Podcasts about naemt

In this episode, Aaron and Jason sit down with Kevin from PreparedMed and discuss popular EMS topics from 2024. We discuss leadership, EMS on duty carry, and a couple more hot topics within the EMS community. The discussion has a lot of our personal solutions and thoughts for the problems discussed. We had a ton of fun discussing the topics and think that you will enjoy the wide ranging discussion. As always, thank you for listening and let us kow your thoughts. We appreciate Kevin coming on the show and sharing his thoughts and you can find him on Instagram, Facebook, and his website. Go give him a follow and check out his pages.  Follow the PragMedics on Instagram and Twitter. 

For EMS Week, JEMS Editor-in-Chief Dr. Ted Lee speaks with Garrett Hedeen, chair of the NAEMT's EMS Workforce Committee, on the importance of safety in EMS.

In this episode, Aaron and Jason sit down with Mustafa, Josh and Ken from Alert Medic 1. We discussed the interview they had with the oncoming NAEMT President-Elect Chris Wray.  The discussion covered our differing views on education, pay, reimbursement, and our feelings about the NAEMT.  There was also an indepth discussion on the Advanced Paramedic Practioner concept as well.  We had a great time with Alert Medic 1 crew and they are throughtful, intelligent medics who are willing to have professional conversations.  Check out the episode and let us know your thoughts! Please give the Alert Medic 1 crew a like on IG, Twitter, and check out their podcast.  They cover a wide range of topics and have some great and interesting guests.   Follow the PragMedics on Instagram, Facebook, and Twitter. EMS Advocacy, the Paramedic Practitioner Controversy, and other Topics in EMS w/ Christopher Way, President-Elect, NAEMT Podcast Episode: https://podcasts.apple.com/us/podcast/ems-advocacy-the-paramedic-practitioner-controversy/id1465198214?i=1000652348045  

During EMS Week, JEMS Editor-in-Chief Dr. Ted Lee talks with Rick Ellis, chair of the NAEMT's Education Committee, on changes to EMS education throughout the years.

Collecting and communicating the big EMS news of 2023 The American Ambulance Association and the Academy of Mobile Healthcare Integration (AIMHI) collect, collate, categorize and share weekly EMS-based news stories widely with many national organizations and associations, including NHTSA, USFA and NAEMT. The information contained in the news tracker allows officials and EMS leaders to brief and educate journalists and elected officials, as well as the public as to the current plight of EMS. EMS is delivered on a local level and those experiencing issues with their service can believe it is just them suffering funding shortages, staffing challenges, hospital delays or general poor performance. The tracker can be used to demonstrate that the issues are occurring on a wider regional, state, national and, in some cases, international level. In this episode of the EMS One-Stop podcast, host Rob Lawrence, who also heads up the AAA-AIMHI news collation effort, welcomes fellow news collator, Rodney Dyche of Patient Care EMS; and AIMHI Education Committee Chair, Matt Zavadsky, chief transformation officer at MedStar Mobile Healthcare. Rob, Rodney and Matt examine EMS news and current trends, and discuss how these themes can be used to inform, influence and educate. Top quotes from this episode “There's a perverse ‘incentive' about response time … if you have the target of 8:59, you arrive on time and the patient dies; that's a success. If you arrive in 9:01 and the patient lives; that's a failure. That's absolute garbage” — Rob Lawrence “There was a quote from Dr. Clawson in a news story that was done in Minneapolis, and I love his quote. He says, ‘there is no evidence that using red lights and sirens have saved more lives than they've taken.'” — Matt Zavadsky “Every week in this great country, an ambulance is stolen either from hospital or from scene – that's avoidable.” — Rob Lawrence “Stop being timid. Stop licking your wounds. Get out in your community, talk to your elected officials. Talk to your city managers or county administrators – very factually, not emotionally. There will be time for emotions, but give them the facts and let them know what it's gonna take to resuscitate their EMS delivery system.” — Matt Zavadsky Episode contents 00:23 – Guest introduction 02:06 – AAA/AIMHI News Tracker and story categories 04:22 – A resource to brief the press and elected officials 04:30 – Operational challenges across many states 05:50 – Massive sign-on bonuses – robbing Peter to pay Paul 06:30 – Staffing and funding issues 08:40 – Communities/local governing bodies facing the fact that they are running out of money, and their EMS isn't free 09:40 – Transitioning from a volunteer to a paid system 11:00 – Explaining EMS economics to your elected officials 11:50 – Has anyone died? Bring data 13:30 – EMS systems closing 15:30 – “Elected officials get nervous deciding to allocate funding to a service that they haven't had to fund or haven't, haven't had to fund to this certain level in the past.” 18:40 – Response time 19:25 – Increase in low acuity calls 20:30 – Service design 22:50 – Single- versus double-paramedic crewed trucks 25:04 – MEDIC Charlotte – Taking bold steps within categories of response 27:00 – The rate of ambulance crashes across the county at intersections 27:47 – If you are not the ambulance driver … who is? 29:49 – There is no evidence that using red lights and siren have saved more lives than they've taken! 30:30 – Stolen ambulances 32:59 – Supply chain and vehicle availability 34:00 – Rurality and ambulance deserts 35:00 – Violence against providers 37:00 – Responding to patients in crisis/agitated patients 38:00 – How to use the media log in your locality to good effect 40:00 – Final thoughts About our guests Matt Zavadsky is the chief transformation officer at MedStar Mobile Healthcare, the exclusive emergency and non-emergency public utility model EMS system for Fort Worth and 14 other cities in North Texas that provides service to 436 square miles and more than 1 million residents and responds to over 170,000 calls a year with a fleet of 65 ambulances. MedStar is a high performance, high value EMS system, providing advanced clinical care with high economic efficiency. Zavadsky is also immediate past president of the National Association of EMTs, and chairs their EMS Economics Committee. He is an appointed committee member to the Joint Commission's Home Care Professional and Technical Advisory Committee (PTAC), and the Lewin Group's Hospital Outpatient Quality Reporting (HOQR) Program Stroke and AMI Expert Work Group developing metrics for use in value-based purchasing measures for emergency departments. He is also the co-author of the book “Mobile Integrated Healthcare – Approach to Implementation.” Rodney Dyche is director of compliance and responsible for risk management with PatentCare EMS Solutions. PatientCare EMS Solutions is a multistate EMS solution, and additionally provides a hybrid online training program and owns a remount facility. As a teenager, Dyche began his EMS career in rural Missouri. He has had multiple system experiences in addition to rural EMS, including MAST (Kansas City, Missouri), REMSA (Reno, Nevada) and Mercy (Las Vegas). In 2010, he became an internal consultant to Paramedics Plus until its sale in 2018. During that time, he led several high-level projects, to include the timely transition of the purchase of Paramedics Plus. Rodney resides in East Texas and in his spare time is a licensed HAM radio operator, and enjoys fishing, off-roading and reading. Resources AAA-AIMHI news collation tracker Analysis of Ground Ambulance Crash Data from 2012 to 2018

