
Inside EMS
721 episodes — Page 4 of 15
Ep 573Putting education standards front and center
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. From monkeypox to state licensure, to certification requirements and funding recruitment programs, it’s been a busy few weeks in EMS news. In this episode of Inside EMS, our cohosts run down the biggest news stories of the day, and what they mean for the future of EMS. Together, they discuss: Monkeypox. With cases now identified in all 50 states, including a handful of pediatric cases, is it time to be anticipatory in preparing for a monkeypox emergency? Chris and Kelly discuss how transmission method, decontamination practices and COVID fatigue all come into play. State licensure. After the Colorado Department of Public Health and Environment announced that it has established an EMS task force to evaluate medical services, systems and a state licensing system, Chris and Kelly applaud their efforts and encourage others to look to other states for programs and solutions to EMS staffing issues. A state-funded EMT class. Pennsylvania is using state dollars to fund an EMT class for underemployed residents, supported by the Johnstown Fire Department, with training provided by Conemaugh School of Emergency Medical Services Program Director Mike Rodgers. Kelly notes this creative solution will hopefully help to grow the EMS talent pool, but cautions, “we don’t have a paramedic shortage; we have a shortage of paramedics who are willing to work in toxic environments.” As long as the graduates are placed in positive environments, he can’t see a downside. “Hopefully this seed corn that Pennsylvania is developing here isn’t spoiled and is allowed to take root in a positive environment with a good agency and help relieve some of the staffing woes there in Pennsylvania,” he comments. NREMT certification proposal. Finally, our cohosts discuss the EMS story that had everyone up in arms. After a lively comment period, the National Registry rescinded a resolution that would have changed EMS certification eligibility criteria. Kelly noted in his opinion, and according to the majority of comments received, this was a potential step backward for EMS. Our cohosts discuss how the comment period worked exactly as it should, and the National Registry listened to the stakeholders, while also putting education standards front and center.
Ep 571TXA in the field: Uses, protocols and why it should be considered for shock, trauma patients
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. This week, co-hosts Chris Cebollero and Kelly Grayson tackle the topic of TXA, including its uses and how to administer it. In a recent article, "Understanding TXA," columnist Jonathan Lee offers an overview on how TXA is becoming a mainstay in the field and makes a case for it to be considered for shock and trauma patients. Grayson, who carries TXA on his ambulance, shares the protocols for the drug's administration and management.
Ep 569REMSA Health’s Adam Heinz on developing a successful EMS system
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this week's episode, co-hosts Chris Cebollero and Kelly Grayson are joined by Adam Heinz, executive director of REMSA Health in Reno, Nevada. The trio discusses the future of EMS, how agencies should rethink current systems and the role of EMS providers, and the best ways to recruit and retain new career professionals. Adam also shares the four P's for developing a successful EMS system.
Ep 570Dr. Joe Ryan on the ‘silver tsunami’
This episode of EMS One-Stop is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, recorded at the Pinnacle EMS 2022 leadership conference, Host Rob Lawrence chats with Joe Ryan, MD. Dr. Ryan is adjunct clinical assistant professor of emergency medicine at Stanford University and is well known as a veteran EMS medical director at some of the most notable EMS operations in the country, past and present, including MAST in Kansas City; City of Pittsburgh EMS; Sun Star in Pinellas County, Florida; Santa Clara County EMS in California; and REMSA in Reno, Nevada. Dr. Ryan was at Pinnacle to pay homage to his lifelong friend, Jack Stout, whose life was celebrated at the conference. In the podcast, Dr. Ryan discusses the origins of high-performance EMS and his involvement with Jack Stout as he set EMS systems up. Additionally, Rob and Dr. Ryan look to the future and discuss the “silver tsunami” in geriatric healthcare.
Ep 568Greetings from Pinnacle: Bruce Evans, Rob Lawrence, Chris Cebollero on the future of EMS
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this crossover edition of EMS One-Stop and Inside EMS, hosts Rob Lawrence and Chris Cebollero report together from Pinnacle EMS 2022 leadership conference and are joined by guest Bruce Evans, president of NAEMT. During the discussion, Bruce issues a call-to-action to save ambulance services as we know it, in the face political, reimbursement and recruiting pressures. The crew also discusses their favorite presenters and presentations from the conference, and offer a vivid description of the memorial to the late Jack Stout, considered to be the father of high-performance EMS systems.
