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Bryan Jepson MD and CFP, author of The Physician's Path to True Wealth: 12 steps to gaining control over your money and your time – you can find it on Amazon and at this website for free Bryan Jepson MD, CFP® | physician financeDisclaimers:This is not specific financial advice, this is general education. Talk with your own advisor or schedule with Bryan to get specific advice The earlier you can get financially literate and work on a plan the betterBryan is an emergency medicine physician, along his journey in medicine he also spent 5 years working in Autism before coming back to EM full timeThe covid pandemic and a feeling of stagnation and desire to keep learning prompted Bryan to pursue a master's degree in finance Bryan finds familiarity in his role as a physician to his role as a financial planner. You listen to the client and come up with a plan that fits their needsBryan talks about the difference between riches and wealth; discretionary income is the income above your mandatory expenses – and what you do with that extra income is how you become wealthy or richRiches are the material things you may spend that money on, car, house, toysWealth is the money you could spend but instead save or invest insteadThe goal is to create assets so that your income is no longer needed. Buying back your timeWhen you have true wealth, you can make decisions with your timeWorking towards being financially independent prevents burnoutChoosing to work vs working because you have to is easier, and makes you a better providerKey attributes to develop to be financially successful: Be patient – assets grow slowly. Be consistent in investing. It is boring. Be honest with what you know and what you don't know so you can spend some time educating yourself. Courage, because it does take some risk taking to invest instead of just savingIf you keep all your money in cash, you are guaranteed to lose purchasing powerThe longer your time frame the better the stock market will perform for youCreating discretionary income is difficult at lower incomes levels. But I do still believe you can retire from EMS. One way that I was able to save and invest as a paramedic was working overtimeHaving higher incomes does speed things along but it is not the cure for financial problems because we all have a tendency to spend what we make – fundamentally it's the same problemWe talk about the vehicles we drive and how we have utilized them to save more moneyBut spend money on Support the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
We need to remember that paramedic and EMT's are solely focused on emergency medicine vs RN's or even PA's who are trained in general medicine then learn how to do EM later onLearning sick vs not sick is a skill that develops with time, it's not always easyGestalt can be an important factor in your assessment but don't trust it all the time, it can lead you astrayA negative work-up does not always mean there isn't something dangerous going onRecognizing your biases will help protect you from making a mistake or overlooking somethingAdvice for the newbies:Have humility when you are new, be willing to be taughtNever stop learningBe proud when you do perform wellDon't trust your gestalt when you are new. Take every patient seriouslyKeep a journalBe honest, do what you document and document what you do, admit your mistakes quicklyTaking ownership over mistakes helps you learn and gives you more respect than passing the buckThe call you are going to is the call you are supposed to go to. That is where you are meant to go. No patient is a waste of time. That patient deserves your undivided attention Too many people hear the other exciting calls dropping nearby and they become distracted from what they are currently doingPeople are put in your path for a reasonAlex talks about a night he ran 3 GSW's and had to use good coping skills to recoverSometimes the lower acuity patients can rejuvenate youRunning only high acuity will burn you out too, take some joy in the less stressful callsAppreciate the highs and lowsSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
Mission: Employable is back in Le Mars to find out more about how the Le Mars Fire Department is using work-based learning to get students interested in becoming EMTs. Le Mars Battalion Chief John MacGregor joins the show and shares an emotional story about why he cares so much for teaching the next generation, including his son, who also joins the podcast.
With the warm weather over the Memorial Day weekend you might have been tempted to cool off in one of the region’s many beautiful rivers. If you headed to Glen Otto park or High Rocks park in the Portland area you might have seen Emergency Medical Technicians from the American Medical Response (AMR) River Rescue Program on hand to help out in case of an emergency in the water. The EMTs are getting training in river currents and rescue operations this week and will staff the two parks all summer long. Gracie Goodrich, an AMR River Rescue Program supervisor, tells us more about the program, which has helped more than 2,000 people since it started in 1999.
In October of 2020, Texas state troopers were on duty when they pulled over a car for erratic driving. But nothing could prepare them for what they were about to witness, a woman in the driver's seat, smeared in blood, with a newborn baby in her lap. Soon enough, EMTs were called upon the scene to take the woman and the baby to the nearest hospital for treatment. Which is where the nursing staff would inform the authorities of one crucial finding: the woman didn't have a womb. Tune in to find out more. If you would like to get updates or reach out to the Stranger Danger crew, you can follow on Instagram @strangerdangerpodcastsg, hang out in our Discord, or send us an email at strangerdangerpodcastsg@gmail.com Brought to you by Mediacorp.See omnystudio.com/listener for privacy information.
On Sunday, June 1, we're honored to celebrate the courage and dedication of our community's First Responders who serve as firefighters, EMTs, law enforcement officers, active military, National Guard members, and all who answer the call in times of crisis and emergencies. We are deeply grateful for your service!
How do we have long careers and avoid burnout?Micah talks about burnout and how we have the advantage in emergency medicine that we can leave work at work and step backHave time off and don't work overtime every time an opportunity arises, don't only discuss work with your spouse, have other interests that you can engage inEmergency medicine is a fun job to identify with because we get to save lives, but you should not make it your whole personalityFind an identity outside of work, you may not have work at some point and life changesAudrianna talks about taking care of yourself. As we spend so much time being empathetic for others, we can lose that empathy for family or even ourselvesWe talk about the lower acuity patients we care for and infrastructure to take care of their complaint quickly from the ED, patients have poor access to primary care, and we can be that solutionWe can't use low acuity calls as something that burns us out or allows us to get frustrated, it will always be part of the job and we should view it as us being the solutionWe can be educators, we are trained to recognize emergencies, the layperson shouldn't be expected to know thisWe have the privilege of taking care of everyone regardless of complaint, ability to pay, social statusBurnout begets burnoutTake the time off when you need it, overtime takes more from you than it may be worthCertain seasons of life may necessitate working more but you have to understand the cost benefitJust making it through COVID is a victory, it burned a lot of providers out, even those with experienceWe recount some of our COVID war storiesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
On Sunday, June 1, we're honored to celebrate the courage and dedication of our community's First Responders who serve as firefighters, EMTs, law enforcement officers, active military, National Guard members, and all who answer the call in times of crisis and emergencies. We are deeply grateful for your service!
The Sports Deli Podcast - Where Everyone Deserves a Seat at the Table; An Anti-Racist, Equality Pod
Jenna, Hanna and Will met in 2022 as they we're training to be EMTs and Firefighters. Jenna is now a nurse, Hanna (with no H at the end) is still on the path of doing similar work and Will is a firefighter hoping to expand his duties and responsibilities so he can do more elaborate rescue missions like on helicopters, etc. Jenna & Will are two old souls who have a different love language and Hanna prefers to give one love language versus what she likes in return. Jenna initially told me to go to hell (in a nice way) and when I saw her 90 minutes later, I exclaimed, "it was meant to be!" and she laughed and had a change of heart. She's a badass nurse who will probably predictably go back to school to get her Master's because according to Will, she loves school. Thanks for joining us today and remember, you are not alone and you can always dial 988 if you're having a hard day. Much love and light everyone.