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. “My first reaction was, what the hell. My second reaction was, well, I guess if there's not going to be any participation agreement, then we're not bound by confidentiality anymore, and I'll just email the Booz Allen presentation to every member of Congress, and say, ‘here's the savings to the Medicare program, please pass the TIP and TAD language. And I honestly think we should do that, and we probably will.” — Matt Zavadsky In this crossover episode of Inside EMS and EMS One-Stop, Matt Zavadsky, MS-HSA, EMT, chief transformation officer at MedStar Mobile Healthcare (an ET3 participant), joins cohosts Chris Cebollero and Rob Lawrence to discuss the recently announced end of the ET3 program. Top quotes from this episode “That must be a mistake … I was just dumbfounded, absolutely dumbfounded.” — Matt Zavadsky “We can't stop this – we've got to continue to move this along somehow and ensure that we're still doing the things we need to do for our patients.” — Chris Cebollero “Continue to do what you do while we try to sort out this mess, because we thought we were on the right route, and then someone's now put out a roadblock, so we have to work out how to detour or indeed knock it down. Keep up the good work while we try to work out how to get around this.” — Rob Lawrence “We as a profession cannot let this be the final word.” — Matt Zavadsky In addition to why CMS didn't see the savings they were anticipating, and the hoops agencies had to jump through to participate in the ET3 program, the group focuses on what's next for reimbursement reform. Together, they discuss: How the national associations (NAEMT, AAA, IAFC, IAFF) are working to get legislation introduced in Congress to get treatment in place and transport to alternate destinations (TIP and TAD) covered The need for data from organizations that participated in the ET3 model that proves the cost savings Admittance avoidance vs. arrival avoidance at the ED Turning frustration with Medicare into action Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or if you'd like to join us as a guest.

"There's no such thing as a self-made person.  Someone else believed, encouraged, and invested in you.  Be grateful and be that someone for others." - Unknown Founder & CEO of Vitalogy EMS, Brodie Verworn, was born and raised in Montana. He initially forayed into EMS in 1998 to help on a local community ambulance in Seeley Lake, Montana. In 2006, he became a full time EMT/Firefighter with the Big Mountain Fire Department, where he was the senior paramedic on staff until his retirement in 2020. In 2010 he earned his AAS in Paramedicine. He is an American Heart Association instructor in BLS CPR, ACLS, and PALS, instructs NAEMT courses, and is a lead EMS instructor for the state of Montana. Backed by incredible knowledge and extensive experience, Brodie and his wife, Amy sought to fill the dire need in our community and founded Vitalogy EMS, a private ambulance transport company based out of the Kalispell, MT area. With the rise in medical transport needs in the region, Vitalogy EMS aids in transporting our community's most vulnerable from hospital to hospital, hospital to other care facility, hospital to home, or home to a medical appointment. Join us this week as we dive into Brodie's world of constantly finding a need and filling it! SHOW NOTES Inga's Uplifting Story: Earn the Right to Believe in Yourself by Fred Vanvleet via Daily Mindset Learn more about Vitalogy EMS at https://www.vitalogyems.com/! Watch the Video: https://youtu.be/5hgnFsqSEao FOLLOW INGA + JULIE! Connect with Inga on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/inga-lake-4857301b8/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Julie on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/julie-brubaker-3a89b2114/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Caregiven on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thecaregivenpodcast/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Caregiven on TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@thecaregivenpodcast?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Subscribe to the Caregiven YouTube Channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UChtq-gS4yCWGE5UFnrU8OAA⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/EPAGAHomeCare⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join the Care and Share Facebook Group: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/715609402176814⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/epagahomecare/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/company/epaga-home-care⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Visit EPAGA's Website for more articles about home care: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.epagahomecare.com/articles⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in opening your own EPAGA Home Care? Check out our Franchise Opportunities: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.epagahomecarefranchise.com⁠

En esta nueva temporada del Podcast, la iniciamos con la actualización de las Guías del PreHospital Trauma Life Support 10 edición. Un pequeño resumen de esta nueva edición del curso de la NAEMT. Espero que os guste y sea de vuestro interés. Para cualquier duda o pregunta, no dudéis en escribir a @enfermerodesimulacion

Jon Lee joins the podcast to discuss following the evidence and pharmacology research insights This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode, one of Chris Cebollero's favorite authors, Jonathan Lee, joins Chris for a discussion of his most recent article, a research analysis examining the benefits of midazolam vs. morphine. While morphine is the go-to drug when it comes to cardiac events, once you look at the research, there are some red flags, Lee notes. Lee's analysis focused on The in-hospital mortality had no significant difference between midazolam versus morphine The frequency of serious adverse events in using morphine versus Listen in to the discussion. Resources mentioned in this episode Jonathan Lee: Front-line pharm KinderMedic Research analysis: Midazolam vs. morphine About our guest Jonathan Lee is a critical care paramedic with Ornge in Toronto, Canada, with over 25 years of experience in 911, critical care, aeromedical and pediatric critical care transport. Jonathan's teaching experience includes classroom, clinical and field education as well as curriculum development and design across a number of health professions. He is currently delivering KinderMedic, a program he developed to improve the confidence and competence of prehospital providers caring for acutely ill children. In addition to his clinical practice, he is also adjunct faculty in the Paramedic Program at Georgian College. Jonathan is a freelance author and has been invited to speak across North America and Europe on topics such as pediatrics, analgesia and stress. Jonathan has previously served on committees for professional organizations including the Ontario Paramedic Association and NAEMT. He is currently pursuing a Master of Science in Critical Care from Cardiff University. Jonathan can be contacted via Twitter and LinkedIn. Rate and review Inside EMS Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the Inside EMS team at theshow@ems1.com to share ideas, suggestions and feedback, or if you'd like to join us as a guest. Catch a new episode every Friday on Apple Podcasts, YouTube, PodBean, Amazon Music, Stitcher, Spotify, and RSS feed.

