Podcasts about EMS

Law enforcement transcripts prove Jonathan Ross was not seriously injured, and that Renee Good had a pulse when EMS arrived. Plus, the investigation into Walz and Frey is pretext to invoke the Insurrection Act.Watch the video here:https://youtu.be/MOQ_0iRpi8g Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:https://apple.co/3XNx7ckWant to support the show and get it ad-free and early?https://patreon.com/thedailybeanshttps://dailybeans.supercast.com/https://apple.co/3UKzKt0 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Welcome to the Civilian Medical Podcast episode 081       Opening: “You never know when you'll be the First Responder” Core framing Most cardiac arrest victims are not found by EMS. They are found by bystanders. “The first five minutes are up to the bystander, and that determines survival”     Why the Guidelines Changed Key point The American Heart Association didn't change CPR because civilians were doing it wrong— they changed it because stress breaks memory. 2020 vs 2025 framing 2020: Correct, but cognitively complex 2025: Correct and easier to recall under pressure “In emergencies, complexity kills time—and time kills.” When you learn CPR, you are not learning it to save a stranger; it's most likely to be a family member.       The Big Shift: One Model for Every Emergency Chain of Survival 2020 Different chains depending on age and setting 2025 One chain. Every person. Every place. “If you remember one thing: recognize → compress → shock.”     Choking: What changed 2020 Abdominal thrusts emphasized Back blows inconsistently taught for adults 2025 Adults & children: 5 back blows → 5 abdominal thrusts Infants: 5 back blows → 5 chest thrusts Why EMS cares Rhythm matters under stress. “Think of it like CPR for choking—structured, repeatable, automatic.”     Opioid Overdose 2020 Naloxone discussed, but not central 2025 Naloxone clearly included without replacing CPR Key teaching Naloxone does not restart a stopped heart. CPR and AED always come first. Soundbites “Naloxone wakes breathing—not circulation.” “Narcan doesn't buy you out of CPR.”       What EMS Hopes You'll Stop Overthinking CPR Quality Unchanged science Push hard Push fast Don't stop unless you must 2025 emphasis Start early > start perfect “You cannot make them more dead.”     Dispatcher CPR: The Invisible Teammate Why this matters Dispatchers now teach off the same simplified framework Civilians who know the 2025 model cooperate faster “The guidelines were written with the idea that the dispatcher is on speakerphone.”     What This Means for You (Practical Takeaways) Actionable conclusions You don't need to be a healthcare provider to do CPR You need the right equipment and the right training What training is Dietrich doing in his community? “Confidence saves more lives than certification.” “You don't rise to the occasion—you fall to your level of preparation.” Final line “If EMS could speak to every bystander before an emergency, this is what we'd say: You already know enough to save a life; do CPR.”     Medical Gear Outfitters Use Code CIVILIANMEDICAL for 10% off    Skinny Medic - @SkinnyMedic | @skinny_medic | Medical Gear Outfitters   Bobby - @rstantontx | @bobby_wales   

Sat, Jan 17 8:47 PM → 8:55 PM DC runs to PG address Radio Systems: - DC Fire and EMS

Sat, Jan 17 6:00 PM → 6:13 PM Delay ACFD Radio Systems: - DC Fire and EMS

Pete, Jon, and Nez get you prepped for the Divsional Round DFS slate on Underdog, share their favorite angles in drafts, and build some Pick 'Ems.

In this episode of the Inside EMS podcast, Chris and Kelly are joined by paramedic student April McKenzie — aka “April Anonymous” — for a deep dive into the buffer system and CO2 mapping. April's in the thick of paramedic school and like every good learner, she's asking “why?” — so the guys break down the physiology behind capnography, acid-base balance and the lungs-vs.-kidneys showdown that keeps our patients alive. Plus, they throw in old-school war stories, rant about naloxone misuse and admit that bicarb is no longer the go-to cardiac arrest drug. If you've ever tried to explain respiratory vs. metabolic acidosis in under 10 minutes, this episode is your cheat sheet. April will be back throughout the year with more student questions, so buckle up for the ongoing EMS education you didn't know you needed. Quotable takeaways “Just because you see somebody with signs and symptoms and the protocol says, do this; that's OK, but that just makes you a protocol paramedic.” “My friend Romy Duckworth calls [capnography] the MVP of vital signs, and that's a good way to remember it — MVP: Metabolism, Ventilation and Profusion. And it will tell you derangement about all three of those things very well once you're proficient at interpreting the waveforms.” “Basically, the buffer system is the body's way of keeping the pH stable. So, if we're blowing out, if we're having problems with respiratory acidosis — and let's talk about CDKA, where they're trying to blow off — it's the respiratory systems' way of making sure that we have homeostasis.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest guests for an upcoming episode. 

Learn how to build a peer support team in a small department, with practical tips for rural first responders, fire, EMS, and police. Discover right-sized peer support looks like.What do you say when you hear, “We're too small for peer support”?Many small departments struggle with the same question: “How can we start peer support when we're already short on people and time?”In this episode, we dive into how to build a peer support team in a small department, making it realistic and practical for rural first responders, fire, EMS, and police.BY THE TIME YOU FINISH LISTENING, YOU'LL LEARN:What “right-sized” peer support looks like in a 20–50 person departmentHow to pick the first 2–3 people for your teamSimple policies you actually need for a small departmentHow to partner with nearby agencies, chaplains, or EAP to extend your reachWhat to do in the first 90 days to ensure team effectiveness and longevityUse this episode with your peer support team, leadership, or at your next shift meeting to start or improve peer support in your small department. Share it with other small agencies struggling with the same question.Share this episodehttps://www.survivingyourshift.com/53Connect with BartEmail: bart@survivingyourshift.comLinkedIn: linkedin.com/in/bartlegerFacebook Page: facebook.com/survivingyourshiftWebsite: www.survivingyourshift.comWant to find out how I can help you build a peer support program in your organization or provide training? Schedule a no-obligation call or Zoom meeting with me here.

