Code 321

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 […]

This episode was taken from our 2022 Fall CAPCE Paramedic Refresher. We welcome back Prescott Nadeau to the show as we listen to his lecture on Mass Casualty Incident Command for the EMS provider. Prescott Nadeau is a Captain and Training officer at the Williston, VT Fire Department. He has been in the fire service […]

Dave Cohen is a former mountain bike racer and current NREMT Paramedic. Dave is one of a few paramedics who provide medical event coverage for elite mountain bike races. Some of his recent race locations include British Colombia, New Zealand, Mexico, Nepal among others. Dave shares his experience on what Wilderness Medicine on a Enduro […]

*Warning* The content of this episode can be upsetting to listeners. Please use discretion.  A lecture from our archives back in February of 2022: Detective Nicki Moyer is an expert in Domestic Violence and is one of the leading investigators in the area. Nicki will talk briefly about what EMS should know, what domestic violence […]

Vermont EMS joins me to talk about the biggest retention issue they found during a large study of Vermont EMS providers: toxic workplaces and psychological safety. Learn what some of the big issues are, and the vision the State has to tackle them. Beth Brouard is the EMS data Manager for Vermont EMS. Beth is currently […]

Chris McCarthy is the EMS Program Manager for Northeast Emergency Training Solutions, LLC. With her 20 years of experience as an EMS educator, Instructor Coordinator and National Registry Representative, she will discuss the new portfolio competency program that will be replacing the psychomotor testing for EMT testing. Interested to hear more? Tune in to see how […]

Sarah Schlein is the Physician Medical Director for Northeast Emergency Training Solutions, LLC. She is an Emergency Medicine attending physician at the University of Vermont Medical Center, Associate Professor at the Larner College of Medicine and Wilderness Medicine director in Burlington, VT. She founded and directed the medical school and Emergency Medicine residency Wilderness Medicine program and is […]

Today's episode dives into the role of Isotonic Crystalloids and the delicate balance during a trauma resuscitation. Dan Eng joins the show to give his take on the chemistry behind the different fluids we might see in the field and the fundamentals that we should be thinking while making clinical decisions in the field with this patient population. Dan Eng is a current flight nurse in New York State, he works shifts as an Advanced EMT in a ground 911 unit and is full time as a Trauma Core RN in a Level 1 Trauma Center.  Dan holds a Bachelor’s in Nursing as well as certifications as a Certified Flight Registered Nurse, Trauma Certified Registered Nurse, Certified Emergency Nurse, and a National Registered Advanced EMT.

Dan Batsie is the Director of the Division of Emergency Preparedness Response & Injury Prevention for the State of Vermont. He has worked as a paramedic in busy urban systems such as Syracuse, NY and Portland, Maine. Dan also has extensive experience as an educator across New England. Today's episode discusses the concept of managing emotions in a response to stress. Dan shares his tips for overcoming these situations and introduces the concept of stress inoculation training.

Dan Batsie is the Director of the Division of Emergency Preparedness Response & Injury Prevention for the State of Vermont. He has worked as a paramedic in busy urban systems such as Syracuse, NY and Portland, Maine. Dan also has extensive experience as an educator across New England. Today's episode discusses the concept of managing emotions […]

Andy Speier (brother to Matt Speier, featured on episode #23) is a Battalion Chief and technical rescue specialist currently working in Washington State. His career has included over 40 years of service as a medical provider, technical rescue operator, firefighter across the United States and overseas in Israel. Andy is an original member of Peak Rescue and current coordinator of the Special Operations Rescue Team (SORT) in his county-based system. Andy has worked in Midtown Manhattan as a member of FDNY on Engine 54 and Ladder 4. He is also a Technical Rescue Contributing Editor for FireRescue Magazine.

