When the mechanism is high and the vitals don’t match, what do you do next? In this episode of Code 321 , Nick and Prescott sit down with flight paramedic Stew Hall to talk real trauma. Bleeding you can't see, curveball patients who "look fine," and why good BLS can make or break the golden hour. From the back roads of Vermont to the back of the aircraft, this is trauma care right of boom .
This month, Prescott is joined by his twin brother, Major Will Nadeau of the U.S. Marine Corps. They dive into the shared values of the military and fire service — tradition, discipline, and the relentless pursuit of excellence. From clean trucks to combat readiness, this powerful episode explores why the little things matter and how holding the line on standards builds elite teams.
Nick and Prescott sit down with longtime friends and fellow firefighters Dave, Whitney, and Eddie for an honest, funny, and heartfelt chat about life in the fire service. From rookie stories to firehouse culture and leadership lessons, they reflect on what brought them to the job—and what keeps them coming back. It’s all about the people, the kitchen table, and the moments that matter.
Steve Petit is a Deputy Chief of Administration for the City of Burlington Fire Department in Vermont. He has over 20 years of experience in the fire service in various levels of leadership. Steve has also served in EMS and Technical rescue capacities with a special passion for teaching Rope Rescue Operations. This episode, Nick and Prescott talk with Steve about how you can get yourself ready to receive feedback. Explore why it goes so wrong and what we can learn about ourselves to better respo...
Dr. Chance Sullivan joins Nick and Prescott to talk medicine in the mountains this month. Chance is an attending ER physician in Colorado just outside Denver. Before medical school, he worked as a backcountry guide in Yellowstone and Grand Teton National Park. He has spent two summers as an expedition physician in Alaska for the Juneau Icefields Research Program and also spent a season working at the high-altitude medical clinic in Argentina on Aconcagua, the highest peak outside the Himalayas. ...
Welcome back to Season 5! After almost 5 years of the show, Code 321 officially has a new co-host. Prescott Nadeau, a long-time friend of the show and host of his own Life, Fire, Layout podcast, joins our team to discuss all things morale. Nick and Prescott talk about what makes employees happy and what both sides of the chief's desk can do to make the organization thrive.
Eryn Hart is a high-risk Maternal-Fetal Medicine Surgeon at Crowell Health West in Grand Rapids, Michigan. Before working as a doctor, she served as a 911 provider at the EMT, AEMT, and Paramedic levels. She has completed a residency in Obstetrics/Gynecology and a fellowship in Maternal-Fetal medicine. Eryn also serves in the United States Navy Reserve as a Maternal-Fetal physician. This episode explores the world of caring for high-risk pregnant women and their babies.
Courtney Tomaino is a state-level administrator and a current NREMT Paramedic. She has served in volunteer and paid EMS services in capacities ranging from CPR-certified driver to crew chief paramedic while raising a family with young kids in Vermont. She is involved in training, education, clinical practice, and administration centered around EMS providers. This episode is the second in the Lessons in Leadership series and dives deep into the work-life balance discussion many services face toda...
This episode of the show dives into ten common pitfalls in treating a sick hypothermia patient with a brief look into the rationale behind it. From equipment to cellular metabolism, this episode will help identify and prevent the common problems with this atypical patient. Below are the references to read through the source documents for this content. AHA Part 10.4: Hypothermia www.circulationaha.org DOI:10.1161/CIRCULATIONAHA.105.166566 Rischall ML, Rowland-Fisher A. Evidence-Based Management O...
This special sneak peek is a selection from Precision’s national conference talks on training program methodology. Everyone wins when the training programs work, so where does it go wrong? This episode will dive into the fundamental structure of a training program and why students succeed. Did you know Precision offers consultation for training program design? Everything from writing a full curriculum to tutoring struggling students. Check out all Precision has to offer at www.precisiontrainingu...
This episode is for the techies. Artificial Intelligence isn’t just for Science Fiction anymore. The technology is here and rapidly moving into the healthcare field. This episode breaks down the types of AI, how it learns, and how it is being used in the healthcare system so far. How do you feel about AI in the healthcare system? Visit www.precisiontrainingusa.com to connect and share your thoughts.
Critical Care Nurse Riley Hoke joins the show to share the nitty gritty about DKA pathophysiology, identification, and management. Riley has worked as a 911 Advanced EMT, a Medical Intensive Care Unit (MICU) Nurse, and a flight nurse for the UVM Health Network transport team. This episode will dive into the complex pathophysiology of DKA and how treatment is much more than just lowering the blood glucose level.
This episode of the Code 321 Podcast features Colleen Githens, a flight-certified respiratory therapist with 14 years of experience in emergency respiratory care. Colleen has served all patient populations as an RT including as a member of the critical care flight team. Colleen shares tips about how to approach sick pediatric patients and how to prepare for the kids in distress.
Emergency Medicine Toxicology Doctor Joe Kennedy joins the show to share about how he approaches a patient who might be suffering from a toxicology emergency. From mushrooms to grandma’s medication, it’s his job to figure out what chemicals are causing the issue and correct them. Did you know the poison control hotline has an option for medical providers? Give them a call next time you encounter a toxicology case in the field (1-800-222-1222), you might hear Dr. Joe Kennedy on the line!
This month's episode is for the nerds. Dive deep into cardiac physiology, pharmacology, and invasive hemodynamics of a critical care patient. Have you ever wondered what critical care transport patients are like? Have your Google machine and a hot cup of coffee ready. Remember, anatomy, physiology, and pathophysiology are the building blocks of great patient care. Special thanks to Dr. Doug George and Megan Papineau for their assistance on this one.
