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PEM Chatt

Toni Dobson

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A peer-to-peer educational podcast about pediatric emergency medicine for the advanced practice provider. Hosted by Toni Dobson, APRN, MSN, FNP-C, ENP-C, RNC-OB, a Nurse Practitioner at Erlanger Children’s Emergency Department and Erlanger’s Obstetric Emergency Department.
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Welcome to TiPS: Today in Public Safety! Stay informed. Stay prepared. Stay connected. TiPS: Today in Public Safety delivers the latest insights in Next Generation 911 (NG911) and public safety technology, helping you navigate the innovations transforming emergency response. Hosted by Mark J. Fletcher, ENP (“Fletch”), a leading expert with 14 U.S. patents, each episode dives into real-world trends in NG911 implementation, interoperability, cybersecurity, and emergency communications strategy ...
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Nothing went wrong this year. No major outage. No catastrophic failure. No after-action report. But in public safety, the most dangerous incidents are often the ones that almost happen — and then quietly disappear. In this year-end episode of TiPS: Today in Public Safety, Fletch takes a hard look at near-misses in emergency communications and why t…
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Everyone loves to talk about redundancy in NG911. Dual fiber paths. Geographically diverse data centers. Hot-hot architectures and five-nines availability. But what if the biggest point of failure in your ESInet isn’t technical at all? In this episode of TiPS: Today in Public Safety, Fletch dives into the uncomfortable truth behind many NG911 deplo…
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Before Congress adjourned for the holidays, one number quietly hovered over a U.S. House Energy & Commerce Committee hearing like an unpaid bar tab: $15 billion. That’s the estimated cost to fully modernize America’s 9-1-1 system to Next Generation 911 (NG911). So here’s the real question: If NG911 is critical national infrastructure… Why are state…
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🎮🚨Sim City, PSAP Edition: Virtual Dispatch Worlds for Real-World Readiness ⚠️ Important Note: “Sim City, PSAP Edition” is NOT a real or commercially available video game. This episode uses the concept as a spoof and thought experiment to explore how high-fidelity simulation environments could—and should—be used to train Public Safety Answering Poin…
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❤️ T-CPR Saves Lives A human heart stops. The brain begins dying in four minutes. And across America, whether someone survives often depends on one thing: Did the dispatcher have a standardized Telecommunicator-CPR (T-CPR) protocol… or not? In this episode of TiPS: Today in Public Safety, Fletch takes a hard, honest look at T-CPR standardization, w…
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🚨 CAD OUTAGE! NOW WHAT?Inside the Modern ECC “Dark Mode” Playbook | TiPS Episode 25-1219 What happens when your CAD system crashes in the middle of a priority call? No tickets. No unit statuses. No AVL. Just dispatchers, radios, paper forms, and experience. In this episode of TiPS: Today in Public Safety, Fletch breaks down the real-world ECC Dark …
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🚨 SWATTING isn’t just evolving — it’s becoming automated. In this episode of TiPS: Today in Public Safety, Fletch takes on one of the fastest-escalating threats facing ECCs right now: AI-Enhanced SWATTING. This is no longer about prank callers or sloppy hoaxes. Today’s SWATTING attacks leverage synthetic distress, AI voice cloning, spoofed geolocat…
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LAST WEEK, I talked about the App Naughty List - But to be fair, NOT ALL apps misbehave. The ones that haven't deserve toys and goodies. For those that get lumps of coal - here are the things to work on . . . duplicate crash alerts bad GPS stale data automated noise “non-urgent” reports that create emergencies that clog the system app-generated met…
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When the map lies, everything breaks. In this episode of TiPS: Today in Public Safety, Fletch unpacks one of the most underrated — and most dangerous — failure modes in NG911: cascading GIS errors. NG911 routing depends on GIS accuracy down to the inch. But when boundaries drift, polygons overlap, gaps form, or LVF/ECRF systems fall out of sync, ca…
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When an IoT sensor cries wolf… who does your ECC believe? In this episode of TiPS: Today in Public Safety, Fletch breaks down an emerging threat to ECCs - with NG911 and modern emergency communications: the quiet, invisible ways sensor networks can fail — and how those failures can poison your ECC’s decision-making. From temperature probes to acces…
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Emergency Communications Centers are drowning in data — IoT alerts, GIS layers, CAD history, telematics, Z-axis coordinates, weather models, panic apps, smart building feeds, and the never-ending lineup of web portals. But while the data keeps piling up, the number of humans available to process it hasn’t changed. In this episode of TiPS: Today in …
