Posts Tagged ‘book

03
Apr
11

No Habla Espanol

No habla espanol? No hay problema, at least not entirely.  Language  and the ability to communicate is something often taken for granted. It’s not until that fundamental part of human interaction, and a pillar of patient assessment is challenged or completely removed do we realize and respect its importance.

We have all had to manage patients that were unconscious or had an altered mental status due to drugs or alcohol, seizures, trauma, etc. Theses patients have limited, or are incapable of verbal communication. So we work around it the best we can, and rely on our physical assessment and findings to help guide the treatment plan.

But what if you have a patient that is completely awake and alert, is in obvious distress, and can not communicate because of a language barrier? Well, like we have all done, you probably look around at the other personnel on scene, patients family and friends, or sometimes even bystanders to find a translator. While this practice is an option, its not always practical or reliable. And in the case of bystander assistance, no longer is the patients information confidential.

A 2007 American Community Survey conducted by the United States Census Bureau, showed that Spanish is the primary language spoken at home by over 34 million people aged five or older, making the United States the world’s fifth-largest Spanish-speaking community, outnumbered only by Mexico, Spain, Colombia, and Argentina. Thus making Spanish one of, if not the most common non-English language encountered by EMS providers in this country.

If only there was a better way…

Lately I have been using, and introducing others to a little book called, EMSpanol.  And in my opinion, it is the most user friendly, and comprehensive English to Spanish (and Spanish to English) field translating system, that is not digitally based. I believe one of the big advantages to EMSpanole is that it was created by working EMS providers, and not a language teaching company. It is straightforward, and intuitive.

Jeff Dean, the co-creator, and working Paramedic and Firefighter says “Like most of  the prehospital providers I know, I basically speak no Spanish at all, but I work and volunteer in a region with a large and growing Hispanic population. I’ve struggled with other commercial products, finding them either too general, too disorganized, or created by authors with no EMS experience, so I created my own list of phrases and looked around for someone to translate them for me. More than seven years went by before I finally met FF/EMT-B Miguel Castañares, who embraced the project and took it to a whole new and exciting level.”

The book comes in two sizes: A 30 page ambulance edition which is approximately 9″x11″  and can be easily stored in the patient care area, and a smaller 37 page pocket version that fits comfortably in uniform pockets, and first-in bags. The two books are identical in content and format. It covers everything form the initial patient contact, all the way to MCIs and even refusals.

Each chief complaint is laid out in a logical sequence, so that the provider can start at the top of the page, and simply read through the call as if there was no language barrier to begin with. The questions are also written so the patient need only answer, yes or no. There is even a basic anatomical chart on the back.

In my experience with other field guides, I found them to be disorganized, and hard to understand. But honestly the only problem I have found when using EMSpanol, is that having a Spanish speaking partner is an easy excuse not to use it.  At this stage I can understand more then I can speak, But it has increased my emergency Spanish vocabulary.

I would love to see this little book be used in practice as common as the Broselow Tape. I would also recommend it as a gift to any new EMT, Paramedic, or Fire Academy graduate.

But wait, there’s more.

It’s obvious after talking with, Jeff that he is very passionate about EMS and providing the best care that he can give his patients. He also has brought up some very thought provoking issues in regards to scope of practice in a language barrier scenario. Most will just try to ignore it, but these are discussions we as a community need to be having.

Jeff was featured as a guest on the EMS Educast podcast, where he talks about the book, and his thoughts about scope of practice in a language barrier scenario. I encourage you to listen the episode —-> HERE

For more information check out  http://www.emergencylanguage.com/ and follow on Twitter and Facebook

29
Jan
10

Author Interview With Steve Whitehead

I’m finishing off this week of Best Practices with an Interview of Paramedic and author of the new E-Book  The Nonconformists Guide To EMS Success, Steve Whitehead.

This is a follow up to My review of  Steve’s book, which you can read Here.

It was wonderful speaking with Steve earlier this week. He is very knowledgeable, friendly and approachable. And  has two decades of experience in EMS, both as a field provider and an educator.

Steve very graciously made time for this interview and was supportive of the project. And I thank him for that.  So Lets begin.

Jer:   In the beginning of the book, you tell us that you were once very  irritated
and unfulfilled with your work. what made you decide to change your
attitude?