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

This episode of EMS One-Stop with Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com.  In this episode of EMS One-Stop, host Rob Lawrence welcomes Matt Zavadsky back to the podcast to catch up on three key ongoing issues and developments: MedStar's EMS-on-demand model via their MedStarSaver+PLUS program, the recent article by Zavadsky and Dr. Doug Kupas on the reduction of red lights and sirens with the additional news that MedStar ceased all RLS use during the recent ice-related weather event.  Finally, Zavadsky discusses the recent National Association of Emergency Medical Technicians' 2022 EMS Worker Engagement Survey and the top five takeaways. Top quotes from this episode “One of the mantras we have always said is if someone is going to get paid to reduce our call volume, it should be us.” “We take an oath to do no further harm, if we know that we are doing something that causes further harm while we are getting to a call that probably doesn't need an immediate response, then we are not fulfilling our oath.” “Our medical director has implemented a directive in the same theme of bad weather, bad driving that no patient will be transported with CPR in progress, meaning that you are just not going to transport patients in cardiac arrest … there is no reason for us to relocate corpses from the field to the emergency room.” “Community expectation ... is it really what the community expects or is it something we have taught them to expect because we are competing for contracts?” Episode contents 1:52       MedStar Saver Plus Model 11:37    NAEMSP2023 discussion 13:15    Red lights and sirens reduction 15:11    MedStar suspends RLS 19:07    Political navigation to reduce use of RLS with local officials 23:06    We stink at communicating effectively with our workforce 23:45    We stink at providing feedback to our employees about their performance (and their patients) 24:59    We don't pay our people enough 26:21    California's Medi-Cal Campaign 29:10    Work-life balance is a real thing 32:13    This is a long-term challenge that needs long-term solutions 34:33    Zavadsky's final thoughts 34:44    Drs. Larmon, Kazan and Mackey Additional resources EMS-on-demand the next big transformation for the profession? Culture shift: Reducing lights and siren vehicle operation The EMS workforce: Critical condition! About our guest Matt Zavadsky is the chief transformation officer for MedStar Mobile Healthcare, the Public Utility Model EMS system serving Fort Worth, and 14 other cities in Texas. He has 43 years of experience in EMS. He is an at-large director for NAEMT and chairs its EMS Economics Committee. Connect with Matt Zavadsky Online Linkedin Twitter: @MattZavadsky Rate and review the EMS One-Stop Podcast Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback.

Moving on from our segments on resiliency and stress management, the new EMS career field climate survey was just released and there is actually a good amount of information to dissect! Join us as we talk about some of the findings straight from the streets themselves!  Chase Edwards joins us again to talk about some of the successes and failures we're seeing in the field, as well as some ideas on what can be done to fix some present issues. Some of these topics are hot! So feel free to comment to us or reach out on social media, email, etc with your thoughts and opinions!  You can find the climate survey on the National Association of EMTs website at https://www.naemt.org

Sean J. Britton, MPA, NRP, speaks about his recently published JEMS article, Financial Health and Wellness for EMS Clinicians. Britton is a practicing paramedic and EMS educator at Superior Ambulance Service in Binghamton, New York. Sean is the principal and financial Planner at STAT Financial Health. He was formerly the chair of the EMS workforce committee of the NAEMT.

This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. “Honorable but broken” is an emotionally compelling documentary from seasoned network news producers Bryony Gilbey and Rich Diefenbach that highlights the realities of working in EMS. The documentary calls attention to the inexcusable underfunding of our first responders and the subsequent collapse of the system.  The story told by Gilbey and Diefenbach truly sums up the precipitous state of EMS. In this edition of EMS One-Stop, Rob Lawrence welcomes Bryony Gilbey and returning guest Matt Zavadsky to discuss the documentary, its planned development into a full-length production, exciting sponsorship news and commentary on the issues raised by NAEMT board members that appeared in the film. The discussion and documentary advocate for funding and political change to the current status quo, but as Gilbey asks, “what is life worth to an elected official?”

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this crossover edition of EMS One-Stop and Inside EMS, hosts Rob Lawrence and Chris Cebollero report together from Pinnacle EMS 2022 leadership conference and are joined by guest Bruce Evans, president of NAEMT.  During the discussion, Bruce issues a call-to-action to save ambulance services as we know it, in the face political, reimbursement and recruiting pressures. The crew also discusses their favorite presenters and presentations from the conference, and offer a vivid description of the memorial to the late Jack Stout, considered to be the father of high-performance EMS systems.  

En este nuevo episodio hago un pequeño repaso de la actuación en el medio extrahospitalario ante un paciente con un golpe de calor. La bibliografía de consulta que he utilizado es: - Jimenez Murillo, L., & Montero Pérez, F. J. (2021). Compendio de medicina de urgencias. Guía terapéutica de bolsillo (5ª). Elsevier. - NAEMT. (2019). PHTLS. Soporte Vital de Trauma Prehospitalario (9ª). JONES AND BARTLETT. - NAEMT. (2021). AMLS Soporte Vital Médico Avanzado. Un Enfoque Basado en la Evaluación (3ª). JONES AND BARTLETT. - Manual de procedimientos de SAMUR Protección civil. Urgencias por calor. Disponible en https://www.madrid.es/ficheros/SAMUR/index.html

In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the success of Trentin Monk, who was one of Kelly's EMT students. Trentin passed the NREMT cognitive exam in only 70 questions; at 15 years and 196 days old, that accomplishment makes him the youngest EMT ever certified in the state of Louisiana. The conversation then shifts to a new course offering from NAEMT. The organization will begin offering Political Academy, an eight-hour seminar designed to educate providers on how best to progress EMS causes in the political arena at the state and federal levels.

