Inside EMS

Latest Episodes:

Goodbye, pencil whipping: Reimagining drug tracking compliance May 03, 2024

Show notes

“We wanted to build something to solve the problem and help the paramedic, not hinder them.” Clive Savacool, CEO and founder of LogRx, joins the podcast this week to discuss preventing drug diversion/theft.

Host Christ Cebollero and Savacool discuss:

Who sets the tone for compliance accountability in an EMS organization
The practice of gatekeeping narcotics from “drug seekers”
Modernizing documentation practices to increase accuracy
The LogRx smartphone platform and solution for tracking narcotics and other drugs

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

‘We are patient advocates’: When ‘backing the blue’ puts EMS in a difficult position Apr 26, 2024

Show notes

Inside EMS cohosts Chris Cebollero and Kelly Grayson delve into a legal case out of New Jersey in this week’s episode, in which law enforcement officers and EMS providers were recently charged with the in-custody, in-ambulance death of a patient under the influence of bath salts.

The discussion also discusses a similar incident out of Colorado in which two paramedics and a police officer were convicted in the 2019 death of Elijah McClain after he was injected with ketamine.

Chris and Kelly share vulnerable moments from their careers when they regret not advocating for their patient in the face of law enforcement actions, plus we dig into all this:

The growing legal scrutiny of EMS practices
How to use de-escalation techniques to mitigate contentious situations with law enforcement partners
The ethical responsibilities of EMS providers

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

Leadership styles: Progressive discipline vs. coaching culture Apr 19, 2024

Show notes

“Sometimes we made decisions and wound up getting corrective action where maybe a culture of coaching would have taught me to grow.”

Kelly Grayson puts the spotlight on fellow cohost Chris Cebollero this week as the pair discuss whether progressive discipline still has a place in EMS or if a move to a culture of coaching, as written about extensively by Chris, would have a more positive impact on retention rates, turnover, burnout and overall career satisfaction.

Top quotes

“Experience comes from mistakes and mistakes come from lack of experience.” – Chris Cebollero
"I've gotten enough progressive discipline, enough paper that I can wallpaper a small closet." – Chris Cebollero
“This isn’t about me wanting to fire you. This is about me wanting to make you the very best that you can be.” – Chris Cebollero

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

‘A series of unfortunate events’: The danger of bias cascade in EMS Apr 12, 2024

Show notes

“Sometimes we make a decision, and it snowballs.” Our cohosts get vulnerable on this episode of the Inside EMS podcast, sharing times in their career when they suffered from cascade bias – using incorrect supplied or assumed information, which led to mistakes that compounded to the detriment of the patient. Have you experienced this in your career?

Plus, we dig into all this:

How to enhance your decision-making skills during times of uncertainty
Which U.S. Air Force acronym can help with bias reassessment
How experience can work against providers when it comes to bias

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

‘Sell the sizzle, not the steak’: How to engage and captivate EMS audiences Mar 29, 2024

Show notes

This week our cohosts are talking about everyone’s favorite activity: public speaking. While you may not love talking to a crowd, knowing how to effectively deliver a presentation is not just for leaders. Providers at all levels should know how to communicate on a complex topic to a group of people. And who knows more about expounding on complex EMS topics than Chris Cebollero and Kelly Grayson?

The pair highlight their extensive experience as educators and industry speakers, discussing:

The key components of effective public speaking
How to make presentations more dynamic
Why you should be intimately familiar with your material
Tips and tricks for new public speakers

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

‘We have to battle hard’: EMS pain points and what it will take to fix them Mar 22, 2024

Show notes

In this week’s episode of the Inside EMS podcast, host Chris Cebollero and guest host Rob Lawrence delve into the dynamics of EMS leadership, legislative challenges and the pursuit of better reimbursement practices for EMS services. The conversation also digs into EMS on the Hill Day and how providers can impact legislation through advocacy.

Memorable quotes

"We say, 'When is someone going to do something?' And really, the charge is, 'When is everyone going to step up and do something?'" — Chris Cebollero
"We have to battle hard to increase our reimbursement, which therefore equates to income, which therefore equates to wages. It's not a case about we all want to go home in a Rolls-Royce.” — Rob Lawrence
"To get things done in EMS, we actually have to be good at convincing our locally elected officials." — Rob Lawrence
"The power of the folk out there, when they put their uniform on, when they get in front of these elected officials, is absolute." — Rob Lawrence

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

Credibility code: Building trust beyond the call Mar 15, 2024

Show notes

Chris Cebollero is flying solo on this episode of Inside EMS as he details the impact of authenticity and integrity in EMS. Through anecdotes and insights, he illustrates how credibility influences leadership effectiveness, team trust and the reputation of the EMS profession.

Memorable quotes

“EMS is a very egotistical business; it’s the egotism that keeps us from asking ‘why?’”
“Experiences come from mistakes and mistakes come from a lack of experience.”
“Never allow your emotions to dictate your actions.”

About the sponsor

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

EMS and the art of situational awareness Feb 23, 2024

Show notes

In this week’s episode of Inside EMS, cohosts Chris Cebollero and Kelly Grayson delve into situational awareness, and the complexities and challenges faced every day by EMS professionals. The discussion emphasizes the importance of staying alert and prepared in emergency situations, following Cooper's Colors – a model illustrating different states of awareness from "tuned out" to "comatose."

