Innovations in Patient Care
By Jamie Davis, the Podmedic, RN, NREMTP, BA, AAS
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Podcast Description
Whether you are a physician, nurse, paramedic or EMT you depend on up to date information on ways you can improve the care you provide for your patients. This program will provide you an opportunity to get that information and innovate your patient care...
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CleanDoctor Paul Paris Focuses on EMS Culture of Safety | Emergency medical services systems have broadly varied success rates implementing some sort of patient and provider safety review program. Creating this "Culture of Safety" is the focus of this episode of Innovations in Patient Care. Host Jamie Davis, the Podmedic, interviews EMS 10 Award Winner Doctor Paul Paris, Chief Medical Officer at the Center for Emergency Medicine of Western Pennsylvania, Inc. Dr. Paris received a grant from the Jewish Healthcare Foundation (JHF) which has long worked towards improving safe patient care practices in the mainstream health care system. The grant focused that attention on improving the same aspects of EMS patient care. In its first year, more than 20 fellows were accepted into the program and have participated in cutting-edge quality improvement and safety training exercises. The lessons have introduced the Fellows to patient safety initiatives that have been successful at improving hospital patient care and allowed the fellows to translate those tools for use in their own EMS agencies. The EMS 10 Awards, sponsored by JEMS magazine (JEMS.com) and Physio-Control awards the unsung heroes in emergency medical services systems throughout the country. Recognizing those who have developed new ways to improve patient care, response, and systems, the EMS 10 award winners are nominated by their colleagues and peers and then a committee of industry leaders reviews the nominations and chooses the 10 most deserving innovators. ————– The Innovations in Patient Care podcast is hosted by Jamie Davis, RN, NREMTP, BA, AAS aka “the Podmedic.” The programs are produced by MedicCast Productions, LLC under a sponsorship agreement with Physio-Control, Inc. More programs covering medical and health topics can be found on the ProMed Network (ProMedNetwork.com) where there are over 45 programs like this one covering all areas of health care. | 4/27/12 | Free | View In iTunes |
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CleanMary Meyers Innovates EMS Research and Statistics | Host Jamie Davis, the Podmedic, returns with another EMS 10 innovator awardee this month with paramedic and EMS research evangelist Mary Meyers. Mary is a paramedic and QA/QI Research Specialist for Centura Prehospital Care in Denver, Colorado. She has been recognized for her innovative program to change the way we handle and gather information about our patient care . In order for emergency medical services to continue to improve and advance our standards of practice, providers and medical directors need to start tracking more than just vehicle response times and cardiac arrest survival rates. EMS systems must begin tracking patient outcomes throughout their care and work to determine what aspects of the prehospital care impacts length of hospital stay and long term patient outcomes. Mary's work as an evangelist for her EMS system and surrounding systems has changed the way they look at tracking patient care and EMS statistics. The EMS 10 Awards, sponsored by JEMS magazine (JEMS.com) and Physio-Control awards the unsung heroes in emergency medical services systems throughout the country. Recognizing those who have developed new ways to improve patient care, response, and systems, the EMS 10 award winners are nominated by their colleagues and peers and then a committee of industry leaders reviews the nominations and chooses the 10 most deserving innovators. ————– The Innovations in Patient Care podcast is hosted by Jamie Davis, RN, NREMTP, BA, AAS aka “the Podmedic.” The programs are produced by MedicCast Productions, LLC under a sponsorship agreement with Physio-Control, Inc. More programs covering medical and health topics can be found on the ProMed Network (ProMedNetwork.com) where there are over 45 programs like this one covering all areas of health care. | 4/12/12 | Free | View In iTunes |
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CleanEMS 10 Award Winner Todd Stout Creates Virtual EMS Manager | In this episode of Innovations in Patient Care, we continue covering this year’s EMS 10 Innovator award winners. Todd Stout is a paramedic who had already innovated a way to track the mountains of data collected by most emergency medical services agencies. Todd created FirstWatch.net, a system management program that enables systems of all sizes to collect and analyze their data. With his new innovation, Todd and his software team came up with a way to use the existing system to create alerts in what he calls "near real time" to tell EMS supervisors, managers and chiefs when certain types of incidents are occurring within their jurisdiction. Systems are using this to track everything from vehicle breakdowns during transport to potential pandemic outbreaks. All of this is accomplished with the existing FirstWatch software without the typical industry practice of charging add-on costs for functionality that should have been there when it started. Kudos to a paramedic serving the industry behind the scenes, keeping us all operating safer and more efficiently. The EMS 10 Awards, sponsored by JEMS magazine (JEMS.com) and Physio-Control awards the unsung heroes in emergency medical services systems throughout the country. Recognizing those who have developed new ways to improve patient care, response, and systems, the EMS 10 award winners are nominated by their colleagues and peers and then a committee of industry leaders reviews the nominations and chooses the 10 most deserving innovators. ————– The Innovations in Patient Care podcast is hosted by Jamie Davis, RN, NREMTP, BA, AAS aka “the Podmedic.” The programs are produced by MedicCast Productions, LLC under a sponsorship agreement with Physio-Control, Inc. More programs covering medical and health topics can be found on the ProMed Network (ProMedNetwork.com) where there are over 45 programs like this one covering all areas of health care. | 3/30/12 | Free | View In iTunes |
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CleanDr. E. Reed Smith Resets Tactical EMS Paradigm | In this episode of Innovations in Patient Care, we kick off our coverage of this year's EMS 10 Innovator award winners. The EMS 10 Awards, sponsored by JEMS magazine (JEMS.com) and Physio-Control award the unsung heroes in emergency medical services systems throughout the country. Recognizing those who have developed new ways to improve patient care, response, and systems, the EMS 10 award winners are nominated by their colleagues and peers and then a committee of industry leaders reviews the nominations and chooses the 10 most deserving innovators. This week's award winner is Dr. E. Reed Smith, Operational Medical Director of the Arlington County, Virginia Fire Department. Reed looked at the current practice for active shooter tactical situations of staging EMS and other medical resources until the scene has been secured. He saw that waiting until gunshot and explosion victims were brought out by police caused many who may have been saved in the early minutes of an incident to die waiting for immediate trauma care. Reed created a situation where rooms in such besieged buildings that had been cleared by police seeking to corner a suspect could be considered "Warm" zones in a way similar to areas adjacent to an active hazardous materials incident are coded. There is some risk there but Dr. Smith cites that with proper training, protocols and equipment the risk in an active shooting scene can be mitigated somewhat. He worked with local police to come up with an active shooter drill that includes specially trained EMS personnel to follow their teams into a building wearing bullet proof vests, helmets and other gear who can treat immediate life threats, stabilize victims and prep them for transfer to more definitive treatment outside in safer surroundings. -------------- The Innovations in Patient Care podcast is hosted by Jamie Davis, RN, NREMTP, BA, AAS aka "the Podmedic." The programs are produced by MedicCast Productions, LLC under a sponsorship agreement with Physio-Control, Inc. More programs covering medical and health topics can be found on the ProMed Network (ProMedNetwork.com) where there are over 45 programs like this one covering all areas of health care. | 3/17/12 | Free | View In iTunes |
