Podcasts about EMS

You've read about how this groundbreaking trial on ketamine vs etomidate for RSI "Changes Everything!" on the socials. Or perhaps "it's horribly biased and unnecessary... we're already knew all this!". Why? Well.. social media. Listen in as Dr Jarvis discusses not just this trial, but what the evidence landscape was before it was released. Why was it done, how was it done, what does it show, and how can we integrate it into our practice?Citations:1. Casey JD, Seitz KP, Driver BE, et al. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. N Engl J Med. Published online December 9, 2025.2. Jabre P, Combes X, Lapostolle F, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet. 2009;374(9686):293-300. 3. Matchett G, Gasanova I, Riccio CA, et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022;48(1):78-91. 4. Koroki T, Kotani Y, Yaguchi T, et al. Ketamine versus etomidate as an induction agent for tracheal intubation in critically ill adults: a Bayesian meta-analysis. Crit Care. 2024;28(1):48. 5. Yeh RW, Valsdottir LR, Yeh MW, et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ. 2018;363:k5094. doi:10.1136/bmj.k5094

Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitudeWe must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patientsWe talk about our interactions with EMSBoth Julie and I remember working in EMS and the value that EMS brings in their report because they often see a lot of things we don't get from the history of the patientJulies advice for the new APP/ER doc - don't come to premature closure on a diagnosis, don't be afraid to ask questions, pay off your loans over buying the biggest house and latest toysWe talk about the baseline level of stress we deal with We talk about technological changes over time and imaging improvementsShe talks about the challenges that the Covid pandemic presented and the shortages of different things we have now encounteredJulie still finds meaning in finding the hard differential diagnosis and working towards positive patient interactions, the teamwork in the ERI talk about the importance of creating an approachable affect so everyone feels free to voice concernsGo look at the patient when the nurse is concerned Julie talks about the benefit for new EMT's and paramedics to reach out and ask for feedback and follow up on their patients, often we don't have time to pull them asideEMS doesn't have the best mechanisms in place for good feedback on every case like we do in the ER, where we see in real time how accurate our assessment may have been when the work up comes backSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Sun, Dec 14 11:31 PM → 11:46 PM Griswold Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc

Conheça a escritora Nanda Fabiane, de Gold Coast, que usou o seu livro 'Me Encontrei na Jornada' na aplicação para o visto australiano de Inovação Nacional. Em São Paulo, a prisão de um dos suspeitos de furtar obras de Matisse e Portinari. O reconhecimento do ofício da parteira tradicional como Patrimônio Cultural Imaterial do Brasil revela práticas indígenas e rurais que unem saberes ancestrais e biomédicos. E, em Portugal, uma greve geral paralisa serviços essenciais.

Send us a textThe silence after the last shift can be deafening. We dive into what really happens when the badge comes off and the calls stop, tracing the steep drop from team identity and adrenaline to isolation, substance use, and rising suicide risk. With honesty and urgency, we unpack why retirement hits first responders so hard and outline a practical safety net that works in the real world.We talk through the addictive rhythm of police, fire, EMS, and corrections work—why the culture bonds like family, and why role loss feels like grief, not change management. From the “greatest show in town” to the long, quiet afternoons, we map the transition pitfalls: relationship strain, gambling, financial pressure, heavy drinking, and access to means. Then we move to solutions that stick: QPR training for everyone, union-led outreach to members on injury or IA, and a retiree association built on peer mentors, quarterly meetups, and easy referral to culture-competent clinicians and recovery coaches.Therapy only helps when it respects the culture. We make the case for long-term, stigma-free care that starts at the kitchen table, not a clipboard wall. Leaders play a decisive role, too: fund peer teams, protect privacy, standardize evaluations, and create fair return-to-duty paths that treat mental health injuries like broken bones. Fire service models show how trust grows when unions hold the keys and chiefs clear the way. Our aim is simple—keep people connected, valued, and alive long after the radio goes quiet.If this conversation resonates, share it with your crew, subscribe for more candid tools and stories, and leave a review to help other first responders find us. Your voice can pull someone back from the edge.If you are interested, please visit the Onsite academy at https://onsiteacademy.org/ Visit the NEPBA at https://www.nepba.org/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast

In this episode of the FOAMfrat Podcast, Dr. Harrison Brookeman joins the discussion to examine methemoglobinemia and the emerging prehospital threat of sodium nitrite ingestion. Often viewed as a rare toxicology concept, this condition is appearing more frequently and can progress rapidly with devastating consequences if it is not recognized early. The episode focuses on what matters most to EMS clinicians in the field: the physiology of methemoglobinemia, why these patients appear profoundly hypoxic despite adequate ventilation, and the classic clue: a pulse oximetry reading that remains fixed around 85 percent regardless of oxygen delivery. The conversation also addresses iatrogenic causes such as benzocaine exposure, expected mental status changes, and why oxygen alone does not correct the problem. Emphasis is placed on prehospital decision-making, including early involvement with poison control, transport destination considerations, and the importance of ensuring these patients are taken to the right facility the first time. This episode is intended to sharpen recognition, improve pattern awareness, and prepare providers for a call that does not follow typical respiratory failure patterns.

We are honored to welcome Kevin Tighe, the actor who brought Roy DeSoto to life on the groundbreaking series Emergency! and whose career has spanned stage, screen, and service.Kevin takes us back to his beginnings at the Pasadena Playhouse, where he first stepped into the world of acting at just 10 years old. From there, he trained with legendary teachers Stella Adler and Bobby Lewis, absorbing the craft that would later shape his most memorable roles.He reflects on his early film work, including Yours, Mine and Ours, and shares a warm, behind-the-scenes moment with Lucille Ball. Kevin then recounts the unexpected and nerve-wracking audition process that led to Emergency! and how a chance encounter with actor David Janssen calmed his nerves and helped him nail the screen test that changed his life.Kevin discusses the legacy of Emergency! notable for the realism brought by on-set medical advisors. The show inspired a surge of interest in first responder careers, and it raised awareness of lifesaving pre-hospitalization, EMS opportunities that inspired paramedic programs throughout the country.Kevin talks candidly about the challenges he faced following Emergency!, including his struggle with fame and his move to Washington State. There, he dedicated himself to community work and played a key role in establishing Hospice of the Northwest.After decades of appearances on big and small screens with memorable roles in Roadhouse, Newsies, Law And Order SUV, Freaks and Geeks, and the list goes on, you can now see Kevin in the new Paul Thomas Anderson movie, One Battle After Another, and he shares a touching moment between himself and P.T. Anderson which allowed Kevin to create a menacing screen moment that will live in infamy. Kevin also looks back on earning his master's degree at USC and the students he taught who went on to thrive in their field. And IMDB Roulette this week is full of close calls, career achievements and reflections on the early promise of today's biggest stars. All that PLUS, Emergency! Guest Star Roulette!Also, filmmaker Susie Singer Carter is with us to discuss her movie, No Country For Old People, streaming on Amazon Prime.In current media-- Fritz: The book Injustice by Carol Leonnig and Aaron DavisWeezy: The documentary Paul Anka: His Way on HBO MaxPath Points of Interest:Kevin Tighe on WikipediaOne Battle After AnotherKevin Tighe on IMDBHospice of the North WestNo Country for Old PeopleInjustice  by Carol Leonnig and Aaron DavisPaul Anka: His Way

