74 | Burning out on EMS | Sleep deprivation | Raging at dispatch | Daily micro-traumas

Practical EMS

Why did Nick switch to law enforcement? He burned out on medicine

What does he miss the most: The team mentality. The fire crews that he grew close to. He felt certain they could handle whatever call came their way

We talk about the struggles working a 48-hour shift with a rural fire department but also having to manage the expectation from the private ambulance company that you run calls in a much wider radius to include the city when needed

Sleep deprivation is a big factor in burnout

Nick talks about his heavy caffeine intake and how he started having runs of dysrhythmia that later required a cardiac ablation for atrial flutter

What does Nick not miss? Getting up to run calls. The tiredness. The anger and helplessness

I remember getting to my absolute wits end on those 48-hour shifts and having to call our supervisor and tell them we were done running calls because we were so tired

Nick talks about how he could feel that stress and sleep deprivation damaging him in real time, like if his hand was on fire

The stress level of running those calls an hour from the hospital with no other paramedic on scene and having to perform high level skills has not been matched as a PA in the ED

Nick talks about how, even in law enforcement, his fear of the next call is not equal to what it was as a paramedic

Brent talks about a time when Nick was so angry he started stabbing his seat belt

Don’t blame the patient for their medical emergencies and don’t take your frustrations out on them

Nick talks about losing his temper on an innocent dispatcher after a hard night

Why do we see more resiliency and less burnout on the fire side?

Maybe the team mentality on the fire department, ability to move to slower shifts, debriefing

We all tend to get support after that horrific call that makes the news, but a bigger problem might be the micro-traumas that we all undergo day in and day out

Resiliency needs to be built into the system – you are going to get burned out and have a tough day at some point and it needs to be prepared for

We don’t typically lie to ourselves that we are “okay,” we may genuinely feel okay. It’s later that situations and calls may affect us

Status code 4 is a non-profit for first responders that is doing some great work – Look them up if you need more support

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Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.