POPULARITY
Categories
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
Dr. Paul Paris, Medical Director Emeritus, the Pittsburgh Emergency Medicine Foundation, has been known to many in Western Pennsylvana in various roles. An EM physician at UPMC - Presbyterian, an on-line medical director to many of the EMS providers, a mentor to EM residents and researchers and, the hand-picked leader to take over the Center for Emergency Medicine of Western Pennsylvania from it's original creator, Dr. Ron Stewart. Dr. Paris was recently recognized by PEMF as the 2025 Ronald D. Stewart Excellence Award. We took a few minutes to talk about his career and how he feels about the impact he has had on many EMS careers.
#226. João Pedro Portinari Leão quase não saiu vivo de uma velejada de windsurf "na companhia" de um tubarão. Neste emocionante episódio, o sobrinho-neto de Cândido Portinari - só essa parte daria outro podcast sensacional! - recorda a experiência que correu há quase três décadas, no litoral do Rio de Janeiro. Desejo a todos um Feliz Natal, e que 2026 seja de ótimos ventos! Abraços e até breve! MarinaLink para comprar o livro "A Isca", de João Pedro Portinari Leão: https://a.co/d/88je6qdAudiobook "A Isca": https://www.ubook.com/audiobook/1308327/a-isca-uma-historia-realInstagram João Pedro Portinari Leão: https://www.instagram.com/aiscadotubarao?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==Apoio: Café do LuizCafé artesanal, especial e cultivado no Sudoeste de MG. Entregas para todo o Brasil através dos contatos a seguir:Instagram: https://www.instagram.com/cafedoluiz/Em São Paulo (11) 99830-0777Florianópolis (48) 99988-0711
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.
Thu, Dec 18 12:11 AM → 12:31 AM 21st Constitution NW Radio Systems: - DC Fire and EMS
A Comissão de Constituição e Justiça (CCJ) do Senado deve analisar nesta quarta-feira (17) o projeto de lei que propõe a redução das penas para condenados pelos atos ocorridos em 8 de janeiro. A proposta tem gerado dos por outros crimes graves. Um dos possíveis beneficiados, o ex-presidente Jair Bolsonaro passará por uma perícia médica autorizada pelo Supremo Tribunal Federal para avaliar a necessidade de realização de uma cirurgia .O clima no Senado é incerto quanto à aprovação da medida. Um ponto crítico do debate é que o texto atual poderia abrir precedentes para reduzir penas não apenas relacionadas aos eventos específicos mencionados, mas também para casos envolvendo corrupção e violência sexual. Caso haja alterações na proposta durante a análise pela CCJ, ela deverá retornar à Câmara dos Deputados antes da votação final.Veja ainda que as temperaturas caíram significativamente nas regiões Sul e Sudeste com a chegada de uma frente fria. Em São Paulo e Rio de Janeiro os termômetros registram máximas abaixo do usual para esta época do ano: 22ºC em São Paulo e 25ºC no Rio. As condições climáticas mais amenas devem persistir até o fim da semana acompanhadas por chuvas esparsas nessas áreas.
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.
In this episode of the Not A-Fib podcast, Virginia Beach (VA) EMS Chief Jason Stroud discusses a recent operational shift limiting the use of lights and sirens for non-emergent calls. Drawing on research and local data showing minimal impact on patient outcomes but significant safety risks—including increased ambulance collisions—Chief Stroud explains why the department is prioritizing safer, more measured responses for priority two calls, which make up 75% of dispatches. He details the unique combination career-volunteer EMS model in Virginia Beach, the close partnership with local military installations, and the department's advanced life support heritage. They also explore how evolving dispatch protocols and ongoing evaluation guide this change, alongside challenges like workforce development and growing call volumes.
