Podcasts about EMS

TV shows and movies set in places like field offices, courtrooms and hospitals entertain us, sure... But they also tell us something - about crime, medicine, danger, and heroism. So who makes sure they don’t get it wrong? Meet three entertainment consultants whose real jobs exist far beyond the screen: a former FBI profiler behind Criminal Minds, an ER doctor, who advised on The Pitt, and NASA astronaut Nicole Stott, who worked on the Amazon film Space Cadet. They reveal what Hollywood gets right, what it often misses, and the surprising responsibility that comes with shaping what millions of people believe. Suggested episodes: Behind The Screens: Hollywood Hairstyling, Coordinating Intimacy, And Illustrating The Great British Bake Off Becoming fluent in English by watching 3 hours of American and British television every day Behind The Screens: Dressing Schitt’s Creek, Special Effects Make-Up, and Casting Queer Eye Stunt performers David Holmes and Jonathan Goodwin on life after paralysis When actors teach: Embodying the lives of an enslaved woman and a medical patient Who decides? Ethicists help doctors and patients answer big, nuanced questions GUESTS: Jim Clemente: Former FBI special agent and prosecutor, who spent more than 20 years working in criminal behavioral profiling and became an entertainment consultant, writer, and producer on the Criminal Minds series Dr. Sylvia Owusu-Ansah: Emergency medicine physician, EMS medical director, and educator, who also serves as a medical consultant for the Emmy Award-winning HBO series, The Pitt Nicole Stott: NASA astronaut, engineer, artist, and author, who spent more than 100 days living and working in space. She also consults on film and television, including the Amazon movie Space Cadet Support the show: https://www.wnpr.org/donateSee omnystudio.com/listener for privacy information.

This week on Inside EMS, Chris Cebollero kicks off 2026 with a heartfelt conversation featuring Eric Morrison, vice president of the National EMS Memorial Bike Ride and EMS director for Iredell County, North Carolina. The ride, founded 26 years ago, exists to honor the memory of EMS providers who died in the line of duty, from illness or mental health struggles. Each rider wears a dog tag bearing the name of a fallen provider, often connecting with their families along the journey. Eric shares his personal journey from lifeguard to leader and how his rekindled love for cycling — along with the loss of friend and EMS wellness advocate Brian Fass — led him to the ride. He breaks down what it takes to join (hint: it's more doable than you think), the logistics of the ride, and how EMS agencies and individuals can support the cause, even off the bike. Quotable takeaways from Eric Morrison “All of us are focused on the idea that our providers matter. They matter to their families, they matter to their communities, and they should matter to all of us.” “People that didn't even know that person are recognizing their service. They're recognizing their commitment to the community, and they're honoring them and remembering them.” “Once you come out and see what the ride is really about, you understand the mission and you see the impact it has on these families that we're able to meet with.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest for a future episode. 

This week, Kristin and I talk with Jason Pang, Director of EMS, and Joe Stoffolano, Division Chief of Community Risk Reduction in Miami Township, Ohio. These guys take us deep into the world of pre-hospital medicine. We're talking how EMS is funded, why those funding streams vanish, the future of EMS, and much more. We also break down how 911 dispatch actually works, how EMS decides what units to send, why response times vary so wildly across the country, and why dispatchers are the unsung heroes of every medical emergency. If you've ever wondered what really happens before a patient hits the hospital doors, or why EMS systems are constantly fighting to stay funded, this is the episode. Takeaways: Why property taxes are the backbone of EMS and what scary legislation could wipe out funding overnight. How pre-hospital blood transfusions actually work, who gets them, and why they're becoming a game-changer. What a lateral canthotomy in a helicopter looks like, and why an 11-blade scalpel is not invited. The emotional weight of dispatchers, and why they're the only person with you during the worst 10 minutes of your life. Why EMS is “an ER on wheels”, and how they juggle advanced medicine, unpredictable environments, and community expectations. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

First show of 2026: we talk Garmin Autoland in a King Air and why internet speculation is the fastest way to sound like a jabroni. We also hit the chaos of international ops (Mexico permits/APIS pain) and tease the Chicago Layover Guide dropping soon. In the Mailbag: Coeur d'Alene layover intel, a legendary lav story, Pilot Pete confusion gets cleaned up, airline-switching "sunk cost" drama, and surviving an unhinged sim instructor. Flight Advice is a big one: a 2,000-hr pilot with a baby inbound weighs staying in a single-pilot piston twin 135 gig vs taking a King Air 200 EMS job (and whether a regional/fractional move makes more sense). Luggage Review Series Show Notes 0:00 Intro 4:02 Musings: Training & Self-Landing Planes 28:03 Other Incidents 50:55 Caribbean Airspace Shutdown 56:07 Reviews 1:01:15 Mailbag 1:24:21 Flight Advice Our Sponsors Tim Pope, CFP® — Tim is both a CERTIFIED FINANCIAL PLANNER™ and a pilot. His practice specializes in aviation professionals and aviation 401k plans, helping clients pursue their financial goals by defining them, optimizing resources, and monitoring progress. Click here to learn more. Also check out The Pilot's Portfolio Podcast. Advanced Aircrew Academy — Enables flight operations to fulfill their training needs in the most efficient and affordable way—anywhere, at any time. They provide high-quality training for professional pilots, flight attendants, flight coordinators, maintenance, and line service teams, all delivered via a world-class online system. Click here to learn more. Raven Careers — Helping your career take flight. Raven Careers supports professional pilots with resume prep, interview strategy, and long-term career planning. Whether you're a CFI eyeing your first regional, a captain debating your upgrade path, or a legacy hopeful refining your application, their one-on-one coaching and insider knowledge give you a real advantage. Click here to learn more. The AirComp Calculator™ is business aviation's only online compensation analysis system. It can provide precise compensation ranges for 14 business aviation positions in six aircraft classes at over 50 locations throughout the United States in seconds. Click here to learn more. Vaerus Jet Sales — Vaerus means right, true, and real. Buy or sell an aircraft the right way, with a true partner to make your dream of flight real. Connect with Brooks at Vaerus Jet Sales or learn more about their DC-3 Referral Program. Harvey Watt — Offers the only true Loss of Medical License Insurance available to individuals and small groups. Because Harvey Watt manages most airlines' plans, they can assist you in identifying the right coverage to supplement your airline's plan. Many buy coverage to supplement the loss of retirement benefits while grounded. Click here to learn more. VSL ACE Guide — Your all-in-one pilot training resource. Includes the most up-to-date Airman Certification Standards (ACS) and Practical Test Standards (PTS) for Private, Instrument, Commercial, ATP, CFI, and CFII. 21.Five listeners get a discount on the guide—click here to learn more. ProPilotWorld.com — The premier information and networking resource for professional pilots. Click here to learn more.   Feedback & Contact Have feedback, suggestions, or a great aviation story to share? Email us at info@21fivepodcast.com. Check out our Instagram feed @21FivePodcast for more great content (and our collection of aviation license plates). The statements made in this show are our own opinions and do not reflect, nor were they under any direction of any of our employers.

In This EpisodeEnd-of-year check-in, burnout vs bandwidth, and a listener-requested deep dive on ICS — plus a What3Words tangent (because of course) and a big 2026 announcement from Brian.The crew rolls into the final stretch of 2025 running on fumes: Brian's voice is cooked, Adam's been sick for weeks, Doug is… at the emergency vet because a dog ate a sock (classic). The guys talk holiday reality, emotional bandwidth, and how hard it is to truly “shut off” work.Then a listener (Jeff) hits them with a solid request: let's talk ICS — from small incidents to big ones, staffing, comms, unified command, and why the chain-of-command matters even when it feels inconvenient.Matt ties it into his own real-world lesson: don't bypass your assignment / supervisor just because the Division is “right there.” ICS isn't just for the person talking on the radio — it's for the whole system listening.Matt also breaks down What3Words (and how it helps with remote rescues and wildland ops), Adam talks unified command challenges, and Brian sets the record straight on how volunteer departments handle ICS on the East Coast.And then… Brian drops the news: a new North Carolina fire-service podcast is officially live.Key TopicsEnd-of-year fatigue + why the “heaviness” of late December is realEmotional bandwidth and the struggle of checking work email nonstopHousekeeping: Patreon, merch, and what the team needs to grow itMoment of silence for fallen first respondersThoughts & prayers for Sam from Fire Tech and his dog battling Lyme diseaseListener request from Jeff: Tabletop discussion on ICSWhy ICS works best when you don't skip the chainUnified command realities with fire/EMS/law (and why it breaks down)Volunteer vs career: ICS isn't a staffing issue — it's a culture & training issueWildland fire ICS: strike teams, divisions, branches, briefings, and why it scalesWhat3Words + Avenza maps for remote rescue location accuracyCall to action: Rate ICS in your area from 0–10Big news: Brian launches “Carolina Fire Watch” (NC-only fire service show)Quote-Worthy Moments“I hate that little red dot with the number in it.”“ICS can expand and retract… and that's the beauty of it.”“Inspect what you expect.”“If you allow agencies to respond who won't do ICS… you're assuming liability.”Call To Action

Send us a textWe sit down with David Berez to unpack culture, leadership, and mental health in policing, and why science-backed tools beat checkbox trainings. He shares practical ways to build anti-fragility, define purpose beyond the badge, and lead with courageous optimism.• differences in culture across EMS, fire and police• internal competition, promotion pitfalls and leadership gaps• science-based wellness versus story-only events• proactive gratitude as mental training• storytelling focused on you at your best• journaling and creative self-disclosure• anti-fragility as the goal beyond resilience• leading by example and financial habits for recruits• identity and purpose outside the uniform• the theory of courageous optimism• service and advocacy through NLEOMF and Citizens Behind the Badge“Join other courageous leaders at TravisYates.org”Join Our Tribe of Courageous Leaders: Get The BookGet Weekly Articles by Travis YatesJoin Us At Our WebsiteGet Our 'Courageous Leadership' TrainingJoin The Courageous Police Leadership Alliance

In this episode of the JEMS Report, Mike Brown sits down with EMS advocates David Blevins and Sam Magill to discuss groundbreaking federal legislation introduced by Senators Collins and Welch that aims to expand treat-in-place programs and establish sustainable funding models for Mobile Integrated Health (MIH). They explore how this legislation could shift EMS from the traditional transport-focused model to one centered on delivering appropriate care at the right place and time—often right in the patient's home. The conversation highlights the critical role of EMS providers in advocacy, the implications for liability and medical direction, and the potential to reduce hospital overcrowding and healthcare costs. Listeners will also hear about the real-world benefits of MIH programs, including improved patient outcomes and new career pathways within EMS.

