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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. Loud & Clear: EMS Guiding Principles 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.
Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production
Episodes
6 days ago
6 days ago
1 hr 2 min
Burn patients can create a disproportionate amount of anxiety. The calls are uncommon, the injuries can be visually overwhelming, and it is easy to get distracted by the burn itself.
Ross and Will talk with Mark Johnston, a longtime Advanced Burn Life Support instructor and burn program leader at Regions Hospital, about simplifying prehospital burn care. Mark explains how most burn patients should be approached and why you need to resist the urge to make wound care the first priority.
They also dig into the findings that should make you truly concerned about an inhalation injury, how to estimate total body surface area, and which smaller burns still warrant burn-center evaluation.
In this episode, you’ll learn:
- Which airway findings increase concern for inhalation injury
- Why the simple 125/250/500 mL-per-hour approach can be more useful in the field than calculating a full Parkland formula
- How mechanism changes your priorities in thermal, chemical, electrical, and enclosed-space burns
- How wet dressings and aggressive wound care can increase heat loss or distract clinicians from early interventions
Resources:
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The Emergency Mind: Wiring Your Brain for Performance Under Pressure, by Dan Dworkis, MD PhD
Peak Performance Under Pressure, by Stephen Hearns
Episode 109: Understanding the EMS Power Curve
Guests:
Mark Johnston, BSN, RN, TCRN, Burn Program Manager at Regions Hospital
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