Fr1 And Ems1 Podcasts

“Sometimes we made decisions and wound up getting corrective action where maybe a culture of coaching would have taught me to grow.” Kelly Grayson puts the spotlight on fellow cohost Chris Cebollero this week as the pair discuss whether progressive discipline still has a place in EMS or if a move to a culture of coaching, as written about extensively by Chris, would have a more positive impact on retention rates, turnover, burnout and overall career satisfaction. Top quotes “Experience comes from mistakes and mistakes come from lack of experience.” – Chris Cebollero "I've gotten enough progressive discipline, enough paper that I can wallpaper a small closet." – Chris Cebollero “This isn’t about me wanting to fire you. This is about me wanting to make you the very best that you can be.” – Chris Cebollero This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

“Sometimes we make a decision, and it snowballs.” Our cohosts get vulnerable on this episode of the Inside EMS podcast, sharing times in their career when they suffered from cascade bias – using incorrect supplied or assumed information, which led to mistakes that compounded to the detriment of the patient. Have you experienced this in your career? Plus, we dig into all this: How to enhance your decision-making skills during times of uncertainty Which U.S. Air Force acronym can help with bias reassessment How experience can work against providers when it comes to bias This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

This week our cohosts are talking about everyone’s favorite activity: public speaking. While you may not love talking to a crowd, knowing how to effectively deliver a presentation is not just for leaders. Providers at all levels should know how to communicate on a complex topic to a group of people. And who knows more about expounding on complex EMS topics than Chris Cebollero and Kelly Grayson? The pair highlight their extensive experience as educators and industry speakers, discussing: The key components of effective public speaking How to make presentations more dynamic Why you should be intimately familiar with your material Tips and tricks for new public speakers This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

In this week’s episode of the Inside EMS podcast, host Chris Cebollero and guest host Rob Lawrence delve into the dynamics of EMS leadership, legislative challenges and the pursuit of better reimbursement practices for EMS services. The conversation also digs into EMS on the Hill Day and how providers can impact legislation through advocacy. Memorable quotes "We say, 'When is someone going to do something?' And really, the charge is, 'When is everyone going to step up and do something?'" — Chris Cebollero "We have to battle hard to increase our reimbursement, which therefore equates to income, which therefore equates to wages. It's not a case about we all want to go home in a Rolls-Royce.” — Rob Lawrence "To get things done in EMS, we actually have to be good at convincing our locally elected officials." — Rob Lawrence "The power of the folk out there, when they put their uniform on, when they get in front of these elected officials, is absolute." — Rob Lawrence This episode of the Inside EMS Podcast is spon

Chris Cebollero is flying solo on this episode of Inside EMS as he details the impact of authenticity and integrity in EMS. Through anecdotes and insights, he illustrates how credibility influences leadership effectiveness, team trust and the reputation of the EMS profession. Memorable quotes “EMS is a very egotistical business; it’s the egotism that keeps us from asking ‘why?’” “Experiences come from mistakes and mistakes come from a lack of experience.” “Never allow your emotions to dictate your actions.” About the sponsor This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

In this week’s episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson delve into situational awareness, and the complexities and challenges faced every day by EMS professionals. The discussion emphasizes the importance of staying alert and prepared in emergency situations, following Cooper's Colors – a model illustrating different states of awareness from "tuned out" to "comatose." This week’s conversation touches on:   The significance of situational awareness in EMS and how it can be the difference between life and death in emergency scenarios. Strategies for maintaining and improving situational awareness on the job, including practical applications of Cooper's Colors and mental preparation techniques. The psychological and emotional challenges of EMS work, offering insights into how EMS professionals navigate stress, uncertainty and the complexities of emergency response. Memorable quotes "I think that paramedics are great at ensuring the scene is safe. I think paramedics and EMTs are poor once

The latest episode of the Inside EMS podcast features a conversation with Mic Gunderson, president of the EMS Quality Academy and editor-in-chief of the International Journal of Paramedicine. The discussion offers insights into the evolution of EMS publications and the importance of quality and research in advancing the field. Memorable quotes "The people that most need to read current EMS research are the people most or least likely to read it." — Kelly Grayson “It isn't really the people that were sitting in the cubicle with the red pen, marking up, you know, paper charts you know, and playing quality cop in the corner that were going to change process and system design and fundamentally improve the quality of what we do. It's really about the whole way the organization is managed.” — Mic Gunderson Key takeaways The evolution of EMS publications. Gunderson detailed the journey from the inception of the National EMS Management Association (NEMSMA) to the creation of the International Journal of Paramedicine