The Joint Readiness Training Center is pleased to present the one-hundredth-and-eighteenth episode to air on ‘The Crucible - The JRTC Experience.' Hosted by the Senior Enlisted Medical Advisor and Role II Observer-Coach-Trainer for the Task Force Sustainment (BSB / CSSB), MSG Timothy Sargent on behalf of the Commander of Ops Group (COG). Today's guests are all combat medicine professionals across the JRTC. SFC William Deutsch is the Senior Medical OCT with TF-3 (IN BN), SFC Robert Schimmelpfenneg is the Medical Advisor and Role II OCT with TF Sustainment (BSB / CSSB), and SFC Anthony Norris is the Senior Medical OCT with Live Fire Division.   This episode dives deep into combat medicine at the tactical small-unit level, focusing on what 68W medics truly face in a large-scale combat operations environment. The discussion highlights how today's medics arrive from Basic Combat Training and Advanced Individual Training with significantly more clinical capability: whole blood transfusions, chest tubes, finger thoracotomies, FAST exams, etc. Yet often lose proficiency once they reach their units due to lack of repetitions, limited clinical exposure, and competing taskings like motor-pool duties and gate guard. The panel emphasizes the widening gap between what new medics learn in the schoolhouse and what line units actually reinforce day to day. Just as importantly, the episode stresses that modern LSCO demands a return to mastery of basics: triage under mass-casualty conditions, reassessments, deliberate casualty collection point (CCP) management, documentation, and base-level soldier tasks such as security, dispersion, movement, and survivability. We routinely observe high-casualties at JRTC, often 60–80 casualties at once and hundreds per rotation. Poor triage and poor soldier-skill fundamentals, not lack of “sexy medicine,” are the leading causes of died-of-wounds outcomes.    The episode also examines how units can better sustain medical readiness during home-station training. Leaders discuss integrating medics into ER rotations, EMS ride-alongs, sick-call operations, and realistic trauma/medical lanes that reinforce both prolonged field care and everyday DMBI cases. They argue that NCOs must reclaim ownership of training through proper DTMS programming, use of existing doctrinal resources, and deliberate linkage to mission-essential tasks. The conversation closes on three high-value priorities for the future fight: deliberate triage, accurate/documented patient care, and competent CCP & CASEVAC execution—all grounded in disciplined soldiering, not just advanced interventions. Ultimately, the episode makes clear that on the LSCO battlefield, combat medics must be clinicians, communicators, and soldiers, capable of saving lives while enabling commanders to maintain combat power forward.    Part of S05 “Beans, Bullets, Band-Aids, Batteries, Water, & Fuel” series.   For additional information and insights from this episode, please check-out our Instagram page @the_jrtc_crucible_podcast   Be sure to follow us on social media to keep up with the latest warfighting TTPs learned through the crucible that is the Joint Readiness Training Center.   Follow us by going to: https://linktr.ee/jrtc and then selecting your preferred podcast format.   Again, we'd like to thank our guests for participating. Don't forget to like, subscribe, and review us wherever you listen or watch your podcasts — and be sure to stay tuned for more in the near future.   “The Crucible – The JRTC Experience” is a product of the Joint Readiness Training Center.

In this episode of Unwritten Chapters, I do something a little different: I hit play on two videos and react in real time — as a former army medic, long-time paramedic, and guy who's watched a lot of people quietly fall apart while the world tells them to “be strong.”First up is the Monochromatic Theory: an author breaking down how pop culture, brands, and even our houses started to lose their colour. Home Alone, Taco Bell, old cars, childhood streets — all more vibrant than what we see now. I talk about why that hits so hard for people who grew up before everything turned beige, and how that muted “aesthetic” mirrors what happens to us after trauma, burnout, and years of caregiving.If you've ever felt more like background noise in your own life, this part is for you.Then we shift to something spicier: a clip of Andrew Wilson debating a woman about female roles in the military. As a former army medic, I give my honest take on women in the military and combat roles, drawing on my own experience, the women I served with, and what actually happens on the ground versus what guys on the internet think happens.If you're a nurse, medic, first responder, partner of a veteran, or a woman who's ever been told you're “too emotional” to handle the hard stuff… you'll probably have some feelings about this.We get into:Why so many of us feel like our lives went “monochrome”The link between nostalgia, trauma, and mental healthWhat people get wrong about women in the military and frontline rolesHow it really feels to carry everyone else's pain and still show upDark humour, recovery, and trying to make sense of life after rock bottomThis channel is for the empathetic but exhausted — the ones who are trauma-literate, allergic to bullshit, and just want someone to say the quiet part out loud. If that's you, you're in the right place.

Ed Fowler's 40-year career in fire and EMS culminates in a transformative chapter as he helps El Reno, Oklahoma, transition its EMS from private to an in-house, city-managed service—an innovative model focusing on sustainability, independence, and community trust. Ed shares his leadership philosophy grounded in accountability, clear communication, and mentoring future leaders. Amid this professional milestone, Ed confronts a life-threatening liver condition, navigating the transplant process while ensuring the EMS startup stays on course. His story offers rare insight into the human side of emergency services, touching on resilience, collaboration, and purpose when facing the edge of life itself. Beyond operational challenges, Ed's vulnerability inspires those struggling with adversity to find reasons to keep moving forward.

Top Indian Stock Market News for Dec 11, 2025! Catch the US Fed 25bps rate cut, the massive EMS stock crash (Kaynes, Dixon), Adani Enterprises rights issue update, and SpaceX's potential $30Bn IPO. Plus: India-US trade deal & ADB upgrades India GDP forecast (7.2% for FY26). Don't miss these key market drivers!Link for Investing Ebooks: https://shorturl.at/gM97lHow to Use Artificial Intelligence for Investing - Combo of 5 ebooks00:00 Start00:51 US Fed Rate Cut03:25 SpaceX Plans $30Bn IPO05:16 India-US Trade Deal update08:09 ADB Raises India's FY26 GDP Forecast09:49 Indian Markets overview11:34 Adani Enterprises Rights Issue Oversubscribed13:10 EMS Stocks Crash Led by Kaynes15:50 Hindustan Zinc Surges on Silver Prices16:32 Swiggy's ₹10,000 Crores QIP

