Medic Mindset

Ginger Locke

Ginger Locke is a paramedic and professor of EMS students in the US. She has long been fascinated with the inner-workings of medics' minds. In this podcast, she interviews medics face-to-face, in long, intimate format. She thoughtfully asks her guests to open up about their mindset, routines, mistakes, thought-processes, and lessons hard-learned.

She is on twitter @gingerlockeatx and show notes from each episode can be found at medicmindset.com.

All Episodes

Shownotes at https://medicmindset.com/2021/09/11/thinking-pediatric-respiratory/ After seeing Dr. Joelle Donofrio-Odmann's talk in Prodigy EMS' free Refresh 2021, I knew Medic Mindset listeners needed to hear from her. She is an Associate Professor of Pediatrics and Emergency Medicine and an EMS Associate Medical Director in San Diego, CA. In this episode of The Thinking Series, she shares her passion and expertise on the topic of Pediatric Respiratory Distress. She covers how she uses the pediatric assessment triangle to stratify patients and how she thinks about the diseases of the upper and lower airways (and the ones that don't fit neatly in either). Other topics include epinephrine in anaphylaxis, ketamine in asthma, and bulb syringes for clearing secretions causes airway obstructions. Listeners also get to hear a cameo visit from Dr. Peter Antevy from the "In the Zone. The Antevy Zone" episode.

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Sep 11

56 min 49 sec

What do the greats of EMS read? EM Physician and EMS educator, Dr. Maia Dorsett shares what, when and how she reads.

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Jun 8

35 min 44 sec

What do the greats of EMS read? Paramedic Michael Herbert shares what, when and how he reads.

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Jun 8

37 min 58 sec

What do the greats of EMS read? Flight Nurse Nyssa Hattaway shares what, when and how she reads. 

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Jun 8

45 min 7 sec

What's the one book you'd recommend to a brand new paramedic? 3 guests answer this one question. The guests are: Flight Nurse, Nyssa Hattaway. Paramedic, Michael Herbert. EM Physician, Dr. Maia Dorsett.

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Jun 8

22 min 24 sec

Dr. Maia Dorsett @maiadorsett discusses how she thinks about the Lift Assist patient. Show notes 

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Feb 4

1 hr 3 min

How do we let each other know that a fellow medic has died? The guest in this episode, Christa Stedman, is a Public Information Officer (PIO) for Austin-Travis County EMS. Together, we sort through her thought-process about delivering tragic news. Shownotes at Medic Mindset

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Oct 2020

32 min 14 sec

So thrilled to have Dr. Heidi Abraham as a guest in The Thinking Series. She discusses causes of bradycardia and the mindset needed to approach patients who are bradycardic.

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Aug 2020

48 min 6 sec

Dr. Jason Pickett from the Austin-Travis County Office of the Medical Director podcast takes over Medic Mindset. He discusses fear and leadership in the context of COVID-19. Follow Medic Mindset on: twitter, facebook, instagram.

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May 2020

10 min 28 sec

Shownotes at medicmindset.com In reference to how he collaborates with 911-callers to put order to chaos: "It's like trying to jump on a moving train. You're not trying to stop the train or divert it, because the train has gotta go where the train's gotta go. You are just trying to get on it. And if you can get on the train... If you can get in... If you can insert yourself with them... then you can start exercising your influence on the controls."

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Apr 2020

1 hr

Ginger had the honor of sitting down with one of the EMS greats, Mike Taigman. He was in Austin for ESO's Wave 2020 conference. ESO was generous enough to allow Medic Mindset the opportunity to record Mike's session called, "Managing Stress Like A Boss" and gave them a space during a very busy conference to record an interview.

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Mar 2020

34 min 58 sec

The Mixtape Series features 3 anonymous paramedics who answer the same question. In this episode, Ginger asks, "What do you remember about your first ridealong?" Take a listen to their responses and see how some themes repeat. medicmindset.com for show notes @gingerlockeatx and @medicmindset on twitter

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Feb 2020

1 hr 20 min

Dr. Jason Pickett and Ginger discuss the topic of Shortness of Breath. They discuss the assessment, differential diagnosis and therapeutic interventions related to the chief complaint. They work their way down the respiratory tree, thinking aloud as they go. Throw in a couple of case studies and you've got some delicious brain-nuggets for paramedic students everywhere. Full show notes at medicmindset.com Follow Medic Mindset on Instagram, Twitter and Facebook. 

