Clinical Brain Training

This is the first part of my Grand Rounds lecture from August 21 on what we need to change in hospital medicine and what we can learn from how firefighting has improved safety and decreased line of duty deaths. Part 2 next week. Thanks for listening. JY

Continuation of the discussion with Tom Joyce about the future of Paramedicine. Thanks for listening. JY

Tom Joyce and I discuss the future of paramedics in the rapidly changing health care environment. This is part 1 and ends around the 22 minute mark with some music.  Thanks for listening. JY

Discussion of the positives and negatives of experience, and the various tools to use to gain clinical proficiency when actual clinical experience is lacking. A tune I wrote and recorded at the beginning and end. Thanks for listening. I've also attached several of the war games scenario sheets we used to train people for these situations. JY   Aspiration resp failure Dyspnea rib fractures AFib Hypotensive blunt trauma

A discussion of some aspects of decision making, and error prevention. How to get novices to do the right thing and prevent harm. Thanks for listening. JY

A discussion of what surgeons do, and what the rare circumstances are where they could be helpful in the pre-hospital environment. Also discuss some basic surgical things like suture and what is needed to carry out surgical procedures. Thanks for listening. JY

Discussion of training, and the different competencies. Cognitive knowledge (what), Practical knowledge (how), Tactical knowledge (how do I do it when someone is dying in front of me). Thanks for listening. JY

A discussion of ICS and my idea of applying ICS principles to everyday hospital and EMS based patient care with Tom Joyce of Orange County Fire EMS. Thanks for listening, JY Problem with echo in original audio file, now fixed and replaced with new file.

A discussion of how to navigate providing your patients and community what they need, while still being cognizant of overusing resources. Also an excerpt from a concert I gave with Brian Hughley a few years ago. Thanks for listening. JY

A discussion of abdominal pain: evaluation, history, physical, and some drill down on appendicitis and pancreatitis. Since I'm not in a band now, I've included my latest project, which is trying to do some sax quintet stuff by myself at home. Hope it's tolerable. Stay safe. JY

Discussion of treatment of varying degrees of hypotension and some management strategies. The song "Butterfat" by David Sanborn played by myself and Brian Hughley at a gig at my house in 2006. Thanks for listening. JY

The ability to present patients succinctly and effectively is one of your most important skills. I go over some of my thoughts on the subject, and give a variety of sample presentations to demonstrate how I think it should be done. Thanks for listening. JY (original podcast screwed up at end, please re-download)

Basic discussion of some burn principles. A little music from a CD I recorded with Tom Jolly in 1994. Thanks for listening. JY

I discuss the challenge of safety, and how to rationally assess risk in the environments we work in. JY.

A discussion with Tom Joyce and Tom Berry of the issues in an Active Shooter MCI.