Analyzing the Karen Read Allegations & The Supposed Cover-Up The defense claims a cover-up. The prosecution calls it accountability. Somewhere in between lies the truth. In this no-holds-barred discussion, Tony Brueski is joined by retired FBI Special Agent Jennifer Coffindaffer to dissect the allegations of a grand conspiracy surrounding the Karen Read case. With claims that police, EMTs, prosecutors, and even neighbors are all allegedly “in on it,” we ask the most basic question: Could this many people really keep a secret? Coffindaffer uses her experience from inside the Bureau to break down the logistics of what such a conspiracy would actually require—how many players, how much coordination, and most importantly, how likely such a coordinated deception would even be. Spoiler: it's not. We explore how conspiracy theories become seductive alternatives to uncomfortable truths, and why the law doesn't deal in emotional certainty—it deals in evidence. This episode is a reality check, a logic test, and a deep dive into the fantasy world being sold by those unwilling to confront forensic fact. Hashtags: #KarenRead #KarenReadTrial #JusticeForJohnOKeefe #CoverUpClaims #ConspiracyTheory #CourtroomTruth #JenniferCoffindaffer #HiddenKillers #FBIAnalysis #TrueCrimeLogic Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872 Analyzing the Karen Read Allegations & The Supposed Cover-Up The defense claims a cover-up. The prosecution calls it accountability. Somewhere in between lies the truth. In this no-holds-barred discussion, Tony Brueski is joined by retired FBI Special Agent Jennifer Coffindaffer to dissect the allegations of a grand conspiracy surrounding the Karen Read case. With claims that police, EMTs, prosecutors, and even neighbors are all allegedly “in on it,” we ask the most basic question: Could this many people really keep a secret? Coffindaffer uses her experience from inside the Bureau to break down the logistics of what such a conspiracy would actually require—how many players, how much coordination, and most importantly, how likely such a coordinated deception would even be. Spoiler: it's not. We explore how conspiracy theories become seductive alternatives to uncomfortable truths, and why the law doesn't deal in emotional certainty—it deals in evidence. This episode is a reality check, a logic test, and a deep dive into the fantasy world being sold by those unwilling to confront forensic fact. Hashtags: #KarenRead #KarenReadTrial #JusticeForJohnOKeefe #CoverUpClaims #ConspiracyTheory #CourtroomTruth #JenniferCoffindaffer #HiddenKillers #FBIAnalysis #TrueCrimeLogic Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872
Hidden Killers With Tony Brueski | True Crime News & Commentary
Analyzing the Karen Read Allegations & The Supposed Cover-Up The defense claims a cover-up. The prosecution calls it accountability. Somewhere in between lies the truth. In this no-holds-barred discussion, Tony Brueski is joined by retired FBI Special Agent Jennifer Coffindaffer to dissect the allegations of a grand conspiracy surrounding the Karen Read case. With claims that police, EMTs, prosecutors, and even neighbors are all allegedly “in on it,” we ask the most basic question: Could this many people really keep a secret? Coffindaffer uses her experience from inside the Bureau to break down the logistics of what such a conspiracy would actually require—how many players, how much coordination, and most importantly, how likely such a coordinated deception would even be. Spoiler: it's not. We explore how conspiracy theories become seductive alternatives to uncomfortable truths, and why the law doesn't deal in emotional certainty—it deals in evidence. This episode is a reality check, a logic test, and a deep dive into the fantasy world being sold by those unwilling to confront forensic fact. Hashtags: #KarenRead #KarenReadTrial #JusticeForJohnOKeefe #CoverUpClaims #ConspiracyTheory #CourtroomTruth #JenniferCoffindaffer #HiddenKillers #FBIAnalysis #TrueCrimeLogic Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872
Aspiring model and Instagram influencer Maecee Lathers faces multiple felony charges after Miami police discovered she had the gas pedal of her Mercedes pressed all the way to the floor when she allegedly ran a red light. Lathers, who told EMTs she had ingested "tusi," also called "pink cocaine," caused a chain reaction crash that claimed the lives of two men. Law&Crime's Jesse Weber sat down with Florida criminal defense attorney and former prosecutor Melba Pearson to discuss newly released traffic camera footage of the collision.PLEASE SUPPORT THE SHOW: If you're ever injured in an accident, you can check out Morgan & Morgan. You can submit a claim in 8 clicks or less without having to leave your couch. To start your claim, visit: https://forthepeople.com/LCSidebarHOST:Jesse Weber: https://twitter.com/jessecordweberLAW&CRIME SIDEBAR PRODUCTION:YouTube Management - Bobby SzokeVideo Editing - Michael Deininger, Christina O'Shea & Jay CruzScript Writing & Producing - Savannah Williamson & Juliana BattagliaGuest Booking - Alyssa Fisher & Diane KayeSocial Media Management - Vanessa BeinSTAY UP-TO-DATE WITH THE LAW&CRIME NETWORK:Watch Law&Crime Network on YouTubeTV: https://bit.ly/3td2e3yWhere To Watch Law&Crime Network: https://bit.ly/3akxLK5Sign Up For Law&Crime's Daily Newsletter: https://bit.ly/LawandCrimeNewsletterRead Fascinating Articles From Law&Crime Network: https://bit.ly/3td2IqoLAW&CRIME NETWORK SOCIAL MEDIA:Instagram: https://www.instagram.com/lawandcrime/Twitter: https://twitter.com/LawCrimeNetworkFacebook: https://www.facebook.com/lawandcrimeTwitch: https://www.twitch.tv/lawandcrimenetworkTikTok: https://www.tiktok.com/@lawandcrimeSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Welcome to the second full episode in our All-Hazards Project Management series, What EMTs can Teach Us about Failing Projects. In this episode, we apply a trauma checklist used in emergency medicine—DCAP-BTLS—to assess and stabilize failing projects.Strategies shared include:Weekly workload balancingStakeholder alignment checkpointsRACI ownership clarificationsReal-world triage questions for team check-insPeople first. Combined process. Progress together.
Analyzing the Karen Read Allegations & The Supposed Cover-Up The defense claims a cover-up. The prosecution calls it accountability. Somewhere in between lies the truth. In this no-holds-barred discussion, Tony Brueski is joined by retired FBI Special Agent Jennifer Coffindaffer to dissect the allegations of a grand conspiracy surrounding the Karen Read case. With claims that police, EMTs, prosecutors, and even neighbors are all allegedly “in on it,” we ask the most basic question: Could this many people really keep a secret? Coffindaffer uses her experience from inside the Bureau to break down the logistics of what such a conspiracy would actually require—how many players, how much coordination, and most importantly, how likely such a coordinated deception would even be. Spoiler: it's not. We explore how conspiracy theories become seductive alternatives to uncomfortable truths, and why the law doesn't deal in emotional certainty—it deals in evidence. This episode is a reality check, a logic test, and a deep dive into the fantasy world being sold by those unwilling to confront forensic fact. Hashtags: #KarenRead #KarenReadTrial #JusticeForJohnOKeefe #CoverUpClaims #ConspiracyTheory #CourtroomTruth #JenniferCoffindaffer #HiddenKillers #FBIAnalysis #TrueCrimeLogic Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872
Analyzing the Karen Read Allegations & The Supposed Cover-Up The defense claims a cover-up. The prosecution calls it accountability. Somewhere in between lies the truth. In this no-holds-barred discussion, Tony Brueski is joined by retired FBI Special Agent Jennifer Coffindaffer to dissect the allegations of a grand conspiracy surrounding the Karen Read case. With claims that police, EMTs, prosecutors, and even neighbors are all allegedly “in on it,” we ask the most basic question: Could this many people really keep a secret? Coffindaffer uses her experience from inside the Bureau to break down the logistics of what such a conspiracy would actually require—how many players, how much coordination, and most importantly, how likely such a coordinated deception would even be. Spoiler: it's not. We explore how conspiracy theories become seductive alternatives to uncomfortable truths, and why the law doesn't deal in emotional certainty—it deals in evidence. This episode is a reality check, a logic test, and a deep dive into the fantasy world being sold by those unwilling to confront forensic fact. Hashtags: #KarenRead #KarenReadTrial #JusticeForJohnOKeefe #CoverUpClaims #ConspiracyTheory #CourtroomTruth #JenniferCoffindaffer #HiddenKillers #FBIAnalysis #TrueCrimeLogic Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872
197 – Sobriety, PTS & Reclaiming Life After Law EnforcementWhat happens when the weight of service becomes too heavy to carry—and you don't know how to ask for help?In this gripping episode, retired Nashville Police Sergeant Scott Cothran shares his powerful story of trauma, addiction, and recovery. From the outside, he was a squared-away, decorated officer. But behind the badge was a man unraveling. Drinking himself into isolation, crushed by the accumulated weight of PTS, grief, and emotional suppression.In this conversation, Scott opens up about:• His almost 20 year law enforcement career and the unseen emotional toll of policing• The moment he knew alcohol had taken over his life• Surviving a suicide attempt—and the call for help that saved him• The path to sobriety and how he rebuilt his life from the ground up• How he now helps first responders navigate PTSD, addiction, and healingThis episode is for any veteran or first responder who's struggling behind closed doors. It's a message of truth, hope, and the reminder that no one fights alone.The go-to podcast for military veterans, police officers, firefighters, EMTs, and first responders preparing for life after service. Hosted by retired law enforcement leader Paul Pantani, the Transition Drill Podcast delivers real conversations about transition, identity, and what comes next after wearing the uniform.Follow the show and share with another veteran or first responder who would enjoy this.CONNECT WITH THE PODCAST:IG: WEBSITE: LinkedIn: SIGN-UP FOR THE NEWSLETTER:QUESTIONS OR COMMENTS:CONNECT WITH SCOTT COTHRAN:SPONSORS:Brothers & Arms USAGet 20% off your purchaseLink: https://brothersandarms.comPromo Code: Transition20Trident CoffeeGet 15% off your purchaseLink: https://tridentcoffee.comPromo Code: TDP15GRND CollectiveGet 15% off your purchaseLink: https://thegrndcollective.com/Promo Code: TRANSITION15Human Performance TRTGet 30% off your purchaseWeb: https://hptrt.com/Promo Code: TDP
How do we handle the sensitive hand-off reports from EMS to the ED?Different aspects, like potentially violent family members, unsafe scenes, are often a critical details that need to be conveyed to the ED but don't have to be announced to everyone in the hand-off report in front of the patientMicah works as a field and ER paramedic. He talks about this situation and how it's going for him. He enjoys the number of resources he has access to in the EDBeing able to see the whole workup and outcome of the patient is a big benefit as well, working in the EDI love it when the EMS crews come back and follow up on their patients, it's a big way to help them improve and learnWe talk about interpersonal conflict on scenesCasey tries to be as friendly as he can and learn everyone's namesIt's easy for all of us to allow our egos to get too out of hand, but we need to treat everyone how we would want to be treatedI talk about some issues I've had with the fire department in the past – sometimes it is all about how you are doing something as opposed to what you are doing in your interactions with other agenciesAt the end of the day, the patient can be affected when we have confrontational scenes so we should always be seeking to avoid thisAlex talks about working 48 hours with his fire crew and responding on scenes with the same crew and how this differs from private ambulance responding with other agencies he may not know very wellCasey talks about how, years ago, the EMS crews had more time to stop by the fire stations and become more familiar with the fire crewsCasey talks about the power of edifying others in our fieldAudrianna talks about a fire crew going above and beyond in the ED as wellWe talk about small things we can all do to go above and beyond our regular tasks, helping families navigate the ED, getting a blanket for someone, cleaning a roomLittle things like this also help you feel better about your job too; they help you remember why you got into medicine in the first placeIt does require you to look beyond yourself to see those opportunitiesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
It's EMS Week wrap-up time, and Chris Cebollero and Kelly Grayson are back in classic form in this episode of the Inside EMS podcast. From jokes about Sloppy Joe leftovers from Hospital Week to heartfelt gratitude for the medics still grinding it out day after day, this episode hits all the notes. Chris and Kelly talk about why EMS Week still matters; more than just stickers and slogans, it's about recognizing the quiet pride, the commitment and the transformation that EMS professionals bring to their communities every single day. The hosts challenge listeners to advocate for the profession, share their stories, and — most importantly — support one another. Whether you're still running lights and sirens or mentoring the next generation, this one's for you. Memorable quotes “You may be in EMS if you finish a trauma report while chewing beef jerky at 3 a.m.” — Kelly Grayson ”We need to treat EMTs, paramedics, dispatchers and supervisors with respect and do things for them 51 weeks of the year, and then take EMS Week off.” — Kelly Grayson “This isn't a flashy job, it's not always recognized ... but it's real. And it gets in your blood.” — Chris Cebollero “Keep on being the rumpled angels of healthcare.” — Kelly Grayson Enjoying the show? Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or let us know if you'd like to join us as a guest.
