We meet our new panel and some returning guests! Kiley – ER RN and new NP Sarah – Paramedic in EMS for 8 years Welcome back Adam ( ER MD), Casey (paramedic) and Nate (EMT). Nate talks about the transition from field EMT to ER EMT. It’s a new world with new things to learn. Sometimes a change in environment can get you out of a rut. Sarah also worked in the ER but as a paramedic and loved learning new aspects of medicine but her scope was diminished compared to the field.  Paramedics are still a new asset in the ED and have a fluid job description. Principles in emergency medicine 1.      We do not diagnose in the ER. 2.      Take care of yourself before you take care of patients. Sarah recommends outlets and hobbies that are totally separate from medicine. Make yourself a priority or you will end up neglecting yourself.   Sleep deprivation will affect you more than you think. Casey talks about how you can get lolled into relaxing by low acuity calls but then you may be tested to your limits the very next call. Kiley talks about patient autonomy and how it is our job to present options and educate but the patient must ultimately decide to accept or reject our options whether we agree with it or not. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm products. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition   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