Joanna Sokol, a seasoned EMT and paramedic, opens up in this revealing conversation on the EMS Improv podcast. Drawing from 13 years on the frontlines and a trove of personal journals, Joanna discusses the emotional turbulence embedded in EMS—from the constant flood of forgettable calls to the rare moments that “grab you by the throat.” She shares how writing her book, “A Real Emergency,” became a cathartic way to process the human stories often overshadowed by dramatic emergencies portrayed in media. Joanna candidly reflects on the physical and emotional toll EMS careers exact and the harsh reality many face when transitioning to new paths after years in the field. Her perspective on mentorship, resilience, and embracing the everyday reality of EMS work challenges common perceptions and offers raw, valuable insight for providers and those who rely on them alike.

Send us a textStrength without silence. That's the thread running through our conversation with Jeff Dill, a former battalion chief turned licensed counselor and the founder of the Firefighter Behavioral Health Alliance. Jeff has spent years validating firefighter and EMS suicide data, building workshops from real-world stories, and leading behavioral health efforts for Las Vegas Fire and Rescue. He brings hard-won clarity on what actually helps: simple language, daily habits, and policies that protect people when the job wears them thin.We break down the internal size up, a practical check-in that asks, “Why am I acting this way? Why am I feeling this way?” It helps catch irritability, isolation, and sleep loss before they morph into bigger risks. Jeff draws a vital line between PTSD and moral injury—showing how betrayal, guilt, and shame often sit beneath the surface while treatment chases fear and trauma. Forgiveness becomes a survival skill, not a pass for bad behavior, and we talk about how to practice it without forgetting or restoring unsafe trust.From there, we get tactical. Sleep debt, high call volumes, and 24-hour shifts push good people into impulsive decisions. Cultural brainwashing tells responders to be brave, strong, and self-reliant—until that story keeps them from getting help. We dig into the data, including surprising patterns among women in fire and EMS, and outline what a proactive program looks like: family education, annual mental health checkups, vetted clinicians outside insurance for privacy, real-time aftercare after tough calls, and telehealth to reach rural members. Leaders will hear budget-smart ways to protect training from the chopping block, and crews will gain language for checking on a partner without making it awkward.You can reach Jeff at the following websites:For the Firefighter Behavioral Alliance (FFBA), please go to: https://www.ffbha.org For the moral injury white paper, download it by clicking: https://www.ffbha.org/wp-content/uploads/2023/02/Moral-Injury-White-Paper-2-9-23.pdf For the Firefighter Behavioral Alliance (FFBA) Facebook page, please go to https://www.facebook.com/FirefighterBehavioralHealthAllianceIf you're a firefighter, EMT, dispatcher, or cop—or you love someone who is—you'll walk away with tools you can use today and a clearer picture of how to build a healthier culture tomorrow. Subscribe, share this with your crew, and leave a review so others can find it. You're not alone.Support the showYouTube Channel For The Podcast

In this episode of Ready, Set, Prepare, hosts Doria Fleisher, Media Services, and Wade Haubert, Emergency Manager, are joined by Mark Kaufmann Jr., the Charles County Fire Chief, to discuss fire safety safety around the house, from the leading causes of house fires and steps residents can take to prevent their home from facing this tragedy.For more information or how to get involved with Charles County Fire and EMS, visit; https://ccvfireems.org/Thanks for listening. If you like this podcast and want to hear more, search Charles County Government on Apple Podcast, Spotify or where ever you get your podcast - and be sure to like and subscribe. We're also available on YouTube. Search Charles County Commissioners And Stay Connected for all County news, information, and programs by visiting www.CharlesCountyMD.gov/StayConnected

