Wednesday April 1st 2015

Posts Tagged ‘medical’

A Change of the Dogma: If it helps only one? Episode 36


**This podcast is not meant to change YOUR current practice, only your medical director can do that! …but nothing says you can’t try to convince them ;) – KDB**

Whoa! Look at that mechanism of Injury! Hope they C-spined her!

A common EMS practice that goes back to the days of Johnny and Roy is that of spinal immobilization…er…ah…spinal motion restriction I am now told. However this skill, which we have spent countless hours learning and practicing is starting to fall out of favor? Why is that? Well, simply put the research says that a) it may not be effective and b) it may actually be harmful. Get that? Harmful!

Join Dr. Laurie Romig, Tim Noonan, Russell Stine, Bob Lutz, Kyle David Bates, and Kelly Grayson as they reference an article written by Kelly regarding spinal immob…oops, spinal motion restriction.

Learning Objectives for this episode:

The Listener will be able to:

  • Discuss the reasonings behind the changes to spinal immobilization



A Zombie Apocalypse! Episode 34


No Really! Would you be able to handle 240 zombies at a football stadium? Well Delaware County, Ohio found out this past October when they held a disaster drill in which people were turned into, well, um…zombies! But it is not completely their fault…the CDC started it all.

We also discuss a more traditional disaster drill but on a geographically larger scale as well as a one that deals with public preparedness. Which is better? Which is more effective? Which is more fun?

Join Assistant Chief Mike Schuiling from Delaware County EMS, Brain Galligher of Delaware County Office of Homeland Security and Emergency Management, Steve Murphy, Jeremiah Bush, and Kyle David Bates as we talk about disaster preparedness evaluation.

That Doesn’t Happen Here: Oslo Norway Episode 33


On July 22, 2011 life in Norway changed forever when a bomb rocked Oslo killing 8 and then  followed by a mass shooting on the island of Utøya in Tyrifjorden, Buskerud killing 69 attendees, children.

Join Steve Murphy, Tim Noonan, William Random ward, Chris Montera, and Kyle David Bates as they discuss this event with Ronald Rolfsen from Oslo University Hospital in Norway.

Learning Objectives

At the completion of the podcast the listener will be able to:

  1. Discuss response to a potential terrorist attack.
  2. Discuss safety concerns when responding to a potential terrorist attack.

Check Your Pee! Episode 29


Oftentimes we talk about provider rehabilitation only during times of extended operations such as with structure fires. However with the arrival of summer, working on the hot blacktop at the scene of an MVC or during a cardiac arrest in a hot environment can quickly lead to heat-related illness and/or injury.

Join Mike Mcevoy, Russell Stine, Jeremiah Bush, Dr. Jeff Myers,  Steve Murphy, and Kyle David Bates as they discuss essentially how not to end up on the business end of an IV catheter while working at any scene during warm weather.

JEMS article: More Than Just a Standard: NFPA 1584 defines the rehab process

EMS 1: Mike McEvoy: EMS vitals during firefighter rehab

This week’s objectives the listener will be able to:

  1. Define REHABilitation and PREHABilitation;
  2. Defend the importance of Rehab and Prehab;
  3. Perform a self-hydration assessment and care;
  4. Identify situations when rehabilitation may be necessary.

Who is TIMA? Episode 28


Roadway safety isn’t a new topic for emergency responders. People dying, being injured, or damage to vehicles is not new either. So how come we are kicking and screaming when it comes to making our roadway scene operations safe? Why do we only address roadway safety on large highways and during motor vehicle crashes? Why don’t we address roadway safety more often on residential streets or during medical operations when the big blocker truck is not there?

Join Tim Noonan, Brad Buck, Kyle David Bates, and Scott Kier as we discuss these topics.


  1. The listener will be able to argue the need for roadway safety.
  2. The listener will be able to identify when to employ roadway safety techniques.
  3. The listener will be able to discuss and employ engineering controls to make operations on the roadway safer.
  4. The listener will be able to define and discuss the importance of situational awareness while operating on the roadway.

