, 2024.  Learn more about COTS on their website. NAME CHECKS/RELATED EPISODES Dan mentions the current budget season, which he talks about with Tara Britton and Kelsey Bergfeld on episode 121. Dan brings up the train derailment in East Palestine. Listen to the Prognosis Ohio episode with River Valley Organizing and the Ohio Environmental Council discussing this disaster. One of Dan's public health heroes, Franklin County Health Commissioner Joe Mazzola, praised COTS and the work they do. Hosted and produced by Dan Skinner. Copywriting and production support by Angela Lin. Engineering support by Mike Foley, curator of the WCBE Podcast Experience. Prognosis Ohio is a member of the WCBE Podcast Experience and the Health Podcast Network. Prognosis Ohio is a production of Prognosis Ohio, LLC.

Returning to some EMS news we review a scary story coming out of Wyoming about a crazy medication error. This story sparks a great discussion about where medication errors come from, why they keep happening and what agencies and providers can do about decreasing the number of medication errors. Hear from Mike (NY AEMT-P, CIC),  Gerard (NC AEMT-P) & Butch (NY AEMT-P).Join our Discord Community: https://discord.gg/8v4smgMEKeGet CE credit here: https://medicmaterialscmeacademy.thinkific.com/BECOME A VIP PROVIDER by joining our PATREON PAGE & receive instant access to our THIRD Monthly Podcast episode! Sign Up HERE: http://patreon.com/medicmaterials Buy us a Cup Of Coffee to help support the show: https://www.buymeacoffee.com/medicmaterials Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com Grab some SWAG: https://bit.ly/3AtWg2TSend the show an email: info.medicmaterials@gmail.com Visit our Website: https://www.MedicMaterials.com/ See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85 -Affiliate Link: By purchasing from one of the links below, Medic Materials will earn a portion of the sale at no added expense to you. --Leatherman RAPTOR SHEER Collection Multi-tools. Shop here!: https://rb.gy/w0uctd --Discover the right Leatherman MULTI-TOOL for you!: https://rb.gy/x5iycv DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education, and or practice. The skills, techniques, ideas, and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols, and your EMS educator for clarification and further proper EMT/Paramedic training.Intro Music: http://bit.ly/3wIaSbAOutro Music: https://rb.gy/tais0a Rig Check Music: http://bit.ly/3jlEVTrMicrophone Used: Rode Podmic Software Used In Production: Canva, Vegas 20, Rodecaster Pro

When Vice President and Chief of Police Marlon Lynch joined his alma mater in February 2021, Michigan State University expanded the role of police chief in recognition of the broadening nature of proactive safety planning needs across the university beyond traditional law enforcement efforts. To strengthen and bolster these efforts going forward, Interim President Woodruff has changed the structure of Police and Public Safety's leadership to enable the accelerated expansion of university safety efforts across the East Lansing campus and all MSU campuses throughout Michigan.Chris Rozman is the new chief of police. And Vice President Lynch is now vice president and chief safety officer for MSU. On this episode of MSU Today, Lynch and Rozman talk about the transition and their new roles.Conversation highlights:(1:12) – “My role as vice president and chief safety officer will be broader, as opposed to also having primary responsibility for the university police department. The university and its needs evolve.”(3:40) – “I'm honored and humbled to be offered the appointment to chief at my alma mater and the place where I've spent my entire career.”(5:47) – “We do a really good job of community outreach, engagement, and policing as it is, and I want to make sure we weave that through all our employees in every aspect of our department. Our police officers do a great job daily, and I want to emphasize the point that every interaction we have with every member of our community is an opportunity to engage and build trust.”(9:14) – “I'm not an emotional person, but I have found myself feeling very emotional since then. It's something to deal with both personally and professionally. Being cognizant of that is necessary for us to move forward.”(11:06) – “What I think really stands out is that our department and most of our employees who have been here a long time are truly connected to this community. We are impacted and healing just like our community.”(12:40) – “As we were committed to communicating updates and sharing information with our community, we weren't talking to the media or the cameras. We were speaking to our community.”(13:38) – “We are part of the community. We are Spartans protecting Spartans. That's how we're going to move forward. This is our campus. What surprised me was the number of students who told us they still feel safe on campus. We are absolutely committed to ensuring the safety of this campus now and in the future. And we know we need to work with the community to do that and we stand ready.”(15:25) – “The chiefs for the cities of East Lansing, Lansing, and Meridian Township, and the sheriff for Ingham County are all Spartans. There's a connectivity in the law enforcement and public safety community, including fire and EMS.”Listen to “MSU Today with Russ White” on the radio and through Spotify, Apple Podcasts, and wherever you get your shows.

During a recent chat with Doc Godfrey “Cric Em If You Got'em,” we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and paramedic instructor out of New Mexico was kind enough to come on and help walk us through the paper. Listen along with us and hear what the NAEMSP thinks and our take on managing a trauma patient's airways. Link to the NAEMSP Paper: https://www.tandfonline.com/doi/full/10.1080/10903127.2021.1994069 Follow the PragMedics on Instagram and Twitter   