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CleanImproving Cardiac Care by Becoming a Champion for Change | As we continue from our previous episode of Innovations in Patient Care, host Jamie Davis, the Podmedic is joined by Tom Bouthillet, editor-in-chief at EMS12Lead.com and David Baumrind, Cardiac Care and STEMI Coordinator for East Hampton, New York. Last time, the discussion began with a look at one of our the Ready Link 12-Lead device from Physio-Control and revolved around whether early BLS 12-Lead transmission prior to paramedic arrival is an idea ahead of its time or is an important innovation for emergency medical services systems around the country. The panel all agreed that this innovation was a necessary improvement to systems without extensive advance life support units like paramedics for emergency cardiac care. This episode continues with a discussion about how systems can begin to initiate changes to improve cardiac care and how to best champion change from within an organization. Tom and David both share from their experiences as champions of change for their systems, bringing the latest care standards of care to their patients. Tom and Dave can both be heard on the EMS 12-Lead podcast a brand new resource on advances and initiatives in cardiac care. You can find the EMS 12-Lead Podcast at EMS12Lead.com and Jamie Davis, the Podmedic on the MedicCast and Nursing Show programs. Don't forget to support our Innovations in Patient Care sponsor, Physio-Control and their support for continuing education at conferences around the country and online at Physio-ControlUniversity.com. Check it out for your con-ed needs from a leader in education and patient care tools for medical professionals at all levels. | 11/15/11 | Free | View In iTunes |
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CleanBasic 12-Lead Aquisition in the Field Advancing Cardiac Care, part 1 | In this episode of Innovations in Patient Care, host Jamie Davis, the Podmedic is joined by Tom Bouthillet, editor-in-chief at EMS12Lead.com and David Baumrind, Cardiac Care and STEMI Coordinator for East Hampton, New York. The discussion begins with a look at one of our sponsor's products, the Ready Link 12-Lead device and whether early BLS 12-Lead transmission prior to paramedic arrival is ready for "prime time" in EMS Systems around the country. Clearly the answer is yes as the guests on the panel point out. EMS systems are challenged to continue to improve cardiac care and cardiac arrest survival rates despite the resistance of some entrenched leadership. The call for a single champion in each system to initiate the call for change and adoption of useful tools for care improvement in what is needed. You can hear more of both Tom and Dave on the brand new EMS 12-Lead podcast. Their shows look at similar issues and more and can be found at EMS12Lead.com and Jamie on the MedicCast and Nursing Show podcasts. Also, a special thanks to the Innovations in Patient Care sponsor, Physio-Control. They support continuing education at conferences around the country and online at Physio-ControlUniversity.com. Check it out for your con-ed needs from a leader in education and patient care tools for medical professionals at all levels. | 10/29/11 | Free | View In iTunes |
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CleanImplementing Therapeutic Hypothermia in Resuscitation Efforts, Part 2 | In Part 2 of this special episode of Innovations in Patient Care, host Jamie Davis invites critical care nurse Kelly Arashin from Hilton Head Hospital and Tom Bouthillet, paramedic and author of the EMS 12 Lead blog (EMS12Lead.com). Kelly and Tom are the lead innovators spearheading the implementation of a therapeutic hypothermia protocol in the emergency system on Hilton Head, South Carolina. In part 2 of this segment Tom and Kelly share the specific technologies and treatments used to chill patients during cardiac arrest and return of circulation. | 8/30/11 | Free | View In iTunes |
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CleanImplementing Therapeutic Hypothermia in Resuscitation Efforts, Part 1 | In this special episode of Innovations in Patient Care, host Jamie Davis invites critical care nurse Kelly Arashin from Hilton Head Hospital and Tom Bouthillet, paramedic and author of the EMS 12 Lead blog (EMS12Lead.com). Kelly and Tom are the lead innovators spearheading the implementation of a therapeutic hypothermia protocol in the emergency system on Hilton Head, South Carolina. In this first section of the discussion, Kelly and Tom talk about the challenges moving such an initiative through the channels of both a hospital and EMS system. Look for part 2 of this segment later this month when Tom and Kelly share the specific technologies and treatments used to chill patients during cardiac arrest and return of circulation. | 8/15/11 | Free | View In iTunes |
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CleanPhysio-Control’s Cam Pollock Talks About Innovations in Technology | Cam Pollock, VP of Marketing from Physio-Control joins Innovations in Patient care again to share some of his thoughts on technology innovations and specifically recent advances from our sponsors, Physio-Control. I got the chance to meet with Cam and some of the learning center educators from Physio-Control in their booth to chat about recent innovations in critical care nursing and other trends in medical technology. Jamie: I know you’ve got some changes in the products and it has to do with changes in the way we monitor and transfer data from these monitors. The LIFEPAK® 15 is updating how they’re going to be making information available to the hospital setting. Tell us a little bit about that. Cam: Right. Well, we’re here at the Nursing Show having us a chance to talk to critical care nurses, which is always a great thing to do every year. We’re introducing here a new hospital version of the LIFEPAK® 15. So “15” has been out for a couple of years. It’s been in the EMS. It’s been a very successful product. Now we’re really are tailoring it for the hospital market. What we’ve done is we’ve added an external power, so AC power now, which we didn’t have initially on the LIFEPAK® 15 when it first came out. We’ve had that on the LIFEPAK® 12. On the LIFEPAK® 12, its predecessor has been a strong product in the hospital for us for a number of years. Eleven years to be exact. The “15” now, with power, it can sit on a crash cart. It’s a great product for the emergency department with all the monitoring parameters that it has. It is an excellent product for the cath lab. Some hospitals have gone so far as already is putting it out across the entire hospital. It’s a very flexible portable platform. It’s got a lot of great places to fit in the hospital. We also have a temperature monitor. Both hospital and pre-hospital systems now are starting to really get into therapeutic hypothermia. It’s becoming a standard of care. Jamie: I heard somebody call that “targeted temperature management.” Are we [going to keep hearing] a new term every year for the same thing? Cam: No. [Someone] has to do with claims that could be made. So really what we’re trying to do is help our customers manage their patient’s temperature. That involves knowing what their temperature is and so putting temperature monitoring in the product is a great thing. I think there are a lot of opportunities to – and it’s not just for therapeutic hypothermia, anytime you want to track the temperatures. Some clinicians think of it as another vital sign important to monitor. We’ve got that capability now on the “15”. We also took the continuous waveforms that we have in the product. Previously you could only – when you went to CODE-STAT, the review software, you could only review the ECG waveforms. Now, you can review on CODE-STAT anything that’s on the screen. If you’re monitoring capnography waveform, SPO2, You can also look at that in CODE-STAT Suite. Speaking of CODE-STAT Suite, that’s the piece that goes along with the LIFEPAK® 15, it’s the event review software. If you look at the 2010 guidelines, there’s a lot of emphasis on post-review, post-event review for improvement of CPR, just overall improvement of resuscitation. CODE-STAT, in conjunction with the “15”, it really gives you that opportunity. After a code has happened in the hospital, resuscitation attempt, you can download the information into CODE-STAT Suite and get a great view using a tool called “CPR Analytics” and see exactly how well the team did with their CPR - so CPR fraction times, et cetera. There’s a dashboard, makes it very simple. We’re excited about those two being used in conjunction. We’re excited about it being really more tailored for the hospital now. Jamie: | 7/31/11 | Free | View In iTunes |