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It's a new frontier of public safety fraud — AI-generated SWATTING bots. These systems aren’t prank callers. They’re fully automated digital attackers capable of: 🔹 Cloning voices 🔹 Mimicking panic 🔹 Driving SWATTING attacks at scale 🔹 Overwhelming ECCs with believable—but synthetic—calls In this episode, Fletch breaks down how these AI-driven “pan…
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🩺 Essential Medications in Pediatric Emergency Medicine - In-Depth Discussion with Clinical Pharmacists, Mager Raker and Morgan Padron 💊 In this episode of PEM CHATT 🎙️, host Toni Dobson is joined by clinical pharmacists Maggie and Morgan to delve into the key medications used in pediatric emergency medicine 🏥. They cover a wide range of topics, fr…
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What if the biggest threat to your emergency communications center isn’t a cyberattack… isn’t a hardware failure… isn’t even the network… …but the invisible radio waves leaking, bouncing, and blasting through your ECC every single day? In this episode, Fletch pulls back the curtain on one of the most under-diagnosed, under-reported, and absolutely …
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🎄 All I Want for Christmas is a Generator This episode dives into one of the most under-appreciated pillars of NG911: power resilience. From generators that “worked fine last year” to UPS batteries that lie to your face, to microgrids that could keep ECCs online during week-long outages — Fletch breaks down what really keeps emergency communication…
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Today’s episode digs into the scariest cybersecurity threat in NG911… the one sitting INSIDE your network. Session Border Controllers and Firewalls keep your ESInet safe — until they don’t. And too often, the biggest disruptions to 9-1-1 call delivery come not from nation-state attackers or ransomware groups, but from misconfigured security rules d…
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“95% Certain… BUT 100% Wrong: The Confidence Score Problem” What if your mapping screen showed a 95% confidence location for a 9-1-1 caller… …but the caller wasn’t actually in that building… or on that block… or even on the right floor? Welcome to today’s episode of TiPS: Today in Public Safety, where we dig into the surprisingly misunderstood real…
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In today’s TiPS episode, Fletch explains the annual holiday disaster affectionately called The NG911 Turkey Test — the Thanksgiving surge that reveals every weakness in our public safety networks. We discuss why Thanksgiving consistently generates the strangest call traffic of the year, what really fails during surge conditions, and how NG911 netwo…
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In this episode of TiPS: Today in Public Safety, Fletch dives into a topic that sounds futuristic but is already knocking on the ECC door: AI-powered “dispatch doppelgängers.” These aren’t JUST chatbots, scripts, or templates — they’re digital twins of your best call takers, created from real performance data to help with training, simulations, and…
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In this episode of TiPS: Today in Public Safety, Fletch opens the door to the part of NG911 nobody really wants to talk about — the data closet. As multimedia floods the ECC from every direction — drones, doorbell cameras, IoT sensors, telematics, citizen uploads, automated crash detection, AI transcripts — public safety centers are rapidly becomin…
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In this episode of TiPS: Today in Public Safety, Fletch dives deep into the digital mirror of modern surveillance — facial recognition. Once a science-fiction fantasy, it’s now a standard tool in airports, schools, and law enforcement agencies across the country. But as its capabilities grow, so do the ethical concerns. He explores both sides of th…
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Quantum Dispatch: Where Seconds Don’t Wait Their Turn What if your 9-1-1 call didn’t have to travel anywhere — it just existed everywhere at once? In this mind-bending episode, Fletch dives headfirst into the strange and brilliant world of quantum communication and explores how it could redefine the very concept of “response time.” From Einstein’s …
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OK, Public Safety, put on your headsets and fishnets — because we’re doing the Time Warp again! In this nod to The Rocky Horror Picture Show, that classic 'participation-movie from the 80's, Fletch takes a musical-themed romp through the endless loops of 911 innovation, where every “revolutionary” upgrade somehow looks suspiciously like the last on…
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What if your smartwatch could give you a 10-second head start before the ground starts shaking? In this episode of TiPS: Today in Public Safety, Fletch explores how the next generation of wearables, smartphones, and IoT sensors are transforming into a global, crowd-sourced earthquake early-warning network. Billions of accelerometers already track o…
