EMS to the Point

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Same Tool, Enhanced Use:  Nasal Cannula Apneic Oxygenation

April 27, 2015 - 18 minutes and 45 seconds
Guest:  Dr. Mark Westfall, Medical Director for Gold Cross Ambulance - Fox Valley and the Professional Ambulance Association of Wisconsin 

It’s not uncommon for an ambulance crew or medical first responder to treat patients with low or falling O2 sats, or have to insert or manage the airway devise in an unconscious patient.  Then there’s that challenge of getting a good face to mask seal with the bag valve mask. 

Managing or achieving sufficient oxygen levels can be tricky, especially when the heart monitor or pulse ox is alerting you to low oxygen saturation levels, the patient’s skin or lip color isn’t good, or you are preparing to insert an advanced airway and need to preoxygenate the patient.  These and other situations can be a stressful time for any patient care giver.

If you’ve been around EMS long enough, you know there are tricks of the trade.  I came across a new one the other day, so I wanted to learn more about it and I’m sure you will too.  The approach is so simple, and the tools required are inexpensive and already at your finger tips. 

The procedure is called nasal cannula apneic oxygenation.  With medical director approval, first responders to paramedics can perform this simple procedure – and it can make all the different to your low sating patient.  The procedure is being done at Gold Cross Ambulance in the Fox Valley.  Their medical director, Dr. Mark Westfall, brought to my attention this simple, but effective procedure.  Listen to this episode of EMS to the Point.

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>> Same Tool, Enhanced Use:  Nasal Cannula Apneic Oxygenation
April 27, 2015 - 18 minutes and 45 seconds
Guest:  Dr. Mark Westfall, Medical Director for Gold Cross Ambulance - Fox Valley and the Professional Ambulance Association of Wisconsin

>> REPLICA is the Way Forward for Interstate Licensing
March 18, 2015 - 20 minutes and 10 seconds
Guest:  Dia Gainor, Executive Director, National Association of State EMS Officials

>> Raising the Bar: A Medical Director's Quality Improvement Initiatives
February 1, 2015 - 18 minutes and 18 seconds
Guest:  Dr. Steve Stroman, Medical Director at Eagle III, Oshkosh Fire, DePere Fire and Rescue, and Oconto Falls Area Ambulance

>> Wisconsin Healthcare Coalition Surges Forward
February 1, 2015 - 17 minutes and 53 seconds
Guest:  Dr. Michael Clark, Co-Medical Advisor, Wisconsin Healthcare Coalitions


>> Recent Election Outcomes and EMS
November 14, 2014 - Run Time 20 min:39 sec
Guest:  Brian Schimming, Partner at Midwest Strategy Group; First Vice Chair, Republican Party of Wisconsin; political talk show host; and PAAW Legislative Lobbyist

>> Cardiotronix:A Single-Source EMS Equipment Maintenance Provider
October 8, 2014 - Run Time 15 min: 31 sec
Guest:  Craig Harmon, Founder/President/CEO at Cardiotronix

>> STEMI:  A System Approach to Care

September 30, 2014 - Run Time 15 min: 28 sec. Guest:  Katie Sahajpal, Director of Quality and Systems Improvement, American Heart Association

>> ACTIVE SHOOTER:  Preparation and Training for Emergency Responders
August 5, 2014 - Run Time 16 min: 24 sec
Guests: Lt. James Mac Gillis, City of Milwaukee Police Dept. and Captain Michael Wright, City of Milwaukee Fire Dept.
>> Is Mobile Integrated Healthcare the answer to EMS' future?
June 3, 2014 - Run Time 22 min:17 sec
Guest:  Scott Cravens, Group Publisher, EMS World

>> Raising the Colors for Wisconsin's EMTs
May 14, 2014 - Run Time 13 min: 2 sec
Guest:  Craig Nelson, Executive Officer, Wisconsin EMS Honor Guard

>> EMS on the Hill Day "On Message" in DC
April 23, 2014 - Run Time 13 min: 40 sec
Don Lundy, President, National Association of Emergency Medical Technicians (NAEMT)

>> Preparing Your Ambulance Service for the Affordable Care Act
April 8, 2014 - Run Time 13 min: 56 sec
Attorney Thomas Shorter, Godfrey and Kahn Law Firm, Madison, WI

