In this episode, Jennifer Darling and Josh Darling discuss the concept of 'shift meal' and its significance in fostering camaraderie and teamwork among first responders. They explore various experiences from different departments, the impact of shared meals on workplace culture, and the mental health benefits associated with communal dining. The conversation also highlights specific examples of successful shift meals, including taco nights and cooking competitions, emphasizing the importance of food as a unifying force in high-stress environments.

In this engaging conversation, Jennifer and Mike Carunchio delve into the world of podcasting, particularly within the EMS community. Mike shares his journey from being a paramedic to starting 'The Okayest Medic Podcast,' discussing the challenges and rewards of creating educational content. They explore the importance of real-life case studies, the ethical considerations of sharing patient information, and the impact of social media on the profession. Mike also reflects on the risks of sharing opinions in a public forum and the balance between monetization and maintaining authenticity in podcasting. The discussion highlights the significance of networking, time management, and the evolving landscape of EMS education.

In this conversation, Jennifer Darling and Warren Olson discuss the evolution of fire protection, the importance of continuing education, and the role of mentorship in the fire service. They explore Warren's extensive career, his involvement with the NFPA, and the challenges faced in fire safety regulations. The discussion highlights the significance of teaching and the impact of major fire incidents on current safety practices.

In this conversation, Dr. Ryan Keay discusses the Zero Point Survey, a framework for improving pre-hospital care by emphasizing self-check, team dynamics, and environmental awareness before patient assessment. The discussion highlights the importance of mental readiness, effective communication, and emotional resilience in emergency medical services (EMS). Dr. Keay shares practical insights on how to implement these concepts in real-world scenarios, aiming to enhance the quality of care provided to patients.

summary In this conversation, Jennifer Darling and Dave Pethick discuss the generational challenges faced in the fire service, focusing on the dynamics between different age groups, particularly millennials and Gen Z. They explore how these generational differences impact leadership, teamwork, and hiring practices. The discussion also highlights innovative approaches to recruitment and the importance of diversity in thought and experience within fire departments. The conversation emphasizes the need for mentorship and adapting to change while maintaining valuable traditions in the fire service. This conversation explores the evolving landscape of leadership styles across generations, particularly in the fire service. The speakers discuss the differences between transactional and transformational leadership, emphasizing the importance of adaptability and respect for individual strengths in managing a multi-generational workforce. They highlight the significance of engagement in learning, the impact of workplace culture, and the misconceptions surrounding work ethic among different generations. The discussion also touches on the challenges of bridging technological gaps and the importance of mentorship in fostering growth and understanding within teams. Takeaways Generational differences influence workplace dynamics and leadership styles. Millennials and Gen Z have unique perspectives shaped by their upbringing. Understanding the 'why' is crucial for engaging younger generations. Diversity of thought enhances problem-solving and innovation in teams. Mentorship plays a vital role in bridging generational gaps. Innovative hiring practices can attract a diverse applicant pool. Traditional methods may need to be adapted to meet modern needs. Teamwork is essential in the fire service, leveraging strengths from all generations. Cultural shifts in parenting have impacted the skills of new recruits. Embracing change while respecting tradition is key to progress. Transactional leadership is necessary in certain situations. Transformational leadership appeals across generations. Adaptability is key in managing diverse teams. Respect for individual strengths enhances leadership effectiveness. Engagement in learning is crucial for both leaders and followers. Workplace culture shapes how teams interact and succeed. Generational differences in work ethic should be understood, not judged. Mistakes are part of the learning process in leadership. Technology can create barriers but also opportunities for learning. Effective communication is essential in a multi-generational workforce.

summary In this episode of A Duty to Act, host Jennifer Darling speaks with Mike Hilley, a retiring administrator and paramedic with over 30 years of experience in emergency medical services. Mike shares his journey from the Coast Guard to becoming a firefighter and paramedic, discussing the challenges and rewards of his career. He reflects on the evolution of EMS, the importance of community service, and the future of paramedicine in addressing modern healthcare challenges. This conversation explores the integration of community health into emergency medical services (EMS), the evolving career pathways for paramedics, and innovative approaches to address the opioid crisis through medication-assisted treatment. The discussion highlights the importance of building a behavioral health campus to provide comprehensive care and the significance of leadership in EMS. takeaways Mike Hilley has over 30 years of experience in EMS. His career began in the Coast Guard, where he was encouraged to serve his community. He transitioned from the Coast Guard to the fire department in Juneau, Alaska. Mike's early experiences included volunteering in hospitals and fire departments. He became a paramedic after completing a program in King County. Mike worked for nearly 28 years at the Redmond Fire Department before becoming EMS Director in Bellingham. He emphasizes the importance of data in improving EMS systems. Mike's education includes a master's degree in health sciences managing emergency services. He discusses the challenges EMS faces with modern issues like behavioral health and the opioid crisis. Mike hopes to influence the future of EMS through technology and community engagement. Community health integration is essential for effective EMS. Paramedics need diverse career pathways to maintain engagement. Innovative mobile health programs can address community needs. The opioid crisis requires urgent and multifaceted responses. Medication-assisted treatment is a critical tool in emergency care. Behavioral health resources are vital for comprehensive patient care. Leadership in EMS can drive positive change in communities. Grants and funding are crucial for developing health programs. Overcoming barriers to wellness is a community effort. Reflecting on a career in EMS highlights the importance of service.

