MedicCast Audio Podcast for EMT Paramedics and EMS Students

Off load delay nurses, ambulances reborn, mass casualty from the hospital's point of view, and we're going to take a look at serotonin syndrome with a revisit with our good friend Lisa Booze from the Maryland Poison Center. All that and more in this week's episode of the MedicCast. MedicCast Episode 296 Welcome to this week's episode of the MedicCast. I'm your host Jamie Davis, the Podmedic and I'd like to welcome you to the program this week. We've got a lot of good stuff, some great news items and our Tip of the Week segment where we'll be getting back together with Lisa Booze from the Maryland Poison Center to talk about something called serotonin syndrome. Something a lot of us know not a lot about, including nurses and physicians. We'll be filling you in on that with some help from Lisa later on in this episode after the news. In the meantime, I will remind you to go over to the MedicCast blog and check out all the links to the news articles and additional resource information you'll find there in the show notes link at the top of the page at MedicCast.com/blog (http://mediccast.com/blog). Click that link and it'll take you back and show you all the most recent episodes. Scroll down and go back in time all the way back to episode one of the MedicCast if you'd like so you can follow up on any information in the episode there. I also want to make sure you know you can get back in touch with me by e-mail send those e-mails into podmedic@mac.com (mailto:podmedic@mac.com). If you have a question or a comment, a suggestion or perhaps a link to a news article you'd like me to check out, I love getting those things, send them in to me and I will get back to you. I always try to return every single e-mail that comes in so keep those e-mails coming. There will be some other contact information later on this episode but in the meantime before getting to the news, I would remind you we are going to be at EMS World Expo coming up in the end of October in New Orleans (http://emsworldexpo.com). If you're in that area and you are planning on going to the Expo, make sure you come by our booth in the exhibit hall area. There'll be a place for you to sit down nearby in the social media lounge. You can sit there check out our live shows in the podcast studio next door and get something to eat. Just sit down, relax, use the free Wi-Fi and hang out with myself and the other podcasters from the ProMed network. (http://www.mediccast.com/blog/wp-content/uploads/2012/08/PC-border-cmyk-150x150.jpg)We do want to thank Physio-Control (http://facebook.com/physiocontrolinc) for being the sponsor of our podcast studio all three days there. If you haven't already done so, check out their page over on Facebook. You can do that and the say thanks to them for sponsoring our shows. Also, use the Promo Code FP50 at EMSWorldExpo.com when you check out to get free exhibit hall access passes for the conference. ER Off-Load Delay Nurses You know, you can say what you like about the U. S. medical system and other countries' socialized medicine is good or bad. I'm not going to have that argument with you here. But, I do like the fact that EMS is part of their healthcare services and are included in decision-making on how healthcare is provided in those areas. In our system, EMS gets under-recognized or unrecognized in looking at how to make the system better. In this article from Canada, they are looking at the city of Greater Sudbury and the fact that they have ambulances stacking up in their emergency department (http://www.northernlife.ca/news/localNews/2012/08/11-ambulance-delays.aspx). Old Ambo into Simulator (http://www.mediccast.com/blog/wp-content/uploads/2012/08/BackofAmbulance_sm1-150x150.jpg)In Daleville Virginia they have taken an old ambulance that was going to go out to pasture and get scrapped for the parts in scrap metal or whatever and they found a way to revitalize it and turn it into a useful training tool

