2018 EMS Week Award

Posted: 3rd May 2018 by Dr D in Uncategorized

EMS Week 2018 is almost here!

Please help us recognize the provider and agency that you feel have provided the best care for their patients all year long.


Then plan to join us Thursday May 24th at 1300 as we celebrate and recognize the EMS Agency and EMS Provider of the Year awards (and eat a lot of food too!)

I LOVE being Core Faculty at an Emergency Medicine Resident conference days like this! Today we are going to participate in a table-top exercise for a “small” mass casualty event. The goals of this exercise are to stimulate some discussion and education about how our ED reacts to an event like this. Special thanks and shout out to Chris “Swarley” Stimpson, RN from the Trauma Department who has really been bringing our level of preparation to the forefront of our hospital and administration.

Shout out to all my fellow Trekkies who get the reference 😉

If you are able to join us, 0730-0830 Sparrow 5W Cardiology Conference room


That’s right, the State of Michigan has approved the iGel Airway as an optional airway device (shown below) for ALL LEVELS of EMS.

Want more information? Click here for the company website or copy and past this link: http://www.intersurgical.com/info/igel

Want more information? Click here for the company website or copy and past this link: http://www.intersurgical.com/info/igel

MSU KIN 427 class

Posted: 20th March 2018 by Dr D in Uncategorized

Was lucky enough to get to speak with the MSU Sports Medicine students tonight at Jenison Field House. Was great to get back to my roots and remember why I wanted to do health care in the first place.

Mark your calendars for Thursday, April 19th at Eagle Eye Golf Course for the  Michigan Trauma Symposium.

I’m pretty excited to be presenting a new and fun (yes, interactive!) lecture on traumatic injuries for the morning.

Hope you’ll consider joining for some fun CME

Speaking at ICSO this afternoon

Posted: 12th February 2018 by Dr D in Lectures

ABEM In-Training Review (Ortho)

Posted: 8th February 2018 by Dr D in Attending Practice

What you need to know

time to talk about it….its just been approved in TriCounty now as an optional medication.

RebelEM had a great post about it recently (click here) and several good articles as well that were included on the recent journal club for EMS Residents as well that I have included here as well. Click on all three of these links for the full PDFs

Great medical control question posed by Dr Lobel from NY:

We got an on line medical control call for a patient with a seizure in the airport, just before getting on a 14 hour flight. She was well within her rights to refuse medical assistance, but what would you do regarding allowing her to board the flight?

here’s one opinion posted:

The IATA guidelines (International Air Transport Association, which most US airlines follow) state you need a note from a physician with experience in aviation medicine if you have a seizure within 24 hours of your flight. No seizures within 24 hours and well controlled epilepsy does not require a physician note. In this case, you would have to let the person know that they need a note from a physician to fly. Because of the ADA act, airlines are only allowed to limit flughts if they feel that the liekylhood of a person completing a flight safely is in question (or suffers from a communicable disease that may put other passengers at risk, and a few other reasonable restrictions).

What do you think? post your comment here

What is EMS Medicine?

Posted: 16th November 2017 by Dr D in opinion

Was asked the other day what is EMS/PreHospital Medicine for doctors?

Loose the coat, we’re going outside!

– after I thought a min, my go to answer is, “Practicing EM outside the 4-walls of an Emergency Department”

  • EMS Physician
  • Flight Physician
  • Tactical Physician
  • Event Medicine
  • Disaster Medicine
  • Austere/Wilderness Medicine
  • Mass Gathering Medicine
  • Research & Publications

Then again, I might have to change my thinking, because this is just “doctoring” without all the resources and luxuries that we have gotten used to having when we are working clinically. I still think the best doctors are the ones who take a GREAT history and have PHENOMENAL physical examination and observational skills.

Learning to be an Emergency Medicine “MacGyver” (yes, that’s my hero and showing my age, I know) is not easy and I have found to be so much more fun and exciting. As the House of Medicine gets more reliant on technology and testing, we are loosing those PE and personal skills.

EMS Docs in general supervise providers and practice themselves in those kinds of environments. When the zombie apocalypse hits or the large electromagnetic pulse disables all of our computers and technology; its gonna be our time to shine.