Ep 567Solutions to EMS staffing woes from down under
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. There are more paramedics in Australia than there are paramedic jobs! In this edition of EMS One-Stop, Host Rob Lawrence speaks with Mick Lazell, Neil Noble, Alan Mountford and Colin Allen of Australia EMS. They are currently in the U.S., leading a study tour of undergraduate paramedic students from various Australian universities. They discuss the over-production of graduate paramedics in Australia and how they hope that visa, and clinical certification and registration hurdles can be overcome to allow Australian paramedics to seek employment in the US. As we head to the Pinnacle EMS leadership conference, this could provide a key discussion point as we desperately seek to increase our clinical workforce.
Ep 566Hot topics: EMT handcuffed by cop at hospital; NAEMSP’s response to NREMT certification change
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson analyze the most popular stories of the week, beginning with an incident in Rochester, New York, where an EMT hit a police officer's squad car that was parked in the ambulance bay with the rig door, leading to the officer eventually handcuffing the provider. Our co-hosts then discuss the statement put out by the NAEMSP regarding NREMT's change to education standards – which is open for public comment until Aug. 17. The talk then turns to an assault of a paramedic and nurse after a patient was placed in triage at a local hospital. Every EMS organization should be aware of the rise in violence and have a plan in place to keep EMS providers safe on duty.
Ep 565How reputations are built and can implode
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Host Rob Lawrence welcomes Matt Zavadsky, MS-HSA, EMT, chief strategic integration officer of MedStar Ft Worth. Matt describes how Walt Disney World’s culture and approach to the guest experience contain important lessons for EMS agencies, our leaders and our providers. The conversation covers: The importance of branding How reputations are built and can implode The importance of “cast member” selection for your agency How paying attention to the 1,000 little things create a magical immersive experience for your employees and patients EMS1 is the premier media partner at the Pinnacle EMS conference and Rob and Matt also highlight the pre-conference session, “Hot topics in high-performance/high-value EMS,” as well as the AIMHI webinar, “How much funding do you need?” which will be featured in a future episode.
Ep 564Taking the stress out of communication
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this episode of Inside EMS, our cohosts, Chris Cebollero and Kelly Grayson, are joined by former EMS Director for the state of Utah, and current FirstNet Board Member, Paul Patrick. The discussion revolves around communication and making communication a stress-free resource. Patrick shares his knowledge on how communication can be hampered in MCI response, how we changed our communication practice during the pandemic and what we learned for the future of communication. He then shares some information about the history of FirstNet, how it came about and what it means for the first responder community.
Ep 563Logistics with Joe O’Hare of Boston EMS
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. "Amateurs talk tactics. Professionals talk logistics" — General Omar Bradley In this edition of EMS One-Stop, Host Rob Lawrence chats with Superintendent Joe O'Hare of Boston EMS. After an illustrious EMS career, O'Hare is heading into a well-earned retirement. Rob and Joe reflect on leadership lessons learned as well as Joe’s experience as EMS commander during the Boston Marathon bombing. The conversation covers leadership, partnership, cooperation, interoperability, logistics, NIMS, ICS and the Olympic flame.
Ep 562Check your ego: Cultivating calm, confident clinicians
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this week's episode, co-hosts Chris Cebollero and Kelly Grayson discuss EMS1 columnist Todd Bowman's recent article, "5 ways to build confident providers". The discussion delves into training practices, building confidence with crew resource management, and understanding how call repetition can build the skills for treating patients. The conversation then turns to the importance of a good quality assurance program, which should be considered a non-punitive process. The final point touches on reassurance, and the power of saying "thank you."
Ep 561EMS Shark Tank: Jay Fitch and Tom Judge
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Host Rob Lawrence welcomes Jay Fitch, PhD, of Fitch & Associates; and Tom Judge, executive director of LifeFlight of Maine. EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob is a part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. In this series of podcasts, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics. In this episode of the series Rob, Jay and Tom discuss the upcoming conference and some of its key sessions, as well as current issues that those attending will ultimately look to solve. Rob also asks Jay, who has been operating in the EMS space for five decades as a leading consultant, what he is currently advising his clients as they look to operationally survive.