>> Feeling the Pinch:  IV Fluids Remain in Limited Supply
March 18, 2014 - Run Time 13 min: 50 sec
Guest: Stacey Barksdale Price, Product Manager of IV Therapy and Pharmaceuticals,
Bound Tree Medical

>> EMS 2020 Vision Report and More with A.J.
March 5, 2014 - Run Time 15 min: 5 sec
Guest:  A.J. Heightman, Editor-in-Chief, JEMS and EMS Today Conference

>> AAA Update:  Medicare, Medicaid, Affordable Care Act and more...
February 14, 2014 - Run Time 17 min: 57 sec
Guest:  Tristan North, Senior Vice President for Government Affairs, American Ambulance Association, Washington, D.C.

>> Trans 309:  Change is coming for WI Ambulances.  Meet the Man in the Driver's Seat
January 22, 2014 - Run Time 11 min: 35 sec
Guest:  Bernard (Bud) Coxhead, Manager, Wisconsin State Patrol, Bureau of Transportation Safety, Motor Carrier Enforcement Unit


>> Critical Care Paramedic Update
February 2, 2013 - Run Time 8:17
Guest:  Fred Hornby, Paramedic Coordinator, State of Wisconsin EMS Office

>> Become A Data Driven Ambulance Service
January 14, 2013 - Run Time 25:11
Guest:  Kep Anderson, EMS Director, City of Sun Prairie

>> President Signs Ambulance Medicare Relief Extension and EMT Line of Duty Death Benefit
January 10, 2013 - Run Time 17:58
Guest:  Tristan North, Vice President of Government Affairs, American Ambulance Association


>> How to Manage Your EMS Risk and Protect Your Operation
December 12, 2012 - Run Time 17:06
Guest:  Pat Daglio, Vice President of Marketing, McNeil and Company

>> NHTSA's Assessment on the State of Wisconsin's EMS System Is In
November 13, 2012 - Run Time 23:17
Guest:  Brian Litza, State of Wisconsin EMS Director

>> Maintain Your Local EMS Identity
September 19, 2012 - Run Time 28:50
Guest:  Ernie Rodriguez, EMS Chief, Austin-Travis County EMS, Austin, Texas

>> Time to Pay Attention to EMT Wage and Labor Laws
September 18, 2012 - Run Time 18:50
Guest:  Jim Chiolino, Director, Labor Standards Bureau, WI Dept. of Workforce Development

>> DHS Issues Medicaid Policy Change Following PAAW Effort
June 29, 2012 - Run Time 15:42
Guest:  Patrick Ryan, President, Professional Ambulance Association of Wisconsin

>> Change Brings Clarity for Critical Care Paramedic and Advanced EMT
June 14, 2012 - Run Time 15:42
Guest:  Fred Hornby, ALS Coordinator (Paramedic) and Chuck Happel, ALS Coordinator (Intermediate), State of Wisconsin EMS Office

>> ICD-10 Codes for Patient Billing:  What You Need To Know
April 13, 2012 - Run Time 11:25
Guest:  Debbie Rickelman, Senior Director, Information Center, Wisconsin Hospital Association & Chairperson, Wisconsin ICD-10 Collaborative Committee

Three Part Series:  EMS Drug Shortage and Ongoing Product Backorders

>> Part 1:  EMS Pharmaceutical Backorders (Product Distribution)
February 29, 2012 - Run Time 15:55
Guest:  Stacey Barksdale Price, Pharmaceutical and IV Therapy Marketing Manager, Bound Tree Medical

>> Part 2:  Pharmaceutical Backorders (State of Wisconsin EMS Office)
March 5, 2012 - Run Time 10:35
Guest:  Fred Hornby, ALS Coordinator (Paramedic), State of Wisconsin EMS Office

>> Part 3 - State EMS Medical Director on Drug Shortage:  Be Flexible
March 28, 2012 - Run Time 22:10
Guest:  Dr. Charles Cady, EMS Medical Director, State of Wisconsin


>> E.V.E.N.T - A New Self Reporting Safety Notification Tool for EMS
December 17, 2011 - Run Time 13;30
Guest:  Gary Wingrove, Government Relations & Strategic Affairs, Mayo Clinic Medical Transportation

>> Increasing the Odds in Getting Paid for Patient Transports
November 23, 2011 - Run Time 12:10
Guest:  Ryan Reid, Senior Accounts Receivable Consultant, Transworld Systems, Inc.