Episode 50 of the Know Stroke Podcast is here! This has been a milestone we've had our eye on for a few months now and we're super excited to share this episode with you. We start off with an introduction from Mike and David speaking to some of the feedback and impact they've received since launching the podcast - these stories are what keep us going. In this episode we were joined by Dr. Christopher Richards. He is the Medical Director of the UC Health Mobile Stroke Unit and Assistant Professor in the Department of Emergency Medicine at the University of Cincinnati College of Medicine. Dr. Richards and his team work with 15 partner fire/EMS departments across Greater Cincinnati to bring emergency department-level stroke care to community members who need it through a mobile stroke unit. Episode highlights: The rich history of innovative stroke care at UC Health Bringing the stroke unit to the curbside with the UC Health Mobile Stroke Unit Analyzing data from 911 calls to better understand how people describe stroke symptoms Standardizing MSUs into the stroke care of survival nationally Balancing the clinical outcomes with cost-effectiveness for Mobile Stroke Units Follow Dr. Richards on Twitter @CTRMDMS Show Credits: Music intro credit to Jake Dansereau, connect at JAKEEZo on Soundcloud @user-257386777. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast. Until next time, be sure to give the show a like and share, +follow and connect with us on social or contact us to support us as a show sponsor or become a guest on the Know Stroke Podcast. Visit our new website to apply here: https://www.knowstrokepod.com/ Connect with Us and Share our Show on Social: Website | Linkedin | Twitter | YouTube | Facebook

The shortage of new ambulances being produced continues to pose a challenge for EMS agencies nationwide. One option that isn't new but has been getting renewed attention is ambulance remounts. What exactly does this entail? Mark Van Arnam is president of REV Group and oversees the Horton, AEV, Leader, Wheeled Coach, and Road Rescue lines. Here he speaks with Mike McCabe to demystify the remount process and describe how it can help your service keep its fleet going in challenging times.

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. According to Bureau of Labor statistics, for healthcare workers, assault is the most common source of nonfatal injury or illness requiring time off of work. In this episode of Inside EMS, Host Chris Cebollero is joined by Jason Brooks, BAS, EMT-P, I/C, to discuss the rising frequency of assaults against EMS providers. Brooks owns and operates DT4EMS, LLC, providing defensive tactics for escaping, mitigating and surviving violent attacks. He has been in the EMS profession for over 25 years, serving as a firefighter, paramedic, paramedic educator and EMS administrator.  He has spent nearly a decade studying the issue of violence in healthcare. Together, they discuss: Personal defense and de-escalation training When to de-escalate domestic violence cases What to do when verbal de-escalation fails 4 rules of physicial and mental defense When to leave the scene Notable quotes from Jason Brooks If you're being threatened, you need to make the decision, “is this safe for me to stay here?” “It's not patient abandonment to leave a scene that's unsafe.” “There's no law out there that says that you have to sit there and be abused, be assaulted, etc. If it's unsafe, we need to know that care can end.” “If it gets to the point where it's escalated so quickly, if you have to leave equipment behind for your safety, leave it.” Additional resources Special coverage: Protecting EMS providers from violence Preventing violence against EMS personnel Research Analysis: Preventing downstream consequences of EMS assaults Rate and review the Inside EMS podcast Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or if you'd like to join us as a guest.

This week, we're going to make some people angry.We're talking structure fires, risk, and SLICE-RS.If you're a probie, that's an acronym for Size-up, Locate the fire, Isolate the flow path, Cool from a safe distance, Extinguish, Rescue and Salvage at any time in the process.Today's guest says that, by following those steps in that order, you'll have a less risky fireground.But what about those who advocate for RECEO-VS? That's Rescue, Exposure, Confine, Extinguish, Overhaul and Ventilate, Salvage.That puts “rescue” first, which, while it may not be as safe for the firefighter, suggests that saving lives is the priority in a structure fire.But can using SLICE-RS result in more lives saved? How is that possible?I'll ask that of Robert Avsec.He retired as a Battalion Chief with the Chesterfield, Virginia Fire & EMS Department after 26 years of service. He's instructed fire, EMS and hazardous materials courses at the local, state and federal levels, including 10 years with the National Fire Academy. He writes a blog and is a published author.

On this episode of The USFA Podcast, the FIRST Center's Dr. Jennifer Taylor discusses use of the SAVER checklist and model policy to mitigate occupational violence against EMS responders. Listen on Apple Podcasts.

Learn how I spent just $25 to create a fun, inter-active team building exercise for my staff.Host: Paul Falavolito Facebook: Paul Falavolito PodcastTwitter: Paul Falavolito Podcast or @paulfalavolitoTikTok: paul_falavolitowww.paulfalavolito.comExclusive 7 Minute Leadership Merchlinktr.ee/paulfalavolitoBookstore:The 7 Minute Leadership Handbook is available through Barnes and Noble, Amazon, and Apple Books. Get your copy on Amazon: https://amzn.to/2nXWax5Get your copy at Barnes and Noble: https://bit.ly/2lJwIdRwww.laurelhighlandsaviators.comFor the best aviator sunglasses on the market, use the link below to get 10% off Flying Eyes. Discount Code: PFAVhttps://flyingeyesoptics.com/eyewear/?ref=2J4duW9yyI3hiwListen on Apple Podcasts, iHeart Radio, Google Podcasts, Audacy & SpotifyIf you enjoyed this episode, please leave a 5 Star rating, share on your social media, and comment on iTunes. Help support the show by becoming a PATRON: CLICK HERE or search Paul Falavolito on Patreon.comSubscribe and listen to all of my podcast shows:The 7 Minute Leadership Podcast 1 PAPA FOXTROT - General Aviation PodcastSponsored by the following companies:White Oak EMS - whiteoakems.com Cornerstone Adminisystems - cornerstoneadminisystems.com Alerts USA - alertsusa.com Ridge Wallet - ridgewallet.com MuscleMX - Musclemx.com Laurel Print and Graphics - laurelprint.com Listen to each episode for your special Paul Falavolito discount code to save with our sponsors.YouTube:Follow me on YouTube: http://www.youtube.com/thepfav