Summary In this conversation, Jennifer interviews Sonia Jorgensen, a US Navy veteran and founder of Hooves and Heroes, a nonprofit organization that connects veterans and first responders with horses for therapeutic experiences. Sonia shares her journey of founding the organization, the healing power of horses, and how they provide immediate feedback to humans about their emotional and physical states. The discussion delves into the importance of awareness, community, and the unique approach of equine assisted learning as a supportive method for mental health without the stigma of traditional therapy. In this conversation, Sonia Jorgensen discusses her journey in healthcare leadership, the impact of COVID-19 on her career, and the lack of support for first responders. She emphasizes the importance of community and resources for mental health, particularly for first responders and veterans. Sonia introduces equine-assisted learning as a therapeutic approach that helps individuals regulate their emotions and connect with their environment through interactions with horses. The discussion covers various exercises and techniques used in sessions, highlighting the benefits of breathwork and the horse-human connection in emotional healing.

summary In this conversation, state representative Peter Abbarno discusses House Bill 1002, which aims to provide PTSD coverage for medical examiners and coroners in Washington State. He shares insights on the unique stresses faced by these professionals, the legislative process involved in authoring the bill, and the importance of community input in shaping policy. The discussion also touches on the funding mechanisms for the bill and the broader implications for public service providers dealing with mental health issues. In this conversation, Peter Abbarno discusses the importance of addressing stress and PTSD in first responders, his journey into politics driven by a desire to improve his community, and his current legislative focus on securing funding for fire districts. He emphasizes the need for community engagement in the legislative process and encourages individuals to share their ideas with their representatives. takeaways The bill aims to recognize PTSD for medical examiners and coroners. Community input is crucial for effective legislation. Medical examiners are often overlooked in discussions about PTSD. The average tenure for medical legal death investigators is about five years. Funding for the bill comes from the existing workers' compensation system. PTSD treatment can be complex and costly. The bill is currently in the rules committee awaiting further action. There is a significant need for stress mitigation resources for these professionals. Legislators often hear about issues directly from constituents. The bill has the potential to impact a small but important group of workers. We need to do a better job identifying stressors. First responders require adequate treatment for PTSD. Community engagement is crucial for effective legislation. Peter Abbarno's political journey is driven by family values. Funding for fire districts is essential for community safety. Legislators are accessible and open to new ideas. Grants for fire districts can improve infrastructure and resources. Public service should be motivated by community needs. The legislative process can take time and persistence. Successful policy ideas often originate from community input.

summary In this conversation, Jennifer and Brooke Lundquist discuss the importance of mental health and wellness for first responders. They explore the challenges faced by first responders, the significance of establishing relationships with counselors, and the innovative EMDR therapy that helps process trauma. Brooke shares her journey into counseling first responders and emphasizes the need for accessible mental health resources. The discussion highlights the evolving perception of mental health in the first responder community and the importance of proactive wellness strategies. In this conversation, Jennifer and Brooke Lundquist discuss the challenges faced by first responders, particularly in managing stress and communication within relationships. They explore the impact of shift work on family dynamics, the importance of emotional support animals, and the integration of mental health training in paramedic programs. The discussion also delves into retirement planning, emphasizing the need for self-awareness and identity beyond work. Additionally, they introduce a new support group for female first responders, highlighting the importance of community and shared experiences in navigating the unique challenges of their profession. takeaways Brooke Lundquist is passionate about first responder wellness and mental health. EMDR therapy is effective for processing trauma. First responders often face unique challenges that require specialized support. Establishing a relationship with a counselor before a crisis is beneficial. Mental health is becoming a new norm in first responder training. Proactive wellness strategies are essential for first responders. Counseling can include individual and couples therapy for first responders. Building rapport with mental health providers removes barriers to seeking help. First responders should know where to find mental health resources. The stigma around mental health in first responders is decreasing. The stress of first responder jobs can impact family communication. Shift work creates unique challenges for relationships. Replenishment and capacity are essential for wellness. Emotional support animals can provide significant comfort. Mental health training is crucial for paramedics. Retirement planning should include identity and purpose. Self-awareness is key to a successful transition into retirement. Community support is vital for female first responders. Counseling should be normalized for those in helping professions. Accessible mental health resources are important for first responders.