Need help? Check out these resources: www.firstresponderwellness.co/resources or Dial 988 for immediate help.   You Can't Heal What Stays Locked in the Dark - Dr. Cherylynn Lee In this powerful episode of the First Responder Wellness Podcast, host Conrad Weaver sits down with police psychologist Dr. Cherylynn Lee to explore what really happens when trauma goes unspoken inside law enforcement, fire, EMS, and dispatch. Dr. Lee works inside a California sheriff's office, deploying to SWAT callouts, supporting officer-involved shootings, and overseeing peer support—while also treating first responders in private practice. In this conversation, she explains why avoidance is one of the most dangerous and misunderstood responses to trauma, and why healing only begins when people are able to tell the full story of what they've lived through. Together, Conrad and Dr. Lee unpack the growing debate around embedded clinicians, the importance of trust and cultural competence, and why dispatchers must be included in critical-incident debriefs. They also discuss how first responders get trapped in a cycle of self-blame and moral injury—and how reframing the story can change everything. This episode is a candid, deeply human look at why so many in public safety suffer in silence, and what it takes to finally bring what's been buried into the light. If you've ever struggled with something you couldn't put into words, this conversation offers both clarity and hope. ABOUT DR. CHERYLYNN LEE Dr. Cherylynn Lee is a police psychologist specializing in law enforcement wellness, critical incident response, and trauma care for first responders. She works full-time inside a California sheriff's office in an operational leadership role while also running a private practice serving first responders exclusively. She teaches and publishes widely, including work with Lexipol/Police1 and training support for the FBI.   +++++   FIRST RESPONDER WELLNESS PODCAST Register for the First Responder Leadership Mastermind here: https://firstresponderwellness.co/masterclass/ Order the PTSD911 Film and Educational Toolkit here: https://ptsd911movie.com/toolkit/ Web site:  https://ptsd911movie.com/ Instagram: https://www.instagram.com/ptsd911movie/ Facebook: https://www.facebook.com/ptsd911movie/ YouTube: https://www.youtube.com/channel/UClQ8jxjxYqHgFQixBK4Bl0Q Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/first-responder-wellness-podcast/id1535675703 Listen on Spotify: https://open.spotify.com/show/2wW72dLZOKkO1QYUPzL2ih Purchase the PTSD911 film for your public safety agency or organization: https://ptsd911movie.com/toolkit/ The First Responder Wellness Podcast is a production of First Responder Wellness Solutions, LLC Copyright ©2026 First Responder Wellness Solutions, LLC - All rights Reserved.  

Wed, Jan 14 4:57 AM → 5:33 AM No answer Radio Systems: - DC Fire and EMS

Mike Grzyb, Senior Director of Field Support for ZOLL's EMS business unit joins EMS World Managing Editor Kristin Carroll live at EMS World Expo 2025 in Indianapolis to discuss the new Zenix monitor defibrillator. The device has premarket approval from the U.S. Food and Drug Administration. This episode goes into how customer feedback on previous ZOLL devices shaped the Zenix's unique, user friendly design. 

Mike Grzyb, Senior Director of Field Support for ZOLL's EMS business unit joins EMS World Managing Editor Kristin Carroll live at EMS World Expo 2025 in Indianapolis to discuss the new Zenix monitor defibrillator. The device has premarket approval from the U.S. Food and Drug Administration. In this second part, Grzyb shares how the Zenix is uniquely suited for the EMS ambulance environment.

We're celebrating our 300th episode with Topeka Fire Department Chief Chad Longstaff, who brings 36 years of experience, a brief retirement, and a deeply human approach to modern emergency response. The conversation moves beyond firefighting to the rise of EMS, the power of communication over judgment, and how a culture of dignity helps firefighters manage burnout while serving people at their most vulnerable. Chief Longstaff explains how Topeka is connecting fire, police, mental health providers, hospitals, and nonprofits like TRM into a single safety net focused not just on response, but on understanding and prevention.We also dig into the realities of homelessness, recurring 911 calls, and showing how respectful handoffs, fast outreach, and collaboration reduce strain and build trust. Chief Longstaff shares personal stories that reshaped his view of leadership and service, alongside moments of gratitude, highlighting that compassion-first public safety works. If you care about community health, prevention, and practical collaboration, this episode offers both a roadmap and a reason to believe we can do better together.To learn more about TRM, Click Here!To support TRM, Click Here! Send us a Message!

A playoff edition of the Pourtfolio Review, where we recap the first five games of Wildcard weekend, checking in on playoff best ball sweats, and making some Pick 'Ems for MNF.

In this episode of Let's Get It Straight, infection control consultant and host Katherine West tackles the growing challenge of accessing dependable scientific guidance amid shifting government support and archived resources. With traditional CDC documents and expert advisory groups diminished or disbanded, she unpacks how critical recommendations—such as those comparing N95 respirators to surgical masks—are formed using evidence review methods like CHARM and GRADE. Katherine highlights key differences in medical versus EMS settings that affect mask use and safety protocols, and she points to regional alliances stepping up to fill guidance voids. Emphasizing the importance of verifying sources and cross-checking studies before accepting health data, this session arms healthcare professionals with the tools to sift through conflicting info and make informed decisions.

Laurie, an EMT with nearly two decades of experience, joins me to talk about her journey from personal trainer to first responder — and how fitness, discipline, and honesty have shaped her career in EMS. From her earliest days on the ambulance to her current work teaching and promoting health in the field, Laurie opens up about trauma, coping, and the importance of staying both mentally and physically strong.She shares powerful reflections on loss, resilience, and the human side of emergency medicine, while offering insight into how small acts of self-care can make a lasting difference in the lives of providers.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