Mon, Dec 15 8:47 PM → 9:42 PM Tac channels Radio Systems: - DC Fire and EMS
You've read about how this groundbreaking trial on ketamine vs etomidate for RSI "Changes Everything!" on the socials. Or perhaps "it's horribly biased and unnecessary... we're already knew all this!". Why? Well.. social media. Listen in as Dr Jarvis discusses not just this trial, but what the evidence landscape was before it was released. Why was it done, how was it done, what does it show, and how can we integrate it into our practice?Citations:1. Casey JD, Seitz KP, Driver BE, et al. Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. N Engl J Med. Published online December 9, 2025.2. Jabre P, Combes X, Lapostolle F, et al. Etomidate versus ketamine for rapid sequence intubation in acutely ill patients: a multicentre randomised controlled trial. Lancet. 2009;374(9686):293-300. 3. Matchett G, Gasanova I, Riccio CA, et al. Etomidate versus ketamine for emergency endotracheal intubation: a randomized clinical trial. Intensive Care Med. 2022;48(1):78-91. 4. Koroki T, Kotani Y, Yaguchi T, et al. Ketamine versus etomidate as an induction agent for tracheal intubation in critically ill adults: a Bayesian meta-analysis. Crit Care. 2024;28(1):48. 5. Yeh RW, Valsdottir LR, Yeh MW, et al. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. BMJ. 2018;363:k5094. doi:10.1136/bmj.k5094
Episode 313 of Medic2Medic, Steve sits down with Harold Wright, a paramedic with over 30 years in the medical field whose career was built the hard way. Harold's journey started with real struggle, including a period of homelessness, before becoming an EMT-MAST in New Bedford, Massachusetts, in 1995. From city EMS and rural North Carolina, to advanced airway work, RSI, disaster response, and offshore medicine on major BP platforms, Harold's path proves that resilience matters more than comfort. A powerful conversation about grit, reinvention, and staying in the fight.https://bit.ly/44na9xW
Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitudeWe must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patientsWe talk about our interactions with EMSBoth Julie and I remember working in EMS and the value that EMS brings in their report because they often see a lot of things we don't get from the history of the patientJulies advice for the new APP/ER doc - don't come to premature closure on a diagnosis, don't be afraid to ask questions, pay off your loans over buying the biggest house and latest toysWe talk about the baseline level of stress we deal with We talk about technological changes over time and imaging improvementsShe talks about the challenges that the Covid pandemic presented and the shortages of different things we have now encounteredJulie still finds meaning in finding the hard differential diagnosis and working towards positive patient interactions, the teamwork in the ERI talk about the importance of creating an approachable affect so everyone feels free to voice concernsGo look at the patient when the nurse is concerned Julie talks about the benefit for new EMT's and paramedics to reach out and ask for feedback and follow up on their patients, often we don't have time to pull them asideEMS doesn't have the best mechanisms in place for good feedback on every case like we do in the ER, where we see in real time how accurate our assessment may have been when the work up comes backSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition
Sun, Dec 14 11:31 PM → 11:46 PM Griswold Radio Systems: - Connecticut State Police, CT Fire,EMS, QVEC, Middlesex, Valley Shore, Etc
Conheça a escritora Nanda Fabiane, de Gold Coast, que usou o seu livro 'Me Encontrei na Jornada' na aplicação para o visto australiano de Inovação Nacional. Em São Paulo, a prisão de um dos suspeitos de furtar obras de Matisse e Portinari. O reconhecimento do ofício da parteira tradicional como Patrimônio Cultural Imaterial do Brasil revela práticas indígenas e rurais que unem saberes ancestrais e biomédicos. E, em Portugal, uma greve geral paralisa serviços essenciais.
Send us a textThe silence after the last shift can be deafening. We dive into what really happens when the badge comes off and the calls stop, tracing the steep drop from team identity and adrenaline to isolation, substance use, and rising suicide risk. With honesty and urgency, we unpack why retirement hits first responders so hard and outline a practical safety net that works in the real world.We talk through the addictive rhythm of police, fire, EMS, and corrections work—why the culture bonds like family, and why role loss feels like grief, not change management. From the “greatest show in town” to the long, quiet afternoons, we map the transition pitfalls: relationship strain, gambling, financial pressure, heavy drinking, and access to means. Then we move to solutions that stick: QPR training for everyone, union-led outreach to members on injury or IA, and a retiree association built on peer mentors, quarterly meetups, and easy referral to culture-competent clinicians and recovery coaches.Therapy only helps when it respects the culture. We make the case for long-term, stigma-free care that starts at the kitchen table, not a clipboard wall. Leaders play a decisive role, too: fund peer teams, protect privacy, standardize evaluations, and create fair return-to-duty paths that treat mental health injuries like broken bones. Fire service models show how trust grows when unions hold the keys and chiefs clear the way. Our aim is simple—keep people connected, valued, and alive long after the radio goes quiet.If this conversation resonates, share it with your crew, subscribe for more candid tools and stories, and leave a review to help other first responders find us. Your voice can pull someone back from the edge.If you are interested, please visit the Onsite academy at https://onsiteacademy.org/ Visit the NEPBA at https://www.nepba.org/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