In this episode of the Inside EMS Podcast, cohosts Chris Cebollero and Kelly Grayson discuss Orange County, Florida's adoption of live stream technology for 911 calls, a move that promises to enhance the quality of emergency response through better triage and patient care. This episode of Inside EMS Podcast exemplifies the ongoing evolution of emergency medical services, marked by technological innovation, educational advancements, and the importance of leadership and community engagement in shaping the future of EMS. Learn more: Fla. county launches livestream option for 911 calls Cebollero and Grayson discussed how integrating video technology into 911 dispatch can improve EMS response in the following ways: Enhanced triage accuracy. Live streaming allows dispatchers to visually assess the situation, leading to more accurate triage and resource allocation. This visual context can be crucial in determining the urgency and nature of the response needed. By providing dispatchers with a live visual feed, EMS te

Heart blocks present a significant challenge to EMTs and paramedics, demanding a high level of expertise and precision in both diagnosis and treatment. Understanding the nuances of different types of heart blocks is crucial for effective patient management. The ability to accurately recognize and differentiate between various heart blocks, such as bifascicular, trifascicular and other types, is not just a matter of academic understanding but a vital skill in the fast-paced environment of EMS. In this episode of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson discuss how to train EMTs and paramedics to recognize, differentiate and treat heart blocks. Memorable quotes "Some of the drugs that we give are sometimes cause many problems as they solve." — Kelly Grayson "The best way to make an arrhythmia go away is to be prepared for the arrhythmia." — Kelly Grayson “One of the things that we're talking about here is pacing. And I don't think that that's two things that we do very well in EMS. Para

Critical insights into the implications of recent court rulings on EMS practice and patient care This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson delve into the complex and ever-evolving legal and ethical dimensions EMS. This episode comes in the wake of a significant court ruling in which two paramedics were found guilty of criminally negligent homicide in the Elijah McClain case. The hosts discuss this judgment's far-reaching implications for EMS professionals, emphasizing the heightened legal scrutiny and accountability now present in the field. Memorable quotes "More and more, we are starting to see prosecutors making examples of paramedics, EMTs, who are not doing the right thing, or them thinking they're not doing the right thing, and our peers are now starting to g

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. The first episode of Inside EMS in 2024, hosted by Chris Cebollero and Kelly Grayson, offered valuable insights into what’s needed to overcome the challenges for EMTs, paramedics and EMS agencies in the year ahead. Memorable quotes "We need to take charge and, and steer our profession, and generally we don't – as a profession, we tend to be reactive rather than proactive." — Kelly Grayson "We have to be worthy of [trust and respect]. And that's what we're trying to do here. So be better than the people you've seen." — Kelly Grayson "You don't let the people around you dictate your professionalism." — Chris Cebollero "Patient assessment is the most important skill a paramedic, EMT has." — Chris Cebollero Key takeaways 2024 EMS Trend Survey. The hosts highlighted the importance of the What Paramedics Want

CoAEMSP’s Executive Director, George W. Hatch Jr., discusses the EMS accreditation journey This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. The Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) plans to launch a voluntary programmatic accreditation for Advanced Emergency Medical Technicians (AEMTs) by January. In this episode of Inside EMS1, cohost Chris Cebollero sits down with George W. Hatch Jr., EdD, LP, EMT-P, FAEMS, CoAEMSP’s executive director, to discuss the program. Top takeaways AEMT is not just an EMT with additional skills; it requires a broader skill set, including understanding pathophysiology and critical thinking. The decision to introduce voluntary accreditation for AEMT programs wasn't preplanned but came about due to discussions within the EMS community. This accreditation proc

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this year's Inside EMS year-in-review episode, our cohosts, Chris Cebollero and Kelly Grayson, take a critical look at the major incidents that defined EMS in 2023. Together, they tackle: Paramedics behaving badly The episode begins with a focus on the troubling trend of subpar patient care and missteps. The hosts emphasize the importance of delivering compassionate and professional care on every call. They discuss the case in which EMS providers faced charges of first-degree murder after a patient died due to positional asphyxia, underscoring the need for accountability in the profession. Violence against providers Next, the hosts address the increasing incidents of violence against EMTs, including stabbings and assaults. They highlight the need for better safety measures and policies to protect EMS p

