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Pragmatic Paramedics

Welcome to PragMed. A podcast hosted by medics for medics. We talk about everything from best practice prehospital medicine to coffee. We are not the average clinical health podcast that pretends to know it all, we find the experts and ask them what they feel is best for prehospital medicine. We hope that you not only enjoy but contribute to the discussion and grow with us together. No topic is off the table, and we only ask that you be respectful of another. Otherwise, grab a cup of coffee and let us get to chatting. Thank you.
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Episodes

PragChat Year End Topics with PreparedMed

In this episode, Aaron and Jason sit down with Kevin from PreparedMed and discuss popular EMS topics from 2024. We discuss leadership, EMS on duty carry, and a couple more hot topics within the EMS community. The discussion has a lot of our personal solutions and thoughts for the problems discussed. We had a ton of fun discussing the topics and think that you will enjoy the wide ranging discussion. As always, thank you for listening and let us kow your thoughts. We appreciate Kevin coming on the...

Jan 13, 20251 hr 40 minSeason 2Ep. 26

PragChat Potpourri with The EMS Lounge

In this episode, Aaron and Jason sit down with G from the EMS Lounge and discuss a wide variety of topics. We talk pay, education, trolling on IG, and other topics. This is a fun episode with a ton of different viewpoints on a variety of different topics. You will definitely laugh during this one and may even think about some topics in a different light. Thanks for listening and as always, please let us know what you think. Big thanks to G for coming on and having this discussion with us. You ca...

Dec 09, 20241 hr 8 minSeason 2Ep. 25

PragChat on Professionalism vs Career with Ordinary Ops Medic

In this episode, Aaron and Jason sit down with Cory from Ordinary Ops Medic and discuss whether EMS is a career, profession, or both. All three of us have different thoughts or opinions and those opinions hopefully get you to think differently. We can all agree that EMS needs a massive mindset shift and we hope that this episode gets you to think about how you can change EMS for the better. This is a great discussion that touches on multiple thoughts and ideas. Thanks for listening and as always...

Nov 11, 20242 hr 4 minSeason 2Ep. 24

PragChat with The Mindful Medic

In today's episode, Aaron and Jason, sit down with Jason Warn, the Mindfulness Medic and talk about mental health and physical fitness in EMS. We discuss a wide variety of topics, how mental health is impacted by physical fitness, performance at work and the impacts poor mental and physical health impacts providers professionally and personally. This topic is rarely discussed but we feel like the topic is worthy an indepth, intelligent conversation and contributes to how we provide care to patie...

Sep 23, 20241 hr 7 minSeason 2Ep. 23

PragChat about Professionalism

In today's episode, Aaron, Jason, DR, and Chris sit down and roundtable the topic of professionalism in EMS. We discuss appearance, uniforms, performance and how all these contribute to how EMS is perceived by the public. This topic is rarely discussed but we feel like the topic is worthy an indepth, intelligent conversation and contributes to how we provide care to patients and increase EMS standing in the public service arena. Thanks for listening and let us know what you think! Thanks to @dis...

Jul 22, 20241 hr 22 minSeason 2Ep. 15

PragChat Mental Health with Boomer

In this episode, Aaron and Jason sit down with James Boomhower (Boomer) from StayFit4Duty and talk about mental health and resources for first reponders. Boomer has been involved in EMS for over 20 years in a variety of health systems throughout New England. He currently functions in the role of Critical Care Transport Specialist-Paramedic/ Lead Peer Support Director and is working on obtaining his Masters in clinical psychology. We discuss the different aspects of mental health, what signs to l...

Jun 10, 202457 minSeason 2Ep. 16

PragChat with Alert Medic 1 about NAEMT Interview

In this episode, Aaron and Jason sit down with Mustafa, Josh and Ken from Alert Medic 1. We discussed the interview they had with the oncoming NAEMT President-Elect Chris Wray . The discussion covered our differing views on education, pay, reimbursement, and our feelings about the NAEMT. There was also an indepth discussion on the Advanced Paramedic Practioner concept as well. We had a great time with Alert Medic 1 crew and they are throughtful, intelligent medics who are willing to have profess...

