When I sit down to craft a blog entry, I try not to focus on “Me.”I’d rather focus on “Us.” That being said, there comes those occasional times when my inner narcissist takes over.This is one of those times. In May of last year, I made some tough and important decisions about the life I was going to lead.I was overweight, and not leading a healthy life style.It was time for me to change all of that and get myself into a better place physically, mentally and emotionally. I’ve always been what I refer to as a “stress eater.”Food makes me feel better.It has always been therapeutic for me.Let’s face it, we work in a stressful field, and the position I hold has been extremely stressful over the last couple of years, so reaching for an extra helping at dinner, or hitting a McDonald’s drive thru was an easy thing for me to do. I realized that I couldn’t do that anymore.I needed to find better ways to cope, and it was time to start taking better care of myself.I started concentrating on eating better, and downloaded an Application on my iPhone called “Lose It!” and on May 14th of last year, I began recording everything that I ate, and any exercise I did.I’ve continued that religiously each and every day since then.Now, 40 weeks later, I’ve reached my goal. When I started my transformation, I weighed 310 lbs.When I stepped on a scale this past Monday, I was delighted to see that I was down to 235.That’s right, I lost 75 lbs.I haven’t weighed under 240 lbs in at least five or six years.I feel great, I look like a different person, and I fit into clothes that I haven’t worn in years.I’m not completely satisfied yet, but losing 75 lbs is quite a huge step forward, and anything from here on out will be a cake walk (mmmm cake). To those of you who have known about my endeavors, I thank you for your support.For anyone who is looking to do something similar, check out Lose It!It’s a great application, and it changed my...

A year ago today, I made the decision to take the leap into the EMS Blog world.I remember the days leading up.So much was going through my head.What should I write about?Will anyone actually read it?Well, almost 70 posts later, I’m still going strong, and I have you, the readers to thank for that. My first post was quite simple, it was just a little overview of who I was, and what I was hoping to accomplish in the coming posts.I say “who I was” because in the 365 days since that first post went up, I’ve grown and changed quite a bit.What started out as the simple musings of a Paramedic is now viewed over 1,000 times a month, and has over 50 registered followers.#MyEMSDay has been created, and over 200 EMS 2.0 pins are being worn by Paramedics and EMTs fromSpringfield,Massachusetts toMelbourneAustralia. To those of you who have read what I’ve had to say over the last year, I thank you.To any new readers I might have, welcome to year 2!And finally, toEMSin the New Decade, HAPPY...

This past September, I attended my first “real” EMS Conference. Sure, I’ve been to a few small ones out in my side of Massachusetts, but I had never seen anything quite like what I experienced down in Dallas. It was amazing, and I was completely overwhelmed. Now, as I prepare to head off to Baltimore for EMS Today in just a couple of weeks, I think its time to share with you some of the lessons I learned at EMS Expo. 1. Wear comfortable shoes! – You are going to be on your feet and walking around a lot. A large conference isn’t the place for flip flops (I’m looking at you, April) or brand new shoes that haven’t been broken in yet. I was able to find some inserts down there that they were selling on the conference floor that made a huge difference, but I definitely wasn’t prepared for all of the walking that I had to do. 2. Carry a spare wall charger for your phone — I’m a social media addict. There were many times where I was chomping at the bit to get my phone charged, but my charger, of course, was on my desk in my hotel room. It would have been great if I had a wall charger with me that I could have plugged into an outlet somewhere to just get myself a little more juice. 3. Get a business card made up — You never know who you’re going to meet when you go to a conference, and having some way to identify yourself, and making a lasting impression after the fact is great. Conferences aren’t just about education, they’re also terrific networking opportunities. Not only did I make and strengthen some great friendships in Dallas, I met some people who have been valuable resources for helping to improve the place I work in. 4. Pack a couple of resumes — As I said, conferences aren’t just about education. You’re going to find services and recruiters there too. If you see someone you like, tossing a resume their way might not be a bad idea. You never know where it might take you. 5. Leave...

Are you going to be in Baltimore on Wednesday March 2nd? Are you looking to meet up with folks from the EMS Social Media community? Do you like beer? Well, here’s your first chance. Russell Stine from Hybridmedic and I are putting together a Meetup which will be starting at the Pratt St Ale House across the street from the Convention Center at 206 West Pratt St. There is also a very good chance that we might have a sponsor for this event, but I don’t want to attach anyone’s name to it. We should be starting up at around 7:30 or 8pm after the first round of classes is out. It will be a very informal, fun way to meet other f0lks in the community, and if its anything like the EMS Expo Meetup at the House of Blues in Dallas, it will prove to be a great time. EMS Today is just two weeks away! Are you ready? I...

For the last couple of months, the term Personal Responsibility has become one of my favorites.I think it’s the answer to many of the questions that we ask day in and day out not only on the streets as we take care of our patients, but in life in general. I constantly struggle with how to provide effective QA/QI and where Chart Review falls into that whole mix.Now, I haven’t done a ton of Chart Review in my day, but I’ve read some truly bad ones, and I’m sure I’ve written my share of less than desirable charts in my day, but does it go without saying that a poorly written chart means substandard care was provided?I don’t think that is always the case.A strong argument could be made that the quality of the chart written can be a direct reflection of quality of care, just like the cleanliness and readiness of one’s ambulance could indicate the same, but ultimately, what is a Patient Care Report? That PCR isn’t just the picture that we paint for those that we turn care over to, or those that review our charts in the Chart Review process.Ask yourself this: Do you think James Patterson, Stephen King, or your favorite author could write an effective chart?I’d say they could probably paint a pretty clear picture of what happened.Does that mean they have the patient care to back it up?Absolutely not. Effective documentation shows a person’s ability to tell a story and craft words.Don’t let the term “Craft words” confuse you.I’m not saying that people are not truthful, because I have a lot of faith in the people that work in this field.I think that a majority of the time, what is documented is an accurate account of the call, but we need to start looking at patient care beyond the chart, and beyond the capacity that an English Professor, or a Math Teacher would look at it from. How do we do that?Well, that’s the difficult question.When practicing medicine in the pre-hospital setting, we often act alone, in the back of an ambulance, or with one other knowledgeable person present to help us.Random visits on calls by Supervisors,...

