Ep 25 Live from Texas EMS Conference 2010

[audio:25_TexasEMSConf2010.mp3] (34:28) One day in and we are both already tired. We talk about the different classes and workshops Ron went to, including Kelly’s PediALS workshop.

Learning all about tourniquets and hemostatic (clotting) agents including recommendations for what works, and a history of tourniquet use from Larry Torrey’s “All bleeding stops eventually”.

Why do we design things in EMS for the rare cases? How often do we need Pedi ALS? Of the calls we get how many are pedi, and of those how many involve ALS, IV or ET? Kelly knows. And Ron gets excited over using an EZ-IO for the first time.

More ways animals make the ultimate sacrifice for medicine.

What if your program required you to be able identify breath sounds and heart sounds in a noisy distracting environment before they’d let you wear a stethoscope? Well Bob Page’s student have to do that, and Ron learned a lot in his Stethoscopy for Dummies lecture. Would it be a consolation if he gave you a Littmann stethoscope when you passed?

How do you clean your laryngoscope? Or do you? Learn about the cool stuff the audience saw and that Kelly liked.

Learn a tip on balancing a show like this one. This episode was recorded live at the Texas EMS Conference in Austin Texas November 22, 2010.

The active ingredients in the three main hemostatic agents.
Kaolin -> a clay (QuikClot)
Zeolite -> lava rock (QuikClot)
Chitosan -> protein from crustacean shells (Celox)

C.A.T – Combat Application Tourniquet Get it in Orange because you are an EMT and not a tactical wannabe.
Littmann Master Stethoscope
Ron’s DRG Stethoscope
SafeSeal Stethoscope Diaphragms.
The R.A.L.E Repository
Auscultation Repository
Jules Scadden
Bob Page
Larry Torrey
Stylite, maybe Surch-Lite

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Ep 24 – Crics and Foley Catheters

[audio:24_CricAndFoley.mp3] (55:38) This week we talk about Folly catheters and how it is different on a real woman than the mannequin. Also about getting the smell out of your nose. Ron had a big extrication day where he learn all about cricotomy, alternative airways, digital intubation and blind nasaul intubation. In pharmacology we learned about HTN drugs.

For the first time one of my teachers told me the exact opposite of something Kelly said was airway fu last week. Listen to us discuss why each of them felt the way they do. And while we’re having disagreements the newbie ain’t so sure about other things Kelly said, or maybe it is the other way around.

Listener Questions

Kelly, I am having a real problem being able to hold manual c-spine on on a supine patient who is face down as we log roll the patient on to a long backboard. Try as I might, I can’t seem to hold on thru the whole rolling process without falling on my face or breaking c-spine. I have to stop the roll midway thru & have someone temporary take over c-spine while I get my hands reset, then I take over the c-spine & finish the roll on to the board. My instructors are getting fustrated with my not doing the roll without stopping. My other classmates have no trouble being able to do this. Now I realize that I’m alot older than 99% of my classmates (I’m 42) & I’m not as flexable as I use to be. Is it ok that I stop & reset my hands?? Is this going to be a issue when I do my national registry practicals?? I understand the concept & I believe that I have my hands in the correct positions, it’s just can’t seem to flex enough to continue the roll. I will keep trying to figure this out. It is very discouraging to me. – Kenneth

I’m wondering if you (Kelly) have any advice for someone about to start their paramedic internship. – Matt

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Texas EMS Conference, Baby!

EMS Newbie will be there, will you?

Next week, I’ll be at the Texas EMS Conference doing my thing with my EMS partners in crime, Gary Saffer and Jules Scadden, and the EMS Newbie, Ron Davis.

If you’re planning on attending the conference, here’s where you can catch us:

“Pediatric ALS Workshop: All The Stuff You’re Scared Of, Plus What Actually Works” is running all day Monday, November 22. Workshops begin at 9:45, 1:00 and 3:30.

“CPAP For Dummies: So Easy even a Caveman Could Do It” is in Ballroom D from 10:00-11:00 am, Tuesday, November 23.

“Redesigning EMS: Everything We Know is Wrong” is in Ballroom E from 3:15-4:15, Tuesday, November 23.

I’m giving the closing keynote speech, “The Last Lesson: Put Your Heart Into It” on Wednesday, November 24 from 11:00-12:00 in Ballroom D.

While you’re browsing through the conference schedule, draw a red circle around any lectures given by Larry Torrey, Jules Scadden, Wes Ogilvie, or Jeff Brosius. They’re all worth hearing.

Hosts and fans of Confessions of An EMS Newbie are getting together for drinks and outrageous lies war stories wholesome EMS fellowship at Icenhauer’s Pub at 7:30 Sunday night, November 21. If you’d like to attend, RSVP as soon as you can.

Ron Davis and I will be doing a live podcast of Confessions of An EMS Newbie from the conference, time and location to be announced. When I’m not being flogged like a rented mule speaking, I’ll be hanging with Ron Davis and the nice folks at EmCert (Booth #1622) in the exhibit hall, meeting folks and signing DVD’s and tee shirts.

Check at the EmCert booth, the EMS Newbie Facebook page, or follow Ron (@rondavis007) or myself (@AmboDriver) on twitter for the latest info.

We’ll see y’all there!