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An EMS Podcast Unlike All Others! Hosted by Mike Turek (AEMT-P, CIC), Emily Yates (RN, EMT), Gerard Cuomo (AEMT-P),Phil Saunders (AEMT-P) & Butch Smith (AEMT-P). Each month our goal is to offer educational opportunities to EMT’s & Paramedics in a no frills, no holds barred format fusing education with entertainment. You'll get in the heads of four current EMS providers in the most relaxed fashion we can. EMS is a stressful business and many discussions happen between providers in the Ambulan ...
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Ever wonder why EMS education is stagnant, bland, unoriginal & can't seem to prepare students for the taking an EMS job? We discuss the toils of EMS education and the lack of vision within the classroom. Many of us struggled to get through class, and felt completely unprepared to take a job in the field. We consistently see the same teaching habits…
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A string of strange patient interactions are the source of today's call. Our crew today disregards the basics, but somehow makes it to the hospital without disaster. We discuss a systems RSI protocols as well as facts about a budding overdose culture. Hear from Mike Turek (AEMT-P, CIC), Emily Yates (Flight RN, EMT-B) & Maha Butch (AEMT-P). Join our…
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After seeing a recent JEMS article we had to discuss the idea of an armed EMS provider. This is a can of worms that if opened gives us more questions then answers. We tackle trust and training, need vs desire, agency or individual, cost and legal, and many other subjects in this hot button topic. What is your opinion? Should EMS providers be armed …
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We review a fairly benign call today that has the panel completely stumped! Gerard dives into his past a bit and gives a great lesson on plant life. Oh! And Gerard and the Maha have some strong thoughts on this EMS crews lack of professionalism and capacity to fulfill their job description. Hear from Mike (NYS AEMT-p, CIC), Gerard (NC AEMT-P) & the…
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Ever have one of those shifts where nothing seems to go right? Today's Karen found out the hard way that sometimes you must overlook your patients behavior & ask yourself why are they behaving like that. Facts on this case are still being investigated. All commentary is our own & not based on the facts of this case. Joined by Mike (NYS AEMT-P, CIC)…
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Oh what a way to start the fourth year of the show! This crew scrambles but never actually accomplishes much on their terrifying scene. A few simple oversights and some actual training could have gone a long way to help this mother and infant. Hear from Mike (NY AEMT-P, CIC), Gerard (NC AEMT-P) & Emily (NY EMT-B, RN). Join our Discord Community: ht…
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A paramedic faces a patient with significant shortness of breath and no help! The symptoms are clear, & we can all see the natural progression of this disease process. How does this medic fare by themselves? Listen & find out! Oh! We also get the Phil Foundation on his soapbox! Hear from Mike (NY AEMT-P, CIC), Phil Foundation (NY AEMT-P) & Kelly (C…
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What a way to celebrate our 75th episode! The crew reviews a fairly straightforward call that dangles on the fence between an Alpha & Bravo priority. We discuss cardiac rhythms and the PROPER treatment of an EMT student. Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY AEMT-P), Phil Foundation (NY AEMT-P) & Gerard (NC AEMT-P). Intro Music: http://…
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A BLS crew responds to a chest pain, but chose to stop at a local fast food restaurant on their way there. We discuss the news article, the fallout & more importantly the comments sections of multiple sources, where fellow providers defend & condemn the actions of these providers. Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY AEMT-P), Phil Foun…
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Maybe this patient would have just been better off in the hands of a BLS provider. We are all pretty critical of this call, a passive medic and a crew that believes they hear nothing when it just isn't adding up. Sometimes we all just wish we could eat a taco. Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY AEMT-P), Phil Foundation (NY AEMT-P) & …
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When all you hope is that a simple syncopal episode is just that SIMPLE, and it turns out it never is. However these providers today are fans of the show and take an idea we showcased to help determine what really is causing the issues with their patient. This is one of the cooler episodes that hits close to all of us! Hear from Mike (NY AEMT-P, CI…