Ep 560Why social work plays a big role in Lexington (Ky.) FD’s community paramedicine program
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. This week, our co-hosts welcome two members from the Lexington (Ky.) Fire Department, Lt. Ken Howell and Firefighter Mackenzie Gross, to discuss the organization's community paramedicine program. Gross also serves as one of two social workers in the program. The discussion flows as our guests outline their efforts and share how to progressively develop as a community medic. Gross, who serves as one of two social workers for the LFD, explains the importance of social work in conjunction with a community paramedicine program. Additional resources Looking for more information about community paramedicine? Check out these additional EMS1 resources: Chris Cebollero's work to bring reimbursement to community paramedicine How community paramedicine is a risk reduction program for your citizens How to hire effective community paramedics
Ep 559ATCEMS Chief Rob Luckritz: 100 days in
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. Just over three months ago, Rob Luckritz assumed his new appointment as the Chief of Austin Travis County EMS, Texas. He got the job after a very public selection process where he not only competed against internal, time served candidates, but also a list of very qualified external candidates. Thanks to the transparency of the process, the public, both in Austin, and far and wide, were able to follow the process every step of the way. In this episode of EMS One-Stop, Host Rob Lawrence catches up with Rob Luckritz to discuss his first 100 days in office. Luckritz describes his reception so far, what he has found and his future plans for ATCEMS. He also offers advice for young EMS leaders aspiring to get a senior job at an organization such as ATCEMS and how to prepare for an EMS leadership career. Luckritz also takes part in a quick-fire round, highlighting his thoughts on our current EMS challenges from recruiting to available ambulances and everything in between.
Ep 558EMS certifications: How the draft NREMT resolution could impact the profession
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. This week, Inside EMS co-hosts Chris Cebellero and Kelly Grayson discuss a drafted resolution by NREMT that could affect certifications at all levels. If the resolution is approved following a public comment period, the National Registry executive director would update the initial certification requirements for all levels of certification (EMR, EMT, AEMT, and paramedic) to include successful completion of an EMS education program that meets or exceeds the National Emergency Medical Services Education Standards and: has an CAAHEP-accreditation, or has been issued a CoAEMSP “Letter of Review,” or has received state EMS office approval. Listen to the discussion and weigh in below with your comments.
Ep 557EMS Shark Tank: Drs. Ed Racht and Joelle Donofrio-Odmann
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Host Rob Lawrence welcomes Ed Racht, MD, chief medical officer at Global Medical Response; and Joelle Donofrio-Odmann, DO, deputy chief medical officer, San Diego Fire Department, to discuss what the future holds for EMS. The discussion focuses on how we get others in the house of medicine to realize what we do and appreciate it. EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob, Mike and Remle are also part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. In this series of podcasts, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics.
Ep 556Bodycam analysis: How providers can ’stop the fight’ with agitated patients
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. On this week's podcast, our co-hosts analyze bodycam footage released by the City of Dallas after a patient died in police custody while being transported in the back of a Dallas Fire-Rescue ambulance. According to a Dallas police deputy, the patient "became quiet and started to lose vital signs" while en route, and died shortly after arriving at the hospital. Listen as our co-hosts break down the video and share tips for handling a similar situation.
Ep 554Chris Cebollero’s work to bring reimbursement to community paramedicine
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this week's episode, co-host Kelly Grayson interviews fellow host Chris Cebollero about his efforts to create a universal reimbursement plan for community paramedicine work. For the last three years, Cebollero has collaborated with a commerical payer to establish a pilot program that levels the reimbursement playing field, regardless of the type of EMS delivery system – fire-based, public, private, etc. The program is expected to expand to 10 states this year. Cebollero also discusses the logistics of the program, how agencies get up to speed and trained, and what it means for the future of community paramedicine in EMS.
Ep 555Shark tank
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Host Rob Lawrence welcomes Remle Crowe, PhD; and Mike Taigman to discuss research, improvement science and project implementation. Along the way, they also cover the UCLA Prehospital Care Research Forum, a red lights and sirens project update, and their top research projects. EMS1 is the premier media partner at the Pinnacle EMS conference, and Rob, Mike and Remle are also part of this year's Pinnacle Shark Tank Innovation Generator pre-conference session. Over the next few weeks, the EMS cast of the Shark Tank will join Rob to discuss their own hot topics.
