Pronouncing in the field is a difficult part of EMS. In a lot of ways, the ED insulates us from some of the aspects of this that make it challenging when you are in the patients actual home.   The ED is mentally taxing in other ways. High volume, high acuity, multitasking, consulting etc. Nate talks about how “you’re just an EMT” gets thrown around a lot. Just because it’s a lower-level of education doesn’t mean that EMT’s don’t have valuable information and knowledge level.  Collaborate with your EMT’s and other providers to give patients better care. It takes experience to understand that, regardless of care level or education level, everyone needs to be allowed to speak up. Newer ED providers, LISTEN to the entire EMS report.  Casey- one of the most difficult things to hear is that heart wrenching scream that family gives when they arrive in the ED to find a dead loved one. Casey tells a moving personally story about his son that died of cancer. How you return to the job after that kind of loss.  He talks about the family of public health and safety people that surrounded him and carried him through. It is very difficult to see certain patients and not take it personally. Child abuse cases are on the rise. Have a high suspicion with pediatric trauma. Listen to the details on scene and document them. Casey talks about a traumatic call involving child abuse. Sometimes we must take care of the perpetrator of horrible crimes. Everything you hear today from myself and my guests is opinion only and doesn’t represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.   Support the show