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PODCAST

Practical EMS

My mission is to use the stories we all have in emergency medicine to encourage and uplift you where you are. EMT, Paramedic, nurse, PA, NP or physician. Emergency medicine is a very difficult specialty with unique challenges, and it calls us all to be better than the average person in order to stay healthy for our patients, our families and own mental wellness. I want to connect with EMS crews, fire crews, ER RN"s, ER techs and new ER advanced practice providers to better understand their current

education medicine

All Episodes

31:02

133 | Dr. Julie | The Golden Rule in the ER | Skills,...

Practical EMS ·

2025/12/21

I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practice When in doubt, consult the specialist Julie talks about what makes her proud about her career She is proud of the connections she made, that she treated her patients how she would have wanted to be treated Remember to take that intentional time with patients to help reassure and connect with them Julie talks about a the expectation she sets for p...

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32:36

132 | Surviving the ER Without Losing Yourself — Dr....

Practical EMS ·

2025/12/14

Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitude We must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patients We talk about our interactions with EMS Both Julie and I remember working in EMS and the value that EMS brings in their report because they often see a lot of things we don’t get from the history of the patient Julies advice for the new...

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32:27

131 | Women in the ER: Dr. Julie on Career Longevity...

Practical EMS ·

2025/12/07

Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the area She saw the disconnect between the provider that people wanted to become and who they became, and she didn’t want that to be true for herself She became an attending in 1991 and now has close to 40 years in emergency medicine She became a physician when it was predominantly a male field Julie talks about some of the things that have changed over time We need to have empathy ...

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27:53

130 | Dr. Brian | Faith at Work: Healing, Dying, and...

Practical EMS ·

2025/11/30

Brian talks about his experience being on the “other side” of the bedside with his wife’s cancer treatment He really appreciated the extra time that the doctors spent with him and his wife to explain things – repetition is very helpful for your patients to really hear you Brian talks about balancing fatherhood and being a husband with our emergency medicine schedules and the challenges of being in a physician couple You have to figure out family priorities and what works well in your si...

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25:41

129 | Dr. Brian | The Metric of Mercy: Seeing Jesus...

Practical EMS ·

2025/11/23

We talk about setting the right mindset, culture and tone as a leader of the department and especially in smaller facilities You don’t have to be perfect, but you can avoid the little negative comments and criticisms Being a good example goes a long way As a Christian we are supposed to act like Christ would We have a lot of metrics we have to worry about as clinicians but, as Christians, we need to worry about the metric of mercy Understanding that we are not as far removed from the homeless...

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28:05

128 | Dr. Brian | When the Dopamine Fades: Staying...

Practical EMS ·

2025/11/16

Has been an attending physician since 2019 Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med school Brian worked in the ED as an EMT as well He talks about early mentors and the impact they have, including helping him get loans for medical school We need to remember to be like that mentor that encouraged us when we were new and pay it forward to the next generation of students You must have something that dr...

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31:05

127 | ER Dr. Adam | Embrace the hard stuff | Being...

Practical EMS ·

2025/11/09

Advice for the new EMT, paramedic, nurse, physician who is also a believer Build your faith in the easier times so your faith doesn’t shake when times are hard You have more reason than anyone on the planet who doesn’t believe to strive to do this job better every day, you are held to a higher standard Adam still finds joy in emergency medicine, doing hard things, interacting with many different humans, seeking an answer, the intellectual stimulation You must be able to embrace the hard stuff...

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29:19

126 | ER Dr. Adam | Faith and burnout | Choosing hard...

Practical EMS ·

2025/11/02

Faith and burnout Adam talks about how he tends to spend his spare time reading the Bible, going to church, spending time in prayer and how this develops character and is better than pursuing time wasting activities or the easy dopamine dump that does not add to sustainability or self-improvement We are designed to do hard things – mental or physical – including pursuing Jesus – this builds stamina, character and makes you better in your career Choosing hard things makes the hard things that ...

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31:22

125 | ER Dr. Adam | Former paramedic | Refocusing on...

Practical EMS ·

2025/10/26

Former paramedic and has been an ER physician for 7-8 years He pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality We talk about how emergency medicine checks a lot of exciting boxes that we enjoy Adam talks about his burnout symptoms as well as how he course-corrects He talks about symptoms like lacking as much compassion/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough slee...

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37:06

124 | Josh with Crisis Prevention | The situations...

Practical EMS ·

2025/10/19

Give the escalating patients some room, you don’t have to be within arm’s reach I talk about what a bad code blue looks like and what a good code blue looks like and how this translates to running a good code grey Assign roles, we don’t have to surround every aggressive patient with a ton of people Don’t join in the fight or flight mindset that the patient may be operating in We talk about who should be lead in these situations and how we should be handling behavioral health emergencies when ...

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29:45

123 | Josh with Crisis Prevention | Code Grey |...