Clinical challenges and EMS games are powerful learning tools that blend vulnerability, courage, and joy. In this episode, recorded live at the 2025 New York State Vital Signs conference, Prodigy Medical Director Maia Dorsett and Prodigy Director of Critical Care Shane O'Donnell speak with the organizers behind the NY Vital Signs EMS Games to explore why simulation-based competition matters for learners and educators.  Listen in to hear how these competitions create psychologically safe spaces for growth, translate conference learning into real-world decision-making, and push clinical reasoning far beyond checklists. We unpack how thoughtful scenario design, intentional debriefing, and educator humility turn stress into deep learning. Mastery in EMS can come from this curiosity, reflection, and a willingness to step into discomfort. Ginger Locke highlights the episode's key points with her "Mindset Minute." The EMS Educator is published on the first Friday of every month! Be sure to turn on your notifications so you can listen as soon as the episode drops, and like/follow us on your favorite platform. Check out the Prodigy EMS Bounty Program! Earn $1000 for your best talks! Get your CE at www.prodigyems.com. Follow @ProdigyEMS on FB, YouTube, TikTok & IG.

Happy New Year, FolksTo start the new year, I reflect on the past 5 years of my EMS career and on what I plan to do in the future in this field and in medical education.Of course, I delve into some stories on the road and look back on moments with my previous partners and how my community very much helped shape who I am today and how I am approaching my future.Start off your year strong with a quick new episode from me!Send us a text

To kick off the new year, Medic2Medic presents a Special Edition episode centered on survival, perspective, and purpose.In this powerful conversation, Steve sits down with career EMS professional and public safety technology leader Greg Howard, a sudden cardiac arrest survivor whose story reframes how we think about EMS, provider health, and what truly matters. With more than 25 years of experience across EMS, emergency medicine, fire service operations, and healthcare technology, Greg has helped EMS agencies nationwide improve care delivery, documentation, and data-driven decision-making. That professional journey took a deeply personal turn when Greg suffered and survived sudden cardiac arrest.This episode sets the tone for the year ahead by focusing on awareness, survivorship, and the responsibility EMS has not only to patients, but to its own people. In true Medic2Medic fashion, the conversation also takes a turn toward shared roots and relationships. Steve and Greg reflect on their Pittsburgh area EMS connections, swapping stories and names familiar to anyone shaped by that region's EMS culture. This Special New Year's Edition of Medic2Medic is a reminder that sudden cardiac arrest does not discriminate, even within EMS. It challenges listeners to start the year with intention, awareness, and renewed commitment to caring for both patients and providers.https://bit.ly/4skYJozGreg's path through EMS, flight medicine, leadership, and technologyThe experience of surviving sudden cardiac arrest as an EMS clinicianSeeing cardiac arrest care from the patient's perspective

Send us a textThe most downloaded conversation of the year returns for a reason: it's the raw, practical guide first responders and their families keep asking for. We sit with Sgt. Michael Sugrue—Air Force security forces veteran, Walnut Creek Police sergeant, and author of Relentless Courage—to talk about the weight of hundreds of traumatic calls, how a 2012 shooting upended his life, and the exact steps that pulled him back from the edge.Michael breaks down why suicide remains the top threat for police, fire, EMS, and dispatch: a culture that prizes invincibility, training that skips mental readiness, and an identity so fused to the job that retirement can feel like free fall. He explains how “silent” suicides hide in line‑of‑duty risks, why official counts underreport the crisis, and what leadership must do to turn the tide. We go deep on solutions: culturally competent therapy, confidential peer lines, retreats like West Coast Post‑Trauma Retreat and Save A Warrior, and daily practices—meditation, gratitude, strength work, honest conversations—that sustain real resilience.We also challenge common myths. Therapy doesn't take your gun; it gives you your life back. EMDR helps many but not all; the real power is a personalized toolkit. Early intervention keeps stress acute and treatable; waiting turns injuries into entrenched patterns that cost careers and families. Michael's book, co‑authored with Dr. Shauna Springer, bridges the gap between gut‑level storytelling and clear psychology, giving responders and loved ones a shared language to start hard conversations and map a path forward.If you serve—or love someone who does—this is a roadmap to stay in the fight without losing yourself. Hit play, share it with a partner or teammate, and let's normalize help as a standard of care. If the episode resonates, subscribe, leave a quick review, and pass it to one person who needs to hear it today.You can reach Michael on LinkedIn at: https://www.linkedin.com/in/sgtmichaelsugrue?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_appSupport the showYouTube Channel For The Podcast

What exactly are these tubes, and more importantly for EMS, what happens if one of these vital tubes becomes dislodged?  

Confira os destaques de Os Pingos nos Is desta quarta-feira (31):A oposição no Congresso Nacional afirma ter reunido o número mínimo de assinaturas para a criação da CPMI do Banco Master. O requerimento conta com apoio de deputados e senadores, mas a instalação da comissão ainda depende da leitura do pedido pelo presidente do Congresso, Davi Alcolumbre, após o recesso parlamentar.Mais de 46 mil detentos receberam o benefício da saída temporária de Natal em todo o país, o equivalente a cerca de 6,5% da população carcerária brasileira. Em São Paulo, aproximadamente 31 mil presos deixaram as unidades prisionais por até sete dias. A nova lei que extingue a saidinha não se aplica aos condenados antes de sua entrada em vigor, o que mantém o benefício para parte dos detentos. O ex-presidente Jair Bolsonaro segue internado no Hospital DF Star, em Brasília, após passar por novos procedimentos médicos. Segundo a equipe médica, Bolsonaro não apresentou novas crises de soluço após o bloqueio do nervo frênico e a expectativa de alta para esta quinta-feira está mantida. Ele segue em observação e realizou exames que diagnosticaram esofagite, gastrite e apneia do sono severa.Às vésperas de um ano eleitoral, o Partido dos Trabalhadores divulgou um manual com orientações para a atuação digital da militância. A cartilha incentiva o uso de memes, cortes de vídeos e conteúdos baseados em fatos públicos, além de trazer diretrizes jurídicas para evitar processos por calúnia e difamação. A revista britânica The Economist publicou um editorial afirmando que o presidente Lula não deveria disputar a reeleição em 2026. Segundo a publicação, a idade do presidente torna arriscada a permanência por mais quatro anos no cargo. O texto também critica a condução da política econômica e aponta o governador Tarcísio de Freitas como alternativa para romper a polarização política no Brasil. Você confere essas e outras notícias em Os Pingos nos Is.

Welcome to “Toxic Traditions & Taboo Truths” — the episode where we rip the bandage off EMS education, call out the gatekeepers, and shine a light on the uncomfortable truths nobody wants to talk about. From broken standards and burnout to the dangers of complacency and the myth of inclusivity, we're not holding back.Join us as we open Pandora's Box and challenge the sacred cows of our industry. If you're ready for real talk, raw stories, and a few ruffled feathers, you're in the right place.BlackCloudSociety #ToxicTraditions #EMS #Podcast #EmergencyMedicineIn This Episode:The real cost of “teaching to the test” in EMS educationGatekeepers, burnout, and the ego problemThe fine line between inclusivity and patient safetyWhy “influencers” and toxic traditions are holding us backPersonal stories of failure, growth, and breaking the moldHow to challenge the status quo and demand better00:00 – Intro: Welcome to Black Cloud Society02:00 – What's Broken in EMS Education08:00 – Gatekeepers, Burnout, and Ego15:00 – The Problem with “Teaching to the Test”22:00 – Imposter Syndrome & Professional Growth30:00 – Inclusivity vs. Patient Safety38:00 – Toxic Traditions & Social Media “Influencers”45:00 – Personal Stories: Failure, Growth, and Resilience52:00 – Challenging the Status Quo58:00 – Closing Thoughts: Stay Humble, Stay Sharp

Four Western Washington counties are receiving $6.6 million in federal funding for road safety programs through the U.S. Department of Transportation's Safe Streets and Roads for All initiative, including funding for Clark County to launch an EMS pilot program focused on post-crash emergency care. https://www.clarkcountytoday.com/news/four-western-wa-counties-granted-6-6m-in-federal-funds-for-road-safety-programs/ #WashingtonState #RoadSafety #FederalFunding #Transportation #PublicSafety

Send us a text,What if simulation felt less like a gadget showcase and more like a mission built around patient safety? We sit down with EMS CEO Lou Faustini to explore how engineered learning environments, clear data, and a people-first culture can transform clinical training from first exposure to real practice. Lou's journey—from systems integration and Six Sigma to the helm of a simulation company—shapes a pragmatic approach to innovation: empower teams, listen to educators, and ship improvements that reduce friction in busy centers.We dig into what EMS actually builds: integrated software and hardware that turn sim centers into reliable, high-impact training spaces. Lou connects the dots between flight simulators and clinical readiness, reminding us that safety is the ultimate outcome. Instead of chasing trends, he breaks down how AI can enhance scheduling, assessment, and debriefing by making performance data more usable for faculty and learners. The human remains in charge; AI simply accelerates insight and consistency.The conversation maps the broader learning journey, where AR and VR have earned a real slice of training, and where interoperability matters as much as any single tool. Lou shares why small, practical wins—like lowering power consumption and simplifying interfaces—can deliver outsized value when educators are stretched thin. His growth priorities are refreshingly direct: meet programs where they are, be honest about capabilities, design for scale, and prove impact through data. That clarity fosters trust across institutions, partners, and the wider public safety mission.If you care about simulation that actually changes outcomes, this episode offers a grounded playbook: empower people, harness data, and engineer for reliability. Subscribe, share with a colleague who runs a sim center, and leave a review with your biggest simulation challenge so we can tackle it next.Innovative SimSolutions.Your turnkey solution provider for medical simulation programs, sim centers & faculty design.