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Imagine it’s 3 a.m. on a bridge. The wind is cold, tension is high, and every word matters. The negotiator’s voice is calm — but just behind them, an artificial intelligence system listens too. It’s analyzing tone, pacing, and breathing, quietly suggesting when to push, when to pause, and when to just listen. In this episode, Fletch explores the em…
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🎉 In this special 1-year anniversary episode of PEM CHATT, host Toni Dobson reflects on the podcast’s growth and welcomes guest Dayna Jaynstein, PA, to discuss the critical topic of maternal mortality. Together, they explore why the U.S. has the highest maternal mortality rate among developed countries, highlight the unique risks for Black and Nati…
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What happens when a 9-1-1 call comes in—and nobody speaks the same language? In the past, that meant putting callers on hold, dialing interpreter hotlines, and hoping the connection held. But in today’s Next Generation 911 world, artificial intelligence is stepping in as the universal translator that never sleeps. In this episode, Fletch dives into…
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🎥 TiPS Episode 25 1103 – “Security Teams: Red vs. Blue” By Fletch — ENP In this high-energy episode of TiPS: Today in Public Safety, Fletch dives deep into the fascinating (and sometimes chaotic) world of Red Team vs. Blue Team cybersecurity — where the defenders and the attackers work for the same organization, and the battle happens entirely in c…
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🎃 HAPPY HALLOWEEN TELECOMMUNICATOR PROFESSIONALS! 🎃 When the ECC loses power or the network falls silent, what happens next? In this Halloween-themed TiPS episode, Fletch explores how redundancy, failover, and human ingenuity keep 9-1-1 alive through blackouts and cyberattacks. From LTE backups to hot-standby CAD systems, and the dispatchers who ne…
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Artificial Intelligence is no longer a buzzword—it’s becoming your new console partner.In this episode of TiPS: Today in Public Safety, Fletch explores how telecommunicators are adapting to AI tools that transcribe, analyze, and predict incidents before human operators even lift a headset.From real-time call transcription to predictive dispatch ass…
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Your voice is your most powerful tool — and for dispatchers, it’s the one that carries calm through chaos and clarity through confusion. But what happens when that voice is sore, strained, or suddenly unreliable? In this episode, Fletch draws from his radio and voice-over background to share practical advice on protecting, maintaining, and tuning y…
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🚨 SPECIAL REPORT: When Your Smartphone Fails the One Call That Matters Most In this urgent TiPS episode, Fletch delivers a critical update that every Google Pixel user needs to hear. Reports are surfacing that certain Pixel models — including the latest Pixel 10 series — may fail to connect to 911 or produce unusable, distorted audio when attemptin…
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In this episode of TiPS: Today in Public Safety, Fletch discusses why “speaking AI” is becoming an essential skill for 911 professionals, managers, and technologists. Learn how to craft queries that yield relevant, reliable answers — and understand how poor prompting can cause bias, misinformation, or even dangerous assumptions. Topics include: How…
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The next generation of first responders may not wear a uniform — they might fly. 🚁 In this episode of TiPS: Today in Public Safety, Fletch explores how swarm intelligence is taking flight in Public Safety drone operations. Coordinated drone networks are evolving beyond simple video feeds — they can now assess hazards, deliver medical supplies, and …
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Autonomous vehicles are already cruising our streets — but what happens when they respond to emergencies? In this episode of TiPS: Today in Public Safety, Fletch explores the merging worlds of AI, automation, and emergency medical response. From NG911 data and telemedicine to driverless ambulances and ethical dilemmas, this episode dives deep into …
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Hey, it’s Fletch — ENP and founder of Fletch911 Consulting LLC — with your weekly look ahead at what’s coming up on TiPS: Today in Public Safety! 🚨 Here’s what’s on deck this week: 🔹 Monday, October 20: We kick things off with a look at autonomous vehicles in Public Safety — specifically how self-driving medical response units could reshape the way…
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It’s spooky season at the PSAP, and this week we’re patching more than pumpkins. “Pumpkin Patching Security in the PSAP” explores cyber hygiene for dispatch centers with humor and a snarky Halloween flair. Learn how unpatched systems “rot,” why firmware is your overlooked ingredient, and how to keep your network from turning into a haunted house. P…