Call volume up, population down, rural EMS - we need you, and we'll take a look at gun toting medics plus we'll also revisit atrial fibrillation. All that and more on this week's episode of the MedicCast. MedicCast Episode 295 Good day and welcome to this week’s episode of the MedicCast with your host Jamie Davis, the Podmedic. We have some great stuff, including some interesting articles in this week's news items but before that I do want to remind you to check back here often at the main website of the MedicCast, mediccast.com/blog (http://mediccast.com/blog). Right there at the top of the page under the heading show notes you just click that link and it'll take you right to the first of the show notes pages and you can scroll down and go back in time to find all the episodes, all the way back to episode one. There's going to be some more contact information for me coming up later in the show but I will remind you that you can catch me by e-mail at podmedic@Mac.com (mailto:podmedic@mac.com)and I will get back to you within 24 hours or so. If you have a comment or question, suggestion or news link, I'll let you know I got you information and send you a reply. Without further ado, we'll get into the news in just a sec. Population down, call volume up (http://www.mediccast.com/blog/wp-content/uploads/2012/08/Caring-for-Husband_sm-150x141.jpg)Starting off this weeks news items is an article I found out of Springfield Ohio (http://www.springfieldnewssun.com/news/news/local/ems-runs-up-even-as-population-declines/nP5d2/). It's from the Springfield News-Sun and this newspaper article is looking at the situation whereby their population has decreased in the city of Springfield Ohio by 4700 residents according the most recent census data in the last 10 years and yet their call volume for their EMS ambulance calls have gone up. What is the cause of that? I think that, interestingly enough, this is something that is being questioned by a lot of agencies and organizations around the country and I think that this is something you're going to find in your area as well.   Rural EMT Shortage and Recruitment Meanwhile in Sioux Falls South Dakota, call volume is increasing (http://www.keloland.com/News/NewsDetail6373.cfm?Id=134938) but the volunteers that they have available to run their volunteer ambo service is going down. Those numbers are going down for them and why are these numbers decreasing? They're putting out a call to let people know, "if we have to close the doors and we have to cease ambulance service or only provide part-time ambulance service then the nearest ambulance we're going to get is over half an hour away." This is a good example of educating your public about how your system works and what your needs are. These types of articles are all over the place in rural areas and it's a good example of how you can publicize and provide information to your community about what it is that your EMS service does.   Gun Toting EMTs Finally, I just have a single question for you. How many of you out there carry a gun when you go to work (http://www.news24.com/SouthAfrica/News/Western-Cape-EMS-Medics-shouldnt-use-guns-20120730)? It's certainly unusual here where I live. I don't know of any EMS providers around my area that carry a firearm at work, although maybe they are and I just don't know. But in Cape Town, South Africa, they're looking at their emergency medical services in the Western Cape region and many of them carry guns, firearms to work. The leaders are saying there is not a good reason to be armed on the job as an EMT. Even though their job is a dangerous one, EMT's who carry firearms at work, according to this article, are asking for more trouble from the gun itself being present than as a deterrent or protection from any trouble —————————- Atrial Fibrillation Review Coming up next here on the MedicCast, we're going to jump in and revisit a second tip we've done in the past. But, heck,

Ambulances versus pedestrians, ambulances and mass casualty incidents, and ambulances and research, plus we're going to take a look and revisit some information on heat related emergencies. If that's what you're looking for you found  it right here on ...

Minnesota medics, EMS drug shortages and takeovers and we've got another special interview segment from EMS today 2012, if that’s what you’re looking for, you found it right here on the MedicCast. First Licensed Community Paramedics We'll kickoff the news this week with a segment from Minnesota. In Hennepin County, Minnesota, they are starting a new program with community paramedics, creating the first licensed community paramedics in the country (http://www.kare11.com/news/article/983511/396/Minnesota-first-in-nation-to-certify-community-paramedics). We've talked about community paramedics in the past, talking with Chris Montera and his ground-breaking program out of Western Eagle County, Colorado. We also talked with Gary Wingrove and about the formation and goals of the International Roundtable for Community Paramedicine. Find our other community paramedic episodes on the MedicCast here (http://www.mediccast.com/blog/?s=community+paramedic). EMS Drug Shortages (http://www.mediccast.com/blog/wp-content/uploads/2012/07/Ambulance_lights_sm-150x141.jpg)In the next article from North Carolina, they're talking about EMS medication shortages (http://www.dailytidings.com/apps/pbcs.dll/article?AID=/20120716/NEWS02/207160306/-1/NEWSMAP). These are drug shortages hospitals and EMS agencies are seeing all over the country and I know we are experiencing them here in Maryland. One of the issues we have is trying to find ways to either replace the drugs we have with an alternative medication. While this article points out there is a Fentanyl shortage, Maryland uses morphine for primary pain management and we are substituting Fentanyl for Morphine because of Morphine shortages. In North Carolina, according to this article, paramedics are administering medications that are recently expired in order to provide some care for their patients. EMS Agencies Taken Over In the final article this week, we are seeing quite a few agencies providing EMS services closing their doors, especially in rural environments with low call volumes. In the face of rising fuel prices and other challenges, they were struggling to remain open without the volume to give them a consistent billing resource or profitability to maintain the ambulances. So a lot of communities are struggling with this and in many cases County agencies or local municipalities are taking over the duties to fulfill the needs of these communities. In Johnston County, North Carolina, three EMS agencies were taken over by the county (http://www.theherald-nc.com/2012/07/14/23682/county-takes-over-3-ems-agencies.html), although not without some bumps in the road. Taking over EMS operations is never easy, not even when the crews and vehicles just switch patches and logos. It can be more challenging when one of the agencies is unable to simply turn over capital assets. —————————- Pat Songer Innovates Rural Critical Care Our colleague Chris Montera from the EMS Garage joins us this week as the host of another interview from the EMS 10 Awards at EMS Today 2012 back in March. Pat Songer is the Director of EMS at Humboldt General Hospital in Winnemucca, Nevada (http://www.hghospital.ws/). Pat's innovative management of a rural EMS system that strives to provide care most often associated with larger metropolitan areas. Pat Songer and his team achieved its five-year goal of establishing a critical care paramedic ground system. Over the past five years, Pat has kept to a strict schedule of improvements that has included major ambulance and equipment upgrades and dedicated staff training. As a result, patient transport times have been reduced to an average of two hours, 15 minutes by ground or ground/air combinations, compared to an average of three hours, 30 minutes by helicopter. The hospital’s transport costs have dropped from $7.8 million to $1.4 million a year. Contact the MedicCast Take a look at these articles. You can find these links at the MedicCast site (MedicCast.

