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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...

I just looked at the Virginia state EMS page and it is abysmal. I now understand your frustration. Look at many other states BEMS pages...many have direct links to statewide BLS protocols and policies. In NYS, we are even given access to a mobile app for protocols that is updated regularly...

How do you not have protocols for refusals? Are you saying no agency protocols or no state protocols for refusals? Here in NYS, we have a 2 page statewide protocol that gives guidelines on when to consider medical control, when a CFR can cancel a transporting unit and what an EMT or higher...

I see both points...Although I agree with Rubicon Bob on the item of maintaining full salary through March 2025. That sounds like allowing the bad apple cop to accrue a higher pension, probably 1% more, but that adds up over the years. Not to mention that is almost half a year, so 55K in salary...

This is exactly how I feel! We work closely with the police and I have quite a few friends who are good cops, but the few bad apples hurt their entire profession, especially when they do not get dealt with in an equitable way.

https://www.whec.com/local/news10nbc-investigates-rochester-police-detective-to-retire-with-pension-after-controversial-emt-arrest-at-strong-memorial-hospital/ Basically, the PD car was parked in the ambulance zone, the EMT dinged his door while pulling in with a patient. When the officer...

Those are point to picture laminated and folded cards. I'm still looking for something a bit simpler, but they seem to be the best I have found so far.

I have been looking at the products put out by Kwikpoint to put on our units. They aren't a single 8x11, but it may fit the bill. Here's a link: https://www.kwikpoint.com/medical-translators/

This is exactly what has happened in a couple of small towns in my rural region. Agency closes - county service fills in - county has trouble with staffing and response times suffer - people start complaining and asking the FD to start up ambulance service. Rural coverage is a challenge and the...