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Warning! Get your Kleenex ready for this one. We say goodbye to a dear friend of ours and a fan favorite of the show. Then we discuss a topic never before heard on the show. Warning the topic we discuss can be upsetting for some people. Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY AEMT-P), Phil (NY AEMT-P), Kelsey (NY AEMT-P) & Gerard (NC AEMT…
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The Maha does not disappoint with a call he brings to the table. For the first time in a long time this patient steers the panel in a very wrong direction. Yet even being majorly wrong the clues were starring us all in the face. Sometimes the Zebra is a Zebra and other times the Zebra is a Leopard. Hear from Mike (NY AEMT-P, CIC), Maha Butchie (NY …
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Issues arise with Airway, Breathing & Circulation with an unresponsive patient. The crew must first discover the root cause of the patient's downfall, but soon make miscalculations. No matter what the crew finds or does they are fighting an uphill battle with their very critical patient. Hear from Mike (NY AEMT-P, CIC), Phil (NY AEMT-P), Emily (NY …
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The two EMTs on todays call are quick to recognize the problem at hand on this weeks call review. But they are quicker to render aggressive medication treatments to help this patient who without them surely would have suffered from respiratory arrest. Pharmacology is the backbone of todays episode! Hear from Mike (NY AEMT-P, CIC), Phil (NY AEMT-P),…
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The Geriatric population is one of our most frequent patient. In knowing that we had to dedicate an entire episodes discussion to the elderly patient. Med errors, communication and respect and a deep dive into how important asking the right questions and not neglecting your assessments are all discussed in this episode. Hear from Mike (NY AEMT-P, C…
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The special challenge patient at times can be difficult for the EMS provider. In this episode we discuss some of the more frequent special challenge patients, including the obese patient, LVAD patient, and MR patient. Learn techniques to help in the care of these patients as well as a deep dive into how the LVAD device works. Hear from Mike (NY AEM…
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A female is complaining of symptoms that point directly to a cardiac issue. Yet the paramedic deems her not worth their time. These generalized symptoms may come back to haunt providers. We talk abdominal pain, nausea and other GI complaints in this episode. Hear from Mike (NY AEMT-P, CIC), Emily (NY EMT-B, RN), Phil (NY AEMT-P), Gerard (NC AEMT-P)…
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We honor Mental Health Awareness Month on the show today with a great interview with Jessica & Brooke of Operation At Ease! We deep dive into the mission of Operation At Ease, their current mental health programs & how they're able to help First Responders & Corrections Officers in new amazing ways. Hear from Mike (NY AEMT-P, CIC), Jessica (OAE), &…
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We honor Mental Health Awareness Month on the show today with an interesting call review where a fairly green crew is thrown into a brawl with multiple patients. The tunnel vision and confirmation bias was thick and opportunities were missed to really understand what they had in front of them. Hear from Mike (NY AEMT-P, CIC), Phil (NY AEMT-P), Emil…
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Returning to some EMS news we review a scary story coming out of Wyoming about a crazy medication error. This story sparks a great discussion about where medication errors come from, why they keep happening and what agencies and providers can do about decreasing the number of medication errors. Hear from Mike (NY AEMT-P, CIC), Gerard (NC AEMT-P) & …
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A patient is bleeding that is the simple part of this call. However the hospital doesn't believe the patient is all that sick. Where is this fluid coming from and what is the cause will ultimately stump everyone! This one is a confusing one, but one thing is for sure we all knew that the hospital was on the wrong side of history. Hear from Mike (NY…
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The first episode of the podcast that is transmitted LIVE. We connect our conversation about the pediatric patient from last episode with a call review of a very sick 5 year old. The crew's limited ability to practice their pediatric physical exam and treatments only create an atmosphere for mistakes to occur when dealing with the pediatric patient…
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Gerard came up with a great discussion topis this month and we dive head first into pediatrics. Listen to ideas and thoughts on how to interact with kids, what to expect during pediatric emergencies and a lots of other great information. Hear from Mike (NYS AEMT-P, CIC), Emily (NYS EMT-B, ER-RN) & Gerard (NC AEMT-P). Intro Music: http://bit.ly/3wIa…
