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In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton explore a powerful emotional truth most first responders (Amazon Affiliate) never say out loud: being called a hero doesn't always feel good — or accurate. Police, fire, EMS, and dispatch professionals often get labeled as heroes by the public, the media, and sometimes even their own families. But many responders feel uncomfortable, unworthy, or even resentful of that title. Not because they lack pride in their work — but because the things they've seen, the mistakes they replay, and the trauma they carry don't line up with the shiny narrative. This episode digs into the quiet conflict between the identity the world gives you and the identity you actually live with, and why so many responders struggle to feel heroic despite their sacrifice.
In this episode, the crew kicks things off with pure mayhem — snowstorms in Michigan, salmon rain in California, and a spontaneous performance of “It's Raining Men.” From there, the guys dive into housekeeping, holiday updates, merch drops, and a surprising announcement from Brian about his upcoming Fire Marshals International Swimsuit Calendar.But the main topic?
Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the areaShe saw the disconnect between the provider that people wanted to become and who they became, and she didn't want that to be true for herselfShe became an attending in 1991 and now has close to 40 years in emergency medicineShe became a physician when it was predominantly a male fieldJulie talks about some of the things that have changed over timeWe need to have empathy for the people that come in for non-emergent complaints and realize that we have the honor in the ED to fill all the gaps in the wider medical systemWe talk about the increase in transparency with patients and the access they now have to their lab work, imaging and chart and this helps us increase trust with patientsJulie talks about a paramedic partner she really admired and how well she treated patients, and how there wasn't a lot of female role models for her in med schoolI talk about how I also had partners that really improved the trajectory I was on as a new EMTSeek first to understand is one of the 7 habits of highly effective people and this relates directly to taking care of patientsJulie talks about how it was to be a woman in medicine and how her voice got dismissed as well as the dynamics that are at play with patientsJulie talks about burnout and how labyrinth therapy helped her. How you need something that helps you look beyond yourself to have a moment of awe and gratitudeSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition
After a week away, we catch up on all things NFL and changes in our Pick 'Ems standings. The playoff picture in the Nation of Domination is clearing up, and we also update NBA news around the league.
Kurt Bramer from Advanced CPR Solutions returns again this week to continue the series on Head-Up CPR and other promising sudden cardiac arrest treatments. There are three previous episodes in this series. Elevated CPR Series Episode One Elevated CPR Series Episode Two Elevated CPR Series Episode Three After the severe weather update from disaster meteorologist Dan DePodwin, the Disaster Podcast team focuses on the science and physiology of Head-Up CPR. They ask why this approach provides for better protection of neurological function during a cardiac arrest. Dr. Joe Holley does an excellent job of describing the specific concepts of pressure gradients in blood flow to and from the heart during CPR in various patient positions. Kurt outlines what he calls the Four Rules of Head-Up CPR that are essential components for successful resuscitation during cardiac arrest treatment. These rules come from Dr. Joanna Moore’s Editorial The Do’s and Don’ts of Head Up CPR: 1) Use of Suction Cup CPR and an ITD 2) A Priming Period is Needed 3) Cannot Lift the Patient Too High 4) You Cannot Lift the Patient Too Quickly CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well. Podcast Discussion Summary Episode Opening segment and Weather update The meeting began with a discussion about travel weather for the country and record cold in many parts of the upper midwest and northeast with Dan DePodwin. The group then transitioned to their main topic, the physiology of CPR, with Dr. Joe Holley focusing our attention on the specific anatomy and process inside the body during CPR. Head-Up CPR Techniques Discussed Kurt and Joe discussed the importance of adhering to the “four rules” of head-up CPR, which were derived from a published editorial by Dr. Moore. They emphasized that studies showing no improved outcomes often violate these rules, highlighting the significance of proper technique. Jamie Davis, the host of the Disaster Podcast, introduced the episode, which would focus on the science and physiology of elevated CPR, while Sam and Dan briefly discussed the early winter weather conditions across the United States. Head-Up CPR Research Advances The discussion focused on head-up CPR, a novel research advancement in resuscitation aimed at improving neurologic survival. Kurt explained its origins, highlighting a case study involving a ski hill cardiac arrest patient who survived due to an elevated head position, which was later recognized as a critical factor. The conversation also touched on a study conducted in South Korea, where researchers developed a modified EMS stretcher to accommodate patients in high-rise buildings with small elevators, leading to the question of the optimal CPR position. Initial findings from animal studies suggested that a head-up position could reduce intracranial pressure, potentially improving outcomes during CPR. CPR Physiology and Blood Flow Joe explained the physiology of CPR, focusing on how differences in pressure inside the body create blood flow. He described how chest compressions increase intrathoracic pressure, pushing blood towards the brain and other areas of lower pressure. He emphasized that over-ventilation and incomplete chest recoil can be detrimental during CPR, as they prevent blood from flowing back into the heart. He also noted that patients who exhibit “guppy breathing” during resuscitation have a better chance of successful resuscitation. CPR Vacuum Technology and Physiology Joe explained the physiology of blood flow during CPR, focusing on the importance of preload and the manipulation of pressure differences between the thoracic cavity and the brain. He described how the ITD16 device creates a vacuum in the chest to enhance blood flow to the brain and reduce intracranial pressure. Joe also discussed the concept of “head-up CPR,” which combines enhanced vacuum with gravity assistance to improve blood flow and neuroprotective outcomes. Head-Up CPR Techniques and Safety Sam and Kurt discussed the importance of using proper equipment and techniques for head-up CPR, as outlined by Dr. Joanna Moore’s “four rules.” Kurt emphasized that suction cup CPR in conjunction with an ITD or rescue pod is crucial for effective and safe head-up CPR. He also stressed the need for a priming period, avoiding excessive head elevation, and slow head-up positioning to prevent blood from draining from the head faster than CPR can pump it back in. Kurt noted that studies claiming head-up CPR doesn’t work often violate these rules, highlighting the significance of adhering to the correct procedures. Head-Up CPR: A Novel Approach The team discussed the importance of proper technique in head-up CPR, emphasizing that it requires a bundled care approach with specific parameters to be effective. Joe and Kurt shared a case study of a retired fire chief who successfully underwent head-up CPR, highlighting the potential benefits of this novel approach. The discussion also touched on the concept of using a combination of therapies in resuscitation, similar to the drug cocktail approach used in treating HIV. Success Stories in Advanced CPR The meeting focused on sharing and discussing remarkable cases of successful CPR, particularly highlighting the concept of “head-up” CPR, which has shown improved outcomes. Kurt and Joe shared several stories of patients who experienced significant neurologic recoveries after cardiac arrests, with survival rates and recovery rates significantly higher than national averages. The discussion emphasized the potential of advanced CPR techniques to improve survival and neurologic outcomes, with Joe noting that two of his services have seen similar success rates. The group the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!
