You are currently browsing the The Big Get It category.

Passion Counts

If you’re going to design a ski resort I imagine that you don’t need to really like skiing, but I bet it helps. I imagine the same is true for most jobs. I would guess that a movie buff would run a better movie theater, a salesman would perform better if he was a true believer in his product, a car detailer would be more successful is she loved cars and a fitness trainer would be far better is he had a burning desire to improve people’s health.

For jobs that require skill, insight and good judgment (Like our job does.) passion counts. Passion is important.

Continue Reading…

Posted 2 weeks ago at 12:50 pm.

4 comments

Credibility and Redundancy

I’m going to make an important point and I need you to pay attention. That sentence, the one I just wrote. The one about saying something important. That was a redundant statement. And it undermined your sense of my credibility as a blogger and an EMS educator. No really, it did.

Not in a huge way. Not like if I had said something that you knew to be completely false, or got all wishy-washy, namby-pamby about some critical issue regarding your patient care. But it made you doubt my sincerity just a little. Somewhere in your subconscious you thought, “If it’s important, why not just say it?” You questioned why I felt the need to preface my important thought with a statement declaring my own thought important.

It’s as if I doubted my own credibility.

So why shouldn’t you doubt it too.

Right?

Continue Reading…

Posted 4 weeks ago at 6:00 am.

4 comments

Brotherhood

The Good Lord saw fit to grant me but one sibling, a brother. His name is Brian. He’s a good brother. He calls, he Skypes, he visits me half way across the country for road trips and family outings.

He’s in nursing school right now so I get to listen to him yammer on about how nurses are the greatest thing in all of medicine. Yeah, I know what you’re thinking, he’s not even out of school yet and he’s learning how to be patronizing to us EMS folk.

He’s going to make a really good nurse.

Sometimes I wonder if my brother wouldn’t be irked if he knew how many people I refer to as brother. Honestly, he’s the only one with clear rights to the title. He was the one defending me at the school lockers in junior high. He was the one that had to sacrifice the video game paddle so I could have my turn for all those years.

Continue Reading…

Posted 1 month, 2 weeks ago at 9:21 am.

5 comments

The Non-Conformists’ Guide is Here!

I’ve gone live with the book and newsletter sign up and it appears that everything is running smoothly. I’ve already had a half dozen sign-ups and the link has only been posted for a few minutes.

Thanks for your patience. This writing project took me nearly six months to finish. I had an idea of what I wanted this book to be and I wasn’t willing to stop until I’d succeeded.

The result is The Non-Conformists’ Guide to EMS Success. This is no pamphlet or power point slide show. This is 48 pages, almost 16,000 words, and chapter after chapter of compelling ideas designed to challenge the way you think about your job, your leadership, your life, and your role in EMS. And it’s all free.

If you’re ready to stop listening to me talking about it and get the book for yourself, just click the newsletter sign-up at left. The EMT Spot practices a strict, double opt-in, anti-spam policy. We’ll never reveal your e-mail to anyone, ever.

You’ll receive an e-mail confirming that you really did sign up for Splatter and the e-book. Once you click the confirmation link you’ll received your welcome edition of Splatter and the .pdf version of the e-book will be attached. It’s as simple as that.

The newsletter will also have an opt-out link at the bottom if you’d rather not be on the newsletter mailing list. (But I hope you’ll decide to stay)

Continue Reading…

Posted 1 month, 2 weeks ago at 9:09 am.

21 comments

The E-Book is Coming!

OK, I can’t keep this to myself any longer. It’s time for the big announcement. With the final draft still in the mail from my editorial team and the final design still lacking a few details, it would probably be best to just keep this under wraps for a few more weeks, but I can’t wait.

My first E-book is scheduled for release on January 21st, one week from today. The e-book will be free and it will be available right here at The Spot.

The Book is called The Non-Conformists Guide to EMS Success. This book is the culmination of two decades of EMS experiences, mistakes, failures, trials, and errors that lead to my ultimate success. My goal was to write something that would be useful to EMTs at any stage in their career. And I didn’t hold anything back. This is my road map to finding true success and fulfilment in EMS work.

Continue Reading…

Posted 1 month, 4 weeks ago at 6:00 am.

6 comments

6 Reasons Why You Should Be a Better EMT

Sure, this site isall about being a better EMT, but perhaps you’ve asked yourself, “Why?” OK, granted, it was probably one of your more cynical moments. Perhaps you had a bad day, a couple of frustrating calls or a less than optimal interaction with a patient, your partner, another agency, your boss … or perhaps all of the above.