RettMobil Day 3: Ergonomics, Episode 26


This week we return to RettMobil in Fulda, Germany as the guest of Dr. Nadine Levick who is the founder of the EMS Safety Foundation, to discuss ergonomics.

We sit down with Chris Fitzgerald, the EMS Safety Foundation’s world-leading ergonomist, and well as Andrew and Daniel Ronchi of Pro-Active Medical to talk about the research and data gathering that they are doing to help make EMS safer. We also look at some best practices in terms of patient transfer that are quite common abroad but have yet to catch on in the States.

Also, click on the EMS Safety Foundation logo above and it will take you to their website where you can access the fascinating pre-recorded webinars, including one that shows the work Chris, Andrew, and Dan did while at the EMS Safety Foundation’s booth.

“Ya got what ya got!” Rural Disaster Management Ep 23


Once again we are at the 17th Annual Interior Region EMS Council Symposium in Fairbanks, Alaska where we talk with Yvonne Howard from Eagle EMS about 2 major disasters in her area.

Imagine being one of a few responders caring for numerous injured passengers of a tour bus that had crashed. Now imagine being with them alone for hours with only 1 ambulance and its supplies. This is first topic we discuss.

The second disaster Yvonne tells a heart wrenching tale of how Eagle was essentially wiped out by a solid tsunami of ice in May of 2009 and how they have yet to recover.

Join Wilma Vinton, Steve Murphy, and Kyle David Bates as they talk with Yvonne about how small rural communities deal with such disasters.

Our podcast also opens with the winner of the 1st Vendor Sponsorship Drawing, Clint Bodily of Laerdal.


What do you mean ‘Load & Go’? Go Where? Episode 22


Join us again in Alaska as Steve Murphy and Kyle David Bates talk with Rusty Lasell from Tri-Valley Fire Department in Healy, AK about wildland fires, earthquakes, and response to other such disasters in a rural area. We also discuss tourist season, 6-8 hour ambulance runs and how that impacts volunteerism.

Rural Alaska Healthcare Episode 21


If you think that driving an hour with a patient means that you are working within a rural community you have yet to visit Alaska. This week we are at the 17th Annual Interior Region EMS Council Symposium in Fairbanks, Alaska.

Join Steve Murphy, David Akin, Wilma Vinton, and Kyle David Bates as we discuss response in this rural area, the health aide system, and the development of a system.


Why We Do What We Do: a view from the ROUGE Medic Episode 20


Ok, so this is a little late getting out but it is quite worth it!

This week’s episode was recorded LIVE at EMS Today 2011 in Baltimore, Maryland. Scott Keir, Dr. Jeff Myers, Tim Noonan, and Robert Rehab all stop by to discuss  why we do what we do or what we don’t do. We talk about justifying our treatment, contacting and utilizing medical consultation, and conclude with our ever so popular topic of driving safety and training.

…and yes, we did spell it R-O-U-G-E for a reason….love ya Tim!

Candy Cane BLEVE w/ Gingerbreadization – Episode 15


How would you deal with an MVC of a high-profile bowl-full-of-jelly bariatric patient involving multiple small patients as well as nine caribou-type animals?

Using some tongue-in-cheek we look at the role of the Public Information Officer (PIO) in regards to media relations, extrication of the bariatric patient, arriving safely, establishing a safe work zone, alternate fuel vehicles, START triage, and briefly discuss dealing with injured animals. We also look at the hazardous material Christmas Magic, reindeer droppings, looting of presents, and the defibrillation of Rudolph.

So from Rick Russotti, Robert Raheb, Allen Bubel, Kyle David Bates, and Chris Kaiser we wish you a safe and joyous Holiday Season. Merry Christmas!

On a serious, sad note we dedicate this episode to EMT Laura Elizabeth Pullam, 29, of Lowndesboro, Alabama who died after being struck by a passing car on December 15, 2010. Our thoughts and prayers go out to her family.

Opening song, “Santas too Drunk to Drive” by The Hot Rods and found on Music Alley.

