Лучшие подкасты про Practical Ems (2024)

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69 | New panel! Why emergency medicine | Don’t just do something, stand there | Being proud of what you do 36:28

3d ago36:28

36:28

Meet our new panel Kash (EM physician) Casey (Paramedic) Nate (EMT) Why emergency medicine? Kash: Likes to see results in the short term rather than manage long-term problems. Decided on EM and even an EMS fellowship before starting med school after getting his EMT Aaron: When in PA school you really need to be at least considering primary care but…

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#68 - Over-reliance on technology, standards for students, don't listen to naysayers, advice for newbies 26:17

10d ago26:17

26:17

Matt talks about our reliance on technology and how sometimes it is nice to remember that to assess a patient it is actually really simple without using technology Andrew: I am mostly paid to not get tricked into missing something big. Standards in medical education changing when there is emphasis on getting people through programs Keep holding hig…

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#67 - Burnout avoidance, decision fatigue, driving lights and sirens, Where is God in emergency medicine? 26:10

17d ago26:10

26:10

Imminent baby delivery stories Burnout tips: avoid the overtime. Sometimes the extra money is not worth the additional life stress. Make sure you get off on time and make that transition to home life. Andrew uses audio books so he has something to look forward to while driving to and from shift. Patients are often not even the source of our stress,…

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#66 - Paramedics getting offended, first code as a medical student, making a human connection and measuring success in EMS 32:49

24d ago32:49

32:49

The team mentality at all levels in the ED is key to a harmonious, efficient and effective environment In EMS, this can be difficult on a given scene when you may not know the other responders all that well and it can be easy to get offended when no offense was meant Developing a thick skin is important in emergency medicine. You can’t allow negati…

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New panel, power in detaching, controlled drowning, overwhelm as a new provider 29:59

1M ago29:59

29:59

Meet our new panel Matt (EMT) Julie (RN) Sarah (paramedic) Schasny (paramedic) Andrew (EM physician) Advice for the newbies: Don’t panic, it is not your emergency Find the balance of detachment while still making sure the patient feels cared for and understood Part of avoiding burnout is taking some time to access the human side of youself in carin…

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Overcoming burnout, having purpose, showing grace for patients while also having healthy boundaries 31:20

1M ago31:20

31:20

Keep asking “why” do get to a full understanding of what is going on As providers we do want questions asked of us if someone is not sure about something we ordered Tracey has found techniques to avoid burnout despite 24 years in emergency medicine, she says it is very individualized how you overcome burnout Belligerent patients do cause burnout an…

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The Dunning-Kruger effect, building confidence, the importance of knowing the "why", when to do nothing 39:03

1M ago39:03

39:03

We talk about EKG interpretation Adam talks about the power of teaching Ongoing learning is key to performing well in emergency medicine and medicine in general We discuss confidence in emergency medicine and The Dunning-Kruger effect: People with limited competence tend towards an overestimation of their abilities It is very dangerous at the top o…

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Stress exposure in school, zero to hero, advocating for patients 33:00

2M ago33:00

33:00

Stress exposure in school is very helpful for real life practice A good analogy for lay people: EMT is like CNA, AEMT is LPN, paramedic is RN. This helps people understand the progression of levels of care better Paramedics need to be learning provider type assessments on rotation not nursing assessments Kim talks about the zero to hero debate: Exp…

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Only medical provider on a plane, swatting flies in the back of an ambulance, paramedic program changes 32:01

2M ago32:01

32:01

We meet our new panelists Kate (EMT) Kim (Paramedic and educator) Tracey (Former paramedic and current PA) Adam (Former paramedic and current EM physician) Kate talks about how the public doesn’t know the difference between EMT’s and paramedics Tracey talks about a humbling experience in her early career where she did not know where her equipment w…

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Foley buddies and no no zones 32:12

