Medic Mindset

Mike Taigman and Ginger Locke explore the impact AI will have on EMS, education, jobs, art, the environment, and Zoom calls. Topics Discussed: How Mike uses AI in education What AI means for how we learn Clinical applications for AI The impact on the environment The phenomenon of using ChatGPT as a therapist Prompt engineers AI usage ethics What Mike did when he joined a virtual meeting with 9 chat bots. Shownotes at medicmindset.com *Medic Mindset is 100% human made. No AI tools used in any part of the production.*

Guests: Drs. Chetan Kharod, Phil Moy and J.R. Pickett Their podcast: STAT Leadership Podcast Topics: Leaders they admire When leaders should follow Written communication tactics Building an EMS system from scratch Culture change Leadership lessons from the Gladiator and Band of Brothers Show notes

Guest: Dr. Maia Dorsett CE for this episode Show Notes

This episode is an open-access recording of educational content from a Prodigy EMS course which reviews a case of an undifferentiated critical pediatric patient. Prodigy's Director of Critical Care, Shane O'Donnell interviews Dr. Matthew Harris. You are requested to transfer an intubated two-year-old. Thoughts go racing through your mind before the dispatcher finishes reading the information. What diseases can I expect? How do I ventilate this child? What medications should I prepare? To watch the video of the interview and receive CE, visit Prodigy EMS. Show Notes Contact Ginger: [email protected]

Dr. Faroukh Mehkri walks us through a mindset reframe for the undifferentiated crashing patient. He theorizes that the pervasive language of "stay and play" versus "load and go" has conditioned and narrowed our thinking. Dr. Mehkri describes the evidence-based, predictable and preventable pattern of patients going into cardiac arrest in the early phase of a call when the patient has been physically moved to the ambulance too early. He says there's still a place for the "load and go" mindset but that there are also many occasions with the very sick patient where it would be more appropriate to start with a mindset of "stay and stabilize" before patient movement. Wherever you find your critical crashing patient, start where you stand and stabilize them there. https://medicmindset.com Instagram Contact Ginger: [email protected]

Alex (Sandy) MacQuarrie, PhD and Paramedic, reflects on his move from Canada to Australia, principles of simulation in medical education & his personal experience with cardiac arrest. Show notes at medicmindset.com Connect with Ginger: [email protected] Connect with Sandy: https://edgehumanperformancegroup.au

Dr. Casey Patrick, EM physician & EMS medical director at Montgomery County Hospital District (Texas), joins Ginger to discuss how he thinks during calls when the patient presents with rapid atrial fibrillation. Is the rapid A-fib the primary cause or a secondary result of another critical condition like sepsis, PE, DKA, hypovolemia, etc? Want CE for listening? Here's how.

"Some people love doing crosswords or Sudoku. I love finding my learner's cheat code. I love figuring out what really works for this person versus the previous people that I had. It's an opportunity for me to exercise my creativity." - Keith Velaski This episode delves into the art of precepting in EMS. The episode features insights from Keith Velaski, a seasoned flight nurse with extensive experience in various clinical and transport settings. The discussion emphasizes effective preceptor-learner relationships, educational strategies, and essential traits for successful precepting. CE for selected episodes Instagram Medic Mindset Love, Ginger

He's the White Tiger. Dr. J.R. Pickett. Or simply J.R. His teams follow him and in this episode he gives away some of the secrets of his leadership philosophies: How he gets buy-in from his team. What he understands about millenials. How he balances decisiveness with tactical patience. Why conflict is essential for successful teams. What he learned during COVID. Instagram Twitter Facebook

Paramedic, Taylor Kellogg (@kello011 on Twitter) joins us. This episode is a chance to take a break from clinical learning and listen to the story of a medic who has a passion for meteorology. Wildland fires in Southern California, a thunderstorm on a goat ranch, tornadoes while on shift, flooding that brought him eye-to-eye with a snake knocking on the station door & winter storms in Central Texas. He marvels at the good & the ugly that natural disasters provoke in humanity and how extreme weather makes us vulnerable in a way that connects us. Show notes at medicmindset.com Follow Medic Mindset on: Twitter & Instagram

Dr. Maia Dorsett joins us again! You may remember her from the Thinking: Lift Assist episode. This time she shares what she knows about the process of death notification. It's a passion-topic for her because she knows how important these conversations are for the loved ones of patients who have died... and for us. She frames a death notification as a procedure that can be taught, learned and practiced. NAEMSP Article Bite #33: Is Death Notification Training associated with decreased burnout among EMS professionals This YouTube video was made by the Monroe-Livingston EMS Region at the beginning of the COVID-19 pandemic in anticipation of the rise of out-of-hospital death. Paper outlining The GRIEV_ING algorithm in the Prehospital Emergency Care journal.