Sat, Dec 6 12:57 AM → 1:05 AM ledyard Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc
Start with hope, end with readiness. We open our hearts in prayer and then get practical about how to protect what we love, drawing a straight line from an old Marine Corps lesson—never bring a problem without solutions—to a community playbook that blends faith, family, and civic duty. Mercy Otis Warren's account of the Founders petitioning the Crown while raising an army sets the tone: pursue peace, but prepare with clear eyes.We talk through specific steps anyone can take to strengthen a town's backbone: advocate for local law enforcement, firefighters, and EMS; write your sheriff, DA, and representatives; use a train-the-trainer model to multiply skills across churches, schools, and neighborhoods. This isn't about fear. It's about love of neighbor, resilience, and responsibility. From there, we turn to the home, walking through Ephesians 5's vision for marriage—husbands who love sacrificially, wives who respect—because strong households anchor strong communities.Then we face the hard words of Revelation 12–13. Power can dazzle and deceive, but the call is steady: endure and remain faithful. Paired with Psalm 141's plea to guard our lips and hearts, we frame endurance as daily obedience, not a one-time surge. We honor Staff Sergeant Paul Luther Bolden's valor and lift President Herbert Hoover's 1929 Christmas message to remember the gifts that do not fail: courage, kindness, and mutual help. Threaded through it all is a simple theme—pray for changed hearts and prepare for hard days, with calm hands and a hopeful spirit.If this resonates, share it with a friend, subscribe for more, and leave a review to help others find the show. Tell us one concrete step you'll take to strengthen your home or community this week.Support the showThe American Soul Podcasthttps://www.buzzsprout.com/1791934/subscribe
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton confront one of the most urgent and heartbreaking issues in the first responder community — the silent suicide epidemic (Amazon Affiiate). Police officers, firefighters, EMS professionals, dispatchers, corrections officers, and veterans are dying by suicide at rates that outpace line-of-duty deaths. And yet, the warning signs often go unnoticed, minimized, or misunderstood — not because people don't care, but because responders are experts at hiding their pain. This episode shines a direct light on the red flags, the root causes, and the actionable steps that can save lives before it's too late.
What do you do when someone on your team is struggling — and it's on you to say something? In this episode of the Inside EMS podcast, Chris Cebollero and Kelly Grayson dive headfirst into one of leadership's toughest challenges: holding people accountable without losing your humanity. This episode challenges leaders to ditch outdated progressive discipline models and start leading with clarity and empathy. Whether you're a seasoned supervisor or new to the hot seat, this one hits home. And if you've been avoiding a conversation, consider this your nudge to stop choosing comfort over your own integrity. Quotable takeaways “Firing people with compassion, managing your ego, their ego, admitting mistakes and just being human — these are the places where real leaders show up.” “One of the things I try to teach is that I don't fire anybody — I just process the paperwork. People fire themselves.” “EMS is a very egotistical business, and it's that ego that keeps us from asking questions. Because we don't want to look like we don't know what we're talking about in front of our peers.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest!
We unpack what's happened so far in the debate over Lee County's next EMS contract, and speculate irresponsibly about what might happen next.
Fri, Dec 5 7:06 PM → 7:06 PM test etset ests Radio Systems: - DC Fire and EMS
In March of 2018, 31-year-old Jennifer Myers was pronounced deceased by EMS at the home of a stranger, from what was later ruled a self-inflicted gunshot wound. Her family may never have the answers they so desperately want, but there's multiple loose ends that show that the investigation into Jen's death fell short. Will Jen's case remain closed with a rushed ruling of suicide, or will detectives finally hear the family's pleas for a reopening of the case and give them the answers they deserve? If you have any information about the death of Jennifer Myers in Wheat Ridge, Colorado, please contact the Wheat Ridge Police Department or Jen's family at the Justice for JEN Facebook page: https://www.facebook.com/Justice4JEN/ Listen Ad Free And Get Access to Exclusive Journal Entries Episodes: Spotify: https://open.spotify.com/show/4HEzJSwElA7MkbYYie9Jin Patreon: https://www.patreon.com/themurderdiariespod Apple: Hit subscribe/ 1 week free trail available Sponsorship Links: Sign up for a one-dollar-per-month trial period and take your retail business to the next level today! https://shopify.com/murderdiaries Resources: https://themurderdiariespodcast.com/episodes Music Used: Walking with the Dead by Maia Wynne Link: https://freemusicarchive.org/music/Maiah_Wynne/Live_at_KBOO_for_A_Popcalypse_11012017 License: https://creativecommons.org/licenses/by-nc-nd/4.0/ Glitter Blast by Kevin MacLeod Link: https://filmmusic.io/song/4707-glitter-blast License: https://filmmusic.io/standard-license Our Links: Link Hub: https://msha.ke/themurderdiaries Instagram: https://www.instagram.com/themurderdiariespod/ Edited by: https://www.landispodcastediting.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices
In Round 100 of the Tactical Transition Tips on the Transition Drill Podcast, transition can feel overwhelming for military veterans and first responders because the world outside the uniform often presents more choices than clarity. This episode explores how choice overload affects service members, police officers, firefighters, EMS professionals, soldiers, Marines, sailors, and airmen as they prepare for life after service. The story that unfolds is one many experience but rarely discuss, the fear of choosing wrong, the pressure to explore everything, and the uncertainty that grows when direction is missing.You'll hear how transition becomes easier when you narrow your focus, build identity intentionally, and match your preparation to the stage of your career. Instead of chasing every possible path, this episode shows why clarity and structure create the confidence needed to move forward with purpose.Transition Group Breakdown• Close Range Group (transitioning immediately to one year): Choose one or two career lanes to explore deeply; this helps reduce overwhelm and supports decisive movement during a critical window.• Medium Range Group (transitioning in roughly five years): Build depth in your professional identity and create early positioning; these actions give you stronger options and more confidence when transition becomes real.• Long Range Group (transitioning in ten or more years): Develop curiosity and foundational habits that strengthen long term readiness; this ensures your identity and skills evolve in ways that support future transition rather than threaten it.This episode guides you through the reality many military veterans and first responders face, a future filled with options that can either paralyze progress or strengthen direction. The goal is simple, help you build clarity so your next chapter isn't defined by uncertainty, but by deliberate movement toward a meaningful life after service.The best podcast for military veterans, police officers, firefighters, and first responders preparing for veteran transition and life after service. Helping you plan and implement strategies to prepare for your transition into civilian life.Get additional resources and join our newsletter via the link in the show notes.CONNECT WITH THE PODCAST:IG: https://www.instagram.com/paulpantani/WEBSITE: https://www.transitiondrillpodcast.comLinkedIn: https://www.linkedin.com/in/paulpantani/SIGN-UP FOR THE NEWSLETTER:https://transitiondrillpodcast.com/home#aboutQUESTIONS OR COMMENTS:paul@transitiondrillpodcast.comSPONSORS:GRND CollectiveGet 15% off your purchaseLink: https://thegrndcollective.com/Promo Code: TRANSITION15Frontline OpticsGet 10% off your purchaseLink: https://frontlineoptics.comPromocode: Transition10
There is no “tomorrow.”You never wake up there. You only ever wake up here.In this solo episode of Unwritten Chapters, I talk honestly about what it means to live in the now when you've got a brain full of flashbacks, burnout, and worst-case scenarios. As a former army medic and paramedic turned author in recovery, I'm not preaching “good vibes only.” I'm talking about trying to stay present when your nervous system is cooked and you're still waiting for the other shoe to drop.If you're a nurse, medic, frontline worker, partner of a veteran, or someone in or around recovery who is exhausted, trauma-literate, and allergic to bullshit, this is for you.In this episode, we get into:Why “tomorrow” is the lie your brain keeps selling youHow trauma, anxiety, and addiction keep us anywhere but hereThe quiet grief of feeling like life is always on holdPractical, imperfect ways to come back to right nowGiving yourself permission to want more than just survivingThis isn't self-help sparkle. It's one guy who's been to rock bottom, still trying to make sense of life after trauma, addiction, and hitting the wall at high speed.If you connect with dark humour, honest storytelling, and real talk about PTSD, mental health, and recovery, pull up a chair. You're not the only one trying to figure out how to actually live the one day you've got.