This week’s conversation touches on:

The significance of situational awareness in EMS and how it can be the difference between life and death in emergency scenarios.
Strategies for maintaining and improving situational awareness on the job, including practical applications of Cooper's Colors and mental preparation techniques.
The psychological and emotional challenges of EMS work, offering insights into how EMS professionals navigate stress, uncertainty and the complexities of emergency response.

Memorable quotes

"I think that paramedics are great at ensuring the scene is safe. I think paramedics and EMTs are poor once we say the scene is safe ... we forget about what's going on." — Chris Cebollero
"’Safe scenes’ are what get EMTs killed because we don't go into unsafe scenes. It's the scene that we initially deemed safe that gets you killed because you don't see it coming." — Kelly Grayson

About the sponsor

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

EMS1 uses generative AI to create some content that is edited and fact-checked by our editors.

Engaging frontline providers with quality improvement Feb 15, 2024

Show notes

The latest episode of the Inside EMS podcast features a conversation with Mic Gunderson, president of the EMS Quality Academy and editor-in-chief of the International Journal of Paramedicine.

The discussion offers insights into the evolution of EMS publications and the importance of quality and research in advancing the field.

Memorable quotes

"The people that most need to read current EMS research are the people most or least likely to read it." — Kelly Grayson
“It isn't really the people that were sitting in the cubicle with the red pen, marking up, you know, paper charts you know, and playing quality cop in the corner that were going to change process and system design and fundamentally improve the quality of what we do. It's really about the whole way the organization is managed.” — Mic Gunderson

Key takeaways

The evolution of EMS publications. Gunderson detailed the journey from the inception of the National EMS Management Association (NEMSMA) to the creation of the International Journal of Paramedicine. Highlighting the shift from a quality manager's focus to a broader management perspective, the conversation underscored the journal's role in elevating EMS discussions through scholarly discourse.
A platform for diverse discourse. The International Journal of Paramedicine aims to expand beyond clinical topics to include operations, administration and science, offering a wide lens on EMS practices.
The challenge of engaging the frontline. A significant portion of the discussion revolved around engaging EMS practitioners in research and quality improvement. The podcast highlighted the need for accessible and relevant research to inform practice and encourage progressive changes in prehospital care.
Community and collaboration. The podcast underscored the importance of community involvement in advancing EMS research and quality. Gunderson's call for volunteers and contributors to the journal reflects a commitment to inclusivity and collaboration within the EMS field.

The episode serves as a reminder of the vital role of research, quality improvement and community collaboration in advancing EMS practices.

About the sponsor

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

EMS1 is using generative AI to create some content that is edited and fact-checked by our editors.

Next-gen emergency response: How live streaming can transform 911 dispatch Feb 07, 2024

Show notes

In this episode of the Inside EMS Podcast, cohosts Chris Cebollero and Kelly Grayson discuss Orange County, Florida's adoption of live stream technology for 911 calls, a move that promises to enhance the quality of emergency response through better triage and patient care.

This episode of Inside EMS Podcast exemplifies the ongoing evolution of emergency medical services, marked by technological innovation, educational advancements, and the importance of leadership and community engagement in shaping the future of EMS.

Learn more: Fla. county launches livestream option for 911 calls

Cebollero and Grayson discussed how integrating video technology into 911 dispatch can improve EMS response in the following ways:

Enhanced triage accuracy. Live streaming allows dispatchers to visually assess the situation, leading to more accurate triage and resource allocation. This visual context can be crucial in determining the urgency and nature of the response needed. By providing dispatchers with a live visual feed, EMS teams can be better prepared upon arrival, knowing what to expect and potentially improving patient outcomes.
Supporting scene safety. Live streaming video in 911 dispatch can significantly improve scene safety for emergency medical personnel by providing real-time visuals of the incident site before their arrival. This advanced insight allows paramedics and EMTs to assess potential hazards, understand the severity of the situation, and prepare appropriate safety measures in advance. This technology empowers responders with crucial information, enabling them to make informed decisions about their approach and ensuring they can protect themselves effectively while delivering critical care.
Improved dispatcher-patient interaction: The ability to see the caller and the scene in real-time enhances communication between dispatchers and those in need, fostering a more empathetic and effective exchange of information.
Efficiency in emergency response. Visual cues obtained through live streaming can help in quickly identifying the nature of the emergency, potentially reducing response times and increasing the chances of a positive outcome.
Enhanced training opportunities. Recorded live streams can serve as valuable training tools, offering real-life scenarios for emergency responders and dispatchers to learn from and improve their skills.
Cross-agency collaboration. The integration of live streaming technology encourages collaboration between EMS, fire departments, police and other emergency services, enabling a more coordinated response to incidents.

While enthusiastic about the potential of new technologies, Cebollero and Grayson also discussed the need for caution and the anticipation of unforeseen challenges, particularly concerning the privacy and security of live streamed 911 calls.

Also in this episode

Innovations in EMS. Chris Cebollero shared his new role with QuickMedic and their innovative approach to utilizing paramedics for urgent care in collaboration with healthcare partners, indicating a shift towards more versatile roles for EMS professionals. He emphasized the importance of leadership and vision in developing effective teams across multiple states.
Education and training. Kelly Grayson shared experiences from teaching a new accelerated paramedic program, stressing the importance of rigorous standards and personalized feedback to ensure student success, highlighting the evolving educational methodologies in EMS training.

About the sponsor

This episode of the Inside EMS Podcast is sponsored by LogRx. Learn a better way to track your narcotics at LogRx.com.

EMS1 is using generative AI to create some content that is edited and fact-checked by our editors.

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