Medic Mindset - A Podcast For Ems Responders

Ginger Locke and Dr. Jason Pickett hunkered down in a recording closet and pretended the world didn't exist for an hour with one mission: data-mining Dr. Pickett's brain for his thoughts on syncope. Thanks to Michael Herbert for the custom art for the episode. Show notes at medicmindset.com

This is a special edition of Medic Mindset where Ginger Locke gave her #1 tip for finding happiness and meaning in the profession to graduates of City College of San Francisco.

Shock the System (an EMS World Collaboration) by Ginger Locke

The Thinking Series is where Ginger Locke talks with some of the sharpest minds in Emergency Medicine about how they think through chief complaints. In this episode, one of the country’s few flight doctors, Dr. Cynthia Griffin, shares how she sorts through patients with the chief complaint of agitation. She works both in-hospital and out-of-hospital, so her perspective is truly unique. What you will quickly hear is that she is relatable, smart, and happy to share what she knows with medics because she was one for many years before becoming an Emergency Medicine doctor. She makes a point to describe how she actually leans into the patients who are the most salty because she knows, like all of us, we can be biased when confronted with the agitated patient.

Ginger Locke discusses the importance of good questions and deep listening. She weaves in recommendations from her own research and from Editor-in-Chief of EMS1.com, Greg Friese.

The Deputy Medical Director for Austin Travis County EMS, Dr. Jason Pickett, and I sat down and recorded a joint podcast about clinical teaching. His podcast is called the Austin Travis County Office of the Medical Director Official Podcast and he released a longer version of this episode. I've really enjoyed getting to know Dr. Pickett because he teaches me something every time we get together. In this next hour, you will hear my delight as he teaches me things about teaching! This episode is about teaching, but you can't talk about teaching without talking about learning. Whether you are a clinical preceptor, a classroom teacher or a paramedic student, I think there is something here for ya.

This guest remembers exactly where she was on September 11th, 2001. She was 10 years old at the time. In this microsode, she reflects on what that day was like for her as a child and what 9/11 means to her now as she works the streets of NYC as an EMT.  In classic Medic Mindset fashion, Ginger doesn't let us off easy. She invites us to not only think about our own story of what that day was like for us as individuals, but to also think about our EMS family as a whole as we continue to see deaths from 9/11 related illnesses.  Shownotes on medicmindset.com

In "The Thinking Series," Ginger talks with the sharpest minds in emergency medicine about how they think. This time she delves into how an EMS Medical director asks her medics to bend their brains around the topic of tachycardia. Her name is Dr. Katherine Remick and she is triple board certified in Emergency Medicine, EMS and Pediatrics. She is a professor at The University of Texas’ Dell Medical School in Austin but Ginger met up with her at an EMS Station in Hays County Texas where Dr. Remick is the medical director. This is the first episode of Medic Mindset recorded at a station so you are invited to enjoy this episode with occasional sounds of the station in the background. Show notes at medicmindset.com Twitter: @medicmindset

The guest thinks he has sorted out how to become what has been affectionately called a "Lifer." They are the rare breed of medics who have managed to make a career of this bizarre job. He is 4 years in and he seems to have pieced together a good chance at becoming a career-medic. Show notes at medicmindset.com

We pull back the curtain a bit on a well known educator, podcaster, and flight medic, Eric Bauer. He is the founder and CEO of a critical care education company, FlightBridgeEd. We discuss critical care topics like acid-base balance, intubation, ventilators and EKGs. We also discuss leadership topics like mentoring. I even get some marriage advice out of him. Listen in as I pick the brain of the man you want to know if you have any interest in becoming a flight medic or a better ground medic.  Show notes at medicmindset.com

This is a first in a series of episodes about the cognitive process of differential diagnosis. It’s called “The Thinking Series.” Extensive show notes for everything discussed at medicmindset.com Ginger Locke talks to the brightest clinicians in emergency medicine about how they think. They approach the concept one chief complaint at a time and dive into the complexities of clinical reasoning. Dr. Brandon Bleess is a physician who is board certified in both Emergency Medicine and EMS. He’s the medical director for an aeromedical service in Illinois. He’s on the faculty at the University of Illinois’ College of Medicine and has been active in the prehospital setting since becoming an EMT in 2003. Connect with him on twitter : @bbbleess Meet Dr. Bleess….

In this episode we capture the story of Noah Galloway (@Noah_Galloway) and Ashley Liebig (@ashleyliebig). In 2005, he was an infantryman and she was a combat medic. They were both assigned to the US Army’s 101st Airborne Division serving in Iraq. When Noah was injured by a roadside bomb, Ashley, as part of his medical team, started talking to him and their conversation has lasted over a decade. Show notes at: medicmindset.com

Dr. Peter Antevy is a man on a mission. He is working to change the psychology of medics on pediatric calls. Show notes at medicmindset.com During our talk, we discuss: the importance of staying on scene during pediatric arrests, why ACLS and PALS should be taught together, how to change your mindset to be in the zone with pediatrics, the principles of the Handtevy Method, his comments on length-based tapes, cognitive offloading and the pre-arrival period, why his medics want to run pediatric calls, the process of getting to closure, Just Culture, why he thinks he latches on to really big problems, questions from the Medic Mindset facebook group about: pediatric head trauma, febrile seizures, pain management and ketamine, his reflections on the Parkland Shootings, and advice to medics with big ideas. Connect with him: Handtevy.com Twitter: @handtevyMD Youtube: https://www.youtube.com/channel/UCef_Z3tSxhwtYbMBHBlLb7w

In this episode, Ginger talks to Tyler Christifulli. It's accurate to call him a flight medic, but he's so much more. He's also a podcaster and an EMS Educator. In listening to his FOAMfrat podcast, it's obvious he is a sharp guy but being in the same room with him is a completely different animal. He has charisma for days but what is really mesmerizing about him is how he brings out the best in others. Show notes: medicmindset.com Find Tyler online: www.foamfrat.com

This is a recording of a talk Ginger did at the Wisconsin EMS Conference in January 2018. She discusses skills and techniques for performing under pressure.

Overlearning is the process of practicing a skill after you have reached competence. Yep… after you are already competent. The benefit of overlearning a skill is that it becomes automated. Think "muscle memory." An automated skill requires less concentration and less working memory and thus frees up your mind to focus on other things when performing in wicked environments. Show notes at https://gingerlocke.wordpress.com/2018/01/05/microsode-1-overlearning/

Dr. Jeffrey Jarvis is a paramedic turned EMS medical director. You might end up listening more than once because this talk is rich. He packs a ton into the hour. Video Laryngoscopy, Ketamine, Delayed-Sequence Intubation, ultrasound, push-dose pressors, and how he asks his medics to approach EKGs. If you hang around until the end, you get to hear him share a bit about the challenges he faced as a paramedic. Show notes at medicmindset.com

In this episode, I talk to a 20-year medic from New Orleans. His name is Jon McCarthy and he recently wrote a book called Hard Roll. He's an example of what I hope our EMS authors will be. He's honest and captivating without being overly dramatic. This episode is a reminder that we should cheer on the artists within our ranks. Tania Glenn sends a special message at the end of the episode. Show notes at medicmindset.com Follow on twitter @medicmindset Email Ginger at gingerlockeatx@gmail.com

Ginger's guest discusses how he has avoided burnout after 10 years in EMS. How he balances work and family. Which calls have become his favorite. Advice to his younger self. And why he says the job is easy!

He's the mentor I'd wish for any medic just starting in EMS because he has navigated 20 years in the field and come out on the other side with the most sincere and kindest of hearts.