Ep 553The role of EMS in active shooter scenario preparation, response
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. This week, Inside EMS co-hosts Chris Cebollero and Kelly Grayson discuss the recent mass shootings across the country in New York, Texas and Oklahoma. What does the increase in shootings mean for EMS providers and should agencies prepare? Should organizations increase training for these types of scenarios? The discussion also revolves around hardening targets, arming teachers and industry impact. Additional resources: Rapid response: 5 ways to be prepared for an MCI in your community Child death calls: How to talk to your family and support your mental health Preparing a workforce to deal with emotional trauma
Ep 552EMS response to the current outbreak of monkeypox
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In light of the recent monkeypox outbreak, both the CDC and Atlanta’s National Emerging Special Pathogens Training and Education Center (NETEC) have issued specialist guidance to both EMS and healthcare. To discuss this emerging issue, Rob Lawrence is joined by Alexander P. Isakov, MD, MPH, professor of emergency medicine at Emory University. He is also the director for Emory’s Section of Prehospital and Disaster Medicine, whose faculty and staff provide medical oversight for 911 communications centers, first responders, and air and ground ambulance services in the metropolitan Atlanta area. Additionally, Dr. Isakov founded and directs the Emory-Grady EMS Bio-Safety Transport Program, which supports the Emory University Hospital Serious Communicable Diseases Unit and the CDC for the transport and management of persons confirmed or suspected to have a high consequence infectious disease. Discussed in the podcast are the signs and symptoms of monkeypox, methods of transmission, precautions for providers and notification requirements. The conversation also includes COVID-19, and the current upward trend in cases.
Ep 551Patient care: What’s your ’perspective’?
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this episode, host Chris Cebollero interviews co-host Kelly Grayson about his new book, "Perspectives, Volume I: An Emergency Medicine and Public Safety Anthology." The concept for the book came from a successful excercise on Grayson's blog, in which he would create a fictional patient and elicit the perspective of an ER nurse and a police officer to understand how they see the same patient. For his book, Grayson expanded on the concept, and invited a number of public safety and public health professionals to collaborate on the work. Our co-hosts discuss how readers should approach the book, where the idea came from and what a lay person can glean from the pages.
Ep 550Preparing a workforce to deal with emotional trauma
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this special edition of EMS One-Stop, Host Rob Lawrence is joined by Mike Taigman, improvement guide at FirstWatch, and Nicole Holm, MA, BCC, a chaplain with Allina Health Emergency Medical Services. This edition was recorded the day after the school shooting in Uvalde, Texas. Holm and Taigman discuss resilience and the role of chaplaincy in EMS. The conversation identifies coping strategies and methods to prepare a workforce to deal with such levels of mental trauma in the future. Read more: Uvalde aftermath: What should we do today? - “Sadly, this isn’t the last time we will see these headlines, but for us, today, put the tourniquet away and focus on the heart and soul of those in our charge.”
Ep 549From the front lines of Ukraine medical operations
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of EMS One-Stop, Host Rob Lawrence speaks with Stefan Korshak, senior defense correspondent for the Kiev Post. U.S.-born, now Ukrainian resident Korshak is a journalist and foreign correspondent reporter specializing in conflict zone work. Rob and Stefan discuss the general situation in Ukraine, humanitarian and refugee issues, and support being provided to displaced citizens by the Ukrainian Government, and the unity and morale of the general population. In the second half of the podcast, Stefan recounts a recent visit to the front line and his interaction with ambulance and frontline medical support and evacuation operations. To conclude, Stefan identifies current needs and it’s ambulances … as long as they are 4x4 AWD and armored.
Ep 547DNR ambiguity: Making the right call on scene
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a recent news article out of Florida regarding a Fla. patient's Do Not Resuscitate order. The family of the patient alleges EMS providers violated the legal wishes of Celeste Salanitri, 81, who suffered from end-stage Parksinson's disease, after she was treated for a fall at an assisted living facility. "There is so much ambiguity when it comes to DNR's that EMS providers need to be up on how to handle when nursing staff or family members say there is a DNR in place," Cebollero says. Our co-hosts end the show by describing a series of DNR scenarios to consider how they would respond in the moment.