Join hosts of the Mission: Employable podcast Ben Oldach and Kathy Leggett as they take a trip to Le Mars, IA. On their visit, they met with the local fire department to find out more about a Work-based Learning program that skills up high schoolers and gets them real world experience in the world of Emergency Medical Technicians (EMT). Dr. Mark Iverson, Principal of Le Mars Community High School, joins the show and shares how his school got the program up and running, why it's near and dear to his heart, and the benefits of taking learning outside the classroom.
In Episode 196, Juan "Gonzo" Gonzalez—a retired Navy SEAL with prior service as both a Navy corpsman and Army infantry medic—joins Paul to talk about his extraordinary journey. From growing up an Army brat in South and Central America to completing one of the toughest selection processes in the military, Gonzo's story is one of discipline, adversity, and ultimately transformation.He opens up about failing out of BUD/S his first time due to illness, coming back stronger two years later, and what it really takes mentally to make it through SEAL training. But as Gonzo explains, becoming a SEAL was just one chapter. His story offers a front-row seat to the challenges of identity loss, faith struggles, and finding purpose again after the adrenaline of combat and high-performance teams fades.Paul and Gonzo explore:The institutional habits that make it hard for veterans to ask for helpHow the absence of community after transition amplifies mental strainWhy learning to fail fast was critical in BUD/S and lifeThe overlooked value of silence, reflection, and knowing who you areThis is an episode for any veteran, first responder, or purpose-driven professional who feels like the mission ended—and needs to find their next one.The go-to podcast for military veterans, police officers, firefighters, EMTs, and first responders preparing for life after service. Hosted by retired law enforcement leader Paul Pantani, the Transition Drill Podcast delivers real conversations about transition, identity, and what comes next after wearing the uniform.Follow the show and share with another veteran or first responder who would enjoy this.CONNECT WITH THE PODCAST:IG: WEBSITE: LinkedIn: SIGN-UP FOR THE NEWSLETTER:QUESTIONS OR COMMENTS:SPONSORS:Brothers & Arms USAGet 20% off your purchaseLink: https://brothersandarms.comPromo Code: Transition20Trident CoffeeGet 15% off your purchaseLink: https://tridentcoffee.comPromo Code: TDP15GRND CollectiveGet 15% off your purchaseLink: https://thegrndcollective.com/Promo Code: TRANSITION15Human Performance TRTGet 30% off your purchaseWeb: https://hptrt.com/Promo Code: TDP
New panel with Audrianna (RN), Alex (paramedic), Casey (paramedic) and Micah (paramedic)What do the ER nurses like to get in the hand-off report from EMS?Audrianna likes to hear clear, concise reports. How ambulatory was the patient on scene? Casey recalls from years ago how the ER nurses didn't understand enough about what EMS did, that always made giving reports more difficult and how that has improved over the yearsI always try and give new EMT's the freedom to struggle through giving reports so they can practice and improve without cutting them off or making them feel rushedGiving report is a difficult aspect of the job, especially when it's a critical trauma patient and you are giving report to a room full of peopleIt's easy to get in a rush to move the patient over, but we need to give EMS the time to give report - It's a big part of our day that allows us to build the team rapport between EMS and the EDAlex talks about the perspective going from a busy private ambulance to a slower county system We talk about differences in nurse workload vs paramedic in the fieldSometimes EMS doesn't fully understand some of the nuances of how and what we use their IV's for in the EDAudrianna talks about how ER nurses are trying to maximize their time while getting report from EMSED charting is a lot more complicated than the fieldI talk about how seeing ambulances when they arrive should be the highest priority for a providerMicah talks about the limits of our ability to obtain accurate information in the field many timesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
We've got it bad, got it bad, got it bad... We're hot for Van Halen! Their sixth studio album 1984 (their final with David Lee Roth) took the band in a bold new direction that blended their signature glam rock edge with sleek synthesizers to produce all-time hits like Panama, I'll Wait, and of course the iconic Jump! We explore Eddie Van Halen's revolutionary guitar skills, find a sneaky music video urine stain, and even dabble in the post-1984 Sammy Hagar years. The Mixtaper is drilling James in another round of Fact Or Spin with facts about fishy tour managers, certified EMTs, and a good ol' guitar string feast! Go ahead and Jump headfirst into the 200s with us!Keep Spinning at www.SpinItPod.com!Thanks for listening!0:00 Intro3:22 About Van Halen11:14 About 198416:19 Awards & Accolades17:03 Fact Or Spin19:22 Van Halen's Interesting Rider21:04 They Got A Pet For Their Hotel Room26:52 Eddie Van Halen Used A Power Drill In A Song31:17 David Lee Roth Was A Certified EMT34:21 David Lee Roth Loves A Good Guitar String Feast39:34 Album Art42:07 198442:55 Jump46:04 Panama48:58 Top Jimmy50:26 Drop Dead Legs52:26 Hot For Teacher56:15 I'll Wait57:54 Girl Gone Bad59:09 House Of Pain1:00:15 Final Spin Hosted on Acast. See acast.com/privacy for more information.