SPECIAL RELEASE EPISODE: This is a replay of a recent Entrepreneur Masters Series webinar recorded on February 22 with guest expert Oscar Trimboli, on a quest to create 100 million Deep Listeners. He is an author, host of the Apple award-winning podcast Deep Listening and a sought-after keynote speaker. He is passionate about using the gift of listening to bring positive change in homes, workplaces, and cultures worldwide. He has interviewed over 100 of the most diverse workplace listeners, including Air traffic controllers, deaf and foreign language interpreters, hostage negotiators, and spies as part of researching world-class listeners. The Entrepreneur Masters Series ("EMS") with The Real Jason Duncan is a 90-minute live webinar series designed to bring high-value content that is practical and tactical for today's successful entrepreneurs. Twice a month I bring in a top expert in areas related to entrepreneurship, leadership, sales, or financial literacy. It is a masterclass on specific topics related specifically to growing and building entrepreneurial companies. Each episode is conducted live on Zoom. Each episode is also released as a special episode of The Root of All Success podcast, which is an internationally syndicated podcast on the C-Suite Radio Network hosted by me, The Real Jason Duncan. Register for the next EMS for free at therealjasonduncan.com/ems We all know that sales negotiations between buyers and sellers ideally lead to the deal being closed in a way that both parties can appreciate. However, what are the do's and don'ts of said negotiations, and how do we get the most out of the conversation? Erich Rifenburgh has extensive training and practical negotiation experience that he is ready to share with YOU. Tune in to this live webinar for an immersive master class that will have you owning your next negotiation. Oscars's Social Media Links: https://www.linkedin.com/in/oscartrimboli/ Love the show? Subscribe, rate, review & share! https://therealjasonduncan.com/podcast This episode is sponsored by Dubb. Up your email game and make videos that convert! Get two free weeks and 50% off your first two months with this link: therealjasonduncan.com/dubb Learn more about your ad choices. Visit megaphone.fm/adchoices

The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival are thesame. 1. Recognizing the symptoms of a cardiac emergency or stroke; 2. Activating an emergency response by calling 9-1-1, or a specialized code team if in the healthcare setting; 3. Rapid assessment including 12 lead ECG for cardiac patients or FAST assessment for suspected stroke emergencies; 4. Provide ALS care and transport to the most appropriate facility; for 5. Early reperfusion. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke.Areas with strong EMS relationships, well-defined transport protocols, and specialized teams that care for the patient in the hospital have significantly better patient outcomes.The cardiac arrest chain of survival adds: high quality CPR, early defibrillation, and advanced resuscitation as the next critical links followed by post arrest care and recovery.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

Firefighter Lou returns for a back-to-back interview of more outrageous stories from his career in the Marine Corps and as an active firefighter/EMS.

In this episode of Throwback FDNY… In 1798, the Fire Department of the City of New York is formed by an act of the State legislature. In 1857, Harry Howard is named Chief Engineer of the fire department. And in 1964 a fire strikes in the subway tunnel of the Times Square shuttle. 

When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. Review the first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA or EVT of LVO strokes. Stroke benchmarks for door to:assessment;completing a non-contrast CT; andadministration of tPA (door-to-needle).EMS interaction with stroke teams and destination protocols to reduce time to definitive care.The difference for timed goals for the identification & treatment of AMI vs Stroke. Additional information about timed goals for stroke and how EMS affects outcomes, can be found on the PassACLS.com pod resources page.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

Clever name huh? Well, this crossover is a little light on the paramedic and heavy on the medical directors....but you know....its all good (Dr. Jarvis) Man, did we have fun recording this one. I found myself in a hotel room in Ashland, Oregon with Drs. Ed Racht, Maia Dorsett, and Ritu Sahni talking about Sepsis. We decided this would make for a great crossover episode with The EMS Show, minus our buddy Mikey V. Anytime I get together with this group of friends, I always have fun. We discuss a new sepsis trial but also discuss the OG sepsis paper, Dr. River's Early Goal Direct Therapy and discuss the cautionary tale of performance measures gone awry. We also hit on using EtCO2 as a surrogate for lactate in sepsis and collectively decide Dr. Dorsett is a rockstar. Citation: The National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023;388(6):499-510. doi:10.1056/NEJMoa2212663

Closed Hospitals & Overwhelmed EMS Burdens Milam County

In this episode, we will be discussing the Katalyst device with Katalyst Founder and CEO, Bjoern Woltermann. The Katalyst device is a revolutionary wearable technology that can help improve fitness and health.    Katalyst uses electro muscle stimulation (EMS) to help you build more strength in less time, without any external weights or wear-and-tear on your body, so you're always prepared to rise to the occasion. It can also help individuals with limited mobility to exercise more efficiently and effectively, enabling them to achieve their fitness goals.   During the podcast, we will explore the various features of the Katalyst device and dive into the science that makes it work. We will also discuss how the device can be used to target specific muscle groups and enhance overall physical performance.   Tune in to learn more about the Katalyst device and how electro muscle stimulation technology can transform your fitness journey.   Get started with Katalyst at katalyst.com/wildhealth