In this edition of EMS One-Stop, Rob Lawrence chats with NAEMT President, Bruce Evans about the upcoming virtual EMS on the Hill Day.  The online event, which consists of virtual meetings with members of congress, spans the week of April 4-8 with groups organized by state and scheduled into Zoom meetings. Rob and Bruce discuss the NAEMT legislative agenda and the requests that attendees will be asked to make in their meetings.  Bruce also discusses the collaboration taking place between a number of national associations and the lobbying value that it brings. Also included: information on the forthcoming workshop to be held at the Pinnacle conference where NAEMT will provide guidance on how to run for public office.  Bruce's aspiration is to have at least one EMS professional in each state house, if not more.

This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here. In this episode, host Chris Cebollero is joined by guest co-host Matt Zavadsky, the chief strategic integration officer for MedStar Mobile Healthcare in Fort Worth, Texas, and the immediate past president of NAEMT.  Zavadsky breaks down three reasons for the current EMS staffing shortage, and outlines what agencies can do to reserve resources, as well as how to compete with other work opportunities. Zavadsky also touches on the topic of vaccine mandates and the repercussions some responders are facing for not complying. The discussion concludes with a debate about EMS redesign and the importance of partnering with local officials. 

En este nuevo episodio realizo un repaso muy breve del shock index o índice de shock. Espero que les guste y sea de utilidad. Referencias: - Café Club del Conocimiento. Antonio Pérez Alonso y Susana Simo. Shock. - Lee YT, Bae BK, Cho YM, Park SC, Jeon CH, Huh U, Lee DS, Ko SH, Ryu DM, Wang IJ. Reverse shock index multiplied by Glasgow coma scale as a predictor of massive transfusion in trauma. Am J Emerg Med. 2021 Aug;46:404-409. doi: 10.1016/j.ajem.2020.10.027. Epub 2020 Oct 20. PMID: 33143960. - Kimura, A., Tanaka, N. El índice de choque inverso multiplicado por la puntuación de la escala Coma de Glasgow (rSIG) es una medida simple con alta capacidad discriminante para el riesgo de mortalidad en pacientes traumatizados: un análisis del Banco de Datos de Trauma de Japón. Crit Care 22,87 (2018). https://doi.org/10.1186/s13054-018-2014-0 - El-Menyar A, Goyal P, Tilley E, Latifi R. The clinical utility of shock index to predict the need for blood transfusion and outcomes in trauma. J Surg Res. 2018 Jul;227:52-59. doi: 10.1016/j.jss.2018.02.013. Epub 2018 Mar 12. PMID: 29804862. - Marín Barboza, L., & Muñoz, R. (2020). Índice de choque. Revista Ciencia Y Salud Integrando Conocimientos, 4(4), Pág. 31–38. https://doi.org/10.34192/cienciaysalud.v4i4.168 - NAEMT. Manual proveedor PHTLS. Ed. 9. 2018. - Olaussen A, Blackburn T, Mitra B, Fitzgerald M. Review article: Shock Index for prediction of critical bleeding post-trauma: A systematic review: Shock Index for Critical Bleeding. Emerg Med Australas. junio de 2014;26(3):223-8. - Mitra B, Fitzgerald M, Chan J. The utility of a shock index≥1 as an indication for pre-hospital oxygen carrier administration in major trauma. Injury. enero de 2014;45(1):61-5. - Al Jalbout N, Balhara KS, Hamade B, Hsieh Y-H, Kelen GD, Bayram JD. Shock index as a predictor of hospital admission and inpatient mortality in a US national database of emergency departments. Emerg Med J. mayo de 2019;36(5):293-7. - Edla S, Reisner AT, Liu J, Convertino VA, Carter R, Reifman J. In reply to “Utility of shock index calculation in hemorrhagic trauma”. Am J Emerg Med. julio de 2015;33(7):978-9. - Saffouri E, Blackwell C, Laursen SB, Laine L, Dalton HR, Ngu J, et al. The Shock Index is not accurate at predicting outcomes in patients with upper gastrointestinal bleeding. Aliment Pharmacol Ther [Internet]. 23 de octubre de 2019 [citado 31 de octubre de 2019]; Disponible en: http://doi.wiley.com/10.1111/apt.15541 - Campos-Serra A, Montmany-Vioque S, Rebasa-Cladera P, Llaquet-Bayo H, Gràcia-Roman R, Colom-Gordillo A, et al. Aplicación del Shock Index como predictor de hemorragia en el paciente politraumático. Cir Esp. octubre de 2018;96(8):494-500. - Kristensen AKB, Holler JG, Hallas J, Lassen A, Shapiro NI. Is Shock Index a Valid Predictor of Mortality in Emergency Department Patients With Hypertension, Diabetes, High Age, or Receipt of β- or Calcium Channel Blockers? Ann Emerg Med. enero de 2016;67(1):106-113.e6. - Abe N, Miura T, Miyashita Y, Hashizume N, Ebisawa S, Motoki H, et al. Long-Term Prognostic Implications of the Admission Shock Index in Patients With Acute Myocardial Infarction Who Received Percutaneous Coronary Intervention. Angiology. abril de 2017;68(4):339-45. - Yu T, Tian C, Song J, He D, Sun Z, Sun Z. Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome. Sci Rep. diciembre de 2017;7(1):11929.1.2.3.4.5.6.7.8.9. - Kobayashi A, Misumida N, Luger D, Kanei Y. Shock Index as a predictor for In-hospital mortality in patients with non-ST-segment elevation myocardial infarction. Cardiovasc Revasc Med. junio de 2016;17(4):225-8. - El-Menyar A, Sulaiman K, Almahmeed W, Al-Motarreb A, Asaad N, AlHabib KF, et al. Shock Index in Patients Presenting With Acute Heart Failure: A Multicenter Multinational Observational Study. Angiology. noviembre de 2019;70(10):938-46. - Middleton, Smith, Bedford, Neilly, Myint. Shock Index Predicts Outcome in Patients with Suspected Sepsis or Community-Acquired Pneumonia: A Systematic Review. J Clin Med. 31 de julio de 2019;8(8):1144. - Acker SN, Ross JT, Partrick DA, Tong S, Bensard DD. Pediatric specific shock index accurately identifies severely injured children. J Pediatr Surg. febrero de 2015;50(2):331-4. - Nordin A, Shi J, Wheeler K, Xiang H, Kenney B. Age-adjusted shock index: From injury to arrival. J Pediatr Surg. mayo de 2019;54(5):984-8. - Strutt J, Flood A, Kharbanda AB. Shock Index as a Predictor of Morbidity and Mortality in Pediatric Trauma Patients: Pediatr Emerg Care. febrero de 2019;35(2):132-7. - Hashmi A, Rhee P, Pandit V, Kulvatunyou N, Tang A, O’Keeffe T, et al. Shock Index Predicts Mortality in Geriatric Trauma Patients: An Analysis of The National Trauma Data Bank. J Surg Res. febrero de 2014;186(2):687. - Chung J-Y, Hsu C-C, Chen J-H, Chen W-L, Lin H-J, Guo H-R, et al. Shock index predicted mortality in geriatric patients with influenza in the emergency department. Am J Emerg Med. marzo de 2019;37(3):391-4. - Kuo SCH, Kuo P-J, Hsu S-Y, Rau C-S, Chen Y-C, Hsieh H-Y, et al. The use of the reverse shock index to identify high-risk trauma patients in addition to the criteria for trauma team activation: a cross-sectional study based on a trauma registry system. BMJ Open. junio de 2016;6(6): e011072. - Jiang L, Caputo ND, Chang BP. Respiratory adjusted shock index for identifying occult shock and level of Care in Sepsis Patients. Am J Emerg Med. marzo de 2019;37(3):506-9.10.11.12.13.14.15.16.17.18.19.38 - Laura Pariente Juste, Maylin Koo Gómez, Antonia Bonet Burguera, Raquel Reyes García, Lourdes Pérez García, Irene Macía Tejada Índices de shock prehospitalario y hospitalario como predictores de transfusión masiva en la atención inicial del paciente politraumático Emergencias 2021;33:29-34