Kevin Hazzard reads 2 chapters from his latest book, American Sirens: The Incredible Story of the Black Men Who Became American's First Paramedics. Freedom House EMS is EMS' origin story. It was almost erased until Kevin Hazzard meticulously researched the story so it can sit in the forefront of our our collective consciousness. His first book, 1000 Naked Strangers, was recommended by Nyssa Hattaway in this Medic Mindset episode as the one book she'd give to a new paramedic.

Kevin Hazzard reflects on a TV show based on a book called "5 Days at Memorial" by Sheri Fink. In this story, the characters are faced with impossible challenges inside a hospital in the days after Hurricane Katrina. There are so many parallels between what they experienced and what out of hospital paramedics are presented every day. The first time I heard Kevin's voice was in 2016 when he was a guest on NPR's Fresh Air with Terry Gross. They were discussing his book "1000 Naked Strangers" where he recounts memories from working for Grady EMS in Atlanta for over a decade. I was struck by this quote during that interview: "There are a lot of situations where it's just not practical to wait for it to be completely safe and you gotta just try to weigh the odds." With that quote, I knew he'd be a guest well-matched for Medic Mindset where we understand the grey in which decisions are made in EMS everyday. Shownotes at medicmindset.com

How do we find our way out of this? Initial education, recruitment and retention in EMS are all in crisis. Paramedic and EMS educator, David Fifer proposes an educational pathway for paramedics in this keynote lecture at the 2022 National Association of EMS Educators' Annual Symposium. Days before delivering this keynote talk, David was working with a crew to hoist people out of disastrous flooding in Kentucky. He called on those in attendance to offer financial support through this site if possible. This episode was made possible through the collaboration of some of the best in EMS education: Prodigy EMS, NAEMSE and EKU's David Fifer

I don't have favorite episodes but if I did, this would be one of them. With my girlfriend Cassi by my side, I caught up with Kris and Sara Kaull at a conference. It's the first ever double-date on Medic Mindset! Cassi & Kris are both paramedics. Sara and I have the perspective of the significant-other to a paramedic. We swap stories and Cassi and Kris offer up ideas about what medics need from their spouses/partners. This episode is really a gift to the family members of medics. Take a listen and if it resonates with you, consider having your loved-ones listen. Maybe it will spark good conversation about what you need when you get home from shift or how best to connect with you while on shift. Kris and Sara were absolute gold. During a busy conference, where they were both speakers, they took the time to hide away with us in our hotel room for recording. The conversation was so special to me because conferences can be full of small talk, but this was different: we put away our phones and had a rich meaningful conversation that I hope you enjoy!

This is a special cross-post with the brand new pediatric podcast from NAEMSP: The Pediatric EMS Podcast created by Drs. Joelle Donofrio-Odmann and Dr. Joseph Finney. Dr. Donofrio-Odmann has been a guest on the show previously in Thinking: Pediatric Respiratory. Other guests in this episode are Drs. Maia Dorsett, Jeff Jarvis and Jeremiah Escajeda They've created these show notes. While you are there subscribe to their podcast which is sure to be a hit. CE for this epsiode

These two guests are partners: a flight medic and a flight nurse. They dig into their relationship in a way that will make the listener think about their own role as a partner. We also have a chance to hear the flight medic reflect on a near-miss with a medication error, what he wished he had learned more about in paramedic school, why he isn't a firefighter and a wide range of other topics. The listener will quickly hear what I heard: These two partners are the perfect yin-yang. She's spirited and animated. He's calm and steady. Together, they have each others' backs. EKU: go.eku.edu/medic

Get CE for listening to this episode at prodigyems.com White Tiger, Dr. JR Pickett is back! Previously, he has talked to us about Syncope and Shortness of Breath. This time it's all about abdominal pain. He emphasizes the history and physical exam and includes a few ultrasound nuggets. What's the difference between a thoracic aortic dissection and an abdominal aortic aneurysm? Why is abdominal pain so concerning in geriatric patients? How can you adjust your physical exam techniques to gain the trust of pediatric patients? And why does White Tiger only cry one tear when he has appendicitis? Show notes Medic Mindset on Instagram

Ginger Locke speaks to the topic of Feedback. In this recording from University of Washington's Grand Rounds, she explains that paramedics are not getting enough feedback. She outlines theories for why it is scare, what we can do about it, and how feedback might look in the future. Twitter: https://twitter.com/gingerlockeATX Show notes: https://medicmindset.com/2022/02/08/finding-feedback-uwash-great-rounds-notes/?preview_id=4159&preview_nonce=c7a34bca9e&preview=true&_thumbnail_id=4170

Natalie is a paramedic and friend. We recorded this while she was working for Grady EMS and trying to get into medical school in 2019. Check out this pre-pandemic time capsule episode and find out where she is now. Follow Natalie on Twitter. Show notes.