Every year, nearly 800,000 people in the United States have a stroke. Listen in to a Stroke Coordinator on how his role helps to save lives, transform patient care, and reduce costs. Episode Introduction  Monte explains why data abstraction is the biggest part of a stroke coordinator's role, the importance of maintaining patient focus and why ‘'responsibility without authority'' means teamwork and communication are vital. He also highlights his unique position in understanding the time sensitive nature of treating stroke patients, and how patient arrival time dropped by 100 minutes following a community awareness campaign.   Show Topics   Data abstraction is the biggest factor for a stroke coordinator  Ensuring patient follow-up for better patient care Making a difference as a stroke coordinator The ads that transformed patient education Why teamwork and communication is a must  The cost savings benefits of hiring a stroke coordinator Leadership is about helping others to succeed     07:47 Data abstraction is the biggest factor for a stroke coordinator Monte explained the ‘'life-changing'' impact of data abstraction on his role and ability to improve patient care.  ‘'The largest part of being a stroke coordinator is data abstraction. There is tons of data abstraction. It's incredibly time-consuming. There's information that I have to gather on every single patient that arrives with stroke-like symptoms. That is probably two to three times the amount of patients that actually become stroke patients. So it's a huge number of patients. So every code stroke in the hospital, which sometimes there's two, three, four a day, those are patients that I have to do data abstraction on. Then I also have to understand how the data determines opportunities for improvement, and that was something I was so completely unaware of as a regular nurse. I was just working in the hospital. Data seemed, it used to make me angry when someone would come at me with data because I'm like, "I don't care about your data. All I care about is the patient. So then I learned that data actually drives this change, and so I learned how data drives the change, and it's been really, really fascinating and very life-changing for me and being able to look at things and say, "Oh, here's where we can make improvements for these patients."   11:15 Ensuring patient follow-up for better patient care Monte said that arranging neurology appointments for all stroke and TIA patients was another key element of the stroke coordinator's role. ‘'Right now we're providing neurology appointments for all of our stroke and TIA patients. So I spend a lot of time going back and forth with their office to create those appointments and tracking those. There's just tons of tracking of everything. …..that's something …. that we just started doing this last year. We just started doing the TIA patients first, and then we added all the stroke patients in. So that way they have follow up outside of the hospital once they go home. Because a lot of people went home and they didn't follow up with someone and we found that if we create their appointment for them before they leave or even shortly after they leave, then they're more likely to go to the appointment.''   12:44 Making a difference as a stroke coordinator Monte said the stroke coordinator is vital for stroke centers to receive certification and in ensuring rapid treatment of patients.  ‘'Well, number one, the easiest one to tell you is to be a designated stroke receiving center by the county. We have to be a stroke certified hospital, so we can't lose that certification. So in other words, in order to be that receiving center, what a designated receiving center is? Well, when someone picks up the phone and calls 911 and the patient has stroke-like symptoms, they immediately go to our hospital if it's the closest hospital to them because we are the stroke center. Now in Monterey, two of them, and one is on the west side of the county, one's on the east side, we're on the east side, and we don't fight over patients. There's no argument or anything. It's just split right down the middle. And so if they're on the east side, they come to us. If they're on the west side, they go to them. But that is one of the biggest things, is if we didn't have that designation, we would lose a lot of patients to another stroke center. And the other thing is for cardiac, we always heard time is muscle, the second is true for stroke, time is brain. And people don't realize that approximately 1.9 million neurons die every minute during a large vessel occlusion. So we are racing, when they first come in, we are racing to give them treatment to dissolve that clot or whatever else so that we can restore that blood flow back to that area of the brain, because the longer they go without that blood flow, the more brain damage they're going to have. So that is what the whole thing is when they first come in.''   14:10 The ads that transformed patient education  Monte said the average time for patients arriving at hospital after a stroke dropped by 100 minutes through raising awareness.  ‘'And the other thing where we make a huge difference in the community is because stroke is very time sensitive as far as treatment is concerned, you communicate and teach the community about stroke, stroke symptoms and recognizing those and getting into the hospital as quickly as possible.  My partner, who is the cardiovascular coordinator, he and I have gone back and forth. We've gone to so many community events and everything trying to make a difference, and nothing has really made a difference. All of a sudden one day he said to me, "Why don't we advertise on the side of buses and advertise in the theater?" …… So this is where data comes in handy. If it makes a difference, we're looking at the time someone recognizes their symptom to the time they arrive at the hospital. If it makes a difference, it should be shorter. We did that and it was fascinating. We only ran the ads for three months and we could see that time. The average time dropped almost 100 minutes over those three months, and then after the ads stopped, they slowly started coming back up again. So the next year we thought, okay, this is maybe a fluke. Let's do it at a different time of year, whatever. This time we both did the ads because the bus ads did nothing. We ran both of our ads in the theater, same thing happened within a short time. Those times dropped down over 100 minutes this time. So now we advertise in the theater year round. And we started that and then all of a sudden COVID hit, which was funny, and all the theaters closed. So we had to wait until they opened up again to redo that. But it makes a huge difference to our patient population.''    17:52 Why teamwork and communication is essential   Monte said stroke coordinators have a lot of responsibility but no authority, making communication and teamwork essential.  ‘'So for instance, I want to make a change or something. Any change that I make, it will require someone else or some other department in order to make that change. So if I make a change in the code stroke process, for instance, it's going to affect the ER physicians, the ER nurses, the lab techs, CT techs and EMS. All of those people and all of them have to be involved in that change. So you really create buy-in and get people to understand why we're making this change and why it's so important. So for instance, we brought the MEND exam, which is a stroke neurological exam. You to go back, be educated in Miami and have four other people be educated as well, and then bring the class to our hospital and start teaching that class in the hospital. But in order to get our nurses to actually learn the MEND exam, we had to release a health stream for everyone to do it because we couldn't require that advanced stroke life support be taught to them, which teaches the MEND exam, because the union. So if we want to make it mandatory for say, the stroke unit or ER or ICU, we have to go to the union and have that negotiated into the contract for those things. So these are the things that requires a lot of time communication and working with every single person involved. Right now we're bringing in new drugs. We're bringing in ANDEXXA, which is a reversal agent for apixaban and Rivaroxaban. That included our physicians, our nurses, our clinical informatics to write the order sets. And coming up, we're going to be bringing connect to place in. So we're going to have to go through the same thing again. So each one of those things requires communication, buy-in from all these departments and everybody being on board. And if I don't have that, it's not going to happen.''   21:04 The cost savings benefits of hiring a stroke coordinator Monte highlighted the best practices of stroke coordinators that enhance patient care, while saving money.  ‘'Well, first of all, being a stroke designated center by the county brings those patients there. So that immediately brings patients that we wouldn't normally receive. But how we help our patients is, for instance, we know that and studies have shown that for every 15 minutes we can shave off of the time that symptoms have started to the time they get treatment, the patient is that much more likely to walk out of the hospital as opposed to going to a skilled nursing facility or rehab event. That is why we put this money into our theaters to bring patients in sooner, because the sooner they get there, the more like they're going to be walk out instead of go to one of these places. That also decreases their length of stay, which it lowers their cost as well as our cost. So each one of these things that we do, we bring best practice to the hospital for stroke, which actually improves our performance. It improves best patient practice and best patient experience.''   27:34 Leadership is about helping others to succeed Monte said that transparency and honesty can make a big difference to others.  ‘' I always go back to what I looked at in a leader, and that was someone who was direct, someone who honest, someone who was transparent and someone who just came from a place of love, everything that they do in all of their management style. Those people always made the biggest difference in me. So that's the person I want to be, and I know I'm not always that. Many times I'm not, but that's the person that I want to be and that's what I want to learn. And so I'm constantly striving to do that. And I highly suggest if you are going to go into leadership that you begin to understand that if you make everyone else around you succeed, you are a huge success.''   Connect with Lisa Miller on LinkedIn Connect with Jim Cagliostro on LinkedIn Connect with Monte MoosJenkins on LinkedIn   Check out VIE Healthcare and SpendMend      You'll also hear:  From nursing burnout to stroke coordinator, via teaching and travel nursing, and lessons learned as a branch manager. ‘'I am a Libra, so I tend to be a doormat, and I was a doormat up to that time. And it really taught me that if I'm going to let something go on instead of dealing with it directly and immediately, it's going to come back and bite me in the butt. And that was a really, really good lesson for me and I've learned to be very direct from that.'' The importance of patient focus. ‘'As long as you keep the patient in focus and everything you're doing for the patient is about the patient and everything you do at work is about the patient, then no one can fault you for that. You just need to keep the patient always at the forefront.'' Why education matters in the role of stroke coordinator. ''The interesting thing about being a stroke coordinator, I'm responsible for always updating the knowledge on stroke guidelines for the hospital, any changes in stroke care, all that kind of stuff.. … I have to make sure that education takes place for all of those things.'' How a mentor helped Monte to listen rather than react ‘'… I think that's why a mentor is so, so important because they can look at you and say, "Calm down. I know you're upset about this and I understand why you're upset about this, but that's not going to do anybody any good."   What To Do Next:   Subscribe to The Economics of Healthcare and receive a special report on 15 Effective Cost Savings Strategies.   There are three ways to work with VIE Healthcare:   Benchmark a vendor contract – either an existing contract or a new agreement. We can support your team with their cost savings initiatives to add resources and expertise. We set a bold cost savings goal and work together to achieve it.  VIE can perform a cost savings opportunity assessment. We dig deep into all of your spend and uncover unique areas of cost savings.  If you are interested in learning more, the quickest way to get your questions answered is to speak with Lisa Miller at lmiller@spendmend.com or directly at 732-319-5700  