2M ago32:12

32:12

Be willing to speak up. Sometimes you might be the only person to notice something important. We need resiliency in this field. We are all still learning, so stand up and advocate for your patient. Regardless of your level of care, you need to advocate for your patient. The hierarchy is largely in your mind. Don't be afraid to approach someone with…

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Nate's overdose and recovery 38:45

2M ago38:45

38:45

Nate (EMT) shares his story and the issues he has been dealing with. Nate overdosed on medication and ended up in inpatient psych care which helped him immensely. He still feels grief from time to time but does have happiness more now. Nate wants people to know that these struggles are real and you are not alone. Don’t be afraid to talk about it. S…

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Caring for a gunshot victim when trying to get coffee 32:33

3M ago32:33

32:33

We meet our new panel: Eric (EM Physician) Shelby (EMT) Nate (EMT) and returning guest Sam (Prior EMT, ER RN) DeTessa (ER RN) Part of the fun part of the ER is getting to start from scratch and figure out the puzzle Stories do change as the patient talks with different providers We are not equipped to diagnosis or resolve chronic problems in the ED…

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Resilient Response: Self-Care Strategies for Emergency Medicine Part 2 44:55

3M ago44:55

44:55

Chris and I talk about my background and motivation for my podcast. I talk about a pediatric arrest I ran that had a huge impact on me. We tend to dehumanize patients in this job to keep our distance, but that is not always the best technique. Emergency standards are standards I have developed working in the ER. One of those standards is to walk sl…

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Resilient Response: Self-Care Strategies for Emergency Medicine Part 1 33:12

3M ago33:12

33:12

Chris and I talk about my background and motivation for my podcast. I talk about a pediatric arrest I ran that had a huge impact on me. We tend to dehumanize patients in this job to keep our distance, but that is not always the best technique. Emergency standards are standards I have developed working in the ER. One of those standards is to walk sl…

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Are paramedics well equipped to go to PA school? 29:52

3M ago29:52

29:52

Wrapping up our conversation with Brian and Kristina (PA’s and prior paramedics) and Casey (paramedic) Shadow PAs in different specialties so you really know what the career looks like practically. Use this to find out what specialties you like, school doesn’t always give you enough time and you may not get a job in your desired specialty every tim…

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Finding mentors, being ready to teach, PA school difficulties 38:04

4M ago38:04

38:04

We jump back into our conversation with Brian, Kristina and Casey Advice for newbies Reflect on the calls that you run. What went well and what went poorly? Are there providers that did a great job that are worth emulating? Find those mentors that are worth emulating. Also make note of those that are worth avoiding. Keep in mind there are multiple …

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The transition from paramedic to PA 38:04

4M ago38:04

38:04

We meet our new panelists Brian and Kristina (PA’s and former paramedic’s). Casey is back! Transitioning from paramedic to PA Professionalism is a big emphasis in PA school. This was something I learned as an EMT from a great paramedic partner early in my career as well. Professionalism in EMS is a cultural and personal aspect to strive for. PA sch…

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The medical hierarchy, identity outside of the profession and creating healthy rituals 39:40

4M ago39:40

39:40

We discuss what things we want others to know about our careers. In EMS we can tend to jump immediately to being confrontational, even when the other person isn’t meaning to be confrontational. We all have different scopes and different levels of knowledge. Casey wants people to know that paramedic’s get extensive training in 12 lead interpretation…

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The price we pay 22:59

4M ago22:59

22:59

Meaningful patient interactions – Hold on to them. The mundane calls, the rude patients, the horrible things we see - those are the price we pay for the one call where you save someone or have a meaningful interaction. It is an honor to take care of patients that can’t get help in any other medical setting except the ER. Find one thing every shift …

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How to heal and move past the difficult things 34:08

5M ago34:08

34:08

Our new panelists: Lucas- ER Physician, Micaela- Paramedic, Alex- Paramedic, Rebecca- ER RN, Casey- Paramedic We discuss struggles with caring for patients that have perpetrated violent crimes. Recognize your own bias and your personal history that may affect patient care. It’s important to have a good self-care plan because you can’t pour from an …