As the year wraps, Rob Lawrence welcomes back the “EMS Avenger” Jimmy Apple for a fast-moving, end-of-year pulse check on the EMS universe — through the lens of social media, research and what frontline clinicians are actually saying when the mic is on and the comments are open. Building on last week's data-and-trends conversation , this episode pivots into “the world according to Jimmy Apple” and his alter ego, the EMS Avenger, exploring what's made providers lean in, push back or flat-out declare “enough is enough.” | SHARE YOUR STORY: A call for real stories from the EMS field, station and beyond  From burnout and workforce conditions to AI-assisted ECG interpretation and the rise of microlearning, the conversation lands on a central theme: the future of EMS isn't just protocols — it's people, technology and how we choose to learn, adapt and debate. Jimmy also names his “paper of the year” on spinal immobilization, explains how he handles disagreement without falling into “quicksand arguments,” and previews a packed 2026 speaking calendar — plus a relaunch of his podcast. Memorable quotes “If we can just verify that you're retaining the information, that's much more important than the veracity of how long it took you to get that information.” — Jimmy Apple “You can catch more flies with honey than you can with vinegar.” — Jimmy Apple “That's the future; is that literally, we're going to swipe it, absorb it and swipe away again.” — Rob Lawrence “My paper of the year is the paper that was published on spinal mobilization … It does not support the use of backboards as anything other than an extrication tool.” — Jimmy Apple “I think that a big push that I'm making this year is to really start talking about the EMS provider as the person.” — Jimmy Apple Episode timeline 00:56 — Rob welcomes listeners, references year-in-review data and notes ambulance thefts continue to trend. 01:38 — Rob brings Jimmy back and asks for a quick summary of Jimmy's year and growing reach, and the top themes Jimmy has seen. 04:12 — Jimmy identifies provider conditions and mindset as the dominant theme and describes discussion of collapse/collapsing systems. 06:12 — Jimmy explains social media as the pulse point and highlights burnout, anger and provider frustration. 06:52 — Jimmy pivots to technology's growing role and EMS resistance to tech encroachment in practice. 07:23 — Rob connects the tech thread to conference observations (Axon, AI). Jimmy gives examples (AI 12-lead, apps) and argues tech advancement shouldn't be rejected due to “skill deterioration” fears. 09:34 — Rob asks Jimmy's “how do you explain complex concepts quickly?” Jimmy uses the Michelangelo anecdote to describe stripping concepts to essentials; critiques padded, time-gated education. 12:29 — Jimmy argues for education credit models that recognize microlearning and self-directed learning if retention can be verified. 14:04 — Rob asks for standout research; Jimmy discusses RSI/induction agent considerations, pressors debate and prehospital antibiotics. 16:47 — Rob and Jimmy preview NAEMSP's annual meeting (“research Disney”), value of posters, networking and clinical depth. 18:26 — Jimmy names spinal immobilization evidence review as his “paper of the year” and explains its conclusions. 21:36 — Rob asks how Jimmy handles disagreement/detractors with a larger platform — Jimmy describes disagreement as healthy, focuses on respectful pushback and staying anchored in data. 29:00 — Final question: Jimmy emphasizes “provider as person,” healing the clinician and a sponsored podcast relaunch in January. Additional resources Meet the EMS Avenger: Saving lives with kindness and content. TikTok sensation and pediatric critical care paramedic Jimmy Apple shares his rise in EMS education, battling misinformation with heart and hustle Jimmy Apple's “paper of the year:” Millin MG, Innes JC, King GD, Abo BN, et al. “Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries — A NAEMSP Comprehensive Review and Analysis of the Literature.” Prehosp Emerg Care. 2025 Aug. Connect with Jimmy Apple, better known as The EMS Avenger: TikTok — Jimmy offers short-form, evidence-based EMS content here: @emsavenger Instagram — Engage with in-depth reels, visuals, and professional updates: @emsavenger X (formerly Twitter) — Follow EMS commentary, conversation, and boosts: @EMSAvenger Facebook — Join the group for discussions and shared insights: EMS Avenger community Apple Podcasts — Listen to “EMS Avenger: 20 Minutes to Save the World”: Weekly podcast series AAA & AIMHI EMS Media Log: EMS Intel Enjoying the show? Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback.

Tue, Dec 30 1:31 AM → 1:53 AM Wrong quadrant Radio Systems: - DC Fire and EMS

There are always airway management questions floating around the Department of Clinical Services here at MCHD. "Why can't we take a look after sedation only?" "Why doesn't MCHD have a crash airway protocol?" Join the podcast crew to discuss recent EMS airway literature that helps us answer these questions and provides invaluable tips. This is part two of a two-part series. REFERENCES 1. Jarvis JL, Jarvis SE, Kennel J. The Association Between Out-of-Hospital Drug-Assisted Airway Management Approach and Intubation First-Pass Success. Ann Emerg Med. 2025 Nov;86(5):521-530. 2. Spigner MF, Wang HE, Carlson JN. One and Done? Rethinking "First-Pass Success" in Out-of-Hospital Airway Management. Ann Emerg Med. 2025 Nov;86(5):531-532. 3. Maia IWA, Besen BAMP, Silva LOJE, et al; BARCO group. Peri-intubation adverse events and clinical outcomes in emergency department patients: the BARCO study. Crit Care. 2025 Apr 17;29(1):155.

Elon Musk criticized incoming NYC Mayor Zohran Mamdani for appointing Lillian Bonsignore as FDNY commissioner, warning "people will die" because she has never been a firefighter. Bonsignore is a 31-year FDNY veteran who led EMS operations during COVID-19 and responded to 9/11. We break down her qualifications, the political context, and whether Musk's criticism holds up.

A tow operator flagged down on I‑10. A man trapped under a semi. A rotator lifts, the team coordinates with fire and EMS, and a life is moved toward safety. That's where our conversation with Hall of Famer Kevin Goodyear begins—not with chrome and horsepower, but with service, training, and calm decisions when seconds matter.We trace Kevin's journey from riding in tow trucks as a kid to leading a multi-faceted operation built on faith, grit, and community. He shares the mechanics and mindset behind a 500,000‑pound dragline recovery that ran through the night: deadman anchors, D8 bulldozers, thirty-eight lines, and five heavy wreckers working in sync. It's applied physics under floodlights, where load transfer and line angles decide whether a plan succeeds. Along the way, Kevin explains how cross-training with fire departments, understanding PTSD, and building a culture of purpose keep teams ready for the hardest calls.Beyond the roadside, we dig into the policies that shape daily work. Kevin makes a compelling case for state towing associations as the thin line protecting lien laws, rotation fairness, lighting standards, and move-over enforcement. He's raising the next generation inside his own company—operations, marketing, and legislative advocacy—and tapping national 20 groups to avoid tunnel vision. We also talk vendor partnerships and why reliable support after the sale matters as much as a spec sheet. The through line is unity: compete in business, collaborate in the halls of advocacy, and present towing as the professional emergency service it is.If you care about safety, professionalism, and the future of the towing and recovery industry, this conversation will give you tools, stories, and a clear direction. Subscribe, share with a colleague, and leave a review with your biggest takeaway—what's one standard we should all raise next?

Episode 315: This episode goes beyond trends and buzzwords. It's a candid discussion about leadership, accountability, education, and execution grounded in decades of experience across multiple EMS systems and cultures. Steve reconnects with longtime EMS leader, strategist, and global EMS advocate Rob Lawrence for a wide-ranging conversation on leadership, education, system design, and the future of EMS. Rob is the Director of Strategic Implementation for PRO EMS and its educational arm, Prodigy EMS. Rob brings a rare international perspective, shaped by leadership roles in the United States, the United Kingdom, and the development of EMS systems worldwide. Rob is a prolific writer and broadcaster for EMS1 and Police1.https://www.spreaker.com/episode/episode-315-rob-lawrence--69220043I

In this end-of-year special, Chris Cebollero and Kelly Grayson wrap 2025 with their trademark mix of humor, insight and zero sugarcoating. From venomous bites to venomous behavior, the Inside EMS duo continue counting down the top EMS stories that had the industry buzzing this year — and occasionally cringing. As always, the guys don't shy away from the tough stuff, but they make sure to end on a note of gratitude for the everyday EMS pros out there doing the job with compassion, competence and quiet heroism. Quotable takeaways “Every day, EMS providers go out there, do their jobs and bring some kindness and some comfort to a really bad day for their patients. And I think we need to look forward to more of that in 2026.” “Sometimes we've done things that maybe we shouldn't have, because it isn't in our scope of protocols, but I think we make a difference. Where's the line?” “Most of the advantages of mechanical CPR are not advantages at all.” The top EMS1 stories of 2025 Representatives Glenn Thompson and John Mannion introduced the EMS Counts Act Social Security Fairness Act signed into law, boosting retirement benefits for first responders Kentucky EMTs face KBEMS hearing for administering antivenom after mamba bite Elkhart firefighter appeals loss of paramedic duties after nurse's harassment complaint American Heart Association's 2025 CPR guidelines: Choking, opioids & survival chain Ill. city council makes $500 lift assist fee permanent Warren-Wentworth Ambulance shuts down after entire staff quits 'Shut the f**k up!': North Babylon Fire Chief Peter Alt on leave after video shows him cursing at patient Orange County fire chiefs demand removal of EMS director for halting blood transfusions, ketamine use Colo. paramedic charged with manslaughter after sedating, restraining man National EMS Advisory Council board members terminated Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for an upcoming episode. 