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists.I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine and I'm Rahul Damania from Cleveland Clinic Children's Hospital. We are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode.Here's the case of a 12-week-old girl old who is limp and seizing presented by Rahul.Chief Complaint: A 12-week-old previously healthy female infant was found limp in her crib and developed generalized tonic-clonic seizures on the way to the hospital.History of Present Illness: The mother returned from work on a Saturday to find her daughter unresponsive in her crib. The infant had been left in the care of her mother's boyfriend, who stated that the daughter had been sleeping all day and had a small spit up. As the patient continued to have low appetite throughout the day and continued to be unresponsive in her crib, mother called EMS to bring her to the emergency department. En route, the patient had tonic movement that did not resolve with intranasal benzodiazepines.ED Course: The infant presents to the ED being masked. Upon arrival at the ED, the infant was in respiratory distress, with a heart rate of 190 beats per minute, respiratory rate of 50 breaths per minute, and oxygen saturation of 85% with bagging. She was intubated for seizure control upon arrival at the ED. Physical examination in the ED revealed bruising on the right neck region but was otherwise unremarkable. A non-contrast head CT showed no acute intracranial abnormalities. The initial diagnostic workup revealed normal CBC, mildly elevated hepatic enzymes, and pancreatic enzymes which were within normal limits. The blood gas showed metabolic acidemia with PCO2 in the 60s.Admission to PICU: Upon admission to the PICU, neurosurgery and trauma teams were consulted. A skeletal survey and ophthalmology consult for a fundoscopic examination were ordered, as there were concerns of non-accidental trauma. Further investigation is underway to determine the cause of the infant's condition.To summarize key elements from this case, this patient has:Patient left with mother's boyfriendInfant found limp and had seizures requiring intubationNeck bruiseAll of these bring up a concern for Non-Accidental Trauma (NAT) the topic of our discussion.Let's start with a short multiple-choice question:Which imaging modality is the most appropriate for establishing a diagnosis of abusive head trauma (AHT) in a 12-week-old infant with an open fontanelle on the exam?A. CT scan of the brain without contrast B. MRI of the brain without contrast C. Skull X-ray D. Doppler ultrasound of the headRahul, the correct answer is A. Though