In this episode of The Chief's Cadence, Shane Wheeler sits down with Dr. Anthony McGee, senior partner at Fitch and Associates, to explore the overlooked role of structured communication in EMS leadership. Dr. Minge discusses why communication should be as prioritized as budgets or staffing. He highlights practical strategies like rounding, scheduled huddles, and purposeful meetings to build trust, improve culture, and reduce operational chaos. The conversation also addresses the challenges posed by modern communication technology and artificial intelligence, emphasizing the irreplaceable value of face-to-face dialogue and emotional connection. For aspiring and current EMS leaders, this episode offers actionable insights on fostering psychological safety, encouraging two-way communication, and leading with transparency and intentionality.
Volunteer fire departments and EMS organizations face risks that most businesses can't even imagine. From wrongful termination claims to the unique dangers of the job, they need more than a standard policy, and they need a partner who understands the fire service from the inside out.My guest, Ed Mann, served as the Pennsylvania State Fire Commissioner for 15 years before joining Provident Agency. In this episode of The Broker's Voice, he shares the game plan for protecting first responders. We get into the critical importance of Employment Practices Liability Insurance (EPLI) for volunteer departments, how Provident's lifetime benefits protect those injured in the line of duty, and the powerful educational resources they provide to keep departments safe and compliant. This is the guide for brokers who want to serve the people who serve our communities.▶▶ Sign Up For Your Free Discovery Callhttps://calendly.com/aneary/strategy-sessionCONNECT WITH ANDY NEARY
Recorded on the floor of the EMS|MC EMSpire Conference in Charleston, South Carolina, this episode of EMS One-Stop finds host Rob Lawrence in conversation with long-time collaborator and EMS advocate Matt Zavadsky. Fresh off the longest federal government shutdown in history, Rob and Matt unpack what the hyper-turbulence in Washington really means for EMS: suspended Medicare extenders, disrupted grant programs, agencies taking out loans just to meet payroll and training programs put on hold. They break down NAEMT's flash poll on the shutdown's impact, the promise of the Treatment in Place (TIP) legislation, and why associations “hunting as a pack” on Capitol Hill matters more than ever. Along the way, they spotlight EMSIntel.org as a national barometer of EMS funding, staffing and response time crises, and issue a clear call to action for providers, billers and leaders to use association tools to contact their members of Congress. | MORE: Government reopens: What EMS providers need to know right now In the second half, Rob is joined by Dr. Shannon Gollnick, paramedic, EMS leader and organizational psychologist, to explore how artificial intelligence is reshaping EMS — right now. Shannon makes the case that AI is “not the future; it is the present,” and that agency leaders must urgently build literacy, policies and guardrails around its use. They dig into the difference between HIPAA-compliant, embedded AI in ePCR systems, and risky open tools like ChatGPT, touching on hallucinations, embedded code and emerging Medicare fraud-detection programs. | MORE: Artificial to augmented intelligence. How Dr. Shannon Gollnick wants EMS to work smarter, not harder Rob and Shannon talk about AI as a powerful but potentially dangerous tool — “like having a tiger” — and outline practical steps for chiefs: Ask: “Do we have an AI policy?” Define what AI can and cannot be used for Insist that every AI-generated work product is double-checked by a human before it hits the record Memorable quotes “We weren't here to actually scare you off it. We're here to let you know that it's here, but it's like having a tiger, right? We all love to have a tiger, but it has to be contained in some sort of guard, otherwise it's going to run rife and cause havoc, and we don't want that.” — Rob Lawrence “This is part of the hyper-turbulence that's occurring in EMS right now.” — Matt Zavadsky “So I think the message for the profession right now is, now is not the time to put your foot on the brake. It's time to put your foot on the gas.” — Matt Zavadsky “We put the fun into function.” — Dr. Shannon Gollnick “I think it's important to understand that AI is not the future. It is the present. We are currently here right now. And it's nothing to be afraid of.” — Dr. Shannon Gollnick “If you're not doing it, I promise you that your staff is doing it and they're playing around with AI.” — Dr. Shannon Gollnick “Guardrails don't exist from a congressional standpoint. They don't exist from a regulatory standpoint. The technology is moving far too fast. So we as agency leaders have to take the lead in putting up some of those guardrails.” — Dr. Shannon Gollnick “There are ePCR software out there that are using proprietary AI that will use AI-generated narratives. And that absolutely is 100% good to go. What we don't want to see is our crews putting in their ChatGPT to have ChatGPT write their narrative.” — Dr. Shannon Gollnick “ChatGPT has embedded code inside of it that you can't see, but that code is there ... so what we're kind of afraid to do is to say, hey, what happens 6 months from now, 8 months from now when Medicare does an audit, they run your ePCRs and find all of this embedded code from ChatGPT ... you open yourself up for a lot of compliance issues.” — Dr. Shannon Gollnick Additional resources: EMS Intel EMS News Tracker American Ambulance Association Advocacy NAEMT Advocacy EMS shutdown survival: What leaders need to know now Charting the future: How AI is rewriting the EMS narrative Episode timeline: 00:21 – Rob introduces guest Matt Zavadsky 02:02 – Rob recaps the 40-plus-day federal government shutdown, questions about reopening, and his upcoming return to Capitol Hill for renewed advocacy 02:02 – Matt frames the shutdown as part of the “hyper turbulence” in EMS; explains the regulatory suspensions, pauses in Medicare extenders and grants, and how cash-flow uncertainty forced some agencies to take out loans just to make payroll 03:04 – Matt details NAEMT's flash poll (408 agency responses) showing suspended training and grant-funded programs, and warns of a possible repeat shutdown around January 30 03:54 – Rob and Matt discuss the reopening of government, ongoing bipartisan work, and the risk that everything “comes to a grinding halt” again if Congress can't agree 04:51 – Matt explains why NAEMT released the shutdown-impact poll even as government reopened and stresses the need to keep pushing for permanent relief from Medicare extenders and advancement of key bills like Treatment in