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We sit down at Garrison Brewing with Dr. Andrew Travers, Nova Scotia’s EHS medical director, to unpack how a care-first 911 system can calm panic, deliver treatment faster, and often avoid an unnecessary ambulance ride. From text-to-video assessments that let clinicians see a wound in real time to nurse and physician callbacks that build a safe plan without leaving home, Andrew shows how “time to care” now trumps “time to arrival.”
We explore Integrated Health Programs and the paramedic “Jedi” who operate single-response units, treat on scene, and coordinate with doctors to keep patients safe and out of crowded waiting rooms. The numbers are striking: roughly a third of 911 calls end without transport, and specialized units non-transport most cases while maintaining safety. Andrew explains the public utility model that powers EHS, why Nova Scotians own the system, and how moving lifesaving treatments upstream—like thrombolytics for heart attacks or early antibiotics for sepsis—saves lives and dollars.
The conversation widens to prevention and community health. Using real-time surveillance to spot opioid hot spots, connecting callers to 211 for social supports, referring seniors directly to falls clinics, and enrolling frequent callers in special patient plans—this is EMS as a network, not just a ride. We also tackle burnout with practical tools like debriefs and “green/yellow/orange/red” mental readiness checks, and we look at AI that hears distress in a caller’s voice or reads a pulse through a phone camera without replacing the human connection that makes care humane.
Subscribe for more conversations that challenge old assumptions about emergencies, healthcare access, and what “good care” looks like in 2025. If this episode gave you a new way to think about 911, share it with a friend and leave a review so others can find it.
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Chapters
1. Card Trick Cold Open (00:00:00)
2. Meet Dr. Andrew Travers (00:01:24)
3. From Brewing Dreams To ER Medicine (00:03:14)
4. What Happens When You Call 911 Now (00:06:34)
5. Video Triage And Text-To-Video Care (00:11:09)
6. Rethinking Response Times And Care First (00:14:54)
7. Integrated Health Programs Explained (00:18:44)
8. Paramedic “Jedi” And Non-Transport Care (00:23:54)
9. Public Utility Model: How EHS Works (00:29:23)
10. Costs, Ambulance Fees, And Misconceptions (00:34:08)
11. Quintuple Aim And Prevention Lens (00:38:13)
12. Seniors, Falls, And Community Health (00:44:03)
13. Burnout, Debriefing, And Staying “Green” (00:48:23)
14. Doing More Upstream: Drugs In Ambulances (00:52:13)
15. AI, Signal In Noise, And Remote Vitals (00:56:43)
16. Ten Questions Lightning Round (01:01:23)
17. Last Call: Stay Connected With Family (01:09:43)
136 episodes