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Dec 2019

59 min 22 sec

In this microsode, listeners hear one of the questions Ginger Locke asked of a panel of 4 Texas EMS Medical Directors at the Texas EMS Conference. Panelists included: Drs. Heidi Abraham, Jeff Jarvis, Taylor Ratcliff, and Jason Pickett. If you’d like to hear the full panel discussion, you can find that at FlightBridgeEd’s EMS Lighthouse Project Podcast. Shownotes 

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Nov 2019

7 min 2 sec

This episode felt like some of the first episodes of Medic Mindset. I had a few things on my mind that I wanted to ask him but we also just let the conversation ebb and flow wherever it pleased for an hour. The purpose in sitting down together was to discuss his performance in the EMS World clinical challenge but we ended up talking about all kinds of things like career longevity and advice he would give new medics. His name is Andrew Azelton and he has been in EMS for 18 years and you will hopefully hear what I heard in his voice. He was engaged and happy to talk shop and he seemed just generally peaceful and happy in his work and life. I left the conversation with more energy than when we started and I hope he will have that effect on you as well.  Shownotes at medicmindset.com Follow Medic Mindset on Twitter Facebook Instagram

Nov 2019

52 min 21 sec

Ginger talks to Dr. Ben Abo. He is a paramedic and EMS physician. He’s been on the Ted stage. He’s the medical director for Miami-Dade Fire Rescue’s Venom response teams. He’s a fellow in the Academy of Wilderness Medicine. He’s saved a stranger who collapsed on train tracks. He’s an international man of mystery and in this episode, we will talk about none of that. Instead, Ginger reached out to him because she wanted to make an episode about the use of humor in emergency medicine. Ever since the first day she saw a picture of him in scrubs in the ER talking on a banana phone, she knew he would be the one to teach us what I need to know about when, where and how to use humor in medicine.

Oct 2019

44 min 23 sec

In this episode Ginger talks to Jon Bailey. Jon is a FF/Paramedic in Fairfax County, Virginia. He is the lead educator of Fairfax County Fire and Rescue’s EMT to Paramedic program. He has a bachelor of science in emergency medicine from the university of Pittsburgh and a master’s in EMS education and leadership from George Washington University. Ginger reached out to Jon after a friend told her about an event called the EMS World Clinical Challenge. Take a listen to this episode and see if you might be inspired to participate in the Clinical Challenge at Expo.

Sep 2019

20 min 12 sec

This is a recording of a talk Ginger did about Medical Education at FlightBridgeEd's #FAST19 symposium. Shownotes and slides at medicmindset.com

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Aug 2019

34 min 36 sec

For the second time, I’m visiting with Tania Glenn. She’s been on the show before with an episode that released in January of 2017 and since then I’ve gotten tons of questions for Tania from listeners. I wanted to ask some of those questions and to talk to her about a documentary she recently released. We discuss: How, in her documentary, she challenges leaders of EMS departments to better invest in the care of paramedics’ mental health. How she works with dispatchers to process traumatic audio memories. Why she models her practice after Southwest Airlines. And which cuss word she finds the most versatile. Show notes at medicmindset.com

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Jul 2019

36 min 28 sec

This is an episode in The Thinking Series of the Medic Mindset podcast where expert clinicians indulge the host, Ginger Locke. In the series, she digs into their brains to explore how they approach the process of patient assessment and differential diagnosis. Show notes at medicmindset.com Following the show and Ginger on twitter @medicmindset and @gingerlockeatx

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Jun 2019

44 min 45 sec

Good, Bad and Ugly by Ginger Locke

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May 2019

34 min 55 sec

Max Dodge, board member of National Stop the Bleed Month, shares with Ginger how Medic Mindset listeners can get involved with the Stop the Bleed campaign. She ended up talking to him about bleeding control for an hour.

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Apr 2019

43 min 59 sec

This episode is a response to the many requests I get from listeners looking for help on the national registry’s written exam. To bring you the most useful advice, I contacted this guest. In my opinion, he is the country’s expert in the area. He understands the logistics of the test and the part that really lights my fire is the way he addresses the psychology of the test… the mindset of success… what he calls “mojo.” It’s an honor to get to speak to him directly after referring students to his materials for years. Meet my new friend and expert National Registry Pass-ologist, Dan Limmer. medicmindset.com

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Mar 2019

38 min 53 sec

In anticipation of FlightbridgeED's #FAST19 symposium, Ginger asks Eric Bauer and Michael Perlmutter one simple question: "How could you hurt a patient with a BVM?" Show notes at medicmindset.com

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Mar 2019

8 min

Ginger Locke and Dr. Jason Pickett hunkered down in a recording closet and pretended the world didn't exist for an hour with one mission: data-mining Dr. Pickett's brain for his thoughts on syncope. Thanks to Michael Herbert for the custom art for the episode. Show notes at medicmindset.com

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Feb 2019

48 min 7 sec

This is a special edition of Medic Mindset where Ginger Locke gave her #1 tip for finding happiness and meaning in the profession to graduates of City College of San Francisco.