EMS Medical Direction is a critical component of every EMS system. The NAEMT, ACEP, and NAAEMSP all help define what high quality EMS Medical Direction should look like. But how are we doing in implementing their guidelines? In this Episode of Back to Basics we discuss the role of the EMS Medical Director, what high quality medical direction should look like, and where we can continue to improve the quality and involvement of this important role in EMS. --- Support this podcast: https://anchor.fm/guardianpodcast/support

En este nuevo episodio hablo de la atención al paciente quemado de forma breve y lo más práctica posible. De su epidemiología, fisiopatología, valoración, manejo y un largo etcétera. Espero que os guste y sobre todo, sea de utilidad. Bibliografía utilizada: - NAEMT. Manual del proveedor del Prehospital Trauma Life Support. 2018. - American Burn Association. Advances Burn Life Support Course. 2018. - Manual de procedimientos de SAMUR-PC

"We don't have any options." - Brian Schaeffer This week, Eric, Bradley and David welcome the Disaster Preparedness committee to celebrate National Disaster Preparedness Month. This conversation begins with the work of the Disaster Preparedness Committee and then moves into discussion of preparedness of the practitioner.  Guests on the show: Anthony Scott, Debra Bell, William Tatum, Brian Schaeffer, Allison Knox * EMS in disaster management * Who pays for disaster preparedness * ESF #8 * Disaster within a Disaster * When the annexes run dry * Practitioner preparedness * Emergency equipment and ziploc bags * Joining the NAEMT disaster preparedness committee * FEMA IS - 520 Continuity of Operations Planning for Pandemic * www.emergency.cdc.gov

La evidencia es clara, los torniquetes SALVAN VIDAS. En este nuevo episodio os cuento los 10 principales mitos que existen con el uso del torniquete. Mitos como; es la última opción, mejor torniquetes improvisados, no se pueden poner en zonas de dos huesos y muchos más mitos. Espero que os guste y sea de utilidad. Poco a poco y entre todos, intentaremos desterrar tanto mito. Referencias: - Manual del proveedor PHTLS. NAEMT - Manual del proveedor TECC. NAEMT. - Tactical Combat Casualty Care (TCCC) Guidelines for Medical Personnel. 2020. - www.stopthebleed.org

En este nuevo episodio de 99% Emergencias, realizaré un repaso del Balón de Resucitación Aórtico Endovascular o REBOA en el paciente traumático de forma sencilla y lo más clara posible para que nos empecemos a familiarizar en este dispositivo que dará mucho que hablar en los próximos años. Espero que os guste y sea de utilidad. Bibliografía utilizada: - Carlos A. Ordoñez, Ramiro Manzano-Nunez, Ana Milena del Valle, Fernando Rodriguez, Paola Burbano, Maria Paula Naranjo, Michael W. Parra, Paula Ferrada, Mónica Alejandra Solís-Velasco, Alberto F. García, Current use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in trauma, Colombian Journal of Anesthesiology, Volume 45, Supplement 2, 2017, Pages 30-38, ISSN 2256-2087, - NAEMT. Soporte vital de trauma prehospitalario. Ed 9. Colegio Americano de Cirujanos. - Tsurukiri et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2016) 24:13

With Chris Cebollero still out on vacation, co-host Kelly Grayson takes guest host Rob Lawrence and listeners home to Louisiana to meet and chat with state EMS director and president-elect of NAEMT, Susan Bailey. They discuss Bailey's current position, how Louisiana is credentialed, and the perseverance of state providers who have risen to both the challenges of the pandemic and a number of natural, weather-related events.  The group also discusses the current challenges to delivering EMS in a rural setting and the issues that are making industry news in terms of rural, finance, staffing and viability.

EMS A to Z: The Patient Handoff Show Notes: From your hosts, Dr. Josh Gaither, Dr. Amber Rice, and Dr. Rachel Munn A 2014 position statement from ACEP, NAEMSP, NAEMT, NASEMSO states that:  “Clearly defined processes for the contemporaneous face-to-face communication of key information from emergency medical services (EMS) providers to health care providers in an emergency department (ED) are critical to improving patient safety, reducing medicolegal risk, and integrating EMS with the health care system.”  The MIST format is one of the most commonly used, standardized, formats for patient handoff: Developed by The Southwest Texas Regional Advisory Council (STRAC)) M: Mechanism of illness / injury I: Injuries or inspection S: Vital signs & glucose  T: Treatment  What is a good structure for the handoff?  Nurse calls "EMS Time Out" Patient movement and conversations stop EMS delivers patient report Receiving nurse completes form Nurse provides EMS patient sticker Patient moved to hospital bed The Central Ohio Trauma System rolled this out over 2 years with training of the EMS agencies, receiving facilities – initially looking at handoffs pre-implementation, and then post implementation:  In Phase II, 46% of the hand-offs were recorded at less than 60 seconds versus 21% in Phase I All vital signs were reported in 80% of Phase II compared to only 20% of Phase I Demographics were captured at rate of 92% in Phase II versus 69% in Phase I In Phase I, the longest hand-off was 15 minutes and in Phase II, it was 6 minutes.

