She sat up, yelling “What happened!”

Practical EMS

Jumping back into Principles in Emergency Medicine

Nate- People lie. Despite the fact that we are not judging them, and just need to know accurate details to provide the best possible care.

Casey- Expect the unexpected.

EMS is long periods of boredom punctuated by moments of sheer terror.

Adam- the job is always out to get you. We see the 1%, it is a self-selected population. So, if you are going to consider a rare or uncommon diagnosis, you are more likely to find it in these patients.

He found a passive pulmonary embolism in a patient with very mild and vague symptoms.

Casey- Arrogance can really cloud your judgment. You must be more confident in what you don’t know than what you do know.

Nate- pay attention to those subtle details like bradycardia. It could indicate a bigger problem than initially thought.

Watch your ego because it may cause you to focus too much on a differential and ignore details to the contrary.

Casey tells a story about a woman who was assumed to be drunk but just had a low blood sugar.

Adam- Know the difference between confident and cocky.

Kiley- A confident provider with a clear plan is very helpful to nursing staff because they can convey this to the patient, and everyone is on the same page.

I always plan on a negative work up because a positive work up will dictate the plan.

Sarah- Don’t stop learning. Look things up. Learn every day.

ZDoggMD talks about burnout being moral injury. Link here:
(30) It's Not Burnout, It's Moral Injury | Dr. Zubin Damania on Physician "Burnout" - YouTube

I agree with certain aspects of what he is discussing but I also believe there will always be aspects of our job we cannot control so we must remain focused on the things we do have control over. Ourselves. Our patient care. How we show up.

Adam- The emergency department is unique in medicine because we don’t have a lot of oversight and rules from the insurance companies. We can order the tests and take care of the patients regardless of their race, gender, insurance coverage. We are the safety net of society.
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Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

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