What do the greats of EMS read? EM Physician and EMS educator, Dr. Maia Dorsett shares what, when and how she reads.

Reading: Dr. Maia Dorsett

After seeing Dr. Joelle Donofrio-Odmann's talk in Prodigy EMS' Refresh 2021, I knew Medic Mindset listeners needed to hear from her. She is an Associate Professor of Pediatrics and Emergency Medicine and an EMS Associate Medical Director in San Diego, CA.

In this episode of The Thinking Series, she shares her passion and expertise on the topic of Pediatric Respiratory Distress. She covers how she uses the pediatric assessment triangle to stratify patients and how she thinks about the diseases of the upper and lower airways and the ones that don't fit neatly in either.

Thinking: Pediatric Respiratory

Ginger Locke speaks to the topic of Feedback. In this recording from University of Washington's Grand Rounds, she explains that paramedics are not getting enough feedback. She outlines theories for why it is scare, what we can do about it, and how feedback might look in the future.

Finding Feedback

White Tiger, Dr. JR Pickett is back! Previously, he has talked to us about Syncope and Shortness of Breath. This time it's all about abdominal pain. He emphasizes the history and physical exam and includes a few ultrasound nuggets. What's the difference between a thoracic aortic dissection and an abdominal aortic aneurysm? Why is abdominal pain so concerning in geriatric patients? How can you adjust your physical exam techniques to gain the trust of pediatric patients? And why does White Tiger only cry one tear when he has appendicitis?

Thinking: Abdominal Pain

These two guests are partners: a flight medic and a flight nurse. They dig into their relationship in a way that will make the listener think about their own role as a partner. We also have a chance to hear the flight medic reflect on a near-miss with a medication error, what he wished he had learned more about in paramedic school, why he isn't a firefighter and a wide range of other topics. The listener will quickly hear what I heard: These two partners are the perfect yin-yang. She's spirited and animated. He's calm and steady. Together, they have each others' backs.

I have your back.

This is a special cross-post with the brand new pediatric podcast from NAEMSP: The Pediatric EMS Podcast created by Drs. Joelle Donofrio-Odmann and Dr. Joseph Finney. Dr. Donofrio-Odmann has been a guest on the show previously in . Other guests in this episode are Drs. ,  and  They've created these . While you are there subscribe to their podcast which is sure to be a hit.

Pediatric Pain

I don't have favorite episodes but if I did, this would be one of them. With my girlfriend Cassi by my side, I caught up with  and  at a conference. It's the first ever double-date on Medic Mindset! Cassi & Kris are both paramedics. Sara and I have the perspective of the significant-other to a paramedic. We swap stories and Cassi and Kris offer up ideas about what medics need from their spouses/partners. This episode is really a gift to the family members of medics. Take a listen and if it resonates with you, consider having your loved-ones listen. Maybe it will spark good conversation about what you need when you get home from shift or how best to connect with you while on shift. Kris and Sara were absolute gold. During a busy conference, where they were both speakers, they took the time to hide away with us in our hotel room for recording. The conversation was so special to me because conferences can be full of small talk, but this was different: we put away our phones and had a rich meaningful conversation that I hope you enjoy!

Double Date: Kris & Sara

How do we find our way out of this? Initial education, recruitment and retention in EMS are all in crisis. Paramedic and EMS educator,  proposes an educational pathway for paramedics in this keynote lecture at the 2022 National Association of EMS Educators' Annual Symposium. Days before delivering this keynote talk, David was working with a crew to hoist people out of disastrous flooding in Kentucky. He called on those in attendance to offer financial support through this  if possible. This episode was made possible through the collaboration of some of the best in EMS education: ,  and 's David Fifer

Getting to the Black with David Fifer

reflects on a  based on a book called "" by . In this story, the characters are faced with impossible challenges inside a hospital in the days after Hurricane Katrina. There are so many parallels between what they experienced and what out of hospital paramedics are presented every day. The first time I heard Kevin's voice was in 2016 when he was a guest on . They were discussing his book "1000 Naked Strangers" where he recounts memories from working for Grady EMS in Atlanta for over a decade. I was struck by this quote during that interview: "There are a lot of situations where it's just not practical to wait for it to be completely safe and you gotta just try to weigh the odds." With that quote, I knew he'd be a guest well-matched for Medic Mindset where we understand the grey in which decisions are made in EMS everyday. Shownotes at medicmindset.com

5 Days with Hazzard

Freedom House EMS is EMS' origin story. It was almost erased until Kevin Hazzard meticulously researched the story so it can sit in the forefront of our our collective consciousness.

