Learn what they didn't teach you in paramedic school
“Wish I could give 6 stars. These guys are the Bob Ross of emergency care.”
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About Us
Ross Orpet, MD
A board certified emergency medicine physician practicing in Colorado, I completed my residency at Denver Health Medical Center, as well as a fellowship in Emergency Medical Services. I got my start in emergency medicine working as a paramedic at the Denver Health Paramedic Division..
Will Berry, FP-C, NR-P
I have worked in EMS for 13 years and caught the bug to be involved in emergency response after working as a wilderness guide in Colorado. Most of my career was with the Denver Health Paramedic Division where I spent several years as a Lieutenant. I am currently a practicing critical care paramedic in North Carolina.
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Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A… do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. EMS cast is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters.
Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Adler shares insights from real-life cases and emphasizes the critical need for planning and knowing the resources available in urgent scenarios.
00:00 Emergency Field Amputation: A Real-Life Scenario
00:25 The Reality of Unlikely Medical Emergencies
02:04 Introducing Today’s Episode and Guest
04:26 Dr. Eric Adler’s Experience and Protocol Development
05:46 Indications and Procedures for Field Amputation
10:50 Challenges in Creating a Field Amputation Protocol
14:23 Final Thoughts and Preparedness
Resources
- Website show notes link (picture of the kit and copy of the protocol): https://emspodcast.com/life-over-limb-field-amputation-preparing-for-the-unthinkable/
- Other episodes you might like: Episode 31- You Were Taught Wrong, Traumas Not Algorithmic
Gear We Like
- Good Stethoscope – https://amzn.to/3YJJrf2
- Good Shears – https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls – https://amzn.to/3Z1X21J
- Sunglasses – https://frontline-optics.com/discount/EMSCAST15
- Books we recommend –
- The Dichotomy of Leadership – https://amzn.to/4fiCAjN
- Extreme Ownership – https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World – https://amzn.to/3V7BwYf
- Thinking Fast and Slow – https://amzn.to/4fiJG85
- A Thousand Naked Strangers: A Paramedic’s Wild Ride to the Edge and Back – https://amzn.to/3YJJrf2
Guest/Cast/Crew information-
Guest- Erik Adler
Host- Ross Orpet, Avery Mackenzie
Catch up with us after the show
- Instagram- @emscast
- Website- www.emspodcast.com
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