EMS training

PerSim(TM): EMS World Innovation Awards Finalist

Our mission is driven by a heart of service to educators, trainees and patients.

On the journey we have spoken to many EMS educators, EMTs, firefighters and paramedics. The dedication to the craft and preparation blows us away every time.

Thank you very much for the recognition, but frankly we are honored to serve the EMS community in this small way through our work with PerSim(TM).

The Beginner's Mind

The Beginner's Mind

Healthcare could benefit from more eyes trained specifically at looking for red flags.  Conditions that may trigger high alerts and require mobilization of critical resources.  Developing apprentices of patient safety moves beyond just creation of rapid response teams. It requires a dedication of those on the frontlines of healthcare to evergreen training and learning. This sort of training may require innovative modalities of rapidly deploying experience and knowledge to those on the frontlines.  It may require physicians think a bit differently about the traditional physician to physician apprenticeship model.  It may require us to democratize medical knowledge.

Getting from Amateur to Pro in Medical Training: One Key Concept

Getting from Amateur to Pro in Medical Training: One Key Concept

In medicine we are faced with nearly 13,000 diagnoses, over 6,000 medications and over 4,000 procedures. The variety of clinical venues and numerous individual patient contexts creates tremendous complexity.  Context is king in making the correct assessment.  Misreading or missing one detail can change everything in the evaluation and treatment of a patient.  

Clinical Tool Identifies A Pregnant Patient In Danger: Is It Helpful For EMS?

Clinical Tool Identifies A Pregnant Patient In Danger:  Is It Helpful For EMS?

The nation's Emergency Medical System (EMS) infrastructure occupies a vital role in society where public health, public safety and individual patient needs converge.  In light of concerning maternal outcomes the EMS professional can benefit from greater awareness of issues in this special population. In a prior post the rising maternal mortality trend in the USA was explored and though current campaigns at reversing this troublesome trend are not directed at pre-hospital providers there may be a missed opportunity in not doing so.  

A vital tool called the Maternal Early Warning Signs (MEWS) is an evidence-based tool that has been used with success in some states to improve maternal outcomes.  

Three Things a Medic Can Do Today to Deliver Better Stroke Care in the Pre-Hospital Setting

Cerebrovascular accidents, commonly known as stokes, are the fifth leading cause of death in the United States. The latest statistics from the Centers for Disease Control(CDC) put the number of stroke deaths at more than 140,000 per year. That is just the number of deaths. The number of those disabled from a stroke is much higher. 

On Being Prepared, Having No Regrets and Delivering Asymmetric Impact.

I began my medical career as a first responder within the US Army. I was a US Army Special Forces Medical Sergeant or Green Beret Medic (18D). We received the civilian NREMT Emergency Medical Technician and Paramedic Training curriculums augmented with 3rd world-centric medicine and military trauma management training. The training provided to me was thorough and detailed. We were held to a high-performance standard, and patient care mistakes or oversights were unacceptable as our next patients would be in a combat zone. 

Do You Feel Ready to Care for a Sick Floppy Infant?

Do You Feel Ready to Care for a Sick Floppy Infant?

Infantile hypotonia presents significant challenges in the pre-hospital setting. As a paramedic or EMT you will likely respond to calls involving both acutely and chronically ill children.  The skill of accurately and rapidly assessing a pediatric patient’s tone is essential in the first moments of an encounter.  Developing an approach to handling severe abnormalities comes with training and experience. In general, preparing for these encounters both in thought and in practice is a must to do your best out there.  This article will explore hypotonia and provide background on the topic, as well as a few cases, that may aide pre-hospital professionals in further improving their preparedness in this arena. 

EMS and Maternal Mortality Trends: Can Pre-Hospital Professionals Make a Difference?

EMS and Maternal Mortality Trends: Can Pre-Hospital Professionals Make a Difference?

Partum and peri-partum calls don’t happen all that often, but as an EMS professional you can expect to respond to the type of case described above at least few times in your career.  

In 1986 the CDC began tracking pregnancy-related deaths and since collecting this data rates have more than doubled.  Although we may not realize it, the United States has the highest maternal mortality rate of any highly developed nation, according to the Alliance for Innovation on Maternal Health (AIM).  Few nations beside the USA have a rising maternal mortality rate, amongst them are Afghanistan and Sudan.  

Augmented Reality and Safe Spaces for Exploring Medical Errors in EMS

Augmented Reality and Safe Spaces for Exploring Medical Errors in EMS

The tones drop, you get to the rig, lights and siren scream out. You are on your way to a 5-month-old baby. Dispatcher says its an “unknown medical” call.

You get on scene and are met by frantic family members. You and your partner get into the house and the mother is crying. In between her sobs she’s begging you to save her baby. When you finally get to the child, you see that it is seizing. Then it stops. There is nothing. No movement and no breathing.

This is the first time you’ve ever handled a call like this. 

You’ve only been an EMT for two weeks.

Training wasn’t like this. It wasn’t this real.