June 30, 2008 @ 12:45 pm

Three helicopter crashes in Arizona in just a few days this past week give me cause for concern about the procedures and safety measures in the medical aviation transport sector of our field.

The most recent and surely most devastating crash involved two helicopters which collided with patients on board killing six and severely injuring a flight nurse on one of the choppers and also some responders on the ground. The helicopters were 1 mile from their destination hospital when they crashed. The wreckage started a brush fire on the ground where the other responders were injured.

I found this other story from earlier this week detailing another EMS aviation accident. Luckily, no one in this accident died although one of the providers on board was seriously injured. The helicopter was landing in the Arizona desert to pick up a patient from a motorcycle accident when it crashed.

Some pilots speculate the chopper’s pilot may have experienced a “brown out” from the dust raised during the landing, causing him to lose site of landmarks on the ground and become disoriented.

These and other recent EMS aviation transport disasters in the U.S. underline the need for more oversight on a largely unregulated segment of the aviation industry. Because these services are often excused from some safe flying restrictions because of the “Emergency Nature” of their purpose, these helicopters and planes fly in conditions that might be avoided by other aircraft.

I know that we sometimes tread a thin line with safety when working with patients but our own safety has to be the primary concern. If conditions aren’t safe for ground EMS to approach a violent patient we don’t approach. We wait for the situation to clear, regardless of the severity of the emergency.

In the private, air ambulance sector, that does not necessarily hold true. These services have to fly to bring in billing dollars. They don’t fly, they don’t pay the bills. While there are safety guidelines in place, I know from conversations with flight paramedics and nurses who fly with these services that sometimes there is pressure from above to fly out under borderline safe weather conditions. It is often these flights that end up in trouble as the weather conditions change for the worse en route.

mspaviation_sm.jpgPublic service air ambulance services like the Maryland State Police med-evac helicopters have an excellent safety record. Why? According to a good friend of mine, a retired MSP paramedic, it’s because they have hard and fast rules on safe weather conditions. They don’t violate these rules and remain grounded until the weather clears.

Putting these rules in place for other, commercial services would go a long way to keeping some of our best and brightest EMS and nursing providers alive and able to care for many more patients. The time has come to institute a study of the safety and efficacy of these programs in the face of the lives of the providers on board. While the National Transportation Safety Board (NTSB) and the Federal Aviation Administration (FAA) will certainly investigate the causes of both of these crashes, their results will be on individual events and not necessarily be used to report on broader trends. This is surely what is needed in this arena as more hospitals and services begin to enter this lucrative medical transport business.



@ 9:17 am

Silent Killer Stalks Programmers and Travelers

(get back to this page by typing MedicCast.com/dvt into your browser)

Podcasters and online radio producers are joining in the fight to stop a silent killer stalking computer programmers, international travelers, and anyone who spends long periods of time immobile. A public service announcement about the dangers of DVT (deep veinous thrombosis) is airing on hundreds of thousands of computers thanks to the efforts of the TWiT.tv network and the collaboration of two medical and science podcasters, Jamie Davis of the MedicCast Network and Marc Pelletier of Futures in Biotech.

Listen to the PSA Here

Right click here to download high quality aiff file.

DVT is a blood clot that usually forms in the leg veins after someone has been immobile for a period of time. Sometimes this clot can break loose and travel to the lungs forming a pulmonary embolism. According to the Centers for Disease Control (CDC), between 200,000 and 400,000 people develop DVT each year in the U.S. and more than half of those people develop pulmonary embolism which kills one third of the people it affects. The good news is that for many people, DVT is completely preventable by getting moving every hour or two.

The following people are at increased risk for forming one of these life threatening blood clots:

* Injury to the vein, often caused by fractures, leg injury, or recent surgery
* Slow blood flow, often caused by confinement to bed, being seated for long periods (especially with crossed legs)
* Increased estrogen, often caused by birth control pills, hormone replacement, or recent pregnancy
* Certain chronic medical illnesses, such as heart disease, lung disease, cancer, or inflammatory bowel disease.
* Other risk factors include previous DVT, family history of DVT, advanced age, obesity, high blood pressure, and smoking.