Show Notes:Note: Part 2 of Ian McGann's story continues next week in Episode 450. Stay tuned for the next chapter in his remarkable recovery.00:37 — Introduction by Ian Jessop: Stroke statistics and introducing guest Ian McGann01:37 — Ian's early disclaimer: stroke recovery affects speech, memory, and pacing03:30 — The moment the stroke hit: locked-in syndrome, stigma, and emergency response failures05:36 — A privileged man denied life-saving care due to cannabis use06:53 — Out-of-body awareness and bodily breakdown during the stroke09:34 — Ian's past cannabis use and the EMTs' biased assumptions11:29 — Ian's background as a certified first responder and the irony of his treatment12:28 — Arrival at the hospital and continued medical neglect14:30 — Denial of stroke protocol and degrading treatment by hospital staff18:33 — Wife Caitlin intervenes and demands proper stroke care20:31 — Misread CT scan, delayed diagnosis, and poor communication21:56 — Finally, emergency airlift to a better-equipped hospital23:45 — A shift in care: competent, compassionate treatment begins26:22 — 100% blockage found during emergency procedure28:03 — Waking up: a spiritual awakening begins in the ICU30:30 — Ego death and four months of profound spiritual awareness31:58 — Ian's experience of high vibration and soul connection36:08 — Learning to walk, speak, and function again37:16 — Gift of gab aids in speech recovery38:02 — Ian continues to use cannabis and reflects on its role in his healing39:10 — Discussing the science of cannabinoids and brainstem stroke resilience39:49 — Anecdote about massive cannabis dosing and its surprising outcome40:30 — Ian reflects on his journey and expresses gratitude for survival Visit our website: CannabisHealthRadio.comDiscover products and get expert advice from Swan ApothecaryFollow us on Facebook.Follow us on Instagram.Find us on Rumble.Keep your privacy! Buy NixT420 Odor Remover
Some ambulance crews may not have the best understanding of how a fire crew is going to run a call, with everyone assigned specific roles – often the fire department will be allowing a new crew member to lead the callI always struggled with arriving first on scene on the ambulance because that role is more work and more pressure What does fire like from the ambulance crews when they arrive first?First on scene should be allowed to lead the call and ask for help where needed, second on scene should not be pushing their way in and trying to take over the callSometimes the providers that take over lack experience or are not yet comfortable enough with their own skills to allow someone else to leadIf you have another provider on scene constantly trying to interrupt, give them something to do - often this applies to a disruptive family memberDoes the ambulance paramedic have to attend in the back if the fire paramedic rides in?As a previous ambulance paramedic, I viewed the ambulance as my space, meaning I always appreciated it when the fire paramedic had the respect to treat it as such, asking to ride into the hospital as opposed to telling me they were riding in. As a general rule, if the fire paramedic believes they need to ride in due to acuity, the ambulance paramedic should also attendKash, as a medical director, gives his opinion on this situationI really appreciated it when the fire crews respected our ambulance because the front is truly our officeEMT's can ride in too on low acuity where more hands, not ALS treatment, is neededI've talked before that a paradigm shift is needed for the paramedics at times, where they are more likely to have to attend more calls then their EMT partners - easy for me to say from outside the field now – but transporting the patient is almost always the safest, lowest liability option, we shouldn't be trying to get out of transports just because it's less workAlways treat the patient like they are a family memberWe are looking for proof that the patient is not sick, as opposed to assuming they are not sick from the outset, our approach is different in emergency medicineWe have, historically, reversed hypoglycemia or opiate OD, and the patient has refused when maybe transport to the hospital is warranted despite the fact that we have temporarily fixed a major problemSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
How do we have successful, long careers in EMS?John recommends living away from where you work, doing unrelated activities outside of work so your life doesn't revolve around work thingsTaking care of someone you know is an odd position to be in, it can mess with your ability to be objectiveJason says we need to have an awareness of how we are feeling and how those around us are feeling, therapy is always a great option, get outsideThose of us in EMS/fire do deal with a level of PTSDTerry talks about this in his own life, when he broke down and started crying without an obvious reasonPTSD is not a lack of desire to cope nor is it a sign of weaknessKash talks about burnout vs moral injuryBurnout tends to blame the individual vs moral injury blames the system we work inI don't disagree that the systems we work in are imperfect and moral injury exists, but I still like the term burnout because, no one is coming to save us, the responsibility is on the individual to overcomeBurnout can slowly occur to the degree that you don't even realize right away what is happeningIs burnout inevitable?Kash says that moral injury is inevitable in some form or another - the important thing is to recognize it and deciding what to do about it, take actionAcute vs chronic burnout requires different solutions as wellKash recounts the Covid effects on EMSTerry talks about the ability to acknowledge your struggles and continue to move on and live your life, in spite of themI asked Jason about his decision to stay a fire paramedic instead of promoting up the chain, he didn't want to promote just for the money, he would rather have passion for it. He is still very passionate about practicing medicine as a paramedic and enjoys his career as it isHow do we get along on scene when responding with multiple agencies, fire vs private ambulanceJason talks about how beneficial it has been to see both sides, you can have more compassion for the other side when you see their strugglesHave the right attitude approaching a scene, work to get along with others as best you can despite the strong personalities we all tend to haveSometimes a short conversation goes a long way. Having ambulance crews stop by the fire station for some food or short hang-out can also dramatically improve your relationshipWe tend to assign ill-intent when we don't know someone, vs good intent when we do know themIt is difficult to fully understand each other's roles, when you aren't doing that job on a daily basis, trauma bonding calls can be helpful when you get into thSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
Are you prepared for others to take care of your loved one? Do you have a care plan in place? Having a comprehensive care plan is one of the most important tools a caregiver can create — not just for emergencies, but for everyday peace of mind. We are Sue Ryan and Nancy Treaster. As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned the importance of creating a care plan for our loved one. We spoke with Amanda Lukoff, co-founder and CEO of Eleplan, about what a care plan is and how to create one that works for your unique situation. Amanda's journey to creating Eleplan was deeply personal. Her brother Liam, who has autism, is her "North Star" and the inspiration behind her career path, including going to law school for special education law. Through observing her parents' caregiving journey with Liam, Amanda recognized the need to capture all the knowledge that lived in her parents' heads so that others could provide care that truly honored who Liam is as a person. Connect with us and share your tips: Website: https://www.thecaregiversjourney.comDonate: https://give.cornerstone.cc/thecaregiversjourneyInstagram: https://www.instagram.com/thecaregiversjourney/Facebook: https://www.facebook.com/TheCaregiversJourneys/Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/Email: sue@thecaregiversjourney.com, nancy@thecaregiversjourney.com Additional Resources Mentioned Episode 32: Navigating The Caregiver Hiring Process https://thecaregiversjourney.com/32-navigating-the-caregiver-hiring-process-five-essential-tips-alzheimers-and-other-dementias/Eleplan Website: https://www.eleplan.com/Support the nonprofit The Caregiver's Journey: https://give.cornerstone.cc/thecaregiversjourney Full Show Notes https://thecaregiversjourney.com/33-how-to-create-a-care-plan-five-essential-tips-alzheimers-and-other-dementias Takeaways Tip 1: Start with the Basics The first step in creating a care plan is to document the essential information that would allow someone to provide short-term care (even for just 30 minutes) while you step out. This includes: Emergency contactsMedications and dosagesHigh-level meal preferencesAllergiesRelevant medical conditions Tip 2: Outline Preferences and Daily Routines Beyond the basics, a good care plan should capture what makes your loved one unique—their preferences, personality traits, and daily routines. Your care plan should include: Likes and dislikesDaily schedule and routinesBedtime and morning ritualsBehavioral patternsEmotional triggers (both positive and negative) Tip 3: Document What to Do in an Emergency Crisis situations demand clear instructions. Your care plan should outline: What constitutes an emergency for your loved oneWhen to call 911 vs. other resourcesWho to contact and in what orderSpecial instructions for EMTs or ER staffLocation of important medical documents Tip 4: Collect Key Contacts and Documents Gathering important documents in one accessible location is critical for seamless care. This includes: Insurance cardsHealthcare directivesPower of Attorney documentsGuardianship formsMedical history and medication lists Tip 5: Keep Everything Accessible and Current A care plan is only effective if it's up-to-date and easily accessible. Amanda frames this with an important question: "Do I have a system that is as dynamic as the needs of my loved one and the ever-changing piles of documents and information?" Whether you're using a physical binder, shared digital documents, or a specialized platform like Eleplan, the key is having a system that makes updates easy and ensures the information is available whenever and wherever it's needed. Read More in This Blog
We run thru some of the coolest movie memorabilia as the Pee Wee Herman bike goes up for auction. Plus, Neal Justin of the Star Tribune on some of the best in streaming, and EMTs have some very specific advice about Gatorade bottles. See omnystudio.com/listener for privacy information.
Eli Beer is a pioneer, social entrepreneur, President and Founder of United Hatzalah of Israel. In thirty years, the organization has grown to more than 6,500 volunteers who unite together to provide immediate, life-saving care to anyone in need - regardless of race or religion. This community EMS force network treats over 730,000 incidents per year, in Israel, as they wait for ambulances and medical attention. Eli's vision is to bring this life-saving model across the world. In 2015, Beer expanded internationally with the establishment of branches in South America and other countries, including “United Rescue” in Jersey City, USA, where the response time was reduced to just two minutes and thirty-five seconds. Episode Chapters (0:00) intro (1:04) Hatzalah's reputation for speed (4:48) Hatzalah's volunteer EMTs and ambucycles (5:50) Entrepreneurism at Hatzalah (8:09) Chutzpah (14:15) Hatzalah's recruitment (18:31) Volunteers from all walks of life (22:51) Having COVID changed Eli's perspective (26:00) operating around the world amid antisemitism (28:06) goodbye For video episodes, watch on www.youtube.com/@therudermanfamilyfoundation Stay in touch: X: @JayRuderman | @RudermanFdn LinkedIn: Jay Ruderman | Ruderman Family Foundation Instagram: All About Change Podcast | Ruderman Family Foundation To learn more about the podcast, visit https://allaboutchangepodcast.com/ Looking for more insights into the world of activism? Be sure to check out Jay's brand new book, Find Your Fight, in which Jay teaches the next generation of activists and advocates how to step up and bring about lasting change. You can find Find Your Fight wherever you buy your books, and you can learn more about it at www.jayruderman.com.