In this episode, Samantha and Nick examine a wrongful death lawsuit stemming from a non-transport decision—a case that highlights how quickly routine calls can turn into high-stakes legal events. The discussion centers on the death of a 26-year-old man with type 1 diabetes and a seizure disorder who requested transport, was left at home, and was later found deceased. Using the language of the actual court complaint, the episode explores the legal concept of public trust in EMS and what happens when that trust is alleged to be broken.From a leadership and risk-management perspective, the episode dissects the duty to assess, document, and transport—or properly refuse. The hosts examine how documentation choices (“canceled – no patient found”), failure to contact medical control, and leaving a high-risk patient alone can dramatically shift the legal narrative. Particular attention is given to supervisory actions after the call, including how complaint handling, recorded phone conversations, and well-intentioned but poorly worded statements can unintentionally strengthen a plaintiff's case.The conversation also breaks down the legal mechanics of the lawsuit itself, including wrongful death, survivorship, and loss of consortium claims, as well as why a seemingly multimillion-dollar case may settle for far less. Throughout the episode, the emphasis remains on defensible decision-making, understanding administrative and civil liability exposure, and how EMS professionals can protect both patients and their licenses by aligning clinical judgment with documentation and protocol.Key takeawaysNon-transport decisions carry legal weight: Refusing or discouraging transport in high-risk patients invites scrutiny.Documentation is your primary defense: “Canceled – no patient found” is nearly indefensible when patient contact occurred.Duty to assess does not end at the door: Seizure risk, diabetes, and being left alone matter legally and clinically.Medical control can help: Early physician involvement can shift responsibility and improve outcomes.Supervisors must handle complaints carefully: Poorly phrased responses can become admissions of fault.Assume you are being recorded: Phone calls, body cams, and bystanders can all end up in evidence.Do the right thing and write it down: Defensible care starts with sound clinical judgment and ends with accurate documentation.

Episode 317 of the Medic2Medic Podcast, Steve sits down with longtime EMS leader, educator, and U.S. Army veteran T. J. Bishop for a grounded conversation on rural EMS, leadership, education, and service. T.J. serves as the Assistant Chief of Operations and Training for San Juan Island EMS, overseeing response and education. With more than 30 years spanning civilian EMS, military medicine, and healthcare education, TJ shares hard-earned lessons on training an entire system, leading in resource-limited environments, and building programs that last.A Powerful Family StoryToward the end of the episode, TJ shares a deeply personal story about his family, specifically his son Andrew, who has special needs, and his incredible Make-A-Wish journey to become a U.S. Coast Guard Rescue Swimmer. It's a moment that captures the heart of this episode: service, resilience, and what truly matters.

Sat, Jan 10 12:33 AM → 12:51 AM 222 M not 22 Radio Systems: - DC Fire and EMS

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

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

The Joint Readiness Training Center is pleased to present the one-hundredth-and-twenty-third episode to air on ‘The Crucible - The JRTC Experience.' Hosted by MAJ Amy Beatty, the Task Force Executive Officer Observer-Coach-Trainer from Task Force Sustainment (Division Sustainment Support Battalion / Light Support Battalion) on behalf of the Commander of Ops Group (COG). Today's guest is LTC Ryan Wilson, the Battalion Commander for the 307th Light Support Battalion, 1st Mobile Brigade Combat Team (MBCT), 82nd Airborne Division.*   The 307th Light Support Battalion, formerly the 307th Brigade Support Battalion, is the sustainment backbone of the 1st Mobile Brigade Combat Team (MBCT), 82nd Airborne Division. Known by its Hollywood call sign “Blackdevil” and guided by the motto “Ready to Support,” the 307th traces its lineage to World War II, where it supported airborne operations in the European Theater before continuing service through the Cold War, the Global War on Terror, and into today's LSCO-focused force. As a Light Support Battalion, the 307th has evolved from traditional rear-area logistics into a highly mobile, dispersed, and survivable sustainment formation—capable of supporting forced entry, austere operations, and prolonged combat while operating under constant enemy observation.   This episode examines tactical sustainment and logistics in LSCO, focusing on how Brigade Support Battalions must modernize to survive, enable maneuver, and remain relevant on a transparent, multi-domain battlefield. The discussion highlights evolving base cluster design as a survivability and command-and-control problem, not just a logistical one. Rather than mirroring legacy company-based layouts, effective units organize sustainment nodes around capability, unity of command, and protection, deliberately reducing signatures while preserving functionality. The episode also addresses the persistent friction between moving versus maneuvering logistics, emphasizing that sustainment formations are designed to distribute bulk commodities, not fight their way forward without protection. Best practices include integrating FSCs early into planning, rehearsing transitions from bulk to retail distribution, and treating sustainment as a shared responsibility between maneuver and support units rather than a transactional service.    The conversation further explores multi-domain and modernization challenges shaping the sustainment fight, including EMS vulnerability, convoy survivability, and the difficulty of maintaining synchronization during frequent displacement. Leaders discuss how degraded communications, leadership attrition, and mass casualties compound sustainment friction, requiring disciplined initiative and empowered NCO leadership at echelon. Repeated emphasis is placed on concealment, noise and light discipline, timeliness, and rehearsed staff processes as decisive factors that protect sustainment combat power. The episode underscores that logistics in LSCO is not a rear-area function but a contested fight where culture, repetition, and leader-driven standards determine success. Ultimately, the takeaway is clear: units that modernize sustainment through protection, integration, and disciplined execution are better positioned to sustain the fight and enable decisive maneuver during the opening and sustaining battles of LSCO.    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.   *For the purposes of this podcast, the titles LSB and BSB are interchangeable just as DSSB and CSSB. 

Every five years since 2001, NFPA has conducted a massive research project known as the Needs Assessment of the U.S. Fire Service. It's a survey that goes out to about 30,000 fire departments across the country with questions aimed at finding out whether the fire service has the resources it needs to accomplish the enormous job we've asked them to take on. The next survey, which is the Sixth Needs Assessment, was sent to departments via mail and email in October, and is due back by February 15. Today on the podcast, we are joined by an all-star panel featuring the president of the International Association of Fire Chiefs, the president of the Metro Chiefs, and NFPA's director of research. We discuss the ins and outs of this critically important survey and dive into the "pain points" facing the modern fire service, from skyrocketing EMS call volumes and firefighter burnout to the emerging threats of lithium-ion battery fires and AI implementation. LINKS:  Learn more about the Sixth Needs Assessment of the U.S. Fire Service survey, and to see reports from past surveys. Questions about participating, email nasurvey@nfpa.org, or call 800-343-8890.

