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Inside EMS Podcast: What to do when the protocol is wrong

Chris and Kelly also talk about a recent medics who were cleared of wrongdoing for not transporting a gunshot wound victim

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In this week’s Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson discuss the story about medics who were cleared of wrongdoing for not transporting a gunshot wound victim.

“They followed their protocol and did what the doctor told them to do,” Grayson said. “And apparently this was a system failure in the way the protocol was set up, and Vanderbilt took responsibility for that.”

They also applaud a medic who gave the Heimlich maneuver to a boy who started choking during a watermelon-eating contest at a W. Va. fair, and Rural/Metro’s plans to close operations in 30 Ind. communities.

“I think the days of the big EMS agencies are going to start to dwindle,” Cebollero said. “They think about the bottom line of making those profits and as we move into the future of our industry, we’re going to have to create our own profits, and I don’t see them sustaining.”

In The Clinical Issue, they discuss a controversial study where paramedics will give cardiac patients a placebo to help determine whether epinephrine really works.

“One milligram of 1:10,000 solution every three to five minutes may not necessarily be what they need,” Cebollero said.

At the guest table, EMS1 columnist Bryan Fass talks about the importance the “fit responder,” and how to stay healthy and avoid injuries.

Here are links to some of the articles and other items mentioned on the show:

The Inside EMS podcast is a regular expert discussion of hot topics, clinical issues, operational and leadership lessons for EMTs, paramedics and chiefs