https://slasrpodcast.com/   SLASRPodcast@gmail.com    Welcome to the Sounds Like a Search and Rescue Podcast! Also known as SLASR. Join an experienced search and rescue volunteer and his friend as they discuss all things related to hiking and search and rescue in the White Mountains of New Hampshire.   This week we are recording live from Eastern Mountain Sports  store in North Conway New Hampshire, - The most trusted source for outdoor apparel, gear & guidance for the outdoor adventurers. Joining us at the table this week is our friend Ty Gagne. Ty will update us on what he has been up to recently and we plan to do a short segment discussing safety education and learning. To start our show off we have some folks from the Hiking Buddies here to talk about Emily's hike which is a fundraiser coming up this July to raise funds for the Emily M. Sotelo Persistance & Safety Foundation. Later in the show, our friend Knobbie will join us to talk about his experience recovering from Lyme disease and we will break down some advice to help hikers avoid ticks while in the wilderness. All this and a special visit from the Alzheimer's Association, bad stand up comedy, Recent hikes on the Moat Mountain Range, Goodrich Rock.  Thanks Again to Eastern Mountain Sports for hosting us!  EMS  Go East Topics Show Intro, Waterpots history and live from Eastern Mountain Sports Ty Gagne sitting in for the show Thanks to EMS for having us - Darryl from EMS joins us + live raffle Bad Stand up comedy Heartwarming Easter Hiking Stories Hiking and SAR News in Hawaii NH Rest Stop Feedback Ty asks us to reflect on 100 Episodes Recent Hikes - Moat Mountain Range & Goodrich Rock Cindy from the Alzheimer's Association New Sponsor, Mount Washington Observatory - Higher Summit Forecast Ben and Olivera Sotelo join us to discuss Emily's Hike Listener Shout outs and show updates - science projects, past episodes, cheating and more AT Drama  Catching up with Ty - upcoming event with James Osbourne Welcome Knobbie Hikes - Lyme Disease and Tick prevention   Show Notes Apple Podcast link for 5 star reviews SLASR Merchandise SLASR LinkTree Thru-Hiker hopes to inspire indigenous children to pursue outdoor adventure Six-year-old hiker receives ‘brilliant' £10,000 donation to help poorly children. Hawaii house finance committee passes bill to make hikers pay for rescues. Interesting study Emily's Hike to Save a Life Sponsors and Partners Mount Washington Higher Summits Forecast Bay Slate Coasters Vaucluse - Sweat less. Explore more. – Vaucluse Gear CS Instant Coffee Alzheimer's Association - 48 Peaks Sweet Beginnings Daycare  

Responding to emergencies requires a high level of coordination and teamwork. One important tool that can help improve coordination and communication among any crew is Crew Resource Management (CRM). CRM is a systematic approach to enhancing teamwork and communication, with the goal of improving safety and efficiency. It was first developed in the aviation industry and has since been adopted by various other high-stress and high-reliability industries, including healthcare. In the context of emergency medical services (EMS), CRM involves using clear and effective communication, assertiveness, and mutual support to ensure that all members of the team are working together effectively. It also involves recognizing and managing risks and errors, as well as identifying and addressing any issues that may arise during the course of an emergency response. By adopting CRM principles, EMS crews can ensure that they are working as a cohesive team, with everyone aware of their roles and responsibilities. This can help to reduce the risk of errors and improve patient outcomes. It can also improve job satisfaction and reduce stress among EMS providers. The AM1 team thus sits down with Battallion Chief Michael Lambert to discuss various topics related to Crew Resource Management.

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, host Kelly Grayson welcomes Nancy Magee, volunteer EMS consultant, and Rom Duckworth, fire captain and paramedic EMS coordinator for the Ridgefield (Connecticut) Fire Department and the founder of the New England Center for Rescue and Emergency Medicine. As a NAEMT board member, Rom recently attended the EMS advocacy event, EMS on the Hill, along with Nancy, who attended to represent the interests of rural EMS providers.  Rom shared, “Bottom line, the experience was great, some parts a little frustrating, but I feel like we were fighting the good fight overall and it was a learning experience for me and I think an eye opening experience for a lot of the other people who were down there trying to fight for a little bit more money, a little bit more protection and a little bit more rights for EMS providers.” Nancy and Rom recount their experiences and what they learned in Washington, including: What the representatives asked of legislators Why it's important to be specific in grant funding The elephant in the room (hint, it's fee-for-service) Where the money goes Connect with us Email theshow@ems1.com to share your feedback! Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. 