Brent Fenton, a firefighter and paramedic with over 21 years of service, shares his journey from the firehouse to social media. From tough pediatric calls and the realities of leadership to balancing career, family, and ADHD, Brent opens up about resilience in the fire service. He also reflects on using humor and storytelling through Fire Department Coffee to break stigma, connect with others, and highlight the human side of first responders.Today's Sponsor is: JumpMedicAre you looking for top-notch first aid kits? Look no further than JumpMedic! Owned by a seasoned paramedic with over a decade of EMS experience, their kits are user-friendly and packed with essential supplies. From the most popular Pro Gen 2 to the compact Hard Shell Kit, they've got you covered. You can even Customize your own kit with their Build A Bag option! Enter the code NOON10 and enjoy 10% off your order! Free US shipping, and everything is HSA/FSA approved. Visit JumpMedic.com and follow @JumpMedicUSA on Instagram. Stay prepared with JumpMedic!Podcast: ⁠https://open.spotify.com/show/1vAokfqG5aifoRBKk9MAUh?si=T8DipSBCQzWfOeiBW3h-Vw⁠FB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=shareInstagram: ⁠https://www.instagram.com/911nonsense/⁠X: ⁠https://twitter.com/911Nonsense⁠Bonfire Merch: https://www.bonfire.com/store/nine-one-one-nonsense/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=nine-one-one-nonsense&utm_content=defaultContent Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the U.S. #911nonsense #ParamedicLife #FirstResponderStories #EMSFamily #EmergencyCalls #SavingLives #BehindTheSiren #FirstResponderLife #911nonsense #ParamedicPodcast #PodcastLaunch #PodcastLife #PodcastCommunity #TrueStoryPodcast #NewPodcastAlert #PodcastAddict #PodcastEpisode #PodcastPromotion #PodcastHost #PodcastRecommendations #RealLifeHeroes #EmergencyServices #TrueStories #BehindTheScenes #LifeOnTheLine #AdrenalineRush #HumanStories #OnTheJob #EverydayHeroes #TrueLife

Webinar page with video, slides, and moreWhat makes a Lean transformation last not just a few years, but two decades? At Electrolux, the answer wasn't more tools, more training, or more Kaizen events. The breakthrough came when the company realized that leadership behaviors — not Lean mechanics — were the deciding factor in whether improvement stuck.In this episode, Sandro Casagrande shares the story behind the Electrolux Manufacturing System (EMS), now in its 20th year. He explains why the early years of EMS produced uneven results, what changed when Electrolux shifted its focus to leadership habits, and how coaching routines, visual management, and leader standard work became the backbone of a sustainable improvement culture.Drawing from more than 30 years with Electrolux, Sandro details:• Why early EMS efforts succeeded in some plants but stalled in others• How leadership behaviors became the turning point in creating organizational habits• What neuroscience and habit loops taught Electrolux about sustaining change• How coaching — not directing — accelerates team development and problem solving• How sites reach gold and platinum performance levels, and why those gains hold even through turnover, new products, and process changes• Why zero-injury safety goals became both realistic and expected• How digitalization and platforms like KaiNexus now support global consistency and scaleSandro also lifts the curtain on Electrolux's leadership academy: a months-long experiential system where leaders learn by doing — running improvement cycles, receiving coaching, and ultimately becoming coaches themselves.If you're trying to build a culture where improvement happens every day, not just during events or crises, Sandro's journey offers practical, hard-earned insight into what it really takes.About the GuestSandro Casagrande is the Group Methodology & Documentation Leader at Electrolux. His Lean journey began in 1994, and he has been central to EMS from its earliest pilot projects through today's global digitalization efforts. He was the first Italian to achieve EMS Master Gear certification and continues to guide EMS implementation across all business areas.

Carmen LaBerge contrasts two new items.  The first is an AARP report on the rising problem of loneliness.  The second story is about a trio of young adults in the small village of Sackets Harbor, NY who are key volunteer members of the communities EMS, often helping the elderly.  How can you meet the needs of those around you?  Pastor Sam Jones, a member of Equipping the Persecuted and Truth Nigeria, talks about the massive underreporting of the persecution of Christians in Nigeria and how we can help pray and raise awarness of the carnage.   The Reconnect with Carmen and all Faith Radio podcasts are made possible by your support. Give now: Click here

Thanks to our Partner, NAPA Autotech Training and Pico TechnologyWatch Full Video EpisodeIn this episode, Matt shares a personal Thanksgiving story that turned into a real medical emergency. A long-time family friend suddenly becomes unresponsive at the dinner table, and Matt walks through the moment he had to decide whether to act, despite not being “formally” current on CPR.He talks candidly about what it felt like to drag her to the floor, check for breathing, make the call to start chest compressions, hear ribs crack—and then watch her come back. From there, he connects the experience to life in an automotive shop: CPR and first-aid readiness, AEDs, fire extinguishers, panic, freezing, and why “somebody will know what to do” is not a plan.It's a conversation about preparedness, stress, and how our greatest weapon really is the thought we choose when everything suddenly goes sideways.Episode HighlightsOpening with the quote: “Our greatest weapon against stress is our ability to choose one thought over another.”Matt fighting a cold and joking about his “Nat King Cole” voice.Thanksgiving at his parents' house: Family and close friends gathered, including a 75-year-old family friend (“Jane”) who's been part of the family's holidays for years.Jane says she's really dizzy; Matt gets up to escort her to the living room.Her chin suddenly drops to her chest, she becomes unresponsive, cold, and clammy.The decision point:Matt checks for airway, tries to feel for a pulse, listens for breathing—only hears gurgling.Admits he doesn't fully trust his own ability to feel a pulse with his heart pounding.The mental calculus: If you can't be sure, what else is there to do but chest compressions?Starting chest compressions:Dragging her to the floor and focusing completely on her while the rest of the room “disappears.”Locking his elbows, using the beat of “Stayin' Alive” as a guide.First compression: feeling and hearing the sternum/ribs crack—and taking that as feedback that he's at the right depth.Before the second compression, her eyes fly open and she lets out a sound.The immediate emotional whiplash:First feeling isn't relief, but anger and self-doubt: “Did I just overreact?” “Did I crack her ribs for nothing?” “Was this some dramatic hero move I didn't need to make?”Reorienting to the reality that she was unresponsive and now is awake, talking, and oriented.EMS arrives:Very low blood pressure at the house (around 70/40).Hooked up to a 4-lead, showing atrial fibrillation with PVCs.Matt nerds out on the waveforms and explains AFib and PVCs in plain terms.EMTs jokingly ask if he's a doctor because of how well he reads the traces.Later imaging reveals:A cracked or stress-fractured sternum from compressions.Multiple blood clots in her lungs.The doctor tells her that sternum fractures are common with CPR and adds:Don't be mad at him — he saved your life.For Matt, the key relief is not the “hero” label, but confirmation that he did the right thing by acting.Connecting it back to shops and real life:Afterward, Matt starts calling around trying to set up CPR and first-aid training.Hard question: if he drops at the shop, who's going to act?Extending the concern beyond employees: what about customers?Preparedness checklist for shops:Is there an AED on-site, and does anyone actually know how to use it?Has anyone at the shop had recent CPR and first-aid training?Do...

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton explore a powerful emotional truth most first responders (Amazon Affiliate) never say out loud: being called a hero doesn't always feel good — or accurate. Police, fire, EMS, and dispatch professionals often get labeled as heroes by the public, the media, and sometimes even their own families. But many responders feel uncomfortable, unworthy, or even resentful of that title. Not because they lack pride in their work — but because the things they've seen, the mistakes they replay, and the trauma they carry don't line up with the shiny narrative. This episode digs into the quiet conflict between the identity the world gives you and the identity you actually live with, and why so many responders struggle to feel heroic despite their sacrifice.