Andy Speier (brother to Matt Speier, featured on episode #23) is a Battalion Chief and technical rescue specialist currently working in Washington State. His career has included over 40 years of service as a medical provider, technical rescue operator, firefighter across the United States and overseas in Israel. Andy is an original member of Peak […]

Emergency Department Pharmacist Catherine Platt joins the show today to discuss Epinephrine including some ways we use it as EMTs, AEMTs and Paramedics. We also will break down three different clinical trials that have shaped how we administer the drug leading to best practices in and out of the hospital. The studies used in this show are listed below for your reference.  Simons, F. Estelle R., and Xiaochen Gu. “Epinephrine Absorption in Adults: Intramuscular versus Subcutaneous Injection.” www.jacionline.org/Article, J ALLERGY CLIN IMMUNOL, 5 Aug. 2001, www.jacionline.org/article/S0091-6749(98)701903/fulltext.  Perkins, Gavin D., et al. “A Randomized Trial of Epinephrine in out-of-Hospital Cardiac Arrest: Nejm.” New England Journal of Medicine, 23 Aug. 2018, www.nejm.org/doi/full/10.1056/NEJMoa1806842#article_references.  Cole, J. B., Knack, S. K., Karl, E. R., Horton, G. B., Satpathy, R., & Driver, B. E. (2019). Human Errors and Adverse Hemodynamic Events Related to “Push Dose Pressors” in the Emergency Department. Journal of medical toxicology : official journal of the American College of Medical Toxicology, 15(4), 276–286. https://doi.org/10.1007/s13181-019-00716-z

Emergency Department Pharmacist Catherine Platt joins the show today to discuss Epinephrine including some ways we use it as EMTs, AEMTs and Paramedics. We also will break down three different clinical trials that have shaped how we administer the drug leading to best practices in and out of the hospital. The studies used in this […]

Today's episode features Bill Elwell, a 36-year fire service veteran who specializes in trauma informed peer support and crisis intervention. Bill has an associate degree in Fire Science, he is a certified Chaplain and holds a certificate in Critical Incident Stress Management. Talking about what Moral Injury is, Bill shares his personal experiences and discusses why he chose to spend his life in the mission of helping those who suffer trauma. His LLC, First Responder Core Wellness provides education as well as support to those in public safety and public health. Bill's website is www.unbrokencord.com. 

Today's episode features Bill Elwell, a 36-year fire service veteran who specializes in trauma informed peer support and crisis intervention. Bill has an associate degree in Fire Science, he is a certified Chaplain and holds a certificate in Critical Incident Stress Management. Talking about what Moral Injury is, Bill shares his personal experiences and discusses […]

Luke Jackson is a Vermont native who has 17 years of experience working both in and outside of the hospital system as a critical care medical provider. Luke started his career as a Firefighter/EMT right here in Vermont and is currently a Critical Care Flight Paramedic for Lifeflight of Maine as well as an ICU Nurse in Central Maine. If you're interested in progressing to the next level, don't rule anything out. Luke will share his experience about how sometimes making the leap to the next level can open more doors to a future you might not see from your current perspective. 

Luke Jackson is a Vermont native who has 17 years of experience working both in and outside of the hospital system as a critical care medical provider. Luke started his career as a Firefighter/EMT right here in Vermont and is currently a Critical Care Flight Paramedic for Lifeflight of Maine as well as an ICU […]

This episode of the Code 321 Podcast features Chance Sullivan, Nick Alsofrom, and Noah Rohrer who are all second year Emergency Medicine Residents at the University of Vermont Medical Center Level I Trauma Center. During this roundtable, we will talk about what experiences they have had through their medical training and they give their tips on how to succeed if you're interested in pursuing the big bad M.D. Degree. 

This episode of the Code 321 Podcast features Chance Sullivan, Nick Alsofrom, and Noah Rohrer who are all second year Emergency Medicine Residents at the University of Vermont Medical Center Level I Trauma Center. During this roundtable, we will talk about what experiences they have had through their medical training and they give their tips […]

This episode is one from our archives, aimed at those of you gearing up to take your NREMT Exam. Our EMS Programs Manager Chris McCarthy has 20 years of experience as an EMS Educator and National Registry Representative. She has been the Lead Instructor Coordinator for the last three NETS EMT Classes. Chris will walk you through what to expect on test day with key rules and policies that you'll need to know. This lecture was conducted virtually.