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Jan 2019

4 min 41 sec

24. Shock the System (an EMSWorld Collaboration) by Ginger Locke

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Jan 2019

1 hr 14 min

The Thinking Series is where Ginger Locke talks with some of the sharpest minds in Emergency Medicine about how they think through chief complaints. In this episode, one of the country’s few flight doctors, Dr. Cynthia Griffin, shares how she sorts through patients with the chief complaint of agitation. She works both in-hospital and out-of-hospital, so her perspective is truly unique. What you will quickly hear is that she is relatable, smart, and happy to share what she knows with medics because she was one for many years before becoming an Emergency Medicine doctor. She makes a point to describe how she actually leans into the patients who are the most salty because she knows, like all of us, we can be biased when confronted with the agitated patient.

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Dec 2018

22 min 54 sec

Ginger Locke discusses the importance of good questions and deep listening. She weaves in recommendations from her own research and from Editor-in-Chief of EMS1.com, Greg Friese.

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Dec 2018

23 min 24 sec

The Deputy Medical Director for Austin Travis County EMS, Dr. Jason Pickett, and I sat down and recorded a joint podcast about clinical teaching. His podcast is called the Austin Travis County Office of the Medical Director Official Podcast and he released a longer version of this episode. I've really enjoyed getting to know Dr. Pickett because he teaches me something every time we get together. In this next hour, you will hear my delight as he teaches me things about teaching! This episode is about teaching, but you can't talk about teaching without talking about learning. Whether you are a clinical preceptor, a classroom teacher or a paramedic student, I think there is something here for ya.

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Oct 2018

56 min 53 sec

This guest remembers exactly where she was on September 11th, 2001. She was 10 years old at the time. In this microsode, she reflects on what that day was like for her as a child and what 9/11 means to her now as she works the streets of NYC as an EMT.  In classic Medic Mindset fashion, Ginger doesn't let us off easy. She invites us to not only think about our own story of what that day was like for us as individuals, but to also think about our EMS family as a whole as we continue to see deaths from 9/11 related illnesses.  Shownotes on medicmindset.com

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Sep 2018

7 min 49 sec

In "The Thinking Series," Ginger talks with the sharpest minds in emergency medicine about how they think. This time she delves into how an EMS Medical director asks her medics to bend their brains around the topic of tachycardia. Her name is Dr. Katherine Remick and she is triple board certified in Emergency Medicine, EMS and Pediatrics. She is a professor at The University of Texas’ Dell Medical School in Austin but Ginger met up with her at an EMS Station in Hays County Texas where Dr. Remick is the medical director. This is the first episode of Medic Mindset recorded at a station so you are invited to enjoy this episode with occasional sounds of the station in the background. Show notes at medicmindset.com Twitter: @medicmindset

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Aug 2018

25 min 12 sec

The guest thinks he has sorted out how to become what has been affectionately called a "Lifer." They are the rare breed of medics who have managed to make a career of this bizarre job. He is 4 years in and he seems to have pieced together a good chance at becoming a career-medic. Show notes at medicmindset.com

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Jul 2018

45 min 56 sec

We pull back the curtain a bit on a well known educator, podcaster, and flight medic, Eric Bauer. He is the founder and CEO of a critical care education company, FlightBridgeEd. We discuss critical care topics like acid-base balance, intubation, ventilators and EKGs. We also discuss leadership topics like mentoring. I even get some marriage advice out of him. Listen in as I pick the brain of the man you want to know if you have any interest in becoming a flight medic or a better ground medic.  Show notes at medicmindset.com

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Jul 2018

58 min 1 sec

This is a first in a series of episodes about the cognitive process of differential diagnosis. It’s called “The Thinking Series.” Extensive show notes for everything discussed at medicmindset.com Ginger Locke talks to the brightest clinicians in emergency medicine about how they think. They approach the concept one chief complaint at a time and dive into the complexities of clinical reasoning. Dr. Brandon Bleess is a physician who is board certified in both Emergency Medicine and EMS. He’s the medical director for an aeromedical service in Illinois. He’s on the faculty at the University of Illinois’ College of Medicine and has been active in the prehospital setting since becoming an EMT in 2003. Connect with him on twitter : @bbbleess Meet Dr. Bleess….