The group continues to take questions from the audience regarding how to start a campus-based EMS system, funding, and how to impress upon the university/college administration members the importance of such a in-house response system at any level,

In this episode, the crew kicks things off with pure mayhem — snowstorms in Michigan, salmon rain in California, and a spontaneous performance of “It's Raining Men.” From there, the guys dive into housekeeping, holiday updates, merch drops, and a surprising announcement from Brian about his upcoming Fire Marshals International Swimsuit Calendar.But the main topic?

Jack, known online as Electric Medic, shares an unfiltered look at his journey through EMS—from earning his med school diploma to working high-stakes gigs like Electric Daisy Carnival cruises. He reveals what keeps him grounded amid intense calls, the challenges of overnight shifts, and why the low-speed fender bender calls grind his gears. Jack dives into his unexpected rise on TikTok and Instagram, explaining how viral videos and smart collaborations launched his digital brand. Beyond ambulance life, he thrives on music festival EMS work, mixing adrenaline with creativity, including collabs with dubstep artist Subtropics. He also reflects on teamwork, mental toughness, and the importance of pursuing a clear social media focus. For anyone curious about the blend of healthcare hustle and online content creation, Jack's story showcases the raw reality and unexpected opportunities within modern EMS culture.    

Mon, Dec 8 2:32 PM → 2:40 PM Wrong quadrant Radio Systems: - DC Fire and EMS

Mon, Dec 8 2:05 AM → 2:14 AM Arlington handled Radio Systems: - DC Fire and EMS

Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the areaShe saw the disconnect between the provider that people wanted to become and who they became, and she didn't want that to be true for herselfShe became an attending in 1991 and now has close to 40 years in emergency medicineShe became a physician when it was predominantly a male fieldJulie talks about some of the things that have changed over timeWe need to have empathy for the people that come in for non-emergent complaints and realize that we have the honor in the ED to fill all the gaps in the wider medical systemWe talk about the increase in transparency with patients and the access they now have to their lab work, imaging and chart and this helps us increase trust with patientsJulie talks about a paramedic partner she really admired and how well she treated patients, and how there wasn't a lot of female role models for her in med schoolI talk about how I also had partners that really improved the trajectory I was on as a new EMTSeek first to understand is one of the 7 habits of highly effective people and this relates directly to taking care of patientsJulie talks about how it was to be a woman in medicine and how her voice got dismissed as well as the dynamics that are at play with patientsJulie talks about burnout and how labyrinth therapy helped her. How you need something that helps you look beyond yourself to have a moment of awe and gratitudeSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Sun, Dec 7 5:57 PM → 7:04 PM On December 7 2025 a WMATA employee experienced a medical emergency. AMR personnel were unable to locate the facility. Radio Systems: - DC Fire and EMS

After a week away, we catch up on all things NFL and changes in our Pick 'Ems standings. The playoff picture in the Nation of Domination is clearing up, and we also update NBA news around the league. 

Kurt Bramer from Advanced CPR Solutions returns again this week to continue the series on Head-Up CPR and other promising sudden cardiac arrest treatments. There are three previous episodes in this series. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three After the severe weather update from disaster meteorologist Dan DePodwin, the Disaster Podcast team focuses on the science and physiology of Head-Up CPR. They ask why this approach provides for better protection of neurological function during a cardiac arrest. Dr. Joe Holley does an excellent job of describing the specific concepts of pressure gradients in blood flow to and from the heart during CPR in various patient positions. Kurt outlines what he calls the Four Rules of Head-Up CPR that are essential components for successful resuscitation during cardiac arrest treatment. These rules come from Dr. Joanna Moore’s Editorial The Do’s and Don’ts of Head Up CPR: 1) Use of Suction Cup CPR and an ITD 2) A Priming Period is Needed 3) Cannot Lift the Patient Too High 4) You Cannot Lift the Patient Too Quickly CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well. Podcast Discussion Summary Episode Opening segment and Weather update The meeting began with a discussion about travel weather for the country and record cold in many parts of the upper midwest and northeast with Dan DePodwin. The group then transitioned to their main topic, the physiology of CPR, with Dr. Joe Holley focusing our attention on the specific anatomy and process inside the body during CPR. Head-Up CPR Techniques Discussed Kurt and Joe discussed the importance of adhering to the “four rules” of head-up CPR, which were derived from a published editorial by Dr. Moore. They emphasized that studies showing no improved outcomes often violate these rules, highlighting the significance of proper technique. Jamie Davis, the host of the Disaster Podcast, introduced the episode, which would focus on the science and physiology of elevated CPR, while Sam and Dan briefly discussed the early winter weather conditions across the United States. Head-Up CPR Research Advances The discussion focused on head-up CPR, a novel research advancement in resuscitation aimed at improving neurologic survival. Kurt explained its origins, highlighting a case study involving a ski hill cardiac arrest patient who survived due to an elevated head position, which was later recognized as a critical factor. The conversation also touched on a study conducted in South Korea, where researchers developed a modified EMS stretcher to accommodate patients in high-rise buildings with small elevators, leading to the question of the optimal CPR position. Initial findings from animal studies suggested that a head-up position could reduce intracranial pressure, potentially improving outcomes during CPR. CPR Physiology and Blood Flow Joe explained the physiology of CPR, focusing on how differences in pressure inside the body create blood flow. He described how chest compressions increase intrathoracic pressure, pushing blood towards the brain and other areas of lower pressure. He emphasized that over-ventilation and incomplete chest recoil can be detrimental during CPR, as they prevent blood from flowing back into the heart. He also noted that patients who exhibit “guppy breathing” during resuscitation have a better chance of successful resuscitation. CPR Vacuum Technology and Physiology Joe explained the physiology of blood flow during CPR, focusing on the importance of preload and the manipulation of pressure differences between the thoracic cavity and the brain. He described how the ITD16 device creates a vacuum in the chest to enhance blood flow to the brain and reduce intracranial pressure. Joe also discussed the concept of “head-up CPR,” which combines enhanced vacuum with gravity assistance to improve blood flow and neuroprotective outcomes. Head-Up CPR Techniques and Safety Sam and Kurt discussed the importance of using proper equipment and techniques for head-up CPR, as outlined by Dr. Joanna Moore’s “four rules.” Kurt emphasized that suction cup CPR in conjunction with an ITD or rescue pod is crucial for effective and safe head-up CPR. He also stressed the need for a priming period, avoiding excessive head elevation, and slow head-up positioning to prevent blood from draining from the head faster than CPR can pump it back in. Kurt noted that studies claiming head-up CPR doesn’t work often violate these rules, highlighting the significance of adhering to the correct procedures. Head-Up CPR: A Novel Approach The team discussed the importance of proper technique in head-up CPR, emphasizing that it requires a bundled care approach with specific parameters to be effective. Joe and Kurt shared a case study of a retired fire chief who successfully underwent head-up CPR, highlighting the potential benefits of this novel approach. The discussion also touched on the concept of using a combination of therapies in resuscitation, similar to the drug cocktail approach used in treating HIV. Success Stories in Advanced CPR The meeting focused on sharing and discussing remarkable cases of successful CPR, particularly highlighting the concept of “head-up” CPR, which has shown improved outcomes. Kurt and Joe shared several stories of patients who experienced significant neurologic recoveries after cardiac arrests, with survival rates and recovery rates significantly higher than national averages. The discussion emphasized the potential of advanced CPR techniques to improve survival and neurologic outcomes, with Joe noting that two of his services have seen similar success rates. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!