Rev. David Peterson is an ordained pastor and board-certified chaplain, with over thirty years of experience in ministry to congregations, as well as chaplaincy experience in hospitals, fire/EMS, law enforcement and hospice. He's provided emotional and spiritual care on the scenes of devastating events from 9/11 to school shootings and various community tragedies and in 1994, founded Shepherd's Staff Pastoral Services, where he was able to provide spiritual care to thousands via chaplains he trained and placed at long term care facilities across the U.S. A study in resiliency and forgiveness, David has lived all his life with tremors in his hands and arms and navigated the bullying, harassment and embarrassing moments it has invited from those who lack understanding and empathy. And at the age of 12, he was targeted by a neighborhood pedophile who used alcohol, pornography and affirmation to abuse him sexually, emotionally, spiritually and mentally. Years of silence, anger, shame and self-destructive behaviors followed before healing and forgiveness transformed him. David and his wife, Arden — as well as their four sons and their families — reside in Chesapeake, Virginia. To learn more about Pastor David or to get his books, go to davidpetersonbooks.com  To check out some of his sermons, see - apostles-lutheran.org   See omnystudio.com/listener for privacy information.

Whistleblower Report with DrLee4America – Governor Janet Mills has further jeopardized Maine's citizens' health and safety with mandates gutting all emergency services – fire, EMS, and healthcare delivery. Today's guest, Tiffany Kreck, is leading the lawsuit against these unconstitutional mandates and today tells her story...

Rev. David P. Peterson is an ordained pastor and Board-Certified Chaplain with over thirty years of experience in ministry to congregations and chaplaincy experience in hospitals, fire/EMS, and law enforcement. He has provided crisis care in mass shooting and community disasters. Rev. Peterson is also president and the publisher of Wave Dancer Media, LLC, sharing stories of resilient living.  Pastor Dave is a Master of Divinity graduate of the Lutheran Theological Seminary, Gettysburg, PA. He and his wife, Arden, and their four sons and families, as well as Daisy, their Golden Retriever, reside in Chesapeake, Virginia, where he is Senior Pastor at Apostles Lutheran Church. Pastor Dave is the author of a new book called, “Journey to Forgiveness: 21 Milestones to Freedom.”  To contact Pastor Dave, visit his website at https://davidpetersonbooks.com  ----------------------------   The Real Men Check In is a quick way to help you start your week off on the right foot, in the right way - as a husband, father, and leader. Every Monday, Joe Martin shares personal insights, encouragement, and support that will move you beyond “church” to “real change.”  To make sure you don't miss a Check-In or interview episode, make sure you "Stay Connected" by signing up for updates and our Man-to-Man eNewsletter at http://www.RealMenConnect.com     Also, help us transform the lives of even MORE MEN for God's glory by leaving us a helpful REVIEW on iTunes: http://tinyurl.com/rmcpodcast and SHARING this podcast with your friends.   Are you stuck? Want to go to the next level in your marriage, career, business, or ministry?  Then maybe it's time you got a coach. ALL CHAMPIONS have one. Let me coach you to help you strengthen your faith, improve your marriage, spiritually lead your family, achieve more, balance your time, grow your ministry, or even stop an addiction. Click here for details: http://www.RMCfree.com   Also join us on: Join the Real Men 300: http://www.RealMen300.com Facebook Group: http://www.realmenuniversity.com/ Facebook: @realdrjoemartin YouTube: http://www.RealMenTraining.com Instagram: @realdrjoemartin Twitter: @professormartin

Jennifer Jones Lee hosts your Wednesday morning Wake Up Call. ABC's Karen Travers talks about how the White House is working towards freeing imprisoned Wall Street Journal journalist Evan Gershkovich, deeming him a 'wrongfully detained American.' Royal Oakes is back and explains the charges filed against former President Donald Trump. ABC's Jim Ryan highlights the Nashville officers that acted heroically in the school shooting as they spoke for the first time following the events, yesterday. And Dr. Carl Schultz, EMS Medical Director in Orange County, emphasizes the county's need for more paramedics.

While EMS is uniquely rewarding, it is also uniquely challenging, with physical, mental and emotional impacts. During the inaugural First Responder Wellness Week, our dynamic duo, Chris Cebollero and Kelly Grayson, hosted a special live edition of Inside EMS. In this edition, our cohosts, joined by EMS One-Stop podcast host Rob Lawrence, welcome Global Medical Response's Ed Racht, MD; and Rhonda Kelly, who manage one of, if not the biggest EMS wellness programs in existence. Listen in to learn how wellness programs are essential to creating resilient responders, and what's working to support members' health, emotional wellness and coping strategies for career longevity. WHAT ATTENDEES LIKED FROM THIS PRESENTATION "Great ideas and options to assist providers when they need help and to encourage them to ask for help."  "Good practical ideas to implement." "It was very informative on information that we as an industry are using to move ahead with responder wellness." 