Our system has made access to EMS trained medical directors much easier, which is a huge benefit to the crewsThe EMS fellowship for MD's tends to attract those that are interested in helping EMS because they are passionate about it and not in it for the moneyWe are always trying to give EMS the amount of time they deserve when giving reports from the ER sideKash talks about his technique in getting a good report from EMS on the higher acuity sideEvery provider has slightly different preferences on how much information they like to get from EMS, Kash talks about his ideal EMS reportI really like the crews to lead with the chief complaint so I can understand how pertinent the rest of the report isWe talked about the previous culture on contacting medical control and how this has changed over timeWhat does retirement from EMS/fire look like?Terry's retirement came suddenly after an injury, which made it difficult as he wasn't expecting itTerry still remembers the calls he has run around town, the intersections, he says the bad memories have tended to get better over time. He recommends finding something else to do in retirement, keeping busy. Don't get stuck in the past recounting call after call. It can be difficult to give up the comradery you have at the fire departmentWe talk about the terrible question “What is the worst thing you've ever seen?” that we frequently getIt forces us to recount those horrific callsThe person asking the question is not mentally prepared to hear the answerI talk about the difference dealing with tragedy in the ER vs the fieldSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
Internal medicine physician Edward Hoffer discusses his article, "Can rural health care be saved?" He outlines the significant health care disparities facing rural communities, including higher death rates from major diseases, increased opioid overdoses, ongoing hospital closures, and an aging physician workforce without adequate replacement. Edward questions the effectiveness of programs like the Critical Access Hospital designation, suggesting they may sometimes support lower-quality care, and shares a personal anecdote illustrating the dire consequences of specialist shortages in isolated settings. He proposes several potential solutions to improve rural health care: enhancing transportation, including establishing fairly-priced air ambulance services; expanding the use of telemedicine for specialty consultations and patient access; better utilizing EMTs and paramedics with remote support; considering strategic consolidation of rural hospitals for improved quality despite potentially longer travel; and focusing medical school recruitment on students from rural backgrounds. Edward underscores the complexity of the rural health care challenge and advises awareness of resource limitations. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Unlike your kids or your dogs, when you call them, they come! I am talking about the 1000+ men and women who make up the Anne Arundel County Fire Department! Sure, the department is an arm of the County Government, but the IAFF Local 1563 is the Union that collectively bargains for their pay and benefits, makes sure that they are staffed safely, and they are getting the support they need. After all, they see some pretty horrid things in the course of their duty! Today, we speak with Joe Addivinola, the long-time President of IAFF Local 1563, to see how the union plays a role. And, it is a lot larger than I imagined! From literacy campaigns to coat drives, our Firefighters, EMTs, and Paramedics go all out for the community when they are not working that 24 on 3 off shift! Did you know that the Union owns a four-story building in Millersville? Did you know there is a huge banquet room that can be rented out? Did you know they are a nonprofit, and you can donate directly to support their work? Me either! Joe even lets us know his thoughts about Anne Arundel County Executive Pittman! This was a VERY enlightening conversation and some insight into the men and women who put the wet stuff on the red stuff! Have a listen! LINKS: IAFF Local 1563 (Website) IAFF Local 1563 (Facebook) IAFF Local 1563 (X)
Got a story idea for Bloodworks 101? Send us a text message This podcast is designed to inspire you to donate either time, money of blood. That's what we say every episode. Well today, you're going to meet someone who devotes a lot of time to the lifesaving work done here at Bloodworks. Her name is Adelyn Emil and as Bloodworks 101 Producer John Yeager found out, the volunteer work she does for Bloodworks is designed to prepare bystanders to step in and help accident or shooting victims in the precious moments before EMTs arrive.
EMS Editor-in-Chief Dr. Ted Lee talks with Dr. Kristin McCabe-Kline, a board member with the American College of Emergency Physicians and Chief Christopher Way, president of the National Association of EMTs. They explore the vital intersection between emergency medicine and EMS as they kick off EMS Week, discussing its significance beyond mere appreciation gestures like pizza and cake. The conversation emphasizes the transformation of EMS into a critical healthcare provider within communities, particularly amid rising demands and budgetary constraints. They call for stronger advocacy to ensure EMS receives the recognition, funding and support it requires to thrive.
New panel: Fire officer/paramedic John, fire paramedic Jason, retired fire paramedic Terry and EMS medical director KashHow to determine capacity and how this differs from competency This becomes critical when doing refusals – when the patient decides not to be transported – a very high liability part of EMSThis is different than AAOX4Capacity is very situational and specific, competency is determined by a judgeWe determine capacity:They must communicate a clear choice, an understanding of their current situation, understanding the risks and benefits of refusing or accepting careSuicidal thoughts mean the patient does not have the capacity to makes decisions for that particular aspect of their careBack when I first started in EMS, we would routinely force a suicidal patient to go to the hospital. The current culture puts EMS crew safety as a higher priority. Meaning, if we don't have the support of law enforcement, we are not going to force patients against their will to get a mental health evaluationWe talk about our relationship and reliance on our mental health evaluatorsDocumenting these difficult cases involving suicidality and capacity can be toughOne of the current challenges is assuring cooperation between EMS and PD to help safely transport a patient with suicidality but that is also a potential danger to providersInvolving medical control is critical in these difficult situations, especially with technological changes decreasing the difficultyWhen in doubt, just make the consult EMS trained physicians improve our ability to do our jobs as more and more emergency medicine physicians get this training, it can only benefit usSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
They're trained to handle life-or-death emergencies, but what happens when the emergency defies all logic? In this chilling episode, first responders—EMTs, firefighters, police officers, and 911 dispatchers—share their real-life encounters with the unexplained. What's Haunting This Episode? A firefighter's encounters in a historic firehouse haunted by the playful ghosts of its former inhabitants. An emergency line operator in Australia dispatches EMS for a medical alarm call, to what turns out to be an empty house… A critically injured person recalls being comforted by an EMT at the scene of an accident—only to later learn no such EMT was ever there After Hurricane Katrina, a first responder follows a mysterious infant's cry and has a shocking discovery. From life saving specters to eerie voices on emergency calls, these are the kinds of paranormal stories that can't be dismissed.
In this explosive special report, we shine a spotlight on the tragic failure of school leadership under Superintendent Paul Gordon, a DEI supporter imported from Oregon, now overseeing a district where a 12-year-old child was violently assaulted during school hours—with no EMTs called and no immediate action taken.But that's not all.Joining us tonight is a courageous mother who refuses to be silent: Michelle Peterson, whose 15-year-old son was groomed by his own high school teacher. In a landmark case, she secured the first and only grooming conviction in U.S. history. Peterson's relentless advocacy is already shaping state laws in Florida, Iowa, Arizona, and Georgia—yet ironically, in her home state of Illinois, her push to amend the law is stalled in committee.As one mother prepares to confront Superintendent Paul Gordon live at tonight's school board meeting, another mother is fighting to make sure no child is ever groomed again in silence.Together, they represent a movement of parents taking back their schools, their rights, and their children's futures.Featuring:• Exclusive footage from inside the school lunchroom assault• Live confrontation at the school board meeting• Michelle Peterson's mission to pass House Bill 1140 and Senate Bill 282• A call to action for parents nationwideTune in for truth. Share for justice. Act for the children.Make sure you follow Maverick Broadcasting Network on the following platforms:Pickax: https://pickax.com/maverickbroadcastingRumble: https://rumble.com/c/maverickbroadcasting Substack: https://maverickbroadcasting.substack.comX: https://x.com/mavbroadcastnet Maverick Broadcasting Network benefits when you shop with the following companies:MY GOLD GUY - https://mygoldguy.com/mbnAs inflation surges and global elites toy with our financial future, My Gold Guy empowers you to safeguard your wealth with physical gold and silver – a real asset for real Americans. Get your FREE Gold & Silver Guide today!PREPPER ALL-NATURALS (code MBN) - https://maverickbeef.comIn a world where global elites push lab-grown meat and insect-based diets, safeguard your family's health with Prepper All-Naturals' premium freeze-dried beef—100% American, mRNA-free, and boasting a 10-year shelf life. Use code MBN at checkout for a 25% discount and ensure your pantry is stocked with real, nutritious beef amid uncertain times.SUPERMASSIVE BLACK COFFEE (code MBN) - https://supermassiveblackcoffee.com Tired of the corporate sludge masquerading as coffee? Supermassive Black Coffee is your defiant alternative, roasting 100% organic beans with Victorian-era fire roasters to deliver a brew that's pure, bold, and breathtakingly smooth. Join the rebellion against mediocrity and savor the difference. Use promo code MBN for 20% off your order.