Sat, Dec 6 12:57 AM → 1:05 AM ledyard Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc

Start with hope, end with readiness. We open our hearts in prayer and then get practical about how to protect what we love, drawing a straight line from an old Marine Corps lesson—never bring a problem without solutions—to a community playbook that blends faith, family, and civic duty. Mercy Otis Warren's account of the Founders petitioning the Crown while raising an army sets the tone: pursue peace, but prepare with clear eyes.We talk through specific steps anyone can take to strengthen a town's backbone: advocate for local law enforcement, firefighters, and EMS; write your sheriff, DA, and representatives; use a train-the-trainer model to multiply skills across churches, schools, and neighborhoods. This isn't about fear. It's about love of neighbor, resilience, and responsibility. From there, we turn to the home, walking through Ephesians 5's vision for marriage—husbands who love sacrificially, wives who respect—because strong households anchor strong communities.Then we face the hard words of Revelation 12–13. Power can dazzle and deceive, but the call is steady: endure and remain faithful. Paired with Psalm 141's plea to guard our lips and hearts, we frame endurance as daily obedience, not a one-time surge. We honor Staff Sergeant Paul Luther Bolden's valor and lift President Herbert Hoover's 1929 Christmas message to remember the gifts that do not fail: courage, kindness, and mutual help. Threaded through it all is a simple theme—pray for changed hearts and prepare for hard days, with calm hands and a hopeful spirit.If this resonates, share it with a friend, subscribe for more, and leave a review to help others find the show. Tell us one concrete step you'll take to strengthen your home or community this week.Support the showThe American Soul Podcasthttps://www.buzzsprout.com/1791934/subscribe

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton confront one of the most urgent and heartbreaking issues in the first responder community — the silent suicide epidemic (Amazon Affiiate). Police officers, firefighters, EMS professionals, dispatchers, corrections officers, and veterans are dying by suicide at rates that outpace line-of-duty deaths. And yet, the warning signs often go unnoticed, minimized, or misunderstood — not because people don't care, but because responders are experts at hiding their pain. This episode shines a direct light on the red flags, the root causes, and the actionable steps that can save lives before it's too late.

What do you do when someone on your team is struggling — and it's on you to say something? In this episode of the Inside EMS podcast, Chris Cebollero and Kelly Grayson dive headfirst into one of leadership's toughest challenges: holding people accountable without losing your humanity. This episode challenges leaders to ditch outdated progressive discipline models and start leading with clarity and empathy. Whether you're a seasoned supervisor or new to the hot seat, this one hits home. And if you've been avoiding a conversation, consider this your nudge to stop choosing comfort over your own integrity. Quotable takeaways “Firing people with compassion, managing your ego, their ego, admitting mistakes and just being human — these are the places where real leaders show up.” “One of the things I try to teach is that I don't fire anybody — I just process the paperwork. People fire themselves.” “EMS is a very egotistical business, and it's that ego that keeps us from asking questions. Because we don't want to look like we don't know what we're talking about in front of our peers.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest!

We unpack what's happened so far in the debate over Lee County's next EMS contract, and speculate irresponsibly about what might happen next.

Fri, Dec 5 7:06 PM → 7:06 PM test etset ests Radio Systems: - DC Fire and EMS

In March of 2018, 31-year-old Jennifer Myers was pronounced deceased by EMS at the home of a stranger, from what was later ruled a self-inflicted gunshot wound. Her family may never have the answers they so desperately want, but there's multiple loose ends that show that the investigation into Jen's death fell short. Will Jen's case remain closed with a rushed ruling of suicide, or will detectives finally hear the family's pleas for a reopening of the case and give them the answers they deserve? If you have any information about the death of Jennifer Myers in Wheat Ridge, Colorado, please contact the Wheat Ridge Police Department or Jen's family at the Justice for JEN Facebook page: https://www.facebook.com/Justice4JEN/ Listen Ad Free And Get Access to Exclusive Journal Entries Episodes: Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/4HEzJSwElA7MkbYYie9Jin⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Patreon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/themurderdiariespod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Apple: Hit subscribe/ 1 week free trail available Sponsorship Links: Sign up for a one-dollar-per-month trial period and take your retail business to the next level today! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://shopify.com/murderdiaries⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Resources: ⁠⁠⁠⁠https://themurderdiariespodcast.com/episodes⁠ Music Used: Walking with the Dead by Maia Wynne Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://freemusicarchive.org/music/Maiah_Wynne/Live_at_KBOO_for_A_Popcalypse_11012017⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://creativecommons.org/licenses/by-nc-nd/4.0/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Glitter Blast by Kevin MacLeod Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://filmmusic.io/song/4707-glitter-blast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://filmmusic.io/standard-license⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Our Links: Link Hub: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://msha.ke/themurderdiaries⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/themurderdiariespod/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Edited by: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.landispodcastediting.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In Round 100 of the Tactical Transition Tips on the Transition Drill Podcast, transition can feel overwhelming for military veterans and first responders because the world outside the uniform often presents more choices than clarity. This episode explores how choice overload affects service members, police officers, firefighters, EMS professionals, soldiers, Marines, sailors, and airmen as they prepare for life after service. The story that unfolds is one many experience but rarely discuss, the fear of choosing wrong, the pressure to explore everything, and the uncertainty that grows when direction is missing.You'll hear how transition becomes easier when you narrow your focus, build identity intentionally, and match your preparation to the stage of your career. Instead of chasing every possible path, this episode shows why clarity and structure create the confidence needed to move forward with purpose.Transition Group Breakdown• Close Range Group (transitioning immediately to one year): Choose one or two career lanes to explore deeply; this helps reduce overwhelm and supports decisive movement during a critical window.• Medium Range Group (transitioning in roughly five years): Build depth in your professional identity and create early positioning; these actions give you stronger options and more confidence when transition becomes real.• Long Range Group (transitioning in ten or more years): Develop curiosity and foundational habits that strengthen long term readiness; this ensures your identity and skills evolve in ways that support future transition rather than threaten it.This episode guides you through the reality many military veterans and first responders face, a future filled with options that can either paralyze progress or strengthen direction. The goal is simple, help you build clarity so your next chapter isn't defined by uncertainty, but by deliberate movement toward a meaningful life after service.The best podcast for military veterans, police officers, firefighters, and first responders preparing for veteran transition and life after service. Helping you plan and implement strategies to prepare for your transition into civilian life.Get additional resources and join our newsletter via the link in the show notes.CONNECT WITH THE PODCAST:IG: https://www.instagram.com/paulpantani/WEBSITE: https://www.transitiondrillpodcast.comLinkedIn: https://www.linkedin.com/in/paulpantani/SIGN-UP FOR THE NEWSLETTER:https://transitiondrillpodcast.com/home#aboutQUESTIONS OR COMMENTS:paul@transitiondrillpodcast.comSPONSORS:GRND CollectiveGet 15% off your purchaseLink: https://thegrndcollective.com/Promo Code: TRANSITION15Frontline OpticsGet 10% off your purchaseLink: https://frontlineoptics.comPromocode: Transition10