Dr. Douglas Kupas joins Rob Lawrence to kick off EMS One-Stop in 2026, reflecting on his first year as President of NAEMSP — a year he describes as fast-moving, complex and occasionally “whack-a-mole,” with emerging issues demanding real-time leadership while long-term priorities still had to move forward. He shares what he's learned about the presidency, the value of NAEMSP's leadership “bench strength,” and why advocacy and coalition-building across national EMS organizations has become more coordinated, more strategic and more essential. The conversation then turns to what's immediately ahead: the NAEMSP Annual Meeting in Tampa (late January), including pre-conference courses, the flagship Medical Director's Course, and a packed scientific program. Kupas highlights a keynote focused on transforming battlefield trauma care; major research programming through oral abstracts and hundreds of posters; and high-impact sessions spanning clinical care, operations, legal issues, and international perspectives — reinforcing why the Tampa meeting remains a must-attend event for anyone serious about the science and future of EMS. Episode timeline 00:00 – Rob tees up NAEMSP Annual Meeting growth as a “good problem to have” 00:50 – Welcome/Happy New Year 2026; Dr. Kupas introduced as first guest of the year 01:45 – Year one as NAEMSP president: what's surprised Dr. Kupas, pace of work, governance “bench strength” 04:26 – NEMSAC termination: what happened, what NAEMSP hopes comes next 07:02 – Building the pipeline: medical student/resident interest group, travel support ideas 08:47 – “Hot off the press:” NAEMSP accepted into WHO Acute Care Action Network 10:08 – Advocacy “hunting as a pack:” overlapping national orgs, EMS on the Hill coordination 12:40 – Why Hill visits work: stories, staffers and why first-timers matter 16:48 – “White hat” advocacy and patient-centered priorities; ED wall time as a key issue 20:07 – Tampa preview: “It's not just for docs,” NAEMSP membership structure 22:11 – Pre-cons overview: Medical Director's Course, QI workshop, MIH, ventilation, blood, TECC 23:55 – Keynote: Dr. Frank Butler and special intro by Dr. Bob Mabry; Grand Rounds obstetric focus 27:45 – Major legal session format and why legal content draws a crowd 29:28 – Space constraints and future planning: small convention centers; San Diego “buyout” scale 31:49 – Research explosion: oral abstracts, posters, receptions; better ways to access abstracts 34:39 – “Meat of the conference:” operations, clinical topics, international speakers/learning 36:49 – Closing question: Bill details Enjoying the show? Email editor@ems1.com to share feedback or suggest guests for a future episode. 

EMS Research Podcast Host Bram Duffee dives into a recent study examining ChatGPT's ability to predict prehospital patient diagnoses based on paramedic care reports. ChatGPT accurately identified conditions 75% of the time and often erred on the side of caution, potentially reducing dangerous under-triage. Duffee is joined by lead researcher Erik Miller, a nurse practitioner and paramedic turned researcher, who sheds light on the study's design, limitations, and real-world implications. They discuss how AI can support—but not replace—the critical thinking skills of EMS providers, the challenges of legal liability, and the risks of overreliance on technology. The conversation also explores future possibilities for AI integration in dispatch and patient care reporting, while emphasizing the irreplaceable human touch in emergency medicine.