Critical care and flight medic, Jace Mullen and Ginger discuss all things medical and rock climbing. Topics include: The Principle of Charity in arguments, why code-switching is an essential skill of paramedics, how to be a good re-tweeter, what still scares him, how he decided to transition out of urban 911 to critical care/flight medicine and what it was like to get COVID during the first months of the pandemic. Shownotes at medicmindset.com

Shownotes at https://medicmindset.com/2021/09/11/thinking-pediatric-respiratory/ After seeing Dr. Joelle Donofrio-Odmann's talk in Prodigy EMS' free Refresh 2021, I knew Medic Mindset listeners needed to hear from her. She is an Associate Professor of Pediatrics and Emergency Medicine and an EMS Associate Medical Director in San Diego, CA. In this episode of The Thinking Series, she shares her passion and expertise on the topic of Pediatric Respiratory Distress. She covers how she uses the pediatric assessment triangle to stratify patients and how she thinks about the diseases of the upper and lower airways (and the ones that don't fit neatly in either). Other topics include epinephrine in anaphylaxis, ketamine in asthma, and bulb syringes for clearing secretions causes airway obstructions. Listeners also get to hear a cameo visit from Dr. Peter Antevy from the "In the Zone. The Antevy Zone" episode.

What do the greats of EMS read? EM Physician and EMS educator, Dr. Maia Dorsett shares what, when and how she reads.

What do the greats of EMS read? Paramedic Michael Herbert shares what, when and how he reads.

What do the greats of EMS read? Flight Nurse Nyssa Hattaway shares what, when and how she reads.

What's the one book you'd recommend to a brand new paramedic? 3 guests answer this one question. The guests are: Flight Nurse, Nyssa Hattaway. Paramedic, Michael Herbert. EM Physician, Dr. Maia Dorsett.

Dr. Maia Dorsett @maiadorsett discusses how she thinks about the Lift Assist patient. Show notes Get FREE CE for listening to the episode and taking a short quiz at prodigyems.com

How do we let each other know that a fellow medic has died? The guest in this episode, Christa Stedman, is a Public Information Officer (PIO) for Austin-Travis County EMS. Together, we sort through her thought-process about delivering tragic news. Shownotes at Medic Mindset

So thrilled to have Dr. Heidi Abraham as a guest in The Thinking Series. She discusses causes of bradycardia and the mindset needed to approach patients who are bradycardic.

Dr. Jason Pickett from the Austin-Travis County Office of the Medical Director podcast takes over Medic Mindset. He discusses fear and leadership in the context of COVID-19. Follow Medic Mindset on: twitter, facebook, instagram.

Shownotes at medicmindset.com In reference to how he collaborates with 911-callers to put order to chaos: "It's like trying to jump on a moving train. You're not trying to stop the train or divert it, because the train has gotta go where the train's gotta go. You are just trying to get on it. And if you can get on the train... If you can get in... If you can insert yourself with them... then you can start exercising your influence on the controls."

Ginger had the honor of sitting down with one of the EMS greats, Mike Taigman. He was in Austin for ESO's Wave 2020 conference. ESO was generous enough to allow Medic Mindset the opportunity to record Mike's session called, "Managing Stress Like A Boss" and gave them a space during a very busy conference to record an interview.

The Mixtape Series features 3 anonymous paramedics who answer the same question. In this episode, Ginger asks, "What do you remember about your first ridealong?" Take a listen to their responses and see how some themes repeat. medicmindset.com for show notes @gingerlockeatx and @medicmindset on twitter

Dr. Jason Pickett and Ginger discuss the topic of Shortness of Breath. They discuss the assessment, differential diagnosis and therapeutic interventions related to the chief complaint. They work their way down the respiratory tree, thinking aloud as they go. Throw in a couple of case studies and you've got some delicious brain-nuggets for paramedic students everywhere. Full show notes at medicmindset.com Follow Medic Mindset on Instagram, Twitter and Facebook.

In this microsode, listeners hear one of the questions Ginger Locke asked of a panel of 4 Texas EMS Medical Directors at the Texas EMS Conference. Panelists included: Drs. Heidi Abraham, Jeff Jarvis, Taylor Ratcliff, and Jason Pickett. If you'd like to hear the full panel discussion, you can find that at EMS Lighthouse Project Podcast. Shownotes

This episode felt like some of the first episodes of Medic Mindset. I had a few things on my mind that I wanted to ask him but we also just let the conversation ebb and flow wherever it pleased for an hour. The purpose in sitting down together was to discuss his performance in the EMS World clinical challenge but we ended up talking about all kinds of things like career longevity and advice he would give new medics. His name is Andrew Azelton and he has been in EMS for 18 years and you will hopefully hear what I heard in his voice. He was engaged and happy to talk shop and he seemed just generally peaceful and happy in his work and life. I left the conversation with more energy than when we started and I hope he will have that effect on you as well. Shownotes at medicmindset.com Follow Medic Mindset on Twitter Facebook Instagram