As EMS closes out 2025, host Rob Lawrence is joined by Matt Zavadsky (PWWAG) and Rodney Dyche (Patient Care EMS Solutions) for their second annual EMSIntel.org “year in review” conversation — a fast-moving tour through the biggest stories shaping the EMS profession. Drawing from the EMSIntel news log (now 3,849 stories as of the morning of recording), the trio connects what's making headlines to what EMS leaders are experiencing on the ground: unstable economics, governance pressure, system redesign and rising operational risk. The discussion lands on several recurring themes: economic sustainability as the dominant issue; the real-world politics of tax levies and “essential service” designations; the ongoing obsession with response times (and what they cost); preventable ambulance thefts escalating in severity; and the importance of measuring and publishing clinical outcomes and meaningful performance metrics. The through-line: communities are being forced into more honest conversations about what they can afford — and what EMS should look like going into 2026. | SHARE YOUR STORY: A call for real stories from the EMS field, station and beyond Memorable quotes “Having a thoughtful conversation about what your system needs to look like on the go forward is paramount.” — Rodney Dyche “If you don't talk about yourself, somebody else will, and then you don't control the narrative.” — Rob Lawrence “Our No. 1 focus really needs to be on the economic sustainability of these systems because we are past the breaking point.” — Matt Zavadsky “Response times equals speed; speed equals crashes.” — Rob Lawrence “These theft incidents are … in almost all cases, 100% preventable by an aftermarket device … probably for 100 or $150.” — Rodney Dyche “Response times are expensive. The shorter that you want your response times, the more money it's going to take.” — Matt Zavadsky “Across every provider type … the fee-for-service revenue is 50% to 60% below the cost of providing service. So when somebody says to you, ‘I can do this for free,' ask more questions.” — Matt Zavadsky “Response times are used as a cudgel.” — Rodney Dyche Episode timeline 01:11 – Rob introduces the end of 2025 reflection and 2026 look-ahead; welcomes Matt Zavadsky and Rodney Dyche for the second annual EMSIntel year-in-review. 02:26 – Rodney reports the EMSIntel log count (“3,849 as of this morning”); Rob explains EMSIntel's purpose: curating national EMS stories to identify themes and brief stakeholders. 04:13 – Matt names the year's biggest issue: economic sustainability; the fiscal model is broken and impacts everything else. 06:32 – Matt walks through the “AnyTown EMS” trajectory: communities can't sustain old models, must define service levels, use system intelligence, and redesign for a modern “2028 model.” 09:06 – Matt cites the Medicare/RAND cost collection findings and warns that fee-for-service revenue sits far below actual costs; “ask more questions” when someone promises “free.” 10:12 – The group discusses communities pursuing tax levies and essential-service framing; Rodney contrasts places that pass funding measures with places that don't, and highlights local politics and competing priorities. 11:52 – Matt clarifies that “essential service” means different things to the public versus statute; agencies need trust, transparency and real community education to succeed at the ballot box. 13:50 – Rodney describes the “cost of readiness” misunderstanding (public sees mileage, not readiness); Matt pushes proactive reporting (monthly/quarterly/annual) to build credibility. 15:35 – Matt pivots to response times: they're expensive, clinically relevant in a small fraction of cases, and should be approached with evidence-based expectations and better triage/EMD practices. 18:14 – Rodney connects hot responses to preventable intersection crashes and modern driver realities; the discussion frames safety risk as a growing operational storyline. 20:21 – Matt adds an editorial caution that crashes are not confined to any one sector; points to recent examples including serious injuries during responses. 22:37 – Rob returns to ambulance thefts; Rodney calls most thefts preventable; Matt argues the basic lock discipline exists already and presses for stronger accountability and accreditation-style best practice. 26:11 – Rob flags downstream legal and regulatory risk (litigation exposure after stolen-unit crashes; DEA-controlled substances security implications). 26:52 – Rodney raises staffing; notes fewer staffing stories than 2024 but questions whether the situation is truly better; mentions earn-to-learn pipeline concerns. 28:13 – Matt describes the shift toward tiered deployment and greater EMT utilization, reducing pressure to staff large numbers of paramedics for calls that don't require that level. 30:17 – Matt emphasizes outcomes and meaningful performance metrics; argues many systems still report the wrong measures and should lead with clinical metrics, patient experience, and quality indicators. 31:08 – Rodney reinforces that response times get weaponized in governance decisions; notes boards can be swayed by “advanced skills” narratives rather than outcome data. 33:25 – Forward-looking wrap: Matt highlights daily calls from communities that “can't afford this anymore” and urges leaders to seize the redesign opportunity; Rodney echoes the need for planning and honest community conversations. Additional resources: AAA & AIMHI EMS Media Log: EMS Intel Fast & spurious: America keeps losing ambulances and the fix is cheap Callouts, chaos and career killers: The biggest EMS stories of the year Enjoying EMS One-Stop? Email editor@ems1.com to share feedback or suggest guests for future episodes. 

Christmas can be beautiful and painful, especially on the front lines. This short Christmas special reflects on the birth of Christ, the reality of working through the holidays, and how to find hope and peace, whether or not you celebrate the season the same way.You might be listening to this on your way to shift, in the bay between calls, or at home trying to catch a quiet moment during a busy season. Christmas looks different when you work in law enforcement, fire, EMS, dispatch, corrections, or the hospital and Emergency world.Some of you are working doubles while your family opens presents without you. Some are carrying grief or loneliness into a season that's “supposed” to be happy. And some of you don't celebrate Christmas the same way I do, or at all, but you're still navigating the pressure, expectations, and emotions that come with this time of year.In this special episode, we step away from training models and talk about the heart of Christmas. From my Christian faith perspective, we'll look at the birth of Christ, God coming close in the middle of a messy, broken world, and what that means for those of us serving on the front lines today.BY THE TIME YOU FINISH LISTENING, YOU'LL BE ENCOURAGED TO:See Christmas as a reminder that you're not alone, even in dark or difficult seasonsFind small moments of peace, presence, and gratitude in the middle of busy shifts or complicated family situationsGive yourself permission to feel what you're feeling this year, while still holding onto hopeWhether you share my faith or not, this episode is meant to be a few minutes of encouragement: a chance to breathe, to remember your value beyond the job, and to be reminded that light still shines in dark places.SHARE THIS EPISODE:https://www.survivingyourshift.com/50OTHER LINKS MENTIONED IN THIS EPISODE:StressCareDoc.comSchedule a Discovery Callhttps://stresscaredoc.com/consultationConnect with BartLinkedIn: linkedin.com/in/bartlegerFacebook Page: facebook.com/survivingyourshiftWebsite: www.survivingyourshift.comWant to find out how I can help you build a peer support program in your organization or provide training? Schedule a no-obligation call or Zoom meeting with me here.Mentioned in this episode:Houston Area CISM GRIN TrainingThis 3-day course, hosted by the Atascocita Fire Department, will teach you how to support your peers through effective communication, emotional resilience, and understanding the psychological impact of crises. Register for this training. https://stresscaredoc.com/atascocita-grin Dates: January 6-8, 2026 Times: 8:30 AM - 5:00 PM each day Location: Atascocita Fire Admin Building

Thu, Dec 25 6:44 PM → 7:08 PM Spring Road dispatch Radio Systems: - DC Fire and EMS

Thu, Dec 25 3:59 AM → 5:17 AM stabbing needing blood Radio Systems: - DC Fire and EMS