En este nuevo episodio de 99% emergencias, hablo sobre la fisiopatologia del shock en el paciente traumático, así como los diferentes tipos de shock en politrauma. Espero que les guste y sea de interés. Referencias: - Manual del provedor del Prehospital Trauma Life Support. NAEMT

En este episodio analizo cuando inmovilizar a un paciente traumático según la evidencia, así como de los principales dispositivos de movilización e inmovilización. Espero que os guste. La bibliografía utilizada es: - Maschmann, C., Jeppesen, E., Rubin, M.A. et al. New clinical guidelines on the spinal stabilisation of adult trauma patients – consensus and evidence based. Scand J Trauma Resusc Emerg Med 27, 77 (2019). https://doi.org/10.1186/s13049-019-0655-x - NAEMT. PHTLS manual del proveedor. Ed.9. 2018. - http://www.zonates.com/es/revista-zona-tes/menu-revista/numeros-anteriores/vol-3–num-1–enero-marzo-2014/articulos/inmovilizacion-cervical-selectiva-basada–br–en-la-evidencia.aspx - https://www.physio-pedia.com/Canadian_C-Spine_Rule

En este nuevo episodio analizo la utilidad de la posición de Trendelenburg en un paciente con shock. Poco a poco tenemos que ir desterrando mitos gracias a la evidencia científica. Espero que les guste y sea de utilidad. Referencias: - Shammas, A. & Clark, A. (2007). Trendelenburg Positioning to Treat Acute Hypotension: Helpful or Harmful? Clinical Nurse Specialist. 21(4), 181-188. PMID: 17622805 - Bridges, N.& Jarquin-Valdivia, A. (2005). Use of the Trendelenburg Position as the Resuscitation Position: To T or Not to T. American Journal of Critical Care. 14(5). 364-368. PMID: 16120887. - McGill University Health Centre: Division of Nursing Research and MUHC Libraries. What evidence exists that describes whether the Trendelenburg and/or modified Trendelenburg positions are effective for the management of hospitalized patients with hypotension? 2015 - Johnson S, Henderson SO: “Myth: The Trendelenburg position improves circulation in cases of shock.” Canadian Journal Emergency Medicine. 6(1):48-49, 2004. - Ballesteros S, Rodrígues A. Efectos de la posición de Trendelenburg sobre el estado hemodinámico: una revisión sistemática. Emergencias. 2012; 24: 143-150. - Manual del proveedor PHTLS. NAEMT 2018. - https://www.instagram.com/p/CHVx5gNJ-FP/?utm_source=ig_web_copy_link - Doctor Carlos Zapa. Ponencia sobre mitos en emergencias.

Guests: Susan Bailey, Chris Way, and Troy Tuke NAEMT President-Elect Susan Bailey is the director of the Louisiana Bureau of Emergency Medical Services, and has been active in the EMS Industry since 1990. She has experience in both the rural and urban setting. She is the chair of the Commission on Accreditation of Prehospital Continuing Education (CAPCE) Board of Directors and serves as a curriculum and site reviewer, and is a member of the National Association of State EMS Officials (NASEMSO). NAEMT Treasurer Christopher Way has been an emergency service professional for 28 years. Chief Way transitioned to Kootenai County Fire and Rescue as the fire chief in May of 2020 after serving as the chief officer for the Kootenai County EMS System for the previous seven years. NAEMT Secretary Chief Troy Tuke began his EMS career after obtaining his paramedic and RN degrees from Brigham Young University-Idaho in 1989. He worked full time as an RN and paramedic specializing in critical care/trauma and flight nursing, before joining the Clark County Fire Department as a firefighter/paramedic in 1996. He was promoted through the ranks of fire engineer, EMS coordinator and assistant chief of EMS until his retirement from CCFD on October 4, 2019. Troy now works with the MountainView Hospital Paramedic Institute as the lead instructor.

In this edition of EMS One-Stop with Rob Lawrence, our host, Rob Lawrence, chats with NAEMT President, Chief Bruce Evans. Rob and Bruce discuss the current progress on treatment-in-place legislation, Bruce’s first 100 days in office as NAEMT president and the forthcoming virtual EMS on the Hill Day, which will take place April 13-15, 2021.

En este nuevo episodio hablamos de la hipotensión permisiva en el paciente con shock hemorrágico, intentando desterrar el típico "ponle suero a chorro" Espero que os sueste y os sea de utilidad. Bibliografía utilizada: - https://www.emsworld.com/article/12237504/evidencia-basada-en-el-sme-hipotensi-n-permisiva-en-trauma - Navarro S. Hipotensión permisiva en la reanimación del paciente traumático. - NAEMT. Manual de soporte vital de trauma prehospitalario. Ed. 9.

Which trauma/tactical course is right for me? A brief overview of the PHTLS TFR, PHTLS (civilian), Military PHTLS, TCCC-MP, CLS, TECC, TECC-LEO and RED MED courses along with the IBSC Tactical Paramedic Certification (TP-C) and Tactical Responder Certification

JEMS Editor Emeritus A.J. Heightman talks with Matt Zavadsky, chief strategic integration officer for MedStar Mobile Health Care (TX) and the present president of NAEMT, about some of the current issues impacting EMS agencies.It’s an informative episode that touches on:The impact of COVID-19 on reduced call for service, reduced transports and increasing cardiac arrest volumes – and how it is affecting services operationally and financially;Reduced revenue and some novel, outside-the-box thinking on how to fill financial voids;The new era and occupation of contact tracers and how EMS agencies could deploy them and gain revenue for doing so. (State and county health departments have funding for these positions);The use of EMS Task Force Teams in Texas to test nursing home facilities and staff – and the impact it is having on reducing mortality;The proposed treatment-in-place legislation that was carefully crafted and already has more than 30 Congressional sponsors and hopefully will be attached to the next Congressional Relief Package from Congress (NAEMT, IAFC, AAA and others joined forces to present one united message);The need for EMS Agencies to work with their police departments to ensure crew resource management principals are in effect during patient interactions to ensure patients get the care they need – when they need it.