Steve:   It may have been one call specifically. I was working in a very high
crime and economically impoverished community in California. I was angry at
my job. Upset that it wasn’t what I expected it to be. I felt that nobody
understood what we were supposed to be doing as EMS professionals. I was
upset at the low pay, the bad working conditions, the long hours, all of
it. I was young and immature. Probably too immature to be a paramedic yet.

We worked 24 hour shifts and we were usually up all night dealing with
very sick respiratory patients (most of the community smoked), people who
were drunk, and people who abused methamphetamine. Most of are calls at
night were for the meth users.

We ran a call for a meth overdose and our patient was a combative,
out-of-control female. She injured my partner while we were restraining
her. By the time we had her in full restraints (We couldn’t sedate people
back then.) my adrenaline was in overload. My treatment of her after she
was restrained was totally inappropriate. It was what we might refer to as
“punitive medicine.”

Nothing I did was to really help her. I used my medical skills to punish
her. This wasn’t unusual for our service. Lot’s of the paramedics I knew
used their medicine to take out their aggression on their patients. But it
wasn’t normal for me. After the call I felt horrible. I wanted to quit. I
realized that nothing I was doing had anything to do with why I chose EMS
as my profession.

I decided to stay in EMS, but I had to ask myself some serious questions
about why I was doing this job and what I wanted to stand for as a
caregiver. Since that call I made the decision that I needed to always be
an advocate for the patient. Regardless of whom the patient is. Regardless
of whether or not we like them. Regardless of whether or not they like us.
We exist to serve the patient. If you’re not willing to serve people, you
have no business being in EMS.

My journey of success in EMS began the morning after that call.

Jer:   I can see how that must have been a very difficult time for you. I think it’s obvious by now that we are grateful you chose to stay in EMS.

You tell us about three types of people to watch out for. The critics,
the old guard and the bottom feeders. It’s possible that some of your
readers are these people, and it may be very difficult for them to apply
your principles. Can you offer any advice for them?

Steve:  Great question. I secretly hoped many of the readers would identify with
one or more of the archetypes. (To one degree or another.) I used to be
one for these people too. I used to be a critic. I defined everything by
what was wrong with it. It’s a very unhappy way to look at life.

You can’t talk people into changing. Changing the way you see the world is
phenomenally hard and it takes years of effort. When people decide they
want to be something fundamentally different than they are, they will. You
can’t make that happen for them. Hopefully, if they make that choice,
they’ll find my book useful.

Jer:  Yes they will.

But some may argue that conformism breeds uniformity. And that uniformity
is something we are lacking in EMS. how do you defend you point of
non-conformism?

Steve:   In my own selfish view, I’d like to see people be uniform in all the
things I advocate for and non-conformist in everything I advocate against.
That’s probably an unrealistic goal, but it’s a goal none-the-less.

It’s important to consider that the term non-conformity implies that I’m
rallying against something. I’m really not. I’m rallying for something.
Actually lots of things. I’m rallying for competence, personal
accountability, a servants heart, a willingness to contribute, and a
desire to make EMS better for the next guy or gal.

If we’re going to seek uniformity, we have to decide what we’re going to
unify around. I like my list. …And I think it would serve our profession
well.

Jer:   I agree very much with you Steve.

You also encourage readers to find a mentor. Who was your mentor, and how
did you meet?

I’ve had many mentors. from my first paramedic preceptor (Phil Rigardo)to
many members of my current leadership team and fellow paramedics and
firefighters.

I’d say some of the folks who most served to shape my career and who I
wanted to be were my father Ed Whitehead, Thom Dick, Jeff Forster, Twink
Dalton, Billy Kraft and Mike Taigman. All of them helped me decide who I
wanted to be in EMS and helped me on the path (In their own way.)

It’s impossible to relate how many people influenced me over the past two
decades. But it’s important to note that we never really know when and how
we are going to influence the people around us, for better or worse, but
it’s worth considering when we decide who we want to be each day.

Jer:   You say that for us to change and grow, we must  be willing to have
difficult conversations. What was a difficult conversion you have had,
and needed to overcome your fear about?