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We take a page from our patreon show and bring you a remarkable mess of blunders. A respiratory patient that just needs someone to look a bit closer and not push her off the edge. Sadly they push her with such force your head will spin. Hear from Mike (NYS AEMT-P, CIC), Butch (NYS AEMT-P), Phil (NYS AEMT-P) & Gerard (NC AEMT-P). Intro Music: http:/…
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What a MAJOR ANNOUNCEMENT for the future of Medic Materials LLC. Yet that is only the beginning. We also review a call in which two medics have slight differences in treatment plans. One plan could save the patient, the other could kill them. Hear from Mike (NYS AEMT-P, CIC), Kelsey (NYS AEMT-P), Butch (NYS AEMT-P), Phil (NYS AEMT-P) & Gerard (NC A…
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When a paramedic listens to the doc in the box and not their clinical judgement the train gets derailed fast! From a weird myocardial infarction to dialysis, junctional rhythms and pacing.... What else can happen!? Hear from Mike (NYS AEMT-P, CIC), Emily (NYS EMT-B, ER-RN), Butch (NYS AEMT-P), Kelly (Clinical Coordinator) & Gerard (NC AEMT-P). Intr…
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In another piece of EMS news we take a look at the UNBELIEVABLE footage from the murder investigation happening in Illinois with two EMT's. The care is unbearable to watch and the outcome was so preventable. Hear from Mike (NYS AEMT-P, CIC), Emily (NYS EMT-B, ER-RN), & Gerard (NC AEMT-P). Intro Music: https://bit.ly/3Jy7AwG Outro Music: https://rb.…
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We return to Mike's favorite location....Rustic, when a tired old farmer makes a desperate plea for help. The Paramedic makes a bold choice which sparks a wild phone conversation. Many bridges are crossed, from air medical to Sgarbossa to pain management in this one! Hear from Mike (NYS AEMT-P, CIC), Emily (NYS EMT-B, ER-RN), Kelsey (NYS AEMT-P) & …
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A first on the show, we discuss a recent article in JEMS and evaluate a Paramedic who struck a patient after being assaulted by that same patient. Nationwide news and hundreds of people have weighed in on the controversy online but we wanted to not only give our perspective but also how could this situation been handled without violence. What shoul…
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Many providers see certain popular medications that stick out on med lists. In this call review a patient knowingly takes a medication that could end up creating dire consequences. Joined today by Mike (NYS AEMT-P, CIC), Emily (NYS EMT-B, ER-RN) & Kelsey (NYS AEMT-P). Intro Music: https://bit.ly/3Jy7AwG Outro Music: https://rb.gy/tais0a Join our Di…
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After a very dark discovery involving intubation, Gerard & Mike began to discuss the pitfalls that EMS has with intubations. We both felt that this conversation reserved a place on the show. Taking a seriously hard look into why EMS first pass success is so abysmal & maybe some things we providers can do about it. Joined today by Mike (NYS AEMT-P, …
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Announcements galore on the 50th episode of the show. Announcements that will shake the foundation of the show! But not to worry we also answer a fan question today and deep dive into the issues of "THOSE' partners. Joined today by Mike (NYS AEMT-P, NYS CIC), Gerard (NYS AEMT-P), & Emily (NYS EMT-B, RN). Intro Music: https://bit.ly/3Jy7AwG Outro Mu…
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These calls are one in a million. None of them are ever the same and most will break a providers mind. We open up a hard hitting honest discussion about MCI's (Mass Casualty Incidents), how providers need to prepare for them, how they should be run and what to expect afterwards. This episode cuts deep for two of our hosts and true feelings fly. Joi…
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Frequent flyers are a part of the EMS industry. How the provider deals with them is the true test to the ems professional. In today's call, a crew turns complacency into legit professional care to a patient causing each provider to look inside themselves and overlook the demons. Joined today by Mike (NYS AEMT-P, NYS CIC), Gerard (NYS AEMT-P), Kelly…
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EMS providers are constantly under stress. At times this stress follows us home. Today is a special episode for us on this show. We are joined by our significant others to have an honest talk about the health of our relationships and how we hold them together while being EMS providers. EMT's & Paramedics have almost a 50% divorce rate, & I can't ev…
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Math is the subject of today's episode when a confused patient suddenly changes directions. The paramedic we follow through this call is left by themselves, with little experience to fall back on. How can they calculate their way out of this one? Joined today by Mike (NYS AEMT-P, NYS CIC), Gerard (NYS AEMT-P), Emily (NYS EMT, RN), Greg (NYS AEMT-P)…