Ginger talks to Dr. Ben Abo. He is a paramedic and EMS physician. He's been on the Ted stage. He's the medical director for Miami-Dade Fire Rescue's Venom response teams. He's a fellow in the Academy of Wilderness Medicine. He's saved a stranger who collapsed on train tracks. He's an international man of mystery and in this episode, we will talk about none of that. Instead, Ginger reached out to him because she wanted to make an episode about the use of humor in emergency medicine. Ever since the first day she saw a picture of him in scrubs in the ER talking on a banana phone, she knew he would be the one to teach us what I need to know about when, where and how to use humor in medicine.

In this episode Ginger talks to Jon Bailey. Jon is a FF/Paramedic in Fairfax County, Virginia. He is the lead educator of Fairfax County Fire and Rescue's EMT to Paramedic program. He has a bachelor of science in emergency medicine from the university of Pittsburgh and a master's in EMS education and leadership from George Washington University. Ginger reached out to Jon after a friend told her about an event called the EMS World Clinical Challenge. Take a listen to this episode and see if you might be inspired to participate in the Clinical Challenge at Expo.

This is a recording of a talk Ginger did about Medical Education at FlightBridgeEd's #FAST19 symposium. Shownotes and slides at medicmindset.com

For the second time, I'm visiting with Tania Glenn. She's been on the show before with an episode that released in January of 2017 and since then I've gotten tons of questions for Tania from listeners. I wanted to ask some of those questions and to talk to her about a documentary she recently released. We discuss: How, in her documentary, she challenges leaders of EMS departments to better invest in the care of paramedics' mental health. How she works with dispatchers to process traumatic audio memories. Why she models her practice after Southwest Airlines. And which cuss word she finds the most versatile. Show notes at medicmindset.com

This is an episode in The Thinking Series of the Medic Mindset podcast where expert clinicians indulge the host, Ginger Locke. In the series, she digs into their brains to explore how they approach the process of patient assessment and differential diagnosis. Show notes at medicmindset.com Following the show and Ginger on twitter @medicmindset and @gingerlockeatx

Good, Bad and Ugly in a guest-episode from Nyssa Hattaway from the Q Word Podcast.

Max Dodge, board member of National Stop the Bleed Month, shares with Ginger how Medic Mindset listeners can get involved with the Stop the Bleed campaign. She ended up talking to him about bleeding control for an hour.

This episode is a response to the many requests I get from listeners looking for help on the national registry's written exam. To bring you the most useful advice, I contacted this guest, Dan Limmer. In my opinion, he is the country's expert in the area. He understands the logistics of the test and the part that really lights my fire is the way he addresses the psychology of the test… the mindset of success… what he calls "mojo." It's an honor to get to speak to him directly after referring students to his materials for years. Meet my new friend and expert National Registry Pass-ologist, Dan Limmer. medicmindset.com

In anticipation of FlightbridgeED's #FAST19 symposium, Ginger asks Eric Bauer and Michael Perlmutter one simple question: "How could you hurt a patient with a BVM?" Show notes at medicmindset.com

Ginger Locke and Dr. Jason Pickett hunkered down in a recording closet and pretended the world didn't exist for an hour with one mission: data-mining Dr. Pickett's brain for his thoughts on syncope. Thanks to Michael Herbert for the custom art for the episode. Show notes at medicmindset.com

This is a special edition of Medic Mindset where Ginger Locke gave her #1 tip for finding happiness and meaning in the profession to graduates of City College of San Francisco.

Should paramedics be required to get a degree? Guests include: David Tan, Scott Bourn, Ed Racht, Jason Pickett, Brandon Bleess, Mike McEvoy and Phil Moy. This was recorded at NAEMSP in January of 2019

The Thinking Series is where Ginger Locke talks with some of the sharpest minds in Emergency Medicine about how they think through chief complaints. In this episode, one of the country's few flight doctors, Dr. Cynthia Griffin, shares how she sorts through patients with the chief complaint of agitation. She works both in-hospital and out-of-hospital, so her perspective is truly unique. What you will quickly hear is that she is relatable, smart, and happy to share what she knows with medics because she was one for many years before becoming an Emergency Medicine doctor. She makes a point to describe how she actually leans into the patients who are the most salty because she knows, like all of us, we can be biased when confronted with the agitated patient.

Ginger Locke discusses the importance of good questions and deep listening. She weaves in recommendations from her own research and from Editor-in-Chief of EMS1.com, Greg Friese.