Thu, Dec 25 2:56 PM → 3:07 PM Q street NE Radio Systems: - DC Fire and EMS

Watch The X22 Report On Video No videos found (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:17532056201798502,size:[0, 0],id:"ld-9437-3289"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");pt> Click On Picture To See Larger Picture The UK temps for the green new scam are fake, the manipulated the data to push the scam, it has now been exposed. Fake news has no choice to tell the people that the economy has been improving. Trump is getting to move the economic system to the new system which will include sound money. The [DS] is now using everything they have to stop the Trump and his team. Judges are now dictating that the President doesn’t have the authority to remove someones security clearance. The Supreme Court just set the stage for Trump to use the insurrection act when the enemy pushes the insurgency. Never interfere with an enemy while they are in the process of destroying themselves. Economy https://twitter.com/ScottAdamsSays/status/2003668549857055223?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:18510697282300316,size:[0, 0],id:"ld-8599-9832"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");   uncertainties of 2°C to 5°C. That’s not a typo – 5 degrees Celsius of potential error. Only 19 pristine Class 1 sites remain capable of measuring actual ambient air temperature accurately. The rest? Located on airport runways, walled gardens, next to main roads, and inside solar farms. Places where concrete, engines, and infrastructure create artificial heat islands that have nothing to do with atmospheric temperature changes. The Met Office database also contains data from over 100 stations that don’t exist. They’re using “estimated” temperatures from unidentified neighboring stations and presenting it as real data. When journalist Ray Sanders started asking questions through Freedom of Information requests, the Met Office dismissed them as “vexatious” and “not in the public interest.” After media inquiries, the Met Office quietly removed estimated data from 3 non-existent stations. Of 17 new sites opened since April 2024, nearly 65% were immediately placed in the worst quality categories. UK Science Minister Lord Patrick Vallance is calling scrutiny of this mess “misinformation” that weakens trust in science. Perhaps what actually weakens trust in science is using temperature readings from imaginary thermometers next to jet engines to justify trillion-pound Net Zero policies that reshape the entire economy. The data might be fine for tomorrow’s weather forecast. Using it to revolutionize Britain’s energy infrastructure? That requires stations that actually exist. https://twitter.com/RNCResearch/status/2003537920624677163?s=20 https://twitter.com/JeffPasquino/status/2003667251426197766?s=20   dollars” already – language and words are important – but this time the difference will be to the benefit of stablecoin holders. “But if it is pegged to the dollar, why will it matter?” you might wonder. That's a great question. The difference will be that today's bank accounts are in Federal Reserve “dollars”, which are debt-based, inflationary and losing value at a rapid pace. The new digital dollar stablecoins will be backed by gold or other assets (yet to be defined, but it's clearly how they're heading) and the purchasing power will go up. This is the first step out of the debt-based system enslaving most Americans – and by extension of the world reserve currency, most everyone in the Western world. People will eventually see that the asset-backed “digital dollar” is far superior to the Federal Reserve dollar. Once noticed, stablecoin dollars will be hoarded while Fed dollars will flood the market (Gresham's Law). No one will want the dying dollar -or any debt denominated in it – and much like the rise of gold and silver now against the Fed dollar, the digital dollar will also rise in value. Then everyone will transition, by choice, to an asset-backed currency without even knowing why they want those new dollars – they will just know that they hold value better. In other words, the “digital dollar” will actually be a store of value – evidence that it is actual money, not just a currency. Fix the money, fix the world. Political/Rights https://twitter.com/amuse/status/2003631214939218223?s=20   amounts to a green light for radical activists already attacking federal officers to escalate. The incident has triggered mounting calls for Frey to resign. https://twitter.com/libsoftiktok/status/2003595914582364475?s=20 https://twitter.com/EndWokeness/status/2003559651586286006?s=20 https://twitter.com/TheSCIF/status/2003513211757134259?s=20   social media. No corroboration exists, no limo driver testimony, no Oklahoma death matching description. This story was a distorted version of another hoax that was debunked years ago. They are desperate and have nothing, and they know it and resort to literal A.I. pictures and confirmed hoaxes that have been debunked YEARS ago in an attempt to slander Trump because they are paid to and lie right TO YOUR FACE. You better wake up and stop listening to people who are paid to lie to you and telling you to stop asking questions. The truth ALWAYS prevails. https://twitter.com/TheSCIF/status/2003773196210692274?s=20  claimed he knew the 2nd Oklahoma City bomber. There was NO collaboration, NO limo driver testimony, and NO deaths in Oklahoma that even matched any real deaths. And they always pop up right before an election. Even the whole Trump on Epstein’s plane drama. YES, Trump never was on the Lolita Express. Epstein owned 5 aircraft. Trump took 7 trips between 1993 and 1997. Never with any underage girls or women, only family. Epstein didn’t even own the island until 1998. The flight logs have been out. They’re just recycling old information and acting like it’s new. How naive can you be? And how lame can you be for posting it? You’re not a journalist. You’re a fraud. The mainstream and every account pushing these lies didn’t verify their claims and authenticity before posting? Or did they know and were just hoping YOU wouldn’t check to push a false narrative? DOGE https://twitter.com/CynicalPublius/status/2003500113680085072?s=20 Geopolitical Disgraced Former Prince Andrew Stripped of His Gun License, Can Only Use Firearms Under Supervision Andrew had his gun license stripped by Met police. The hunter becomes the hunted. For his long association with the late convicted sex offender Jeffrey Epstein, Andrew Mountbatten Windsor is facing a long list of repercussions that seem to have no end. Now, the avid hunter has surrendered his firearms license to the Met Police – the same police force who dropped the investigation into his alleged crimes. The Telegraph reported: “The former Duke of York, 65, agreed to give up his firearms and shotgun certificates last month after he was visited by the Metropolitan Police at Royal Lodge in Windsor.   Andrew in Sandringham on the lap of five redacted women – presumably Epstein victims. Daily Mail reported:   Source: thegatewaypundit.com https://twitter.com/RobSchneider/status/2003720679892615609?s=20 https://twitter.com/MarioNawfal/status/2003737409440350530?s=20   commissioner who crafted Europe’s Digital Services Act, basically a censorship framework disguised as content moderation. Imran Ahmed of the Center for Countering Digital Hate is also on the list. He had a very specific mission. Want to know what his organization’s annual priorities were? Internal documents show “Kill Musk’s Twitter” at the top of the list. Not “reduce hate speech” or “improve online safety.” Kill Twitter. Destroy the platform entirely because Elon wouldn’t play ball with their censorship demands. These groups operated by labeling anything they disagreed with as “misinformation” or “hate speech,” then lobbying governments to force platforms to remove it. Clare Melford’s Global Disinformation Index used U.S. taxpayer money to create scoring systems that effectively blacklisted conservative American news outlets, steering advertisers away from them to financially strangle speech they opposed. Breton personally sent threatening letters to Elon warning of consequences under EU law right before his live interview with Trump during the campaign. Now the banned activists are claiming this is an “authoritarian attack on free speech” and calling it “immoral, unlawful, and un-American.” These are the same people who built entire careers pressuring tech platforms to silence voices they found problematic. Suddenly they care deeply about censorship when it affects them. Free speech isn’t negotiable. It’s not something governments should regulate away because certain viewpoints make them uncomfortable, whether in Europe or America. The U.S. just made clear that exporting censorship regimes to silence American speech won’t be tolerated  https://twitter.com/UnderSecPD/status/2003567940462084439?s=20 https://twitter.com/DNIGabbard/status/2003635821719466479?s=20 regulate or silence our free speech is a gross violation of our sovereignty that must be answered with accountability. Thank you, @UnderSecPD . https://twitter.com/amuse/status/2003641415465566593?s=20 to end their relationship with Denmark. https://twitter.com/CynicalPublius/status/2003571566131704124?s=20 War/Peace https://twitter.com/visegrad24/status/2003760225774444924?s=20  Russia has explicitly rejected the following point by insisting on stricter terms: Point 14 (Territorial issue): Russia rejects Ukraine’s proposal to “stay where we are” in Donetsk, Luhansk, Zaporizhzhia, and Kherson regions, demanding instead a full Ukrainian withdrawal from the Donetsk region.    No other specific rejections from Russia on the new 20-point plan have been confirmed yet, as Moscow is still formulating its official position.  The US has reached consensus with Ukraine on most points but has rejected or disagreed with Ukraine’s proposals on the following, offering alternatives instead: Point 12 (Zaporizhzhia Nuclear Power Plant): The US rejects Ukraine’s option for joint US-Ukraine management on a parity basis, proposing trilateral management (involving the US, Ukraine, and likely Russia) with a key role for the American side.   Point 14 (Territorial issue): The US has not fully agreed to Ukraine’s “stay where we are” principle, proposing a compromise in the form of a free economic zone, potentially subject to a Ukrainian referendum if no other agreement is reached.  These disagreements were highlighted by Zelenskyy himself as areas where no consensus was reached with the US.  Medical/False Flags [DS] Agenda https://twitter.com/amuse/status/2003629130516955478?s=20  inside the department. She was promoted to lead the EMS in 2019 but by 2022 she was forced to retire. The FDNY is a complex organization of 17,000 employees who need a qualified leader, not a diversity hire. https://twitter.com/WallStreetApes/status/2003615869008814124?s=20   realtor confirms Somalians have bought over 455 homes just in one neighborhood alone. The Somalians have nice cars like BMWs and Mercedes @Brookerteejones “Here in Minnesota, a local realtor reached out to me to tell me about another way that Somalians are scamming Minnesotans out of their taxpayer dollars. In her community alone, Somalians have bought up over 455 homes. They buy these homes claiming they’re turning these homes into home health care centers. She says the way we know Somalians have bought these homes is because all of a sudden extremely nice cars start showing up. Mercedes, BMWs, the nicest cars are parked in the driveway. She said, by law, the state will not come out and inspect these homes and make sure these homes even have clients living in these homes. — Somalians have bought that home and they’re using that as a home health care center. She said these homes can even take people in who’ve just been released from jail and the neighborhood does not need to know about this. But she says, many of these homes do not even have clients in them. But the state is writing them checks every month for the clients that the Somalians say are in these homes. These Somalians are making millions of dollars off of these homes every year.” “The Somalians have figured out exactly the perfect plan as to how to scam Minnesota taxpayers out of their money. They are banking on this making millions of dollars and the government here in Minnesota is too lazy to go and check it out and to see if there’s even clients living in these homes. The fraud in Minnesota is so deep” https://twitter.com/C_3C_3/status/2003104576766140813?s=20 Democrats from Minnesota, Ohio, Maine, and Boston Embrace Somalians Democrats across the country are praising and supporting Somali migrants, despite growing evidence of massive anti-social fraud by the foreign arrivals. As millions of dollars in more fraud and theft of state and federal welfare funding are uncovered in Ohio, Minnesota, and other places committed at the hands of Somali migrants, democrats are falling all over themselves to show their unmitigated support for the fraudsters. Source: thegatewaypundit.com President Trump's Plan  https://twitter.com/MikeBenzCyber/status/2003550668796350710?s=20 JUST IN: Biden Judge Blocks President Trump's Attempt to Strip Security Clearance From Deep State Lawyer Mark Zaid https://twitter.com/C_3C_3/status/2003674593995944077?s=20 US District Judge, Amir Ali, said Trump's attempt to strip the security clearance from Mark Zaid may violate the US Constitution. Recall that Mark Zaid represented Eric Ciaramella, the Trump-Ukraine impeachment ‘whistleblower.' Zaid also represents intelligence officials and other Deep State actors. Earlier this year, President Trump stripped the security clearances of at least eight corrupt ‘antagonists' who worked for Biden or targeted him for ruin over the last several years: Former Secretary of State Antony Blinken Former NatSec Advisor Jake Sullivan New York Attorney General Letitia James Manhattan DA Alvin Bragg Biden's Deputy AG Lisa Monaco Corrupt prosecutor Andrew Weissmann Deep State lawyer Mark Zaid Norm Eisen – the man behind all the lawfare against Trump Source: thegatewaypundit.com Jamie Raskin Reintroduces Radical “Ranked-Choice Voting” Scheme Ahead of Midterms in Latest Bid to Rig Future Elections Radical left-wing Jamie Raskin is once again pushing a sweeping overhaul of America's voting system, this time by reintroducing a federal mandate for so-called “ranked-choice voting” (RCV) just as the country barrels toward another high-stakes midterm election cycle. Raskin posted a video on X on Monday, pitching ranked-choice voting as a cure-all for American politics. The video was released after he reintroduced H.R. 6589, a bill that would mandate ranked-choice voting in elections for the U.S. House and Senate nationwide. Under the system, voters rank candidates in order of preference. If no candidate receives a majority of first-choice votes, the lowest vote-getter is eliminated and ballots are “redistributed” to remaining candidates until someone crosses the 50 percent threshold. Raskin even praised races where candidates who finished second in the first round ultimately “catapulted ahead” after vote redistribution. In Alaska, where RCV flipped a Republican seat to Democrat Mary Peltola despite 60% of voters backing GOP candidates, the system exhausted ballots and ignored second choices for top vote-getters. In New York, socialist Zohran Mamdani led on election night with 43.5% of first-choice votes, but after several rounds of eliminations and redistributions, he was declared the winner with 56%, while Andrew Cuomo finished with 44%. A study of Maine elections found that, of 98 recent ranked choice elections, 60 percent of the victors did not win by a majority of the total votes cast. RCV opens doors to fraud and manipulation. The multi-round tabulation delays create gaps ripe for accusations of tampering, while exhausted ballots mean winners often lack true majority support. Sites like RCVScam.com expose how it lets initial also-rans steal victories, undermining “one person, one vote.” In 2025 alone, Idaho, Missouri, Montana, New Hampshire, Oklahoma, and South Carolina prohibited ranked-choice voting, joining 11 other states for a total of 17 bans. It is a scam, and Americans should push back hard. Source: thegatewaypundit.com  Supreme Court Rejects Trump Bid To Deploy National Guard In Chicago The Supreme Court on Tuesday rejected Trump’s emergency request to allow National Guard troops to be deployed in Chicago, dealing a setback to the admin’s attempts to curtail high crime rates in major cities. The 6-3 decision left in force a judge's ruling that has blocked the deployment since Oct. 9. “At this preliminary stage, the government has failed to identify a source of authority that would allow the military to execute the laws in Illinois,” the majority said. The government hadn't shown the president could legally “federalize the Guard in the exercise of inherent authority to protect federal personnel and property in Illinois.”   Justice Samuel Alito dissented from the high court's ruling Tuesday, saying he had “serious doubts” about the majority's reasoning. “The Court fails to explain why the President's inherent constitutional authority to protect federal officers and property is not sufficient to justify the use of National Guard members in the relevant area for precisely that purpose,” Alito wrote, joined by Justice Clarence Thomas. Justice Neil Gorsuch wrote a separate dissent, contending that the challengers to the National Guard deployment – the state of Illinois and the city of Chicago – had forfeited the argument about the meaning of “regular forces” by failing to present that issue in the lower courts. Trump contends military force is needed to protect federal immigration agents from what he claims are violent protests.   Source: zerohedge.com https://twitter.com/WarClandestine/status/2003592327244447867?s=20   cause the President to use the US military more than the National Guard”. The Supreme Court just admitted that Trump has the authority to invoke the Insurrection Act to bypass Posse Comitatus and send the troops to Chicago, and any other city he wants. Trump tried to exhaust every legal avenue possible before resulting to the Insurrection Act, but the Dems resisted and refused to cooperate. Sounds to me like Trump just got the green light. INVOKE THE INSURRECTION ACT! https://twitter.com/WarClandestine/status/2003681206148251711?s=20  THAT'S the hard part. Especially when the MSM are compromised and telling the public that Trump is literally Hitler and is going to unleash a military dictatorship. This had to be done delicately, as not to cause panic. The public must be psychologically prepared. That's why Trump has been giving us soft disclosure about the Insurrection Act for a long time. They have been mentally preparing us for what they knew had to be done, by showing us why it needed to be done. Here he is back in September addressing all his Generals, and reminded them how Washington and Lincoln used the military to keep the peace. This was always the plan. https://twitter.com/WhiteHouse/status/2003586519374717151?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:13499335648425062,size:[0, 0],id:"ld-7164-1323"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="//cdn2.customads.co/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton take a brutally honest look at one of the most painful realities in the first responder world...how shift work (Amazon Affiliate) quietly erodes relationships from the inside out. When one partner is awake while the other sleeps… When days off never line up… When holidays, anniversaries, and milestones get swallowed by mandatory overtime… When communication is reduced to exhausted check-ins and calendar updates… Even the strongest marriages begin to feel like two people living parallel lives instead of building one together. This episode breaks down exactly why shift work is one of the leading predictors of divorce in police, fire, EMS, and dispatch families — and what couples can do to stop the slow drift toward disconnection.