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson delve into the crucial role of preceptors in EMS training and the impact they have on shaping the future of the profession. They emphasize the significance of preceptors as the "keepers of the flame" who pass on traditions and knowledge to new generations of EMS providers. Memorable quotes "Preceptors have a fundamental understanding of their role in shaping the future of the profession." — Kelly Grayson "Legacy. The keepers of the flame are not the instructors. They're not the officers. Officers come and go, but the preceptors are the keepers of the flame and pass on the traditions." — Kelly Grayson "Preceptors are probably the most important component of EMS education." — Kelly Grayson The hosts discuss the challenges and responsibi

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of the Inside EMS podcast, the discussion centered on the practical application of leadership in EMS. The conversation highlighted the gap between commonly used leadership buzzwords and their real-world implementation. Key points Employee engagement and empowerment. The need for genuine engagement and empowerment in the workplace was stressed. Kelly Grayson shares an example of providing discounted meals for employees during hectic schedules as a concrete example of servant leadership. Leadership by buzzwords. Our cohosts raise concerns about leaders in EMS who rely on buzzwords without understanding their practical implications. They suggest many EMS leaders are caught up in an "ego vortex," focusing more on authority and titles rather than service and care. Personal leadership journey. C

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson discuss an incident that sparked fierce debate within the EMS community. The incident in question occurred on October 27, 2023, when a Washington, D.C., firefighter/EMT was dismissed for stopping at a Chick-fil-A before responding to an ALS call. The hosts discuss the ethical implications of this decision, emphasizing the duty to act in emergency services. Cebollero and Grayson, while acknowledging the challenging landscape of working in EMS, stressed that personal needs and comfort should never compromise the responsibility to respond to emergencies. They shared personal experiences of missing meals due to service calls. The hosts stress how the duty to act commitment to help others should always outweigh personal needs in emergency s

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, hosts Chris Cebollero and Kelly Grayson discuss innovative approaches in EMS with guests Chief David Lewis and Kyle Gaines from the St. Charles County Ambulance District in Missouri. The district's unique approach to paramedicine, specifically in terms of substance use disorders, opioid use disorders and behavioral health, forms the crux of the conversation. Lewis shares how the escalating number of overdose cases necessitated a novel approach to community paramedicine. Starting as a passion project to save lives, the St. Charles County Mobile Integrated Healthcare Network was born from a need to tackle the overdose epidemic more effectively. Initially adopting a model from Ohio that involved paramedics, social workers and law enforcement officers responding to overdoses, th

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, hosts Chris Cebollero Kelly Grayson delve into the intricacies of patient assessments in emergency medical situations. They dissect the value of thorough assessments versus focused evaluations, highlighting the critical role of differential diagnosis and the dire need for feedback in honing EMS skills. The duo debate whether a detailed head-to-toe assessment is always necessary or if a focused assessment based on the chief complaint suffices. Chris opines that a thorough examination provides a fuller picture, vital in cases where patients may not have seen a healthcare professional in years. Kelly, on the other hand, advocates for a focused approach, emphasizing efficiency and relevancy to the primary complaint, especially in high-pressure emergency scenarios. The dialogue u

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson discuss the importance of integrity, documentation and tracking errors in the field. Chris spent the past week in jury duty, listening to prosecutors unsuccessfully try a murder case that resulted in a hung jury. He shares details that tripped up law enforcement officers testifying in the case, and the jury’s perspective on errors made, lies told and how integrity doubts derailed the case.   Memorable quotes “One of the things that you need to be able to remember is you should not talk about anything that is not written in your report, because they will tear it apart, and I watched that happen ... when we talk about documentation, why documentation is very, very important is because it's the little nuances that you leave out that now

This episode of Inside EMS is brought to you by Lexipol, the experts in policy, training, wellness support and grants assistance for first responders and government leaders. To learn more, visit lexipol.com. In this episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson welcome Chief Gary Ludwig to the podcast. The group discuss imparting knowledge to new medics and Ludwig’s latest book, “385 Things Veteran EMTs and Paramedics Can Teach You: Emergency Medical Technician and Paramedic Tips and Tricks of the Trade.” The book contains information on patient assessment, managing airways, starting IVs, penetrating trauma, crimes scenes and more. Chief Ludwig shares his experience with terrible PCRs, and why we should be teaching medics to write reports like our law enforcement partners. He shares tips like: Why you should always stay in the left lane How to avoid tipping stretchers Why to avoid abbreviations in PCRs For a signed copy, visit www.garyludwigbooks.com. About our guest  Gary Ludwig is a well