Derek Gavelis is a seasoned outdoor adventurer and current firefighter. Derek shares how years of high-risk adventure sports like rock climbing, ice climbing, mountaineering, and kayaking have taught him life lessons he applies to his career in emergency services. Derek shares how adrenaline seekers share parallels with those responding to emergencies.
Kyle Blake is a Lieutenant assigned to Engine 1 in Downtown Burlington, Vermont, and is the Recruit Academy Lead Instructor for new firefighters in the department. Kyle is responsible for developing the next generation joining the department ranks with a novel approach to entry-level firefighter training. Today’s episode is the first in a new series from the Code 321 Podcast called “Lessons in Leadership”. Kyle shares how experiences in his own life have helped develop his strategy for leading f...
David Weiss is a Critical Care Flight Nurse (CFRN) who serves on the Vermont State Urban Search and Rescue (USAR) Team. As a nurse, David works full-time in a Level 1 Trauma Center Emergency Department and with the UVM HealthNet Transport Critical Care HEMS Program. He started his EMS career at 16, working on various EMS agencies in the Northeast. David holds specialty care certifications in Critical Care, Pediatrics, Emergency Medicine, and trauma care. This episode dives into how the USAR memb...
Part 2 of The Opiate Problem discusses potential solutions such as Safe Injection Sites (SIS), Community Response Teams (CRTs), Methadone, Suboxone and Buprenorphine use (Carroll, 2020). This month’s Code 321 Podcast will feature a two-part series with Patrick Crowley of vtdigger.org. Patrick and I worked at the Burlington Fire Department together as Firefighter/EMS providers. Patrick is now a reporter with vtdigger.org and joins me to discuss his two-part article series entitled “The Third Wave...
This month’s Code 321 Podcast will feature a two-part series with Patrick Crowley of vtdigger.org. Patrick and I worked at the Burlington Fire Department together as Firefighter/EMS providers. Patrick is now a reporter with vtdigger.org and joins me to discuss his two-part article series entitled “The Third Wave” (links below). Part one of this series will explore how opiates have become such a problem and why our communities are fighting an uphill battle with this deadly epidemic. Part 2 of The...
This episode of the Code 321 Podcast takes a deep dive into Ketamine. Since the creation of the drug in the 1960s, it has been a staple of the medical community for a wide variety of treatments. Learn about the history of this medication, how it works, why it is loved (or hated) and what is coming next in the world of Ketamine use. The article used in the creation of this podcast is “Use of Ketamine During Procedural Sedation” by Tonya Jolly and Heather McLean of Duke University Medical Center (...
United States Air Force Pararescue Jumper Paul Barendregt joins us from Alaska to talk about his 25-year career in the Special Operations Community as an PJ. Paul has conducted missions on all 5 continents with multiple combat deployments. Paul is also the owner of PJB Solutions, LLC offering leadership and medicine in the operational environment. Today’s episode we learn a little bit about the USAF PJs and what they do to save lives.
Northeast Emergency Training Solutions, LLC owners Nick Carson and Tim Ferris share some brief thoughts on the EMS World Expo Conference live from New Orleans, Louisiana. NETS was selected as a Pre-Conference workshop for our “Hardening the Target: Preparing Your Community for the Active Threat”. Make sure to check out “Life Fire Layout” on Apple Podcasts. Prescott Nadeau (who is a reoccurring guest on Code 321) interviews Nick Carson on the recent NETS TACMED full scale exercise. https://podcas...
Join us this month to discuss 5 lessons learned from the critical care orientation process. Set yourself up for success by practicing the fundamentals and prioritizing responsibilities in the correct order. The lessons we will discuss in this episode are:
Today’s episode features Corey Souza, a current firefighter/paramedic. We talk about Atul Gawande’s book, Being Mortal: Medicine and What Matters in the End. We should be viewing our patients’ experiences through their eyes, learning what their priorities are and respecting their wishes. The medical provider can help facilitate the life our patients want with every contact. Listen now to learn how the lessons learned from this book could affect your practice.
On this episode of the Code 321 Podcast, Nick dives deep into the 2023 Summer NAEMT Newsletter. Specifically, the article found on page 10, Tips for Creating a Culture of Workforce Engagement (NAEMT, 2023). Listen to the episode and check out the links to learn more! Make sure to leave us a review on Apple […]
Today’s episode features our Director of Operations, Kyle Brouliette as we discuss the purpose and design behind our Active Threat Response programs. Unfortunately , these events have become common place and we need to be prepared to address the loss of life. In this episode, learn why and how we have developed our training programs […]
In this episode of the show, Rebecca shares her experiences as a DCF supervisor and investigator while giving tips to providers. It is not just the scary photos in the back of the textbook, let’s dive in and discuss what the DCF does and the role of an EMS provider in the system built to […]
Welcome back listeners! As the podcast host, it felt important to give the listeners a quick update as to why we needed a little break from the show. Thank you for the support and we look forward to releasing new episodes monthly! Make sure to give us a good rating on Apple and Spotify if […]
Can you visualize what is happening inside of the body when you are treating your patients? Do you know what it is supposed to look like, how it is supposed to operate, and what you need to do to fix it? This episode features. Captain/Paramedic John Christman as we discuss how students can apply their […]