Place (TIP) 06:03 – Matt outlines the House and Senate TIP companion bills and why Medicare paying for treatment in place is better for patients, EMS, the health system and the Medicare trust fund 06:54 – Rob notes broad association/provider support and professional lobbyists on the Hill; Matt stresses that field providers, administrators and billers must still use association legislative portals to send letters to Congress 08:08 – Matt describes a surge in communities reevaluating their EMS delivery models because of staffing, finance and subsidy challenges — “a great time to be an EMS consultant” 09:09 – Rob introduces EMSIntel.org as a curated clearinghouse of EMS news, used to show communities they aren't alone; describes failed tax measures and funding referenda 10:15 – Matt cites EMS Intel data: ~85% of stories each month involve funding, staffing or response times; Rob and Matt stress the ubiquity of these themes from big cities to small towns 11:09 – Rob highlights mutual aid tensions and taxpayers questioning why they “pay to send our resources somewhere else;” both emphasize that hyper-turbulence and funding gaps are national issues 13:23 – Rob resets the scene from the EMSpire conference and recaps Matt's Hill update before introducing Dr. Shannon Gollnick 14:41 – Shannon gives his backstory: in EMS since 1996, paramedic since 2002, progression into EMS leadership, doctorate in organizational psychology and focus on how organizations function 15:14 – “We put the fun into function.” 15:24 – Rob invites Shannon to talk AI, calling it “the specter we are embracing everywhere,” and references HIPAA concerns; Shannon opens with the core message: AI is not the future, it's the present, and nothing to be afraid of 16:03 – Shannon urges leaders to build AI literacy, noting that if agencies aren't using it, their staff and the younger generation already are 16:28 – Shannon emphasizes policy and procedure: AI guardrails aren't coming from Congress or regulators, so agency leaders must define how AI will be used and where its limits are 16:55 – Rob reminds listeners that AI in EMS isn't new, citing early monitor rhythm interpretation in the UK; Shannon underscores that crews already use AI tools and that unmanaged cut-and-paste practices can create billing and compliance risks 17:24 – Shannon explains the dangers of using open tools like ChatGPT for ePCR narratives: potential PHI exposure in a “black box” system and AI hallucinations generating plausible but false patient information 18:21 – Shannon describes how AI “wants to answer your question and make you happy,” leading to made-up details, and shares examples from testing minimal-input scenarios that returned overly detailed, inaccurate narratives. 19:03 – Shannon calls ChatGPT “kind of a snitch,” explaining embedded code markers that fraud detection tools — and increasingly Medicare's AI-based “Wiser” program — can use to identify AI-written content in documentation 19:59 – Shannon warns about retrospective audits and compliance exposure if ChatGPT-coded narratives are found in ePCRs, noting that AI rules are still emerging and tech is outrunning regulation 20:51 – Rob summarizes the mixed message: AI is here and being built into devices and software, but there are real dangers. They discuss data going “to the cloud” — which Shannon defines as “somebody else's computer.” 21:24 – Shannon frames AI as a powerful tool that can “put a lot of holes in the wall” if misused; he references fraudulent AI uses and deepfakes as emerging issues 22:05 – Shannon compares AI's impact to the internet's paradigm shift; Rob gives a “spoiler alert” about his own workflow using transcripts and ChatGPT agents, and notes the importance of reading and checking any AI-generated output 22:45 – Shannon reinforces that AI makes mistakes and cannot understand human context; he uses his “How you doing?” Joey Tribbiani vs. Tony Soprano example to illustrate contextual nuance 23:06 – Rob expands the context point with the “Friends”/“Sopranos” slide and reminds listeners that once AI-written words are published, “you said it.” Shannon highlights the WebMD effect and AI-driven self-diagnosis risks. 24:02 – They note that ChatGPT can generate long, complex diagnoses without sufficient patient context, leading to errant or misleading outcomes if misused clinically 25:00 – Rob summarizes: AI is here and, used correctly, is a good thing; advises chiefs to ask their teams, “Do we have an AI policy?” 25:27 – Shannon outlines what an AI policy should contain: acknowledgment that AI is here; clear, non-fearful framing; specificity on what decisions AI can support; and clarity on which tools (e.g., embedded EPCR AI) are allowed versus prohibited uses of ChatGPT 26:17 – Shannon stresses AI should not be used for clinical decision-making or clinical narrative writing; its role should be administrative only, and all outputs must be double-checked Enjoying the show? Email editor@ems1.com to share feedback or suggest a guest for a future episode.
In this episode of Transmission Interrupted, host Jill Morgan explores the high-stakes world of EMS preparedness with guests Matt Sasser and Alex Isakoff. Get an inside look at what it really takes to be ready for anything—from unexpected emergencies on the road to transporting patients with high-consequence infectious diseases.The team shares real stories, expert insights, and lessons learned from hands-on drills, large-scale exercises, and unique scenarios. Discover the importance of the "staff, stuff, and space" mantra, why iterative training makes the difference in crisis moments, and how building a culture of preparedness through practice ultimately keeps both EMS providers and patients safe.Whether you're a frontline responder, hospital clinician, or simply interested in public health, this conversation unpacks the challenges and triumphs of special pathogen preparedness—and why cultivating expertise, collaboration, and ongoing support is essential for communities everywhere.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsAlex Isakov, MD, MPH, FACEP, FAEMSNETEC EMS Workgroup Co-Lead Executive Director for Health SecurityProfessor of Emergency MedicineEmory School of MedicineAlex Isakov's Emory University ProfileMatt Sasser, MDMedical Director, MedSTAR TransportMedical Director, Baltimore Ravens M&T Bank StadiumEmergency Physician, MedStar Union Memorial HospitalMatt Sasser's MedStar Health ProfileHostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI).ResourcesNETEC EMS Biosafety Transport for Operators online courseNETEC Emergency Medical Services (EMS) Featured ResourcesNETEC Special Pathogen Operational Readiness Assessment for Emergency Medical Services (EMS)ASPR TRACIE EMS Infectious Disease PlaybooEMS Model Procedural Guidelines for Special PathogensNETEC Resource...