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

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

Debra Meyerson and the “Slow Fall Off a Cliff”: Aphasia After Stroke, Identity, and What Recovery Really Means There are stroke stories that arrive like lightning. And then there are the ones that feel like a quiet, terrifying slide hour by hour until you wake up and everything is different. For Debra Meyerson (also known as Deborah), that difference had a name: “the slow fall off a cliff.” Her husband Steve describes watching the change unfold overnight in the hospital, neurological tests every hour, skills fading, the unknown getting heavier with each check-in. And the scariest part? Not knowing where the bottom was. This episode isn't only about what Debra lost. It's about what she rebuilt with aphasia, with grief, with a fierce independence that made asking for help its own mountain, and with a new definition of recovery that doesn't depend on going back in time. When Stroke Doesn't “Hit”… It Develops One of the most jarring elements of Debra's experience was the way the stroke revealed itself. Steve shares that Debra left the emergency room still talking, slurring a little, but still planning. Still believing she'd be back teaching soon. Then the overnight monitoring began, and the decline became visible. From midnight to morning, her movement and speech changed dramatically. By morning, she couldn't move her right side. And she couldn't make a sound. That's what makes Debra's phrase so powerful: it captures the reality many survivors and families live through, watching ability disappear in stages, not all at once. It's not just a medical event. It's an emotional one. And it changes how you experience time. The mind starts bargaining. The heart starts bracing. The body is suddenly not predictable anymore. The Hidden Clue: Dissection, Headaches, and Near-Misses Debra's stroke was ischemic, but the cause wasn't a typical blood clot. Steve explains that it was due to a dissection, a tear in the inner wall of an artery. In the months leading up to the stroke, there were warning signs: severe headaches episodes where she nearly lost consciousness a moment where she told their son, “I think I'm having a stroke,” but the symptoms resolved before EMS arrived Steve describes a likely “opening and closing” pattern of temporary interruptions to blood flow that didn't show up clearly during exams because, in the moment, she appeared okay. This is one reason caregivers can feel so haunted after the fact: you did the right things, you sought help, you went to specialists… and the stroke still happened. That's not failure. That's reality. 20230922-GSE headshots at CERAS building in Stanford, CA Aphasia After Stroke: When Words Don't Do What You Want Aphasia isn't one experience. It's a spectrum, and Debra's challenge is word-finding, both in speaking and writing. When Bill asks whether writing is easier than speaking, Debra's answer is simple and blunt: it's hard either way. She also notes that dictation isn't a shortcut. What makes Debra's story especially moving is how Steve describes the long arc of speech returning: weeks before she could even form sounds a month or two before repeating words then, months later, the first original word that made it out unprompted, not as an exercise It happened during a normal moment at a table with family, searching for the name of the pig from a movie no one could remember. And Debra suddenly blurted out: “Babe.” It might sound small to someone who's never experienced aphasia. But for anyone who has, or for anyone who's loved someone through it, that moment is enormous. It's proof that the brain is still reaching for language. Proof that the person is still in there, still trying to connect. And yes, Steve mentions melodic intonation therapy, a method that attempts to engage the brain's musical/singing pathways to support speech. Debra's improvement, even years later, is described as gradual marginal gains that add up over time. The Identity Problem Nobody Prepares You For When Bill asks what part of her old identity was hardest to let go, Debra points to the heart of it: Stanford professor athlete fiercely independent skiing (a love that mattered deeply) the ability to do life without needing so much help This is the part many survivors don't see coming: you're not only recovering movement or speech. You're grieving a version of yourself that once felt automatic. And that grief can be complicated, because you might still look like you. Inside, everything is renegotiated. This is where Debra and Steve offer something that can change the trajectory of recovery: adaptation instead of abandonment. Debra couldn't ride a single bike anymore, but they began riding a tandem, and it became the thing they could do together vigorously, something athletic, meaningful, and shared. Not the same. But real. Cycles of Grief: Joy Can Trigger Loss Debra describes grief as something that shows up constantly, “every day… every hour.” Steve offers a powerful example: becoming grandparents. Debra was ecstatic. Over the moon. And then, the next morning, she was furious, spring-loaded into a bad mood, snapping at everything. Why? Because beneath the joy was a private inventory of what she couldn't do: hold the baby safely change a diaper be alone with their grandson the way she wanted to be chase a toddler the way she imagined This is what “cycles of grief” looks like. Not sadness replacing joy. Sadness sitting next to joy. And if survivors don't understand that's normal, they can interpret it as brokenness or failure. It's not. It's grief doing what grief does: reminding you of what mattered. The Care Partner Trap: Guilt, Burnout, and the “Fix It” Reflex Care partners often disappear inside the role. Steve names a different approach, one supported early by friends who told him plainly: if you don't take care of yourself, you're no use to Deb. So he set priorities: exercise eating well sleeping well He also acknowledges how support made that possible: family help, flexible work, and friends showing up. Then comes a line that many couples will recognize immediately: toxic positivity. Steve admits he struggles with sadness; he tends to solve problems, cheer people up, and push toward the bright side. But Debra doesn't always want to be talked out of it. Sometimes she needs space to grieve without being “fixed.” That's the lesson: Support isn't always uplifting someone. Sometimes support is staying present while they feel what they feel. “True Recovery Is Creating a Life of Meaning” Debra's philosophy shows up in the opening of her book and in the arc of this conversation: “True recovery is creating a life of meaning.” At first, recovery was about returning to who she used to be, therapy, effort, pushing hard. Then something shifted: writing a book became a turning point. It helped her stop using her old identity as the measuring stick and start asking a new question: “How do I rebuild a life I can feel good about with the cards I've been dealt?” That