Practical EMS

I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practice When in doubt, consult the specialist Julie talks about what makes her proud about her career She is proud of the connections she made, that she treated her patients how she would have wanted to be treated Remember to take that intentional time with p...

Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitude We must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patients We talk about our interactions with EMS Both Julie and I remember working in EMS and the value that EMS brings in their report because they...

Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the area She saw the disconnect between the provider that people wanted to become and who they became, and she didn’t want that to be true for herself She became an attending in 1991 and now has close to 40 years in emergency medicine She became a physician when it was predominantly a mal...

Brian talks about his experience being on the “other side” of the bedside with his wife’s cancer treatment He really appreciated the extra time that the doctors spent with him and his wife to explain things – repetition is very helpful for your patients to really hear you Brian talks about balancing fatherhood and being a husband with our emergency medicine schedules and the challenges of being in...

We talk about setting the right mindset, culture and tone as a leader of the department and especially in smaller facilities You don’t have to be perfect, but you can avoid the little negative comments and criticisms Being a good example goes a long way As a Christian we are supposed to act like Christ would We have a lot of metrics we have to worry about as clinicians but, as Christians, we need...

Has been an attending physician since 2019 Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med school Brian worked in the ED as an EMT as well He talks about early mentors and the impact they have, including helping him get loans for medical school We need to remember to be like that mentor that encouraged us when...

Advice for the new EMT, paramedic, nurse, physician who is also a believer Build your faith in the easier times so your faith doesn’t shake when times are hard You have more reason than anyone on the planet who doesn’t believe to strive to do this job better every day, you are held to a higher standard Adam still finds joy in emergency medicine, doing hard things, interacting with many different h...

Faith and burnout Adam talks about how he tends to spend his spare time reading the Bible, going to church, spending time in prayer and how this develops character and is better than pursuing time wasting activities or the easy dopamine dump that does not add to sustainability or self-improvement We are designed to do hard things – mental or physical – including pursuing Jesus – this builds stamin...

Former paramedic and has been an ER physician for 7-8 years He pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality  We talk about how emergency medicine checks a lot of exciting boxes that we enjoy Adam talks about his burnout symptoms as well as how he course-corrects He talks about symptoms like lacking as much compassion/empath...

Give the escalating patients some room, you don’t have to be within arm’s reach I talk about what a bad code blue looks like and what a good code blue looks like and how this translates to running a good code grey Assign roles, we don’t have to surround every aggressive patient with a ton of people Don’t join in the fight or flight mindset that the patient may be operating in We talk about who sho...

Josh has 20 years in Public Safety Currently doing crisis prevention instruction We often don’t get any education in med school or PA school in how to communicate well with patients or how to de-escalate their behavior Code greys are the behavior health emergency response; someone has some concern that a patient is escalating to potentially violent behavior and a team will respond Staff safety is...

Lucas gives his pitch for why it is still worth it to be a physician - it’s one of the best jobs in the world but you have to have the ability to adapt to change over time Being a physician still allows you a rewarding, stable and consistent job. A comfortable lifestyle. Job portability As a PA, this can be even better because you can switch between specialties Our variable schedule in the ED has...

Longevity in a tough field is something you need to consider as well as the right mindsets that keep you there – be intentional about being grateful Lucas gives some advice in doing triage shifts and focusing on the good people you have the privilege to interact with and trying to be intentional about not focusing on the mean, angry patient Intentionality behind the things that improve your well-b...

ER physician for 15 years He talks about this path into med school and emergency medicine as his first choice He likes the challenge, lack of predictability and wide scope of problems we must solve. We have the honor to accept patients when no one else will Lucas talks about how the term emergency medicine is almost becoming antiquated when we are doing acute, undifferentiated care Some of the car...

Leave work on time •David’s story: a skilled, compassionate paramedic who deeply connected with patients, especially during psychiatric crises. oStruggled to separate work from life. oRelied on alcohol as a coping mechanism, which ultimately cost him his life. •Core lesson: In emergency medicine, you must leave work at work—emotionally and physically—otherwise burnout and unhealthy coping are inev...

Introduction My first experience with a cardiac arrest as a new EMT → exhilarating, confirmed calling to emergency medicine. Early struggles: dropped out of college, lacked discipline, but EMT training provided a direction and purpose. Spent years balancing work as EMT/paramedic with school → long path to becoming a PA. Lessons from emergency medicine shaped clinical skills and mindset. Concept of...

Advice for new EKG techs: Trust your knowledge and build your confidence over time, stay calm and take deep breaths when you start to get busy Stay humble, ask for help No one comes out of school knowing everything, you need to know your limits Regardless of your role, don’t be afraid to advocate for the patient Providers need to remember to project an approachable demeaner so that everyone has a...

We talk about stat vs routine EKG orders as well as metrics that they are always working to hit on time When EKG’s are not done on time the source of the problem needs to be found, sometimes it is the providers’ fault for not realizing the EKG order had not been placed  We talk about how we should communicate between provider and EKG tech and how much info we like to get as providers I talk about...

Welcome to the show Sean and Cheyenne, EKG tech experience and scribe experience Sean talks about certifications and expectations that go beyond merely obtaining an EKG as well as the stress testing role Cheyenne talks about the role that scribes play in the ED Scribing for providers is often used as a role to gain patient experience for medical school or PA school They talk about how they got int...

I’d like to welcome to the show Dr. David M. Berry, MD , he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.  You can reach him at dberrymd@hotmail.com   Burnout and moral injury – how do we avoid these in dealing with the addicted and psychiat...

I’d like to welcome to the show Dr. David M. Berry, MD , he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.  You can reach him at dberrymd@hotmail.com   We must remember, when working up these patients with addiction, they can have poor health...

I’d like to welcome to the show Dr. David M. Berry, MD , he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience.  You can reach him at dberrymd@hotmail.com   He has an incredible story. He was conceived following a one-night stand and was almost ab...

Creator of the philosophy The Art of Bending Time You can find her work at Michelleniemeyer.com, LinkedIn and can text CLARITY to 33777 to get support Michelle talks about what moved her away from law to helping others improve their lives Finding fulfillment outside of work hours to pursue something that is important to you can have beneficial effects on your work hours Work life balance is bullsh...

Creator of the philosophy The Art of Bending Time You can find her work at Michelleniemeyer.com, LinkedIn and can text CLARITY to 33777 to get support Michelle talks about a turning point in her life where she ended up in the ER and how this changed her perspective on health and nutrition after she was later diagnosed with PBC Is burnout in our control? Michelle says that the things that cause bur...

Dr. Emma Jones is a hospice and palliative care physician, also worked as a pediatric oncologist and pediatrician. She’s been in the field for over 10 years and is active in helping healthcare professionals with burnout in the modern medical system. She is the author of The Phoenix Blueprint, Emerging Stronger from the Blaze of Healthcare https://www.emmajonesmd.com Boundaries are important to set...