Wed, Dec 3 1:43 AM → 3:09 AM 4 Transmissions for worksheet Radio Systems: - DC Fire and EMS
Tue, Dec 2 9:59 AM → 10:50 AM CPR NW Radio Systems: - DC Fire and EMS
Former FDNY Commissioner Daniel Nigro calls into the program to talk about various topics, including recent losses in the FDNY community such as Firefighter Patrick Brady and 9/11-related deaths like James Riches. Sid and Daniel reflect on Nigro's personal and professional journey, especially his challenging ascendance to the role of commissioner following the death of his friend during the 9/11 attacks. The conversation also touches on the current and future leadership of New York City's fire department and Nigro's involvement in the transition team for the incoming Mamdani administration, expressing hope for improvements in EMS services and worker compensation. Learn more about your ad choices. Visit megaphone.fm/adchoices
Recently, some paramedics, obstetricians, and EMS medical directors were locked in a room and produced some fantastic collaborative prehospital guidelines for managing post-partum hemorrhage, eclampsia, and pre-eclampsia. Have a listen, take a look at the guidelines (links below), and we'll all take better care of our pregnant/post-partum patients. REFERENCES 1. https://naemsp.org/news/now-available-new-ems-obstetric-emergency-guidelines/
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton break down one of the toughest seasons for police, fire, EMS, and dispatch — the holidays. While the rest of the world is slowing down, celebrating, and gathering with loved ones, first responders are gearing up for some of the most demanding, emotionally heavy, and schedule-breaking shifts of the year. From missed traditions to emotional exhaustion (Amazon Affiliate), the holiday season can bring a unique mix of guilt, pressure, and loneliness that most people will never understand. This episode gives you a bulletproof, practical guide for protecting your mental health, staying grounded, and creating meaning — even when you're working through the holidays instead of celebrating them.
Dr. Melody Glenn was a burned-out emergency physician who had grown to resent the large population of opioid-dependent patients passing through her ER. While working at a methadone clinic, she realized how effective harm reduction treatments could be and set out to discover why they weren't used more broadly. That's when she found Dr. Marie Nyswander. In the 1960s, Dr. Nyswander defied the DEA and medical establishment to co-develop methadone maintenance as a treatment for heroin addiction. According to some addiction specialists, its discovery could be considered as monumental as the discovery of penicillin. Yet, it still carries a stigma today. As the United States continues to struggle with opioid and fentanyl use, Dr. Glenn shares Dr. Nyswander's legacy and important lessons that can be used in dealing with today's addiction crisis. Dr. Melody Glenn is an author and associate professor of addiction and emergency medicine at the University of Arizona. She graduated with her M.D. from The University of Southern California, completed her emergency medicine residency at Maricopa Medical Center, and earned her EMS fellowship from The University of California, San Francisco. Moderator Margaret Juhae Lee is the author of Starry Field: A Memoir of Lost History. She received a Bunting Fellowship from Harvard University and a Korean Studies Fellowship from the Korean Foundation in support of research for her book. Previously, she was an editor for the Books and the Arts section at The Nation magazine. Commonwealth Club World Affairs of California is a nonprofit public forum; we welcome donations made during registration to support the production of our programming. A Psychology Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. Commonwealth Club World Affairs is a public forum. Any views expressed in our programs are those of the speakers and not of Commonwealth Club World Affairs. OrganizerPatrick O'Reilly Learn more about your ad choices. Visit megaphone.fm/adchoices
This week on the Inside EMS podcast, we're passing the gravy and the hot takes. Cohosts Chris Cebollero and Kelly Grayson serve up a holiday plate full of EMS news — starting with FDNY's potential EMS split. They dig into what fair pay really looks like, why some EMTs are suing for what they're owed, and whether big hospital systems like Yale New Haven are reshaping the ambulance game for better or worse. Whether you're working a turkey-day shift or finally off duty, this episode hits hard and gives thanks where it's due. Quotable takeaways: “If you're gonna be in the EMS business, you've gotta be in the EMS business, right?” “One thing we need to do as leaders is to make sure we don't mess with people's money.” “If you're not giving adequate funding and attention to the EMS side of the house, then that's a recipe for trouble and it can't last.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest for a future episode.
This episode was recorded at the National Collegiate EMS Foundation annual conference. NCEMSF is a group of campus-based EMS agencies that a part of the student organizations. Some have vehicles. Some respond on foot and mainly are volunteering their time to do this during their college careers. Let's learn more! Joining the group is Eric Pohl and Zack Matuzsan.
Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria. Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w
Today I'm interviewing Morgan Wilson. She's an AEMT and currently in paramedic school, helping teach as well. Of course, we talk about our field and how she approaches the job, her incredible positivity, and her popular TikTok page, @MorganHWilson."Give yourself a little bit of extra rest." Is some sage wisdom she drops that I don't think enough of us take, along with eating. Of course, you aren't you when you're hungry.Sit back and listen along to this laugh-filled episode!Produced by Master Your Medics.Send us a text
Episode 312: In this episode, I welcome back Ginger Locke, a Paramedic and EMS Educator at Austin Community College for over two decades, and the creator of the Medic Mindset podcast. Ginger shares her journey through EMS education, how curiosity fuels her teaching style, and why mindset matters as much as medicine. We dive into how education has evolved, what makes today's EMS students unique, and her new role as Director of Innovation and User Experience at Prodigy EMS. Ginger also reflects on her most memorable Medic Mindset episodes, her favorite guests, and the lessons she's learned after nine years of podcasting.A thoughtful and inspiring conversation for anyone passionate about EMS, teaching, or the art of thinking clearly under pressure.https://www.spreaker.com/episode/episode-312-ginger-locke--68800901
Sat, Nov 29 4:12 AM → 4:41 AM E23 request Radio Systems: - DC Fire and EMS
In this preview episode, Mark Graban talks with Sandro Casagrande of Electrolux about the upcoming KaiNexus webinar: “Unlock the Power of Leadership: The Electrolux Manufacturing System (EMS) Way.”Register for the full webinar (Dec 10, 1 pm ET):https://info.kainexus.com/unlock-the-power-of-leadership-the-electrolux-management-system-ems-way/webinarSandro shares insights from more than 30 years at Electrolux, including:• How continuous improvement started with Total Quality Management in Italy• The evolution of EMS from early pilots to a global system• Why strong leadership behavior—not just tools and training—determines sustainability• Lessons learned from uneven progress across sites• How EMS Way reframed the company's strategy to focus on culture, people development, and leader capabilityIf you're interested in Lean, leadership, cultural transformation, or sustaining improvement across a global enterprise, this discussion sets the stage for a powerful webinar.Learn more about KaiNexus webinars: https://www.kainexus.com/webinars
Today on the News Reel, we speak to Andrew Christiansen, reporter at the Times-Independent, about about changes to Grand County's rural healthcare tax, which will go into effect in January 2026. We also discuss how much the state of Utah spent to maintain limited operations at its five national parks during the government shutdown. And we finish with a quick update about the county's new planning and zoning director. - Show Notes - • New revenue stream headed to EMS, fire protection and local care center https://www.moabtimes.com/articles/new-revenue-stream-headed-to-ems-fire-protection-and-local-care-center/ • Arches National Park faces uncertainty after the government shutdown https://www.moabtimes.com/articles/arches-national-park-faces-uncertainty-after-the-government-shutdown/ • Grand County hires PZ director after 9 month vacancy https://www.moabtimes.com/articles/grand-county-hires-pz-director-after-9-month-vacancy/