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CleanNurse Linda Delmonte Talks Biphasic Energy, Cardioversion, and ECC Guidelines | Nurse Educator, Linda Delmonte from Physio-Control joins Innovations in Patient care again to share some of her education session high points recently presented. I met up with her at a recent Nursing Conference for critical care nurses, where I had the opportunity to sit down with a group of the educators assembled by our sponsors, Physio-Control, in their booth to chat about recent innovations in critical care nursing and other trends. Jamie: Linda, you’re a nurse. You actually work with Physio-Control but you’re one of the lead educators at Physio-Control to help come up with some of the materials and things that go along with the monitors. Linda: That’s right, Jamie. I’ve been there twenty years now. We’ve done a lot of learning centers, both at Nursing and EMS shows, even in Europe. Jamie: You’re going to be talking about some of the things having to do with the new guidelines, 2010 ECC update, talking about biphasic waveform energy levels for defibrillation and cardioversion. What’s new in the new guidelines? What changed for how we look at energy levels in defibrillation and cardioversion? Interestingly enough, you said something to me about that a lot of people don’t understand that the monitor is recording all of the processes in resuscitation surrounding the shock event and that really can give you some insights into how to improve your care. Linda: Yes, that’s correct. As you might know with EMS, they often download the data from their defibrillator and review the cases and give feedback to the team. In hospitals, it’s not so common. People haven’t quite caught up with the technology that’s available. All manufacturers, every defibrillator out there, they’re recording data all the time. You can playback the code. You can playback your pacing events. You can playback your monitoring: end-tidal CO2 waveforms, all that stuff, and look at it. It really gives you insight into how people perform and why things go wrong. It certainly tremendously helps if you’re doing some troubleshooting or problem-solving later on. Jamie: It really gives you a real life look at what’s happening with your patients. You need to build on success when you’re doing these types of things. Linda: That’s very true. I think it’s becoming more evident that we really have to look at every aspect of the resuscitation and try to improve. There is probably not one magic bullet that’s going to help us improve survival but if we add up all the little things, it’ll probably make a difference. I think we see that in the wide variation and resuscitation survival rates across the country. If I told you that if you were in Seattle - if you had cancer and I told you, you have ten times better chance of surviving cancer in Seattle than you did in Chicago, you’d be surprised. I think it will be a national news story too. However, that’s true in cardiac arrest. There are certain communities that are six, eight, ten times better than other communities in getting survival. Jamie: And it has nothing to do with air quality or ground water. It has to do with – it’s an active effort. Many times, community-wide, from system, top to bottom, that is making that difference. Linda: Right. It’s a system response. It certainly doesn’t happen by accident. It happens by people looking at every little thing and say, “How can we make this better? How can we improve?” Jamie: It comes down to the individual. Individuals can make a difference in this situation by really monitoring how they deal with codes and how they manage codes. They’re part in that code. In the hospital, there are lots of team members. In the EMS side, there are only a few team members handling a lot of the jobs. But in the hospital setting, how can you improve whatever job that is you’re tasked to do and be more efficient? I think one of the things the American Heart Association mentioned was “choreography,” having a choreographed approa | 7/15/11 | Free | View In iTunes |
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CleanNurse Educator Mike McEvoy on Trusting Your Patient Monitors or Not? | An old friend, nurse, paramedic, and passionate educator, Mike McEvoy joined me recently at a critical care nursing conference to talk about capnography readings, pulse oximetry, and when you need to question your monitors. I had the opportunity to sit down with a group of the educators assembled by our sponsors, Physio-Control, in their booth to chat about recent innovations in critical care nursing and other trends. Jamie: We’re going to start off with check a pulse and when to question your pulse ox, your non-invasive blood pressure, your capnography readings. My first question that occurs to me is: are you telling us we can’t trust our monitors? Mike: No, I’m not saying that we can’t trust our monitors. I think the point of it is that we have to understand how monitors work so that we know when we can trust them and when not to trust them and that’s sort of important. Especially as technology evolves, we need to really have some sense as to when it’s going to be accurate and when potentially it’s not. Jamie: We really need to understand I think what they were actually monitoring and when there might be situations that cause them to be less accurate than other times? Mike: Sure. Jamie: Let’s start with talking about monitoring blood pressure. You have arterial lines. You have different ways of doing blood pressure. What kind of things happen that cause false readings when you’re monitoring blood pressure? Mike: Well, I guess, the nefarious question that a critical care nurse faces all the time is whether they like the arterial line reading or whether they like the cuff pressure. Jamie: Which is right? Mike: Sure. Which one should you use and which one is accurate under which conditions? I guess what I spend some time talking about in this presentation is: what are the times when blood pressure by cuff is accurate and what are the times when art line would be accurate and… Jamie: Are we comparing apples and oranges here? It’s like saying, “Well, I can take an oral temperature. I can take core body temperature through an esophageal sensor.” They’re not going to show up with the same temperatures. Mike: Right. Jamie: We’re talking about two different types of monitoring. Can you correlate arterial line monitoring and cuff monitoring? Mike: Well, it’s interesting you ask that because one is an apple and one is an orange. When you have an art line you are directly measuring pressure. When you measure with a non-invasive cuff, you’re measuring flow. And is pressure, flow? Not really. No. So one is an apple, one is an orange. Jamie: I think the physics professors out there would say, “Absolutely not.” Mike: Absolutely not. When we use a non-invasive device like a cuff, I think the important thing to understand about that technology is that it’s measuring two things: it’s counting the heart rate and it’s feeling that by the pulsations that it’s sensing as the cuff deflates and then it’s measuring the mean arterial pressure. It takes those two numbers and it attempts to calculate – and I say “calculate” a systolic and a diastolic - and the method that it uses to do that is tremendously subject to error if the heart rate that it collects is in error. It’s tremendously subject to error if the patient doesn’t have a very good flow coming through the extremities. I think the key thing about that is that the only two parameters that the machine measures are mean arterial pressure and heart rate and so if we start relying on systolic and diastolic that’s reported, those are numbers that weren’t even measured by the cuff that calculated. Jamie: They’re approximated by a calculation? Mike: Right. Jamie: It leaps to mind immediately that there might be some problems in being able to collect accurate heart rate data in situations where you have a tachycardic patient with an irregular heartbeat? Mike: Sure. Jamie: You can’t manually palpate that effectively | 6/29/11 | Free | View In iTunes |