In this episode, Jennifer interviews Sofia Kohfield, the executive director of ICOM 911, discussing the intricacies of dispatching, the challenges faced by dispatchers, and the importance of wellness in this high-stress environment. They explore the recruitment and training processes, the unique challenges of operating on Whidbey Island, and the technological limitations that impact emergency response. The conversation highlights the critical role dispatchers play as first responders and the need for community support to enhance their capabilities.

In this episode of 'A Duty to Act', Jennifer Darling and her husband Josh discuss the importance of activating communities through social media for public service agencies. They explore the need for effective marketing strategies, the significance of establishing a unique brand identity, and the role of authenticity in social media personas. The conversation also covers various content creation strategies to engage the community and highlights the types of content that can be effective for public service agencies while cautioning against content that could harm the department's reputation. The conversation delves into the importance of understanding and engaging with the community through social media, emphasizing the need for targeted content creation, effective use of various platforms, and the establishment of clear social media policies. The speakers discuss strategies for crowdsourcing content, maximizing the longevity of posts, and the significance of regular engagement to build relationships with the community.

In this conversation, Jennifer and Dr. Jeffrey Davis discuss his journey from EMS to becoming a board-certified internist. They explore the challenges faced by EMS professionals, including low wages, mental health issues, and the need for better metrics in evaluating success. The discussion emphasizes the importance of community care, wellness, and the integration of EMS into the healthcare system. Dr. Davis shares insights on the evolving role of EMS and the necessity for self-care among providers, highlighting the need for a supportive culture within the field.

takeaways Moulage Concepts creates realistic training scenarios for first responders. Personal trauma can lead to innovative solutions in training. Resilience is a key component in overcoming challenges. Community engagement is essential for mental health support. Training should incorporate sensory experiences for better learning. Every story in training matters for effective education. The importance of realism in simulation training cannot be overstated. Innovative training techniques can enhance observational skills. Support systems are crucial for individuals facing trauma. The journey of creating impactful training resources is ongoing.

Dr. Joshua Corsa, a trauma surgeon and medical director, discusses his background in public service and EMS. He shares his experience working in various capacities in different locations, including rural and isolated areas. Dr. Corsa highlights the challenges and unique circumstances of providing medical care in remote locations, such as the Outer Banks and San Juan Islands. He emphasizes the importance of having progressive protocols, advanced equipment, and highly skilled paramedics in these areas. Dr. Corsa also discusses the impact of pre-hospital innovations, such as ultrasound and ventilators, in improving patient care. In this part of the conversation, Dr. Joshua Corsa discusses the innovations in EMS and the greatest innovation being the increased knowledge and capabilities of paramedics and EMTs. He also talks about the advancements in equipment, such as the stair chair and power stretcher. Dr. Corsa shares his experience working with a helicopter service and the different roles he has had in helicopter EMS. He highlights the importance of safety in helicopter operations and the dedication of the rescue technicians he works with. The conversation then shifts to Dr. Corsa's role as a medical program director and his work with the opioid crisis. He explains the use of buprenorphine in the field to help patients in withdrawal and connect them with follow-up care. Dr. Corsa emphasizes the importance of coordination and planning in implementing such programs. The conversation concludes with a discussion on prolonged field care and the skills and mindset required to provide care in remote and austere environments. The conversation explores the future of EMS and the importance of tailoring care to the specific needs of each community. It emphasizes the need for critical thinking skills and the integration of different training programs. The discussion also touches on the importance of coordination and communication in mass casualty incidents, as well as the use of comprehensive triage systems. The conversation concludes with a discussion on the need for improved pre-hospital pain management and the potential role of EMTs in administering over-the-counter medications.

Dr. Joshua Corsa, a trauma surgeon and medical director, discusses his background in public service and EMS. He shares his experience working in various capacities in different locations, including rural and isolated areas. Dr. Corsa highlights the challenges and unique circumstances of providing medical care in remote locations, such as the Outer Banks and San Juan Islands. He emphasizes the importance of having progressive protocols, advanced equipment, and highly skilled paramedics in these areas. Dr. Corsa also discusses the impact of pre-hospital innovations, such as ultrasound and ventilators, in improving patient care. In this part of the conversation, Dr. Joshua Corsa discusses the innovations in EMS and the greatest innovation being the increased knowledge and capabilities of paramedics and EMTs. He also talks about the advancements in equipment, such as the stair chair and power stretcher. Dr. Corsa shares his experience working with a helicopter service and the different roles he has had in helicopter EMS. He highlights the importance of safety in helicopter operations and the dedication of the rescue technicians he works with. The conversation then shifts to Dr. Corsa's role as a medical program director and his work with the opioid crisis. He explains the use of buprenorphine in the field to help patients in withdrawal and connect them with follow-up care. Dr. Corsa emphasizes the importance of coordination and planning in implementing such programs. The conversation concludes with a discussion on prolonged field care and the skills and mindset required to provide care in remote and austere environments. The conversation explores the future of EMS and the importance of tailoring care to the specific needs of each community. It emphasizes the need for critical thinking skills and the integration of different training programs. The discussion also touches on the importance of coordination and communication in mass casualty incidents, as well as the use of comprehensive triage systems. The conversation concludes with a discussion on the need for improved pre-hospital pain management and the potential role of EMTs in administering over-the-counter medications.