idea is the bridge for so many survivors: You don't have to pretend you're fine. You don't have to deny what you lost. But you also don't have to wait for a full return to start living again. Debra Meyerson: Aphasia After Stroke Interview Debra Meyerson's “slow fall off a cliff” stroke led to aphasia, grief, and a new definition of recovery: rebuilding identity with meaning. Stroke Onward: InstagramX.COMFacebookLinkedInYouTubeTikTokVimeo Debra Meyerson X.COMLinkedInFacebookInstagramSteve:LinkedIn Highlights: 00:00 Introduction and Background06:11 The Experience of a Stroke: A Slow Fall Off a Cliff22:45 Navigating Caregiving: Balancing Needs and Support32:01 Understanding Aphasia: A Spectrum of Experiences43:05 The Importance of Sadness in Healing50:08 Finding Purpose Through Advocacy53:31 Building the Stroke Onward Foundation57:12 Advice for New Stroke Survivors Transcript: Introduction and Background –  Steve Zuckerman and Debra Meyerson Bill Gasiamis (00:00)Welcome to the recovery after stroke podcast. name is Bill. And if you’re a stroke survivor or you love someone who is you’re in the right place before we begin a genuine thank you to my Patreon supporters. After more than 10 years of hosting this show solo, your support helps cover the costs of keeping it online and helps me keep showing up for stroke survivors who need hope and direction. And thank you to everyone who supports the show in the simple ways to YouTube comments, Spotify, Apple reviews. people who’ve grabbed my book, and even those who stick around and don’t skip the ads. It all matters more than you know. Today you’re going to meet Deborah Meyerson and her husband, Steve Zuckerman. Deborah describes her stroke as a slow fall off a cliff. And that phrase captures something so many stroke survivors experience but struggle to explain. We talk about aphasia after stroke, word finding. The moment a single word returned and what happens when recovery stops meaning going back and starts meaning rebuilding a life you can actually feel proud of. Deborah and Steve Myerson. Welcome to the podcast. Debra and Steve (01:08)Steve Zuckerman That’s okay. I don’t mind being Mr. Meyerson from time to time. Bill Gasiamis (01:17)Steve Zuckerman, of course. I mean, I’ve seen it on every email. I’ve seen it on every conversation we’ve had, but that’s okay. I mean, you’ve probably been called worst, Steve. Debra and Steve (01:29)Absolutely, much worse. Bill Gasiamis (01:32)Debra, before the stroke, how would you have described yourself professionally, socially and personally? Debra and Steve (01:39)Outgoing, social, comfortable, no time to to to other’s time. Not taking up other people’s time? Yes. In contrast to me. Bill Gasiamis (01:59)Yes, David, you’re very needy. Debra and Steve (02:02)Yeah, and ⁓ yeah, it’s really outgoing. Bill Gasiamis (02:09)Outgoing, yeah, fantastic. Debra and Steve (02:11)I’ll add, because you didn’t say it, a incredibly hardworking, self-demanding professional for whom good was never good enough. Yeah. Yeah. Yeah. Something like that. Bill Gasiamis (02:23)perfectionist. Fair enough Steve. What roles defined you back then? you’re a partner, you’re a father. How did you go about your day? Debra and Steve (02:37)I mean, I think, you know, very similar to Deb, we were both hard driving professionals who had serious careers. We had three kids that we were raising together and both took parenting very seriously. So worked really hard, you know, to not travel at the same time, to be home for dinner, ⁓ to be at sports games. And we were both very athletic. So both things we did together and things we did separately. I think, you know, before Deb’s stroke, most of our time and attention was focused on career and family and, you know, sort of friends were a third, but, ⁓ staying healthy and staying fit. So those were kind of all parts of, I think, who we both were. met mother, ⁓ athletic sailor, biker, ⁓ ⁓ family is first in academics. Bill Gasiamis (03:44)and academic and what field were you guys working in? Debra and Steve (03:48)No, am a, Steve is not academic. I am an academic. ⁓ Deb was, you know, immediately before the stroke. Deb was a tenured professor at Stanford. She had had lots of other academic jobs before that. ⁓ We met when I was in grad school for an MBA and Deb was getting her PhD. ⁓ So, you know, she is lot smarter than I am and was willing to work a lot harder academically than I ever was. ⁓ I’ve bounced back and forth between kind of nonprofit roles, nonprofit management roles, and a career in finance and business. So I sort of… have moved back and forth between for-profit and not-for-profit, but always sort of on the business side of things. Bill Gasiamis (04:50)often say when people meet my wife, Christine, for the first time and we talk about what we do and the things that we say. I always say to people that between me and my wife, we have four degrees. And then I qualify that. say, she has four and I have zero. And ⁓ she has a master’s in psychology, but ⁓ I never went to university. I never did any of that stuff. Debra and Steve (05:10)Yeah. Bill Gasiamis (05:19)So it’s very interesting to meet somebody who’s very academic and to be a part of her life when she’s in the study zone. my gosh, like I have never studied that much, that intensely, that hard for anything. And it’s a sight to behold. And I’m not sure how people go through all the academic side, all the requirements. And then also Deb, being a mom, being a friend. being active in your community and doing all the things that you do. I just don’t know how people fit it in. So it’s a fascinating thing to experience and then to observe other people go through. Debra and Steve (05:57)It’s really that we had really a lot of time to talk. It was a full life. Debra Meyerson – The Experience of a Stroke: A Slow Fall Off a Cliff Bill Gasiamis (06:11)Yeah, fantastic. What you did, Deb has described the ⁓ stroke as a slow fall off a cliff. What did it actually feel like in the first moments that the stroke happened? Debra and Steve (06:28)Two weeks after my stroke, I am going to the, back to the classroom. I am really not aware of the damage. So right at the outset, Deb was kind of in denial. As the symptoms were first starting to set in, she was still talking about you know, okay, this is annoying, but in three weeks I’m starting the semester ⁓ and genuinely believed she would. actually the slow fall off a cliff was really how I described the first full night in the hospital. This was in Reno, Nevada. ⁓ And Deb sort of left the emergency room talking. slurring her words a little bit, but talking about how she was going to be back in the classroom. And then over the course of that night, from midnight to eight in the morning, they woke her every hour to do a neurological test, you move your arm, move your leg, point to this, you know, say this word and just her skills got worse and worse and worse. And in the morning, She couldn’t move her right side at all and couldn’t make a sound. And that was the, that’s what we called the