We are joined by Kurt Bramer from Advanced CPR Solutions again this week to continue the series on Heads Up CPR and other promising sudden cardiac arrest treatments. He and Dr. Joe Holley kicked off the discussion in two previous episodes. Elevated CPR Series Episode One Elevated CPR Series Episdoe Two We open this week’s episode with a holiday severe weather update from our disaster meteorologist, Dan DePodwin. He reports on several storm systems that will impact Thanksgiving holiday travel across the eastern half of the country. Following that update, we kick off episode 3 of our heads-up CPR series with a look at the long history of the evolutionary changes to cardiac arrest treatment. Kurt Bramer from Advanced CPR Solutions leads off with a response to some comments to the first two episodes in this series. A few listeners worried that we might sound like we were criticizing the individual responders on cardiac arrest calls over the low survival rates for the condition. The team made a joint statement that no criticism of providers in the field was intended. We all are providers ourselves and are merely commenting on the results that everyone has been getting in response to treating cardiac arrest. Some systems do better with resource management than others, but even those areas fail to save even a simple majority of their cardiac arrest patients. CARES Registry for Cardiac Arrest Stats Follow up on more of these segments as we continue to look at the current research trends in future episodes and what is on the horizon for the future. The episode was co-hosted by Sam Bradley and Jamie Davis. Scroll down for Podcast Discussion Summary Thank you as always to Paragon Medical Education Group for their long-term support of the Disaster Podcast. Dr. Joe Holley and the team at Paragon continue to provide excellent and customized disaster response training to jurisdictions around the U.S. and internationally as well. Podcast Discussion Summary CPR Challenges and Future Improvements The meeting began with a discussion about travel weather for the Thanksgiving weekend, with Dan DePodwin warning of widespread lake effect snow in the eastern United States and a potential ground blizzard in the Dakotas and Minnesota. The group then transitioned to their main topic, CPR, where Joe clarified that their previous discussion about CPR’s limitations was not meant to criticize CPR providers, but rather to highlight the challenges and lack of progress in the field over the past 50 years. They planned to explore potential improvements to CPR in future episodes. Advancements in CPR Techniques Kurt Bramer, with 40 years of experience in EMS and emergency management, discussed the history of CPR, highlighting its evolution from mouth-to-mouth resuscitation to modern techniques. He emphasized the need for better tools and more effective methods for emergency responders, as current practices are often based on outdated or insufficiently tested techniques. The group acknowledged that while responders are doing their best with limited tools, recent research may lead to positive changes in CPR practices. They also touched on the introduction of high-performance CPR in the 2010s, which aimed to maximize the effectiveness of current technologies and minimize detrimental pauses during resuscitation efforts. Mechanical CPR Guidelines Review The discussion focused on the American Heart Association’s recent guidelines regarding mechanical CPR, which recommend against routine use but allow for exceptions like transport scenarios. Kurt and Joe highlighted that the guidelines lump together different types of mechanical compressors, ignoring their unique physiological effects and training limitations. They emphasized that current research primarily focuses on patient survival as an endpoint, which may not fully capture the benefits of mechanical CPR, such as improved blood flow and reduced pauses during resuscitation. The conversation also touched on the importance of considering neurological outcomes beyond mere survival and the need for better training on integrating mechanical devices into overall cardiac arrest management. Bundle Care Approach in Resuscitation The group discussed the bundle of care approach in resuscitation, focusing on the use of multiple therapies simultaneously to improve patient outcomes. Kurt and Joe highlighted the success of the ITD (Impedance Threshold Device) when used with high-quality CPR, leading to a 50% increase in one-year survival. They also noted that only a small percentage of resuscitation guidelines are supported by randomized control trials, emphasizing the challenges in interpreting research data. The group discussed the importance of disaster preparedness and the role of specialized training, with Jamie highlighting the sponsorship of the Disaster Podcast by Paragon Medical Education Group. Catch the full episode using the player above or on your favorite podcast platform, and don't forget to subscribe to the Disaster Podcast for weekly insights from leaders in disaster response and research!
Troy Bliss with Pella Community Ambulance and Tricia Vermeer with the Vermeer Charitable Foundation discuss a new mental health initiative for EMS personnel in Pella.
In this video, you get to watch self growth in real time.I hit play on old episodes of my podcast, Unwritten Chapters, and react to past-me talking about mental health, addiction, trauma, recovery, and life. As a veteran, former addict, and solo podcaster, I break down what's changed — in my storytelling, my headspace, and my healing.We dig into:How I used to talk about trauma, PTSD, and pain vs. nowThe messy truth of addiction recovery and staying sober long-termSubtle signs of personal growth you only see when you look backWhat I'd tell that earlier version of myself todayHow the podcast evolved from chaotic rambling to honest, grounded conversationsIf you're somewhere on your own mental health or healing journey — stuck between who you were and who you're trying to become — I hope this helps you see that growth is allowed to be awkward, imperfect, and in-progress.
In this deeply moving episode, we explore the life, loss, and legacy of Ben “Benji” Wilson—the nation's #1 high school basketball player in 1984 and the pride of Chicago's South Side.What began as a typical school day spiraled into tragedy when Benji was shot just steps from Simeon High School. We walk you through the events leading up to the shooting, the emotional weight carried by his family and community, and the tense courtroom battle that followed.Beyond the headlines, this episode shines a light on something even more heartbreaking: the systemic failures that played a devastating role in Benji's death. The outdated EMS policy that sent him to a hospital unequipped to save him became a turning point for the city.We also honor the resilience of his mother, Mary Wilson, whose advocacy helped change Chicago's trauma response system—and whose strength ensured that Benji's story would continue to shape futures long after his life was cut short.Benji's legacy lives on in Chicago gyms, in the #25 jersey worn proudly by generations of players, and in the policy reforms sparked by his tragedy. This story is a powerful reminder of what gun violence steals from families, communities, and the dreams of young Black men full of promise.------------------------------------------------------------------- KeywordsBenji Wilson, Chicago, Simeon High School, basketball, gun violence, emergency response, EMS policy, systemic failure, trial, community grief, Mary Wilson, legacy, youth athletes, Chicago history-----------------------------------------------------------------Key TakeawaysBenji Wilson was a gifted basketball star whose talent and leadership made him a beacon of hope in Chicago.His fatal shooting in 1984 sent shockwaves through the city and became one of the most painful chapters in Chicago sports history.The trial of Billy Moore and Omar Dixon highlighted two competing narratives—and exposed how emotion and public pressure shaped the courtroom.A critical emergency response failure contributed to Benji's death when he was transported to a non–trauma-equipped hospital.Benji's tragedy directly influenced Chicago's EMS reforms, ensuring gunshot victims are now taken to trauma centers.His mother, Mary Wilson, transformed her grief into advocacy, championing policy reform and youth safety.Benji's legacy continues to inspire Chicago athletes, including NBA stars like Derrick Rose and Jabari Parker.His story remains a powerful reminder of the long-lasting impact of gun violence on families, communities, and generational dreams.Chicago still honors Benji's influence on basketball culture—and his life continues to shape conversations about safety, justice, and hope.