Charging drunks, cardiac kudos, exhausted Aussies and were going to take a look at another special interview segment from EMS today 2012 with their EMS 10 award winners, if that's what you're looking for, you found it right here on the MedicCast. Drunk...

The opportunities presented when you attend an emergency medical services conference like EMS Today often include surprises like the resources you find out about that help you forward your career and skills. The U.S. Fire Academy run by FEMA is a resource for high level educational classes aimed at EMS professionals looking for ways to improve their management skills. In this episode, host Jamie Davis, the Podmedic stops by the USFA booth and finds out more about the management level EMS courses offered by the federal government in support of EMS providers and managers. Topics offered this year include: * Emergency Medical Services: Incident Operations * Management of Emergency Medical Services * Emergency Medical Services: Special Operations * Advanced Safety Operations and Management * EMS: Quality Management * Advanced Leadership Issues in Emergency Medical Services * Advanced Safety Operations and Management * EMS: Incident Operations Check out all of the resources at the U.S. Fire Academy website (http://www.usfa.fema.gov). EMS Today (http://emstoday.com/) is one of the top health and medical conferences out there and focuses on emergency care and emergency medical services. A special thank you to JEMS.com (http://jems.com/) and Elsevier for inviting us to join them and cover the show in person. Subscribe to the MedicCast TV Short Segments: (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-tv-short-segments/id377034277) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20TV%20Commentary=http://www.mediccast.com/blog/feed/weekly-tv-commentary/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/weekly-tv-commentary/) Also, make sure you support out podcast sponsor, BEARiatrics.com. BEARiatrics have created a simple add-on to any cot to create a safe and secure ambulance transportation device. Check out the impressive list of system and patient testimonials about the B.E.A.R. at BEARiatrics.com (http://beariatrics.com/).

MedicCast Episode 291 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://www.mediccast.com/blog/category/podcasts/) (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) —- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid) ————————– Panel Discussion on Community Paramedicine After a year and a half, I thought it was time for a progress update on community paramedicine programs. While at EMS Today 2012, I asked Anne Robinson (Caring Anne Consulting (http://twitter.com/caringanne)), Chris Montera (EMSGarage.com (http://EMSGarage.com)), and Gary Wingrove (IRCP.info (http://ircp.info)) to join me and share recent milestones in the development of community paramedicine programs around the country and the world. Anne, Chris and Gary talk about how programs are slowly moving forward as agencies, health care systems, and insurance companies slowly discover ways to pay for the programs. It is frustrating because the jurisdictions that are implementing these programs are seeing evidence of real cost savings for patient care and most importantly, better patient outcomes. Recently, Anne and Chris visited with major Nursing Organization representatives to explain the program and how it interrelates with home health nursing programs in the same area if those programs exist for underserved populations. Ultimately, Gary points out that each system must develop their own version of community paramedic based on the unique needs of health systems in their areas. The IRCP conference will be held in Vancouver, B.C. this year in June. You can find out how to register to attend for free at IRCP.info (http://ircp.info). Also, follow up on the 2010 IRCP conference held in Vail, Colorado by checking out the segments MedicCast recorded there at Blip.tv/ircp (http://Blip.tv/ircp). If you want to catch the first episode in the series, check out our initial segment on Community Paramedicine (http://www.mediccast.com/blog/2010/08/01/community-paramedicine/). ——– Sponsored by EMS Today (http://emstoday.com) and BEARiatrics.com (http://beariatrics.com) and by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly —————————- Contact Me! Call the Voice Mail Line — (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) ————————– Until next time,