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Micaela's Black Cloud, The Power of Touch, Running Mass Shootings 55:27

5M ago55:27

55:27

Struggles in emergency medicine Casey struggles with keeping up with the changes, especially the technological changes. If you worry about keeping up, put yourself in a position to teach the new people. They will force you to learn as well. Micaela talks about her personal struggle with burnout and the significantly high acuity calls she has run Sh…

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Moving from ER RN to ER NP and critical field procedures 36:53

5M ago36:53

36:53

We welcome our new panelists. Micaela (paramedic) Simone (former ER RN and now ER NP) Paramedic’s Alex and Casey returning. Simone gives us a glimpse into the tough transition from ER RN to ER NP. You need to love the medicine. Having to know so much of so many things was one of the toughest parts. You must be second best at every specialty. Alex t…

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Emergent Standards 27:30

5M ago27:30

27:30

Emergent Standards I address a comment about how we mentally handle the patients we care for that have committed violent crimes. We still care for them to the best of our ability; in fact we often learn the whole story after we have finished caring for them. We don’t judge because that is not our role. We find ways to move on from the horrible situ…

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Conflict on scene 37:07

5M ago37:07

37:07

Confidence in EMS: Nate talks about how he was reaffirmed when learning ALS meds and a physician agreed with his treatment plan. School does not make you confident. As a provider, give the crews feedback because it helps them grow and confirm their plans and treatments were accurate. Don’t just give negative feedback. Some students do need an extra…

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Accidents while driving lights and sirens 28:20

6M ago28:20

28:20

Random stories episode! We often don’t want to talk about the “craziest” call we’ve ever seen. I tell a story about a fireplace fueled by batteries and no real medical reason for the call. We talk about things that surprised you about emergency medicine Dealing with drunk people is a challenge. Other great random stories: Thoric dissection’s, tripl…

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Minutes between grandma cardiac arrest to delivery of baby girl 36:45

6M ago36:45

36:45

Jumping back into our discussion on alcohol abuse in EMS. Everyone is susceptible to overuse of alcohol so abstaining can be powerful even without it being your vice. Interpersonal communication skills are key to developing in EMS. We need to connect with our patients. Patients care more about being understood and listened to than good medicine. Ad…

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What makes a great EMT? 32:43

6M ago32:43

32:43

New panel! We welcome Alex, paramedic and Kate, EMT. Welcoming back Sarah, paramedic and Nate, EMT. What makes a great paramedic? Treat your EMT’s like a partner. Talk about calls. Teach your EMT’s. Educate without belittling. Create an environment where your partners can question the plan if they don’t understand it. Learn from those that have bee…

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We are there for a lot of people’s last moments 21:58

6M ago21:58

21:58

You guys ever see a dead family member in a patient? Like they look similar, act similarly? No? Maybe it’s just me. Nate talks about his life experiences and how it helps him talk with patients that are struggling with mental health. He talks about a patient experience where he really connected with a patient and how the patient was seen years late…

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Feeling burned out? Bring your patient a coke. 28:32

7M ago28:32

28:32

Leadership in emergency medicine Good nurse to patient ratios is very important to good patient care and allowing those little moments where you can spend some extra time making sure the patient feels cared for. Management doesn’t always equal good leadership. Part of being a good leader is being the calming presence in a chaotic scene or situation…

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Don’t miss the privilege that we all have 38:52

7M ago38:52

38:52

Is burnout moral injury? Is it out of your control? ZDoggMD talks about burnout being moral injury. Link here: (30) It's Not Burnout, It's Moral Injury | Dr. Zubin Damania on Physician "Burnout" - YouTube We jump back into our discussion on the video. Casey says one of the great things about this job is that we have the privilege to be with people …

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She sat up, yelling “What happened!” 29:00

