Some of us do it well, some of us do not do it at all, but we all could use improvement.  The medical decision making (MDM) portion of the chart is one area we all can work on.  It is quite possibly the single most important portion of the chart for multiple reasons including acting as a "hard stop" in decision making, explaining course of care and management, reviewing highlights of the visit, and even potentially helping in a legal situation.  Today, we have Mike Weinstock joining us on this very important podcast.

We need to get better taking care of out patients.  One of the easiest ways to get better is to work both sides of the emergency medicine realm.  The main divide rests in the prehospital environment versus the emergency department.  We can still see this in the rural versus urban environment.  Our experiences in different realms can make us much better providers.

Today is a brief podcast about leaving theivory tower.  As a PA or physician, we have to train at such a place but with time we will leave.  Not all nurses, paramedics, or others in such settings will ever see the "ivory tower" and may have their education only in rural environments or at least not at a tertiary care center.  The challenge for us becomes not only getting the medical knowledge, but also how to spread it.

​Today’s podcast is a little brief but covers and important topic: blood draws and patient’s rights.  This comes up due to a recent incident in Salt Lake City at University Hospital when a detective of the Salt Lake City Police Department arrested Alex Wubbels, a nurse there, when the officer attempted to collect blood for testing from an unconscious patient.