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  • 14. Pain Management Fundamentals: An Introduction to the 2023 Course

    14. Pain Management Fundamentals: An Introduction to the 2023 Course
    2023/04/10
    In this episode, host Dugg Steary talks with Lucas Hawkes-Frost about pain management fundamentals. This is an audio recording captured from the introductory video of the Learning Hub course “Pain Management Fundamentals”.
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    14 分
  • 13. Assess, See, Treat, and Refer Pathways (ASTaR)

    13. Assess, See, Treat, and Refer Pathways (ASTaR)
    2022/08/22
    In this episode, host Dugg Steary talks with Stu Woolley about Assess, See, Treat, and Refer (ASTaR) pathways. We discuss the benefits of these pathways for your patients and how to utilize the pathways during paramedic care.
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    9 分
  • 12. COVID-19: Clinical Practice Summary

    12. COVID-19: Clinical Practice Summary
    2020/04/03

    COVID-19: Clinical Practice Summary - April 3rd

    We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey

    Hosts:

    Gord Minaker - PCP-IV, UBC Medical Student

    Kaela Richardson - Respiratory Therapist, UBC Medical Student

    Date of Episode Release:

    April 3, 2020

    Episode Description & Summary:

    In this episode, we review the clinical practice changes that have occurred this week at BCEHS with respect to the COVID-19 pandemic. 

    Please see below for a synopsis of this episode.

    Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.ca

    Contacts:

    Clinical Questions - clinicalpractice@bcehs.ca

    Podcast feedback & suggestions - podcast@bcehs.ca

    Podcast Synopsis & Timeline:

    1:45 - A reminder to listen to our PPE episode, to reduce COVID exposure amongst other crew members and to plan ahead for your safety during the COVID-19 pandemic. 

    3:36 - A reminder to use your full region, call sign, and reason for phoning when calling CliniCall. 

    4:08 - A reminder about no more nebulizers, and to try to use patient MDI's when possible. MDI's are being distributed in a prioritized fashion. We review ways to safely ensure that the patient's MDI is not expired and how to know when an MDI is empty. 

    6:48 - A discussion around new oxygen flow rates. https://handbook.bcehs.ca/covid-19/covid-update-march-31/clinical-practice-updates-covid-19-march-31/

    8:30 - A review of the airway management updates to date: https://handbook.bcehs.ca/covid-19/covid-update-march-31/pandemic-airway-practice-update-v7/

    10:10 - We discuss precautions for adult resuscitation, reminder to call CliniCall / EPOS at 15 minutes or earlier for transport discussion. Identifying reversible causes early and transport of patients with CPR ongoing will only be recommended in exceptional circumstances. We emphasize good communication with receiving ED if this is the case, and how to handle re-arrests en-route to the ED.

    14:15 - We discuss where to find all clinical summaries to date with respect to COVD. https://handbook.bcehs.ca/covid-19/covid-19-clinical-practice-dashboard/

    15:40 - Transport of COVID-positive patients in Victoria and Southern Vancouver Island. South Island COVID-19 Transport Directive

    18:00 - A reminder to reach out to CISM if you experience Moral Distress. Stay tuned for resilience resources and sessions coming soon!

    20:20 - Fire First Responders will not be attending covid positive patients. They will only be dispatched to purple calls, red calls where ambulances are expected to be delayed, and for technical rescues. 

    21:04 - Skincare with frequent hand washing - use moisturizer! Notify your supervisor and notify the workplace call centre if you think you have dermatitis.

     
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    1分未満
  • 11. COVID-19: A Summary of Clinical Practice Changes

    11. COVID-19: A Summary of Clinical Practice Changes
    2020/03/26

    We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey

    Hosts:

    Gord Minaker - PCP-IV, UBC Medical Student

    Kaela Richardson - Respiratory Therapist, UBC Medical Student

    Date of Episode Release:

    March 26, 2020

     

    Episode Description & Summary:

    In this episode, we summarize and consolidate the clinical practice changes that have occurred at BCEHS as of March 26, 2020.

    We also make a correction to our previous PPE podcast, which can be found here: https://blubrry.com/bcehs/57679523/ppe-precautions-paramedic-safety-covid-19/

    Please see below for links to resources.