The difficult admissions are the generally weak, unable to walk with no acute findings. They typically do not uncover any acute findings while in the hospitalIn the ED, we can probably do a better job of involving some of our resources like social work to really give the patient and their family a better understanding of what admission will and won't accomplish for themPart of the America culture does put us in unique situations as the elderly often do not live with their children anymore. Family live far apart and often cannot help each other when in needNo one blames the patient for the situation they are in, but we want to find the best solution to serve themIM deals with the limitations of insurance much more than we do in the EDUltimately, each hospital group needs to establish a culture. What would you want done for your Grandma?A little more work now on these difficult cases in the ED can have the downstream benefit of keeping admission beds open for your next shiftDementia patients with progression of their disease process can be tricky to disposition as wellWe don't do the best job in our society of talking about the normal aging process and how to preserve our patient's dignity and sense of self in that processWe are scared to death of deathWhat is the difference between Observation admission and Inpatient admission? The care is the same regardless of the admission typeAn observation admission is best thought of as a problem that could likely be handled in the outpatient setting if the patient had unfettered access to follow up to PCP and specialistsIn-patient implies that they need resources only found in the hospitalIn-patient vs obs can change over time, if nothing new is found, these statuses can changeSean recommends the book Same As Ever by Morgan Housel He talks about the changes in medicine being so gradual that they don't make headlines, but they are dramatic over time none the lessSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog I am not sure if you play THE “WHAT'S THE DISEASE THAT I DON'T WANT TO HAVE GAME with yourself, but since I am a doctor I have spent a lot of time thinking about what diseases I do not want! I started my list in medical school when I witnessed what certain diseases can do to your life. Medicine has many cures and treatments, yet some diseases that are treated still can negatively change your life forever. Even though losing a limb and amputation were at the top of my list there is one disease that tops my list. Of course, I also have under stroke the usual scary situations like paralysis, or having an incapacitating heart attack that prevents an individual from taking care of himself or herself. However, my most feared diagnosis is having a STROKE! You may not fully comprehend how a stroke can change your life, but it can affect your speech, your ability to move, to think, to go places, to have a sense of humor, to write and communicate, even to have a sexual relationship with your loved one. A stroke essentially can take away your ability to be the person you have always been, AND it requires that someone must become your caretaker. That helplessness is something I am most afraid of….We all have our personal fears, but whether you fear having a stroke or not, you should try your hardest to avoid having one! DEFINITION: a stoke is a medical emergency that occurs when blood flow to the brain is blocked or a blood vessel bursts. This can damage or kill parts of the brain, which can lead to long-term disability, brain damage, or even death. This can cause s a loss of function, physical, mental, and emotional, and loss of one or more of the senses like sensation, speech, sight, hearing and taste and smell! In my practice at BioBalance Health we always work with our patients to prevent them having a stroke and or heart attack. These two conditions are the biggest villains that steal the joy of our “golden years” from us. From the start of my BioBalance Health practice, I have incorporated healthy diet training, exercise options and encouragement, how and what to take to supplement my patients' diet and how to outsmart their genetic makeup so they can be healthier than their parents. All of these lifestyle changes can decrease the risk of stroke and heart attack in a person. So what is it like to have a stroke? First let's go over what symptoms are typical of someone having a stroke. The symptoms of a stroke are multiple, and a person might not have all of them. Weakness on one side of the body Facial drooping on one side of the face Dizziness Numbness Loss of balance Sudden loss of vision. Trouble making sense when speaking Trouble talking, reading or understanding Sudden nausea and vomiting Brief loss of consciousness such as fainting, seizures, confusion, or coma. When someone has one or more of these symptoms it is an emergency, and you should call 911, then start asking the patient to open their eyes, smile, raise both arms and hold them up. Ask them to talk to see if their speech is impaired. Your findings will be helpful to the EMTs who come to the scene. An event is called a stroke, when there is a deficit in physical or mental function and that deficit continues and doesn't go away. If it the symptoms completely resolve, it is called a TIA- a transient Ischemic attack. It is a warning to see a doctor and make sure you don't have a stroke in the future and it is a wakeup call to stop all poor lifestyle choices. PREVENTING A STROKE: This last month, the American Heart and Stroke prevention Association released new Guidelines on how to prevent a stroke. I think talking about the risk factors for stroke and discussing how to prevent having one, is worthy of discussion. Recently the medical guidelines for stroke prevention have been revised, and even though I think a few more things should have been included, the fact that they made the first change in the guidelines in 10 years is a first step. Here is what they advise all people who are aging should do. #1 See your internal medicine or Family physician regularly, at least yearly #2. Stop sedentary behavior—walk/exercise/ do Yoga, just get out of the chair for the majority of your day! #3. If you are diabetic, they advocate going on Ozempic/Mounjaro to lose weight—that will lower your risk of a stroke, and heart attack.. #4 If you are hypertensive, take your BP medicine every day #5 Follow these lifestyle changes called Life's Essential 8: Your behavior and lifestyle put you at risk for having a stroke: Healthy diet, low carb Mediterranean diet, no junk food! Physical activity every day Achieve a healthy weight, Make sure your sleep is restful Stop use of tobacco products, No smoking or vaping Achieve healthy levels of blood glucose, and blood pressure. Don't drink more than one 4 oz glass of wine a day I add these recommendations to theirs for the care of my patients: Drink ½ your weight in water every day Wat at least half your weight in grams of protein a day Get a Cardiac calcium scan to see if you have arterial plaque. If you do have plaque (arteriosclerosis) then you are at risk for stroke as well. See a cardiologist to be treated preventatively and tested. Option other than a cardiac calcium scan, get a carotid ultrasound to make sure you don't have plaque in the neck vessels that lead to your brain.. Make sure your Homocysteine level is normal (
EM and IM physicians don't get a great insight into each other's careers in medical school or in residencyDo hospitalists like doing consults as opposed to just taking admission requests?Sean says, yes, because it gives us an opportunity to solve problems together. They want to be consulted as much as possible Admissions would be greatly decreased if there was more robust outpatient follow up ability but various factors make this difficult Sometimes a slight delay in coordinating with the hospitalist or social work etc can save an admission and therefore free up ER beds down the line Not every conversation with the IM physician must be an admission requestWhen they are consulted, the expectation is that they put in a consultation note and see the patientLooking at an admission as trying to “sell” something is the wrong way to look at it. If you have a clear story and objective data, you should be able to articulate why they need admission most of the timeWhat does the day look like for a hospitalist?Admissions for our team are very easy early in the morning but rapidly ramp up during the afternoonThe admitting physician handles ER admissions, outside transfer direct admissions and ICU transfers to floor bedsSean goes into some detail about the workflow and what his day looks likeWhat are the difficult admissions to handle?We talk about one of the most difficult admissions we commonly see: An elderly patient with weakness, unable to walk but no acute findingsWe talk through possible solutions to better care for these difficult casesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
New panel with Adam and Sean. Emergency and IM medicine physicians There is a study from 2023 called Battles to Burnout. Studying the role of inter-physician conflict in burnout. Primarily the conflict between emergency physicians and internal medicine physicians. A better relationship leads to less burnoutSean moved from primary care to hospitalist medicine when COVID was at its peakAdam, EM physician, returns to the showSean enjoys solving problems and that is what drew him to IM and hospitalist medicine, he did a 3-year residencyHe brings up an important distinction of our mindsets in patient care. In the ED we are looking more to find the problem, but he looks to solve the problem in the hospitalIn some ways, in the ED, we are a glorified triage. But more importantly, we are expected to be the second best in every specialty - the second best cardiologist, second best GI etcWe do still do a lot of problem solving in the ED as well, but we usually do have the skill of a lower cognitive switching cost, we can move between tasks quicklyWe to have to take efficiency into considerationSean talks about the superpower of IM being storytelling – one of his struggles is finding the best story to explain to everyone involved what is going on with the patient – sometimes the ED does not give the best storyWe need to help start the right story to help the IM physician on the back end to set them up for successOur limitations using a text platform to communicate does make it hard to read the intent behind questionsWith admission requests, Sean likes to hear what we think is going on. Not just a bunch of data points but rather the start of that storySean also likes to hear the chief complaint first, similar to what I like from our EMS crewsA 5- or 6-line paragraph max is sufficient, they start to worry when the paragraph gets longer that we either don't know what's going on or so much is going on its going to be a difficult caseAs APP's we don't get a ton of training in admission request story telling so it's an art we have to developAn admission request is a great time to slow down and really think about all the detailsBeing an ER APP can be a difficult position when working as a team with a physician. We tend to adapt to the physician we are working with. We share tasks and sometimes don't get all the same details on a given patientPatient hand-offs are a big source of information loss and errors. We can tend to turn patient stories into a game of telephone in the ED before the story even gets to the hospitalistSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
