Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers - podcast cover

Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Ross Orpet, Paramedic turned EMS Physicianemspodcast.com
Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters. Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production
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Episodes

Your Mental Health Matters - Let’s talk about it.

This is a tough job and we all have scars from it. It's time to quit sweeping them under the rug and start openly discussing them. This episode was inspired by an upcoming documentary- "Into the Unknown, the Paramedics Journey". You can check out the trailer and more about the movie here - https://intotheunknowndoc.com/watchtrailer/ Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Mar 01, 202320 minEp. 36

Should we be giving steroids in cardiac arrest? With pharmacist Lance Ray.

Emergency pharmacist Lance Ray helps us breakdown the latest literature with regards to steroids in cardiac arrest. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Andersen LW, Isbye D, et al. Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021 Oct 26;326(16):1586-1594. doi: 10.1001/jama.2021.16628. PMID: 34587236;...

Feb 15, 202317 minEp. 35

Dangers of Lights and Sirens plus more. 2023 NAEMSP recap.

Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction gave insights to a whole range of topics. I had the pleasure of getting to see some of them. Check out this recap to learn more. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Feb 01, 202333 minEp. 34

Mac 3 vs Mac 4 - Which blade should you use?

Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full article here. https://link.springer.com/article/10.1007/s00134-022-06832-9?mc_cid=93f14f4c87&mc_eid=65c52bf2df Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Dec 31, 202219 minEp. 32

The Ideal Trauma Call: You Were Taught Wrong, Traumas Not Algorithmic.

Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency Physicians, and Paramedics to help clearly delineate our priorities in trauma. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses To view the whole document visit our website: The Ideal Trauma Ca...

Dec 15, 20221 hr 2 minEp. 31

The Sick Asthmatic- You're thinking about it wrong, this is so different from other causes of respiratory distress

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Nov 30, 202223 minEp. 30

What did you just take? Novel Drugs of Abuse with Dr. Matsler

It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to take us through how novel drugs escape our legal system and what the dangers are. And a new update on good ol' meth too! Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Full show notes at: EMSpod...

Oct 31, 202245 minEp. 29

Don't Miss Something Important, Your Physical Exam Matters

Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams? Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Sep 30, 202226 minEp. 28

Snake Bites

Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Aug 17, 202237 minEp. 29

The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis

Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and why these patients are so dangerous to intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

May 02, 202218 minEp. 24

The Physiologically Difficulty Airway - Part 2: Hypotension

Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Mar 31, 202217 minEp. 23

Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma?

We discuss the following paper and its impact on our prehospital management. Prehospital narrow pulse pressure predicts need for resuscitative thoracotomy and emergent intervention after trauma Schellenberg M, Owattanapanich N, Getrajdman J, et al. J Surg Res. 2021;268:284-290. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Feb 28, 202214 minEp. 22

The Physiologically Difficult Airway - Part 1: Hypoxia

Ross and Matt discuss the importance of preoxygenating hypoxic patients prior to intubating them. This is the first of a 4 part series on the physiologically difficult airways. Link to the makeshift CPAP: https://www.youtube.com/watch?v=yHGMIQBak6A Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Feb 01, 202215 minEp. 21

Does your radio work? In the middle of an MCI is too late to find out.

Will Berry and Ben Fisher join the show again to teach us about the handheld device on your hip. Do you really know how to use your radio? What do you do if it fails? It's important to talk and think about these things before they happen. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Dec 31, 202144 minEp. 20

Don't Miss Carbon Monoxide Poisoning

Paramedic Will Berry sits down with toxicologist John Rague to talk about all things carbon monoxide including why snorkels aren't helpful. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Nov 02, 202151 minEp. 19

Your Run Report Matters More Than You Think

Ben Fisher, paramedic and NEMSIS guru, joins us to talk about what NEMSIS is and it's importance to the career field. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Sep 30, 202125 minEp. 18

When the provider becomes the patient

Glen Andrews has 28 years of experience in medicine but on July 21st, he had to put all of his experience behind and surrender his fate to the care of others. Join us to hear how this event changed him and the insights he has gained from now being on both sides of the gurney. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Aug 31, 202131 minEp. 17

Dirty Epi drip - We Don't Call it Dirty For Nothin'

We sit down with pharmacist Lance Ray about dirty epi drips. These are probably our best prehospital option but they aren't silver bullets and they come with downsides. In other words, "we don't call em dirty for nothin." Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

May 31, 202126 minEp. 15

Digoxin Toxicity and Other Cardiac Glycosides with Dr. Rague

Emergency Physician and Toxicology Fellow John Rague joins us to discuss the presentation and management of digoxin toxicity in addition to other cardiac glycosides. Digoxin is not as commonly prescribed anymore thus our teaching on this topic has become less common. But digoxin and other cardiac glycosides are still available and used today so it's still important to understand the recognition and treatment of this toxicity. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for ...

Apr 30, 202118 minEp. 14

MCI - Don't Be Unprepared for the Unexpected

A deep dive on MCI with Will Berry. You have to practice. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Apr 01, 20211 hr 4 minEp. 13

One of the Sickest Patients- Calcium Channel and Beta Blocker Overdose with Dr. Camarena-Michel.

Toxicology fellow extraordinaire Alexa Camarena-Michel, MD joins us again to talk about one of sickest overdose patients you may see. Calcium channel blocker and beta blocker overdose patients can be really sick and are often refractory to our standard therapies. Learn how to better manage these patients. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Mar 01, 202124 minEp. 12

Stuck Outside- Hypothermia with Dr. Martin Musi

A longer one than usual. We take a deep dive into hypothermia with wilderness medicine physician and expert Martin Musi. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Jan 31, 20211 hrEp. 11

Simple Approach to Caustic Ingestions

Alexa Camarena-Michel teaches us a simple approach to caustic ingestions and more. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Dec 31, 202017 minEp. 10

Why You Can't Oxygenate - A lot of ARDS and a little bit of COVID

Dr. Wright joins us to discuss acute respiratory distress syndrome (ARDS). There has been a lot said about ARDS recently given some of it's similarities to the COVID-19 disease process. That being said ARDS has been around for a long time and is very much its own disease process. We discuss how to define it, how to recognize it, and how we treat it. There are some great media and pictures to help illustrate the points made in this episode on our website. Check out the show notes at https://emspo...

Nov 30, 202031 minEp. 9

Misdiagnosed- in-depth look at how problems with blood sugar gets missed

Undiagnosed or misdiagnosed diabetes is common because of how vague the symptoms can be. Chief Harper from Denver Paramedics tells us his incredible personal story dealing with his son's diagnoses, his path to becoming an expert on diabetes, and how we should think about this as prehospital providers. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses...

Oct 19, 202037 minEp. 8

Making the call - tips on calling for medical direction

This month we sit down with Assistant Medical Director Whitney Barrett to discuss the dos and don'ts of calling in for medical control. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses

Sep 18, 202021 minEp. 7
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