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**This podcast is not meant to change YOUR current practice, only your medical director can do that! …but nothing says you can’t try to convince them 
– KDB**
“Whoa! Look at that mechanism of Injury! Hope they C-spined her!”
A common EMS practice that goes back to the days of Johnny and Roy is that of spinal immobilization…er…ah…spinal motion restriction I am now told. However this skill, which we have spent countless hours learning and practicing is starting to fall out of favor? Why is that? Well, simply put the research says that a) it may not be effective and b) it may actually be harmful. Get that? Harmful!
Join Dr. Laurie Romig, Tim Noonan, Russell Stine, Bob Lutz, Kyle David Bates, and Kelly Grayson as they reference an article written by Kelly regarding spinal immob…oops, spinal motion restriction.
Learning Objectives for this episode:
The Listener will be able to:
- Discuss the reasonings behind the changes to spinal immobilization
Tags: ambulance, education, EMS, EMT, extrication, Golden Hour, Head injury, KED, mechanism of injury, medical, MOI, MVC, paramedic, patient, pediatrics, research, training
Category Care |
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Recently Santa’s Toy Shop was the target of a terrorist attack perpetrated by Mayor Burgermeister Meisterburger and Hermie, the disgruntled dentist. Unfortunately we lost some reindeer, elves, and others but will Christmas still come?
Join Robert Raheb, Rick Russotti, Scott Kier as they discuss the serious sides of first few moments of a response to a terrorist attack using this parody.
Have a Merry Christmas and Happy Holidays to all!
Category Uncategorized |
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No Really! Would you be able to handle 240 zombies at a football stadium? Well Delaware County, Ohio found out this past October when they held a disaster drill in which people were turned into, well, um…zombies! But it is not completely their fault…the CDC started it all.
We also discuss a more traditional disaster drill but on a geographically larger scale as well as a one that deals with public preparedness. Which is better? Which is more effective? Which is more fun?
Join Assistant Chief Mike Schuiling from Delaware County EMS, Brain Galligher of Delaware County Office of Homeland Security and Emergency Management, Steve Murphy, Jeremiah Bush, and Kyle David Bates as we talk about disaster preparedness evaluation.
Tags: ambulance, CDC, disaster, education, EMS, EMT, environmental illness, extrication, hazardous materials, health, ICS, IMS, JumpSTART, medical, medicine, NIMS, paramedic, patient, safety, training, triage
Category Management, Triage |
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On July 22, 2011 life in Norway changed forever when a bomb rocked Oslo killing 8 and then followed by a mass shooting on the island of Utøya in Tyrifjorden, Buskerud killing 69 attendees, children.
Join Steve Murphy, Tim Noonan, William Random ward, Chris Montera, and Kyle David Bates as they discuss this event with Ronald Rolfsen from Oslo University Hospital in Norway.
Learning Objectives
At the completion of the podcast the listener will be able to:
- Discuss response to a potential terrorist attack.
- Discuss safety concerns when responding to a potential terrorist attack.
Tags: ambulance, CISM, disaster, education, EMS, EMS Safety Foundation, EMT, health, ICS, IMS, mechanism of injury, medical, medicine, MOI, NIMS, paramedic, patient, safety, secondary device, self care, terrorism, training
Category Care, Management, Safety, Triage |
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The First Few Moments podcast did record a show at EMS World Expo 2011 in Las Vegas, Nevada despite the fact that FFM host Kyle David Bates was home helping his wife with their new baby. Guest Host Scott Kier, aka MedicSBK on twitter and elsewhere, steps in and takes over for the day. He is joined by Natalie Quebodeaux (host of the GenMed Show).
The discussion kicks off with a chat with Sarah Wilson from episode sponsors EMS1.com. Sarah is the Grants Manager at EMSGrantsHelp.com and talks with Scott and Natalie about what services they provide and the availability of grants for EMS services and organizations. Later, Sam Bradley, federal disaster preparedness educator joins the show to talk about disaster preparedness and training for EMS services, agencies and individual EMTs and paramedics.
All of the ProMed Network podcast episodes on Day 2 at EMS World Expo 2011 were produced from the Medtronic Foundation Heart Rescue Project sponsored podcast studio. You can find more recorded coverage from the event here at the ProMedNetwork.com site and at MedicCast.tv.
Tags: ambulance, ambulance safety, education, EMS, EMT, health, ICS, IMS, NIMS, paramedic, patient, rural, safety, self care, training
Category Management, Safety |
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In this episode we discuss one municipality’s attempt to decrease intersection collisions by using various technologies. We also discuss, again, driving as there has been continued news feeds of horrible crashes. Finally we end the episode talking engineering controls to improve ambulance safety.
Join Robert Raheb, Steve Murphy, William Random Ward, and Kyle David Bates as they discuss these various topics.