A single 20-minute session in a wireless suit left my wife sore for six days and turned a fit CrossFitter into someone who suddenly felt the barbell was loaded wrong because he got dramatically stronger after just two workouts. Alec Oliver, the founder of SQAI, brought elite-athlete electrical muscle stimulation out of secret training rooms and million-dollar clinics and made it something you can own, control from your phone, and use while you watch TV.We go hard on the science of why EMS recruits twice the muscle fibers, no matter how heavy you lift, and how it hits fast-twitch fibers on demand, so you keep explosive power into your 70s and 80s. We also discuss why EMS builds bone density from both sides of every joint, and how a $99/month suit is quietly becoming the biggest longevity hack most people still don't know exists.“I don't care how heavy you lift, I don't care how fast you run or how high you jump. EMS is just science. It activates twice as many muscle fibers and acts more deeply and more comprehensively.” Alec OliverSupport the show and get 50% off MCT oil with free shipping—just leave us a review on iTunes and let us know!https://podcasts.apple.com/us/podcast/live-beyond-the-norms/id1714886566 About Alec Oliver:Alec Oliver is the founder and CEO of SQAI, a fitness technology company redefining strength training through the lens of longevity. With a background in computer science and finance, Alec left the high-speed world of private equity to pursue his passion for biohacking. He is an avid CrossFitter and wellness enthusiast who is on a mission to democratize Electro Muscle Stimulation (EMS), a technology previously reserved for elite athletes, to help people of all ages build muscle, improve bone density, and extend their healthspan.Connect with Alec Oliver:- Website: https://sqai.co - Instagram: https://instagram.com/sqai.co Connect with Chris Burres:- Website: https://www.myvitalc.com/ - Website: http://www.livebeyondthenorms.com/ - Instagram: https://www.instagram.com/chrisburres/ - TikTok: https://www.tiktok.com/@myvitalc - LinkedIn: https://www.linkedin.com/in/chrisburres/ DisclaimerThe content shared in this podcast is intended for educational and informational purposes only. It does not constitute medical advice of any kind, nor does it include any specific claims or guarantees. The views expressed are based on personal experiences, research, and individual perspectives, and are meant to inspire and inform listeners on topics related to wellness, lifestyle, and personal development.We strongly encourage all listeners to consult with a qualified professional or licensed expert before making any decisions related to health, finances, or other sensitive areas of life. Thank you for tuning in—and for taking proactive steps toward a more informed, intentional life.
No episódio de hoje:A crise política e jurídica atinge o centro do Congresso Nacional, com mandados da Polícia Federal e o STF votando uma cassação.Em São Paulo, a capital ainda vive um cenário de caos, com centenas de milhares de moradores no escuro dias após o vendaval.E no cenário global, a tensão geopolítica esquenta no Caribe: Estados Unidos e Venezuela entram em rota de colisão.
In this episode of the FOAMfrat Podcast, Dr. Harrison Brookeman joins the discussion to examine methemoglobinemia and the emerging prehospital threat of sodium nitrite ingestion. Often viewed as a rare toxicology concept, this condition is appearing more frequently and can progress rapidly with devastating consequences if it is not recognized early. The episode focuses on what matters most to EMS clinicians in the field: the physiology of methemoglobinemia, why these patients appear profoundly hypoxic despite adequate ventilation, and the classic clue: a pulse oximetry reading that remains fixed around 85 percent regardless of oxygen delivery. The conversation also addresses iatrogenic causes such as benzocaine exposure, expected mental status changes, and why oxygen alone does not correct the problem. Emphasis is placed on prehospital decision-making, including early involvement with poison control, transport destination considerations, and the importance of ensuring these patients are taken to the right facility the first time. This episode is intended to sharpen recognition, improve pattern awareness, and prepare providers for a call that does not follow typical respiratory failure patterns.