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Jun 2018

35 min 32 sec

In this episode we capture the story of Noah Galloway (@Noah_Galloway) and Ashley Liebig (@ashleyliebig). In 2005, he was an infantryman and she was a combat medic. They were both assigned to the US Army’s 101st Airborne Division serving in Iraq. When Noah was injured by a roadside bomb, Ashley, as part of his medical team, started talking to him and their conversation has lasted over a decade. Show notes at: medicmindset.com

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May 2018

1 hr 4 min

Dr. Peter Antevy is a man on a mission. He is working to change the psychology of medics on pediatric calls. Show notes at medicmindset.com During our talk, we discuss: the importance of staying on scene during pediatric arrests, why ACLS and PALS should be taught together, how to change your mindset to be in the zone with pediatrics, the principles of the Handtevy Method, his comments on length-based tapes, cognitive offloading and the pre-arrival period, why his medics want to run pediatric calls, the process of getting to closure, Just Culture, why he thinks he latches on to really big problems, questions from the Medic Mindset facebook group about: pediatric head trauma, febrile seizures, pain management and ketamine, his reflections on the Parkland Shootings, and advice to medics with big ideas. Connect with him: Handtevy.com Twitter: @handtevyMD Youtube: https://www.youtube.com/channel/UCef_Z3tSxhwtYbMBHBlLb7w

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Apr 2018

1 hr 8 min

In this episode, Ginger talks to Tyler Christifulli. It's accurate to call him a flight medic, but he's so much more. He's also a podcaster and an EMS Educator. In listening to his FOAMfrat podcast, it's obvious he is a sharp guy but being in the same room with him is a completely different animal. He has charisma for days but what is really mesmerizing about him is how he brings out the best in others. Show notes: medicmindset.com Find Tyler online: www.foamfrat.com

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Mar 2018

56 min 43 sec

This is a recording of a talk Ginger did at the Wisconsin EMS Conference in January 2018. She discusses skills and techniques for performing under pressure.

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Feb 2018

1 hr 1 min

Overlearning is the process of practicing a skill after you have reached competence. Yep… after you are already competent. The benefit of overlearning a skill is that it becomes automated. Think "muscle memory." An automated skill requires less concentration and less working memory and thus frees up your mind to focus on other things when performing in wicked environments. Show notes at https://gingerlocke.wordpress.com/2018/01/05/microsode-1-overlearning/

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Jan 2018

15 min 2 sec

Dr. Jeffrey Jarvis is a paramedic turned EMS medical director. You might end up listening more than once because this talk is rich. He packs a ton into the hour. Video Laryngoscopy, Ketamine, Delayed-Sequence Intubation, ultrasound, push-dose pressors, and how he asks his medics to approach EKGs. If you hang around until the end, you get to hear him share a bit about the challenges he faced as a paramedic. Show notes at medicmindset.com

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Dec 2017

1 hr 4 min

In this episode, I talk to a 20-year medic from New Orleans. His name is Jon McCarthy and he recently wrote a book called Hard Roll. He's an example of what I hope our EMS authors will be. He's honest and captivating without being overly dramatic. This episode is a reminder that we should cheer on the artists within our ranks. Tania Glenn sends a special message at the end of the episode. Show notes at medicmindset.com Follow on twitter @medicmindset Email Ginger at gingerlockeatx@gmail.com

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Oct 2017

38 min 57 sec

Ginger's guest discusses how he has avoided burnout after 10 years in EMS. How he balances work and family. Which calls have become his favorite. Advice to his younger self. And why he says the job is easy!

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Aug 2017

39 min 31 sec

He's the mentor I'd wish for any medic just starting in EMS because he has navigated 20 years in the field and come out on the other side with the most sincere and kindest of hearts.

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Jul 2017

27 min 44 sec

Ginger Locke interviews an ER nurse about what it's like to work with medics. Connect with Medic Mindset on twitter @medicmindset and Facebook.

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May 2017

34 min 47 sec

Part 2 of the SWAT medic from Episode 9. Listeners adore him. Show notes at medicmindset.com Twitter: @gingerlockeatx Facebook group: Medic Mindset Group

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Mar 2017

33 min 6 sec

Michael Lauria (@ResusPadawan) is the perfect match for the concept of @medicmindset. Within the first minutes, he outlines tools for performing under stress. As a pararescue medic, he speaks from personal experience and as an academic, he knows the science behind his advice. Listen as we discuss the mind of a resuscitationist. Dig into the lengthy show notes at medicmindset.com Everything we reference is there. Love, Ginger

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Mar 2017

1 hr 1 min

Part 1: He's a SWAT medic, but he doesn't fit neatly in the tactical medic mold. Listen for yourself. medicmindset.com @gingerlockeatx

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Feb 2017

39 min 19 sec

If anyone appreciates what it is like to be a medic without actually being one, it's Dr. Tania Glenn. She's a leading clinician in the identification and treatment of PTSD and specializes in caring for emergency responders. I caught up with her in her office, but her work takes her all over the country. She's one of us and we are lucky to have her on our team. Find her at: taniaglenn.com @drtaniaglenn on twitter To see the picture I took during the interview and other show notes, go to medicmindset.com and find Episode 8. Enjoy! Ginger #suckitptsd

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Jan 2017

37 min 36 sec

In this episode, Ginger deviates from the usual long, meandering format as she interviews a medic about his experience performing a surgical airway. Show notes at medicmindset.com

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Dec 2016

26 min 50 sec