EMS-to-Balloon (E2B) Challenge!
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Tom Bouthillet
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- Hilton Head Island
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- Firefighter/Paramedic
Last On: 3:12AM, 2 May 12
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Tom Bouthillet's Groups
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Chronicles of EMS
83 members
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EMS-to-Balloon (E2B) Cha…
6 members
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Cardiac Arrest Registry …
6 members
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IAFC EMS Section
67 members
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Stemi
49 members
Tom Bouthillet's Discussions
Don't upgrade to paramedics because you'll get fewer volunteers
10 Replies
While it seems to get the facts straight as to the difference between basics, intermediates and paramedics, I'm troubled by the underlying theme that an upgrade to paramedic service will be damaging…Continue
Started this discussion. Last reply by Skip Kirkwood Aug 26, 2011.
Ethics in EMS Education
53 Replies
A couple of thoughts after watching this presentation.1.) I would have expected more sophisticated responses from Harvard students. If these are the brightest students in the United States then it's…Continue
Started this discussion. Last reply by Skip Kirkwood Jul 12, 2011.
King LTS-D, ResQPod, Waveform Capnography, EZ-IO
31 Replies
If you have experience using the above captioned devices for cardiac arrest I have a couple of questions. 1.) Do you use a gastric tube in combination with the King LTS-D? If so, when and how do you…Continue
Tags: Waveform, Capnography, EZ-IO, ResQPOD, LTS-D
Started this discussion. Last reply by Paul Garcia Feb 6, 2011.
Crew Resource Management in EMS
31 Replies
Crew Resource Management is a constellation of procedures and techniques that help prevent errors (and optimize positive outcomes) by arming decision makers with enhanced situational awareness and…Continue
Tags: prevention, patient, safety, error, management
Started this discussion. Last reply by Randy Cadieux Feb 7, 2011.
Tom Bouthillet @ JEMS Connect
Latest Activity
Frank Cushing joined Tom Bouthillet's groupEMS-to-Balloon (E2B) Challenge!
The EMS-to-Balloon (E2B) Challenge! Companion group for the E2B listserv.
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"Assuming a patient who absolutely requires prehospital tracheal intubation in order to survive, I see no additional value in having a dozen paramedics on scene who are not proficient at the skill. You could say the same of heart surgeons who have…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"It does seem reasonable. The problem is that it doesn't work if your goal is to prevent errors or improve care. The exception is the employee who does not share the organization's values or is not operating in good faith. Even then, the…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?""Holding individuals accountable" is the favorite catch phrase of unenlightened management. In the vast majority of cases the problem is not the individual. Most EMTs and paramedics are not "ready" to handle life-threatening…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"One of the ways the English Wikipedia has solved the problem of infighting between editors has been establishing a code of conduct that includes civility (one of Wikipedia's "five pillars"). It helps promote an atmosphere of…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"The problem with poor initial education and training is that the provider never knows what it's like to be competent. So instead of:
Excellent initial education and training > provider is fully trained and competent > infrequent…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"Surely you will concede that there's a difference between "skill dilution" and "never had the skill in the first place". There's a place for worrying about skill dilution but I reject the idea that skill dilution is the…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"I think we first need to demonstrate that our paramedics have the skills in the first place before we speculate about skill dilution."
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"Do we really need an ED physician to treat hypoglycemia? We could train anyone to start an IV and push D50 but that's not the point. I believe that every EMS patient deserves to be evaluated by someone with the education, training and…"
Tom Bouthillet replied to Robert Valdora's discussion Cardiac Arrest. BLS or ALS job?"Exactly why I get frustrated with the "too many paramedics" debate. In my opinion, the more education and training the better! Now I know some of you are going to say, "But what about skill dilution?" to which I echo the comments…"
Tom Bouthillet replied to Nicole Reino's discussion EMS Ancestors"My grandfather on my mother's side came from a family of "bonesetters" in Co Cork, Ireland."
