Practical EMS

My mission is to use the stories we all have in emergency medicine to encourage and uplift you where you are. EMT, Paramedic, nurse, PA, NP or physician. Emergency medicine is a very difficult specialty with unique challenges, and it calls us all to be better than the average person in order to stay healthy for our patients, our families and own mental wellness. I want to connect with EMS crews, fire crews, ER RN's, ER techs and new ER advanced practice providers to better understand their current struggles. I also want to bridge the gap between prehospital medicine and the emergency department and to encourage those seeking to become an advanced practice provider. Disclaimer: All Practical EMS content is opinion only. It is unaffiliated with any company or organization and does not represent any company or organization that Aaron currently works for or has worked for in the past. No content should be taken as medical advice.

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Jaksot(138)

101| Arriving first on scene | Big personalities taking over calls | Respect for the ambulance as our office | Fire crews riding in the ambulance | Transporting after reversing hypoglycemia or opiate OD

101| Arriving first on scene | Big personalities taking over calls | Respect for the ambulance as our office | Fire crews riding in the ambulance | Transporting after reversing hypoglycemia or opiate OD

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...

11 Touko 202531min

 100 | Fire vs ambulance on scenes | How can we get along | Trauma bonding  | How to work in EMS long-term | PTSD in EMS | Burnout vs moral injury | Covid affects on EMS

100 | Fire vs ambulance on scenes | How can we get along | Trauma bonding | How to work in EMS long-term | PTSD in EMS | Burnout vs moral injury | Covid affects on EMS

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 things Taking care ...

4 Touko 202535min

99 | Giving a good ER hand-off report | Unexpected retirement from the fire department | “What is the worst thing you have ever seen?” | Dealing with tragedy in the ER vs the field

99 | Giving a good ER hand-off report | Unexpected retirement from the fire department | “What is the worst thing you have ever seen?” | Dealing with tragedy in the ER vs the field

Our system has made access to EMS trained medical directors much easier, which is a huge benefit to the crews The EMS fellowship for MD’s tends to attract those that are interested in helping EMS beca...

27 Huhti 202527min

98 | Fire paramedics and medical director panel | Assessing capacity | Suicidal patients | Involving medical control

98 | Fire paramedics and medical director panel | Assessing capacity | Suicidal patients | Involving medical control

New panel: Fire officer/paramedic John, fire paramedic Jason, retired fire paramedic Terry and EMS medical director Kash How to determine capacity and how this differs from competency This becomes cr...

20 Huhti 202536min

97 | Drs. Sean and Adam | Difficult admissions | What admissions do and do not accomplish | Group culture | Obs vs in-patient status | How we can help the hospitalist from the ED

97 | Drs. Sean and Adam | Difficult admissions | What admissions do and do not accomplish | Group culture | Obs vs in-patient status | How we can help the hospitalist from the ED

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 hospital In the ED, we can probably do a better jo...

13 Huhti 202531min

96 | Drs. Sean and Adam | EM vs IM | Admitting the weak elderly patient | Workflow as a hospitalist | Consulting a hospitalist

96 | Drs. Sean and Adam | EM vs IM | Admitting the weak elderly patient | Workflow as a hospitalist | Consulting a hospitalist

EM and IM physicians don’t get a great insight into each other’s careers in medical school or in residency Do hospitalists like doing consults as opposed to just taking admission requests? Sean says, ...

6 Huhti 202535min

95 | Drs. Sean and Adam | Emergency medicine vs Internal Medicine | Mindset differences | Good storytelling | Advice on admission requests

95 | Drs. Sean and Adam | Emergency medicine vs Internal Medicine | Mindset differences | Good storytelling | Advice on admission requests

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 confli...

30 Maalis 202533min

94 | Eddie opens up about his deepest struggles in EMS | Retiring from EMS | Lossing partners | Advice for newbies

94 | Eddie opens up about his deepest struggles in EMS | Retiring from EMS | Lossing partners | Advice for newbies

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 do Those of us in EMS can und...

23 Maalis 202531min

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