Practical EMS ·

2025/10/12

Josh has 20 years in Public Safety Currently doing crisis prevention instruction We often don’t get any education in med school or PA school in how to communicate well with patients or how to de-escalate their behavior Code greys are the behavior health emergency response; someone has some concern that a patient is escalating to potentially violent behavior and a team will respond Staff safety is priority We are there to provide excellent medical care, if it’s safe to do so We recommend calli...

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27:24

122 | ER Dr. Lucas | Is it still worth becoming a...

Practical EMS ·

2025/10/05

Lucas gives his pitch for why it is still worth it to be a physician - it’s one of the best jobs in the world but you have to have the ability to adapt to change over time Being a physician still allows you a rewarding, stable and consistent job. A comfortable lifestyle. Job portability As a PA, this can be even better because you can switch between specialties Our variable schedule in the ED has its cons but it has a lot of pros as well We talk about things that we find rewarding in emergenc...

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23:26

121 | ER Dr. Lucas | Longevity | Advice for the new...

Practical EMS ·

2025/09/28

Longevity in a tough field is something you need to consider as well as the right mindsets that keep you there – be intentional about being grateful Lucas gives some advice in doing triage shifts and focusing on the good people you have the privilege to interact with and trying to be intentional about not focusing on the mean, angry patient Intentionality behind the things that improve your well-being are more important to prioritize than you might think Allow your family, significant o...

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30:14

120 | ER Dr. Lucas | Inevitable burnout | Gratitude |...

Practical EMS ·

2025/09/21

ER physician for 15 years He talks about this path into med school and emergency medicine as his first choice He likes the challenge, lack of predictability and wide scope of problems we must solve. We have the honor to accept patients when no one else will Lucas talks about how the term emergency medicine is almost becoming antiquated when we are doing acute, undifferentiated care Some of the care is emergencies, but not all. And that’s probably for the best so we don’t get burned out He tal...

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28:49

119 | Emergency Standards | Leave work at work | Take...

Practical EMS ·

2025/09/14

Leave work on time •David’s story: a skilled, compassionate paramedic who deeply connected with patients, especially during psychiatric crises. oStruggled to separate work from life. oRelied on alcohol as a coping mechanism, which ultimately cost him his life. •Core lesson: In emergency medicine, you must leave work at work—emotionally and physically—otherwise burnout and unhealthy coping are inevitable. •Healthy separation: oBalance connection with patients while avoiding over-identification...

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44:37

118 | Emergency Standards | Introduction | Do not...

Practical EMS ·

2025/09/07

Introduction My first experience with a cardiac arrest as a new EMT → exhilarating, confirmed calling to emergency medicine.Early struggles: dropped out of college, lacked discipline, but EMT training provided a direction and purpose.Spent years balancing work as EMT/paramedic with school → long path to becoming a PA.Lessons from emergency medicine shaped clinical skills and mindset.Concept of standards:Standards = benchmarks, measurable expectations, non-negotiable habits.Different from prin...

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31:19

117 | Unique ER roles | Advice for newbies | Ways to...

Practical EMS ·

2025/08/31

Advice for new EKG techs: Trust your knowledge and build your confidence over time, stay calm and take deep breaths when you start to get busy Stay humble, ask for help No one comes out of school knowing everything, you need to know your limits Regardless of your role, don’t be afraid to advocate for the patient Providers need to remember to project an approachable demeaner so that everyone has a level of comfort bringing things to their attention It’s important to take your job seriously and...

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30:48

116 | Unique roles in the ER | EKG tech and scribe |...

Practical EMS ·

2025/08/24

We talk about stat vs routine EKG orders as well as metrics that they are always working to hit on time When EKG’s are not done on time the source of the problem needs to be found, sometimes it is the providers’ fault for not realizing the EKG order had not been placed We talk about how we should communicate between provider and EKG tech and how much info we like to get as providers I talk about how providers need to become good at task switching frequently and this includes signing EKG...

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32:53

115 | EKG tech and scribe role in the ED |...

Practical EMS ·

2025/08/17

Welcome to the show Sean and Cheyenne, EKG tech experience and scribe experience Sean talks about certifications and expectations that go beyond merely obtaining an EKG as well as the stress testing role Cheyenne talks about the role that scribes play in the ED Scribing for providers is often used as a role to gain patient experience for medical school or PA school They talk about how they got into scribing and EKG technician work and Sean talks about how it is also a role that is used as a s...

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31:08

114 | Dr. David Berry | From homeless and addicted to...

Practical EMS ·

2025/08/10

I’d like to welcome to the show Dr. David M. Berry, MD, he is a growing voice in the recovery and addiction space, an area that we deal with a ton across EMS and the emergency departments. He is an Emergency Medicine physician with over two decades of experience. You can reach him at dberrymd@hotmail.com Burnout and moral injury – how do we avoid these in dealing with the addicted and psychiatric patients? We can’t control most factors involving their long term care but David say...

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