Episode 183 [Full] James Dahmer, Canadian Rescue Specialist Paramedic

In this episode of The Real ResQ, host Jason Quinn is joined by James Dahmer, rescue medic.  Dahmer shares his background and talks about how he got into search-and-rescue (SAR). He also recounts some of his most memorable rescues, including a fatal resuscitation in the Tantalus Range, and a rescue where he had to perform CPR on a longline.  This conversation highlights the challenges and rewards of SAR work in treacherous mountain environments. They discuss various incidents and challenges Dahmer has faced in his many rescue roles. These stories include a flight to rescue a patient in cold weather, the use of intraosseous (IO) and intravenous (IV) access, preventing IV from freezing in extreme temperatures, a large dockyard fire, a severe half torso laceration, and a major concussion case.  In this conversation, Dahmer shares his experiences and insights as a paramedic, hoist rescue specialist, ropes rescue technician, and ski patrol member. He emphasizes the importance of understanding the context and psychology of patients in pre-hospital medicine. Dahmer also discusses the challenges and creativity required in rope rescues and the physical demands of high-stress situations. He highlights the value of training and mentoring in the field, plus the need to pass on knowledge to the next generation and share stories in the SAR community. Enjoy!   This episode is powered by Vertical HeliCASTS. Thank you for sponsoring this episode of The Real ResQ: Breeze-Eastern and AEM. Follow The Real ResQ on Facebook and Instagram and listen on Vertical HeliCASTS. Plus, get your podcast gear at therealresqstore.com.   00:00 Introduction and Background 02:52 James' Journey into Search and Rescue 09:43 James' First Rescue 28:49 Resuscitation on a Long Line 33:19 Flight to the South 36:12 CPR Basics in Cold Weather 39:37 Intraosseous (IO) and IV Access 42:29 Preventing IV Freezing 46:32 Squamish Dockyard Fire 52:12 Half Torso Laceration 59:25 Major Concussion 01:01:50 Treating Hypothermia and Stroke Symptoms 01:04:07 Helicopter Rescue and Landing 01:05:27 Recovery and Gratitude 01:06:43 The Importance of Recognition 01:07:09 The Role of Mentors and Training 01:09:29 The Practice of Medicine and Trying New Techniques 01:11:59 Realistic Training and Pushing Boundaries 01:14:18 The Balancing Act of Risk and Rescue 01:15:30 The Limitations of Helicopter Rescue 01:19:22 Progressive Training and Building Skills 01:25:19 The Loneliness of Air Operations 01:27:22 The Speed and Efficiency of Helicopter Rescue 01:30:03 The Challenges of Helicopter Rescue in Canada 01:35:16 Triple Fatality at Shannon Falls 01:41:00 The Importance of Context and Psychology in Pre-hospital Medicine 01:43:18 The Challenges of Rope Rescue and the Need for Creativity 01:49:25 The Intensity and Physical Demands of High-Stress Rescues 01:56:40 The Value of Training and Mentoring 02:01:41 The Jelly Newton Piñata and the Importance of Sharing Stories 02:08:38 Train Your Replacement and Be a Genuine Mentor