This episode’s curriculum
The listener will be able to:
- Discuss and debate whether if technology can help make EV operation safer;
- Identify and discuss engineering controls that can make operating in an ambulance safer;
References
Helmet use by EMS
High-Tech response
NIOSH Ambulance Safety Bulletin
The Rumbler
Tags: ambulance, ambulance safety, crash, education, EMS, EMS Safety Foundation, EMT, health, helicopter, HEMS, line of duty death, LODD, mechanism of injury, MOI, MVC, paramedic, safety, self care
Category Safety |
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Bending, lifting, twisting and essentially turning yourself into a pretzel in a car is how we often work at the scene of an MVC. However are we destined to “just deal with it” or are there some adjustments we can do to make moving and extricating patients safer for us?
Join Scott Kier, Kyle David Bates, and Jeremiah Bush as they discuss this topic with our Australian friend and renowned ergonomist Chris Fitzgerald.
Episode Curriculum
The listener will be able to:
- Define ergonomics;
- Appreciate the importance of proper body mechanics;
- Discuss how typical operations at the scene of a motor vehicle crash can increase your chances of injuries;
- Discuss engineering controls and how to alter their habits to work safer.
References
Lifting cushions
Curved transfer board
More lifting cushions
KFRS casualty extrication highlights
Tags: ambulance, EMS, EMS Safety Foundation, EMT, Ergonomics, extrication, health, mechanism of injury, medicine, MOI, MVC, paramedic, patient assessment, safety, self care, training
Category Safety |
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Oftentimes we talk about provider rehabilitation only during times of extended operations such as with structure fires. However with the arrival of summer, working on the hot blacktop at the scene of an MVC or during a cardiac arrest in a hot environment can quickly lead to heat-related illness and/or injury.
Join Mike Mcevoy, Russell Stine, Jeremiah Bush, Dr. Jeff Myers, Steve Murphy, and Kyle David Bates as they discuss essentially how not to end up on the business end of an IV catheter while working at any scene during warm weather.
JEMS article: More Than Just a Standard: NFPA 1584 defines the rehab process
EMS 1: Mike McEvoy: EMS vitals during firefighter rehab
This week’s objectives the listener will be able to:
- Define REHABilitation and PREHABilitation;
- Defend the importance of Rehab and Prehab;
- Perform a self-hydration assessment and care;
- Identify situations when rehabilitation may be necessary.
Tags: ambulance, education, EMS, EMT, environmental illness, extrication, health, ICS, IMS, mechanism of injury, medical, medicine, MOI, MVC, paramedic, pateint assessment, patient, prehab, Prehabilitation, rehab, rehabilitation, rural, self care, training
Category Care, Management, Safety |
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Roadway safety isn’t a new topic for emergency responders. People dying, being injured, or damage to vehicles is not new either. So how come we are kicking and screaming when it comes to making our roadway scene operations safe? Why do we only address roadway safety on large highways and during motor vehicle crashes? Why don’t we address roadway safety more often on residential streets or during medical operations when the big blocker truck is not there?
Join Tim Noonan, Brad Buck, Kyle David Bates, and Scott Kier as we discuss these topics.
LEARNING OBJECTIVES
- The listener will be able to argue the need for roadway safety.
- The listener will be able to identify when to employ roadway safety techniques.
- The listener will be able to discuss and employ engineering controls to make operations on the roadway safer.
- The listener will be able to define and discuss the importance of situational awareness while operating on the roadway.
Tags: ambulance, ambulance safety, education, EMS, EMT, health, ICS, IMS, line of duty death, LODD, mechanism of injury, medical, medicine, MOI, MVC, NIMS, onscene operations, operations, paramedic, patient, roadway operations, roadway safety, safety, self care, struck by car, TIMA, traffic control, Traffic Incident, Traffic Incident Management, training, vest
Category Management, Safety |
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This week we return to RettMobil in Fulda, Germany as the guest of Dr. Nadine Levick who is the founder of the EMS Safety Foundation, to discuss ergonomics.
We sit down with Chris Fitzgerald, the EMS Safety Foundation’s world-leading ergonomist, and well as Andrew and Daniel Ronchi of Pro-Active Medical to talk about the research and data gathering that they are doing to help make EMS safer. We also look at some best practices in terms of patient transfer that are quite common abroad but have yet to catch on in the States.
Also, click on the EMS Safety Foundation logo above and it will take you to their website where you can access the fascinating pre-recorded webinars, including one that shows the work Chris, Andrew, and Dan did while at the EMS Safety Foundation’s booth.
Tags: ambulance, ambulance safety, education, EMS, EMS Safety Foundation, EMT, Ergonomics, health, medical, medicine, paramedic, patient, Rettmobil, safety, self care, training
Category Safety |
