Category Archives: Chronicles of a Culture Changer

EMS Poem “We keep the reaper from claiming his dead”

In school, to the eager EMT is first said: “We keep the reaper from claiming his dead.”   We’re often placed in situations posing grave danger, compelled to care not about self, but the patient, a stranger.   Speeding, swerving, and strobe lights are exciting, but they’re a sliver of this career some call “ambulance-driving”. […]

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Everything changes upon first touch

  In the police academy, I was taught an intoxicated person was most likely to resist an arrest, become assaultive toward officers or want to “fight”, upon first- touch. That was an educational lesson that proved remarkably true in my experience on the streets as a cop. I would like to expound on that concept […]

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Firefighters Use of Force Captured on Camera; Is this a win?

I say, if you never trained them, how do you blame them? FFs, while heroic and courageous, they are still human. When faced with a use of force situation, they will respond. How they respond will be based upon their training- or lack of it. The pendulum of force swings in both directions. Too little, […]

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Does de-escalation really work? Is there possibly a better approach?

Is De-escalation a myth? Exploring Escalation Control in this episode of Chronicles of a Culture Changer with Kip Teitsort, Founder of DT4EMS. There is a huge emphasis on de-escalation in emergency medicine, yet the assaults keep happening. Would it make a difference if the focus shifted to escalation control instead? . Is De-escalation in medicine […]

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The dangerous phrase of “Combative Patient” Parts 1 and 2

. By definition, a combative patient can’t exist. That aside, the label, along with the thought process, and conviction to serve patients, nurses, medics and EMTs oftentimes find themselves connected with attackers. DT4EMS’ EVE teaches staff the ability to recognize a change in relationship. When a person is no longer to be considered a patient. […]

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