Recent content by FredG

Here's a POV from the EMS officer's Union leader supporting this choice: https://www.ems1.com/fdny/ems-experience-matters-in-appointment-of-new-fdny-commissioner-union-vp-says?utm_source=Sailthru&utm_medium=email&utm_campaign=EMS1-Daily-12-31-25&utm_term=EMS1%20Daily Unfortunately, the actual...

She has 31 years experience in EMS, is a Paramedic and CIC, and was the Chief of EMS during the COVID lockdowns. So, she knows what it takes to run EMS and coordinate with the fire supression side of the agency. For a position that is mostly administrative, that is much more experience than...

I think this is a potential game changer for rural and frontier areas and I hope this pilot program in Kern County is successful. The key is the transmission to the 3 hospitals for determination. Long term, I would like to see studies that show the quality of the AI interpretation and, if they...

I agree with the keeping the IFT money internal, but it also gives the hospital system more control over patient flow across facilities and managed discharges. The faster they can turn over a bed, the more money they can make. Ultimately, even if EMS is not profitable, it can increase profits in...

If the system requires the provider to write the basic narrative and the AI is acting as a check, then we are not relying on the AI to generate the initial writing. Think of it as a check against spelling, grammar, and now protocols. Evern if it's a prompt to say you did X, but not Y - can you...

Thinking about AI in charting a bit more, I'd like to see AI being used in a different way. Have AI check your narrative against protocols to ensure you didn't miss something or put it out of order. Let is be a tool rather than trying to shoehorn the AI into replacing human input.

When it comes to charting, AI can only write what it knows. If all you do is enter vitals and click checkboxes, that's what it "knows". The whole idea behind having a summary in the chart is to fill in the spaces around the checkboxes. That has to be done by the provider, not offloaded to an AI...

I just took the ResponderStrong train the trainer. It's a good basic curriculum for all first responders. The class that can be taught is 3.5 hours and is broken down broadly towards suicide awareness, Stress Management, and Resiliency Skills. The Train the Trainer is 8 hours. I would definitely...

I have to say that I have been playing with the recent round of generative AI tools and I am impressed. I don't think they will ever replace medical providers, but they can definitely augment services. The deep thinking version of Google gemini is impressive. I gave it a simple 2 sentence...

LMAO. Probably next to my car keys that I keep losing as I get older.

Hmmm, first 911 call... that would have been in 1994 and I'm not 100% sure. Sicne I was riding on a college squad, it was probably a drunk. I do remember the first time I used an SAED - the good old Heartstart 3000. It was 2 weeks after I took the Defib class and became an EMT-D (back when...

When do you actually stop assessing the patient during a call? Are you only making a single assessment of the patient when you first meet them then ignore them during transport? Or, are you watching the patient for any changes in condition... aka reassessing them regularly? A better way to...

Since you have 4 officers, maybe look at items that you think they would each find useful or something they have been on the fence about getting for themselves rather than the same for all of them. That would show that you listen to them throughout the year. On a side note, I remember one...

In an ideal world, an EMS supervisor should go to any high priority call to assist the crew. For example, on a cardiac arrest, head to the scene to assist the crew by handling the family and getting demographics and history, letting the crew handle the patient. Basically, calm the scene down and...

This is one of the reasons why NYS BEMS has been rolling out an EMS Leadership class. I just attended the one at the Vital Signs Conference and recommend it to anybody in a leadership role in EMS. I am also finishing up the train the train components online. It is 16 hours for the core...