En éste episodio te traemos la información sobre el próximo curso de AMLS avalado por la NAEMT, nuestra participación en la limpieza de la Laguna Nichupté y en la competencia Masters Proa, las actividades de Veteranos y Juventud, así como el bazar organizado por las Damas Voluntarias.

Simon and Zaf talk about the practicialities of REBOA and discuss whether it's ready for prime time in the UK. Further reading EMCrit guest post - the good, the bad, the ugly of the (original) Joint Statement https://emcrit.org/emcrit/good-bad-ugly-of-joint-statement-reboa/   Updated 2019 Joint Statement from the ACS-COT, ACEP, NAEMSP, and NAEMT: https://tsaco.bmj.com/content/4/1/e000376.info   London Air Ambulance Prehospital REBOA Case series: https://linkinghub.elsevier.com/retrieve/pii/S0300-9572(18)31110-9

Today EMS Veteran Aram Bronston joins the show all the way from California as we finish the discussion on EMS Week 2019. #EMSStrong #BeyondTheCallHost: Paul Falavolito @paulfalavolitoFacebook: Paul Falavolito PodcastTwitter: Paul Falavolito Podcastwww.paulfalavolitopodcast.comListen on iTunes, iHeart Radio, Google Play, Google Podcasts & SpotifyIf you enjoyed this episode, be sure and leave a “Star” rating and a comment on iTunes. Send questions, feedback or enquire about advertising on my shows: podcast@paulfalavolito.comCall in or text the show: 412-701-4323Subscribe and listen to all of my podcast shows:The 7 Minute Leadership Podcast EMS TalkThe Daily PfavHot topics Podcast The KEMA Podcast**Paul Falavolito Podcast is now available on the Amazon Alexa skills store**

It's the 45th anniversary of EMS Week. Join Paul and special guest Amy Amer as they discuss the history of EMS Week and some controversial topics surrounding EMS week. Part 1 of 2.Host: Paul Falavolito @paulfalavolitoFacebook: Paul Falavolito PodcastTwitter: Paul Falavolito Podcastwww.paulfalavolitopodcast.comListen on iTunes, iHeart Radio, Google Play, Google Podcasts & SpotifyIf you enjoyed this episode, be sure and leave a “Star” rating and a comment on iTunes. Send questions, feedback or enquire about advertising on my shows: podcast@paulfalavolito.comCall in or text the show: 412-701-4323Subscribe and listen to all of my podcast shows:The 7 Minute Leadership Podcast EMS TalkThe Daily PfavHot topics Podcast The KEMA Podcast**Paul Falavolito Podcast is now available on the Amazon Alexa skills store**

Social Media is such a hot topic in EMS and has been for several years. Is our EMS Social Media Culture a healthy one? Join Paul Falavolito & Amy Amer as they discuss this topic and offer their insights into today's EMS Social Media Culture.Host: Paul Falavolito @paulfalavolitoFacebook: Paul Falavolito PodcastTwitter: Paul Falavolito Podcastwww.paulfalavolitopodcast.comListen on iTunes, iHeart Radio, Google Play, Google Podcasts & SpotifyIf you enjoyed this episode, be sure and leave a “Star” rating and a comment on iTunes. Send questions, feedback or enquire about advertising on my shows: podcast@paulfalavolito.comCall in or text the show: 412-701-4323Subscribe and listen to all of my podcast shows:The 7 Minute Leadership Podcast EMS TalkThe Daily PfavHot topics Podcast The KEMA Podcast**Paul Falavolito Podcast is now available on the Amazon Alexa skills store**

Inside EMS: NAEMT president outlines agency impacts of ET3 model by EMS1 Podcasts

Inside EMS: NAEMT president addresses paramedic education questions by EMS1 Podcasts

Inside EMS: NAEMT President-elect Matt Zavadsky talks all things EMS by EMS1 Podcasts

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   ATLS 10th Edition Updates and the Implications of Prehospital Care and PHTLS v9 with Dr. Andrew Pollak @AndyPollak   Dr. Pollak is the James Lawrence Kernan Professor of Orthopedics and chair of the Department of Orthopedics at the University Of Maryland School Of Medicine.  He also serves as Chief of Orthopedics for the University of Maryland Medical System and was previously at the University of Maryland R. Adams Cowley Shock Trauma Center. Dr. Pollak has extensive experience in prehospital emergency care as a volunteer firefighter/EMT, EMS flight physician and fire surgeon.  He serves as medical director of the Baltimore County Fire Department, Special Deputy US Marshal, and Commissioner for the Maryland Health Care Commission, and as an editor of EMS publications.  Dr. Pollak has served on the American Academy of Orthopedic Surgeons Board of Directors, Orthopedic Trauma Association and the Maryland Orthopedic Association.     Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Ep #64 Nuances and Challenges to Modern Day Disaster Triage #WTS17 #NAEMT #EMSWorldExpo17 with Brad Newbury, MPA, NRP, I/C @nmetc911   Brad Newbury is the founder, president and CEO of the National Medical Education & Training Center in Massachusetts.  He has been involved in EMS for over 30 years as a volunteer firefighter, paramedic and instructor.  He has taught for the Massachusetts Fire Academy and lectured nationally.  Brad managed the application process for full national accreditation of NMETC’s paramedic program and developed a hybrid paramedic program, which educates and trains students from around the world.  He has worked as a faculty educator, content writer, and has been published by a national journal.  He is also a principle author and speaker for NAEMT’s All Hazards Disaster Response course.  Brad hold a Bachelor’s Degree in Fire Science and a Master’s Degree in Public Administration.    Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Episode #65 Controversies in Needle Decompression #WTS17 #PHTLS #EMSWorldExpo17 with Julie Chase, MSED, FAWM, TP-C @ISDMedic   Julie Chase is a tactical medicine instructor in Berryville, Va.  She has worked in public and private venues as a firefighter, paramedic, educator and administrator, and has taught in many countries, assisted with remote clinics and emergency services and is a National Disaster Medical System Response Team Member.  She was an operational and tactical medicine instructor at a federal agency, a curriculum developer, contributing author, and reviewer for publication and accreditation organizations.  Julie holds a Master in Postsecondary and Adult Education, a Bachelor in Paramedicine, and an Associate in Applied Arts and Sciences in Fire Science.    Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

