Holding The Wall

The crew is back and we have some explaining to do, but fingers crossed we can start pumping out weekly episodes again. In this episode we get into what has been occupying all of our time recently and Ryan and Josiah get into their weeks. 

The Crew is back with special guest Moses returning to discuss their weeks and finally get into Amiodarone. Moses also gets some interview advice from Ryan and Josiah after his first Flight paramedic interview with a local Fire Department 

The Crew is back with special guest Moses returning to discuss their weeks and finally get into Amiodarone. Moses also gets some interview advice from Ryan and Josiah after his first Flight paramedic interview with a local Fire Department 

Hey guys! This is a little episode the Crew was able to squeeze in, mostly just a overview of their weeks. Hope you enjoy 

Mike V is back in town and sits down with the crew to discuss Epinephrine after Ryan experiences a frustrating Code in the ER. Listen in to their weeks and catch up after their short hiatus.

The Crew had high expectations to do an episode on flash pulmonary edema, but when their special guest private paramedic Ryan Barron brings a bottle of tequila they get a little sidetracked.

Last recording of 2020, the crew sits down with Chris Miller and Kevin Donaldson to talk about what we all think we can't wait for, retirement. But what happens when the dream becomes a nightmare and an injury is the cause, how does one persevere? listen in and hear the wise bestow their knowledge to the young. More importantly find out what Josiah's nickname is in this episode of Holding The Wall.

The crew sits down with Tam to talk about their weeks and discuss the transition from being an active duty army medic to civilian EMS. Tam served 8 years as a military medic in Afghanistan and Kosovo as well as protecting diplomats with a private military contractor. Tam has since been working for several years for a private ambulance company as a paramedic.

Happy Thanksgiving HTW listeners! Ryan finds time between his three jobs to come and catch up and talk about their weeks.

The Crew sits down with old class mates from paramedic school and discuss their current career paths. Brian a firefighter paramedic and Dave a Physician Assistant give their insights into EMS and healthcare. This one is a wild one with way too much whiskey so pour yourself a glass!

While Ryan is off working 3 jobs Josiah sits down with long time friend Rai. Rai has worked for 2 decades as a trainer in sports specific training. He has trained professional athletes, military, and first responders how to work out efficiently while minimizing injuries before moving into his current career in law enforcement. listen for a few health and fitness tips

Josiah and Ryan have private paramedic Moses come hang out and talk about his current path to flight medic, and Josiah returns after a much needed vacation.

WE'RE BACK!! After Josiah took a three week vacation we are back with some new episodes. This is a previously recorded episode while Mike was visiting and the crew had a chance to discuss diabetes. We hope you enjoy!

The Crew reunites with Mike during a quick visit and he fills them in on the new gig. A wide variety of topics are covered, listen in to learn more about what is entailed in a human decanter

Ryan and Josiah meet up with an old fellow night shifter to have some cocktails and shoot the shit. Not a lot to learn just a good time, and please excuse the slight slurs..

What happens when your patient's heart wants to go for a sprint while they are sitting on the couch eating cheetos? The crew discusses SVT, A-Fib with RVR, and V-Tach and the associated treatments whether they are stable or unstable.

After Ryan hears a little misinformation about Intraosseous insertions in the break room and gets the deer in the headlights look during an intubation equipment set up he feels like it is time for a little drop in knowledge. Listen in to get the facts on IO and intubation

After the two part series on street drugs the crew sits down to discuss their recent viewing of Darren Aronofsky's 2000 classic Requiem For A Dream.

The Crew sits down to finish their talk on drugs with a discussion on CNS depressants. Ryan also drops a Public Service Announcement for IO and intubation.

Josiah and Ryan sit down and discuss common stimulants seen in EMS. Learn how each stimulant leads to its own hazards and differences in how they patients will present.

The crew sits down with Surefire CPR instructor and fellow paramedic school classmate Joey Rodriguez to reminisce about their experience in paramedic school and how they managed to get through it in one piece.

After Ryan asked Josiah about good qualities of a probationary firefighter, Josiah reached out from a coworker and outstanding probe himself to discuss the testing process through how to get through probation. Taylor inquires about coping with the stress and how to perform under crazy circumstances.