Ep 548State EMS associations: From the top
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode, host Rob Lawrence delves into the essential work of State EMS Associations, their functions and the key legislative activities they are undertaking. His EMS leader guests for this podcast, recorded at the recent AAA Stars of Life event, include: Terrence Ramotar, director for government affairs for the SE region for Global Medical Response, and president of the Florida Ambulance Association Jimmy Pierson, president and COO of Medic Ambulance Service in Northern California, and president of the California Ambulance Association Chris Anderson, COO of Bell Ambulance of Milwaukee, and president of the Professional Ambulance Association of Wisconsin
Ep 546Don’t push my buttons: How to effectively manage your emotions
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the concept of self awareness and emotional intelligence. Sometimes people push our buttons, and we allow emotions to dictate our actions – why does this happen? What is the process of analyzing our emotions that allows us to control them when confronted? Cebellero outlines the components of emotional intelligence and offers tips to better understanding through reflection and developing a solid self-awareness.
Ep 545A moment of crisis: TikTok sensation Anna Muller on how EMS saved her life
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. Anna Muller is a TikTok sensation who has been viewed on her channel over 20 million times. Muller now spends her time as a transformational life coach and public speaker. As a keynote speaker at the American Ambulance Association 2022 Stars of Life Ceremony on May 3, 2022, in Washington D.C., Anna described the moment two paramedics saved her life after she made a difficult 911 call. That call changed her life, and generated a TikTok message that has touched millions since. In this EMS One-Stop Podcast, Anna tells Rob Lawrence her story of survival, hope, courage and resilience, and how the interaction with EMS changed her life. Anna and Rob also discuss the patients’ eye view of being the patient in crisis and receiving care from EMS.
Ep 544The fentanyl boogeyman: Is exposure really that easy?
This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open – to help you respond faster, smarter and safer. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss EMS1 Editor-in-Chief Kerri Hatt's recent article, "Fentanyl: Separating fact from fiction," which dispels the myths surrounding the drug and details how first responders should safely approach a scene where fentanyl is present. Additional resources: Educate public safety partners about fentanyl protection Opioid overdose: Fact vs. fiction Fentanyl fever and MIH opiate interventions MRSA, fentanyl, bed bugs: What are you bringing home with you? 6 strategies to protect first responders from fentanyl Quiz: Fact vs. fiction on fentanyl exposure
Ep 543Arrogant leadership: Are you alienating your work force?
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss an article by Andrea Abbas, MS, NRP, IP, CP-C, "5 leadership flaws that hold us back." The duo discuss the difficulties of leading multi-generational crews, their own personal management styles, how complacency can cause a disconnect with field crews and more. According to Cebollero, "the true measurement of leadership success is how engaged, satisfied and productive the workforce is – everything else is extra gravy." This episode of the Inside EMS Podcast is sponsored by FirstNet, Built with AT&T. FirstNet uses the latest technology to keep your lines of communication and data open—to help you respond faster, smarter and safer. Contact us Enjoying the show? Contact the Inside EMS team at [email protected] to share ideas, suggestions and feedback, or let us know if you’d like to join us as a guest.
Ep 539Naked at the knife edge – A journey up Mt. Everest
This is a special edition of the Inside EMS Podcast – enjoy a crossover post from Chris Cebollero's Ultimate Leadership Podcast. This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of the Ultimate Leadership Podcast, Chris Cebollero is joined by Vivian James Rigney. Vivian is in a relatively small group of individuals to have climbed the highest peaks on all seven continents of the planet. When he summited Mount Everest, Vivian had a life-changing experience, which he recounts in his recently published book, “Naked at the Knife-Edge: What Everest Taught Me About Leadership and the Power of Vulnerability.” Vivian James Rigney is president and CEO of Inside Us LLC, a boutique executive coaching consultancy, operating throughout five continents. He has helped implement leadership development initiatives for some of the world’s leading companies and their executive teams. As an executive coach for some of the world’s most successful leaders, he is known for building a strong rapport with people and asking tough and incisive questions, with an uncanny ability to help them reveal and become their best version of themselves.