This episode is one from our archives, aimed at those of you gearing up to take your NREMT Exam. Our EMS Programs Manager Chris McCarthy has 20 years of experience as an EMS Educator and National Registry Representative. She has been the Lead Instructor Coordinator for the last three NETS EMT Classes. Chris will walk […]

Today's guest is Matt Speier. Matt has 20 years of EMS experience and has worked in New York City as a FDNY Paramedic in Midtown Manhattan, in the Emergency Department of a Level I Trauma Center, as well as a technical rescue specialist on multiple USAR teams. He also served as a ski patrol paramedic, mountain rescue technician and is currently volunteering at a local rescue agency on a 911 truck. This episode is all about how complacency kills, and how it can hurt our patients. Matt shares some tips on how to avoid getting caught off guard and how we as a culture can “Default: Aggressive” (Willink, 2020) remaining combat ready.

Today’s guest is Matt Speier. Matt has 20 years of EMS experience and has worked in New York City as a FDNY Paramedic in Midtown Manhattan, in the Emergency Department of a Level I Trauma Center, as well as a technical rescue specialist on multiple USAR teams. He also served as a ski patrol paramedic, […]

In August of 2012, Kristi Goyette suffered a sudden cardiac arrest while running in Essex, VT. Jason Ziter, who was an Essex Fire First Responder at the time, was one of the first providers on scene and assisted Essex Rescue in the resuscitation. Jason Ziter is the Chief Business Officer and Founding Member of Northeast Emergency Training Solutions, LLC. Jason started his career in public safety in the 1990s and has held jobs in Fire, EMS and is currently a sworn police officer. This is the story of why we all do what we do. This is the incredible story of the 9% who survive an out of hospital cardiac arrest (OHCA).

In August of 2012, Kristi Goyette suffered a sudden cardiac arrest while running in Essex, VT. Jason Ziter, who was an Essex Fire First Responder at the time, was one of the first providers on scene and assisted Essex Rescue in the resuscitation. Jason Ziter is the Chief Business Officer and Founding Member of Northeast […]

In this episode, the show takes a short detour from Emergency Medical Training to talk shop about how some of our medics got their start in EMS. Frank Rice, Nick Carson and Mike LaBombard take a minute to reflect on how they started in EMS and ended up where they are today. Frank Rice is the co-host for the Code 321 Podcast and the current Operations Manager for Northeast Emergency Training Solutions, LLC (NETS). Mike LaBombard is the Logistics Manager for NETS. Both Mike and Frank are paramedics currently working full time in the City if Burlington as Firefighter/Paramedics.

In today's episode Matt Looft joins the show to talk about the Emergency Department. The department and the prehospital response are both geared to help patients that need us, now find out how these systems integrate best. Matt Looft is a Registered Nurse IV in the Emergency Department at the University of Vermont Level 1 Trauma Center. Matt ran as a EMT for UVM Rescue and currently holds a Bachelor’s Degree from WGU in Nursing as well as an ADN in Nursing from Vermont Technical College.

In today’s episode Matt Looft joins the show to talk about the Emergency Department. The department and the prehospital response are both geared to help patients that need us, now find out how these systems integrate best. Matt Looft is a Registered Nurse IV in the Emergency Department at the University of Vermont Level 1 […]

By popular request, Lieutenant Sean Ploof and Captain Genzlinger join the Code 321 Podcast to talk about lessons they have learned from the last 20 years in fire/ems service. As new members join and education becomes more available, the experience of those who came before you cannot be ignored. These tips are the culmination of the trials and tribulations of the job as learned by some of our most senior members. Lt. Ploof has been working as a firefighter/EMT since 2001 and is now the Lt. of Ladder Co. 2 in the Old North End of Burlington. Capt. Genzlinger has been serving South Burlington as a firefighter/EMT since the late 1990s and is currently assigned as a shift supervisor.

