You have the shiny badge, the stethoscope, the trauma shears. You look the part but you don’t feel prepared. You feel like an imposter. You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school.
There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life.
To change an outcome that would have otherwise been catastrophic if you weren’t there. There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “if this” then “do this” but what do you do when “if this” wasn’t in the book.
The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you.
If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends.
I’m Ross Orpet and I’m Will Berry, and this is EMS Cast. Come on this journey with us to mastering emergency medicine. We will cover topics in more depth than you learned in paramedic school, we will teach one step further and talk about what will happen to that patient in the Emergency Department after you drop them off. And we will connect all of this back to the principles that will guide you not just on this call but on all the calls.
The principles that will allow you to answer the question, at the end of the day, what’s really important to me, the paramedic, in the field, in that moment. You may not feel ready, you may not feel like you know enough, but you can understand the principles and day by day you can become an expert clinician. Because what you do matters.
Ross is a dual boarded physician in EMS and emergency medicine. He got his start in emergency medicine working as a paramedic for the Denver Health Paramedic Division. Following medical school at the University of Washington he completed his residency in Emergency Medicine and his fellowship in Emergency Medical Services at the Denver Health Medical Center.
Currently he is a practicing emergency medicine physician in southwest Colorado and provides EMS medical direction for multiple agencies in the region.
Will has worked in EMS for 13 years. He caught the bug to be involved in emergency response after working as a wilderness guide in Colorado. Most of his career was with the Denver Health Paramedic Division where he spent several years as a Lieutenant. He is currently working as a critical care paramedic in North Carolina.
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