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MedicCast TV Weekly Video Commentary

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This episode of the MedicCast TV weekly commentary is about Confidence. What should you do if things start to fall apart around you?

Take a deep breath. This sounds a little cliche, but it works. It gives you chance to step away from the situation, so to speak, and see it from a different perspective. By remaining calm, or appearing to remain calm, will give you more control of the situation and allow you to react better to the situation.

So, take that deep breath, calm down and keep going. Remember, the only thing you really have control of is yourself, so just focus on staying calm and what you can do to help the patient.

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This is a story of a New York paramedic EMT who saved a boy’s life 19 years ago and has been really an important aspect of that family’s life ever since. He has stayed up with what’s going on with that boy’s life, the boy just graduated from college and the paramedic was there to attend his college graduation party 19 years later and that’s exciting. The paramedic inspired the mom to become a nurse and go and get the training necessary to become a nurse.

The impact we have- you can’t really know where it’s going to lead. I think this is an amazing story, I want you to find this and read this story and think about this type of story as it relates to every single patient you have. Even the non critical patients, we have an impact on their lives and on their family’s lives through our professionalism, through our calmed demeanor, through the way that we come in and help them deal with what they think as the worst day of their lives. They’ve called 911 and they want assistance and we can adjust and help with the way that they respond to future interactions with the emergency services system simply because of the way we’ve acted in their time of need and of course we can have a longstanding impact on people’s lives through our interactions and through the ways we might follow up with people in our community who have used our services.

That’s what it’s all about folks, if you’re in this job because it’s just the paycheck, well you can be an okay EMT and an okay paramedic by being a guy who just comes in and gets a paycheck and does a job and leaves. But really, I have to say that if you really want to be a true healthcare provider, you have to look on this as a calling on something that is more than just a job and I hope that you do. I hope that you see through articles like this just the amazing ways we touch people, in ways that no one else outside of this type business and I include paramedics, EMTs, police officers, fire fighters in that category. We just have a way and an opportunity to help people in ways that no one else can and if you haven’t seen that yet, I hope that you will, soon, and that it will have a positive impact on your lives because I think it will make you a better provider by thinking about these types of long-term consequences of everything you do, large and small, in the back of your ambulance.

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This article has been featured in the news segment of the MedicCast podcast episode Lisa Booze with Toxic Syndromes and Episode 229.

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I picked up this article out of the Massachusetts area about two state troopers who delivered a baby alongside the highway. It just goes to point out this article’s pretty interesting. A woman was on her third baby, she knew she was in active labor. According to the article here, the troopers contacted emergency services when they found the woman on the side of the road and called for assistance and they were the first two on the scene and the baby was coming and so they had to step and do what needed to be done.

This just calls to mind that this is a group effort and sometimes we talk about the sometimes adversarial relationship we have with police in some jurisdictions and it’s unfortunate that that’s the case when it crops up but I think it’s important when we see articles like this to remind ourselves that we are all on the same team, that we’re really all out there to protect, to serve, to provide assistance and care and rescue when need to people. That is a very similar job responsibility for what we do as an overall description of what we do. Yes, police are involved with and their training is involved with taking care of more violent situations and that’s a good thing, they have the raining to do that, we have additional training to help us deal with certain extreme medical situations but certainly in the end of it, we are all about taking care of people and making our communities a better place whether that’s because we have helped deliver a new baby into our community or whether it’s because we had protected our community from a criminal situation, either way, this is a similar task.

So I want to say kudos to these two Massachusetts state troopers were the ones involved in the birth and kudos to them for stepping up and using their more limited medical training but certainly, training nonetheless and providing care until EMS could arrive. Just want to point this out, when you have something like this happen in your community, you should extend a congratulations and a thank you to members of other aspects of the emergency services system who provide a service that makes our jobs easier.

This could have been a lot worse if there was no one there to help this woman with this process and help her in case there was an issue with her baby after birth. Certainly child birth is a natural occurrence, I know the lot of my nurse-midwife friends would say that you don’t necessarily have to have someone right there, it can happen all on its own but certainly assistance is always appreciated in any of these types of situations and we all know how these things could go bad. So having qualified people with some level of training there to get things started is important and it makes our jobs easier ultimately when we have that kind of assistance riding alongside us or riding nearby that we can call on when needed.

Again, kudos to these two Massachusetts state for a job well done and next time you see something like this happen in your community, don’t forget to say congratulations and thanks.

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This article has been featured in the news segment of the MedicCast podcast episode Lisa Booze on Toxic Syndromes and Episode 229.

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Check out the live podcast studio video recording of this week’s MedicCast episode with host Jamie Davis, the Podmedic in the podcast studio at MedicCast Productions, LLC.

Check out all of the links for this Episode 229 at the podcast shownotes page for the Toxic Syndromes EMS review episode.

Find more MedicCast podcast episode videos and the weekly short commentary segments at MedicCast.TV

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Song this week: Matthew Ebel with “An Ordinary Guy”

Matthew Ebel

Click here to get Songs from the MedicCast at the iTunes Store.

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As EMS professionals, and even as parents, many of us have had the unsettling experience of seeing a child who’s gotten into granny’s pills, or swallowed something from under the sink, or who we think has eaten something they shouldn’t have, but we just can’t be sure.

To help make these incidents less common, it might be helpful to be mindful of this small list, compiled by Dr. Mercola at foodconsumer.org – 7 drugs that can kill children with a single pill

Dr. Mercola notes that 50% of all accidental pediatric poisonings happened when the bottle was only available to the child for a short time, and gives a a list of the more common deadly medications.

Heart pills – can lead to to dangerously low BP in kids, and even shock

Muscle rubs – camphor cause seizures without warning, usually within 10 to 20 minutes of ingestion.

Pain meds – even half a tablet of hydrocodone can kill an infant

Oil of Wintergreen – pleasant smell of wintergreen tempts toddlers, but one teaspoon is equivalent of 90 baby aspirins, a potentially deadly dose for a toddler or child

Antidepressants – second highests cause of accidental death from poisoning in children under 6

BP patches / Eye drops / Nasal Sprays – as little as 6 ml can lead to coma

Diabetes drugs – over 2500 cases of pediatric poisonings in the US in 2001.

Perhaps in our role as public educators we can help inform our patients, friends, family and others about the dangers of these common drugs, and help prevent the needless poisonings of our little ones.

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