There is no “tomorrow.”You never wake up there. You only ever wake up here.In this solo episode of Unwritten Chapters, I talk honestly about what it means to live in the now when you've got a brain full of flashbacks, burnout, and worst-case scenarios. As a former army medic and paramedic turned author in recovery, I'm not preaching “good vibes only.” I'm talking about trying to stay present when your nervous system is cooked and you're still waiting for the other shoe to drop.If you're a nurse, medic, frontline worker, partner of a veteran, or someone in or around recovery who is exhausted, trauma-literate, and allergic to bullshit, this is for you.In this episode, we get into:Why “tomorrow” is the lie your brain keeps selling youHow trauma, anxiety, and addiction keep us anywhere but hereThe quiet grief of feeling like life is always on holdPractical, imperfect ways to come back to right nowGiving yourself permission to want more than just survivingThis isn't self-help sparkle. It's one guy who's been to rock bottom, still trying to make sense of life after trauma, addiction, and hitting the wall at high speed.If you connect with dark humour, honest storytelling, and real talk about PTSD, mental health, and recovery, pull up a chair. You're not the only one trying to figure out how to actually live the one day you've got.

In this episode of The Chief's Cadence, Shane Wheeler sits down with Dr. Anthony McGee, senior partner at Fitch and Associates, to explore the overlooked role of structured communication in EMS leadership. Dr. Minge discusses why communication should be as prioritized as budgets or staffing. He highlights practical strategies like rounding, scheduled huddles, and purposeful meetings to build trust, improve culture, and reduce operational chaos. The conversation also addresses the challenges posed by modern communication technology and artificial intelligence, emphasizing the irreplaceable value of face-to-face dialogue and emotional connection. For aspiring and current EMS leaders, this episode offers actionable insights on fostering psychological safety, encouraging two-way communication, and leading with transparency and intentionality.

In this month's Educational Journal Club, we dive into a multi-state study examining EMS team performance during simulated pediatric emergencies. We will explore how well EMS clinicians handle high-stakes scenarios like respiratory arrest, cardiac arrest, and seizures in children—and whether having a Pediatric Emergency Care Coordinator (PECC) makes a difference. With insights into training gaps and simulation-based performance data, we'll discuss what these findings mean for frontline care and how to better prepare EMS teams for rare but critical pediatric calls. Article: Quality of Care and Opportunities for Improvement in Prehospital Care of Critically Ill Pediatric Patients: An Observational, Simulation-Based Study https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2500715

Volunteer fire departments and EMS organizations face risks that most businesses can't even imagine. From wrongful termination claims to the unique dangers of the job, they need more than a standard policy, and they need a partner who understands the fire service from the inside out.My guest, Ed Mann, served as the Pennsylvania State Fire Commissioner for 15 years before joining Provident Agency. In this episode of The Broker's Voice, he shares the game plan for protecting first responders. We get into the critical importance of Employment Practices Liability Insurance (EPLI) for volunteer departments, how Provident's lifetime benefits protect those injured in the line of duty, and the powerful educational resources they provide to keep departments safe and compliant. This is the guide for brokers who want to serve the people who serve our communities.▶▶ Sign Up For Your Free Discovery Callhttps://calendly.com/aneary/strategy-sessionCONNECT WITH ANDY NEARY