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The conversation continues from our previous episode (Ep44) on EMS culture. We attempt to answer the question "How do we calm down the providers that are just too excitable?" While we do bring up many solutions to this question, we also poke holes in many ongoing EMS issues that every agency must face. Joined today by Mike (NYS AEMT-P, NYS CIC), Ge…
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The call review that Gerard showcases on this episode is no surprise if you've been a long time listener. However the call is not what sparks a two part discussion on where EMS has FUBAR'ed their existence. In the longest episode to date we will cross many bridges that need to be crossed! Joined today by Mike (NYS AEMT-P, NYS CIC), Gerard (NYS AEMT…
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Apples, a factory, multiple ALS providers, and a very sick patient make for a deafening call on this episode. The crew misses key opportunities but at the same point succeeds in the overall scheme of things. We are joined by Mike (NYS AEMT-P, NYS CIC), Ariel (NYS AEMT-P), Greg (NYS AEMT-P), Gerard (NYS AEMT-P) & Kelly (Clinical Coordinator). Intro …
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A young patient requests ems after having a slew of symptoms that seem to not fit together. Or do they? The ems crew faces challenges in history taking, as well as really understanding what this group of seemingly unconnected symptoms have in common to paint the final picture. We are joined with Mike (NYS AEMT-P, NYS CIC), Kelsey (NYS EMT-B), Emily…
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Late in summer of 2021 the NREMT came out and declared they were moving towards ending the practical skills examination by the middle of 2023. As classes resume and the date gets closer and closer EMS educators need to prepare for a drastic change in the way we teach classes. This discussion is littered with ideas and opinions on the future of ems …
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A recent article was published in regards to ems and how the world perceives us, as well as the way we educate our new students. Reading portions of this article the group discusses never before heard ways to improve the outlook of ems. How to reevaluate the education new ems providers receive and how to move the conversation of the ems profession …
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We already spoke about MONA and LISA and now we bring in our Sultan of Sgarbossa to dissect everything we could ever need to know about a 12-Lead. The state of ems knowledge of a 12-Lead is way lower then we should be. Gerard and Mike wanted to help change this by giving a full length discussion on the 12-Lead, what to look for and why we are looki…
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The discussion takes a out of this world turn as Kelly officially digs herself in deep. We are joined with Mike (NYS EMT, NYS CIC & Kelly (Clinical Coordinator). Intro Music: https://bit.ly/3Jy7AwG Outro Music: https://rb.gy/tais0a Join our Discord Community: https://discord.gg/8v4smgMEKe Get CE credit here: https://medicmaterialscmeacademy.thinkif…
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A young patient is met with severe symptoms that EMT's believe could be cardiac related. Their friend LISA assists the providers in providing the proper care as they race MONA to the hospital as death counts down the seconds. This is the heaviest deep dive into cardiology we have done yet as we prepare for our cardiology talks next episode with Mah…
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Providers are prepared for many things when we walk out of EMT or Paramedic class. We can bandage, we can ventilate, we can give life saving medications and even intubate. But school doesn't prepare us to stare face to face with the Reaper of Death. EMT's and Paramedics are grossly underprepared for the trials of death notifications in the field an…
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A crew is dealt a very dark cloud when they are forced to extricate multiple patients with significant trauma from a devistating MVA. During our review we reveal some crazy medical complications that this crew now must figure how to treat as they race against the clock. We are joined with Mike (NYS EMT, NYS CIC), Kelsey (NYS EMT), Gerard (NYS AEMT-…
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A crew wrestles with finding a patient! If they ever do they might find one in serious trouble from a few chicken wings. A series of quick decisive choices may have to be made by this ems crew if first they ever want to find their patient and more importantly to render the appropriate care if needed. We are joined with Mike (NYS AEMT-P, NYS CIC), K…
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A prison, an ems crew, and multiple questionable decisions are what we discuss in today's call review. Multiple factors of human error, stress, and fear take charge in the care of a seriously injured inmate. We are joined with Mike (NYS EMT, NYS CIC), Kelsey (NYS EMT), Gerard (NYS AEMT-P), and "Kelly" (EMT, EMS Clinical Coordinator) Intro Music: ht…
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