    Please refer to the BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca

    Contacts:

    Clinical Questions - clinicalpractice@bcehs.ca

    Podcast feedback & suggestions - podcast@bcehs.ca

     

    References & Links:

    BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca

    Clinical Practice Summary Page: https://handbook.bcehs.ca/covid-19/covid-19-pratice-updates-summaries/

     
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    1分未満
  • 10. PPE, Precautions & Paramedic Safety: COVID-19

    10. PPE, Precautions & Paramedic Safety: COVID-19
    2020/03/25
    PPE, Precautions & Paramedic Safety: COVID-19We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey *** March 26th Update *** The podcast is now current as of March 26th. Slight changes were edited and re-recorded near the end of the presentation regarding the cleaning of ambulances and the proper PPE to be worn while doing so. These changes are consistent with the policies found in the BCEHS Handbook under ‘Cleaning and Disinfection’, and have been validated by Janie Nichols, our infection control specialist. These changes include limiting PPE for routine cleaning of ambulances after COVID transports to using gloves and ACCEL wipes, ventilating ambulances for 20 minutes only after an aerosol-generating medical procedure was performed in the back, and very limited scenarios where N95's and full PPE are required for cleaning.Resources for Cleaning & Disinfecting: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/cleaning-and-disinfection/Hosts:Gord Minaker - PCP-IV, UBC Medical StudentKaela Richardson - Respiratory Therapist, UBC Medical StudentGuest:Kevin Lambert - Critical Care Paramedic, Paramedic Practice EducatorAcknowledgements: Janie Nichols, Infection Prevention Specialist Date of Episode Release:March 25, 2020Episode Description & Summary:In this episode, we review best practices regarding personal protective equipment (PPE), precautions to be taken on COVID calls, and paramedic safety in the context of COVID-19.Please see below for a timeline of the questions we ask during this episode, and for links to resources.Please refer to the BCEHS Handbook for latest guidelines: https://handbook.bcehs.ca Contacts: Clinical Questions - clinicalpractice@bcehs.caPodcast feedback & suggestions - podcast@bcehs.ca Podcast Timeline: 1:03 - How is COVID-19 spread?2:16 - What can paramedics do on a day-to-day basis?4:21 - Are calls still being screened for “Influenza Like Illness” waits?6:00 - What calls should we be wearing PPE on?7:14 - What should do before we arrive on-scene to prepare?9:23 - How should we prepare the ambulance for transport?13:14 - Are surgical masks ever acceptable when encountering COVID cases?14:59 - What sort of eye protection should we use?16:35 - Should we use the buddy system for PPE?18:19 - Reviewing Donning and Doffing22:00 - Should we be double gloving?22:44 - Should we wear boot covers?24:08 - Limiting gear exposure in the ambulance during transport26:47 - Reverse Isolation for Patients27:49 - Who do we need to notify of COVID calls?29:19 - Reducing the number of people exposed on calls30:33 - When should drivers doff? What PPE should we wear in the cab of the truck?32:36 - How should we reduce hospital exposure?36:15 - How should we clean the ambulances?39:50 - What PPE should we wear to clean?44:20 - A final word from Kevin Lambert References & Links: BCEHS Doorway Assessment: https://handbook.bcehs.ca/covid-19/covid-19-update-march-23rd/on-scene-doorway-assessment/Donning PPE video here: https://youtu.be/btrFMvj3Gm8Hand Hygiene video here: https://youtu.be/J7aILlTnE78Doffing PPE video here: https://youtu.be/Rro4RJ5Az88Donning & Doffing Poster: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/ppe/donning-and-doffing/Hand Hygiene Poster: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/hand-hygiene/cleaning-your-hands/Cleaning and Disinfecting Resources: https://handbook.bcehs.ca/clinical-resources/infection-prevention-and-control/cleaning-and-disinfection/  
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    1分未満
  • 9. Metered Dose Inhalers & COVID-19

    9. Metered Dose Inhalers & COVID-19
    2020/03/23

    Metered Dose Inhalers (MDIs) & COVID-19

    We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey

     

    Hosts

    Gord Minaker - PCP-IV, UBC Medical Student

    Kaela Richardson - Respiratory Therapist, UBC Medical Student

     

    Date of Episode Release:

    March 23, 2020

     

    Episode Description & Summary

    In this episode, Gord & Kaela review best practices for the use of Metered Dose Inhalers (MDIs) in the prehospital setting. They discuss the benefit of MDIs over nebulizer medications in the context of the COVID-19 pandemic.