In this episode of the PFC Podcast, Dennis and Max delve into the complexities of hemorrhagic shock, discussing its classifications, the importance of understanding compensated versus uncompensated shock, and the vital signs that indicate a patient's condition. They explore resuscitation strategies, emphasizing the need for careful assessment and decision-making in trauma care. Special considerations for different populations, including children, pregnant women, and the elderly, are also highlighted, providing valuable insights for medical professionals in emergency situations.TakeawaysUnderstanding the progression of hemorrhagic shock is crucial.Compensated shock allows the body to maintain organ perfusion despite blood loss.Classifications of shock help in assessing the severity of blood loss.Vital signs are key indicators in evaluating a patient's condition.Resuscitation decisions should be based on multiple data points, not just one.Children have different vital sign norms and require special attention.Pregnant women can compensate for blood loss better than non-pregnant individuals.Elderly patients may not tolerate shock as well due to comorbidities.Communication with EMS about blood loss at the scene is vital.Continuous reassessment of the patient is essential in trauma care.Chapters00:00 Introduction to Hemorrhagic Shock02:57 Understanding the Classes of Hemorrhagic Shock05:51 Compensated vs. Uncompensated Shock08:40 The Importance of Blood Loss Assessment11:57 Physiological Responses to Blood Loss14:47 Evaluating Shock: Key Indicators17:57 Tachycardia and Its Implications20:51 Blood Pressure and Compensation Mechanisms23:42 Understanding Pulse Pressure Dynamics36:01 Understanding the Four Gears of Compensation39:23 Assessing Orthostasis in Trauma Patients43:53 The Importance of Urine Output in Trauma46:42 Mental Status Changes in Trauma Patients49:38 Classifying Shock: From Compensated to Decompensated01:00:19 The Transition from Class Two to Class Three Shock01:10:19 Class Four Shock: The Final Stage of Decompensation01:12:14 Assessing Hemorrhage Control and Decision Making01:19:54 Understanding Classifications of Shock01:31:42 Special Considerations for Pediatric and Elderly PatientsFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠

Confira os destaques de Os Pingos nos Is desta segunda-feira (22):A Mesa Diretora da Câmara declarou a perda do mandato de Eduardo Bolsonaro (PL-SP) devido ao excesso de faltas não justificadas. Com a cassação, o ex-parlamentar perdeu o direito ao passaporte diplomático e agora depende de um visto comum para permanecer nos EUA. Aliados temem que a falta de status oficial acelere sua deportação, enquanto o ex-deputado denuncia perseguição política. O governo de Luiz Inácio Lula da Silva (PT) planeja usar o aniversário de três anos do 8 de janeiro para vetar o PL da Dosimetria e realizar um ato político. A medida, confirmada por Jaques Wagner (PT-BA), impede a redução de penas para os envolvidos nos atos de Brasília e atinge diretamente aliados de Jair Bolsonaro (PL-RJ). O gesto é visto como uma tentativa de manter a polarização e punir adversários políticos. O General Augusto Heleno (PL-RJ) obteve o direito à prisão domiciliar por razões humanitárias após laudo médico confirmar o diagnóstico de Alzheimer. O benefício foi concedido pela Justiça devido à necessidade de cuidados especializados que não poderiam ser oferecidos no ambiente prisional. O ex-ministro e aliado de Jair Bolsonaro (PL-RJ) estava detido no âmbito das investigações sobre os atos de Brasília e agora deve cumprir restrições em sua residência. O senador Flávio Bolsonaro (PL-RJ) decidiu repetir a estratégia de seu pai e anunciará nomes de seu futuro ministério ainda durante a campanha de 2026. Em aceno ao mercado financeiro, ele já sinalizou o desejo de contar com Paulo Guedes e Roberto Campos Neto em sua equipe econômica. A medida visa dar previsibilidade ao setor produtivo e consolidar sua imagem como um "Bolsonaro moderado", capaz de dialogar com o PIB brasileiro. A insegurança no litoral de São Paulo atingiu um novo patamar de ousadia. Em São Vicente, criminosos utilizaram motos aquáticas para abordar e assaltar um casal que estava dentro do mar. O crime escancara a falta de policiamento ostensivo e o domínio da criminalidade, que agora ignora até as barreiras naturais para atacar cidadãos. O governo de Luiz Inácio Lula da Silva (PT) atingiu a marca histórica de R$ 2,6 trilhões do contribuinte em 2025. Mesmo com a maior arrecadação da história e a criação desenfreada de taxas por Fernando Haddad (PT-SP), as contas seguem no vermelho. O recorde de impostos só serviu para financiar o inchaço da máquina pública, enquanto o cidadão paga a conta de um déficit que não para de crescer sob a gestão petista.Você confere essas e outras notícias em Os Pingos nos Is.

The world of prehospital medicine is constantly evolving, driven by new research, technological advancements, and a shared commitment to improving patient care and provider well-being. As EMS professionals, staying informed about these developments goes beyond a professional obligation; it is an opportunity to improve our practice, champion our profession, and ultimately make a greater impact on saving lives. In this article, we will explore some of the latest research findings that are reshaping our field, from workplace culture to cutting-edge technology.   The Culture of Care: Supporting EMS Providers Our work is demanding, both physically and emotionally, and the culture within our agencies plays a critical role in our well-being. A recent systematic review in the International Journal of Environmental Research and Public Health revealed that many EMS providers avoid using organizational mental health services due to stigma and a perception that these programs lack genuine care. The study emphasizes the need for person-centered support and a cultural shift that normalizes seeking help as a sign of strength (Johnston et al., 2025). This cultural component also impacts retention. Another study in the same journal found that agencies with collaborative, team-oriented "clan" cultures had significantly lower turnover rates compared to those with rigid or chaotic structures. For leaders in EMS, fostering a supportive environment is not just about morale. It is a strategic imperative for retaining skilled clinicians (Kamholz et al., 2025).   Professional Recognition: Breaking Barriers Across the globe, paramedics are striving for recognition as integrated healthcare professionals. A qualitative study in BMC Health Services Research identified common barriers, including outdated legislation, inconsistent regulation, and insufficient funding. While the pandemic temporarily highlighted our capabilities, the momentum has waned. The study calls for targeted policy reforms and investments in education and leadership to solidify our role in the broader healthcare system (Feerick et al., 2025). Physical Demands and Injury Prevention The physical toll of our work is undeniable. A scoping review in Applied Ergonomics confirmed that musculoskeletal injuries, particularly to the back, are rampant in EMS. Tasks like handling stretchers and patient extractions are among the most strenuous. The review also highlighted fitness disparities, with male paramedics generally showing more strength but less flexibility than their female counterparts. These findings underscore the need for targeted injury prevention programs and realistic physical standards to keep us safe throughout our careers (Marsh et al., 2025).   Advancements in Cardiac Arrest Care When it comes to cardiac arrest, every second counts. A study in Resuscitation reinforced the value of bystander CPR, showing that dispatcher-assisted CPR significantly improves outcomes for untrained bystanders. For those with prior CPR training, acting independently yielded even better results. This highlights the importance of public CPR education alongside dispatcher support (Tagami et al., 2025). On the scene, our interventions matter immensely. Research in The Journal of Emergency Medicine found that for traumatic cardiac arrest patients, aggressive interventions like prehospital thoracostomy can be lifesaving (McWilliam et al., 2025). Meanwhile, a study in Critical Care Medicine revealed that extracorporeal CPR (ECPR) significantly improves outcomes for patients with refractory ventricular fibrillation, emphasizing the need for early transport to specialized centers.   The Role of Technology in EMS Technology is poised to revolutionize EMS, from dispatch to diagnosis. A study in The American Journal of Emergency Medicine demonstrated that large language models (LLMs) like ChatGPT could prioritize ambulance requests with remarkable accuracy, aligning with expert paramedic decisions over 76 percent of the time. This proof of concept suggests that AI could one day enhance resource allocation in dispatch centers (Shekhar et al., 2025). On the diagnostic front, machine learning is opening new possibilities. For example, a study in Bioengineering showed that analyzing photoplethysmography waveforms could estimate blood loss in trauma patients, offering a non-invasive way to guide resuscitation (Gonzalez et al., 2025). Similarly, research in Medical Engineering & Physics explored using multidimensional data to differentiate ischemic from hemorrhagic strokes in the field, potentially enabling more targeted prehospital care (Alshehri et al., 2025).   Addressing Disparities in Care Equity in EMS is a cornerstone of our profession, yet recent studies highlight troubling disparities. Research in JAMA Network Open found that ambulance offload times were significantly longer in communities with higher proportions of Black residents (Zhou et al., 2025). Another study in JAMA Surgery revealed that Black and Asian trauma patients were less likely to receive helicopter transport compared to White patients. These findings are a call to action for all of us to examine our systems and biases to ensure equitable care for every patient (Mpody et al., 2025).   Looking Ahead The research discussed here represents just a fraction of the advancements shaping EMS today. From improving workplace culture and injury prevention to leveraging AI and addressing systemic inequities, these findings have real-world implications for our protocols, training, and advocacy efforts. As EMS professionals, we have a responsibility to stay informed and apply these insights to our practice. For a deeper dive into these topics and more, I invite you to listen to the podcast, EMS Research with Professor Bram latest episode, https://youtu.be/rt_1AFzSLIk "Research Highlights and Innovations Shaping Our Field.”   References Alshehri, A., Panerai, R. B., Lam, M. Y., Llwyd, O., Robinson, T. G., & Minhas, J. S. (2025). Can we identify stroke sub-type without imaging? A multidimensional analysis. Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364 Feerick, F., Coughlan, E., Knox, S., Murphy, A., Grady, I. O., & Deasy, C. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research, 25(1), 993. https://doi.org/10.1186/s12913-025-10993-7 Gonzalez, J. M., Holland, L., Hernandez Torres, S. I., Arrington, J. G., Rodgers, T. M., & Snider, E. J. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering, 12(8), 833. https://doi.org/10.3390/bioengineering12080833 Johnston, S., Waite, P., Laing, J., Rashid, L., Wilkins, A., Hooper, C., Hindhaugh, E., & Wild, J. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health, 22(4), 629. https://doi.org/10.3390/ijerph22040629 Kamholz, J. C., Gage, C. B., van den Bergh, S. L., Logan, L. T., Powell, J. R., & Panchal, A. R. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health, 22(5), 756. https://doi.org/10.3390/ijerph22050756 Marsh, E., Orr, R., Canetti, E. F., & Schram, B. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics, 125, 104459. https://doi.org/10.1016/j.apergo.2025.104459 McWilliam, S. E., Bach, J. P., Wilson, K. M., Bradford, J. M., Kempema, J., DuBose, J. J., ... & Brown, C. V. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010 Mpody, C., Rudolph, M. I., Bastien, A., Karaye, I. M., Straker, T., Borngaesser, F., ... & Nafiu, O. O. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery, 160(3), 313–321. https://doi.org/10.1001/jamasurg.2024.5678 Shekhar, A. C., Kimbrell, J., Saharan, A., Stebel, J., Ashley, E., & Abbott, E. E. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine, 89, 27–29. https://doi.org/10.1016/j.ajem.2025.05.004 Tagami, T., Takahashi, H., Suzuki, K., Kohri, M., Tabata, R., Hagiwara, S., ... & Ogawa, S. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation, 110617. https://doi.org/10.1016/j.resuscitation.2025.110617 Zhou, T., Wang, Y., Zhang, B., & Li, J. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open, 8(5), e2510325. https://doi.org/10.1001/jamanetworkopen.2025.10325  