Recorded on the floor of the EMS|MC EMSpire Conference in Charleston, South Carolina, this episode of EMS One-Stop finds host Rob Lawrence in conversation with long-time collaborator and EMS advocate Matt Zavadsky. Fresh off the longest federal government shutdown in history, Rob and Matt unpack what the hyper-turbulence in Washington really means for EMS: suspended Medicare extenders, disrupted grant programs, agencies taking out loans just to meet payroll and training programs put on hold. They break down NAEMT's flash poll on the shutdown's impact, the promise of the Treatment in Place (TIP) legislation, and why associations “hunting as a pack” on Capitol Hill matters more than ever. Along the way, they spotlight EMSIntel.org as a national barometer of EMS funding, staffing and response time crises, and issue a clear call to action for providers, billers and leaders to use association tools to contact their members of Congress. | MORE: Government reopens: What EMS providers need to know right now In the second half, Rob is joined by Dr. Shannon Gollnick, paramedic, EMS leader and organizational psychologist, to explore how artificial intelligence is reshaping EMS — right now. Shannon makes the case that AI is “not the future; it is the present,” and that agency leaders must urgently build literacy, policies and guardrails around its use. They dig into the difference between HIPAA-compliant, embedded AI in ePCR systems, and risky open tools like ChatGPT, touching on hallucinations, embedded code and emerging Medicare fraud-detection programs. | MORE: Artificial to augmented intelligence. How Dr. Shannon Gollnick wants EMS to work smarter, not harder Rob and Shannon talk about AI as a powerful but potentially dangerous tool — “like having a tiger” — and outline practical steps for chiefs: Ask: “Do we have an AI policy?” Define what AI can and cannot be used for Insist that every AI-generated work product is double-checked by a human before it hits the record Memorable quotes “We weren't here to actually scare you off it. We're here to let you know that it's here, but it's like having a tiger, right? We all love to have a tiger, but it has to be contained in some sort of guard, otherwise it's going to run rife and cause havoc, and we don't want that.” — Rob Lawrence “This is part of the hyper-turbulence that's occurring in EMS right now.” — Matt Zavadsky “So I think the message for the profession right now is, now is not the time to put your foot on the brake. It's time to put your foot on the gas.” — Matt Zavadsky “We put the fun into function.” — Dr. Shannon Gollnick “I think it's important to understand that AI is not the future. It is the present. We are currently here right now. And it's nothing to be afraid of.” — Dr. Shannon Gollnick “If you're not doing it, I promise you that your staff is doing it and they're playing around with AI.” — Dr. Shannon Gollnick “Guardrails don't exist from a congressional standpoint. They don't exist from a regulatory standpoint. The technology is moving far too fast. So we as agency leaders have to take the lead in putting up some of those guardrails.” — Dr. Shannon Gollnick “There are ePCR software out there that are using proprietary AI that will use AI-generated narratives. And that absolutely is 100% good to go. What we don't want to see is our crews putting in their ChatGPT to have ChatGPT write their narrative.” — Dr. Shannon Gollnick “ChatGPT has embedded code inside of it that you can't see, but that code is there ... so what we're kind of afraid to do is to say, hey, what happens 6 months from now, 8 months from now when Medicare does an audit, they run your ePCRs and find all of this embedded code from ChatGPT ... you open yourself up for a lot of compliance issues.” — Dr. Shannon Gollnick Additional resources: EMS Intel EMS News Tracker American Ambulance Association Advocacy NAEMT Advocacy EMS shutdown survival: What leaders need to know now Charting the future: How AI is rewriting the EMS narrative Episode timeline: 00:21 – Rob introduces guest Matt Zavadsky 02:02 – Rob recaps the 40-plus-day federal government shutdown, questions about reopening, and his upcoming return to Capitol Hill for renewed advocacy 02:02 – Matt frames the shutdown as part of the “hyper turbulence” in EMS; explains the regulatory suspensions, pauses in Medicare extenders and grants, and how cash-flow uncertainty forced some agencies to take out loans just to make payroll 03:04 – Matt details NAEMT's flash poll (408 agency responses) showing suspended training and grant-funded programs, and warns of a possible repeat shutdown around January 30 03:54 – Rob and Matt discuss the reopening of government, ongoing bipartisan work, and the risk that everything “comes to a grinding halt” again if Congress can't agree 04:51 – Matt explains why NAEMT released the shutdown-impact poll even as government reopened and stresses the need to keep pushing for permanent relief from Medicare extenders and advancement of key bills like Treatment in Place (TIP) 06:03 – Matt outlines the House and Senate TIP companion bills and why Medicare paying for treatment in place is better for patients, EMS, the health system and the Medicare trust fund 06:54 – Rob notes broad association/provider support and professional lobbyists on the Hill; Matt stresses that field providers, administrators and billers must still use association legislative portals to send letters to Congress 08:08 – Matt describes a surge in communities reevaluating their EMS delivery models because of staffing, finance and subsidy challenges — “a great time to be an EMS consultant” 09:09 – Rob introduces EMSIntel.org as a curated clearinghouse of EMS news, used to show communities they aren't alone; describes failed tax measures and funding referenda 10:15 – Matt cites EMS Intel data: ~85% of stories each month involve funding, staffing or response times; Rob and Matt stress the ubiquity of these themes from big cities to small towns 11:09 – Rob highlights mutual aid tensions and taxpayers questioning why they “pay to send our resources somewhere else;” both emphasize that hyper-turbulence and funding gaps are national issues 13:23 – Rob resets the scene from the EMSpire conference and recaps Matt's Hill update before introducing Dr. Shannon Gollnick 14:41 – Shannon gives his backstory: in EMS since 1996, paramedic since 2002, progression into EMS leadership, doctorate in organizational psychology and focus on how organizations function 15:14 – “We put the fun into function.” 15:24 – Rob invites Shannon to talk AI, calling it “the specter we are embracing everywhere,” and references HIPAA concerns; Shannon opens with the core message: AI is not the future, it's the present, and nothing to be afraid of 16:03 – Shannon urges leaders to build AI literacy, noting that if agencies aren't using it, their staff and the younger generation already are 16:28 – Shannon emphasizes policy and procedure: AI guardrails aren't coming from Congress or regulators, so agency leaders must define how AI will be used and where its limits are 16:55 – Rob reminds listeners that AI in EMS isn't new, citing early monitor rhythm interpretation in the UK; Shannon underscores that crews already use AI tools and that unmanaged cut-and-paste practices can create billing and compliance risks 17:24 – Shannon explains the dangers of using open tools like ChatGPT for ePCR narratives: potential PHI exposure in a “black box” system and AI hallucinations generating plausible but false patient information 18:21 – Shannon describes how AI “wants to answer your question and make you happy,” leading to made-up details, and shares examples from testing minimal-input scenarios that returned overly detailed, inaccurate narratives. 19:03 – Shannon calls ChatGPT “kind of a snitch,” explaining embedded code markers that fraud detection tools — and increasingly Medicare's AI-based “Wiser” program — can use to identify AI-written content in documentation 19:59 – Shannon warns about retrospective audits and compliance exposure if ChatGPT-coded narratives are found in ePCRs, noting that AI rules are still emerging and tech is outrunning regulation 20:51 – Rob summarizes the mixed message: AI is here and being built into devices and software, but there are real dangers. They discuss data going “to the cloud” — which Shannon defines as “somebody else's computer.” 21:24 – Shannon frames AI as a powerful tool that can “put a lot of holes in the wall” if misused; he references fraudulent AI uses and deepfakes as emerging issues 22:05 – Shannon compares AI's impact to the internet's paradigm shift; Rob gives a “spoiler alert” about his own workflow using transcripts and ChatGPT agents, and notes the importance of reading and checking any AI-generated output 22:45 – Shannon reinforces that AI makes mistakes and cannot understand human context; he uses his “How you doing?” Joey Tribbiani vs. Tony Soprano example to illustrate contextual nuance 23:06 – Rob expands the context point with the “Friends”/“Sopranos” slide and reminds listeners that once AI-written words are published, “you said it.” Shannon highlights the WebMD effect and AI-driven self-diagnosis risks. 24:02 – They note that ChatGPT can generate long, complex diagnoses without sufficient patient context, leading to errant or misleading outcomes if misused clinically 25:00 – Rob summarizes: AI is here and, used correctly, is a good thing; advises chiefs to ask their teams, “Do we have an AI policy?” 25:27 – Shannon outlines what an AI policy should contain: acknowledgment that AI is here; clear, non-fearful framing; specificity on what decisions AI can support; and clarity on which tools (e.g., embedded EPCR AI) are allowed versus prohibited uses of ChatGPT 26:17 – Shannon stresses AI should not be used for clinical decision-making or clinical narrative writing; its role should be administrative only, and all outputs must be double-checked Enjoying the show? Email editor@ems1.com to share feedback or suggest a guest for a future episode. 

In this episode of Transmission Interrupted, host Jill Morgan explores the high-stakes world of EMS preparedness with guests Matt Sasser and Alex Isakoff. Get an inside look at what it really takes to be ready for anything—from unexpected emergencies on the road to transporting patients with high-consequence infectious diseases.The team shares real stories, expert insights, and lessons learned from hands-on drills, large-scale exercises, and unique scenarios. Discover the importance of the "staff, stuff, and space" mantra, why iterative training makes the difference in crisis moments, and how building a culture of preparedness through practice ultimately keeps both EMS providers and patients safe.Whether you're a frontline responder, hospital clinician, or simply interested in public health, this conversation unpacks the challenges and triumphs of special pathogen preparedness—and why cultivating expertise, collaboration, and ongoing support is essential for communities everywhere.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsAlex Isakov, MD, MPH, FACEP, FAEMSNETEC EMS Workgroup Co-Lead Executive Director for Health SecurityProfessor of Emergency MedicineEmory School of MedicineAlex Isakov's Emory University ProfileMatt Sasser, MDMedical Director, MedSTAR TransportMedical Director, Baltimore Ravens M&T Bank StadiumEmergency Physician, MedStar Union Memorial HospitalMatt Sasser's MedStar Health ProfileHostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI).ResourcesNETEC EMS Biosafety Transport for Operators online courseNETEC Emergency Medical Services (EMS) Featured ResourcesNETEC Special Pathogen Operational Readiness Assessment for Emergency Medical Services (EMS)ASPR TRACIE EMS Infectious Disease PlaybooEMS Model Procedural Guidelines for Special PathogensNETEC Resource...