The World Trauma Symposium:  https://www.naemt.org/events/world-trauma-symposium NAEMT:  http://naemt.org/ EMS World Expo: http://www.emsworldexpo.com/   Episode #66 Latest on Pelvic Binders from Both Military and Civilian Perspectives #WTS17 #PHTLS #EMSWorldExpo17 with Col. Stacy Shackelford, MD Col. Shackelford is the chief of performance improvement at the Joint Trauma System Defense Center of Excellence for Trauma Joint Base in San Antonio, Texas.  She is also an attending trauma surgeon at the San Antonio Military Medical Center. Col. Shackelford is a member of the Committee on Tactical Combat Casualty Care, led the TCCC guideline review and update for pelvic binders, and has deployed four times as a combat surgeon and as the director of the Joint Theater Trauma System.  Col. Shackelford was commissioned through the U.S. Air Force Academy, attended medical school at Tulane University and general surgery residency at the University of Utah.  After completing a Trauma and Critical Care fellowship at the University of Southern California, Col. Shackelford was assigned as Director of Education at the Air Force Center for Sustainment of Trauma and Readiness Skills at the R. Adams Cowley Shock Trauma Center.  She is an instructor for the Defense Institute for Medical Operations.   Query us on Twitter: www.twitter.com/EMS_Nation Like us on Facebook: www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Episode 101: Faces of EMS is a project that was created by Paul Falavolito, Chief of White Oak EMS in Western Pennsylvania. Paul created a wall of EMS practitioners by taking their portraits and displaying these portraits and Faces of EMS was born. Paul joins me to talk about this project. The project is being launched to celebrate the 43rd Annual National EMS Week that runs from May 21-27, 2017. Faces of EMS is being featured on the cover of EMS World Magazine, NAEMT's website and other areas of EMS as part of the #EMSstrongcampaign.This podcast is dedicated to all those those who are involved in EMS. Medci2Medic Podcast wishes you a happy and safe EMS Week.

Ep #35 All Hazards Disaster Response – @NAEMT_ Beta Course #AHDR All Disasters are Local.  First responders, regardless of the type of incident, need to be prepared to respond to mass casualty events and disasters of varying types with changing conditions and hazards.  While the FEMA Incident Command Courses offer a primer on organizational structure of a response as well as insight into general operations at events, there is no course specifically aimed at prehospital providers which simultaneously codifies the medical knowledge required to care for critically ill and injured patients at a multitude of events.  More so, this course targets boots on the ground providers from EMTs, Paramedics as well as EMS Response & Rescue physicians and provides the necessary skills, knowledge and insight to integrate seamlessly within the overarching ICS framework from the bottom up.  This course focuses on the initial response to a wide range of possible events and is designed to scale perfectly to your operational area with topics including Structural Fires, Radiologic Events, Natural Disasters and critical Infrastructure Failure, Transportation events, Infectious Disease Outbreaks and of course Active Shooter Events.  There are a bevy of well honed exercised, drills and tabletops to keep the pace of the 8hr day brisk and engaging. It was a sincere pleasure to lead a distinguished group of authors in developing this new course which we Beta’d for the very first time in New Orleans at #EMSWorldExpo16.  The official debut will be at @EMSTODAY conference in Salt Lake City Utah as a preconference on February 22nd 2017.  Hope to see you all there!   Brad Newbury, MPA NRP @nmetc0911 Sean Britton NRP @SeanBritton Craig Manifold, MD @DrCraigManifold   http://www.naemt.org/ We hope to add the #AHDR course to the suite of Prehospital Trauma courses including PHTLS, TCCC & TECC and encourage all instructors for this course to keep an eye out for the online training module which will allow you to become an instructor for AHDR!   Sponsored by the @PerfectCPR app Designed to provide High Quality CPR Feedback Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Message us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

Ep #36 Advanced GEMS - @NAEMT_ Beta Course #AGEMS   NAEMT’s groundbreaking Geriatric Education for Emergency Medical Services (GEMS) Advanced course builds on the GEMS core course, delving into more complex, realistic scenarios and the unique technology EMS practitioners are likely to encounter when assessing, treating, and transporting older adults. -Highly interactive, immersive educational format focuses on integrating critical thinking into real world application. -Topics covered include caring for and transporting patients on home ventilators, LVADs (left ventricular assist devices), tracheostomies, PICC lines/invasive lines and feeding tubes. -Prepares EMS practitioners for the array of medical, mobility, psychosocial and communications issues found in older patients. -Students are guided through a series of scenarios involving increasingly complex symptoms and situations.   Lance Villers, PhD @LVillers villers@uthscsa.edu Keith Widmeier @MICUParamedic micuparamedic@gmail.com Wayne Burdette @WayneBurdetteJr Wayne.burdette@gwinnettecounty.com Tray Reynolds reynoldsta@juno.com   http://www.naemt.org/ AMSL and GEMS instructors will be eligible to become Advanced GEMS instructors after an online module and training!     Sponsored by the @PerfectCPR app designed to provide High Quality CPR Feedback Apple Watch App with Audio and Haptic Feedback to Optimize Cardiac Arrest Training and Improve Quality of CPR Delivery PerfectCPR.com     Message us on Twitter! www.twitter.com/EMS_Nation Like us on Facebook! www.facebook.com/prehospitalnation   Wishing everyone a safe tour! ~Faizan H. Arshad, MD @emscritcare www.emsnation.org  

En este episodio vemos cómo podemos prepararnos para los incidentes que están ocurriendo cada vez más frecuentemente en donde un tiroteo en masa deja múltiples víctimas en medio de una confusa escena insegura.

Quick Clip: Why you should join NAEMT by EMS1 Podcasts

En este episodio: Jorge Rembis Miranda MHA OMS DDS EMT-P Gustavo E. Flores, MD EMT-P Ernesto Aguilera Ceciliano EMT-P Miguel Ángel LunaDirector EREESCoordinador regional NAEMT en México