Prevention tips from the CDC and mentioned in the PSA include:

* Move around as soon as possible after being confined to bed, such as after surgery, illness, or injury.
* Talk to your doctor about wearing graduated compression stockings (support hose).
* When sitting for long periods of time, such as when traveling for more than four hours:
- Get up and walk around every 2 to 3 hours.
- Exercise your legs while you’re sitting by:
Raising and lowering your heels while keeping your toes on the floor
Raising and lowering your toes while keeping your heels on the floor
Tightening and releasing your leg muscles
- Wear loose-fitting clothes.
- Drink plenty of water, and avoid drinking anything with alcohol or caffeine in it.
* Talk to your doctor about medication (anticoagulants) to prevent or treat DVT.
* Exercise regularly, maintain a healthy weight, and don’t smoke.

Podcasters and media organizations interested in downloading and using this public service announcement may download it and access the CDC links here. Permission is given to use the recording in its full, unedited form. Other uses may be allowed by contacting the authors, Jamie Davis or Marc Pelletier.

—————————-

Marc PelletierMarc Pelletier, PhD, is the host of Futures in Biotech, a podcast featuring interviews with leaders in the biotechnology industry. Explore the world of genetics, cloning, protein folding, genome mapping, and more with the most important researchers in biotech.

a Podcast for EMTs and Paramedics by EMTs and ParamedicsJamie Davis, NREMT-P, BA, ADN is the host of two of the most popular medical podcasts, the MedicCast, for emergency services providers, and the Nursing Show, for nurses by nurses. Both can be found at the MedicCast Network site.



June 29, 2008 @ 8:47 pm

Welcome to Episode 124

blubrrybadge88x31.jpgThe MedicCast is a proud member of the Blubrry Podcast Network.

podcastdownload.jpg Right Click here to download (Macs Ctrl Click)

itunesnew.jpg Subscribe with iTunes here!

A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey!

—————————-

Sponsored by the MedicCast Extra

Extra Content for MedicCast Listeners for less than $1 per week (via Paypal subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members — Get the segments as a podcast
  • Extra Members-Only content added monthly

ems72.gifSave 10% on Pepid EMS — a revolutionary EMS pocket field guide for providers of all kinds

MedicCast Listener Deals at GoDaddy.com

Code BLU27 gets you 10% off your order at checkout
Code POD27 gets you 10% off any web hosting order at checkout
Try them out and get your piece of the internet at GoDaddy.com!

BLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

——————————–

Link of the WeekIce Saves

———————————

News:

Lightning Hits Emergency Radio Tower

Program Helps Reduce Response Times

Head Injuries Common in Summer Play

So Much to Do, So Little Sleep

———————————-

Tip/Trick of the Week Disaster Prep Plan

FEMA Disaster Supply Kit Site

———————————–

Med of the WeekTetanus Vaccine

Tetanus NIH Page

Tetanus Vaccine NIH Page

———————————–

Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

PodcasterNews, customize your newscast!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

————————————————

This week’s Musical Artist – Ingrid Michaelson with, “The Way That I Am”

————————————–

Blockbuster 50% off first monthBLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



June 26, 2008 @ 7:39 pm

A reminder for all of the MedicCast Listeners. I’ll be attending and speaking at the podcast expo coming up here in August 2008.

If you are in the Las Vegas area or will be there August 14 through 16, 2008, you can come and meet your favorite podcasters, check out all of the great information and get some really cool free stuff at the New Media Expo.

Best of all, you can get in for free by pre-registering for the Exhibit Hall and Keynote only pass. I’m looking forward to meeting with listeners in the area for a coffee or soda break one day during the event so make sure you don’t miss out on this chance to get some free stuff from me and others in the exhibit hall.