May 20, 20241 hr 10 minSeason 2Ep. 15

PragChat Scene Times with the PrepMedic

In this episode, Aaron and Jason sit down with Sam, the PrepMedic . Sam is a current flight medic, has a popular YouTube channel , and is the PrepMedic . We discuss scene times and why they are important, education, and other topics in this episode. Sam brings a ton of different, life experience and thought into this conversation that shows why our profession is extremely nuanced. This is a great episode that presents the topic in a way that is not frequently discussed and hopefully gets you to ...

Apr 17, 20241 hr 16 minSeason 2Ep. 15

PragChat about Education with the APA

In this episode, Aaron and Jason sit down with Nick Nudell from the American Paramedic Association and discuss EMS education. Nick is a current paramedic, a Ph.D student, and a founder of the only advocacy group that is made up of paramedics. We chat about the different ways the APA advocates for paramedics and the ways that we can improve the current education model. This is a lively discussion with a variety of ideas discussed and what the model may look like in the future. Thanks for Nick for...

Apr 08, 202459 minSeason 2Ep. 14

Pragchat with Dr. Schauer(armyemdoc)

In this episode of PragChat, Aaron and Jason sit down with Dr. Schauer ( @armyemdoc ) to discuss research papers and his thoughts on some trauma topics. Understanding research and how to interpret research papers is valuable to improving our practices and Dr. Shauer does a great job of breaking down how to interpret data and research. Dr. Schauer also discusses some trauma topics as well that is backed up by evidence based medicine. This was one of the most informative episodes on how to effecti...

Mar 11, 20241 hr 6 minSeason 2Ep. 16

PragChat IVs with The Vascular Guy Part 2

In this episode of PragChat, Aaron and Jason sit down again with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include psychology of starting IVs, best practices, and variety of additional topics. We had a blast talking with Dennis again and he is a great guest with lots of applicable knowledge. We know he is a RN but he is a friend to EMS and i...

Feb 26, 20241 hr 43 minSeason 2Ep. 15

PragChat IVs with The Vascular Guy Part 1

In this episode of PragChat, Aaron and Jason sit down with @thevascularguy and discuss IV's. Dennis is an interventional vascular access RN and comes to the show with a wealth of valuable information concerning IV access. We discuss a variety of topics that include ED and EMS relationships, why IV's are important, selecting the best catheter, and other topics. We had a blast talking with Dennis and this is only Part 1 since we barely touched on all the topics we wanted to chat with him about. We...

Feb 05, 20241 hr 9 minSeason 2Ep. 14

PragChat REBOA with TacTrauma MD

In this episode of PragChat, Aaron and Jason sit down with Dr. Jeremy Kaswer and discuss REBOA. REBOA has been a hot topic recently due to a recent paper that presented some new information concerning patient outcomes. Dr. Kaswer discusses what REBOA is, how it works, why it could become a valuable tool in trauma, and other aspects. Dr. Kaswer a surgical critical care fellow at the Hospital of the University of Pennsylvania and a flight surgeon with the 28th ECAB in the Pennsylvania Army Nationa...

Nov 06, 202346 minSeason 2Ep. 13

PragChat about Education with Max Dodge Part 2

This is the second episode in our education series with Max Dodge, where we discuss education and standards for EMS and why they’re so important to the growth of the industry. Currently, the highest level of practice for paramedics to attain is literally paramedic. Talk about a ceiling. Sure you can improve your skill set and be a better medic but there’s nothing formal after medic. Even FP-C, as much as some people want to believe that it’s a step above a “regular” medic isn’t truly a “higher” ...