Ep 542’2 nickels and 4 pennies’: Breaking down ATCEMS’ 14-cent raise
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the 14-cent pay increase announced for Austin-Travis County EMS; the first pay increase since 2018 – and not one that delivers a living wage to the members of ATCEMS. The Austin EMS Association was reportedly asking for an increase in EMT base pay from $19 an hour to $27 an hour. [Read next: A 14-cent raise. Are you kidding?]
Ep 541Meet the youngest certified EMT in Louisiana history
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the success of Trentin Monk, who was one of Kelly's EMT students. Trentin passed the NREMT cognitive exam in only 70 questions; at 15 years and 196 days old, that accomplishment makes him the youngest EMT ever certified in the state of Louisiana. The conversation then shifts to a new course offering from NAEMT. The organization will begin offering Political Academy, an eight-hour seminar designed to educate providers on how best to progress EMS causes in the political arena at the state and federal levels.
Ep 540Negligent homicide: How to protect yourself from making medication errors
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss a recent court case where a nurse was found guilty of criminally negligent homicide for a medication error that lead to the death of a patient. Chris and Kelly discuss the facts of the case and how the verdict could impact EMS. They also outline the steps providers should take to protect themselves when dispensing and administering medication on duty.
Ep 538Gresh, Ott and Taigman: Cyber update
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. This week, President Biden announced that Russia is in the planning phases of a significant barrage of cyberattacks against the United States, and reported Russian-sponsored cyber aggression at sustained levels never seen before. To discuss the implications of the effects of a cyberattack on EMS infrastructure, EMS One-Stop Host Rob Lawrence welcomes EMSA COO, Frank Gresh, and FirstWatch Cyber Security Strategist, Bill Ott. Mike Taigman also joins to discuss the recent FirstWatch alert.
Ep 5375 tips for becoming the best EMS professional possible
In this episode of Inside EMS, host Chris Cebollero shares five tips for becoming the best industry professional possible, and stressed the importance of behaving like a leader, regardless of position. Cebollero's advice touches on the importance of acting like a leader, focusing on skill growth, staying in control of your emotions, advancing your listening skills and showcasing your professionalism at every turn.
Ep 536Falls, drops and lifts
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Rob Lawrence welcomes an international panel to discuss falls, drops and lifts. Matt Streger, attorney with Keavney & Streger; Brian Hupp, director of EMS at the Maury Regional Medical Center in Columbia, Tennessee, and newly awarded Tennessee EMS Administrator of the Year; and Simon Claridge, CEO of Mangar International, based in the UK, join the show. While discussing falls, drops and lift, Matt describes a patient movement sim lab used by one of his clients, funded by an insurance company in order to assist with the prevention of paramedic acquired workplace injuries and with the liability associated with dropping patients. Brian talks protocols and prevention, and Simon identifies UK health and safety law and the requirement for every vehicle to carry lifting devices. He also touches on mandatory training for care home staff and highlights the post-falls management white paper now made available to U.S. services.
Ep 535Getting the most out of new EMTs
This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the challenges we are having with recruiting and retaining good EMS providers. Kelly offers tips for getting the very best out of the new workforce. The duo focus on the importance of having a normal onboarding process. As most systems are short-staffed, too many agencies are cutting short the onboarding process and throwing new employees to the wolves. The discussion then moves to the topic of hazing and bullying new employees. It is this behavior that will turn a new employee off to the organization. Chris asks, "is it time to put this practice to bed?" Read Kelly's article, “Top 10 ways to ruin a good EMT,” and listen to the discussion below.
Ep 534Traumatic brain injury: How to treat, manage patients with head injuries
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss traumatic brain injuries, following the recent revelations surrounding the death of comedian Bob Saget. Our co-hosts discuss what providers need to know about TBIs, as well as how to treat and manage patients with suspected head injuries.