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CleanNurse Barbara Furry on New ECC Guidelines and Changes | Returning guest, nurse Barbara Furry joins me a recent Nursing Conference for critical care nurses. I had the opportunity to sit down with a group of the educators assembled by our sponsors, Physio-Control, in their booth to chat about recent innovations in critical care nursing and other trends. Barb, guest host Anne Robinson and I talked about the emergency cardiovascular care updates released last year and how they affect critical care nurses in their patient care. Jamie: Well, we’re talking about ECC guidelines here. I know you’re on the Educational Committee for the American Heart Association talking about some of the things - we got these new guidelines out. One of the things that I’ve seen as I looked at the guidelines and as an educator and talking to people what’s new, a lot of the people look at the guidelines and they say, “Well, aside from some shifts in our thought process, there are not a lot of things that are really earth-shattering.” They look at and go it’s really nothing new from 2005, but that’s not true. Barbara: That’s not a true story. Jamie: So what are some of the things that you see are the major changes that are in the ECC updates? Barbara: You know what, they’re everywhere. There’s been actually a huge shift in – to me, the educational process. It’s all positive. It’s all good. If I start with algorithms - and people look at the algorithms they go, “Okay, that might have changed a little bit.” There are actually huge changes. My favorite change has occurred underneath the Acute Coronary Syndrome 1 and the very first box it says “Symptoms suggestive of ischemia,” before it said: “Chest pain suggestive.” I had lobbied long and hard to get that wording changed. That’s a huge shift unless I pointed out people don’t get it. Because what I say quite simply is, “All right, Jamie, if you would have your heart attack, what’s your number one symptom?” It’s typically chest pain. Jamie: Right, but if we were to ask Anne… Barbara: Anne, typically not chest pain. We like to do it differently – shortness of breath, nausea and fatigue. By simply changing a word around, it actually opened it up to, “Oh, there are more than just males that had basically MI, ACS processes.” So there are changes like that - changes in drugs, changes in patterns – it’s all good. Jamie: Yes. When you look at what they call the “simplified algorithms” when you see the visual representations of them, they’re way simpler. I remember the flow chart with the different boxes and you’d be half-way down going, “What rhythm am I in?” You have to go back and look at the top of the page and then go back down and you’re in this branch of - we have a pulse but we don’t have this. Now it’s really much simpler. They have made it more of a [continuum]. Barbara: Do you like it? Jamie: I do. But I wonder because I’m involved in the educational process a lot more and I’ve been following this very closely over the last several years as the researches come out that I’m biased in some way. Barbara: How? Jamie: Well, I think I wonder if I’m more aware. When it came out there were no major surprises for me but I had been following the research releases since 2005 and I kind of had an inkling of the direction that they were heading. I saw that they were reinforcing some of the major changes they made in 2005 about really focusing more on compression. So when they went to CAB… Barbara: You went up, makes sense. Jamie: That’s a semantic difference in many ways because we were talking CAB but we hadn’t changed the process to CAB. Barbara: Oh, but there lies in right there. Ann and I were talking about this earlier, a psycho-motor skill. So when I look at people – even though with basic BLS I go, “Okay, what do you want to do first?” They’ll say, “Start CPR.” I said, “No, you want to call a CAB.” They look at me and I go, “Start with com | 6/14/11 | Free | View In iTunes |
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CleanNurse Innovator and Educator Nicole Kupchik on Targeted Temperature Management | At a recent Nursing Conference for critical care nurses, I had the opportunity to sit down with a group of the educators assembled by our sponsors, Physio-Control, in their booth to chat about recent innovations in critical care nursing and other trend... | 5/31/11 | Free | View In iTunes |
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CleanInnovator Dr. Ray Fowler, EMS 10 Awardee for 2010 | Dr. Ray Fowler was one of this year's 2011 EMS 10 awardees for innovation in EMS for his groundbreaking work on getting Emergency Medicine recognized as a medical specialty. This paves the way for recognition not only of the ER physicians certified in this specialty but also for those leaders in the Emergency Medical Services like EMTs and Paramedics who train to take this specialty into the field and treat patients prior to their arrival at the hospital. Thanks to our sponsors, Physio-Control for helping to make this program possible. Find out about their innovations in training and education for health care professionals at http://Physio-ControlUniversity.com. | 5/24/11 | Free | View In iTunes |
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CleanReducing Health Care Costs – Two Innovative Case Studies | Last month, in Baltimore, the Innovations in Patient Care crew were able to sit down with two awardees for this year's EMS10 award. In this episode we recognize Dave Aber and Jeff Dummermuth who both came up with ways to reduce health care costs through novel approaches to managing patient care. Catch our other episode this month with more honorees from this year’s EMS10 as they talk about some of the the amazing projects for which they were nominated for this prestigious award. Thanks for Physio-ControlUniversity.com’s continued support of this program and helping to make available our expert panelists and interviews with industry leaders. | 5/4/11 | Free | View In iTunes |
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CleanTwo Medical Innovators Creating Novel Approaches to Patient Care | In early March, we were privileged to sit down with two amazing health care innovators awarded for their creative ways of improving patient outcomes through community awareness. Catch our other episode this month honorees from this year's EMS10 as they share what they've done to save on health care and administrative costs this year. Thanks for Physio-ControlUniversity.com’s continued support of this program and helping to make available our expert panelists and interviews with industry leaders. | 4/20/11 | Free | View In iTunes |
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CleanSupport for Health Care Innovators from an Innovative Company | Earlier this month at EMS Today 2011 in Baltimore, Innovations colleague Carissa Caramanis O'Brien sat down with Physio-Control's Cam Pollock. In his role as the VP of Marketing, Cam gets excited about the opportunities to be a part of a health care system's continuum of care by helping health care professionals find the perfect tools for the jobs they do. Don't miss this insight behind the scenes at one of the companies that supports the health care community with their innovative products and services. Catch our other episode this month that includes a series of interviews with learning center educators from EMS Today 2011 as they share some thoughts from their 1/2 hour sessions presented there. Thanks for Physio-ControlUniversity.com's continued support of this program and helping to make available our expert panelists and interviews with industry leaders. | 3/31/11 | Free | View In iTunes |
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CleanEducating for Innovation at EMS Today 2011 | In this episode of Innovations in Patient Care, your host Jamie Davis introduces a series of interviews recorded earlier this month at EMS Today 2011 in Baltimore. Innovations team member, Carissa Caramanis O'Brien leads the interviews with three educators from the Physio-Control Learning Center sessions. Tim Phalen from ECG Solutions talks about his "Got STEMI" class. Paul Berlin from Gig Harbor Fire and Medic One discusses some of the points from his NSTEMI class. Paul Satterlee, MD from Allina Medical Transportation shares his challenges with introducing a mechanical chest compression device. You can find other episodes of Innovations in Patient Care in the iTunes directory. Subscribe for free! A special thanks to our sponsor, Physio-ControlUniversity.com, your resource for top-quality educational resources for medical professionals at all levels. | 3/15/11 | Free | View In iTunes |