By popular request, Lieutenant Sean Ploof and Captain Genzlinger join the Code 321 Podcast to talk about lessons they have learned from the last 20 years in fire/ems service. As new members join and education becomes more available, the experience of those who came before you cannot be ignored. These tips are the culmination of […]

Today's episode is about Crew Resource Management (CRM). Lt. Nate Perkins of Burlington Fire and Helicopter Pilot Matt Benoit of the U.S. Army join the podcast to talk about where this system comes from and why it matters. Both Matt and Nate hold leadership positions in their organizations and have more than a decade of experience in their respective fields. The Crew Resource Management system is found everywhere from commercial production corporations to emergency response teams; tune in to learn why most organizations are moving towards this model. The podcast crew also reviews the black box audio from the Miracle on the Hudson air incident US Airways Flight 1549, when Captain Sully landed a full loaded Airbus A320 passenger jet on the river saving the lives of all passengers and crew. This was a great example of CRM that saved 155 lives.

In this episode, guest Ashley Hodgetts joins the podcast to talk about some ways people encounter negative emotions in healthcare and the bad habits that often accompany them. Ashley Hodgetts is a Registered Nurse with a Bachelor of Science degree in Nursing and a Bachelor of Science degree in Print Journalism. She also holds a certification as a health coach and is a 10-time marathon competitor. Ashley is the CEO and founder of Fit Together Wellness which is designed to help you hear and listen to yourself, to reach your goals and to become the person you want to be. Her website is fittogetherwellness.org

In this episode, guest Ashley Hodgetts joins the podcast to talk about some ways people encounter negative emotions in healthcare and the bad habits that often accompany them. Ashley Hodgetts is a Registered Nurse with a Bachelor of Science degree in Nursing and a Bachelor of Science degree in Print Journalism. She also holds a […]

Most programs require that you spend some time under a preceptor learning the finer details of how to apply your new training. This podcast features 17-year Senior Firefighter/Paramedic and NETS Instructor Nick Perkov, who has mentored dozens of providers at all levels in the area. We bring in special guest Andrew Virnig who is a Firefighter/AEMT currently in a paramedic program to talk about what student can expect, how to prepare for your mentorship and tips for success.

Most programs require that you spend some time under a preceptor learning the finer details of how to apply your new training. This podcast features 17-year Senior Firefighter/Paramedic and NETS Instructor Nick Perkov, who has mentored dozens of providers at all levels in the area. We bring in special guest Andrew Virnig who is a […]

In this bonus feature, NETS Logistics Manager Michael LaBombard calls into the Code 321 Podcast to talk about the experience him and Nick had before their NREMT Paramedic Test. As much as you try to follow all the advice people give you about testing, it doesn't always go as planned, and that's ok. In additional to their full-time fire/EMS jobs, Eric, Mike, and Jeremy are all instructors for Northeast Emergency Training Solutions, LLC and have successfully trained dozens of students for the NREMT Exams. Make sure to check out Code 321 Episodes 2, 3 and 4 to learn more about the exam itself.

Every provider remembers their NREMT testing experience. It is a stress for some like no other. As a few of our classes are preparing for their Registry test this month, it seemed relevant to add our tips to smoke the exam on the first try. Nick is joined by Firefighter/Paramedic Jeremy Raymond and Firefighter/AEMT Eric Casavant (who was a guest on Episode 14) to share their tips for a successful day of testing. In additional to their full-time fire/EMS jobs, Eric and Jeremy are both instructors for Northeast Emergency Training Solutions, LLC and have successfully trained dozens of students for the NREMT Exams. Make sure to check out Code 321 Episodes 2, 3 and 4 to learn more about the exam itself.

In this bonus feature, NETS Logistics Manager Michael LaBombard calls into the Code 321 Podcast to talk about the experience him and Nick had before their NREMT Paramedic Test. As much as you try to follow all the advice people give you about testing, it doesn’t always go as planned, and that’s ok. In additional […]

Every provider remembers their NREMT testing experience. It is a stress for some like no other. As a few of our classes are preparing for their Registry test this month, it seemed relevant to add our tips to smoke the exam on the first try. Nick is joined by Firefighter/Paramedic Jeremy Raymond and Firefighter/AEMT Eric […]

In this episode Nick and Guest Eric Casavant talk about what makes a good partnership, the challenges of rotating crews and share their best memory that reminds them of why we do what we do. Eric is a current Firefighter/Advanced EMT at the Burlington Fire Department assigned to Ambulance 2 as Nick's partner. He has a degree from Vermont Technical College in Fire Science and is a proud Northeast Emergency Training Solutions AEMT graduate. He now works for NETS as an Instructor for all course levels.