Ep 533Honoring heroism, courage and enduring sacrifice
This episode of EMS One-Stop is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this edition of EMS One-Stop, Rob Lawrence welcomes Tony O’Brien (Boston EMS), treasurer of the National EMS Memorial Foundation and Tim Perkins (VA Office of EMS), board member of the National EMS Memorial Bike Ride. Tony identifies a timetable and the progress towards establishing a permanent monument in the national capital to honor the heroism, courage and enduring sacrifice of all past, present and future EMS providers and to remember and celebrate the lives of those killed in the line of duty. Tim outlines how the National EMS Memorial Bike Ride honors emergency medical services personnel by organizing and implementing long distance cycling events that memorialize and celebrate the lives of those who serve every day, those who have become sick or injured while performing their duties, and those who have died in the line of duty. Tony explains that H.R. 1037 – the National EMS Memorial bill – was signed into law by President Donald Trump, becoming public law 115-275 in 2018, starting the formal countdown to establishing a memorial. Additionally, Tim reveals the routes and dates of the five 2022 routes covering the East Coast, southern route, Midwest, Colorado and West Coast.
Ep 52512 onboarding strategies for new hires with Maria Beermann-Foat
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Maria Beermann-Foat to discuss her recent article, "The first 90 days: 12 strategies for laying a foundation for a rewarding career while onboarding new employees," part of EMS1's special coverage package, "Year one: Creating a career path for new EMTs." The conversation covers Beermann-Foat's 12 strategies, as well as tips for how to make the best impression possible on new employees over the first 90 days and a discussion on how this strategy assists with developing a strong employee culture. Read more of the EMS1 special coverage: The first 90 days Turnover: We have measured it, but can we manage it? Improving personnel performance through evaluations and training 3 ways you're losing EMS providers and how to stop the revolving door 4 steps to improving EMS retention through onboarding
Ep 532Multi-state EMS solutions, combatting assault on EMS providers
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the most interesting industry news of the week. First, our co-hosts discuss a story about the creation of an EMS council attempting to pool resources to develop a mult-state EMS solution. "Good on these states for trying something new and trying to get it done," Cebollero said. "We need role models because there are going to be other states and other counties that need to look at this type of model to sustain for the future." Next, our co-hosts discuss two stories that focus on safety in EMS and assault on providers by patients. Join the discussion: Listen to the episode and share your thoughts in the comments below.
Ep 531Top of mind: EMS trends, retirement benefits, emergent response
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the importance of the 2022 EMS Trend Report and how every voice in EMS matters as to the future of our field. "It is our responsibility to leave the profession better than we found it," Cebollero said. The conversation then transitions to retirement and how EMS professionals can take advantage of the retirement benefits at every agency they work. Finally, our co-hosts discuss a recent position paper released by 13 industry groups regarding the use of lights and sirens by first responders. The document lays out the challenge of emergent response, who is being hurt, and gives 10 suggestions on how to change the culture.
Ep 530Advancing the EMS legislative agenda
In this edition of EMS One-Stop, Rob Lawrence chats with NAEMT President, Bruce Evans about the upcoming virtual EMS on the Hill Day. The online event, which consists of virtual meetings with members of congress, spans the week of April 4-8 with groups organized by state and scheduled into Zoom meetings. Rob and Bruce discuss the NAEMT legislative agenda and the requests that attendees will be asked to make in their meetings. Bruce also discusses the collaboration taking place between a number of national associations and the lobbying value that it brings. Also included: information on the forthcoming workshop to be held at the Pinnacle conference where NAEMT will provide guidance on how to run for public office. Bruce's aspiration is to have at least one EMS professional in each state house, if not more.
Ep 529Upgrading EMS education: Goodbye skill sheets, psychomotor exam
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson discuss the launch of the EMS Trend Survey 2022, which will provide the data for the 7th annual EMS Trend Report. During the conversation, the hosts emphasize the importance of field providers participating in the survey. "This is their opportunity to have their voices heard," Cebollero said. Grayson echoed his sentiment. "This is a chance to take stewardship of our profession," he said. The pair also discuss Grayson's recent article, "Whatever will we do without the skill sheets?" regarding NREMT's plan to sunset skill sheets for paramedic certification, and what other changes are needed in EMS edcuation. Cebollero and Grayson also discuss a recent news item from Lexington, Kentucky, that found a nearly 7% decrease in call volume due to the area's robust community paramedicine program.