Oct 23, 20231 hr 27 minSeason 2Ep. 13

PragChat about Education with Max Dodge

In this episode of PragChat, Aaron and Jason talk with Max Dodge about paramedic education. We discuss the reasons why we should have different levels of degrees and the reasons why they are important. We also discuss why EMS should be professionalized and how that process looks. We had a great chat with Max about this topic and how we can help influence change within our profession. It is a needed discussion and we look forward to having Max back on the show. Thanks for listening and as always,...

Sep 25, 20231 hr 31 minSeason 2Ep. 12

PragChat with the Disruptive Ranger (Part 2)

This is part 2 of our chat and the conclusion to this series with @disruptive_ranger where we talk about use of force, BWC, and carrying firearms on duty. We also have a fun little conversation at the end about weird things medics do and the motoring public. It was a great chat and DR is a great guest! If you don’t like our opinions, feel free to hit us up and we will schedule an episode for your counter points. Thanks to @disruptive_ranger for taking time out of his busy schedule to talk with u...

Sep 04, 20231 hr 32 minSeason 2Ep. 11

PragChat with the Disruptive Ranger (Part 1)

In this episode, the Pragmatic Paramedics, Aaron and Jason, sit down with the Disruptive Ranger and discuss scene safety, violent patients, BWCs, and if carrying on shift is smart. The Disruptive Ranger is a full-time ranger that is a paramedic, wildland firefighter, and law enforcement officer. The chat went so well we had to break into two parts. So this episode is part one and should be a good listen. If you don’t like our opinions, feel free to hit us up and we will schedule an episode for y...

Aug 21, 202342 minSeason 2Ep. 10

Monday Morning Medics Discuss a Neonate Code w/ Mike Carunchio

Welcome to the third episode of Monday Morning Medic! In this series of episodes, Jason, Aaron, and Chris Rosa sit down and talk about real life calls and patients that we or our special guests have had. We discuss treatments and outcomes to help learn from real-world cases. In this episode, Aaron, Jason and Chris sit down with Mike from the World’s Okayest Medic podcast and talk about a neonate code he ran a few years back. It is a great call that we sit down and dissect with tons of lessons le...

Jul 17, 202345 minSeason 2Ep. 9

PragChats w/ Nick P (Career Paths in EMS)

In this episode, the Pragmatic Paramedics, Aaron and Jason, sit down with Nick Petroski and discuss different career paths for medics. Nick is a flight medic and close protection medic in Northern Virginia who has a different career path than most medics. We discussed different ideas and ways for medics to expand their careers. If you are interested in expanding your medic career outside the box, this episode has a wealth of knowledge to help you do just that. If you have any questions or though...

Jul 03, 202353 min

Monday Morning Medics Talk Saddle PE in Pregnancy

Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. This episode of Monday Morning Medics is a conversation about a worst case, once in a career patient. The patient is a woman who is 30 weeks pregnant with a saddle PE. We talk with Darren, a Canadian critical care/flight p...

Jun 05, 202341 min

Monday Morning Medics Discuss a Trauma Patient

Welcome to the first episode of Monday Morning Medic! In this series of episodes, Jason and Aaron, along with special guest Chris Rosa sit down and talk about real life calls and patients that we have had. We discuss treatments and outcomes to help learn from real-world cases. In our first episode, we sat down and talked about a unique motor vehicle accident involving a motorcycle. We discuss the good, the bad, and the ugly of the call to help our listeners improve their care. If you have a pati...

May 01, 202333 min

PragMedics Talk NAEMSP Airway Paper w/ Drew

During a recent chat with Doc Godfrey “Cric Em If You Got'em,” we discussed intubations and airway management in the trauma setting. Of course, after recording it we remembered that the NAEMSP published a paper discussing these very topics so we decided to have a guest come on and chat with us about it – Drew Congdon – a critical care paramedic and paramedic instructor out of New Mexico was kind enough to come on and help walk us through the paper. Listen along with us and hear what the NAEMSP t...