We are honored to welcome Kevin Tighe, the actor who brought Roy DeSoto to life on the groundbreaking series Emergency! and whose career has spanned stage, screen, and service.Kevin takes us back to his beginnings at the Pasadena Playhouse, where he first stepped into the world of acting at just 10 years old. From there, he trained with legendary teachers Stella Adler and Bobby Lewis, absorbing the craft that would later shape his most memorable roles.He reflects on his early film work, including Yours, Mine and Ours, and shares a warm, behind-the-scenes moment with Lucille Ball. Kevin then recounts the unexpected and nerve-wracking audition process that led to Emergency! and how a chance encounter with actor David Janssen calmed his nerves and helped him nail the screen test that changed his life.Kevin discusses the legacy of Emergency! notable for the realism brought by on-set medical advisors. The show inspired a surge of interest in first responder careers, and it raised awareness of lifesaving pre-hospitalization, EMS opportunities that inspired paramedic programs throughout the country.Kevin talks candidly about the challenges he faced following Emergency!, including his struggle with fame and his move to Washington State. There, he dedicated himself to community work and played a key role in establishing Hospice of the Northwest.After decades of appearances on big and small screens with memorable roles in Roadhouse, Newsies, Law And Order SUV, Freaks and Geeks, and the list goes on, you can now see Kevin in the new Paul Thomas Anderson movie, One Battle After Another, and he shares a touching moment between himself and P.T. Anderson which allowed Kevin to create a menacing screen moment that will live in infamy. Kevin also looks back on earning his master's degree at USC and the students he taught who went on to thrive in their field. And IMDB Roulette this week is full of close calls, career achievements and reflections on the early promise of today's biggest stars. All that PLUS, Emergency! Guest Star Roulette!Also, filmmaker Susie Singer Carter is with us to discuss her movie, No Country For Old People, streaming on Amazon Prime.In current media-- Fritz: The book Injustice by Carol Leonnig and Aaron DavisWeezy: The documentary Paul Anka: His Way on HBO MaxPath Points of Interest:Kevin Tighe on WikipediaOne Battle After AnotherKevin Tighe on IMDBHospice of the North WestNo Country for Old PeopleInjustice by Carol Leonnig and Aaron DavisPaul Anka: His Way
The Joint Readiness Training Center is pleased to present the one-hundredth-and-eighteenth episode to air on ‘The Crucible - The JRTC Experience.' Hosted by the Senior Enlisted Medical Advisor and Role II Observer-Coach-Trainer for the Task Force Sustainment (BSB / CSSB), MSG Timothy Sargent on behalf of the Commander of Ops Group (COG). Today's guests are all combat medicine professionals across the JRTC. SFC William Deutsch is the Senior Medical OCT with TF-3 (IN BN), SFC Robert Schimmelpfenneg is the Medical Advisor and Role II OCT with TF Sustainment (BSB / CSSB), and SFC Anthony Norris is the Senior Medical OCT with Live Fire Division. This episode dives deep into combat medicine at the tactical small-unit level, focusing on what 68W medics truly face in a large-scale combat operations environment. The discussion highlights how today's medics arrive from Basic Combat Training and Advanced Individual Training with significantly more clinical capability: whole blood transfusions, chest tubes, finger thoracotomies, FAST exams, etc. Yet often lose proficiency once they reach their units due to lack of repetitions, limited clinical exposure, and competing taskings like motor-pool duties and gate guard. The panel emphasizes the widening gap between what new medics learn in the schoolhouse and what line units actually reinforce day to day. Just as importantly, the episode stresses that modern LSCO demands a return to mastery of basics: triage under mass-casualty conditions, reassessments, deliberate casualty collection point (CCP) management, documentation, and base-level soldier tasks such as security, dispersion, movement, and survivability. We routinely observe high-casualties at JRTC, often 60–80 casualties at once and hundreds per rotation. Poor triage and poor soldier-skill fundamentals, not lack of “sexy medicine,” are the leading causes of died-of-wounds outcomes. The episode also examines how units can better sustain medical readiness during home-station training. Leaders discuss integrating medics into ER rotations, EMS ride-alongs, sick-call operations, and realistic trauma/medical lanes that reinforce both prolonged field care and everyday DMBI cases. They argue that NCOs must reclaim ownership of training through proper DTMS programming, use of existing doctrinal resources, and deliberate linkage to mission-essential tasks. The conversation closes on three high-value priorities for the future fight: deliberate triage, accurate/documented patient care, and competent CCP & CASEVAC execution—all grounded in disciplined soldiering, not just advanced interventions. Ultimately, the episode makes clear that on the LSCO battlefield, combat medics must be clinicians, communicators, and soldiers, capable of saving lives while enabling commanders to maintain combat power forward. Part of S05 “Beans, Bullets, Band-Aids, Batteries, Water, & Fuel” series. For additional information and insights from this episode, please check-out our Instagram page @the_jrtc_crucible_podcast Be sure to follow us on social media to keep up with the latest warfighting TTPs learned through the crucible that is the Joint Readiness Training Center. Follow us by going to: https://linktr.ee/jrtc and then selecting your preferred podcast format. Again, we'd like to thank our guests for participating. Don't forget to like, subscribe, and review us wherever you listen or watch your podcasts — and be sure to stay tuned for more in the near future. “The Crucible – The JRTC Experience” is a product of the Joint Readiness Training Center.
