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Practical EMS
Practical EMS
134 episodes
2 days ago
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 to worry about the metric of mercy Understanding that we are not as far removed from the homeless...
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Education
How To,
Health & Fitness,
Medicine
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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 to worry about the metric of mercy Understanding that we are not as far removed from the homeless...
Show more...
Education
How To,
Health & Fitness,
Medicine
Episodes (20/134)
Practical EMS
129 | Dr. Brian | The Metric of Mercy: Seeing Jesus in Every Patient
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 to worry about the metric of mercy Understanding that we are not as far removed from the homeless...
Show more...
2 days ago
25 minutes

Practical EMS
128 | Dr. Brian | When the Dopamine Fades: Staying Driven in Emergency Medicine
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 we were new and pay it forward to the next generation of students You must have something that dr...
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1 week ago
28 minutes

Practical EMS
127 | ER Dr. Adam | Embrace the hard stuff | Being mentally present | Moving forward after a hard shift
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 humans, seeking an answer, the intellectual stimulation You must be able to embrace the hard stuff...
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2 weeks ago
31 minutes

Practical EMS
126 | ER Dr. Adam | Faith and burnout | Choosing hard things | The reward in striving
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 stamina, character and makes you better in your career Choosing hard things makes the hard things that ...
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3 weeks ago
29 minutes

Practical EMS
125 | ER Dr. Adam | Former paramedic | Refocusing on your purpose | Faith in emergency medicine
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/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough slee...
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1 month ago
31 minutes

Practical EMS
124 | Josh with Crisis Prevention | The situations that burn out staff and make them leave the ER | Seek to understand, not win | Avoiding cynicism
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 should be lead in these situations and how we should be handling behavioral health emergencies when ...
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1 month ago
37 minutes

Practical EMS
123 | Josh with Crisis Prevention | Code Grey | Safety in the ER | The unmet want or need
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 priority We are there to provide excellent medical care, if it’s safe to do so We recommend calli...
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1 month ago
29 minutes

Practical EMS
122 | ER Dr. Lucas | Is it still worth becoming a physician? | Honor to being there on someone’s worst day | Don’t just do something, stand there
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 its cons but it has a lot of pros as well We talk about things that we find rewarding in emergenc...
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1 month ago
27 minutes

Practical EMS
121 | ER Dr. Lucas | Longevity | Advice for the new ER physician | The lone wolf dies so stop putting off focus on community
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-being are more important to prioritize than you might think Allow your family, significant o...
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1 month ago
23 minutes

Practical EMS
120 | ER Dr. Lucas | Inevitable burnout | Gratitude | Being intentional about the positive
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 care is emergencies, but not all. And that’s probably for the best so we don’t get burned out He tal...
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2 months ago
30 minutes

Practical EMS
119 | Emergency Standards | Leave work at work | Take care of yourself before you take care of others
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 inevitable. •Healthy separation: oBalance connection with patients while avoiding over-identification...
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2 months ago
28 minutes

Practical EMS
118 | Emergency Standards | Introduction | Do not seek to diagnosis
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 standards:Standards = benchmarks, measurable expectations, non-negotiable habits.Different from prin...
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2 months ago
44 minutes

Practical EMS
117 | Unique ER roles | Advice for newbies | Ways to get introduced to the world of medicine
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 level of comfort bringing things to their attention It’s important to take your job seriously and...
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2 months ago
31 minutes

Practical EMS
116 | Unique roles in the ER | EKG tech and scribe | How to avoid burnout
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 how providers need to become good at task switching frequently and this includes signing EKG...
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3 months ago
30 minutes

Practical EMS
115 | EKG tech and scribe role in the ED | Communication and teamwork
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 into scribing and EKG technician work and Sean talks about how it is also a role that is used as a s...
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3 months ago
32 minutes

Practical EMS
114 | Dr. David Berry | From homeless and addicted to chief of staff | Brain nerve connection and addiction | How to rewire the brain | Addiction stigma | Meth abuse
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 psychiatric patients? We can’t control most factors involving their long term care but David say...
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3 months ago
31 minutes

Practical EMS
113 | Dr. David Berry | The ER doctor who overcame opiate addiction | How to care for the addicted and psychiatric patient with empathy
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 baseline anyway, so they are at higher risk for something emergent to be going on  ...
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3 months ago
31 minutes

Practical EMS
112 | Dr. David Berry | The ER doctor who lost everything | Overcoming alcohol and opiate addiction | Helping our patients recover
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 aborted before being put up for adoption to a loving family. He had his first child ...
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4 months ago
33 minutes

Practical EMS
111 | Michelle Niemeyer | Moving away from practicing law | Work life balance is bulls**t | Building community | Avoiding burnout | Getting clarity
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 bullshit Sometimes building community and social interactions while at work is an important step ...
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4 months ago
34 minutes

Practical EMS
110 | Michelle Niemeyer | The art of bending time | Learning to be in the moment | Burnout | What is keeping you from being fulfilled?
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 burnout are not in our control, but you can impact how you respond and how you look at the world She...
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4 months ago
34 minutes

Practical EMS
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 to worry about the metric of mercy Understanding that we are not as far removed from the homeless...