Apr 21, 202356 minSeason 2Ep. 5

A Thin Blurred Line Part 2 w/ Cary Aspinwall

As we wrap our series, "A Thin Blurred Line," we take a moment to sit down with an investigative journalist who has covered incidents such as the ones in the media - Elijah McClain and Tony Timpa. We discuss both cases with her in this great conversation with someone outside EMS. Listen in as we talk with Cary about her experiences, what she found during her investigation into these incidents and how they impact EMS. Cary is a reporter for the Marshall Project and has been reporting on public sa...

Apr 04, 202342 minSeason 2Ep. 4

CricEm if you Got Em’

In this episode we discuss trauma airway management with Doc Godfrey (CricEm if you got ‘em). Doc sits down with us as we look at a paper from The Journal of Trauma and Acute Care Surgery which discusses prehospital definitive airway not being associated with improved survival in trauma patients. Trauma airway management is complicated, but it doesn’t necessarily need to be… We talk about how to best utilize your clinical skills and assessment along with BLS and basic airway adjuncts as well as ...

Mar 15, 202346 minSeason 2Ep. 3

The Thin Blurred Line w/ The Mando Medic

As EMS providers we know all too well about violence, trauma, and the associated dangers of the job but we tend to struggle with what to do when we encounter violent scenes that involve our brothers and sisters in law enforcement and the patients we are committed to care for. However, what happens when the line we need to cross is one of our own? Police use of force has been an ongoing issue in the U.S. for decades but recently the media has started to focus on not only the police officers invol...

Feb 22, 202351 minSeason 2Ep. 2

The Return of the PragMedics

As we hop back in the saddle we want to a reaffirm our commitment to this industry through providing you with quality insight and information about clinical practice and evidence based medicine as well current events. We are you, not experts by any standard and hope that our conversations help improve the quality of EMS in all facets for generations to come. Thank you for coming back to the show and listening in on these discussions. Make sure to follow us on IG @pragmed and on your favorite poc...

Feb 15, 202316 minSeason 2Ep. 1

PragMedics Discuss Heat Stroke w/ Dr. Timothy Durkin

In this episode, the PragMedics talk with Dr Timothy Durkin and discuss Heat Stroke, the signs, symptoms, myths, and of course treatment modalities. The boys and Dr. Durkin look to find practical ways for street level providers to identify and treat heat stroke. Dr Durkin provides the listeners with useful tips and thoughts regarding management of heat stroke and ways for systems to improve their response and treatment of this completely treatable injury. Dr Durkin is a board-certified emergency...

Jun 21, 20211 hr 11 minSeason 1Ep. 43

PragMedics Talk Vents with Ryan

In this episode, Jason and Scooby (Aaron was on shift doing real work) sit down with Ryan Kerr to discuss his free online ventilator book, reasons for writing and publishing a free book, and other ventilator thoughts. Ryan is a current medic/nurse who flies for AirMethods in the Southwest. This is one of our favorite episodes and it is a great conversation that you shouldn't miss! Please check out Ryan's work at www.rykerrmedical.com and on IG. He also has published the ventilator resource on Am...

May 31, 202147 minSeason 1Ep. 42

I Had This Esophageal Varices Patient

In this episode, the PragMedics and Scooby sit down and discuss a proper disaster patient, one with an upper GI bleed (esophageal varices). We discuss a patient from the ICU perspective with lessons learned for paramedics. These patients are challenging to manage, and it's a great conversation that will help a paramedic manage this type of patient. Thanks for listening, and be sure to check out our "I had this patient" Facebook group! As always, we want to thank our supporters: Priority 1 Air Re...

Apr 05, 202134 minSeason 2Ep. 6

PragMedics discuss Paramedics and Disaster Relief

The PragMedics decided to look inward and interview Aaron about a recent austere/disaster response mission he participated. Jason and Scooby talk with Aaron about his recent trip to a developing country in response to a natural disaster. This episode has bits and pieces from disaster response preparation for paramedics, resource limitations, and better, best, good methods for treating patients post-disaster in austere environments. Thanks for listening and enjoy this episode! As always, we want ...

Jan 27, 202142 minSeason 1Ep. 40
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