MedicCast Episode 290 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://www.mediccast.com/blog/category/podcasts/) (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) —- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid) ————————– Interview with Code STEMI Creators Code STEMI, the exciting new web series from EMS12Lead.com's (http://ems12lead.com) Tom Bouthillet and Ted Setla from FirstRespondersNetwork.com (http://FirstRespondersNetwork.com) is one of the most powerful new programs on EMS, Cardiac Care, and the importance of systems improvement. The series goes into systems that are actively improving cardiac care through system-wide improvements and tells stories of cardiac survivors from the viewpoints of the patients, their families, and the caregivers along the way. The first episode premiered at EMS Today 2012 (http://emstoday.com) in Baltimore a few weeks ago by special arrangement with Physio-Control to a standing room only crowd and the buzz after the episode finished was positive. Many expressed their excitement and anticipation for future episodes to be released every two weeks at CodeSTEMI.tv (http://codestemi.tv). Check out this interview with both Tom and Ted as they chat with Jamie Davis, the Podmedic about the evolution of the program from start to the premier at EMS Today. Watch the first episode of Code STEMI here (http://www.codestemi.tv/). ——– Sponsored by EMS Today (http://emstoday.com) and BEARiatrics.com (http://beariatrics.com) and by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly —————————- Contact Me! Call the Voice Mail Line — (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) ————————– Until next time, Scene safety, BSI! (http://i.creativecommons.org/l/by-nc-nd/3.0/us/88x31.png) This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/).

MedicCast Episode 289 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) —- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid) ————————– News— Prescription Drug Abuse Is an 'Epidemic,' CDC Declares (http://www.webmd.com/pain-management/news/20111101/40-us-deaths-a-day-from-prescription-painkillers) Missing boy found near the blasting area of quarry, after missing for 6 days in the woods (http://www.wtvr.com/news/wtvr-child-discovered-paramedic,0,5691614.story) Man dies after trying to remove pacemaker (http://articles.chicagotribune.com/2011-11-01/news/chi-man-dies-after-trying-to-remove-his-own-pacemaker-20111101_1_heart-pacemaker-chest-group-home) ——————– Tip This Week – Pain Management Nurse Interview In this episode of the MedicCast, host Jamie Davis covers this weeks' emergency medical services related news items and then turns to an interview segment with Pain Management Nurse Esther Bernhofer from the Cleveland Clinic. Esther shares a program that teaches pain management techniques and best practices to nurses throughout her facility so that patients in all areas can have nurse advocates to manage their pain. You can find more video segments like this one at http://mediccast.tv (http://mediccast.tv/) Pain Management Nurse Panel On Why Nurses Make the Best Patient Pain Champions (http://mediccast.com/nursingnotes/2011/10/nurses-make-the-best-patient-pain-champions/) Cleveland Clinic on Pain Management (http://my.clevelandclinic.org/anesthesia/pain_management/default.aspx) MedicCast Episode on Physiology of Pain Part 1 (http://www.mediccast.com/blog/2011/10/31/physiology-of-pain-part-1-and-episode-286-of-the-mediccast/) and Part 2 (http://www.mediccast.com/blog/2011/11/07/physiology-of-pain-part-2-and-episode-287-of-the-mediccast/). ——– Sponsored by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly —————————- Contact Me! Call the Voice Mail Line — (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) ————————– Until next time, Scene safety, BSI! (http://i.creativecommons.org/l/by-nc-nd/3.0/us/88x31.png) This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License