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CleanPart 2 of Understanding Electrical Shocks and the Heart | In this second segment of our episode of Innovations in Patient Care with Dr. Fred Chapman, PhD., I had the honor to sit down with Fred and talk further about the ins and outs of therapeutic electrical shocks for cardiac care. Fred is the Director of Research for Physio-Control, Inc. and has an extensive background in Biomedical and Electrical Engineering. I asked Fred to help me dig in to the mysteries of what really happens when we press the "Shock Button" and deliver a charge to a patient. What do the ECC shock charge numbers really mean? What's the difference between bi-phasic and mono-phasic shocks? Why do some patients respond to shocks and others don't? What is on the horizon for patient care technology and cardiac care? Can the AED shock the rescuer? Visit part 1 of this landmark interview on how defibrillation, cardioversion, and transcutaneous pacing works. ------ You will find them in iTunes in the podcast category and on the Physio-Control Facebook page (Facebook.com/PhysioControlInc). | 2/28/11 | Free | View In iTunes |
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CleanUnderstanding Electrical Shocks and the Heart, part 1 | In this episode of Innovations in Patient Care, I had the honor to sit down with Dr. Fred Chapman, PhD and talk about the ins and outs of therapeutic electrical shocks for cardiac care. Fred is the Director of Research for Physio-Control, Inc. and has an extensive background in Biomedical and Electrical Engineering. I asked Fred to help me dig in to the mysteries of what really happens when we press the "Shock Button" and deliver a charge to a patient. What do the ECC shock charge numbers really mean? What's the difference between bi-phasic and mono-phasic shocks? Why do some patients respond to shocks and others don't? What is on the horizon for patient care technology and cardiac care? Can the AED shock the rescuer? Visit part 2 of this landmark interview on how defibrillation, cardioversion, and transcutaneous pacing works. ------ You will find them in iTunes in the podcast category and on the Physio-Control Facebook page (Facebook.com/PhysioControlInc). | 2/15/11 | Free | View In iTunes |
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CleanPart 3 of 2010 Patient Care Technology Retrospective and 2011 Predictions | In part 3 of a 3 episode series of shows on Innovations in Patient Care, host Jamie Davis, the Podmedic, RN, NREMTP, BA, closes his discussion with Tom Bouthillet and Mike McEvoy about patient care technology predictions for 2011 and what next year holds for innovations in patient monitoring, assessment and care. Tom Bouthillet is a Lieutenant/Paramedic with Hilton Head Fire and Rescue in South Carolina and is also the celebrated author of the Prehospital 12-Lead ECG site (EMS12Lead.com). Tom has been on the show before discussing capnography in the November episodes of this podcast and has also been a frequent guest on the MedicCast including a multi-part series on the ECC updates from the American Heart Association this past October. Mike McEvoy is a cardiac surgery nurse, a paramedic, resuscitation and medical school educator, and frequent speaker and educator at national nursing, medical and EMS conferences. Mike can also be found at MikeMcEvoy.com and in numerous educational CEU segments at Physio-ControlUniversity.com. ----- In Part 3 of this three part series, Tom and Mike turn their discussion of to what they are looking forward to in 2011. They spend some time focusing on code teams, cardiac arrest management and what the new educational materials for the 2010 ECC update might look like. Make sure you follow up here on the Innovations in Patient Care podcast to pick up the other episodes in this series as they are released and also the previous episodes and discussions. You will find them in iTunes in the podcast category and on the Physio-Control Facebook page (Facebook.com/PhysioControlInc). | 1/7/11 | Free | View In iTunes |
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CleanPart 2 of 2010 Patient Care Technology Retrospective and 2011 Predictions | In part 2 of a 3 episode series of shows on Innovations in Patient Care, host Jamie Davis, the Podmedic, RN, NREMTP, BA, chats with Tom Bouthillet and Mike McEvoy about patient care technology and news events of the past year and also to look forward to what 2011 holds for innovations in patient monitoring, assessment and care. Tom Bouthillet is a Lieutenant/Paramedic with Hilton Head Fire and Rescue in South Carolina and is also the celebrated author of the Prehospital 12-Lead ECG site (EMS12Lead.com). Tom has been on the show before discussing capnography in the November episodes of this podcast and has also been a frequent guest on the MedicCast including a multi-part series on the ECC updates from the American Heart Association this past October. Mike McEvoy is a cardiac surgery nurse, a paramedic, resuscitation and medical school educator, and frequent speaker and educator at national nursing, medical and EMS conferences. Mike can also be found at MikeMcEvoy.com and in numerous educational CEU segments at Physio-ControlUniversity.com. ----- In Part 2 of this three part series, Tom and Mike wrap up their discussion of major events that occurred in 2010, and turn their attention to what they are looking forward to in 2011. Make sure you follow up here on the Innovations in Patient Care podcast to pick up the other episodes in this series as they are released and also the previous episodes and discussions. You will find them in iTunes in the podcast category and on the Physio-Control Facebook page (Facebook.com/PhysioControlInc). | 12/24/10 | Free | View In iTunes |
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Clean2010 Patient Care Technology Retrospective and 2011 Predictions Part 1 | In this episode of Innovations in Patient Care, host Jamie Davis, the Podmedic, RN, NREMTP, BA, brings back past panelists Tom Bouthillet and Mike McEvoy to join him in a discussion on the patient care technology and news events of the past year and also to look forward to what 2011 holds for innovations in patient monitoring, assessment and care. Tom Bouthillet is a Lieutenant/Paramedic with Hilton Head Fire and Rescue in South Carolina and is also the celebrated author of the Prehospital 12-Lead ECG site (EMS12Lead.com). Tom has been on the show before discussing capnography in the November episodes of this podcast and has also been a frequent guest on the MedicCast including a multi-part series on the ECC updates from the American Heart Association this past October. Mike McEvoy is a cardiac surgery nurse, a paramedic, resuscitation and medical school educator, and frequent speaker and educator at national nursing, medical and EMS conferences. Mike can also be found at MikeMcEvoy.com and in numerous educational CEU segments at Physio-ControlUniversity.com. ----- In Part 1 of this three part series, Tom and Mike discuss the major events that occurred in 2010, focusing on the 2010 ECC update that came out in March. Make sure you follow up here on the Innovations in Patient Care podcast to pick up the other episodes in this series as they are released and also the previous episodes and discussions. You will find them in iTunes in the podcast category and on the Physio-Control Facebook page (Facebook.com/PhysioControlInc). | 12/21/10 | Free | View In iTunes |