D-Wade's GOAT STANCE SHOCKER! The Format Podcast is back to break down the hottest topics in the NFL and NBA! We reveal our NFL Top 5 Teams heading into a pivotal Week 13 and give you our must-watch NFL Week 13 Pick 'Ems. Plus, the NBA MVP race is tight: Is it time for SGA to win another MVP or is Nikola Jokic still the frontrunner? Finally, we dissect Dwyane Wade's confusing change in his GOAT opinion on Michael Jordan vs. LeBron James take that has the sports world talking! Tune in for all the unfiltered takes!TIME STAMPS:16:10 - NFL Top 540:50 - NFL Week 13 Pick 'Em1:19:30 - SGA vs Jokic for the MVP2:15:15 - D-Wade's New GOAT Debate TakeIf you want to support, every little bit helps!We appreciate SuperChats, or you can donate:CashApp: $TheFormatPodcastVenmo: TheFormatPodcast
Happy Turkey Day! Join host Dr. Phil Moy as we dive straight into a topic that has "stirred up more conversation than a potluck dinner at an EMS station": the prehospital management of spinal injuries. We are here to highlight the critical manuscript "Prehospital Management of Spinal Cord Injuries, an NAEMSP Comprehensive Review and Analysis of the Literature", a pivotal document within the Prehospital Trauma Compendium. To discuss this hot topic, Dr. Moy welcomes two very special guests. First, we have Dr. John Gallagher, an emergency and EMS physician from Kona, Hawaii, and one of the authors of this comprehensive review. Second, we are thrilled to welcome Dr. Ken Milne, recognized as the podcaster from The Skeptic's Guide to Emergency Medicine. Our goal is to provide an objective discussion about the pros and cons of this manuscript so that you, our EMS clinicians and NAEMSP audience, can make your own informed decisions based on the facts. Featured Article: Prehospital Trauma Compendium: Prehospital Management of Spinal Cord Injuries – A NAEMSP Comprehensive Review and Analysis of the Literature: https://www.tandfonline.com/doi/full/10.1080/10903127.2025.2541258 Link to The Skeptic's Guide to EM review of this paper: SGEM#493: You Can't Hold Me Down with Spinal Motion Restrictions: https://thesgem.com/2025/11/sgem493-you-cant-hold-me-down-with-spinal-motion-restrictions/ As always THANK YOU for listening. Hawnwan Philip Moy MD (@pecpodcast) Scott Goldberg MD, MPH (@EMS_Boston) Jeremiah Escajeda MD, MPH (@jerescajeda) Joelle Donofrio-Odmann DO (@PEMems) Maia Dorsett MD PhD (@maiadorsett) Lekshmi Kumar MD, MPH(@Gradymed1) Greg Muller DO (@DrMuller_DO) Ariana Weber MD (@aweberMD4) Rebecca Cash PhD (@CashRebeccaE) Michael Kim MD (@michaeljukim) Rachel Stemerman PhD (@steminformatics) Nikolai Arendovich MD
Want to start a $1M side hustle? Get 100+ ideas here: https://clickhubspot.com/gtb Episode 769: Sam Parr ( https://x.com/theSamParr ) and Shaan Puri ( https://x.com/ShaanVP ) talk to Sheel Mohnot ( https://x.com/pitdesi ) about $10M business ideas you could be early on. — Show Notes: (0:00) Intro (3:42) 50-year mortgage (11:22) #1 - AI Yard Vision (15:02) #2 - AI Pool Vision (24:05) #4 - Peptides (35:43) #5 - eHarmony for Surrogacy (44:13) #6 - EMS - not the one you're thinking (55:53) #7 - Prediction Marketplaces (56:30) Books are a waste of time (58:13) Message the owner — Links: • BTV - https://www.btv.vc/ • DeepLawn - https://deeplawn.com/ • Roofer - https://roofer.com/ • Hone - https://honehealth.com/ • Katalyst - https://katalyst.com/ — Check Out Shaan's Stuff: • Shaan's weekly email - https://www.shaanpuri.com • Visit https://www.somewhere.com/mfm to hire worldwide talent like Shaan and get $500 off for being an MFM listener. Hire developers, assistants, marketing pros, sales teams and more for 80% less than US equivalents. • Mercury - Need a bank for your company? Go check out Mercury (mercury.com). Shaan uses it for all of his companies! Mercury is a financial technology company, not an FDIC-insured bank. Banking services provided by Choice Financial Group, Column, N.A., and Evolve Bank & Trust, Members FDIC — Check Out Sam's Stuff: • Hampton - https://www.joinhampton.com/ • Ideation Bootcamp - https://www.ideationbootcamp.co/ • Copy That - https://copythat.com • Hampton Wealth Survey - https://joinhampton.com/wealth • Sam's List - http://samslist.co/ My First Million is a HubSpot Original Podcast // Brought to you by HubSpot Media // Production by Arie Desormeaux // Editing by Ezra Bakker Trupiano //
Wed, Nov 26 7:17 PM → 7:49 PM 17th and H NW Radio Systems: - DC Fire and EMS
Wed, Nov 26 12:00 AM → 12:13 AM Tac 1 3 5 EMS and dispatch Radio Systems: - State of Delaware P25 New Castle County
Roads change, but a calling doesn't. We sit down with Kevin Goodyear to trace a line from a 1960s Gulf station to a modern towing and recovery operation spanning Alabama, Florida, and Georgia—and we dig into the choice that sparked it all: a 19‑year‑old selling his car to buy a used wrecker. That decision opens the door to a bigger story about what towing really is: disciplined emergency response, safety-first operations, and the kind of training that turns heavy equipment into life‑saving tools.Kevin unpacks the realities of running multi‑state terminals, from insurance pressures to environmental liability, and why captive insurance paired with strong safety practices can keep companies stable when premiums surge. We talk through a vivid rescue where two rotators, precise rigging, and steady coordination helped free a trapped driver—an example of how towing professionals partner with fire and EMS to secure scenes and protect lives. Along the way, we confront public perception and why Slow Down Move Over is just the start; the industry must keep showing up, training with first responders, and telling the truth about the work.This conversation also looks ahead. Kevin shares how he's bringing his daughter and son‑in‑law into the business with intention, using national peer groups, legislative exposure, and hands‑on learning to build a well‑rounded leadership bench. Training weekends become more than classes—they're catalysts for better habits, broader perspectives, and a network that makes everyone sharper on Monday. If you care about towing, heavy recovery, incident management, or simply what it takes to build a resilient family business, you'll find practical insight and a renewed respect for the professionals who keep roads safe.Enjoyed the episode? Follow, share with a friend who works in public safety or logistics, and leave a review to help more listeners find the show. Your feedback moves the mission forward.