The Insulin Injection That Sparked a Murder Charge She wasn't prescribed insulin. And she didn't need it. But she got it anyway—twenty units, straight to the shoulder, allegedly from her own daughter. It was just before midnight on May 25th, 2023, when first responders arrived at an apartment in Grafton, West Virginia. They were there for a cardiac arrest call. Inside, they found 81-year-old Ethel Moore already dead. Her body was lying on the bed in the back room. Her daughter, 61-year-old Kelly Louise Moore, was there too—on the phone, telling someone, “It's bad.” She seemed, according to police, more annoyed than distressed. When paramedics asked what happened, Kelly told them her mother's blood sugar had been high, so she gave her insulin. Not hers, but Kelly's. Kelly has diabetes and is prescribed insulin. Her mother was not. One of the EMTs on scene told the first cop who showed up, “I think she really killed her.” And that hunch would later be backed up by science. Kelly Moore said she hadn't been feeling well that night either—claimed her own blood sugar was low, so she went to bed around 8:30 p.m. Ethel, recovering from a recent hip replacement, also wasn't feeling great. That's when Kelly said she checked her mom's blood sugar twice. It was high both times, so she decided to give her some of her insulin. She told police, “I gave her some of my insulin.” The amount? Twenty units. That's a hefty dose—especially considering Kelly herself, who is more than double her mother's weight, takes 30 units per dose under her doctor's care. And her mother wasn't prescribed any. At all. Police noticed that Kelly seemed irritated throughout the interaction. She mentioned how much her mother was dealing with—arthritis, heart issues, dementia—and that she was the one "elected" to live with her since she was the only sibling not married. She allegedly told cops, “She had all kinds of s— wrong with her.” But on the same day she died, Ethel had called her other daughter in Florida, saying Kelly “wasn't doing nothing for her.” That daughter called back in a panic, concerned that their mother wasn't being taken care of. According to the affidavit, Kelly never told her sister that she had given Ethel insulin—only that she'd died, letting the family believe it was complications from surgery. It wasn't until August 2024, more than a year later, that the medical examiner's report came back. Cause of death: insulin shock. Manner of death: homicide. After hearing that, detectives circled back to the sister in March. She handed over the death certificate—likely still under the impression this was all post-op related. Then, just last week, police arrested Kelly Moore. She's now in the Tygart Valley Regional Jail without bond, charged with murder in the death of her mother. Ethel Moore's obituary paints a very different picture than the cold details in the affidavit. It describes a woman who hugged everyone she met, who found joy in trips to Walmart and McDonald's, and who could strike up a conversation with just about anyone. A woman who read books, loved her family, and lived a full life—until one decision ended it. #TrueCrime #WestVirginia #ElderAbuse #InsulinHomicide Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on The Downfall of Diddy, The Trial of Karen Read, The Murder Of Maddie Soto, Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, The Menendez Brothers: Quest For Justice, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, The Murder Of Sandra Birchmore, and much more! Listen at https://www.truecrimetodaypod.com
Hidden Killers With Tony Brueski | True Crime News & Commentary
The Insulin Injection That Sparked a Murder Charge She wasn't prescribed insulin. And she didn't need it. But she got it anyway—twenty units, straight to the shoulder, allegedly from her own daughter. It was just before midnight on May 25th, 2023, when first responders arrived at an apartment in Grafton, West Virginia. They were there for a cardiac arrest call. Inside, they found 81-year-old Ethel Moore already dead. Her body was lying on the bed in the back room. Her daughter, 61-year-old Kelly Louise Moore, was there too—on the phone, telling someone, “It's bad.” She seemed, according to police, more annoyed than distressed. When paramedics asked what happened, Kelly told them her mother's blood sugar had been high, so she gave her insulin. Not hers, but Kelly's. Kelly has diabetes and is prescribed insulin. Her mother was not. One of the EMTs on scene told the first cop who showed up, “I think she really killed her.” And that hunch would later be backed up by science. Kelly Moore said she hadn't been feeling well that night either—claimed her own blood sugar was low, so she went to bed around 8:30 p.m. Ethel, recovering from a recent hip replacement, also wasn't feeling great. That's when Kelly said she checked her mom's blood sugar twice. It was high both times, so she decided to give her some of her insulin. She told police, “I gave her some of my insulin.” The amount? Twenty units. That's a hefty dose—especially considering Kelly herself, who is more than double her mother's weight, takes 30 units per dose under her doctor's care. And her mother wasn't prescribed any. At all. Police noticed that Kelly seemed irritated throughout the interaction. She mentioned how much her mother was dealing with—arthritis, heart issues, dementia—and that she was the one "elected" to live with her since she was the only sibling not married. She allegedly told cops, “She had all kinds of s— wrong with her.” But on the same day she died, Ethel had called her other daughter in Florida, saying Kelly “wasn't doing nothing for her.” That daughter called back in a panic, concerned that their mother wasn't being taken care of. According to the affidavit, Kelly never told her sister that she had given Ethel insulin—only that she'd died, letting the family believe it was complications from surgery. It wasn't until August 2024, more than a year later, that the medical examiner's report came back. Cause of death: insulin shock. Manner of death: homicide. After hearing that, detectives circled back to the sister in March. She handed over the death certificate—likely still under the impression this was all post-op related. Then, just last week, police arrested Kelly Moore. She's now in the Tygart Valley Regional Jail without bond, charged with murder in the death of her mother. Ethel Moore's obituary paints a very different picture than the cold details in the affidavit. It describes a woman who hugged everyone she met, who found joy in trips to Walmart and McDonald's, and who could strike up a conversation with just about anyone. A woman who read books, loved her family, and lived a full life—until one decision ended it. #TrueCrime #WestVirginia #ElderAbuse #InsulinHomicide Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on The Downfall of Diddy, The Trial of Karen Read, The Murder Of Maddie Soto, Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, The Menendez Brothers: Quest For Justice, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, The Murder Of Sandra Birchmore, and much more! Listen at https://www.truecrimetodaypod.com
She wasn't prescribed insulin. And she didn't need it. But she got it anyway—twenty units, straight to the shoulder, allegedly from her own daughter. It was just before midnight on May 25th, 2023, when first responders arrived at an apartment in Grafton, West Virginia. They were there for a cardiac arrest call. Inside, they found 81-year-old Ethel Moore already dead. Her body was lying on the bed in the back room. Her daughter, 61-year-old Kelly Louise Moore, was there too—on the phone, telling someone, “It's bad.” She seemed, according to police, more annoyed than distressed. When paramedics asked what happened, Kelly told them her mother's blood sugar had been high, so she gave her insulin. Not hers, but Kelly's. Kelly has diabetes and is prescribed insulin. Her mother was not. One of the EMTs on scene told the first cop who showed up, “I think she really killed her.” And that hunch would later be backed up by science. Kelly Moore said she hadn't been feeling well that night either—claimed her own blood sugar was low, so she went to bed around 8:30 p.m. Ethel, recovering from a recent hip replacement, also wasn't feeling great. That's when Kelly said she checked her mom's blood sugar twice. It was high both times, so she decided to give her some of her insulin. She told police, “I gave her some of my insulin.” The amount? Twenty units. That's a hefty dose—especially considering Kelly herself, who is more than double her mother's weight, takes 30 units per dose under her doctor's care. And her mother wasn't prescribed any. At all. Police noticed that Kelly seemed irritated throughout the interaction. She mentioned how much her mother was dealing with—arthritis, heart issues, dementia—and that she was the one "elected" to live with her since she was the only sibling not married. She allegedly told cops, “She had all kinds of s— wrong with her.” But on the same day she died, Ethel had called her other daughter in Florida, saying Kelly “wasn't doing nothing for her.” That daughter called back in a panic, concerned that their mother wasn't being taken care of. According to the affidavit, Kelly never told her sister that she had given Ethel insulin—only that she'd died, letting the family believe it was complications from surgery. It wasn't until August 2024, more than a year later, that the medical examiner's report came back. Cause of death: insulin shock. Manner of death: homicide. After hearing that, detectives circled back to the sister in March. She handed over the death certificate—likely still under the impression this was all post-op related. Then, just last week, police arrested Kelly Moore. She's now in the Tygart Valley Regional Jail without bond, charged with murder in the death of her mother. Ethel Moore's obituary paints a very different picture than the cold details in the affidavit. It describes a woman who hugged everyone she met, who found joy in trips to Walmart and McDonald's, and who could strike up a conversation with just about anyone. A woman who read books, loved her family, and lived a full life—until one decision ended it. #TrueCrime #WestVirginia #ElderAbuse #InsulinHomicide Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on The Downfall of Diddy, The Trial of Karen Read, The Murder Of Maddie Soto, Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, The Menendez Brothers: Quest For Justice, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, The Murder Of Sandra Birchmore, and much more! Listen at https://www.truecrimetodaypod.com
Washington State EMTs respond to a call about a child overdosing, but the child’s mother refuses to let them inside. Owner of a stolen car more concerned about his mother's ashes left inside. See omnystudio.com/listener for privacy information.