7M ago29:00

29:00

Jumping back into Principles in Emergency Medicine Nate- People lie. Despite the fact that we are not judging them, and just need to know accurate details to provide the best possible care. Casey- Expect the unexpected. EMS is long periods of boredom punctuated by moments of sheer terror. Adam- the job is always out to get you. We see the 1%, it is…

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Take care of yourself BEFORE you take care of patients. 35:01

7M ago35:01

35:01

We meet our new panel and some returning guests! Kiley – ER RN and new NP Sarah – Paramedic in EMS for 8 years Welcome back Adam ( ER MD), Casey (paramedic) and Nate (EMT). Nate talks about the transition from field EMT to ER EMT. It’s a new world with new things to learn. Sometimes a change in environment can get you out of a rut. Sarah also worke…

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He was dead for an hour, then sat up, talking. 37:43

8M ago37:43

37:43

We revisit the question “Where is God is emergency medicine? Doug- I’m a believer in science and a believer in God. There are some occurrences that we can’t explain with modern medicine. He tells the story of a cardiac arrest that woke back up an hour after pronouncement. Sarah- God has given us the science to learn and be able to use. We often see…

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Jan Panel - Got stabbed by a dildo? 31:34

8M ago31:34

31:34

Crazy stories episode Delivering babies! Not something most of us look forward to but it happens, nonetheless. Casey talks about a breech presentation birth that, thankfully, turned out just fine despite delivering at 28 weeks in an ambulance as well as a prolapsed cord case. Stabbing victims! In a sex shop, in their homes, we run them everywhere. …

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Jan Panel - That heart wrenching scream. Never being “Just an EMT”. 25:31

8M ago25:31

25:31

Pronouncing in the field is a difficult part of EMS. In a lot of ways, the ED insulates us from some of the aspects of this that make it challenging when you are in the patients actual home. The ED is mentally taxing in other ways. High volume, high acuity, multitasking, consulting etc. Nate talks about how “you’re just an EMT” gets thrown around a…

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January Panel - Real Stories - Don't allow vices to control you. Develop mental toughness. 30:00

8M ago30:00

30:00

Challenges in emergency medicine Burnout can creep up on you and can occur even in one shift. Nate got burned out working nights and started drinking heavily and almost got into blows with his partner. He went through a tough period and came out the other side. Substances will become an easy outlet and a way to avoid dealing with real problems if y…

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January Panel - Real Stories - Oops, patient is in V-tach. Admit your mistakes. 29:03

8M ago29:03

29:03

Jumping back into failures in emergency medicine Doug, ER physician, discusses how he missed a traumatic intraabdominal injury and an ectopic pregnancy. It’s easier in hindsight to see the things we could have done better. Admitting you screwed up can be difficult. Leave work at work as much as possible Nate talks about a patient that was initially…

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January Panel - Real Stories - Failed to diagnose PE, Gave the wrong medicine 24:29

9M ago24:29

24:29

January Panel Episode 1 We’ve got some awesome experience here today. Physician, Nurse, PA, paramedic and EMT! We introduce Sarah, 9 year nurse with 4 years of experience in the ER. She is inspired by the team mentality in the ED as well as the unique situations. Inspired by her grandmother who was a nurse when emergency medicine was a developing s…

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December Panel - Real Stories Part 5 - Where is God in emergency medicine? 48:47

9M ago48:47

48:47

I discuss the position of an ER PA and how it relates to the physician role. I strongly believe in practicing as a team with physicians, I see this as integral to the PA career. We talk about autonomy as a EMT/paramedic or PA. EMT’s and paramedic are a perfect career to step into the role of a PA because of their autonomy. Teaching is a key part of…

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December Panel - Real Stories Part 4 - Overlooking the simple and advocating for a patient 28:07

9M ago28:07

28:07

Welcome Dr. Les to the show. Finished his EM residency in 1999, 24 years spend as an attending, estimates 130K patient seen in that time. He tells us about a busy night shift in the ED where he had to take care of an easy laceration but how the busyness of the night made him overlook something simple. I follow this up with a story that makes me loo…