In this episode of Unwritten Chapters, I do something a little different: I hit play on two videos and react in real time — as a former army medic, long-time paramedic, and guy who's watched a lot of people quietly fall apart while the world tells them to “be strong.”First up is the Monochromatic Theory: an author breaking down how pop culture, brands, and even our houses started to lose their colour. Home Alone, Taco Bell, old cars, childhood streets — all more vibrant than what we see now. I talk about why that hits so hard for people who grew up before everything turned beige, and how that muted “aesthetic” mirrors what happens to us after trauma, burnout, and years of caregiving.If you've ever felt more like background noise in your own life, this part is for you.Then we shift to something spicier: a clip of Andrew Wilson debating a woman about female roles in the military. As a former army medic, I give my honest take on women in the military and combat roles, drawing on my own experience, the women I served with, and what actually happens on the ground versus what guys on the internet think happens.If you're a nurse, medic, first responder, partner of a veteran, or a woman who's ever been told you're “too emotional” to handle the hard stuff… you'll probably have some feelings about this.We get into:Why so many of us feel like our lives went “monochrome”The link between nostalgia, trauma, and mental healthWhat people get wrong about women in the military and frontline rolesHow it really feels to carry everyone else's pain and still show upDark humour, recovery, and trying to make sense of life after rock bottomThis channel is for the empathetic but exhausted — the ones who are trauma-literate, allergic to bullshit, and just want someone to say the quiet part out loud. If that's you, you're in the right place.
Ed Fowler's 40-year career in fire and EMS culminates in a transformative chapter as he helps El Reno, Oklahoma, transition its EMS from private to an in-house, city-managed service—an innovative model focusing on sustainability, independence, and community trust. Ed shares his leadership philosophy grounded in accountability, clear communication, and mentoring future leaders. Amid this professional milestone, Ed confronts a life-threatening liver condition, navigating the transplant process while ensuring the EMS startup stays on course. His story offers rare insight into the human side of emergency services, touching on resilience, collaboration, and purpose when facing the edge of life itself. Beyond operational challenges, Ed's vulnerability inspires those struggling with adversity to find reasons to keep moving forward.
Brent Fenton, a firefighter and paramedic with over 21 years of service, shares his journey from the firehouse to social media. From tough pediatric calls and the realities of leadership to balancing career, family, and ADHD, Brent opens up about resilience in the fire service. He also reflects on using humor and storytelling through Fire Department Coffee to break stigma, connect with others, and highlight the human side of first responders.Today's Sponsor is: JumpMedicAre you looking for top-notch first aid kits? Look no further than JumpMedic! Owned by a seasoned paramedic with over a decade of EMS experience, their kits are user-friendly and packed with essential supplies. From the most popular Pro Gen 2 to the compact Hard Shell Kit, they've got you covered. You can even Customize your own kit with their Build A Bag option! Enter the code NOON10 and enjoy 10% off your order! Free US shipping, and everything is HSA/FSA approved. Visit JumpMedic.com and follow @JumpMedicUSA on Instagram. Stay prepared with JumpMedic!Podcast: https://open.spotify.com/show/1vAokfqG5aifoRBKk9MAUh?si=T8DipSBCQzWfOeiBW3h-VwFB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=shareInstagram: https://www.instagram.com/911nonsense/X: https://twitter.com/911NonsenseBonfire Merch: https://www.bonfire.com/store/nine-one-one-nonsense/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=nine-one-one-nonsense&utm_content=defaultContent Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the U.S. #911nonsense #ParamedicLife #FirstResponderStories #EMSFamily #EmergencyCalls #SavingLives #BehindTheSiren #FirstResponderLife #911nonsense #ParamedicPodcast #PodcastLaunch #PodcastLife #PodcastCommunity #TrueStoryPodcast #NewPodcastAlert #PodcastAddict #PodcastEpisode #PodcastPromotion #PodcastHost #PodcastRecommendations #RealLifeHeroes #EmergencyServices #TrueStories #BehindTheScenes #LifeOnTheLine #AdrenalineRush #HumanStories #OnTheJob #EverydayHeroes #TrueLife
