In Episode 28, we provide an urgent update on the Marburg Virus and its implications for EMS clinicians. On November 6, 2024, the U.S. DOT Office of EMS transmitted a national email outlining new guidelines for handling Viral Hemorrhagic Fevers (VHFs), including Marburg Virus Disease (MVD), Ebola, Lassa fever, and Crimean-Congo hemorrhagic fever. With fatality rates averaging around 50% for Marburg, these VHFs are severe illnesses with the potential to spread internationally.

This episode explores the updated guidelines from the National Emerging Special Pathogens Training & Education Center (NETEC) and CDC recommendations, focusing on the "Identify, Isolate, and Inform" approach. We cover essential information on where these diseases are prevalent, how they spread, critical questions EMS clinicians should ask, and protective measures. Stay informed on best practices for handling VHFs and the steps EMS professionals can take to protect themselves and the public.

Disclaimer: This information is provided for informational purposes. Always follow physician medical direction and EMS protocols, and the latest CDC guidelines.

Resources

• NETEC Guidelines for EMS Encounters with potential Marburg Virus Patients
• CDC Health Advisory on Marburg (Oct 3, 2024)
• CDC's Situation Summary of Marburg in Rwanda

In Episode 27, we explore the EMS Systems Act of 1973, a landmark piece of legislation that, while ultimately unsustainable and unable to meet all of its stated goals, remains a foundational part of EMS history. This Act provided critical federal support and funding to build cohesive, effective EMS systems across the country, laying the groundwork for the structures we rely on today. We examine its origins, impact, and the lasting influence it has had on modern EMS. Join us as we look back at this pivotal moment that helped shape the future of emergency medical services.

Resources

• EMS History Website
• EMS Systems Act of 1973
• Brochure About the Act
• Regional EMS Systems

In Episode 26, we take a closer look at the EMS Compact, a groundbreaking agreement that allows EMS clinicians to practice across state lines with ease. We break down how the Compact works, the concept of the "Privilege to Practice," and the many benefits it brings to EMS professionals and patients alike. We also address some of the common myths and misconceptions about the Compact, clarifying its real impact on the EMS profession. Tune in for a detailed exploration of how the EMS Compact is transforming workforce mobility, increasing standards, and improving access to emergency medical services.

Resources

• EMS Compact Website https://emscompact.gov/
• Fact Sheet

In Episode 25, we dive into the world of interstate compacts with a comprehensive "Compact 101" overview. We explore the history and legal foundations that make compacts essential tools for interstate cooperation in the United States. From understanding the types of compacts to their applications in various sectors, this episode provides a solid introduction to how compacts work and why they’re so vital. Whether you're new to the concept or looking to deepen your understanding, this episode offers valuable insights into the role of interstate compacts in shaping policies across state lines.

Resources

• National Center for Interstate Compacts: https://compacts.csg.org
• CSG's "Compacts 101": https://youtu.be/Tgo1T2ZULJE?si=Z-S3H1wYc3nHoejR
• Library of Congress, Interstate Compacts: https://maint.loc.gov/law/help/interstate-compacts/us.php
• American Bar Association: https://www.americanbar.org/groups/state_local_government/publications/urban_lawyer/2021/51-1/developments-interstate-compact-law-and-practice-2020/

In Episode 24, we discuss the recent establishment of Minnesota’s new Office of EMS, a significant step forward for statewide emergency medical services. With the governor appointing the first director, we explore how this new office aims to elevate EMS support, regulation, and improvement across the state. In contrast to our recent episode on Michigan’s shortcut to reduce standards, Minnesota’s approach emphasizes structure and quality, setting a strong example for state-level EMS oversight. Join us as we examine how Minnesota’s move could shape the future of EMS and support clinicians, patients, and the healthcare system as a whole.

Links:

• Minnesota's new EMS law.
• News: Office of EMS Director Appointed

In Episode 23, we tackle the important topic of the duty to act for EMTs and paramedics, breaking down common myths and misconceptions. Does displaying a Star of Life sticker on your car mean you’re on duty 24/7? What if you’re wearing an EMT or paramedic shirt in public? We explore the legal realities of when EMS professionals are required to provide care, the nuances of negligence, and how duty to act varies by state and situation. This episode provides clarity on what it means to be "on duty" and how to navigate the responsibilities of being an EMT or paramedic, even when you're off the clock.

Disclaimer: This episode is not official legal advice but rather an educational discussion on EMS operations. Always consult with your attorney and refer to specific state/jurisdiction laws.

Episode 22: Michigan’s New EMS Law – A Dangerous Shortcut

In Episode 22, we dive into Michigan’s new EMS law and the legislative shortcuts it introduces to address paramedic shortages. This law (Senate Bill 249) eliminates requirements for national program accreditation and passing the national paramedic certification exam, aiming to increase the number of “paramedics” in Michigan. But with this shift comes significant risks: reduced standards, increased patient risks, and these new "paramedics" will never be able to practice outside the state, as their license won’t be recognized nationally. We discuss the potential pitfalls of this approach, the importance of maintaining national EMS standards, and how policymakers can support EMS without compromising the profession’s integrity. Join us as we explore the long-term impact of taking shortcuts in EMS standards.

#EMSLaw #NationalStandards #ParamedicCertification #HealthcarePolicy #EMSWorkforce #ProtectEMS #Michigan

In Episode 21, we confront the difficult but critical issue of mental health among EMS clinicians. We review the alarming research that highlights the unique stressors and challenges faced by those in the field, from burnout to PTSD, and explore the unfortunate realities many clinicians face. Additionally, we take a look at the innovative programs and initiatives that some states are implementing to support the mental well-being of EMS professionals, ensuring that those who help others receive the help they need.