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December Panel - Real Stories Part 3 - Shocking a patient back to life and finding a dead body in a car 43:27

9M ago43:27

43:27

We welcome a new panelist. Flight paramedic Ashaley. She has been in emergency medicine for 11 years. Ashaley tells us about an impactful story from a patient that told her “Make sure you take moments. Life will always get out of control but, stop and go look at the sunset because sometimes you have things you can’t get back.” Kierra talks about so…

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December Panel - Real Stories Part 2 - Healing From Tragedy, Impactful Patients 34:09

10M ago34:09

34:09

Warning: This episode starts pretty heavy We talk about an absolutely horrific and tragic call that Nathan ran and how he has healed from something no one should ever have to see. Casey tells us about how patient's can impact us even in non-emergent settings. Casey and his partner help a patient attend his son's wedding and spark the inspiration fo…

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December Panel - Real Stories Part 1 - V-tach Arrest Save 26:15

10M ago26:15

26:15

Real Stories in Emergency Medicine Part 1 Meeting our December panelists and diving into some real stories Nathan - EMT of 9 years Casey - Paramedic of 47 years Kierra - ER RN for 7 years Aaron (host) 15 years in EM as EMT, paramedic and ER PA Adam - ER Physician with 21 years in EM Do you work in emergency medicine? An absolutely crazy and intense…

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Teaser for the Burned-Out Paramedic 6:26

10M ago6:26

6:26

Full episode finally coming next Sunday! Last teaser episode until the full episodes release starting next Sunday December 10th! I introduce one of our final topics of discussion in the December panel series. Where is God in emergency medicine? This has been a question I have personally wrestled with over years of witnessing tragedy, horrific accid…

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Story for the Burned Out ER Nurse 12:18

10M ago12:18

12:18

Real Stories in Emergency Medicine Today's episode is a clip from our upcoming full episode on real stories in emergency medicine. Kierra is an ER nurse that goes above and beyond for her patients. She helps give some perspective on what it's like to be a new ER nurse, what it's like after you have some experience and the amazing opportunities you …

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Getting Lost on Scene as a New EMT? 5:14

11M ago5:14

5:14

I have a simple framework I wanted to lay out for the new EMT that is struggling to run a call. When I was a new EMT, my FTO would just throw me in there without a lot of guidance on HOW exactly a call worked and what the steps were exactly. If you follow these steps you won't get lost and can move the call along without any awkward pauses and blan…

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Story for the Burned out EMT 11:09

11M ago11:09

11:09

Feeling burned out, tired, frustrated as you work in emergency medicine? Are you an EMT, paramedic, nurse, PA, NP or physician? This show is for you. Today, I talk to an ER veteran. Susi has been in the ED for 26 years and still shows up with an awesome attitude and still puts patients first. She tells an awesome story about going above and beyond …

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Real Stories in Emergency Medicine 5:20

11M ago5:20

5:20

Excited to announce a new podcast format coming soon! I've got a great group of healthcare professionals coming in to tell some awesome stories from their experiences working in emergency medicine. Stay tuned for more updates and subscribe at PracticalEMS.com so you don't miss the release! Also subscribe to Practical EMS on your favorite podcast pl…

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The Single Most Important Skill in Medicine 11:12

1y ago11:12

11:12

This might be the NUMBER ONE SKILL you need to be successful in medicine, especially emergency medicine. If you are newer to emergency medicine and you haven't had a patient surprise you or had a situation that humbled you, YOU LIKELY WILL SOON. I think it's very important to adopt a humble and teachable mindset no matter where you find yourself in…

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The Gap and The Gain 9:31

1y ago9:31

9:31

The Gap and The Gain, by Benjamin Hardy and Dan Sullivan is one of the few books I’ve read more than once. Despite its simplicity, I get something new out of it with each read and it is a great reminder of an important mindset that I always strive to achieve. The GAP is the trap you fall into when you compare your current life with that of your ide…

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