Like so many others, my first EMS experience was in private EMS. I began my career at a large--very large--private ambulance company that provides interfacility transports, private EMS, and 911 response for a large midwestern, city. The city in which I worked is poverty-stricken and segregated. I travelled from my nice suburban home to the city, spend 24 hours responding to calls, then leave for the safety and green lawns of the outskirts.
Private EMS is a unique amalgam of low…
Added by Street Level Paramedic on January 14, 2015 at 7:35am — No Comments
I originally began this blog post with an explanation of my education and training with regard to research. It began to sound like a rooster crowing, so I moved it to the end in favor of beginning with the most important part of my message.
And here it is:
If good science isn't used in conducting research, the results are meaningless.
There is a corollary to this rule:
Conclusions aren't more…Continue
Added by Street Level Paramedic on December 4, 2014 at 10:39pm — No Comments
That's right! You heard it correct - We buy, you fly!Continue
We're super excited to let everyone on JEMS Connect know that Trek Medics now has new volunteer positions open for field programs in…
Added by Trek Medics Intl on December 3, 2014 at 8:30pm — No Comments
Is diversity a good thing in public safety?
December 2, 2014
Diversity is defined as “The fact or quality of being diverse; difference; a point or respect in which things differ; variety or multiformity” according to The American…Continue
Added by Alan E Perry on December 2, 2014 at 10:23am — No Comments
Thanksgiving 2014 passed uneventfully (well, there was a house fire last night and the usual rush of medical calls, but basically uneventful). I can't say the same for Thanksgiving 2007, the day I went into cardiac arrest twice.
Thanksgiving 2007 was a day that began quietly. No work needed to be done. Nothing was on the schedule except the Green Bay Packer's football game and a ridiculously large meal surrounded by my family in Madison, Wisconsin. I missed both the game and…Continue
Added by Street Level Paramedic on November 28, 2014 at 1:58pm — No Comments
This time last week I realized how lucky we were that two providers were not seriously injured or killed in an accident. On Monday the 17th our service sustained an accident involving a unit on a call. We were responding to a possible injury accident in the early morning on a snow covered interstate. The call no administrator or supervisor ever wants is that you have a crash involving personnel. I was notified that we rolled a unit three times and that the crew was…Continue
Added by Dave Sloane on November 25, 2014 at 8:43am — No Comments
The only treatment for patients in cardiac arrest that is universally confirmed to be beneficial is high-quality CPR. Everything else we do for patients in cardiac arrest has controversy and doubt. Fluids? Pressors? Anti-dysrhythmics? Epinephrine? Stacked shocks? Three holes (bilateral needle decompression and pericardiocentesis for traumatic PNBs)? Everything else is grey, not black and white. High-quality CPR is what has the best chance of helping. As far as we…Continue
Added by Street Level Paramedic on November 22, 2014 at 9:20am — No Comments
One of the greatest honors I've ever received is a compliment from a man who doesn't know I ever heard it. I started as a paramedic in a different fire department, earning my chops there, before my current position. When I applied to and was offered a job in my current department, my new co-workers were still forming their opinions of me. One of them, and his wife, happened to know my previous lieutenant, and found themselves talking to him and my name came up in…Continue
Added by Street Level Paramedic on November 14, 2014 at 5:34pm — No Comments
I don't hate HIPPA, unlike some of my colleagues. True, there are some who take it to extremes. Also true, HIPPA can be a convenient means of firing someone you really don't want around but you don't have specific cause to fire them for other reasons. Sometimes, though, it's a very useful tool to help you just keep your mouth shut.
Patient story: Fat Bastard
Fat Bastard (name taken from the Austin Powers movies) was a 400+ pound jerk who required frequent…Continue
Added by Street Level Paramedic on November 6, 2014 at 9:45am — No Comments
The view from the ER is a bit different than the view from the street. I am convinced much of the conflict between paramedics and nurses originates from this fact. Social psychologists and people who like fancy phrases refer to something called "cognitive dissonance." Cognitive dissonance is the stress and internal turmoil someone feels when what they see something that conflicts with their internal values and beliefs. It creates a certain kind of blindness--an inability to see something…Continue
Added by Street Level Paramedic on November 6, 2014 at 9:06am — No Comments
Ebola. Yeah, I bet you rolled your eyes just now. I'm sick of hearing about it, too. In our midwestern state, in our upscale suburban county, the odds are....well it doesn't really matter what the odds are, does it? Our job is to be prepared.
Any time I'm thinking about preparing for the unlikely, I think about the United Airlines Flight 232 crash in Sioux City, Iowa in 1989. I went to graduate school in Des Moines in 1990 for my Master of Public Administration degree.…Continue
Added by Street Level Paramedic on November 5, 2014 at 8:17pm — No Comments
Added by Trisha Woody~Finley on November 4, 2014 at 3:44pm — No Comments
If you have a little grey in your hair, you might have understood the reference in the title of this blog post. For the rest of you, David Carradine had a career before Kill Bill, and one of my favorite televisions series was Kung Fu, which ran from 1972-1975. Carradine plays a Showlin monk, studying under a Kung Fu master, and he's told he'll be ready to leave the monestary and seek his destiny in the world when he can snatch the pebble from his master's outstretched…Continue
Added by Street Level Paramedic on October 31, 2014 at 8:00pm — No Comments
Mobile Integrated Healthcare and the EMS provider
By Alan Perry
The EMS Agenda for the Future identified the need for Emergency Medical Services (EMS) to seek a broader and more integrated role in the healthcare system. Many variations of that vision have been pursued successfully and are now known as…Continue
Added by Alan E Perry on September 24, 2014 at 12:59pm — No Comments
Added by Alan E Perry on September 5, 2014 at 6:33pm — No Comments
My new EMS Blog Site for providers, instructors, and managers.
Have you ever had a person ask you what you do, or how was your day? As much as an EMS provider would love to respond, oftentimes, we don’t. Why don’t we you ask? Because if you had, this might be what you would hear. I…
Added by Christopher G Graham on August 13, 2014 at 8:30pm — No Comments
Added by Alan E Perry on August 6, 2014 at 11:33am — No Comments
Be Physically Ready for Duty- Your Daily Fitness Checkoffs.
At the beginning of each and every shift firefighters, EMTs and medic meticulously go through and check their gear (or at least they should be) to make sure that it is ready for the challenges of the day. Our equipment must be functioning properly and our rigs must be fueled and ready to go. The question that I also want you to think about is whether or not your…
Added by Aaron Zamzow on August 4, 2014 at 11:21pm — No Comments
In the effort to redefine EMS delivery, organizations (both public and private) are rushing to hang out their shingle as ‘Community Paramedicine’ or ‘Mobile Integrated Health Care’ (MIHC) Providers.
The fact remains, that aside from a few pilot projects, there has been no compensation mechanism provided or identified for these services. One thing remains clear in the age of value driven care; there will be no compensation unless clear value can be demonstrated. So what are the…Continue
Added by Chris Carlson, PhD on August 1, 2014 at 12:19pm — No Comments