Not A-Fib Podcast : Gwenny Winkler on Critical Care, Coaching and Embracing Growth

Veteran flight nurse and educator Gwenny Winkler shares her journey from accelerated nursing programs to helicopter EMS and becoming a sought-after critical care instructor. Gwenny opens up about the steep learning curve when transitioning from emergency department nursing to flight nursing and the rapid evolution of tools like blood transfusions and advanced ventilators in air medical transport. She dives into her passion for education through social media, emphasizing the importance of understanding the “why” behind protocols, not just memorizing facts. Gwenny offers insights on coaching across all experience levels, tackling EMS culture challenges, and balancing professional identity with personal life. She also discusses her unique approach to engaging learners with authentic, down-to-earth content on TikTok and Instagram.

In this inaugural episode of the Chief’s Cadence, Chief Shane Wheeler sits down with FDNY Chief of Department John Esposito to explore effective leadership approaches in fire and EMS services. Drawing on over three decades of experience in one of the nation’s largest departments, Chief Esposito shares how leadership demands more than just command. It requires adapting styles to fit individuals and situations. From the decisive authority needed on an emergency scene to the empathy and authenticity crucial for team trust, they break down autocratic, transformational, servant and authentic leadership. They also discuss navigating generational differences, the value of honest feedback through personality assessments, and how new leaders can earn credibility without rushing change.

Managing pain in pediatric patients is a critical aspect of prehospital care. Yet, this remains a challenging area for many EMS providers.

A new study out called “Barriers and Enablers in Prehospital Pediatric Analgesia” sheds light on the complexities of assessing and treating pain in children during ambulance rides. Led by Dr. Hoi See Tsao, Assistant Professor in the Department of Pediatrics at UT Southwestern Medical Center, the research identifies key hurdles EMS workers face and suggests actionable solutions to improve care.

Dr. Tsao, a specialist in pediatric emergency medicine with a passion for prehospital care, shared her insights and findings during a recent interview. “When pain in kids is not treated, it can lead to adverse effects such as increased anxiety, decreased pain tolerance, and fear of future healthcare encounters,” she pointed out. The stakes are high, and the study highlights both challenges and opportunities for EMS professionals.