Prehospital Paradigm Podcast

How, when and why to contact the EMSI CISM team is discussed as the discussion wraps up. The team also talks with Susie about how to join the team including the basic training and understanding of privacy involved.

The process of CISM, at least in Susie's surrounding area, has become more accepted as a practice. In the meantime, there has been an increase in one-on-one request to talk. Part of the change is not necessarily a critical incident that causes stress but the daily grind of the job. How a peer response team is created is also part of this episode.

Susie Forgacs, RN, Assistant Fire Chief at Rootstown FD and member of the EMS Institute team joins Dr. Hill, Wes and Scott, this month, to talk Critical Incident Stress Management… correct… management… not debriefing.

Recall your vehicle rescue class when they stressed the basics…. check the car door lock before you break the window? That's what the crew is saying in their summary regarding assessment and treatment of patients with seizures…. basics are important… airway, blood glucose, description of the seizure activity.  Also, they summarize the discussion of the medication to be administered and why.

In Part 2 of the discussion about patients with seizures, the crew gets deeper in a review of the various definitions of seizures.  Dr. Hill reflects the idea that, if the provider happens to not recall the types of seizures by name, they should feel comfortable with describing the seizure activity to the medical command physician. The discussion also includes the standard medication delivery protocol.