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CleanCapnography Discussion (Part 2) with Paramedic Authors Peter Canning and Tom Bouthillet | Capnography Discussion (Part 2) with Paramedic Authors Peter Canning and Tom Bouthillet Get Part 1 of this discussion at MedicCast.com/innovations Capnography Uses and Discussion with Peter Canning and Tom Bouthilett Transcript of main discussion (Part 2) Jamie: Let’s move in and talk a little bit—we talked about perfusion and the ways that capnography really gives us an idea of what’s going in the respiratory system and perfusion and gas exchange. Peter previously said that it’s an opportunity to see perhaps why someone has collapsed if it’s been related to choking or some of the other respiratory issues. There are really a lot of different ways that capnography can be used for that live patient. Patients with respiratory difficulties to help confirm based on the waveform, based on the capnography numbers that are coming back, the values for carbon dioxide that we’re seeing. We can correlate that with specific problems. I know, Peter, you’ve been talking about this for a long time on how we can use this to identify effectiveness of interventions for asthma. Identifying a patient with an asthma attack versus an anxiety attack just based on the shape of the waveform. We’d like to share a little bit about how you think that is just something that were missing and not doing enough of. Peter: Yes. I have found it very useful in some cases. One caution as far as the number when you’re using the nasal prongs is a low number is harder to take for granted than a high number. If you get a high number then you know there’s a problem. There’s a lot of carbon dioxide there. But the low number sometimes it can just be the way the person’s breathing or the way the thing is positioned. What I like to use it for is if I have a patient that’s like an unresponsive. I show up and they don’t arouse very well. If I slap one of those things on right away, I can tell whether this patient’s obtunded or whether they’re ventilating properly. If I put the thing on and I get 35 for an end-tidal then I’m relatively calm. If this person I put it on and I’m getting 60’s or 70’s then I have to start thinking, “Maybe this patient’s going to need to be intubated.” I find that I’m not using as much as I used to use it on some of the respiratory calls. If I show up and the person had COPD or an asthmatic, confirmed with a history of it, and they’re having a hard time breathing and I can hear their wheezes, I just go ahead and treat them. The capnography, while providing some interesting information, isn’t going to change my treatment that much. Being a single medic, I don’t always have the time to put it on. As you mentioned, sometimes if I’m not certain what the cause is, if this person is—they’re going, “I can’t breathe. I can’t breathe. I have asthma. I can’t breathe.” I put the capnography on and I see a nice upright waveform then I may think this is more anxiety or if I put it on and I see the big shark fin, then I know it’s more of the asthma. Tom: I find the shark fins very interesting. We had a gentleman named Robbie Murray who is the Operations Chief for Sussex County EMS that came down and taught our capnography class on Hilton Head. For anyone that doesn’t understand what we mean when we talk about a “shark fin” waveform is what’s called the, I guess, the leading edge of the alveolar plateau, so the flat top on top of the waveform is referred to as the alveolar plate. The leading edge of it becomes obliterated in the presence of bronchospasm. Because that leading edge gets rounded out, it really does take on the general appearance of a shark fin. I’m sure that a field-hardened paramedic like Peter can identify a patient who is wheezing without the assistance of capnography. Peter, one thing, I though was so cool in this presentation was seeing the improvement in the waveform after the treatment. I thought that was kind of neat. Peter: Right. Yes. You can really d | 12/8/10 | Free | View In iTunes |
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CleanCapnography Discussion with Paramedic Authors Peter Canning and Tom Bouthillet (Part 1) | Capnography Discussion with Paramedic Authors Peter Canning and Tom Bouthillet (Part 1) Get part two of this segment here at MedicCast.com/innovations Capnography Uses and Discussion with Peter Canning and Tom Bouthilett Transcript of main dis... | 11/15/10 | Free | View In iTunes |
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CleanInterview with Cam Pollock on LifeNet 5.0 Update and Mobile Apps | Interview with Cam Pollock on LifeNet 5.0 Update and Mobile Apps Interview with Cam Pollock on LifeNet 5.0 Update Jamie: Hi, this is Jamie Davis, the Podmedic. I’m here with Cam Pollock, Vice-President of Marketing for Physio-Control. He’s at the American Heart Association right now. He’s actually recently announced, I guess the first thing this morning, Physio-Control has announced a new upgrade to their LIFENET package of software for their heart monitors, defibrillator devices, particularly, the LIFEPAKs. Cam, I want to have an opportunity to talk a little bit about some of these upgrades and also some partnerships, particularly a partnership with the AirStrip Cardiology application that you’ve announced this morning. Respondent: Great. Yes, Jamie, always good to talk to you. Jamie: Well let’s go ahead and talk a little bit about the LIFENET upgrade, the LIFENET 5.0. You’ve added some exciting integration factors with oversight of the devices as well as additional opportunities to communicate with the hospital. Let’s talk a little bit about LIFENET 5.0. Respondent: Okay. Well, first of all, just as a reminder to everybody, LIFENET really is our web-based data network that allows us to connect our devices in multiple different ways. Really, our first killer app, so to speak, on LIFENET was the ability to transmit 12-leads from the field for chest pain patients back to the hospital. That certainly is where a lot of people have been using LIFENET for today. What I always remind people is that’s really only the first major application for LIFENET. Referring the LIFENET as a STEMI-transmission system is kind of like saying your iPhone is a phone. We got this network in place. We’ve spent quite a bit of money and effort over the last few years building up the infrastructure for LIFENET. Now what we’re doing is we’re adding new functionality, new capability. Our vision down the road is essentially a completely connected product line where we can move data in two directions across all of our products. LIFENET 5 is really our fifth installment towards that vision. We introduced LIFENET in the beginning about three years ago and so this is our fifth major upgrade in the last 3 and 3½ years. That’s really our plan is to just keep building that network and building those capabilities over time. LIFENET 5.0 is probably the biggest upgrade we’ve done so far to the LIFENET system. We’re really excited about it. It’s got some major new features that we think will bring some value to our customers. One of the most important ones is called “LIFENET Consult.” What LIFENET Consult does is it gives clinicians the ability to get a remote recommendation from a clinician regarding a case. For example, if a field EMS system sends a 12-lead over the LIFENET system, at the LIFENET station—the hospital—is simply a consult button up at the top of the screen. When you push the consult, you can push that consult up to somebody remotely to receive on their iPhone. For example, if you have a cardiologist who is off at a remote site, remote location, they can receive that 12-lead directly on their iPhone as well as the patient’s vital signs to transmit along with the 12-lead. That can all be reviewed on the iPhone. It’s a two-way communication vehicle. So they can respond back with a message. We can put pre-programmed messages in there to make it more efficient and that person can give a message back and then they might say, “Yes, this is a real STEMI. Let’s go ahead activate the cath lab.” It’s really all about patient flow and efficiency in making the system work in a more efficient manner. Another piece that comes along with Consult is something called “LIFENET OnePush.” Essentially what it sounds like it’s pushing one button and activating the entire system. Again, this is about hospital teams working more efficiently. What we heard from our customers was that when a STEMI patient, for examp | 11/8/10 | Free | View In iTunes |