In this conversation, Jennifer interviews Benjamin Vernon, a captain with the San Diego Fire Department, about his experience with administrative betrayal. Benjamin shares the story of a traumatic incident in 2015 where he and his partner were attacked by a bystander while responding to a medical call. They discuss the concept of arriving in the middle of a call and the importance of being aware of the dynamics and tensions already present. Benjamin reflects on the impact of compassion fatigue and the need for first responders to reconnect with their purpose and maintain a compassionate mindset. They also touch on the importance of having a clear and universal code for calling for help in emergency situations. In this part of the conversation, Benjamin Vernon discusses the importance of mental health and seeking professional help. He shares his personal journey of seeking therapy and the positive impact it had on his recovery. He also highlights the need for departments to prioritize mental health and create robust mental health programs. Benjamin emphasizes the importance of sleep in maintaining overall health and wellness, and the challenges faced by shift workers in getting adequate sleep. He also discusses the impact of the incident on his department and the steps they took to improve mental health support. The conversation touches on the limitations of informal peer support and the need for professional help in certain situations. In this conversation, Benjamin Vernon discusses the aftermath of the stabbing incident and the impact it had on him and his crew. He talks about the silence and lack of communication within the crew, as they were all focused on the stabbing incident. Benjamin also shares his concern for his captain and his crew members who did not seek mental health help. He highlights the importance of mental health support and the stigma that still exists within the fire department. Benjamin discusses the concept of administrative betrayal and how it can contribute to the decline of mental health. He emphasizes the need for more education and training on mental health at every rank in the department.

In this conversation, Jennifer interviews Benjamin Vernon, a captain with the San Diego Fire Department, about his experience with administrative betrayal. Benjamin shares the story of a traumatic incident in 2015 where he and his partner were attacked by a bystander while responding to a medical call. They discuss the concept of arriving in the middle of a call and the importance of being aware of the dynamics and tensions already present. Benjamin reflects on the impact of compassion fatigue and the need for first responders to reconnect with their purpose and maintain a compassionate mindset. They also touch on the importance of having a clear and universal code for calling for help in emergency situations. In this part of the conversation, Benjamin Vernon discusses the importance of mental health and seeking professional help. He shares his personal journey of seeking therapy and the positive impact it had on his recovery. He also highlights the need for departments to prioritize mental health and create robust mental health programs. Benjamin emphasizes the importance of sleep in maintaining overall health and wellness, and the challenges faced by shift workers in getting adequate sleep. He also discusses the impact of the incident on his department and the steps they took to improve mental health support. The conversation touches on the limitations of informal peer support and the need for professional help in certain situations. In this conversation, Benjamin Vernon discusses the aftermath of the stabbing incident and the impact it had on him and his crew. He talks about the silence and lack of communication within the crew, as they were all focused on the stabbing incident. Benjamin also shares his concern for his captain and his crew members who did not seek mental health help. He highlights the importance of mental health support and the stigma that still exists within the fire department. Benjamin discusses the concept of administrative betrayal and how it can contribute to the decline of mental health. He emphasizes the need for more education and training on mental health at every rank in the department.

Summary Mike Wisler, a captain at the Everett Fire Department, discusses his transition from counseling to the fire service, the importance of mental and physical health in the first responder service, and his innovative protocols for post-shift recovery. He emphasizes the impact of relationships and the need for a holistic approach to well-being. The conversation covers a wide range of topics related to wellness, recovery, and community building within first responder departments. It explores the importance of solitude, restorative activities, and the creation of a wellness center. The discussion also delves into the physiological and mental benefits of activities like sauna, cold plunges, and cycling, as well as the impact of community involvement on overall well-being.

In this episode of "A Duty to Act," hosts Jennifer and Josh reflect on the impact of their previous episodes, including discussions on cancer in the fire service and secondary traumatic stress. They discuss their goals for the next 25 episodes, which include exploring topics such as lifeguards, smoke jumpers, and tribal EMS. They also delve into the importance of data-driven decision-making and building a culture of data in public safety organizations. Join them on this journey of discovery and insight into the world of emergency services.