    Please refer to the BCEHS Handbook for the latest guidelines: https://handbook.bcehs.ca

     

    Contacts:

    Clinical Questions - clinicalpractice@bcehs.ca

    Podcast feedback & suggestions - podcast@bcehs.ca

     

     
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    1分未満
  • 8. Ethics in Paramedicine

    8. Ethics in Paramedicine
    2020/01/16

    We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey

    Host

    Ole Olson - Critical Care Paramedic and Paramedic Practice Leader with BCEHS

    Guests

    Nina Preto, Ethicist, nina.preto@phsa.ca

    Alexandra Olmos Perez, Ethicist, alexandra.olmosperez@phsa.ca

    Date of Episode Release:

    January 15, 2019

    Episode Description & Summary

    Ethics is a philosophical discipline. It reflects on questions such as: What is valuable? What is good/bad? Is this right/wrong? Why do we think this is right or wrong?

    When we say we want to act ethically, we mean that we want to act according to our values, to what we think is important. Sometimes, we may encounter a situation in which we are not sure what to do because there are many options or courses of actions to choose from. Our values will help guide us in choosing what the right thing to do is. When the situation is such that we have to choose between two different values, we are encountering an ethical dilemma.

    In the biomedical ethics field, there are many relevant principles, but there are 4 key principles that constitute the most widespread amongst the contemporary Western tradition: Respect for Autonomy, Beneficence, Non-maleficence, and Justice.

    In order to have a more clear picture of the situation we are dealing with, there are certain tools that help us understand the situation better, and guide us in breaking down what our options are, and having a thorough analysis of their consequences, but mostly setting the ground for an open discussion, knowing who should be involved and what is really at stake. These are what we call ethics frameworks.

    The EHS Ethics framework can be found online: https://intranet.bcas.ca/areas/qsrma/qps/pdf/bcehs-ethics-framework.pdf

    Within an emergency care environment, sometimes there is no time to go through the five steps and engage in discussion with others, and must immediately make a choice and sometimes is hard to make a sound ethically justified decision within seconds. And this is when most providers go to the JAY Tool, which stands for:

    J – Justifiable: Would I be able to justify my decision.

    A - Accountable: Would my peers and coworkers perform this action? Do I think other team members would do the same in my situation? Would they make the same choice?

    Y – You: Would you want this, if you were the patient?

    To learn more about the BC EHS Ethics Framework or for any ethics related questions please contact the PHSA Ethics Service: 

    Alice Virani, Director

    alice.virani@cw.bc.ca

    Nina Preto, Ethicist

    nina.preto@phsa.ca

    Alexandra Olmos Perez, Ethicist

    alexandra.olmosperez@phsa.ca

    You can also find more about ethics at PHSA on the POD: http://2pod.phsa.ca/quality-safety/ethics/Pages/default.aspx

    Question? Comments? Email: podcast@bcehs.ca
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    1分未満
  • 7. Clinical Rounds: Building Resilience to Operational Stress

    7. Clinical Rounds: Building Resilience to Operational Stress
    2019/12/20

    In this episode, Leon Baranowski interviews Mike Christian in a follow-up to Dr. Christian’s Clinical Rounds presentation. He discusses his experiences with London HEMS and gives a unique perspective on exposure to trauma, operational stress, and building resilience. Find the original Clinical Rounds Presentation here: https://youtu.be/WcpEGjKxro0

    Host: Leon Baranowski, Paramedic Practice Leader

    Guest: Dr. Mike Christian, Research & Clinical Effectiveness Lead with London’s Air Ambulance

    twitter: @DrMikeChristian

     

    We need your input! Are these podcasts working for you? Do you have an idea for a podcast episode? Know someone that would make an awesome guest? Please take a moment to fill out our Medic Minutes Survey.

    Email: podcast@bcehs.ca
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    1分未満