Tom Bouthillet replied to Nicole Reino's discussion EMS Apps"It's pricey but the Artemis app for iPad by eBroselow is absolutely amazing and should be required equipment on all ambulances! http://itunes.apple.com/us/app/artemis-ebroselowluten/id436045143?mt=8
The iPhone version is called SafeDose…"
Tom Bouthillet replied to James Ownbey's discussion TPA in EMS"Are you sure they're using alteplase? It's hard to administer. Reteplase is easier (was used in ER-TIMI-19) but most EMS systems use tenecteplase (TNK) now due to ease of administration. There have been many studies of prehospital…"
Profile Information
- Employer/Affiliation
- Firefighter/Paramedic
- Primary Agency/Department Type
- Paid Fire/EMS Department
- Primary Department/Agency Name
- Hilton Head Island Fire & Rescue
- Years in EMS/Public Safety
- 14
- About Me
- Captain / Paramedic with Hilton Head Island Fire & Rescue (STEMI and CARES Site Coordinator)
Editor-in-Chief of ems12lead.com
Columnist for EMS1.com
EMS Editorial Advisory Board for EMS World Magazine
Creator of the 12-Lead ECG Challenge smartphone app
Host of the Code STEMI Web Series with First Responders Network
- Relationship Status
- Single
Tom Bouthillet's Videos
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iPhonECG for iPhone 4
Added by Tom Bouthillet
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Comment Wall (21 comments)
- At 5:59pm on July 29, 2011,
Michael Lee Reisman Maj-Ret RNNP said… My you tube
To my brother and sister medics out there. It's worth a look see the darker side of contracting overseas. One still has to do what is right
Please I'd like feedback
Major Reisman Maj-Ret RN CS FNP
- At 9:23pm on June 18, 2011,
Nathan Stanaway said… I agree! There are so many greedy entities out there. Its crazy. haha controlled by foxes. Like, FOX news channel?
If you have time watch this video
http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/
follow it up with this one
http://www.pbs.org/wgbh/pages/frontline/sickaroundamerica/view/
both are excellent and very informative. Will blow out of the water the notion that we have the best healthcare system in the world.
btw. On a different note a friend of mine who is a clinical coordinator at a Fire/rescue Dept is getting the Rhinochill. I get to get in on the train the trainer session with the rep. Im stoked! Should be interesting.
- At 3:30pm on March 14, 2011,
Geoffrey Lassers said… - The WB is a beautiful place but you are so right about Orchard Lake Rd. I have seen cars disappear in those pot holes!!! jk! Its nice that Michigan's biggest Ferrari dealership is on the worst road around!
- At 12:55pm on February 9, 2011,
Noah James Lindley said… - Hey my name is Noah I was planning to take Hilton Heads test next month and was wondering what type of written do they give. Civil service? Fire team? Thanks for your time
- At 7:08pm on March 5, 2010,
Skip Kirkwood said… - Thanks, Tom. I'm sorry too that we didn't get to meet. I had to blast back to Raleigh to get ready to fly to Orlando for the CPSE meeting (the CFO/CMO commission - I'm a member). Probably more fun to stay at JEMS and see everybody. I'm proud to be a part of the Wake County EMS system - it's loaded with great people and it's got good support from the Board of County Commissioners, so we can do good stuff for the people!
Hope our paths cross sometime soon!
- At 10:52am on February 18, 2009,
Mark Rock said… - Tom,
Sorry for the belated reply. I didn't get it until today. I check my e-mail regularly but as of late haven't been checking my JEMS connect. As some have complained, some of the boards have been degenerating into Jerry Springerish type of slamfests, so I've been taking a break. Thank you for your comments. My hope is to make EMS a true profession, one in which the career-oriented can flourish without having to think about where they "really want to be", such as a police department, fire department, nursing school, etc.
Thanks again!!
- At 5:14pm on February 16, 2009,
Ken Westby said… - You seem like an awesome, knowledgable instructor. I'd be honored if I could add you on here. I've been a Paramedic for about seven months and have had to go way over my head to try to become better than the average medic in these parts. I'm hoping to get my critical care certification when I hit my first year. There are some 12 leads I would love to pick your brain about!
- At 10:01pm on February 2, 2009,
Katherine Fuchs said… - Hey Tom,
We have relatives in New Jersey and Philadelphia. That's about as far south as we go. You're right, the name isn't very common here. I'm told that it's pretty common in Germany, like Smith is here. Be well.
Kathy
- At 9:49am on February 2, 2009, Katherine Fuchs said…
- Hi Tom.
- At 12:12am on February 2, 2009,
Ben Waller said… - I got bored watching the Super Bowl...Pittsburgh wins again, yadda, yadda.
I had a bunch of invites for this one, but didn't join until I saw a couple of threads that interested me enough to respond.
How was the USAR class?
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