Find out more about how you can attend this conference and learn more about podcasting and new media ventures — Click here.

nme_468x60.gif



June 24, 2008 @ 8:17 pm

emsambo_sm.jpgAn Australian MP is calling for a parliamentary inquiry into what seems to be an unusually high suicide rate among ambulance (EMS) providers there. This article comes in by way of our good friend Tim.

Following the apparent murder-suicide of a paramedic and his mother, some are calling for a hard look into why there seems to be a higher suicide rate among EMS providers there. Others say the rate is merely perceived to be higher and is based on anecdotal evidence and isn’t based in any factual findings. The MP in question wants to see if that is really true.

I agree that there needs to be a real study of the numbers rather than a knee-jerk reaction to the perceived increase in the numbers. We have seen numbers like this bounced around regarding other areas of our private lives. Some say that EMS providers have a higher than normal divorce rate when compared to the rest of the population. That isn’t proven, either.

I have done the research and all of the statistics on emergency personnel that I have found seems to point that the numbers are right on the money with the national averages or even a point or two better than average. This seems to fly in the face of the conventional wisdom but when looked at in relationship to the real numbers, we see that there is nothing but anecdotes and that conventionally held belief to back the divorce theory up.

Suicides may be in the same ballpark. When you start focusing on a single topic like this one, it’s easy for our minds to start zooming in on the data in our memories to support the argument. This is how our memories work: associating images, memories and ideas and bringing the supporting “evidence” forward.

What do you think? Sure we have stressful jobs — but we are also drawn to this job so maybe we are better suited to handling that stress than others. Chime in and let us know what you think!



June 23, 2008 @ 6:35 pm

200x200nrg.jpgThe MedicCast is always looking for ways to partner with other high quality EMS sites out there.  That’s why I was very happy to hook up with Jim Hoffman over at EMS-Safety.com to help out with his NREMT Skills Video project.

Called the NREMT Audio Video Showcase, the program features a step by step video on how to get through the different NREMT BLS and ALS skills exam stations with audio from the MedicCast NREMT Test Survival CDs.  I am very pleased to be working with Jim on this project and look forward to doing so on other projects in the near future.

Check out these very helpful study tools for you all to use with your upcoming NREMT skills exams.  I am confident that they will offer you that edge you’ve been looking for!



June 22, 2008 @ 6:22 pm

Welcome to Episode 123

blubrrybadge88x31.jpgThe MedicCast is a proud member of the Blubrry Podcast Network.

podcastdownload.jpg Right Click here to download (Macs Ctrl Click)

itunesnew.jpg Subscribe with iTunes here!

A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey!

—————————-

Sponsored by the MedicCast Extra

Extra Content for MedicCast Listeners for less than $1 per week (via Paypal subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members — Get the segments as a podcast
  • Extra Members-Only content added monthly

ems72.gifSave 10% on Pepid EMS — a revolutionary EMS pocket field guide for providers of all kinds

MedicCast Listener Deals at GoDaddy.com

Code BLU27 gets you 10% off your order at checkout
Code POD27 gets you 10% off any web hosting order at checkout
Try them out and get your piece of the internet at GoDaddy.com!

BLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

——————————–

Link of the WeekBattery Recycling for Everyone

———————————

News:

Fake Paramedic

“Tweens” Home Alone

Snowboarding Blamed for Most Outdoor Injuries

ECG May Predict Death

———————————-

Tip/Trick of the Week Toxtidbit with Lisa Booze

———————————–

Med of the Week– Houshold Cleaner Poisonings

NIH Household Products Database

Children’s Hospital of Philadelphia on Household Cleaner Poisonings

———————————–

Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

PodcasterNews, customize your newscast!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

————————————————

This week’s Musical Artist – Brain Buckit with,” I Know What I Know”

————————————–

Blockbuster 50% off first monthBLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



June 15, 2008 @ 5:27 pm

Welcome to Episode 122

blubrrybadge88x31.jpgThe MedicCast is a proud member of the Blubrry Podcast Network.

podcastdownload.jpg Right Click here to download (Macs Ctrl Click)

itunesnew.jpg Subscribe with iTunes here!