In this episode Nick and Guest Eric Casavant talk about what makes a good partnership, the challenges of rotating crews and share their best memory that reminds them of why we do what we do. Eric is a current Firefighter/Advanced EMT at the Burlington Fire Department assigned to Ambulance 2 as Nick’s partner. He has […]

In this bonus feature, Doctor George and Nick dive deeper into the pathophysiology of a brain injury and why we are moving away from permissive hypotension in TBIs. If you are looking for a little more than Episode 12 and want to understand the more complex ways the human brain mitigates injury, this feature is for you. From the Monro-Kellie Doctrine to Cushing's Triad, Doctor George will share some keys to understanding a TBI. Resources: rebelem.com epic.arizona.edu

This episode features Emergency Medicine Attending Physician Doug George. Currently he is a Physician Medical Director at the University of Vermont Medical Center in the Emergency Department. His background includes service as a Firefighter/EMT, medical residency in Boston, MA working with Boston EMS as well as a coveted EMS fellowship in Albuquerque, New Mexico where he provided 911 scene care both on ground units and rotor wing air response. Doctor George has experience working with Critical Care, 911 EMS and Fire Based EMS systems and is always willing to talk EMS. Today we bend his ear about the keys to recognizing and treating Traumatic Brain Injuries (TBIs).

In this bonus feature, Doctor George and Nick dive deeper into the pathophysiology of a brain injury and why we are moving away from permissive hypotension in TBIs. If you are looking for a little more than Episode 12 and want to understand the more complex ways the human brain mitigates injury, this feature is […]

This episode features Emergency Medicine Attending Physician Doug George. Currently he is a Physician Medical Director at the University of Vermont Medical Center in the Emergency Department. His background includes service as a Firefighter/EMT, medical residency in Boston, MA working with Boston EMS as well as a coveted EMS fellowship in Albuquerque, New Mexico where […]

This episode features Beth Jacobs M.A. Beth is one of the clinical psychologists who is pioneering specialized care in this area. She is a Licensed Clinical Mental Health Counselor, Professional Licensed Counselor and an EMDR certified clinician. Beth is associated with dozens of departments in the area and can often be seen taking care of first responders from across New York and Vermont. She attributes her love of helping those on the front lines in part to her husband who is a 25+ year police veteran. We discuss the work life balance, some common challenges that first responders face and what we can be doing to stay healthy and rolling out the door when the bell hits.

This episode features Beth Jacobs M.A. Beth is one of the clinical psychologists who is pioneering specialized care in this area. She is a Licensed Clinical Mental Health Counselor, Professional Licensed Counselor and an EMDR certified clinician. Beth is associated with dozens of departments in the area and can often be seen taking care of […]

Tim Ferris is the Chief Operating Officer and founding member of Northeast Emergency Training Solutions, LLC. Tim brings over 17 years as a paramedic and almost two decades of EMS education from across the country. He is a current 911 firefighter/paramedic and paramedic program faculty in charge of training new providers. Operations are a key component of NREMT testing at every level and should be something every provider is familiar with. In this episode, Tim shares his thoughts on how EMS Systems are set up and the pros/cons of each.

Tim Ferris is the Chief Operating Officer and founding member of Northeast Emergency Training Solutions, LLC. Tim brings over 17 years as a paramedic and almost two decades of EMS education from across the country. He is a current 911 firefighter/paramedic and paramedic program faculty in charge of training new providers. Operations are a key […]

Prescott Nadeau and Troy Ruggles join me to provide their take on the important topic of training. Prescott Nadeau is a Senior Firefighter and Training officer at the Williston, VT Fire Department. He has been in the fire service since 2003 and holds the title of Training Officer. Chief Troy Ruggles is currently the Battalion Chief of Training for the Burlington, VT Fire Department. He has also taught for both the Vermont and New Hampshire Fire Academies for more than 18 years.