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In this episode of TiPS: Today in Public Safety, Fletch explores a rising cybersecurity threat that doesn’t depend on malware or brute-force hacks — it depends on YOU. Discover how artificial intelligence scams are targeting ECCs and PSAPs through cloned voices, deepfake video calls, and synthetic citizens. Fletch explains how these social-engineer…
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Can blockchain really improve 9-1-1 security? In this episode of TiPS: Today in Public Safety, Fletch explains how the Blockchin distributed-ledger technology is used to revolutionize the way PSAPs track and share incident data. You'll learn what blockchain actually is (it's NOT just for crypto-currency) why public-safety networks absolutely need i…
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In this episode of TiPS: Today in Public Safety, Fletch examines the increasing legal and ethical concerns surrounding AI-powered automatic dispatch. What happens when your smart system acts before a human does — and gets it wrong? From false alarms and over-dispatches to data privacy, bias, and liability, this episode examines the real-world conse…
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NG911 i3 moves calls on IP; A NENA i3 EIDO moves the facts that matter. In this episode of TiPS, Fletch explains what to include, what to omit, and how to test handoffs between PSAPs, CADs, and field apps when implementing the NG911 EIDO. He covers governance, privacy, and quick wins for both ECCs as well as commercial enterprise customers. Inside …
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In this episode of 🎤PEM CHATT, host Toni Dobson is joined by pediatric clinical pharmacists 💊Maggie Raker and 💊Morgan Padron for an in-depth discussion on antibiotic use in the pediatric emergency department. The conversation highlights the unique and invaluable role clinical pharmacists play in patient care, from assisting with medication selectio…
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A practical walkthrough of vertical location in NG911: what Z‑Axis measures, how to translate altitude to a floor number, and why confidence and presentation matter. We cover building‑sourced GIS layers, active NENA guidance, and a checklist for enterprises to prepare data now. Key topics in this episode: X/Y vs Z: the high‑rise gap Device altitude…
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🔥 NEW EPISODE: GIS in NG911 🔥 Bad maps result in bad 911 calls. Good maps provide a faster, intelligent, safer response. Check out my latest TiPS: Today in Public Safety podcast, where Fletch explains why GIS isn’t a side salad — it’s the main course for NG911 services, and why your network MUST have it in placea and it must be ACCURATE! 👉 Listen n…
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Today on 911tips.com: Green Channel 911. In this episode, I’ll break down a practical and secure identity model for NG911: Person–Device–Place (PDP)—and how it can fast-track trusted data while throttling swatting noise. We’ll cover playbooks, outage modes, equity, and what to pilot first. If you run a PSAP or connect enterprise systems to public s…
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Pumpkin Spice & Call Surges: Weatherproofing the ECC for Fall 🍂 As pumpkin spice season arrives, so do frosty mornings, dark commutes, and weather-driven spikes in 911 calls. From car accidents on icy roads to Carbon Monoxide alarms when the furnace clicks on, fall always brings its own “flavor” of emergencies. In this episode of TiPS: Today in Pub…
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🚨 TiPS: Today in Public Safety – Episode 25 0926 🚨 Wearable Tech to Monitor Dispatcher Wellness What if, while you’re handling a 911 call, the system could quietly monitor your wellness too? In this episode, Fletch explores how AI voice sentiment analysis and wearable IoT devices are being designed to track dispatcher stress and well-being in real …
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🚨 TiPS: Today in Public Safety – Episode 25 0924 🚨 AI Trainers – Robo-Callers You Actually Want What if you could train with the toughest 9-1-1 caller you’ll ever face — on demand? In this episode of TiPS: Today in Public Safety, Fletch dives into how AI role-playing callers are changing the game for emergency telecommunicator training. Unlike scri…
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What if your CAD worked like Alexa—but instead of playing your favorite playlist, it dispatched a fire truck? 🚒 In this episode of TiPS: Today in Public Safety, Fletch explores the rise of voice-controlled CAD and app navigation inside 911 centers. From reducing dispatcher fatigue to speeding up call handling, voice could become the dispatcher’s ne…
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Trust is the oxygen of Public Safety—you don’t notice it until it’s gone. In this episode of TiPS: Today in Public Safety, Fletch dives into how agencies can earn, maintain, and rebuild trust with their communities by being transparent. From data dashboards to body-worn cameras, AI call triage to dispatcher storytelling, transparency isn’t just goo…
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