After a miserable attempt the technologically inept crew sit down and discuss their weeks and Ryan inquires about Josiah's firefighter probation and what it took to come out the other side successful. Whether it's nursing or firefighter, listen to some valuable advice from a couple of old stallions about the decorum expected out of new employees.

The crew sits down with ICU RN's Adrian and Scion and discuss just about every topic under the Sun while drinking their body weight in scotch and IPA's. Listen in to find out if they keep it together enough to actually make a cogent point on anything.

Ryan and Josiah talk Psych, listen in while they sit down to discuss the intricacies of psychiatric patients and some of the difficulties one can experience while treating them. Learn to differentiate psychosis compared to your other AEIOU TIPS for altered mental status.

The crew sits down with paramedic and SureFire CPR instructor Joey Rodriguez to discuss heart blocks. Learn how to easily identity some of the most dreaded rhythms to analyze and the appropriate interventions for these patients as they circle the drain.

Josiah and Ryan sit down and discuss their beliefs on death, the afterlife, and how they cope with their chosen professions. Listen and hear how their perspective on life and death have been shaped by their careers

Ryan and Josiah sit down and discuss Left Ventricular Assist Devices (LVAD) and Total Artificial Hearts (TAH). The crew gets into what they are, what kind of patients get them, as well as common complications that you can see as an EMS provider. More importantly how the hell you tell them apart and how they are treated differently. So lets see what makes these devices tic!

The crew sits down for one more episode together before Mikey moves out of state. This episode is not EMS related, but more just a fun Dewar's filled conversation with three old friends. I hope Mike's terribly inappropriate wit brings a smile to your face one more time.

The crew gets together to discuss some of the craziest calls we can go on in EMS, Trauma. While no one likes to get all the gross stuff everywhere, they do make for some good stories.

Get to know the crew a little better while they regale you with tales about how they got into this crazy field of Emergency Medicine.

This week the crew gets together to discuss strokes after Josiah and Ryan both have a CVA filled week. As the title infers this episode has rough audio due to some technical difficulties, but rest assured its fixed for next week's episode. If you power through you'll learn a little about one of the leading causes of death and disability in America.

The crew sits down for another segment in their career pathways series to discuss the transition from EMS to Law Enforcement with officer Brian Felling. Listen in to hear about how EMS experience has assisted officer Felling in his day to day operations as well as preparing him for his role as a SWAT team medic, and how Josiah won't shut the hell up about Don't F@#k With Cats!

The crew sits down to discuss sepsis, and the push for EMS to recognize these patients as critical with a high mortality rate. Listen in and hear about signs & symptoms, treatments, and how the hospitals are handling these extremely sick patients.

The crew gets together to discuss the resurgence of the old school medication Ketamine. With its use hitting EMS agencies across the country its time to learn a little bit about Special K without falling too far down a K-hole.

The crew sits down with Skylar Lyons an EMT turned RN to discuss his career path and how one could be striving for the box life then find themselves in form fitting scrubs. Skylar explains the paradigm difference between field and hospital care and enlighten Josiah and Mikey on the complexities of nurse life. Hopefully this is an episode that bridges the gap between field and hospital personnel.

The crew sits down with their very first guest Chris Miller and discuss the state of healthcare education. Chris Miller has over 40 years of patient centric pre-hospital emergency medical services. He is currently the Director of operations for the University of California Riverside School of Medicine's Center for Medical Simulation and Research.

The crew begins to discuss the current potential pandemic Coronavirus that recently hit China, but the conversation goes from everything between Hyperglycemia to philosophy. Be advised this was recorded last week and not up to date on recent developments.

While Mike is off philandering about, Ryan and Josiah sit down to brush off the cobwebs of ST segment elevated myocardial infarction (STEMI) patients. Learn a little bit about signs, symptoms, treatments, and some problems with the current paradigm.

In the introduction episode get to know your hosts of Holding The Wall. Learn about what the show will entail, and why your hosts care to even tell you about their crazy lives. So grab a drink and join us as we toast our whiskey to the first episode