Kevin Hazzard reads 2 chapters from his latest book, American Sirens: The Incredible Story of the Black Men Who Became American's First Paramedics.

Sirens in his voice

Dr. Maia Dorsett joins us again! You may remember her from the Thinking: Lift Assist episode. This time she shares what she knows about the process of death notification. It's a passion-topic for her because she knows how important these conversations are for the loved ones of patients who have died... and for us. She frames a death notification as a procedure that can be taught, learned and practiced.

Death Notification Choreography

Paramedic, Taylor Kellogg joins us. This episode is a chance to take a break from clinical learning and listen to the story of a medic who has a passion for meteorology. Wildland fires in Southern California, a thunderstorm on a goat ranch, tornadoes while on shift, flooding that brought him eye-to-eye with a snake knocking on the station door & winter storms in Central Texas. He marvels at the good & the ugly that natural disasters provoke in humanity and how extreme weather makes us vulnerable in a way that connects us.

The Weatherman

He's the White Tiger. Dr. J.R. Pickett. Or simply J.R. His teams follow him and in this episode he gives away some of the secrets of his leadership philosophies: How he gets buy-in from his team. What he understands about millenials. How he balances decisiveness with tactical patience. Why conflict is essential for successful teams. What he learned during COVID.&nbsp;

Following J.R.

Michael Lauria (@ResusPadawan) is the perfect match for the concept of @medicmindset. Within the first minutes, he outlines tools for performing under stress. As a pararescue medic, he speaks from personal experience and as an academic, he knows the science behind his advice. Listen as we discuss the mind of a resuscitationist.

Dig into the lengthy show notes at medicmindset.com Everything we reference is there. 

Love, Ginger

Beat the Stress with Michael Lauria

Dr. Jeffrey Jarvis is a paramedic turned EMS medical director. You might end up listening more than once because this talk is rich. He packs a ton into the hour. Video Laryngoscopy, Ketamine, Delayed-Sequence Intubation, ultrasound, push-dose pressors, and how he asks his medics to approach EKGs. If you hang around until the end, you get to hear him share a bit about the challenges he faced as a paramedic.

Show notes at medicmindset.com

The Airway Evangelist

Dr. Peter Antevy is a man on a mission. He is working to change the psychology of medics on pediatric calls. 

Show notes at medicmindset.com

During our talk, we discuss:

the importance of staying on scene during pediatric arrests,

why ACLS and PALS should be taught together,

how to change your mindset to be in the zone with pediatrics,

the principles of the Handtevy Method,

his comments on length-based tapes, cognitive offloading and the pre-arrival period,

why his medics want to run pediatric calls,

the process of getting to closure,

Just Culture,

why he thinks he latches on to really big problems,

questions from the Medic Mindset facebook group about:

pediatric head trauma, febrile seizures, pain management and ketamine,

his reflections on the Parkland Shootings,

and advice to medics with big ideas.



Connect with him:

Handtevy.com
Twitter: @handtevyMD
Youtube: https://www.youtube.com/channel/UCef_Z3tSxhwtYbMBHBlLb7w

In the Zone. The Antevy Zone.

In this episode we capture the story of Noah Galloway (@Noah_Galloway) and Ashley Liebig (@ashleyliebig). In 2005, he was an infantryman and she was a combat medic. They were both assigned to the US Army’s 101st Airborne Division serving in Iraq. When Noah was injured by a roadside bomb, Ashley, as part of his medical team, started talking to him and their conversation has lasted over a decade. 

Show notes at: medicmindset.com

"Someone's Someone" with Noah Galloway and Ashley Liebig

This is a first in a series of episodes about the cognitive process of differential diagnosis.

It’s called “The Thinking Series.”

Extensive show notes for everything discussed at medicmindset.com

Ginger Locke talks to the brightest clinicians in emergency medicine about how they think. They approach the concept one chief complaint at a time and dive into the complexities of clinical reasoning.

Dr. Brandon Bleess is a physician who is board certified in both Emergency Medicine and EMS. He’s the medical director for an aeromedical service in Illinois. He’s on the faculty at the University of Illinois’ College of Medicine and has been active in the prehospital setting since becoming an EMT in 2003.

Connect with him on twitter : @bbbleess

Meet Dr. Bleess….

Thinking: Chest Pain

In "The Thinking Series," Ginger talks with the sharpest minds in emergency medicine about how they think. This time she delves into how an EMS Medical director asks her medics to bend their brains around the topic of tachycardia. Her name is Dr. Katherine Remick and she is triple board certified in Emergency Medicine, EMS and Pediatrics. She is a professor at The University of Texas’ Dell Medical School in Austin but Ginger met up with her at an EMS Station in Hays County Texas where Dr. Remick is the medical director. This is the first episode of Medic Mindset recorded at a station so you are invited to enjoy this episode with occasional sounds of the station in the background.