Webinar page with video, slides, and moreWhat makes a Lean transformation last not just a few years, but two decades? At Electrolux, the answer wasn't more tools, more training, or more Kaizen events. The breakthrough came when the company realized that leadership behaviors — not Lean mechanics — were the deciding factor in whether improvement stuck.In this episode, Sandro Casagrande shares the story behind the Electrolux Manufacturing System (EMS), now in its 20th year. He explains why the early years of EMS produced uneven results, what changed when Electrolux shifted its focus to leadership habits, and how coaching routines, visual management, and leader standard work became the backbone of a sustainable improvement culture.Drawing from more than 30 years with Electrolux, Sandro details:• Why early EMS efforts succeeded in some plants but stalled in others• How leadership behaviors became the turning point in creating organizational habits• What neuroscience and habit loops taught Electrolux about sustaining change• How coaching — not directing — accelerates team development and problem solving• How sites reach gold and platinum performance levels, and why those gains hold even through turnover, new products, and process changes• Why zero-injury safety goals became both realistic and expected• How digitalization and platforms like KaiNexus now support global consistency and scaleSandro also lifts the curtain on Electrolux's leadership academy: a months-long experiential system where leaders learn by doing — running improvement cycles, receiving coaching, and ultimately becoming coaches themselves.If you're trying to build a culture where improvement happens every day, not just during events or crises, Sandro's journey offers practical, hard-earned insight into what it really takes.About the GuestSandro Casagrande is the Group Methodology & Documentation Leader at Electrolux. His Lean journey began in 1994, and he has been central to EMS from its earliest pilot projects through today's global digitalization efforts. He was the first Italian to achieve EMS Master Gear certification and continues to guide EMS implementation across all business areas.
Carmen LaBerge contrasts two new items. The first is an AARP report on the rising problem of loneliness. The second story is about a trio of young adults in the small village of Sackets Harbor, NY who are key volunteer members of the communities EMS, often helping the elderly. How can you meet the needs of those around you? Pastor Sam Jones, a member of Equipping the Persecuted and Truth Nigeria, talks about the massive underreporting of the persecution of Christians in Nigeria and how we can help pray and raise awarness of the carnage. The Reconnect with Carmen and all Faith Radio podcasts are made possible by your support. Give now: Click here
Thanks to our Partner, NAPA Autotech Training and Pico TechnologyWatch Full Video EpisodeIn this episode, Matt shares a personal Thanksgiving story that turned into a real medical emergency. A long-time family friend suddenly becomes unresponsive at the dinner table, and Matt walks through the moment he had to decide whether to act, despite not being “formally” current on CPR.He talks candidly about what it felt like to drag her to the floor, check for breathing, make the call to start chest compressions, hear ribs crack—and then watch her come back. From there, he connects the experience to life in an automotive shop: CPR and first-aid readiness, AEDs, fire extinguishers, panic, freezing, and why “somebody will know what to do” is not a plan.It's a conversation about preparedness, stress, and how our greatest weapon really is the thought we choose when everything suddenly goes sideways.Episode HighlightsOpening with the quote: “Our greatest weapon against stress is our ability to choose one thought over another.”Matt fighting a cold and joking about his “Nat King Cole” voice.Thanksgiving at his parents' house: Family and close friends gathered, including a 75-year-old family friend (“Jane”) who's been part of the family's holidays for years.Jane says she's really dizzy; Matt gets up to escort her to the living room.Her chin suddenly drops to her chest, she becomes unresponsive, cold, and clammy.The decision point:Matt checks for airway, tries to feel for a pulse, listens for breathing—only hears gurgling.Admits he doesn't fully trust his own ability to feel a pulse with his heart pounding.The mental calculus: If you can't be sure, what else is there to do but chest compressions?Starting chest compressions:Dragging her to the floor and focusing completely on her while the rest of the room “disappears.”Locking his elbows, using the beat of “Stayin' Alive” as a guide.First compression: feeling and hearing the sternum/ribs crack—and taking that as feedback that he's at the right depth.Before the second compression, her eyes fly open and she lets out a sound.The immediate emotional whiplash:First feeling isn't relief, but anger and self-doubt: “Did I just overreact?” “Did I crack her ribs for nothing?” “Was this some dramatic hero move I didn't need to make?”Reorienting to the reality that she was unresponsive and now is awake, talking, and oriented.EMS arrives:Very low blood pressure at the house (around 70/40).Hooked up to a 4-lead, showing atrial fibrillation with PVCs.Matt nerds out on the waveforms and explains AFib and PVCs in plain terms.EMTs jokingly ask if he's a doctor because of how well he reads the traces.Later imaging reveals:A cracked or stress-fractured sternum from compressions.Multiple blood clots in her lungs.The doctor tells her that sternum fractures are common with CPR and adds:Don't be mad at him — he saved your life.For Matt, the key relief is not the “hero” label, but confirmation that he did the right thing by acting.Connecting it back to shops and real life:Afterward, Matt starts calling around trying to set up CPR and first-aid training.Hard question: if he drops at the shop, who's going to act?Extending the concern beyond employees: what about customers?Preparedness checklist for shops:Is there an AED on-site, and does anyone actually know how to use it?Has anyone at the shop had recent CPR and first-aid training?Do...