Give us about fifteen minutes a day, and we will give you all the local news, sports, weather, and events you can handle. SPONSORS: Many thanks to our sponsors… Annapolis Subaru, the SPCA of Anne Arundel County, MacMedics, and  Hospice of the Chesapeake.  Today... Annapolis Police are investigating a delayed shots fired report on Madison Street, while a new independent study says Anne Arundel's Fire and EMS staffing model needs a serious overhaul. Plus, AACPS is rolling out big budget plans, adding a new financial literacy graduation requirement, and Truxtun Park just picked up a national "Public Park of the Year" honor—all thgat and more on today's DNB! DAILY NEWS EMAIL LINK: https://forms.aweber.com/form/87/493412887.htm Ann Covington from CovingtonAlsina is off today and next week, but wil be back in the new year with her Monday Money Report! The Eye On Annapolis Daily News Brief is produced every Monday through Friday at 6:00 am and available wherever you get your podcasts and also on our social media platforms--All Annapolis and Eye On Annapolis (FB) and @eyeonannapolis (X) NOTE: For hearing-impaired subscribers, a full transcript is available on Eye On Annapolis.

In this episode of the EMS World Podcast, host Mike McCabe talks with Sherry Twitty, Director of Corporate Outreach at Columbia Southern University, about how flexible, online education is helping fire, EMS, and nursing professionals advance their careers without disrupting their demanding schedules. Twitty shares how CSU's life-paced learning model, affordable tuition, multiple start dates, and transfer credit options are designed specifically for first responders balancing shift work and multiple jobs. She also highlights CSU's wide range of EMS, fire, nursing, and public service degree programs—and how industry feedback helps shape them.

Nate, an ER nurse and travel nurse, shares his journey from bartending and barista work to finding his passion in healthcare. Inspired by the compassion shown to his mother during her cancer treatment, he's built a career across multiple states while balancing professionalism, empathy, and the realities of emergency medicine.We also talk about his social media: The Dude Nurse, where he uses humor to make nursing more relatable, his experiences navigating social media as a healthcare creator, and the importance of breaking down barriers between nurses, paramedics, and other professionals.Don't miss his story of resilience, growth, and finding joy in the chaos.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

Episode 314: In this episode of Medic2Medic, Steve sits down with Shaun Pitts, a second-generation EMS provider with nearly two decades of frontline experience and a deep passion for EMS education. Shaun shares his journey of following in his father's footsteps, building a career from the street up, and learning the lessons that only real calls can teach. He talks honestly about what works, what doesn't, and why practical, relatable training matters more than ever.The conversation dives into Shaun's role as Head of Education for EMSConnect, how he became involved with the platform, and what he sees as the future of EMS education nationwide. Shaun also discusses the EMSConnect On Shift Podcast, the importance of real conversations in the fire and EMS community, and why authentic storytelling helps providers stay connected and resilient. Beyond the uniform, Shaun reflects on balancing family life as a husband and father of three while maintaining a long-term career in EMS.This episode is about legacy, leadership, education, and staying grounded in the profession we love.https://www.spreaker.com/episode/episode-314-shaun-pitts-education-be-a-duck-ems-and-more--69149864

Sat, Dec 20 8:59 PM → 9:39 PM No answer Radio Systems: - DC Fire and EMS

In this special Christmas edition of the Inside EMS podcast, cohosts Chris Cebollero and Kelly Grayson unwrap five of the biggest EMS stories of 2025 — and it's not all eggnog and cheer. This year delivered more than its fair share of gut punches to the profession, from a paramedic who was charged with manslaughter, to footage of a fire chief yelling at a 10-year-old patient (yeah, that happened). Next week's show will break down the final five EMS stories of the year, but in 2026, we're flipping the spotlight. Chris and Kelly are calling on you to step up and share your real EMS stories — the funny, the frustrating, the calls that changed you. Got a moment that shaped your career? Our cohosts want to hear it, and you might even get an invite to appear on the podcast. ‘Tis the season to be heard; email theshow@ems1.com to share your story! Quotable takeaways “You're the grownup. You can't pitch a fit. You gotta be the grownup in the situation and diffuse it.” “If your only incentive for doing the right thing is that somebody might catch you being a jerk on video, then it's time for you to get out of the profession.” “The cost of readiness is hugely expensive.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for future episodes. 

Headlines can numb the soul, but they can also wake it. We open with prayer and move straight into the hard reality of targeted violence and public fear, then trace a path that blends courage with compassion. Our focus is local and concrete: how to strengthen law enforcement, firefighters, EMS, and communication networks so communities are ready before a crisis, not after. The goal isn't alarm—it's stewardship. When neighbors talk, train, and plan, the ground under our feet steadies.From there, we ground public life in private covenant. We read the marriage passages from Corinthians and Genesis, exploring how a husband and wife, joined as one, form a stable center for children and community. That foundation links to a journey of prudence: Joseph, Mary, and the child Jesus flee danger, wait for God's timing, and return only when it's safe. Obedience here looks like preparation, patience, and movement guided by wisdom. It's a blueprint for modern families facing uncertainty without surrendering to fear.Scripture keeps widening the frame. Psalm 2 reminds us that rulers rage, but God reigns; Proverbs calls us to humility and discipline. We pause to honor a Medal of Honor recipient whose brief citation hints at decisive bravery, then hear FDR's Christmas reading on radical grace—an invitation that stretches even to the hardest hearts. We hold both truths together: salvation is offered to all, and love protects the vulnerable. That's why moral clarity and community readiness belong side by side.If this conversation stirred you, share it with a friend, subscribe for future episodes, and leave a review so others can find the show. Tell us one step you'll take this week—support a first responder, read the marriage passages with your spouse, or start a neighborhood safety chat. Your action matters.Support the showThe American Soul Podcasthttps://www.buzzsprout.com/1791934/subscribe Countryside Book Series https://www.amazon.com/Countryside-Book-J-T-Cope-IV-ebook/dp/B00MPIXOB2

Tim Hepworth is a fly fishing guide, fly tier, dad, and former Primary Care Paramedic who brings heart, skill, and real-world grit to everything he does. Born and raised in central Alberta, Tim grew up in a family where the outdoors wasn't a weekend hobby—it was life. As the youngest of nine kids, he learned resilience, adaptability, and how to find joy in chaos long before he ever tied a fly or rowed a boat. FLY FISHING BOW RIVER OUTFITTERSAfter working in CrossFit coaching and then making the leap into EMS, Tim found himself drawn deeply to the rhythms of nature—the quiet flow of rivers, the meditative cast, and the unexpected lessons that happen when you're rooted in a riverbed rather than an emergency scene. The birth of his daughter, Wren, marked a turning point: instead of shelving his outdoor life, he expanded it, bringing her along on the water and weaving parenthood into his connection to the sport. FLY FISHING BOW RIVER OUTFITTERS+1Today, Tim is widely known for more than his guiding expertise on the Bow River. He's a co-host of Thursday Night Live Fly Tying, where his creativity at the vise and genuine personality have made him a respected voice in the fly tying community. Whether he's sharing a tying technique, rowing a drift boat, or helping someone experience their first trout, Tim's approach is always infused with warmth, humor, and a deep respect for the outdoors. FLY FISHING BOW RIVER OUTFITTERSOutside of guiding and tying, his favorite fishing partner is his daughter, Wren—proof that fly fishing isn't just a career or hobby for Tim, but a lifelong way of being, teaching, and connecting. FLY FISHING BOW RIVER OUTFITTERS“If you're on the water, there's no such thing as a bad day.” — Tim Hepworth FLY FISHING BOW RIVER OUTFITTERS