Steve:   As a supervisor, I needed to have difficult conversations all the time. I
had to tell some poor dude that his hygiene wasn’t up to par. That was a
tough one. All his coworkers talked about it, but nobody, I mean nobody,
was willing to talk to him about how bad he smelled. That’s a pretty
extreme example.

Every day we run into those conversations. The dude who always leaves the
ambulance understocked, the gal who’s always complaining even though
everyone’s tired of hearing it. If you come from a place of caring and
respect, those conversations can be powerful opportunities.

Jer:   Well said Steve, I have just one more question.  Many reader of your book and your website are New Providers.     if you could only give them one ideal to live up to in their new career, what
would it be?

Steve:   Be kind.

Jer:   Thank you Steve.

Weather you are a student or a seasoned veteran, an educator or administrator. I highly encourage you to go and download your FREE copy of  Steve’s E-B00k, The Nonconformists Guide To EMS Success.

28
Jan
10

Book Review: The Nonconformists Guide to EMS Success, By Steve Whitehead.

This is the first in a seires of book reviews that will be featured here at Jeramedic. And I thought what better choice then to start things off with a  new and great E-book.

The Nonconformists Guide to EMS Success . By Steve Whitehead.

Steve is a Paramedic/Firefighter and EMS Educator. He has authored several articles for EMS Magazine, Advanced Rescue Technology and JEMS, and can often be heard on the EMS Garage and EMS educast pod cast’s .

The E-book is a first for Steve, but he writes and posts frequently on his website The EMT Spot .

The Nonconformists Guide to EMS Success could be considered a blue print to a foundation on which to build a rewarding and successful career. Or a renovation project on your current career, depending on where you stand.

The book revolves around three points. Growth, Leadership, and Connection. Steve believes that by focusing on these three elements. And having a clearly defined goal for yourself personally and professionally, that  success is well within reach.  Steve asks us to “Tear up the old social contract of conformity and move in the direction of what matters to you.”

And what does matter to you? For me what matters is to be happy of course. To feel that my work and effort really mean something. To be valued and respected. To be treated fairly and honestly. And to help make positive changes. Not just for my patients, but for my industry and for myself. But how do we achieve that?  Where do we look?

“Your Leadership Doesn’t Have What You Need.” Steve explains that they are not responsible for your happiness and success. At least not in the ways you might believe.

That if you want something, Or  feel that a change is needed then “stop waiting for permission.” There is no S.O.P that restricts you from having a conversation with the boss or finding fulfillment.

Steve goes into detail on these subjects and many others, and speaks from years of experience from being on both sides of the table. He also shows us an exercise for personal review and goal setting, and explains why we should be “Remarkable” and to “recognize that the value of your work is directly and irrevocably attached to the value of the patient being served”

My Thoughts.

I enjoyed this book very much. It delighted me to see that another professional held the same or similar values as I do about this career. This not to say that did not get anything out of it. far from it. There were many concepts and principles that were new and useful to me. I think a provider of any level and experience would find it to be a valuable resource.  I also love how the information is presented. Not just in Steve’s writing, but also the format. As an E-book, it is easily obtained. If you can wait 30 seconds for it to download, it’s yours.  Being that it comes as a PDF file makes it easy to store and transport amongst your devices of choice.

It is easily printed and can be shared with crew mates, or given as a hand out during a class. I’d go so far as to say that it should be required reading for EMT and Paramedic programs.

In my experience, I find myself to be very happy with my work and my contributions to the industry. And it shows. My colleagues would ask “how come things don’t bother you?” and “you’re always in a good mood, what’s with that?”  I would try to explain and give advice, but talking about it at hospitals or between runs just doesn’t cut it. Just one read of Steve’s book could do more for a troubled EMT then five straight shifts of an in ambulance lecture ever could.

Normally when someone starts to offer up some “free advice”, you may find yourself more confused or upset then when you started. Steve and his book are the exception.  And did I say FREE advice? Yes.The Nonconformists Guide to EMS Success is available  for free download at his website.

I highly recommend that you download and read this book, and share it with your co-workers, with your class mates or your students. You’ll be glad you did.

****Coming up on Saturday the 30th. I’ll be posting an interview I had with Steve Whitehead. He’ll be talking about the book and it’s lessons, as well as what inspired him to change and find success in EMS.****




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