In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton explore a powerful emotional truth most first responders (Amazon Affiliate) never say out loud: being called a hero doesn't always feel good — or accurate. Police, fire, EMS, and dispatch professionals often get labeled as heroes by the public, the media, and sometimes even their own families. But many responders feel uncomfortable, unworthy, or even resentful of that title. Not because they lack pride in their work — but because the things they've seen, the mistakes they replay, and the trauma they carry don't line up with the shiny narrative. This episode digs into the quiet conflict between the identity the world gives you and the identity you actually live with, and why so many responders struggle to feel heroic despite their sacrifice.
The group continues to take questions from the audience regarding how to start a campus-based EMS system, funding, and how to impress upon the university/college administration members the importance of such a in-house response system at any level,
In this episode, the crew kicks things off with pure mayhem — snowstorms in Michigan, salmon rain in California, and a spontaneous performance of “It's Raining Men.” From there, the guys dive into housekeeping, holiday updates, merch drops, and a surprising announcement from Brian about his upcoming Fire Marshals International Swimsuit Calendar.But the main topic?
Jack, known online as Electric Medic, shares an unfiltered look at his journey through EMS—from earning his med school diploma to working high-stakes gigs like Electric Daisy Carnival cruises. He reveals what keeps him grounded amid intense calls, the challenges of overnight shifts, and why the low-speed fender bender calls grind his gears. Jack dives into his unexpected rise on TikTok and Instagram, explaining how viral videos and smart collaborations launched his digital brand. Beyond ambulance life, he thrives on music festival EMS work, mixing adrenaline with creativity, including collabs with dubstep artist Subtropics. He also reflects on teamwork, mental toughness, and the importance of pursuing a clear social media focus. For anyone curious about the blend of healthcare hustle and online content creation, Jack's story showcases the raw reality and unexpected opportunities within modern EMS culture.
Mon, Dec 8 2:32 PM → 2:40 PM Wrong quadrant Radio Systems: - DC Fire and EMS
Mon, Dec 8 2:05 AM → 2:14 AM Arlington handled Radio Systems: - DC Fire and EMS
Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the areaShe saw the disconnect between the provider that people wanted to become and who they became, and she didn't want that to be true for herselfShe became an attending in 1991 and now has close to 40 years in emergency medicineShe became a physician when it was predominantly a male fieldJulie talks about some of the things that have changed over timeWe need to have empathy for the people that come in for non-emergent complaints and realize that we have the honor in the ED to fill all the gaps in the wider medical systemWe talk about the increase in transparency with patients and the access they now have to their lab work, imaging and chart and this helps us increase trust with patientsJulie talks about a paramedic partner she really admired and how well she treated patients, and how there wasn't a lot of female role models for her in med schoolI talk about how I also had partners that really improved the trajectory I was on as a new EMTSeek first to understand is one of the 7 habits of highly effective people and this relates directly to taking care of patientsJulie talks about how it was to be a woman in medicine and how her voice got dismissed as well as the dynamics that are at play with patientsJulie talks about burnout and how labyrinth therapy helped her. How you need something that helps you look beyond yourself to have a moment of awe and gratitudeSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition
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.
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!
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
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