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FOT #34 - Atypical overdoses, preparing for challenges, microdosing psychedelics

Flight of Thoughts

Release Date: 10/26/2020

FOT #34 - Atypical overdoses, preparing for challenges, microdosing psychedelics show art FOT #34 - Atypical overdoses, preparing for challenges, microdosing psychedelics

Flight of Thoughts

Many people are experiencing "pandemic fatigue" or work-related burnout.  What have you been doing to maintain optimal physical, mental, social, and emotional resiliency?  Preparing yourself for stressful challenges or chaotic situations is an ongoing process that is different for each person.  Watch your sleeping and eating habits as well as your use of substances during times of stress, to keep control of them. * On the frontlines of the opioid crisis we are seeing many atypical drug overdoses due to the unpredictable street supply, caused by the war on drugs.  We have...

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FOT #33 - Submitting to chaos, managing the ego, and accepting our limitations show art FOT #33 - Submitting to chaos, managing the ego, and accepting our limitations

Flight of Thoughts

This episode covers a deep fear that emergency workers carry.  We want to feel that we are trained and prepared to handle anything.  It is soothing to pretend that every skill and ability we have harnessed will carry us through any challenge we are met with.  The truth is that we can be faced with situations where our training or skills may not be able to overcome the adversity at hand.  What we CAN control is working on our self-awareness, communication with peers, doing our best self-care, and maintaining skills/knowledge as updated as possible.  Then when a...

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FOT #32 - Non-violent crisis response, front line fatigue, and calibrating the nervous system show art FOT #32 - Non-violent crisis response, front line fatigue, and calibrating the nervous system

Flight of Thoughts

Here, I share some cases where we applied non-violent crisis intervention tactics to de-escalate persons in emergency situations, avoiding the need for police intervention.  One situation was during a major overdose, where the client was combative while he was in respiratory failure, the other features someone locked in a bathroom threatening staff. * The last month has been very difficult on the frontlines of the pandemic and opioid crisis.  Healthcare workers are experiencing high rates of clinical depression and many other frontline workers are feeling burnt out.  Lets catch...

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FOT #31 - Demystifying death, bringing order to chaos, and The Big Lebowski show art FOT #31 - Demystifying death, bringing order to chaos, and The Big Lebowski

Flight of Thoughts

Paramedic and podcaster, Chad Bartalone, joins me from Indiana  to talk about some of the more surreal and heavy topics surrounding emergency medical services.  We talk about how to take away the negative stigma of inevitable death, learning to appreciate and embrace it instead of fear it.  How do we normalize the conversation and bring more education and autonomy to patients?  Our discussion also covers how to bring order to chaos through radical acceptance and preparation for challenges.  We talk about how emergency services can do more for mental health training and...

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FOT #30 - Being trauma-informed, identifying prejudice, and our mental health continuum show art FOT #30 - Being trauma-informed, identifying prejudice, and our mental health continuum

Flight of Thoughts

Here comes another solo flight of thought I was having about how we can be better human beings by being "trauma-informed".  This leads into how to identify prejudice in ourselves and how it is programmed into us.   A major point focuses on the "mental health continuum" model that many first responders and healthcare workers have been introduced to.  Being aware of your mental health continuum and the signs that you are struggling can help you avoid falling into crisis, as well as empower you to maintain your most optimal functioning. * This pandemic and the civil rights...

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FOT #29 - Overcoming Psychological Dysfunction, Appreciating Death & Suffering, Mindfulness of Bio-feedback Loops show art FOT #29 - Overcoming Psychological Dysfunction, Appreciating Death & Suffering, Mindfulness of Bio-feedback Loops

Flight of Thoughts

Kai Carlsen has clinical experience as a Paramedic, Flight Respiratory Therapist, as well as building experience in clinical development and education.  He has worked in various settings from controlled hospital environments to the chaos of ambulance and aircraft response.  Kai has been growing through a journey of mindfulness, self-awareness, and peer support that allows him to remain optimal through his career.  We worked together early in my career and I always felt he had the perfect energy and intellect for emergency medicine.  On this episode we go deeper into some...