That morning in Dallas, I got to spend about two hours with Chief Skip Kirkwood from Wake County EMS, and boy did it fly by. The interview I posted in that previous post was a pretty good summary of what we covered in the more “formal” part of our talk. From there, the discussion turned to an exchange of ideas and thoughts on where we are at and where we are headed, and if you’re looking for inspiration, look no further than what you can learn from him, and his department in North Carolina. My admiration for Skip Kirkwood started about five years ago. I learned about the National EMS Management Association, and their list serv on Google, and I quickly signed up for both. If you don’t follow the NEMSMA List Serv, what are you waiting for? Its filled with some of the greatest minds in EMS who frequently share ideas and thoughts on the field, and Skip is one of their most frequent and well respected contributors. When he speaks (or in this case writes) people stop, take notice, and listen. I have actually saved many of his emails that I found to be useful, and I’ve shared them with those around me. I’ve closely followed the progress Wake County EMS has made over the years, and I even have a few friends from New Jersey who currently work in his system (who I am very jealous of). To me, Skip Kirkwood comes across as someone who is a fearless, confident leader who expects nothing but the best out of everyone around him, and I don’t see why simply his personality wouldn’t bring that out of people. He also projects himself as a very patient person, eager to share the life and professional lessons he’s gained over the years. I thought the most interesting moment in our interview was his response to the question “What lesson would you like to teach to a new EMT or Paramedic just getting their start in the field?” His response had nothing to do with anything clinical or even operational. It was about their personal well being. “Manage your finances,” he said, “don’t live outside of...

This is a blog post that I intended to put up months ago, but I never got around to finishing. Paraphrasing a sit down interview is something that I really struggled with, but I really feel that not sharing this information would major injustice to our time that we were able to spend with Skip Kirkwood, chief of Wake County EMS in Wake County, North Carolina. I hope you enjoy this two part post, and take as much from it as I did. A little over a month before EMS Expo in Dallas, I was speaking with April Saling (better known to the online community as Epi Junky, the author of Pink, Warm, and Dry) about our mutual admiration for Wake County EMS Chief Skip Kirkwood. We decided that since we were both going to be at EMS Expo in Dallas, and since Chief Kirkwood was also going to be at Expo, that we would contact him and attempt to arrange an interview with him for our blogs. Our hope was that Chief Kirkwood would be able to spare five or ten minutes out of a very busy schedule to sit and answer some questions for us about EMS over a cup of coffee. Well, much to our delight, Chief Kirkwood did one better by inviting us to join him for Breakfast on Thursday, the second morning of Expo. Skip got his start in EMS in 1973 when he was certified as a Hospital Corpsman. He then started his career in EMS and shortly after, he obtained his Paramedic Certification, By the Mid-80’s, he decided that there might not be much of a future in Emergency Medical Services, so he decided to look elsewhere for a career. He decided that the next step in his life should take him to law school, where he obtained his law degree and worked for a large Law Firm in Philadelphia for a few years. One day, while sitting in his office reading JEMS Magazine, Chief Kirkwood came across a Job Listing for the position of the Head of EMS for the State of Oregon. The recommended requirements were a Paramedic Certification and a knowledge of Law. He...

When I was in California, I had three similar conversations with three different crews. It went something like this: Paramedic/EMT — “So, you said you’re from Massachusetts, right?” Me — “Yes I am!” Paramedic/EMT — “How the heck do you work in the snow? What do you do?” My response at first was “What do you mean?” But I realized very quickly that in the Bay Area, dealing with a significant snow fall usually isn’t a logistical issue. I’m sitting in my truck right now writing this as I stare at a five and a half foot high snow bank, which is bound to get higher as in the next 48-72 hours, we might see as much as an additional twenty inches of snow fall dumped on us by Mother Nature. I’ve been in Massachusetts for almost fourteen years, and I can honestly say, I don’t remember a winter being that bad. Keep in mind though, that I don’t completely remember some parts of my college years! For those of you who live in warmer climates, I guess I should give you the rundown of what we do, and what we deal with when things get like this. . . right after I share an inappropriate hand gesture with you, and your “Its warm enough in January to wear short sleeves” weather. 1. Plowing, or lack there of. Over the last couple of years, my service has completely transitioned out of Box Ambulances. Our entire fleet of 35 trucks is now made up of vans, and let me tell you, I’m not that heart broken about that, especially at this time of year. Many side streets in our service area end up being very poorly plowed, and with cars parked on the streets, its very difficult to get a Box Truck down the streets. Even a not-so-experienced driver can park a Type II ambulance just about anywhere. 2. Hypothermia. The heat almost always stays on the back, so that all it takes is a flip of the “Master” switch to get that truck nice and toasty. Crews always make sure their IV warmer is stocked, and sometimes will even add a 1000 cc bag...