MedicCast Episode 288 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) —- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid) ————————– News— EMS Prepare Superbowl Evacuation Plans (http://www.theindychannel.com/news/29608123/detail.html) National EMS Academy Pass Rates Continue to Exceed Average National Pass Rates (http://www.sfgate.com/cgi-bin/article.cgi?f=/g/a/2011/10/26/prweb8911709.DTL) Take BP pills at night to cut heart risk, study finds (http://vitals.msnbc.msn.com/_news/2011/10/25/8480717-take-bp-pills-at-night-to-cut-heart-risk-study-finds) ——————– Tip This Week – Military Medic to EMTP Program (Interview Segment) Military medics are emergency care providers in the battlefield. Most of their training are focused mainly on trauma care and providing measures to sustain the life of the injured until they are transported to a medical facility. Though constantly trained, their program is different from that of the paramedics in the civilian side of things. So if a military medic decides to get a certification as a civilian medic, would his experiences in the field as a military medic bear weight when he steps in the civilian setting where there is a vast array of cases or situations responders face? Listen in on this episode and follow the provided links to learn more about military field medics, their training and the program they can avail of to get a civilian paramedic certification. Lansing Community College Page (http://www.lcc.edu/) MedicCast episode on US Army Field Medics  (http://www.mediccast.com/blog/2010/04/18/us-army-medics-episode-215/) ——– Sponsored by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly —————————- Contact Me! Call the Voice Mail Line — (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) ————————– Until next time, Scene safety, BSI! (http://i.creativecommons.org/l/by-nc-nd/3.0/us/88x31.png) This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/).

MedicCast Episode 287 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) —- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid) ————————– News— Cleveland EMT Survives Electric Shock from MVA Rescue  (http://www.texas-fire.com/2011/10/cleveland-emt-endures-a-shocking-experience/) Rural Oklahoma Ambulance Services Suffering Financially  (http://newsok.com/article/3617565) Houston Private EMS Medicare Fraud Must End (http://www.chron.com/opinion/editorials/article/Medicare-fraud-must-end-2228816.php) ——————– Tip This Week – Physiology of Pain, Part 2 Every day, emergency medical services professionals around the world encounter patients in pain. How that pain is managed is still up to debate in some systems and under many protocols. Paramedics are at the forefront of care and the first point of care for many patients and yet they are often unable or unwilling to use major pain management drugs in the field to treat their patients. Following upon last week's part 1 of our physiology of pain segment,this week features part two of that episode to give EMS providers a better understanding of how pain works and how to better manage pain for our patients. Follow the links provided below for a more in-depth understanding of pain and pain management. American Society for Pain Management Nursing (ASPMN) (http://www.aspmn.org/) “Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research” Consensus Report From IOM (http://www.iom.edu/Reports/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research.aspx) “The Center of Pain and Policy” from the Center for Practical Bioethics (http://practicalbioethics.org/initiative/pain-policy/balanced-pain-policy-initiative/the-center-and-pain-policy/) ——– Sponsored by the MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly —————————- Contact Me! Call the Voice Mail Line — (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) ————————– Until next time, Scene safety, BSI! (http://i.creativecommons.org/l/by-nc-nd/3.0/us/88x31.png) This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License

MedicCast Episode 286 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). ---- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://mediccast.com/blog/feed/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) ---- Subscribe to the Video Podcast Studio Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Video Podcast (http://mediccast.com/blog/feed/studio-vid)   Link for NSW EMS (http://www.ambulance.nsw.gov.au/newsletters/spring11/##) from Greg Adams See more including some footage from the show (http://ten.com.au/recruitsparamedics.htm) ————————– News— Medicaid and Medicare vs Budget Cuts (http://www.reuters.com/article/2011/10/04/us-usa-debt-healthcare-lobbying-idUSTRE7930LQ20111004) Stroke and Atrial Fibrillation Cardiac Care (http://www.medicalnewstoday.com/releases/235327.php) Transient Ischemic Attacks (TIA) and Risk for Stroke (http://www.medicalnewstoday.com/releases/235327.php) ——————– Tip This Week - Physiology of Pain, Part 1 Every day, emergency medical services professionals around the world encounter patients in pain. How that pain is managed is still up to debate in some systems and under many protocols. Paramedics are at the forefront of care and the first point of care for many patients and yet they are often unable or unwilling to use major pain management drugs in the field to treat their patients. This episode will look in to the way pain works, current understanding of the physiology of pain and its effects on health and healing in our patients. Even the most basic pain management skills, when used aggressively to treat acute pain, will have a positive affect on helping our patients in the long run on the road to recovery. Follow this two part series here on the MedicCast for EMTs and paramedics on understanding pain and pain management in the emergency services field. -------- Sponsored by the MedicCast Extra (../../amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly ---------------------------- Contact Me! Call the Voice Mail Line -- (941) 306-3342 email me at podmedic@mac.com (mailto:podmedic@mac.com) -------------------------- Until next time, Scene safety, BSI! (http://i.creativecommons.org/l/by-nc-nd/3.0/us/88x31.png) This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/).