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FOT #28 - Identifying Stress Responses, Pandemic Mental Health, and Cannabis Enhancing Emotional Resiliency show art FOT #28 - Identifying Stress Responses, Pandemic Mental Health, and Cannabis Enhancing Emotional Resiliency

Flight of Thoughts

After an intense month with a car accident and a stressful work injury, I update everyone on how I have been coping with these and the growing pressure on the front lines of the pandemic.  Learning to identify your responses to stress can be an effective tool for overcoming challenging times.  How does stress activate certain thought patterns you have?  How does stress store as tension or discomfort in your body?  Learning your symptoms and how to work through them can push your from distress to optimal function  in your window of tolerance.  I also talk about...

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FOT #27 - Being mindful of your mental health during the pandemic, the various responses to traumatic stress, and the effectiveness of peer support show art FOT #27 - Being mindful of your mental health during the pandemic, the various responses to traumatic stress, and the effectiveness of peer support

Flight of Thoughts

I'm joined by my friend, Kai Carlsen, a former paramedic with experience on the ambulance, in a correctional facility, doing hospital triage, and as a medical communication officer.  He is currently certified as a respiratory therapist and worked in a large teaching facility, mostly in intensive care and transitioned to critical care flight respiratory in the arctic.  We talked about staying sane during pandemic isolation, various ways of coping with mental health struggles, and managing your own internal crisis as a healthcare worker.   We also discussed his experiences in...

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FOT #26 - Effects of Covid-19 on the opioid crisis, and managing self care as a first responder or frontline worker show art FOT #26 - Effects of Covid-19 on the opioid crisis, and managing self care as a first responder or frontline worker

Flight of Thoughts

In this episode I talk about how first responders and safe injection sites are continuing to battle the opioid crisis through this coronavirus outbreak in Toronto, Canada.  I also discuss self-care and how to avoid burnout while working on the frontlines.  The growing Covid-19 pandemic has started to put massive strain on healthcare systems and public health initiatives.  First responders and healthcare staff put themselves at risk to keep life-saving services running strong, despite how personal protective equipment supplies are running low and the stress of catching the...

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FOT #25 - Pete Tripp discussing how first responders cope with PTSD and what mental health initiatives can increase resiliancy in emergency services show art FOT #25 - Pete Tripp discussing how first responders cope with PTSD and what mental health initiatives can increase resiliancy in emergency services

Flight of Thoughts

Pete Tripp is an Advanced Care Paramedic with experience in many fields of paramedicine including as a flight medic.  Pete's journey is a powerful story from his start as a Janitor at his local emergency hospital to his spectrum of expereince he built as a paramedic.  He is open about his struggles with childhood trauma and finding his way as a troubled youth.  Through building up personal resiliency and never giving up, Pete was able to become an excellent paramedic and carry on through an incredible career.  He uses what he has learned over these years of experience to...

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More Episodes

Many people are experiencing "pandemic fatigue" or work-related burnout.  What have you been doing to maintain optimal physical, mental, social, and emotional resiliency?  Preparing yourself for stressful challenges or chaotic situations is an ongoing process that is different for each person.  Watch your sleeping and eating habits as well as your use of substances during times of stress, to keep control of them.

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On the frontlines of the opioid crisis we are seeing many atypical drug overdoses due to the unpredictable street supply, caused by the war on drugs.  We have been seeing more signs/symptoms of benzodiazapines and carfentanil leading to more severe emergencies.  Here I talk about "fentanyl rigidity" and "flail reactions".  I also discuss training new first responders during a pandemic without putting your compassion fatigue on them.  Teach your new colleagues how to thrive in chaos by being a calm and patient mentor, allowing them to grow and challenge themselves.
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I finally go into some of the latest research surrounding psychedelic microdosing (LSD and psilocybin).  Dr. James Fadiman has a lot of clinical information on the subject and I share his microdosing guide with you all.  There are risks that can be avoided with simple harm reduction advice.  Microdosing is not for everyone and is not yet fully regulated in North America.  Many have seen cognitive benefits and flow-state activity with proper use, although some have felt anxiety or uneasy when doing it without proper guideance.  I hope to explore this topic more in my the episode.

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This podcast is uncensored and covers many topics considered “taboo” or difficult for some individuals. We do not condone any illegal activities, as this is a platform for harm reduction and open dialogue.  Although the ideas are mostly evidence-based and honest, the lines of reality and comedy may be blurred at times...this is your trigger warning!