Wed, Dec 3 1:43 AM → 3:09 AM 4 Transmissions for worksheet Radio Systems: - DC Fire and EMS

The National EMS Advisory Council (NEMSAC) was abruptly disbanded earlier this year. Former chair Brenden Hayden, COO of Estella Health, a mobile Integrated healthcare company, and former vice chair, Tom Arkins, chief of IT and informatics with Indianapolis EMS, join us to discuss their time on the committee and look into the future for EMS.

Former FDNY Commissioner Daniel Nigro calls into the program to talk about various topics, including recent losses in the FDNY community such as Firefighter Patrick Brady and 9/11-related deaths like James Riches. Sid and Daniel reflect on Nigro's personal and professional journey, especially his challenging ascendance to the role of commissioner following the death of his friend during the 9/11 attacks. The conversation also touches on the current and future leadership of New York City's fire department and Nigro's involvement in the transition team for the incoming Mamdani administration, expressing hope for improvements in EMS services and worker compensation. Learn more about your ad choices. Visit megaphone.fm/adchoices

Recently, some paramedics, obstetricians, and EMS medical directors were locked in a room and produced some fantastic collaborative prehospital guidelines for managing post-partum hemorrhage, eclampsia, and pre-eclampsia. Have a listen, take a look at the guidelines (links below), and we'll all take better care of our pregnant/post-partum patients. REFERENCES 1. https://naemsp.org/news/now-available-new-ems-obstetric-emergency-guidelines/

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton break down one of the toughest seasons for police, fire, EMS, and dispatch — the holidays. While the rest of the world is slowing down, celebrating, and gathering with loved ones, first responders are gearing up for some of the most demanding, emotionally heavy, and schedule-breaking shifts of the year. From missed traditions to emotional exhaustion (Amazon Affiliate), the holiday season can bring a unique mix of guilt, pressure, and loneliness that most people will never understand. This episode gives you a bulletproof, practical guide for protecting your mental health, staying grounded, and creating meaning — even when you're working through the holidays instead of celebrating them.

Dr. Melody Glenn was a burned-out emergency physician who had grown to resent the large population of opioid-dependent patients passing through her ER. While working at a methadone clinic, she realized how effective harm reduction treatments could be and set out to discover why they weren't used more broadly. That's when she found Dr. Marie Nyswander. In the 1960s, Dr. Nyswander defied the DEA and medical establishment to co-develop methadone maintenance as a treatment for heroin addiction. According to some addiction specialists, its discovery could be considered as monumental as the discovery of penicillin. Yet, it still carries a stigma today. As the United States continues to struggle with opioid and fentanyl use, Dr. Glenn shares Dr. Nyswander's legacy and important lessons that can be used in dealing with today's addiction crisis. Dr. Melody Glenn is an author and associate professor of addiction and emergency medicine at the University of Arizona. She graduated with her M.D. from The University of Southern California, completed her emergency medicine residency at Maricopa Medical Center, and earned her EMS fellowship from The University of California, San Francisco. Moderator Margaret Juhae Lee is the author of Starry Field: A Memoir of Lost History. She received a Bunting Fellowship from Harvard University and a Korean Studies Fellowship from the Korean Foundation in support of research for her book. Previously, she was an editor for the Books and the Arts section at The Nation magazine. Commonwealth Club World Affairs of California is a nonprofit public forum; we welcome donations made during registration to support the production of our programming. A Psychology Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. Commonwealth Club World Affairs is a public forum. Any views expressed in our programs are those of the speakers and not of Commonwealth Club World Affairs. OrganizerPatrick O'Reilly  Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on the Inside EMS podcast, we're passing the gravy and the hot takes. Cohosts Chris Cebollero and Kelly Grayson serve up a holiday plate full of EMS news — starting with FDNY's potential EMS split. They dig into what fair pay really looks like, why some EMTs are suing for what they're owed, and whether big hospital systems like Yale New Haven are reshaping the ambulance game for better or worse. Whether you're working a turkey-day shift or finally off duty, this episode hits hard and gives thanks where it's due. Quotable takeaways: “If you're gonna be in the EMS business, you've gotta be in the EMS business, right?” “One thing we need to do as leaders is to make sure we don't mess with people's money.” “If you're not giving adequate funding and attention to the EMS side of the house, then that's a recipe for trouble and it can't last.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest for a future episode. 

This episode was recorded at the National Collegiate EMS Foundation annual conference. NCEMSF is a group of campus-based EMS agencies that a part of the student organizations.  Some have vehicles. Some respond on foot and mainly are volunteering their time to do this during their college careers.  Let's learn more!  Joining the group is Eric Pohl and Zack Matuzsan. 

Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria.   Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w

Want to start a $1M side hustle? Get 100+ ideas here: https://clickhubspot.com/gtb Episode 769: Sam Parr ( ⁠https://x.com/theSamParr⁠ ) and Shaan Puri ( ⁠https://x.com/ShaanVP⁠ ) talk to Sheel Mohnot ( https://x.com/pitdesi ) about $10M business ideas you could be early on.  — Show Notes: (0:00) Intro (3:42) 50-year mortgage (11:22) #1 - AI Yard Vision (15:02) #2 - AI Pool Vision (24:05) #4 - Peptides (35:43) #5 - eHarmony for Surrogacy (44:13) #6 - EMS - not the one you're thinking (55:53) #7 - Prediction Marketplaces (56:30) Books are a waste of time (58:13) Message the owner — Links: • BTV - https://www.btv.vc/  • DeepLawn - https://deeplawn.com/  • Roofer - https://roofer.com/  • Hone - https://honehealth.com/ • Katalyst - https://katalyst.com/  — Check Out Shaan's Stuff: • Shaan's weekly email - https://www.shaanpuri.com  • Visit https://www.somewhere.com/mfm to hire worldwide talent like Shaan and get $500 off for being an MFM listener. Hire developers, assistants, marketing pros, sales teams and more for 80% less than US equivalents. • Mercury - Need a bank for your company? Go check out Mercury (mercury.com). Shaan uses it for all of his companies! Mercury is a financial technology company, not an FDIC-insured bank. Banking services provided by Choice Financial Group, Column, N.A., and Evolve Bank & Trust, Members FDIC — Check Out Sam's Stuff: • Hampton - https://www.joinhampton.com/ • Ideation Bootcamp - https://www.ideationbootcamp.co/ • Copy That - https://copythat.com • Hampton Wealth Survey - https://joinhampton.com/wealth • Sam's List - http://samslist.co/ My First Million is a HubSpot Original Podcast // Brought to you by HubSpot Media // Production by Arie Desormeaux // Editing by Ezra Bakker Trupiano //