A difficult aspect of the job is the poor understanding of the public of what we do in EMS, and the poor understanding that our non-EMS friends and family have of what we doThose of us in EMS can understand each other better, we have seen the same tragedy and struggled with the same difficulties that are so hard to articulateWhat does retirement look like from a career paramedic in EMS?Casey struggles with this, it's hard to think about not caring for patients anymore. The closer he gets to retirement, the more it looks a little less clear what that looks like exactlyEddie isn't planning retirement soon so he can help provide for his kids. He does have retirement investments and fire benefitsAdvice for newbies in EMS:If you are seeing warning signs of burnout, get counseling immediately. Don't write it off or try to ignore it as normalEddie would not have tried to fight the warning signs of PTSD, he would have sought help much soonerHe did struggle with suicidal thoughts for a period of time – counseling was the solution. Sleep deprivation was a major factor in these thoughts for himHe had a breaking point where he felt ready to end his life – a counselor called him back at 2am and got him in quickly to talk and this helped him significantly. And he now feels the best he has mentally – it doesn't control him anymoreCasey talks about how few make paramedicine a career, it's a tough job and it has changed over his career, he recommends finding the fun. Learn new things. Self-reflection goes a long wayRecognize when you need to switch to a different place, organization or company as a paramedicCasey: “I feel bad, because I don't feel bad”We all feel different and respond differently to the things we see - you don't choose the things that affect youDon't be afraid to say something to your coworkers if you see something wrong, even though it's hard and confrontational – this helped me significantly when a partner called me out early in my EMT careerWe've lost people in EMS through the years, this is devastating. We share life with our partners and get to know them really wellWhen Eddie was feeling similar thoughts of suicide to our coworkers that committed suicide, it was a huge eye opener for him to see the grief of their lossBad calls can haunt you; we have all seen it in others and ourselvesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.
Uncertainty leads to poor choices. People seek certainty at the cost of their well-being. We have been "certain" about such horrors as eugenics and such trivialities as not swimming for an hour after eating. We've had brutal endings to cults, in Waco, in Jonestown, because conmen had convinced followers that they had certainty. We have polarization today because opposing politics or values cause adherent to be "certain" about their position and hold those who disagree as inferior. There are people taking invalid behavioral tests to dismiss others as having weak or defective profiles, and they are certain that they are superior to them. I remember when so many people had their feet burned trodding over hot coals that more EMTs had to be called. I guess their motivation wasn't sufficient—they were uncertain. BOTH science and religion try to create certainty around the mysteries of the universe, as if we could understand the unfathomable. (What do we mean there was "nothing" and then there was "something" which then "exploded"...??) In this age we need to live with and thrive on uncertainty. Solid companies such as GE suddenly crumble. Upsets in sports abound. We have gone from "global warming" to "climate change" to try to correct prior uncertainties. Can you be "certain" that your kids aren't using drugs or that your elected officials aren't stealing? I'm not calling for continual cynicism, but I am suggesting we have to live with uncertainty and be resilient and agile enough to deal with the failure of the "certain." These two astronauts who went to the space station for a week and nearly stayed for a lifetime are good examples of dealing with uncertainty. Of course, they have "the right stuff."
Send us a text First responders—police officers, firefighters, EMTs, paramedics, and emergency room personnel—face unique psychological stressors that extend far beyond trauma exposure. In this insightful Podcourse, I'm joined by Steve Bisson, LMHC, to explore the complexities of first responder mental health and how therapists can effectively support this population.Purchase this Podcourse here!You will gain an in-depth understanding of the unique challenges first responders encounter, including PTSD, acute stress disorder (ASD), depression, and substance abuse. Steve shares real-world insights and practical strategies for overcoming the barriers first responders face when seeking mental health support.SEE THE FAQ on Podcourses HERE! (scroll to the bottom of the page)This episode will equip mental health professionals with evidence-based therapeutic interventions, such as Cognitive-Behavioral Therapy (CBT), Motivational Interviewing, and prolonged exposure techniques, tailored to address the specific needs of first responders. Additionally, listeners will learn how to develop comprehensive treatment plans that incorporate trauma-informed care principles, crisis intervention strategies, and referral resources to enhance the mental well-being of their clients.If you're a clinician looking to deepen your expertise in working with first responders, this Podcourse is an essential resource.Remember, while you can listen to the show for free, those seeking continuing education credits can purchase them here. Learning Objectives:Analyze and describe the unique psychological stressors and challenges faced by first responders, including but not limited to PTSD, acute stress disorder (ASD), depression, and substance abuse.Apply and demonstrate evidence-based therapeutic interventions, such as cognitive-behavioral therapy (CBT), Motivational Interviewing, and prolonged exposure techniques, to address the specific needs of first responders.Develop and design comprehensive treatment plans that incorporate trauma-informed care principles, crisis intervention strategies, and referral resources to effectively support the mental health and well-being of first responders. Support the showYouTube Channel For The Podcast
Join us for a heartfelt and powerful episode, brought to you by Podcasthon's special international charity event! This poignant episode serves as a clarion call for American warriors grappling with the profound challenges of mental health, specifically highlighting the critical mission of *Warriors Heart*, the first accredited residential treatment program in the nation dedicated exclusively to active-duty military, veterans, Police Officers, Firefighters, and EMTs/paramedics. I am joined by the remarkable Tom Spooner, a former Special Forces/Delta Operator and co-founder of Warriors Heart, who shares his deeply personal journey of overcoming chemical dependencies, PTSD, and traumatic brain injuries sustained during his 21 years of service in Iraq and Afghanistan. Throughout our conversation, we confront the pressing issues of suicide prevention and the stigma associated with seeking help, emphasizing the vital message that true strength lies in acknowledging one's struggles and reaching out for support. Tom's narrative not only embodies resilience but also serves as a beacon of hope, reminding us that no warrior should ever feel alone in their battles. We urge anyone in need to seek help, as Warriors Heart stands ready to guide our heroes back to healing and purpose.(Revisit)Takeaways: This episode emphasizes the critical importance of seeking help and support for mental health challenges among those who have served in high-pressure professions. Tom Spooner shares his personal journey of overcoming PTSD and chemical dependency, highlighting that true strength lies in vulnerability and asking for help. Warriors Heart is a unique facility dedicated to providing treatment exclusively for active-duty military, veterans, first responders, and EMTs, ensuring a specialized recovery environment. The conversation addresses the stigma surrounding mental health in the warrior community, advocating for open discussions about struggles and the need for support. Listeners are encouraged to take proactive steps towards healing, emphasizing that reaching out for help is a sign of strength rather than weakness. The episode serves as a reminder that no one is alone in their struggles, fostering a sense of community and support among warriors. Links referenced in this episode:www.warriors.com/gethelpwarriors.com/gethelpwarriorsheartfoundation.orgPodcasthon.orgOne More Thing Before You GoThis podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy
The band that consists of police officers firefighters EMTs and paramedics from around Indiana all with one common goal; to honor our fallen in the traditions and respect they deserve. Catch them around tow this St. Paddy's weekend! Indianapolis Public Safety Pipes and Drums – Brotherhood Above AllSee omnystudio.com/listener for privacy information.
Send us a textWhat if the very nature of your job required you to lock away grief, only for it to accumulate and weigh heavier with each call? Join us for a compelling discussion as we unravel the unique emotional landscape navigated by first responders like EMTs, paramedics, and police officers. These everyday heroes are often thrust into situations that demand stoic professionalism despite the emotional toll of repeated trauma. We'll explore how they confront cumulative grief and the societal pressures to maintain composure amidst chaos. With personal insights and expert perspectives, we aim to illuminate the emotional and psychological challenges that come hand-in-hand with their vital roles.As we continue our journey through the complexity of grief, we recognize its unpredictable and non-linear path through denial, anger, bargaining, depression, and acceptance. Inspired by Gina Moffa's work, we reflect on how grief can manifest in fluctuating emotional patterns and physical symptoms, proving particularly challenging for first responders. From energy shifts to body tension, understanding these signs is crucial to their well-being. Looking forward, we're thrilled to announce the return of Jessica Jamison in our next episode, where we'll tackle the topic of food trauma and its profound impact on eating habits and perceptions. Join us for these poignant discussions, and remember, if you or someone you know is facing mental health struggles, professional help is always available.Support the showYouTube Channel For The Podcast