EMS World

OCT 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/1032353

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Page 51 of 87

EMSWORLD.com | OCTOBER 2018 51 lack of a kind word, every roll of the eye or dismissive comment, lingers on the psyches of those who have asked for our help. Yes, there are a lot of people out there who struggle with drugs and alcohol, and the reality of our job is that the ones you encounter will be far more re sult s of abuse than chronic pain. The decision to weight ever y interaction against the idea of abuse will prevent you from being an ef fective clinician. You may be able to treat the symptom but will completely miss the problem. The ver y first lessons in EMS involve learning your ABCs, where A meant air- way, not addict. It's time to return to our roots: look, listen, and feel. Look past the constricted pupil to see the person, the situation, the histor y. Take the time to move past the easy assump- tion to make sure you aren't missing source material that points to additional issues. Listen to what they say. Take a com- prehensive histor y whenever possible an d d o n ot a s su m e yo u k n ow m o re about their experience over the course of your 10-minute interaction then they've learned in 10 years. Feel some compassion for the person and their situation. Consider that they aren't deaf. Don't depersonalize them or speak about them like they aren't there. A can also stand for aftermath. Remem- ber that not ever y bystander is going to be a healthcare provider. Lay family and bystanders usually have no experience to draw from, no context for the care they've just provided. Take the time to coach and debrief them through what just happened. If the resuscitation is unsuccessful, they may carr y that burden of guilt unnecessarily, additional casualties of a war on drugs that nobody ever wanted to fight. Join us next month for the final install- ment of Anne Montera's remarkable story. And if you catch her keynote address at EMS World Expo, no spoilers, please! REFERENCES 1. Trinkof f AM, Storr CL. Substance use among nurses: Dif ferences between specialties. Am J Public Health, 1998 Apr; 88(4): 581–5. 2. Buchman DZ, Ho A, Illes J. You present like a drug addict: Patient and clinician perspectives on trust and trustworthiness in chronic pain management. Pain Med, 2016 Aug; 17(8): 1,394–406. ABOUT THE AUTHOR Tracey Loscar, NRP, FP-C, is chief of operations for Matanuska-Susitna (Mat-Su) Borough EMS in Wasilla, Alaska. She is a member of the EMS World editorial advisor y board. Contac t her at taloscar@ gmail.com. MORE ONLINE! Read Parts 1 and 2 of Anne Montera's story at www.emsworld.com/article/220933 and www.emsworld.com/article/221141. When lives are on the line, you need to make decisions quickly. The Stroke Scales for EMS is a free app that helps first responders assess stroke severity so you can triage patients quickly to centers that can save their lives. The Stroke Scales for EMS app was developed as part of the Society of NeuroInterventional Surgery's Get Ahead of Stroke campaign. It is available for download on the iOS App Store and Google Play. ASSESS. TRIAGE. SAVE. It's a winning combination for EMS. getaheadofstroke.com APPly Yourself, SAVE LIVES For More Information Circle 45 on Reader Service Card

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