MedicCast Episode 284 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://www.mediccast.com/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://www.mediccast.com/feed/) (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) Subscribe to the Podcast Studio Video Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://www.mediccast.com/feed/studio-vid) ————————– This Week: EMS World Expo 2011 Finale part 2 This week's episode is the second segment of the two-part finale episode of the EMS World Expo 2011 in Las Vegas. Chris Montera is joined by Anne Robinson in interviewing special guests and first up is Mike Touchstone of the Philadelphia Fire Department and NEMSMA and they talk about International Paramedic, a paper on where EMS would be and what it would be like in the future and a broader view of the EMS system. Next on the list was Scott Cravens and he shares his experiences from this year's expo particularly the crowd, vendors, products and improvements from last year's expo. Jamie Davis joins in on the discussion and they also touch on the integration of social media to put the EMS community together and get everyone updated through each individual's participation and a short peek of what to be expected in next year's expo in New Orleans. To finish it all up, Anne, Chris and Jamie took a minute to thank all the sponsors and individuals that made the expo coverage possible- the American College of Emergency Physicians (http://www.acep.org/), the Medtronic Foundation's HeartRescue Project (http://www.medtronic.com/heartrescueproject/heartrescue.html), the Sudden Cardiac Arrest Foundation (http://www.sca-aware.org/). Studio sponsors PhysioControl (http://www.physio-control.com/), Zoll (http://www.zoll.com), Chesapeake Health Education Program (CHEP) (http://www.chepinc.org/), Road ID (http://www.roadid.com/Common/default.aspx), and NAEMT (http://www.naemt.org/). Listen to Part 1 of the EMS World Expo Finale here. (http://www.mediccast.com/blog/2011/09/25/ems-world-expo-2011-finale-part-1-and-episode-283/) ——– Sponsored by: Special episode sponsorship by Zoll.com, provider of innovative products for EMS. Save more people and do more for your patients with Zoll medical products (http://www.zoll.com/). The MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly GetTurboMedic.com (http://getturbomedic.com/) for EMS study and test preparation tools and software. Boost your test-taking confidence with Turbo Medic. and EMSWrench.

MedicCast Episode 283 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (../../feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (../../feed/) (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) Subscribe to the Podcast Studio Video Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (../../feed/studio-vid) ————————– This Week: EMS World Expo 2011 Finale part 1 On this week's MedicCast, the podmedic presents the first part of the wrap up episode from EMS World Expo 2011 in Las Vegas. He is joined by Chris Montera and some of the fellow podcasters from the ProMed Network and they present their product picks for this year and have a discussion on some of the issues that were talked about during the expo. For starters, Natalie Quebodeaux and Jon Cloutier, EMS Marketing Manager for Zoll present a new product called the CPR Dashboard. This product gives the provider real-time CPR compression feed back. It also monitors the depth and rate of compressions and a self-correcting feature that tells the provider whether there is the need to increase pressure or up the pace of compressions. It also has a feature that shows if the CPR is effective and delivers adequate cardiac perfusion. All data are recorded and can be downloaded to another database. Jon also said that Zoll currently has a new product on STEMI management that can transfer ECGs from any device that connects to the internet and those readings can be sent in to any hospital that has internet access. The best part about this? It's free! Next up was Scott Kier with Todd McKinney from IntuBrite. Their product is a light source and ergonomic package for intubating. The major innovation of this product is the use of 2 LEDs that gives off more light and better anatomical view of the airway. The design also gives a good grip and encourages proper positioning into the airway. Dr. Ben Bobrow from the Sudden Cardiac Arrest Foundation came up next and shared his thoughts on the system, public awareness of sudden cardiac arrest and the importance of a system-wide approach to recognition and treatment starting with community based CPR training, Emergency Medical Services system improvements, individual EMT and paramedic code management training, and close integration with hospital based cardiac care services. Chris Montera went ahead and presented his product pick which was the Ferno EZ Glide stair chair. This stair chair can move up a 500 lb patient on a flight of stairs with a push of a button. This can also be used on flat surfaces as well as steep inclinations. It also has IV poles and oxygen cylinder holders for convenience. Natalie Quebodeaux followed with her product pick IPCR. This is an electronic patient care reporting system for iPad which helps eliminate redundant PCR paperwork. With this, you can make copies with one click and it auto-fills which saves time for the provider.

