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.
Practical EMS
103 | Sensitive hand-off reports | Paramedic role in the ED | Conflict on scenes | Remembering why you got into medicine in the first place
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 patient
Micah 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 ED
Being able to see the whole workup and outcome of the patient is a big benefit as well, working in the ED
I love it when the EMS crews come back and follow up on their patients, it’s a big way to help them improve and learn
We talk about interpersonal conflict on scenes
Casey tries to be as friendly as he can and learn everyone’s names
It’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 treated
I 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 agencies
At the end of the day, the patient can be affected when we have confrontational scenes so we should always be seeking to avoid this
Alex 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 well
Casey talks about how, years ago, the EMS crews had more time to stop by the fire stations and become more familiar with the fire crews
Casey talks about the power of edifying others in our field
Audrianna talks about a fire crew going above and beyond in the ED as well
We 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 room
Little things like this also help you feel better about your job too; they help you remember why you got into medicine in the first place
It does require you to look beyond yourself to see those opportunities
Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, Paramedics
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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.