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton tackle a hidden form of burnout (Amazon Affiliate) that creeps into the lives of countless first responders — when the job becomes the only place you feel grounded. For many in law enforcement, fire, or EMS, work isn't just a career; it's where purpose, belonging, and identity live. But what happens when your sense of stability depends entirely on your next shift? When you feel lost or restless on days off? When home life feels like the place you're trying to "survive" instead of "recover"? This episode takes a deep dive into why responders become psychologically tethered to the job — and how to build a life that's anchored in more than the next call. ⚖️ Psychological Concept: Operant Conditioning & Intermittent Reinforcement First responder work taps into a powerful behavioral loop known as intermittent reinforcement — the same psychological mechanism that drives addiction. You don't know when the next adrenaline rush, life-saving call, or affirmation will come, but when it does, it reinforces your brain's attachment to the job. Over time, the mind begins to equate the job with purpose, control, and value. This conditioning can make life outside the uniform feel dull, meaningless, or unstable — creating a dangerous imbalance between professional purpose and personal fulfillment.
This episode starts with listener feedback on window management in iPadOS 26, then Jeff opens up about his recent stroke. He walks through the initial symptoms, the frustrating EMS response, his time in the hospital and rehab, and what recovery looks like day-to-day. He also shares Siri's surprisingly helpful response when he asked about stroke symptoms.Links from the show:iPadOS Stage Manager feedback from @iamrishioStroke Symptoms and Warning SignsSupport Jeff's Stroke RecoveryQuestion or Comment? Send us a Text Message!Contact Us Drop us a line at feedback@basicafshow.com You'll find Jeff at @reyespoint on Threads and reyespoint.bsky.social on Bluesky Find Tom at @tomanderson on Threads Join Tom's newsletter, Apple Talk, for more Apple coverage and tips & tricks. Tom has a new YouTube channel Show artwork by the great Randall Martin Design Enjoy Basic AF? Leave a review or rating! Review on Apple Podcasts Rate on Spotify Recommend in Overcast Intro Music: Psychokinetics - The Chosen Apple Music Spotify Transcripts and some images are AI generated and may contain errors and general silliness....
Welcome back! This week, after the rigamarole, Ron tries to convince us that clerics are worthless and paladins are the true best class in DnD. Chris talks about his cancer treatment. As always, please like, subscribe, and share with your friends. Come join the discussions on the Discord Channel (https://discord.gg/TbxA7gcUky) and follow us on Twitter, @cltruitt22. Thanks and take care!
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton explore the fine line between coping and concealment when it comes to dark humor in first responder culture (Amazon Affiliate). It's no secret that police, fire, EMS, and military professionals often use humor to process tragedy. The jokes, sarcasm, and morbid one-liners can bond a team through chaos — but they can also become emotional armor that hides deeper pain. We break down why dark humor develops, how it can help or harm, and what happens when laughter becomes the only way to survive the job.
The state department of education is revising a federal funding request after public feedback. Student homelessness is on the rise in central Iowa. And a pilot program allows EMS to conduct blood transfusions before patients arrive to the hospital.
This week on the Inside EMS podcast, Dr. Peter Antevy returns for another round in the hot seat, and he's not holding back. In this jam-packed episode, he and host Chris Cebollero tackle trending topics in prehospital care — from the expanding role of whole blood and plasma, to the frustrating gaps in the AHA's 2025 guidelines. You'll hear real-world success stories (like the cardiac arrest survivor who's back on the tennis court), why dual sequential defibrillation (DSD) should already be your go-to, and the cost-benefit realities of starting a whole blood program. Dr. Antevy also dives into the science behind glycocalyx damage and how plasma could change how we treat sepsis, TBI and burns in the field. Whether you're a medic, medical director or just passionate about pushing EMS forward, this episode delivers practical insight, bold opinions and a whole lot of inspiration. Quotable takeaways from Dr. Antevy “The medical establishment does not understand the value of what EMS brings to the table. They don't understand the complexity.” “When we said, ‘We'll do the whole blood,' what did the surgeons do? They went up in arms: ‘What do you mean you're giving whole blood? Bring them to us. We'll give the whole blood.' No, no, no. We are part of the chain of survival, too.” “EMS is a subspecialty in the house of medicine. We all need to rise up to make the hospital folks and the academics aware that EMS is important for trauma, for stroke, for pediatrics, for cardiac. We are the ones who can help bring up those outcomes and that's why I love this field.” Additional resources: AHA 2025 updates are here: Cue the overreactions and the protocol rewrites On-demand: Bringing whole blood to the front lines of EMS Stop the bleed, fill the tank – The New Orleans EMS blood program Whole blood in EMS promises a revolution in resuscitation Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest for a future episode.
Send us a textThe first voice on a 911 call carries a lot more than a headset. In this candid, unfiltered conversation with veteran dispatcher and recovery coach Lisa Trusas, we pull back the curtain on what really happens at the console: juggling multiple emergencies at once, coaching panicked parents through CPR, catching danger in a whisper, and making judgment calls with lives on the line. Lisa's story reframes dispatch as the heart of public safety—where police, fire, and EMS meet—and where the weight of uncertainty often lingers after the line goes dead.We dig into the human cost of the work and the culture that shapes it. Lisa lays out the “double stigma” dispatchers face—expected to be as tough as sworn personnel while being dismissed as civilians when they seek help. We compare how fire and police approach debriefs and mental health, why dispatchers are too often left out of critical incident reviews, and how Massachusetts' mandatory behavioral health training is a step forward. Along the way, we discuss the “300-call syndrome,” the risk of missing red flags after too many routine hang-ups, and the practical skills that matter most: active listening, reading background noise, trusting instincts, and knowing when to insist on a second unit.This conversation also honors the rare moments of closure that keep people going—the infant saved over the phone who grows up and stays in touch—and the quieter calls that reveal unmet needs, like elders who call because they're lonely. If you care about first responder mental health, emergency communications, crisis intervention, and trauma-informed practice, this is a grounded, real-world look at where help truly begins: the first call. Subscribe, share with a colleague, and leave a review to support more honest conversations about the people who hold the line before anyone arrives.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
The guys fumble through an interesting call with many odd findings... including a high-end hotel that is well prepared for the arrival of EMS. Can this all BLS crew come to the right conclusion?