Let’s Get A Head! Episode 14


Head injuries are common injuries that we encounter at the scene of an MVC. Rapid assessment and proper management may make a difference in the injured’s prognosis.

Join Scott Kier, Mat Fults, Steve Murphy, Kyle David Bates, and Dr. Jeff Myers as they put their heads together to discuss this topic.

Brain Trauma Foundation

Mini-Mental State Exam (Wiki)

Folstein Mini-Mental State Exam

Keep Your Toque On! Episode 13


…and give one to your patient while you’re at it!

With the colder weather moving in we address the environmental factors that we, and our patients, will face at the scene of an MVC. In this episode we discuss how the cold effects responders and patients as well as how to help delay the onset of hypothermia. Our panel gives suggestions such as using hats for triage and parachutes to create a warmer environment.

Join Steve Murphy, Jeremiah Bush, Wilma Vinton (our REALLY cold weather expert), Kyle David Bates, and making his debut on the FFM podcast Matt Fults as we discuss and give insight into cold-weather response.

An email that Wilma received regarding the heaters that they use:

We have 2 different Fresh air heaters.  We have a 500,000BTU Frost Fighter Heater on Squad 62.  It uses a 4000 watt Generator to run the blower and controls.  It burns diesel fuel which is contained in an auxiliary tank.  The second heater is mounted on E-66.  It is a Herman Nelson 500,000BTU heater and is directly plumbed to the truck’s fuel tank.  It uses electricity supplied by the trucks onboard diesel generator.  We have both 12″ and 6″ inch flexible heater hose and one manifold to attach additional lines.

New Frost Fighter heater’s cost around $5300.00.  A compliment of hoses will run between 500 and 700 dollars depending on sizes.

Let me know if there is anything else you need to know.

Captain Andrew Rossow

Steese Fire Department
Fairbanks, Alaska

Some resources that we spoke of:

Mechanism of Injury or Idiocy? Episode 9


There seems to be a trend to transport patients to the trauma center, possibly by air, based solely upon the mechanism of injury. The question that we address is do we put too much into the MOI? Should we be looking more at the patient? What about the ‘Golden Hour’ dogma?

Join Dr. Jeff Myers, Rick Russotti, Scott Kier, Tim Noonan, and Kyle David Bates as they discuss the subject of mechanism of injury.

Hey Kid! Episode 6


Hearing that your call involves an injured pediatric patient, yet alone multiple pediatric patients, is enough to get even the most experienced provide a little nervous. Why is this? Is it that they cannot tell us what is wrong or is it that w have little experience with kids. Maybe it is a little of each.

Join Tim Loucks, Wilma Vinton, Steve Murphy, Dan McGuire, Rick Russotti, Dr. Jeff Myers, and Kyle David Bates as they delve a little deeper into this subject.

Where Oh Where Should My Patient Go? Episode 4


This week we discuss triage. Not just categorizing patients but where they should go and how they should get there.

Between February and July 2010 there have been 6 HEMS crashes killing 16 people. Should we reevaluate the use of helicopters?

Join Kyle David Bates, Greg Friese, Rick Russotti, Steve Murphy, Tim Loucks, and Chris Mitchell as we discuss the use of helicopters as well as the CDC guidelines for patient triage to trauma centers.

A new article: Air medical industry ‘resisting upgrades’

Also listen for Rick as he becomes possessed!

The Intro: Episode 1


This week Chris Montera hosts the inaugural episode of the First Few Moments podcast. Kyle discusses the First Few Moments program, how it was created, and where it is going. We also share a significant First Few Moments event that we had in our career. We discuss NIMS and ICS as well as roadway safety following a fatal accident in April.

Bahena is survived by his father and two sisters and a memorial fund has been established at the San Diego Fire Fighter Credit Union:
Esteban Bahena Memorial Fund
San Diego Fire Fighters Credit Union
4926 La Cuenta Dr.
San Diego, CA 92124
Account No. 1214D

Chris Montera
Kyle David Bates
Rick Russotti
Tim Loucks
Steve Murphy

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