Ep 528How to accurately listen for heart tones, lung sounds with Eko Health’s Dr. Saltman
This episode of Inside EMS is sponsored by Eko. Learn how CORE stethoscope technology helps EMS providers make confident split-second decisions by clicking here. In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Dr. Adam Saltman, chief marketing officer for Eko Health. The discussion centers on tips and best practices for accurately using a stethoscope to listen to heart tones and lung sounds. According to Dr. Saltman, data gleaned from stethoscopes help providers chart the best path for patient treatment. Listen to the group discussion and leave your thoughts in the comments below. Have a comment or suggestion? Send an email to [email protected].
Ep 527Cyber alert: Public safety systems are currently under attack
This episode of EMS One-Stop With Rob Lawrence is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. On Jan. 29, 2022, FirstWatch took an exceptional step in issuing a cyberattack warning as cyber and ransomware attacks in the U.S. were peaking. FirstWatch’s systems identified public safety infrastructure and sites were included in this round of direct attacks. In this rapidly recorded EMS One-Stop podcast, Rob Lawrence first chats with Mike Taigman as to why FirstWatch decided to send out a far-reaching alert. He is then joined by FirstWatch cyber security specialist, Bill Ott who discusses the types of attacks observed as well as the up-to-the-minute situation as attempts on public safety systems are continuing. By way of further example, Bill also discusses the ransomware attack that occurred in Durham, North Carolina, and extracts lessons learned from that event that can be used as strategies in the current elevated threat environment.
Ep 526’The great debate’: Are degrees necessary in EMS?
In this episode of Inside EMS, co-hosts Chris Cebollero and Kelly Grayson are joined by Reuben Farnsworth, clinical/operational coordinator for Delta County Ambulance District and EMS1 columnist, to discuss his latest article, "Do we really need degrees in EMS?" "Bettering yourself and having those letters behind your name gives you a little confidence, gives you a little bit more opportunity to grow, gives you a bit more focus," Cebollero said of pursuing an undergraduate program. What are your thoughts? Do you think there should be degree requirements in emergency services?
Ep 524Informing physical, mental and emotional safety
In this episode, Lexipol Editorial Director, Greg Friese, MS, NRP, joins cohosts Chris Cebollero and Kelly Grayson to kick off the eighth year of tackling the hot topics in the Inside EMS podcast. Friese offers some insight into what EMS1 will be focusing on in the year ahead, from physical, mental and emotional safety and wellness, to continuing to provide timely, accurate, relevant and actionable information relevant to topics like COVID-19, clinical recommendations and legal issues. The conversation also includes a discussion on the alarming frequency of ambulance and apparatus crashes resulting in injury or death, and what is needed to keep patients and providers safe. From engineering controls, to fatigue and workload management and continuing education, Friese identifies two main buckets from which to improve ambulance safety: Provider mindset: making a commitment to staying seated and belted when in motion Safety monitoring: implementing a monitoring and reporting system to measure compliance Finally, the group discusses provider burnout, and how the EMS Trend Survey seeks to identify pressure points that are challenging providers, and the actions leaders can take to recruit and retain talent. As Grayson puts it, this is your chance to lend your voice, and your hand to “steer the ship.” Coming soon: The EMS Trend Survey, which informs the EMS Trend Report, will be released this month. Check back at www.ems1.com/ems-trend-report/ to help guide future coverage and provide insight into the status of EMS and workforce needs
Ep 523Communicating across 20 deployment areas
This episode of EMS One Stop is sponsored by Blink; the mobile app helping EMS providers to better communicate with their field staff. Learn more about how Blink's two-way communications features are helping to reduce first responder turnover at www.joinblink.com. Communicating is the subject of this edition of the EMS One-Stop podcast. Host Rob Lawrence welcomes UK-based George Monk, from Blink, and Ron Quaranto, a board member of the American Ambulance Association and co-chair of the AAA Workforce Board. Quaranto is executive vice president for operations of Cataldo Ambulance, based in Boston. Cataldo is the largest 911 provider in Massachusetts, and the discussion focuses on the challenges of leading a large organization in the pandemic including retention and recruiting, vaccines and mandates, and – above all – communicating with the workforce, in Cataldo’s case, now spread across 20 deployment areas.