A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey!

—————————-

Sponsored by the MedicCast Extra

Extra Content for MedicCast Listeners for less than $1 per week (via Paypal subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members — Get the segments as a podcast
  • Extra Members-Only content added monthly

ems72.gifSave 10% on Pepid EMS — a revolutionary EMS pocket field guide for providers of all kinds

MedicCast Listener Deals at GoDaddy.com

Code BLU27 gets you 10% off your order at checkout
Code POD27 gets you 10% off any web hosting order at checkout
Try them out and get your piece of the internet at GoDaddy.com!

BLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

——————————–

Link of the WeekBattery Recycling for Everyone

———————————

Guests on the Precepting Episode:

I want to thank the following guests:

Peter Canning of the Streetwatch: Notes of a Paramedic Blog

Peter’s current preceptee Tamara

Rick Russotti of the Mitigation Journal Podcast

Wyth Claborn of the I Heart EMS Blog

Chance of the We Got A Bleeder Blog

and Chris Black at Lil Black Web

———————————–

Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

PodcasterNews, customize your newscast!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

————————————–

Blockbuster 50% off first monthBLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



June 10, 2008 @ 5:49 am

Due to two straight days of no internet connectivity, the MedicCast Live scheduled for tonight has been postponed.  Another date will be announced when the panel and lineup can be arranged again.

Somebody apparently stole several thousand feet of copper cable in my region that shut down internet for my entire area for the last two days.  I have decided, since I haven’t been able to conduct any email follow-up and had to go to another location to upload this message, to reschedule the show for another time.

Sorry for the inconvenience!

Jamie, the Podmedic



June 8, 2008 @ 7:51 pm

Welcome to Episode 121

blubrrybadge88x31.jpgThe MedicCast is a proud member of the Blubrry Podcast Network.

podcastdownload.jpg Right Click here to download (Macs Ctrl Click)

itunesnew.jpg Subscribe with iTunes here!

A podcast for EMT’s, Paramedics, and other medical providers of all kinds.

Fill out the New Survey!

—————————-

Sponsored by the MedicCast Extra

Extra Content for MedicCast Listeners for less than $1 per week (via Paypal subscription)
  • NREMT Study and Prep Tips
  • All Tips and Meds segments from the MedicCast and Nursing Show as separate downloadable files
  • Special iTunes Podcast Feed for Members — Get the segments as a podcast
  • Extra Members-Only content added monthly

ems72.gifSave 10% on Pepid EMS — a revolutionary EMS pocket field guide for providers of all kinds

MedicCast Listener Deals at GoDaddy.com

Code BLU27 gets you 10% off your order at checkout
Code POD27 gets you 10% off any web hosting order at checkout
Try them out and get your piece of the internet at GoDaddy.com!

BLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

——————————–

Link of the WeekMedicCast Live this Week! Tuesday, 6/10/08 at 10 PM ET

———————————

News:

Teen EMTs Find Jobs

CHF Patients Too Optimistic on Outlook

Paramedic Sparks Program

Heat Related Emergencies

———————————-

Tip/Trick of the Week – Tension Pneumothorax and Needle Decompression

eMedicine on Pneumothorax

EMS Responder on Penetrating Chest Trauma

———————————–

Comment or share ideas at the MedicCast Forums forums.mediccast.com

Rate the podcast at iTunes and help others find the MedicCast

Visit the MedicCast Store

Get the MedicCast Newsletter — Sign up now — it’s free!

PodcasterNews, customize your newscast!

Other Podcasts:

Contact Me!

Call the Voice Mail Line — (941) 306-3342

email me at podmedic@mac.com

————————————————

This week’s Musical Artist – Matthew Ebel and the song “Downtown”

Check out Matthew’s songs on iTunes

Matthew Ebel

————————————–

Blockbuster 50% off first monthBLOCKBUSTER Total Access click to activate coupon for $10 off your first month.

Until next time, Scene safety, BSI!

Creative Commons License

This work is licensed under a
Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 United States License.



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