Janet's company, Seven Point Trends, helps female entrepreneurs and business owners with less than 10 employees create company strategy and organizational charts so that they can realize their goals. Before starting her own business, Janet worked in an organization on strategic planning. Like many of our members, she started her own business to create some flexibility and freedom in her busy life, and to get paid well for doing work she loves. Janet was feeling a lot of pressure to make money in her business; she wasn't making the money that she knew she deserved to make as an expert, and just couldn't figure out what it was that was missing. She had invested greatly in other programs, and wasn't getting results. As time went on, she became increasingly overwhelmed, strung out, and highly in panic mode (something she is far from alone in experiencing). For Janet, the EMS system that we use within The Bold Profit Academy was the tool that first began to shift everything for her. EMS stands for Energy, Mindset, Strategy, and it underpins all our work here. When Janet's overwrought nervous system began to calm, she was able to sleep better, to think more clearly, and to implement the tools we provide. Along with the bespoke coaching and support, she made huge progress in a short amount of time, and began to make the sales she so wanted and needed in her business. For Janet, taking consistent steps with bespoke support has created the momentum to shift both her wellbeing and her revenue beyond all recognition. Get your Revenue Goal Calculator - https://theboldleadershiprevolution.com/revenue-goal-calculator or Text Revenue to 415-528-7403. Join the waitlist for The Bold Profit Academy - https://theboldleadershiprevolution.com/the-bold-profit-academy

Laura McGladrey, the founder of the groundbreaking non-profit Responders Alliance, works with front-line teams who witness and experience traumatic events—law enforcement, fire, EMS, Search and Rescue. She crafts language and creates tools to help them foster mental well being and resiliency. As Laura told us, you can spend all the time you want in classes, studying snow science and the human factors, you can spend all the time you want on the snow. But, for a lot of us, when your soul gets raked over the coals of trauma with loss so common to life in the mountains, there isn't much anybody can do to help you prepare for that. Laura's hoping to change that. Laura McGladrey is a force of nature.

As we wrap our series, "A Thin Blurred Line," we take a moment to sit down with an investigative journalist who has covered incidents such as the ones in the media - Elijah McClain and Tony Timpa. We discuss both cases with her in this great conversation with someone outside EMS.  Listen in as we talk with Cary about her experiences, what she found during her investigation into these incidents and how they impact EMS. Cary is a reporter for the Marshall Project and has been reporting on public safety for numerous years. You can follow Cary on Twitter Check out the Marshall Project on Twitter and on the Interwebz Follow the PragMedics on Instagram and Twitter 

FDIC 2023 in Indianapolis is rapidly approaching and your favorite co-host is excited to be presenting for the 8th year in a row. No, not that one, the other one. Sheesh.Justin, our Fire and EMS expert is back presenting Mass Casualty (MCI) response for first in firefighting companies and shares a few new elements of his presentation that the New York Times called "Please stop emailing us random things to review."Specifically, they discuss the fact that there isn't always safety in numbers, especially when trying to evacuate an emergency and the guys discuss the stampede in South Korea that reinforces that reality.You can catch Justin's presentation on Thursday the 27th at 330. If you're in Indy and spot him, make sure to use the code word "Jason's hair" for a free beverage.Also, stick around for the end of the show for a "Kansas City Special" featuring Tom Jones. Not a euphemism.This week we discuss:The importance of anticipating egress when responding to an emergency sceneWhy setting up casualty collection early is a priorityHow and when most people will exit a building in an emergencyWhat. The. Hell. Is. Going. On. In. KCFD?Support the showJoin our Facebook Community!Buy us a beer!Email Us! (Justin or Jason)Thanks for listening and please share the show!

Have you ever handed off to an ER doctor, and you felt they were displeased with your care? Have you ever received an order from an ER doctor, and you didn't quite understand why? In this podcast episode, we continue our "10 Things" series with a focus on the emergency department. Our very own Dr. Amanda Humphries, Emergency Physician and Assistant Professor of Emergency Medicine and Emergency Medical Services,  leads the discussion. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com Creative Commons Attribution 3.0 Unported License https://creativecommons.org/licenses/by/3.0/deed.en_US

In November of 2013, a Cleveland 911 operator got a frantic call from a woman. Her husband had just been shot outside of the home that they were packing up to move. It seemed like a robbery gone wrong. There were no perpetrators on site, and the man shot was still breathing--even after being shot four times. The man's wife, rode along with EMS to the local hospital, with her husband, firefighter, William Walker. Unfortunately, William did not survive and this week's episode is about his murder.Join us on Facebook and IG: @HARDCORETRUECRIMEWeb: www.crimesandconsequences.com--------------->Get ad-free early releases of each episode, plus over 170 exclusive Members Only episodes by going to Patreon.com/tntcrimes or joining our Apple Channel on the Apple Podcast App.SOURCES:1) https://vawnet.org/sc/scope-problem-intimate-partner-homicide-statistics“The Scope of the Problem: Intimate Partner Homicide Statistics”2) https://careertrend.com/what-kinds-of-benefits-do-firefighters-get-13658507.html “What Kinds of Benefits Do Firefighters Get?”3) https://www.verywellmind.com/characteristics-of-heroism-2795943 “The Characteristics of a Hero: What makes someone a hero?”4) https://www.youtube.com/watch?v=YxFFb2UJ8cU&t=245s “Meet, Marry, Murder - Season 1, Episode 29 - Curry-Walker - Full Episode”5) https://www.youtube.com/watch?v=1UWsMyLVjcU “William Walker's children, ex-wife make statement on his murder”6) https://thecinemaholic.com/william-walker-murder-where-is-uloma-curry-walker-now/ “William Walker Murder: Where Is Uloma Curry-Walker Now?”7) https://www.oxygen.com/a-wedding-and-a-murder/crime-time/uloma-curry-walker-murder-cleveland-firefighter-william-walker “Woman Plots Firefighter Husband's Murder After Tricking Him Into Marriage With Fake Cancer Diagnosis”8) http://prosecutor.cuyahogacounty.us/en-US/2017-08-08-pr-Curry-Walker-Sentenced-to-Life.aspx “Uloma Curry-Walker Sentenced to Life Without Possibility of Parole for the Murder-for-Hire of Beloved Cleveland Firefighter”