>> Wisconsin's New Conceal Carry Weapons Law and EMS
November 2, 2011 - Run Time 12:45
Guest:  Sgt. Kevin Bygd, Dunn County Sheriff's Office

>> Your EMS Budget:  Validate, Present, Defend
July 28, 2011 - Run Time 21:00
Guest:  Aarron Reinert, Executive Director, Lakes Region EMS

>> Community Paramedics:  An Emerging EMS Delivery Model in the U.S.
June 2, 2011 - Run Time 17:00
Guest:  Gary Wingrove, Government Relations & Strategic Affairs, Mayo Clinic Medical Transportation

>> Wisconsin Medicaid Broker Update
May 18, 2011 - Run Time 12:40
Guest:  Patrick Ryan, President, Professional Ambulance Association of Wisconsin

>> Wisconsin-1 Disaster Medical Assistance Team
May 12, 2011 - Run Time 12:00
Guest:  Jason Liu, MD, Acting Commander, Wisconsin-1 DMAT

>> Wisconsin Medicaid Patient Runs Go Thru Broker Staring July 1
April 8, 2011 - Run Time 8:00
Guest:  Patrick Ryan, President, Professional Ambulance Association of Wisconsin

>> 2010 EMS Executive of the Year, Presented by the National EMS Management Association
March 14, 2011 - Run Time 11:35
Guest:  Aarron Reinert, Executive Director, Lakes Region EMS

>> The Silent Killer:  Carbon Monoxide and Public Safety Workers
March 2, 2011 - Run Time 11:01
Guest:  Randolph Mantooth - John Gage from the 1970's TV Series "EMERGENCY!" - Actor, Writer, Producer

EMS to the Point is an audio interview program dedicated to the most current and emerging EMS topics in Wisconsin. 

This brief interview program comes to the point talking with those at the top or with the answers. PAAW began producing the program in 2010.  Since its inception over 50 interviews have been completed totaling more than 30,000 downloads.

The most current interview is shown in the left column; however, make sure to look further down this page for the Webcast Library and a list of past interview topics and recordings. 

EMS to the Point is produced by the Professional Ambulance Association of Wisconsin as a community service to EMS professionals throughout Wisconsin for the purpose of sharing information.

What others have written to us about EMS to the Point

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"I always learn something new"

Each webcast averages over 500 downloads, and some interviews reach as many as 2,500 downloads.
Pick a topic from the highlighted titles in the Webcast Library located in the lower left column of this page.  Each interview is about 10 to 15 minutes in length.

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About Your Webcast Host

Joe Covelli

Joe is executive director at the Professional Ambulance Association of Wisconsin.  He joined PAAW in January 2010 as director of business and development.

His professional and volunteer ambulance and emergency medical service work began in 1988 at Fitch-Rona EMS in Fitchburg, Wisconsin.  He's held national, regional and state EMS leadership positions, to include:  director of sales and public relations at the Wisconsin EMS Association, EMS EXPO (now EMS World) and Firehouse EMS national conference show manager at Cygnus Business Media, and regional manager and director of strategic initiatives at Life Link III, an air medical and ground ambulance provider in Minneapolis. 

In addition, Joe was appointed by Governor Jim Doyle to the Wisconsin EMS Advisory Board and served a four year term from 2004 to 2008.  He's held committee positions with the National Association of EMTs (NAEMT) and Los Angeles County Fire Museum's Pioneers of Paramedicine Project.

Joe earned a master's degree in business administration from the University of Wisconsin – River Falls, and bachelor's degree in radio/TV broadcast management from the University of Wisconsin – Platteville. 

You may reach him directly at 414-236-4192 or by email.

Standby for Tones

>> Click to read Crystal Wallin's blog page.

Crystal Wallin

Wisconsin Critical Care Paramedic and Nationally Featured Writer

Recent posts by Crystal: Standby for Tones

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