In this episode of the EMS One-Stop podcast, host Rob Lawrence revisits an issue close to the heart of every EMS professional: creating a permanent National EMS Memorial in Washington, D.C. Rob is joined by Tony O'Brien and James Robinson from the National EMS Memorial Foundation to provide a clear, candid update on where the project stands, why it matters, and what still needs to be done. From the Weekend of Remembrance to the dream of a year-round place of solace and reverence in the nation's capital, this conversation lays out the long road from idea to reality — and why EMS, as James puts it, truly deserves this. Tony and James walk listeners through the 24-step federal Commemorative Works Act process, the hard work of narrowing 312 potential sites down to three, and the current push to reauthorize the Foundation's federal authority through House Resolution 2196 and Senate Bill 2546. They explain the preferred site in front of the Hubert H. Humphrey Building (HHS), the partnership with MIT's School of Architecture and Urban Risk Lab on a powerful design, and the practical realities of funding, sponsorship and bureaucracy. Most importantly, they end with a clear call to action for the EMS community: contact your elected officials, donate what you can, and help spread the word so that a permanent memorial to EMS can finally take its place in Washington, D.C. Additional resources EMS Memorial EMS Memorial Bills: HR 2196  S2546  2025 National EMS Weekend of Honor recognizes 29 fallen EMS workers ‘Never forgotten': 2025 Moving Honors procession honors 29 EMS providers lost in the line of duty Episode timeline 00:44 – Rob introduces the episode, sets the scene for a revisit of the National EMS Memorial effort, and welcomes guests Tony O'Brien and James Robinson. 01:30 – Tony and James share their backstories. 03:53 – Tony explains the origins of the Foundation at the Weekend of Remembrance/Weekend of Honor and the realization that EMS needs a permanent memorial people can visit year-round. 06:54 – James outlines the Commemorative Works Act, the 24-step process, and how the Foundation has reached step 15-16 over roughly 15 years. 07:54 – Tony details the grueling site-selection work: visiting 312 sites, environmental and noise studies, traffic and solitude considerations, and narrowing to three candidate locations. 10:48 – James describes the need for an Act of Congress to begin, Congressman Stephen Lynch's early sponsorship, and the 2018 authorization that started a 7-year clock — complicated by the pandemic and federal shutdowns. 13:12 – Tony explains how the initial authorization expired, the need for reauthorization and the most recent Senate subcommittee hearing on federal lands where James testified. 16:41 – James and Tony frame the new bills: Senate Bill 2546 and House Resolution 2196, their bipartisan sponsors and the push for more co-sponsors. 19:49 – Tony lays out the three-point call to action: contact Congress, donate via EMSMemorial.org, and follow/share @EMSMemorial on social media. 23:06 – Tony describes the three remaining sites and why Independence Ave. & 3rd St SW, in front of HHS, is the preferred location. 24:42 – Tony highlights the pro-bono design work by MIT's School of Architecture and Urban Risk Lab, and the deep engagement with providers, families and survivors. 26:32 – James explains the historical nexus of EMS with HEW/HHS and why the Humphrey Building plaza offers the right reverence, proximity to the Capitol and connection to EMS history. 29:01 – Tony and James discuss next steps: reauthorization first, then finalizing site and design to approach major sponsors with clear answers on location, look and cost — while acknowledging the project has been bootstrapped so far. 32:03 – Tony reassures donors: the Foundation is a 501(c)(3), the board are all volunteers with only necessary professional services paid from donations. 33:13 – Tony gives shout-outs to the National EMS Memorial Service and the National EMS Memorial Bike Ride, and explains how the three organizations' missions align. 37:12 – Rob recaps the journey, reinforces the call to action, and closes the show with thanks to Tony and James and a reminder to visit EMSMemorial.org and like/subscribe to EMS One-Stop. Rate & review the EMS One-Stop podcast Enjoying the show? Please take a moment to rate and review us on Apple Podcasts. Contact the EMS One-Stop team at editor@EMS1.com to share ideas, suggestions and feedback. Listen on Apple Podcasts, Amazon Music, Spotify and RSS feed.

Blogpost asociado  https://ecctrainings.com/te-atreverias-a-dar-tromboliticos-prehospitalarios-para-embolia-pulmonar-lo-que-revela-el-nuevo-estudio-y-como-prepararte-con-acls/" Referencia del estudio original: Harjola, J., Holmström, P., Sane, M., Hartikainen, J., & Harjola, V.-P. (2025). Prehospital fibrinolysis in high-risk pulmonary embolism – Observational data on clinical picture and outcome. Prehospital Emergency Care, 29(7), 1–8. https://doi.org/10.1080/10903127.2025.2582671 Recordatorio rápido: embolia pulmonar de alto riesgo Definición sencilla: EP de alto riesgo / masiva → se manifiesta como shock obstructivo o paro cardiaco. Fisiopatología en pocas palabras: Trombo grande en circulación pulmonar → aumento de poscarga del ventrículo derecho → falla del VD → colapso hemodinámico. Por qué es tan letal: Deterioro muy rápido, ventana terapéutica corta. Frecuentemente se presenta como paro fuera del hospital. Conectar con ACLS: La EP masiva está dentro de las "T" (tromboembolismo) en las causas reversibles del paro. Las guías ACLS contemplan el uso de trombolíticos cuando se sospecha fuertemente EP como causa del paro. ¿Cómo se ve clínicamente un paciente con EP de alto riesgo? Disnea súbita, dolor torácico, síncope, hipotensión, antecedentes de riesgo trombótico. Resumen del estudio de Harjola et al. Objetivo principal del estudio Explorar supervivencia y complicaciones hemorrágicas del uso de trombolíticos prehospitalarios para embolia pulmonar de alto riesgo. Diseño Datos de EMS del área metropolitana de Helsinki + hospital universitario. Periodo aproximado: 2007–2019. Inclusión: Pacientes con EP de alto riesgo sospechada clínicamente. Tratados con fibrinolisis intravenosa prehospitalaria. Diagnóstico de EP confirmado posteriormente por imagen o autopsia. Grupo comparador: Pacientes con EP de alto riesgo que no recibieron fibrinólisis prehospitalaria. Resultados clave Total de pacientes con EP de alto riesgo: 60. Grupo con trombolíticos prehospitalarios para embolia pulmonar: n = 23. 44% mujeres. Edad media: alrededor de 57 años. 74% se presentaron en paro cardiaco. 26% en shock obstructivo. Mortalidad: Mortalidad prehospitalaria aproximada: 35%. Mortalidad intrahospitalaria: alrededor de 27% de los que llegaron vivos. Mortalidad total combinada: cerca de 52%. Todas las muertes en este grupo fueron en pacientes que llegaron en paro cardiaco. Complicaciones: 2 pacientes con sangrado mayor. Ningún sangrado fatal. Supervivencia a 12 meses: Los pacientes trombolizados que salieron vivos del hospital seguían vivos a los 12 meses. Grupo sin trombolisis prehospitalaria: n = 37. Más añosos (edad media cercana a 72 años). Mayor proporción de paro cardiaco. Mortalidad a 12 meses más alta (≈ 76%, tendencia, p alrededor de 0.06). Comentario para desarrollar: Es un estudio observacional, con n pequeño, no podemos concluir causalidad, pero sí hay "señales" interesantes de posible beneficio. ¿Qué nos dice realmente este estudio? Mensajes principales La EP de alto riesgo fuera del hospital tiene una mortalidad muy alta aun con intervenciones agresivas. En este contexto crítico, los trombolíticos prehospitalarios para embolia pulmonar: Parecen relativamente seguros (pocas hemorragias mayores, ninguna fatal). Podrían ofrecer un beneficio en supervivencia, especialmente en pacientes seleccionados. Limitaciones para mencionar Serie de casos; no es ensayo aleatorizado. Número pequeño de pacientes trombolizados. Posible sesgo de selección: Pacientes más jóvenes y potencialmente con menos comorbilidades recibieron trombólisis. No responde preguntas como: Detalle exacto del protocolo. Diferencias entre equipos. Tiempos exactos desde el colapso hasta la trombólisis. Idea clave: No es un "permiso" para trombolizar a todo el mundo, pero sí una invitación seria a considerar que, en EP de alto riesgo, la inacción también tiene un costo muy alto. El reto práctico: decidir trombolisis en el campo Barreras en la vida real Diagnóstico presuntivo sin imagen: Dependemos de clínica, antecedentes, ECG, quizás eco focal. Miedo al sangrado: Especialmente hemorragia intracraneal. Falta de protocolos claros: Muchos sistemas de EMS no contemplan todavía trombolíticos prehospitalarios para embolia pulmonar. Falta de entrenamiento específico: No todos se sienten cómodos con indicaciones, contraindicaciones, dosis. Cómo ayuda ACLS aquí ACLS bien aprendido: Te obliga a pensar en H y T, no solo en adrenalina y ciclos. Te muestra dónde se colocan los trombolíticos prehospitalarios para embolia pulmonar dentro del algoritmo. Te entrena para liderar un equipo y tomar decisiones bajo presión. Conectar con los cursos de ECCtrainings: En nuestros ACLS discutimos escenarios de paro por EP masiva. Practicamos cómo tomar la decisión de administrar o no trombolítico. Simulamos la comunicación con el hospital receptor después de trombólisis. Caso clínico narrado Propuesta de caso Varón de 48 años. Disnea súbita, dolor torácico, antecedente de inmovilidad o TVP reciente. Hipotenso, taquicárdico, saturación baja, signos de shock. En la ambulancia entra en PEA. El equipo evalúa H y T → EP masiva muy probable. Protocolo local permite trombolíticos prehospitalarios para embolia pulmonar: Se administra el medicamento durante la RCP. Después de varios ciclos recupera pulso. Llega vivo al hospital, se confirma EP por imagen y sobrevive. Puntos a resaltar Valor de: reconocer el patrón clínico, tener protocolos, estar entrenado en ACLS. Conectar con la serie de Helsinki: "Son justamente este tipo de pacientes los que aparecen en la serie: altísimo riesgo, pero con posibilidad real de supervivencia si somos agresivos." Cómo prepararte tú y tu sistema Pasos sugeridos para líderes, educadores y clínicos de EMS Revisar la evidencia Usar este estudio como punto de partida para la discusión sobre trombolíticos prehospitalarios para embolia pulmonar. Evaluar la realidad local ¿Disponibilidad del medicamento? ¿Quién puede prescribir y administrar? ¿Qué soporte hospitalario hay (UCI, hemodinamia, ECMO)? Desarrollar protocolos claros Criterios de inclusión y exclusión. Algoritmo que integre ACLS y trombólisis. Entrenamiento formal No basta con escribir el protocolo; hay que entrenarlo en simulación. Cursos ACLS con escenarios específicos de EP. Simulaciones y revisión de casos Simulacros periódicos con roles definidos. Morbimortalidad / debriefing de casos reales o simulados. Comunidad: seguir la conversación en ECCnetwork ECCnetwork: Comunidad en línea para profesionales de emergencias, cuidado crítico, medicina táctica, etc. Espacios para discutir artículos, casos, protocolos, dudas. Invitar a que compartan: ¿Su sistema consideraría trombolíticos prehospitalarios para embolia pulmonar? ¿Qué barreras ven? ¿Experiencias que puedan comentar? Recursos adicionales y blogpost Recordar el blogpost: URL:

An EMS medic, an MVA, a STEMI, a stroke—and everyone's still playing “telephone” with the hospital. In this episode of EMS World Podcasts, host Mike McCabe sits down with Mitch Scott, Solutions Architect at General Devices, to tackle one of EMS's biggest headaches: communication and coordination with the emergency department and specialty teams. Scott breaks down how GD's e-Bridge platform lets crews securely send photos, EKGs, videos, and patient data straight from the field to the ED, cath lab, stroke team, transfer centers, and more—all in one HIPAA-compliant app that never stores images on personal devices. They dig into real-world pain points: long wall times, “we never got your call,” lack of accountability, rural agencies with hour-long transports, and busy EDs juggling multiple priorities. You'll hear how features like GPS tracking, acknowledgement alerts, and detailed timestamps create a defensible QA/QI trail and give everyone—from medics to cardiologists—a shared, real-time view of the patient before they hit the door. If you've ever felt unheard on the radio or wished you could “show, not tell” your next handoff, this episode is for you.  

As the panel discussion continues, the discussion of medical direction arises as well as how to handle the potential rotating staff and continuity of responder training including incident command training. If interested in starting or growing your campus-based EMS system, feel free to get in touch with the National Collegiate EMS Foundation.

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

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