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CleanInnovations in Patient Care Episode 8 Interview with Troy Smith | Innovations in Patient Care Episode 8 Interview with Troy Smith transcript of Interview of troy smith Jamie Davis: Hi, Jamie Davis, the Podmedic, here in Dallas at the EMS Expo 2010. We were brought in here by Physio-Control to interview some of their Learning Center instructors that are here at the Expo doing educational sessions during the exhibit hall hours. I have Troy Smith here from Snohomish County Fire District 7 in Washington State. He is going to be talking about capnography in the talks later today. Actually, you’ll be able to see that presentation over at Physio University in their Learning Sections there. Troy, first off, I want to know a little bit more about how did you get into becoming a paramedic? How did you become passionate about taking care of our patients the best way we can? Troy Smith: It all started actually back from the YMCA camp. When I was 15 years old, I was hanging out with the EMTs that worked there. They talked about this job they had and I was like, “Wow, it’s so interesting.” That built inside of me this desire to look into that. After I graduated high school, I got into EMS and started working right out of high school. I worked at Central Washington University in 1993 and the rest is just basically history at that point. Jamie: You’re going to talk a little bit later on about capnography and it’s something I’m passionate about. I often refer to it as the red-headed stepchild of our EMS tools. I think it's one of the most underutilized and yet most important tools that we have in our tool box. People just don't understand it. It’s not just for tube placement anymore, right? Troy: Yes. That’s the big misconception. If you’re just using it for tube placement, that’s the tip of the iceberg. It does so much more. People would ask me, “Hey, what is it going to do for me? How does it help me at 2 a.m. when I’m not running the call?” It’s plain and simple. It is the earliest detection sign that we have of the patient’s changing condition, plain and simple. Everything else—it’s not the only thing, don’t get me wrong, you still have to use all of the other tools, assessments—but it is the earliest sign that we’re going to see that the patient is changing. Jamie: It really is potentially another vital sign. Troy: Yes. Jamie: It really could be used that frequently because we see so many things change. Gas exchange at the cellular level is really what it’s all about. If that’s not happening efficiently and exchanging the lungs, we’re not going to see a healthy patient. Troy: Yes. The challenge that we look into when we talked about capnography is it is any change in perfusion, metabolism, or ventilation. If you have any different from capnography, it is going to be traced back to one of those three things. The challenge for the medics is trying to figure out which one of those three or two or all of them it is but it really does point you in the direction, yes. Jamie: It also gives you an idea and indication of the effectiveness of interventions. Troy: Yes. Like when we talk about asthma specific, when you look at the change of waveform, that is going to be the first indication your treatment is working or, worse, it’s not working and we’re going to do something different. Jamie: Actually, I’m seeing this—you can actually be better prepared to know if you’re going to actually need to get that tube out. When you let that asthmatic, that’s just not responding to anything you’re doing despite your best efforts and you’re watching that wave worsen and worsen and you’re seeing that gradient change, you get a better indication. I think you’re better prepared. Troy: Yes. In our system, we really moved a lot of protocols to the use of capnography. It’s written in there saying, “Hey, we want to use it on these patients. These are the types of patients.” Our narcotic overdoses anymore, we don’t titrate Narcan to mentation. | 11/1/10 | Free | View In iTunes |
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CleanInnovations in Patient Care Episode 7 Interview with Mike McEvoy at EMS Expo 2010 | Innovations in Patient Care Episode 7 Interview with Mike McEvoy at EMS Expo 2010 transcript of Interview of Mike Mcevoy Jamie Davis: I’m Jamie Davis, the Podmedic, and we’re back here at EMS Expo 2010 with another segment of “Innovations in Patient Care.” We have Mike McEvoy with us today. He’s going to be talking a little bit later on in the Physio-Control Learning Center in the exhibit hall about carbon monoxide poisoning and some of the things that you need to pay attention to with carbon monoxide poisoning. Physio-Control’s Learning Center at these Expo hall events are just the fantastic way to gain a lot of great information in a short time frame. We’re going to be recording Mike’s segment later on and that will be posted over at the Physio-Control University site. If you want to find more about what Mike’s talking about definitely do that. Mike, first of all, welcome. We know each other. We’ve actually done an interview like this before but for the people that are watching or listening to this, tell them a little bit about how you became a paramedic or your medical background. Who is Mike McEvoy and why should they listen or care what you have to say? Mike McEvoy: Okay. Well, thanks, Jamie. My background is many hats. I’m a paramedic. I’m a nurse in Critical Care unit. I’m a medical college professor and firefighter. Had been a fire chief. My involvement in EMS started when I was a college student in New York City back in the late seventies. Somebody asked me if I wanted a cool job and went to one of the early paramedic classes in New York City and worked for New York City Health and Hospitals Corporation for a few years and then at Cabrini Medical Center which no longer exists like some of the hospitals in New York City. I’ve been a medic ever since that time which is going on almost 35 years now. Jamie: Well, yes. You definitely got the background. Of course, your nursing background. You get to see a lot of things about blood gases in critical care. Carbon monoxide, not something you see in a critical care setting so much but on your firefighter side and on your paramedic side, we’re recording this in the end of September. I know I’m in Maryland, you’re in New York. It’s going to be the time of year where people are going to start heating their homes and closing up their houses and carbon monoxide definitely becomes a problem. Mike: Right. Heating months are probably a four-fold increase in carbon monoxide poisonings of accidental nature because aren’t aware that when they turn their furnace on they have to have their chimney cleaned and have some knowledge about how the furnace is operating. Maybe have some preventative maintenance [unintelligible] same thing with fireplaces. When we have utility loss from natural disasters, people run generators, they don’t want them stolen, they put them somewhere close to the house or sometimes in the garage. You see more carbon monoxide poisoning. Definitely an increase during heating months and during times when you have to run combustion engines. Jamie: I love your training sessions because it is so informative and you become so passionate about these things. Here’s the question of the day: what’s the one thing that people misunderstand about carbon monoxide? Mike: Well, I bet you there’s a few things that I like to talk about when I’m talking about things you don’t know about carbon monoxide. The first is, one of the reasons why it’s a problem to find is because we all have it in us all the time. What happens is that the end of the life of your red blood cell, you break your red blood cell down in your blood stream into carbon monoxide and you exhale it. That’s how you get rid of red blood cells when they die. All of us walk around with some level of carbon monoxide. That befuddle us because now we’re calling it a poison. Yet we see it in the ICU setting. We’re starting to learn more about it from a perspective | 10/15/10 | Free | View In iTunes |