Show notes at medicmindset.com
Twitter: @medicmindset

Thinking: Tachycardia

The Deputy Medical Director for Austin Travis County EMS, Dr. Jason Pickett, and I sat down and recorded a joint podcast about clinical teaching. His podcast is called the Austin Travis County Office of the Medical Director Official Podcast and he released a longer version of this episode. I've really enjoyed getting to know Dr. Pickett because he teaches me something every time we get together. In this next hour, you will hear my delight as he teaches me things about teaching! This episode is about teaching, but you can't talk about teaching without talking about learning. Whether you are a clinical preceptor, a classroom teacher or a paramedic student, I think there is something here for ya.

Talking Teaching

Ginger Locke discusses the importance of good questions and deep listening. She weaves in recommendations from her own research and from Editor-in-Chief of EMS1.com, Greg Friese.

Listening in Color

The Thinking Series is where Ginger Locke talks with some of the sharpest minds in Emergency Medicine about how they think through chief complaints.

In this episode, one of the country’s few flight doctors, Dr. Cynthia Griffin, shares how she sorts through patients with the chief complaint of agitation. She works both in-hospital and out-of-hospital, so her perspective is truly unique. What you will quickly hear is that she is relatable, smart, and happy to share what she knows with medics because she was one for many years before becoming an Emergency Medicine doctor.

She makes a point to describe how she actually leans into the patients who are the most salty because she knows, like all of us, we can be biased when confronted with the agitated patient.

Thinking: Agitation

Ginger Locke and Dr. Jason Pickett hunkered down in a recording closet and pretended the world didn't exist for an hour with one mission: data-mining Dr. Pickett's brain for his thoughts on syncope.

Thanks to Michael Herbert for the custom art for the episode. 

Show notes at medicmindset.com

Thinking: Syncope

This episode is a response to the many requests I get from listeners looking for help on the national registry’s written exam. 

To bring you the most useful advice, I contacted this guest. In my opinion, he is the country’s expert in the area. He understands the logistics of the test and the part that really lights my fire is the way he addresses the psychology of the test… the mindset of success… what he calls “mojo.”

It’s an honor to get to speak to him directly after referring students to his materials for years. Meet my new friend and expert National Registry Pass-ologist, Dan Limmer.

medicmindset.com

National Registry Pass-ology

This is an episode in The Thinking Series of the Medic Mindset podcast where expert clinicians indulge the host, Ginger Locke. In the series, she digs into their brains to explore how they approach the process of patient assessment and differential diagnosis. 

Show notes at medicmindset.com
Following the show and Ginger on twitter @medicmindset and @gingerlockeatx

Thinking: Headache

In this microsode, Ginger Locke asks a panel of Texas EMS Medical Directors a question about medical errors at the Texas EMS Conference in Fort Worth.

Panelists are:
Jeff Jarvis
Taylor Ratcliff
Jason Pickett
Heidi Abraham

Antifragile

Dr. Jason Pickett and Ginger discuss the topic of Shortness of Breath. They discuss the assessment, differential diagnosis and therapeutic interventions related to the chief complaint. They work their way down the respiratory tree, thinking aloud as they go. Throw in a couple of case studies and you've got some delicious brain-nuggets for paramedic students everywhere. 

medicmindset.com for full show notes.

Thinking: Shortness of Breath

The Mixtape Series features 3 anonymous paramedics who answer the same question. In this episode, Ginger asks, "What do you remember about your first ride along?" Take a listen to their responses and see how some themes were repeated.
medicmindset.com for show notes
@gingerlockeatx and @medicmindset on twitter

Mixtape: Ridealongs

So thrilled to have Dr. Heidi Abraham as a guest in The Thinking Series. She discusses causes of bradycardia and the mindset needed to approach patients who are bradycardic.

Thinking: Bradycardia

Thinking: Lift Assist

Ginger Locke is a paramedic and professor of EMS students in the US. She has long been fascinated with the inner-workings of medics' minds. In this podcast, she interviews medics face-to-face, in long, intimate format. She thoughtfully asks her guests to open up about their mindset, routines, mistakes, thought-processes, and lessons hard-learned. This is her creative outlet (art). 

She is on twitter @gingerlockeatx and show notes from each episode can be found at medicmindset.com.

Medic Mindset

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