MedicCast Episode 282 The MedicCast is a proud member of the ProMed Podcast Network (http://promednetwork.com/). —- MP3 Audio Podcast (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-audio-podcast-for/id165682697#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20EMS%20Podcast=http://www.mediccast.com/blog/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://www.mediccast.com/feed/podcast/) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Blog (http://www.mediccast.com/feed/) (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeTwitter.png)Twitter (http://twitter.com/podmedic) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeFacebook.png)Facebook (http://www.facebook.com/pages/Rising-Sun-MD/MedicCast/131339020711) Subscribe to the Podcast Studio Video Version (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeItunes.png)iTunes (http://itunes.apple.com/us/podcast/mediccast-ems-studio-video/id386254289#) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeZune.png)Zune (zune://subscribe/?MedicCast%20Studio%20Video=http://www.mediccast.com/blog/feed/studio-vid) | (http://d8nza2yu92e2a.cloudfront.net/mediccast_images/SubscribeRSS.png)Podcast (http://www.mediccast.com/feed/studio-vid) ————————– This Week: EMS Bariatric Patient Care Concerns On this episode of the MedicCast, host Jamie Davis, the Podmedic is joined by a panel of paramedics attending EMS World Expo 2011 in Las Vegas, Nevada to discuss concerns about bariatric patient care and emergency medical services systems. This video and audio episode was recorded LIVE on day 2 in the Medtronic Foundation Heart Rescue Project sponsored ProMed Network podcast studio from the exhibit hall. Bruce Latourelle from episode sponsor BEARiatrics.com comes on at the beginning of the show to share the features of his company's Bariatric Equalizing Abdominal Restraint. The device can be added to any cot to enable safer and more secure transport of obese patients by securing the abdominal mass mid-line so there are no sudden shifts in the mass that could destabilize or unbalance the cot. Rated up to 1,500 pounds, the device can be used on conventional cots to enable better fit without calling for another bariatric device. Find out more at BEARiatrics.com. Jamie is also joined by ProMed Executive Producer and health care consulting nurse Anne Robinson (CaringAnne.com), paramedic Jim Hoffman, developer of the Turbo Medic EMT and Paramedic study software (GetTurboMedic.com) and host of the EMS Office Hours podcast, and Tom Bouthillet, editor in chief at EMS12Lead.com and Wes Ogilvie paramedic and attorney. They continue the discussion about bariatric patient care especially a focus on understanding patient concerns and providing high quality rapid response and transport despite the patient's size and physiologic challenges. -------- Sponsored by: Special sponsorship by BEARiatrics.com (http://beariatrics.com), the abdominal mass support restraint that allows up to 90% of bariatric patients to be transported on standard EMS cots. Save thousands and serve your bariatric patients better with the B.E.A.R. (bariatric equalizing abdominal restraint). The MedicCast Extra (http://www.mediccast.com/amember/signup.php),and MedicCast Store (http://store.mediccast.com/) Extra Content for MedicCast Listeners for less than $1 per day (via monthly subscription) * NREMT Study and Prep Tips * All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files * Special iTunes Podcast Feed for Members – Get the segments as a podcast * Extra Members-Only content added monthly GetTurboMedic.com (http://getturbomedic.com/) for EMS study and test preparation tools and software.