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CleanInnovations in Patient Care Episode 6 Interview with Dana Yost | Innovations in Patient Care Episode 6 Interview with Dana Yost transcript of Interview of Dana Yost Jamie Davis: Hi, I’m Jamie Davis, the Podmedic. I’m doing some interviews here for Physio-Control at EMS Expo 2010 in Dallas. I’m here with Dana Yost, the paramedic from Seattle, Washington—King County area—actually Redmond, Washington, with the Fire Department? Respondent: Correct. Jamie: Before we get into talking about your presentations today because you’re doing some really engaging talks today about some CPR QI and I really want to find out a little bit about that. Before we do that, what got you into being a paramedic? How did you reach the point now where you’re so passionate about this? Respondent: Sure. Back in 1987, I was living next to my neighbor who was a volunteer fireman. He says to me, he says, “Hey, what do you think about joining the volunteer fire department?” I said, “Oh, sure.” I did and they put me through an EMT class and from there I just kind of graduated up slowly into about 1995. I went to the Harborview Paramedic program in Seattle. I came over to Redmond Medical on which is part of the Seattle–King County Medical System. Jamie: King County is really, I think, one of the—if not the leader—one of the nation’s leaders in really pushing the envelope on increasing and improving cardiac arrest survival. You’re talking about something called “CPR fraction time”? Respondent: Sure. Jamie: Now that’s going to be part of your presentation and you’re talking about quality improvement of how we handle CPR in cardiac arrest. What do you mean? That term left out at me when I was looking at your presentation. Respondent: Sure. It’s a fancy term for hands-on time for your CPR event. Start zero of the cardiac arrest all the way to the end, the question is how much compression time are you actually hands-on on the patient. I think there’s some pretty [startling] evidence that suggests that that is really a core foundation of resuscitation. If you can figure out ways to increase your CPR fraction time or your hands-on time, as an easy way to say that, it’s an easy way to increase your resuscitation rates. Jamie: What have you found? Is the resistance to looking at these numbers—I’m always intrigued by the fact that when you talk to some systems, they try to still do things by flying by the seat of their pants. By doing the things that just seemed like a good idea rather than actually looking at numbers and saying, “This is working; this is not working,” and comparing the way they’re running things. King County, obviously, has found a way to make all this work. As you talk to other people from other systems, are you finding that they just haven’t caught on to this or is this just something that’s so new that there’s—well, this has been around for five years. We know more about the launch of the new guidelines—hands-on CPR compressions have been around since 2005 Guidelines came out. It’s not that new but yet systems are still not fully implemented. Respondent: It’s definitely not a new concept. It requires a lot of work. It requires a lot of work to collect that kind of data. It requires a rigorous attention to detail to collect that kind of data. Fortunately, I’m fortunate enough to live in a system where I grew up collecting data. I can tell you last year on our medic unit we had six studies at the same time on the medic unit which is an enormous amount of work on top of doing your patient care and everything else that you’re supposed to do. It’s a culture that makes the difference I think. People with passion who say, “I’ve seen that collecting data makes a difference. That we can make reasonable decisions based off of good data and makes it worthwhile.” Jamie: What’s the number as you were doing your study and the things you’re presenting today—when you’re doing your presentation which people would be able to find | 10/5/10 | Free | View In iTunes |
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CleanInnovations In Patient Care Episode 5 Interview with Cam Pollock at EMS Expo 2010 | Innovations In Patient Care Episode 5 Interview with Cam Pollock at EMS Expo 2010 transcript of Interview of cam pollock Jamie Davis: I’m Jamie Davies, the Podmedic. We’re here at EMS Expo in Dallas, 2010. Physio-Control has brought us in again to go ahead and talk to some of the people they have here. Of course, most exciting is that I am able to sit down with Cam Pollock again. Cam, how you’re doing? Cam Pollock: I’m doing great. Things are well. Interviewer: Cam, you are the director of marketing? Respondent: I’m the vice-president of Marketing. Interviewer: I should probably know your title so that I can say it correctly. There are some exciting things. I think we spoke last directly face-to-face at EMS Today talking about some of the things are going on but we’re back here in EMS Expo. These events are really special. What do you take away and your people take away from events like this? Respondent: Well, this is one of the two biggest EMS-oriented trade shows that happen during the year. We’re always excited to come. It’s a real good chance for us to get in front of our customers. That’s really important for us to get that kind of feedback from our customers. We have a lot of our people using our equipment come to our booth. I would say the majority of people who come by and stop by are actually Physio users. We do a certain amount new user demos but a lot of it is just keeping in touch with who our current users are. We can show them what’s new. Sometimes we can show them what’s coming. One of the big emphases that we have right now is in continuing education. With both these trade shows—EMS Expo as well as EMS Today—we’ve been consistently doing the Learning Center. This time we got twelve unique programs that we’re bringing for continuing education credits, so a great chance for our customers to get some hands-on type learning. | 9/30/10 | Free | View In iTunes |
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CleanTim Phalen on non-STEMI and his ECG Challenge on Innovations in Patient Care | Join host Jamie Davis, BA, RN, NREMTP as he travels and calls around to some of the nation's experts in patient monitoring and care. In this episode, Jamie interviews Tim Phalen about his learning center sessions at NTI/AACN 2010. Tim is a nationally recognized educator who has authored many journal articles and several books including The 12-lead ECG in Acute Myocardial Infarction and co-authored The 12-lead ECG in Acute Coronary Syndromes. Tim shares with the listeners some of his plans for the upcoming education including tips on non-STEMI cardiac events and imitators as well as his latest addition to his educational arsenel, his ECG Challenge. You'll find these sessions and many others at Physio-ControlUniversity.com. | 9/8/10 | Free | View In iTunes |
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CleanTricks and Lessons in Transcutaneous Pacing and Innovations in Patient Care | In this segment of the Innovations in Patient Care show, host Jamie Davis, BA, RN, NREMTP, interviews Linda DelMonte, a clinical marketing manager for Physio-Control about her background as a nurse and educator. Barbara's session in the Physio-Control learning center at AACN 2010 can also be found at Physio-ControlUniversity.com. Linda shares her expertise on the "magic" of successful transcutaneous pacing including some interesting tricks to achieve capture that will prove a surprise to some health care professionals listening to this segment and viewing her educational session. Check out this interview with a person who literally "wrote the book" on TCP. | 8/15/10 | Free | View In iTunes |
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CleanToo Much Oxygen, Capnography and Innovations in Patient Care | In this segment of the Innovations in Patient Care show, host Jamie Davis, BA, RN, NREMTP, interviews Mike McEvoy, PhD, RN, CCRN, REMT-P background as a nurse, associate professor of critical care at Albany Medical College and then talks about some of the educational segments he will be presenting in the Physio-Control learning center the next day. Mike has several learning center sessions at this conference but by far the one that we found most interesting was his look at overuse of oxygen in patient care. Mike also talks about capnography and how it can provide an important window into the patient's metabolic and respiratory effectiveness. You can find some of these sessions over at Physio-ControlUniversity.com. | 8/1/10 | Free | View In iTunes |
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CleanBarbara Furry on the Elusive MI and Innovations in Patient Care | In this segment of the Innovations in Patient Care show, host Jamie Davis, BA, RN, NREMTP, interviews critical care nurse Barbara Furry, RNC, CCRN, MS owner and director of The Centor of Excellence in Education. Barbara shares her background as a nurse and then talks about some of the educational segments she will be presenting in the Physio-Control learning center the next day. Whether you are from the hospital or pre-hospital sector of health care, Barbara's discussion of characteristics of an "Elusive MI" provides a look at the wealth of information she makes available in her teaching sessions. You can find some of these sessions over at Physio-ControlUniversity.com. | 7/25/10 | Free | View In iTunes |
| Total: 34 Episodes |
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