Ace844 Posted July 23, 2006 Share Posted July 23, 2006 52 Precepts EMS Students and Providers Should Consider Regularly Promotion of Relationships With Patients Greet patients by their names, tell them your name and your role in their care Smile Sit down when talking to patients Listen Be wholly present when interacting with patients and avoid unnecessary interruptions Learn who your patients are and consider sharing something about yourself with them Show the utmost respect for all patients Be humanistic, compassionate and caring Even if it is a struggle to think positively of a patient, always speak of them in a positive way; this will influence your thinking positively If you are feeling negative emotions towards a patient, try to understand why you are feeling this way Principles of the Effective Clinician The history and physical examination are not like a biopsy fixed in formalin, but are dynamic entities that should be revisited frequently A patient's history should not be "aspirated"; it should instead be "built" purposefully with effective communication skills Be curious - seek to find out exactly how and why events occurred and do not accept diagnoses and conclusions made by others Recognize the patient as teacher Elaborate a differential diagnosis that is as broad as the history and physical examination dictate After forming a diagnostic hypothesis, focus on any symptoms or signs that are either atypical or incompatible with the diagnosis; these must be explained and not ignored Always consider and exclude catastrophic treatable diseases Continually strive to improve your diagnostic skills by mentally committing to a specific answer or conclusion before definitive testing Watching patients walk is a critical component of the physical examination, particularly if their level of function is compromised Look at the sacrum and heels of any patient who is bed-bound Think about and plan for how to best deliver the information before telling important news to patients about their health Explain medical concepts in simple language; avoid medical jargon and make sure that the patient understands Teach patients what they need to know to make an informed decision Strive to become a healer Solicit help when you are stumped or at a loss in caring for a patient Review your patient's drug list and require explicit justification for every medication Remember that the ill patient is not at his best Do not discuss patients in public places (eg, elevators) Appreciate the contributions of all members of the health care team Try to be as organized as possible - be prepared and be thorough yet efficient Focused reading to answer specific clinical questions is more nourishing leafing through a current issue of a medical journal Know that much practice, reading, and years of hard work are essential parts of becoming an excellent physician When you have made a mistake in the care of a patient, follow these steps: (a) admit it, ( inform the patient, © if possible, initiate reparation, (d) institute a mechanism whereby you will not repeat the error, (e) attempt to establish a mechanism whereby others in the system cannot make the error, (f) forgive yourself Growth and Improvement Strive to achieve personal awareness and an understanding of your beliefs, values, and attitudes Recognize and acknowledge powerful experiences Seek out and embrace helping relationships Make time for reflection Observe other physicians carefully and learn from role models Realize that people are watching you closely - strive to be a role model for others Be creative and innovative Try to look into an accurate mirror Values to Guide One's Career in Medicine Avoid being cynical Understand that medicine is a public trust Be humble Be ethical in all of your work as it relates to the profession of medicine Aspire to become a great teacher Stand up for what you believe in Aim for a comfortable balance between your personal and professional lives Try your best Continually search for meaning in your work in medicine Celebrating successes may help to avoid burnout Be thankful and happy that you are in medicine From Wright SM - Am J Med - 01-APR-2005;118(4):435-8. American Journal of Medicine Volume 118 · Number 4 · April 2005 Copyright © 2005 Excerpta Medica Link to comment Share on other sites More sharing options...
akflightmedic Posted July 23, 2006 Share Posted July 23, 2006 Ace, you rock! Those will be posted in my classroom from here on out. Rep points for you.... Link to comment Share on other sites More sharing options...
Ace844 Posted July 23, 2006 Author Share Posted July 23, 2006 Ace, you rock! Those will be posted in my classroom from here on out. Rep points for you.... Does this count as in improvement in EMS by "GAmedic standards??? hmmm.. I wonder....Quick hurry soemone call him here!!! :shock: 8) :wink: Link to comment Share on other sites More sharing options...
TechMedic05 Posted July 23, 2006 Share Posted July 23, 2006 Ace, I think it does! Congratulations, you've single hanedly improved EMS for the world today. In doing so, there'll be more helpful and better prepared EMT's and Paramedics to treat the carpal-tunnel syndrome that you've managed to give yourself today through all these posts. Hi-5! Link to comment Share on other sites More sharing options...
Ace844 Posted July 23, 2006 Author Share Posted July 23, 2006 Ace, I think it does! Congratulations, you've single hanedly improved EMS for the world today. In doing so, there'll be more helpful and better prepared EMT's and Paramedics to treat the carpal-tunnel syndrome that you've managed to give yourself today through all these posts. Hi-5! Just for your reading pleasure... Out Here, ACE Link to comment Share on other sites More sharing options...
medic429 Posted July 23, 2006 Share Posted July 23, 2006 Thank you Ace!! B)/ Link to comment Share on other sites More sharing options...
AZCEP Posted July 23, 2006 Share Posted July 23, 2006 Amazing what a dedicated individual, with a few minutes of time and Google can put together. If this isn't a call for every student in the room to dust off their toolbar, I don't know what is. Link to comment Share on other sites More sharing options...
Ace844 Posted July 23, 2006 Author Share Posted July 23, 2006 Amazing what a dedicated individual, with a few minutes of time and Google can put together. If this isn't a call for every student in the room to dust off their toolbar, I don't know what is. To be honest I wish I didn't have to actually KNOW half this stuff... cripes, it makes my head hurt soemtimes!! If I could have acccess to this stuff anytime... who knows what could happen. I think the thing most don't actually consider is that this is merely a tool. Much like you posted in the field guides thread I use it to augment and keep fresh the foundation provided by my hard work and education. I don't use the copy paste, google, or anything else as a crutch. I had to actually learn, and KNOW this stuff. It has been alot of work. Additionally; I use it as a tool, to help me save duplication of effort, and hope that some of this will be useful to other students going throught the same thing..I use as much of it as I can retain and be competent with in my practice and it can actually be surprising to see the reactions of other clinicians when they encounter soemone who can converse with them about the professional literature and standards of care... It's like a whole new world. Try it soem time.. out here, ACE844 Link to comment Share on other sites More sharing options...
PRPGfirerescuetech Posted July 24, 2006 Share Posted July 24, 2006 Simple, yet a great posting. Ace, well done. This piece of material is the cornerstone to every facet of Prehospital medicine. WELL DONE. PRPG Link to comment Share on other sites More sharing options...
AZCEP Posted July 24, 2006 Share Posted July 24, 2006 I'm going to have to find a new group to talk to about this material. The current group keeps looking at me sideways, like I'm talking about walking a fish. :roll: So I just retire to the City, and let it slide. Keep it up. Link to comment Share on other sites More sharing options...
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