Then you went out and threw down your stethoscope. Or maybe you didn’t throw it down because you remembered it was a Littmann and a gift from your aunt, but you raised it over your head and thought about it. And while that stethoscope dangled over your head in your clenched fist you thought, “Why? Why do I work so hard to try to be better at a job that pays so little and offers so little in return?”

“Why?”

We’ve all had these moments. Moments when we contemplated, “Why don’t I just phone it in? The bad EMT’s make the same amount of money as the good ones. I clearly already meet the minimum standard. Nobody’s really pushing me to be any better. Nobody seems to recognize my growth or effort. So why do it?”

Continue Reading…

Posted 2 months, 4 weeks ago at 6:00 am.

9 comments

Staked Down With a Twig

Circus elephants present a containment problem. It’s hard to keep a big elephant cage around wherever you go. So when baby circus elephants are trained, they are staked down to a pole with a chain. The young elephants pull and struggle against the chain for a while and then learn the limitations of the situation.

Soon the elephant can be staked down with a wooden stick. The elephant could easily break the confinement but it doesn’t try. It’s already learned what it can and can’t do. To add further insult to the awesome, unrecognized power of the beast, by adulthood many of the elephants can be training to pull up their own stake and move it on command and then remain in the spot that they re-staked themselves too.

I think about the circus elephant staking itself down often. Mostly when I hear my colleagues and friends talk about the obstacles that prevent them from recognizing their goals. You know what I’m talking about. All that stuff we’re waiting for before we can start really moving toward our vision for our life.

 

When I look at the awesome human potential that we carry around within us and then I consider the little, insignificant things we chose to see as barriers, I think about the elephant.

Continue Reading…

Posted 3 months ago at 9:48 am.

3 comments

Don’t Be A Jerk

I didn’t draw the graph at right. It was made by a woman named Jessica Hagy over at www.thisisindexed.com. Jessica is not in the medical profession. She draws her observations about the world on index cards and posts them online.

She also has a long and growing list of blogging awards from around the world. Mostly due to her brilliantly irreverent style and her ability to make social observations that resonate with people.

Like this one.

It’s a sad but true observation. For some reason, it seems like many medical personnel have an interesting combination of helpfulness and jerkiness. Why do you suppose that is? I’ve thought a lot about that over the years.

I think a friend of mine, Steve Brien put it best when he said, “Some of us still have a lot of us still in us.”

Our profession is about the patient. It’s not about us. Remembering that simple fact, and keeping it at the forefront of our thoughts, isn’t as easy as it might seem.

Posted 3 months, 3 weeks ago at 9:26 am.

4 comments

The Ultimate EMS Protocol

I don’t handle the card much anymore. It stays inside a plastic sleeve in my planner. The edges are worn and the words are faded. It wasn’t printed on kind of paper that travels well in a wallet for twenty plus years. But it’s been worth carrying. It is, quite simply, the ultimate EMS protocol.

I don’t read it often. I’ve read it enough times over the past two decades to have it pretty well memorized. It’s my STAR CARE card.

I got it back when I was a paramedic student at Baystar Ambulance in San Mateo California. It was 1992. I always believed the original author was none-other-than EMS guru Mike Taigman. Mike had signed on to be the quality care guy at the fledgling service and I knew the cards had originated in his office.

The idea was simple. We can’t write a policy for eveything you may encounter in the field. Instead, use this guideline. If the decision you’re about to make passes these eight tests, we support you. NO matter what. Come hell or high water … we have your back.

It’s brilliant really. It’s the policy to end all policies. It’s the grand daddy algorithm. It’s the ultimate protocol.

Continue Reading…

Posted 3 months, 4 weeks ago at 6:00 am.

5 comments

Ten Things You Can’t Learn About EMS

                                        From Your Computer

      

As you might imagine, I’m a big fan of E-learning. I also have a soft spot for the social media craze. But there are still a few things that you just can’t learn staring at a computer screen. OK, there are a LOT of things you can’t learn staring at a computer screen. Here are ten:

       

1.) You can’t learn pattern recognition.

If you’ve ever wondered about how experienced EMTs and medics can figure out exactly what’s wrong with the patient two steps inside the front door, it’s not magic. It’s pattern recognition. When you’ve seen what CHF looks like a hundred times, you can pick out the pattern almost instantaneously. Watch a hundred people have cardiac chest pain and you’ll be able to see it from across the room. But it doesn’t matter how many times you read those chapters in your books. You need to see it.

Continue Reading…

Posted 4 months, 1 week ago at 8:16 pm.

8 comments