slow fall off the cliff because we knew at midnight that there was significant brain damage, but we didn’t see the ramifications of that damage. sort of happened over that eight hour period. ⁓ that Deb really wasn’t aware of any of that. was. you know, kind of her brain was in survival mode. ⁓ But for myself and our oldest son, Danny, you know, that was sort of a feeling of helplessness. was watching the person you love kind of fade away or the capabilities fade away. And we didn’t know how low the bottom would be ⁓ without being able to do anything. Bill Gasiamis (08:53)Is there an explanation for that? Now, obviously Deb had a stroke, so that’s the overarching issue, the problem. But I’ve had a lot of stroke survivors explain their symptoms in that slow onset ⁓ situation, whereas mine were just there. I had a blade in my brain, the symptoms were there. Another person ⁓ had an ischemic stroke, bang, the symptoms were there. So why does it take so long for some people to, for the symptoms to develop? Debra and Steve (09:25)I had a dissection five months ago for this stroke. I had really bad headaches. Yeah, so five, six months before Deb’s stroke, she was having bad headaches. She had two episodes where she kind of almost lost consciousness. And one of them, she actually said to our son, call dad, I think I’m having a stroke. And by the time the EMS got there, she was fine. ⁓ Her stroke, it turned out was caused by a dissection, which is a tear. in the inner wall of the artery. So in some ways it’s like a blood clot. It is an ischemic stroke because it’s the blockage of blood flow. But unlike most ischemic strokes, it’s not because of a blood clot. It’s because of this flap of, it’s not biologically skin, but it’s like a flap of skin coming across and blocking off the blood flow. And what they think happened, and it’s really just educated guessing, is that for that six month period, the flap was there, but it kind of kept opening, closing, opening, closing. So she’d have temporary loss of blood flow to the brain, but not permanent loss. Bill Gasiamis (11:04)We’ll be back with more of Deborah Meyers’ remarkable story in just a moment, but I wanna pause here because what Deborah and Steve are describing is something a lot of us live with quietly. That feeling, you can be having a good moment and then grief shows up out of nowhere, or you’re working so hard to stay positive and it starts to feel like pressure instead of support. In the second half, we’ll go deeper into the cycles of grief. the trap of toxic positivity and the shift that changed everything for Deborah when she stopped measuring recovery by who she used to be and started rebuilding identity with meaning. If this podcast has helped you feel less alone, you can support it by sharing this episode with one person who needs it, leaving a comment or subscribing wherever you’re watching or listening. All right, back to Deborah and Steve. Debra and Steve (11:58)And when she had those two events, it was probably stayed closed a little bit longer, but then opened up. But she had a scan, she went to neurologists and because every time she was examined, it was okay. They didn’t find the problem. And then when she had the stroke, it was a permanent blockage that just didn’t open back up again. And Your question is a great one that I’ve never asked. I don’t know why, because what they told us was we can see the damage to the brain. The brain has been damaged. They can tell that on the scan, but that the impact of that damage, how it will affect your motion and your speech will play out over time. And I don’t know why that was true for Deb, whereas, as you say, for some people, it seems like the impact is immediate. And that’s a, that’s a good one. I’m going to, I’m going to Try to research that a little bit. Bill Gasiamis (12:58)That’s just a curious thing, isn’t it? to sort of understand the difference between one and the other. I’m not sure whether if we find out what the difference is, whether there’s say something that a stroke survivor listening can do or a caregiver can do in that situation, like what can be done? How can it be resolved? Maybe different steps that we need to take. I don’t know, but I’d love to know if there was a doctor or a neurologist or somebody who might be able to answer that. Maybe we need to find someone. Debra and Steve (13:29)The doctor and the neurologist didn’t see it. Yeah, in the period before the stroke, they didn’t see it. While we were in the hospital when the stroke was happening, what they told us was at that point, there really wasn’t anything that could be done. The damage was done. So no intervention. would lessen the damage. ⁓ again, we are far from doctors. So there’s a lot about that that we don’t know. Bill Gasiamis (14:08)understood. Deb, what part of your old identity was the hardest to let go? Debra and Steve (14:14)The Stanford professor, athlete, had really a lot of… One hand is so difficult and independent person. Bill Gasiamis (14:33)Yeah. Debra and Steve (14:34)I am, skiing is so, I really love to ski and I am not, I am really not able to ski. Bill Gasiamis (14:52)understood so you were a professor, you were independent, you were physically active and all that stuff has had to stop happening at this point in time. Debra and Steve (15:03)I am the…striking…crossing…cycling…we are the…the…Sieve and I… Bill Gasiamis (15:19)You guys used to do something tandem. Debra and Steve (15:21)Yes, a lot of time in the stroke across America. Well, so I think we’re sort of answering a couple of different questions at the same time. I think what Deb was saying was early on, kind of in that first three or four years, she really, you know, was giving up her role as a Stanford professor, giving up skiing, cycling, sailing, and just the… not being a fully independent person needing so much help. That was really a lot of the struggle early on. Deb did return to a lot of those things. And that was a big part of the recovery process was realizing that she may not be able to do them the same way she used to, but there were a lot of different things. And then the cycling, Deb can’t ride a single bike, but we started riding a tandem. And that adaptation has proven really important for us because it’s, it’s the thing we can now do together vigorously for long periods of time. That is really a, a sport that we can do together, ⁓ and love. And so that that’s really been a, an adaptive way to get back to something, not exactly the same way as she used to do it before the stroke, but in a way that is very meaningful. Bill Gasiamis (16:46)A lot of stroke survivors tend to have trouble with letting go of their old identity in that they feel like they need to completely pause it and put the whole identity aside rather than adapt it and change it so that you bring over the parts that you can and you make the most of them, know. And adaptive sport is the perfect way. You see a lot of people in the Paralympics becoming gold medalists after they’ve been injured. a sports person before their injury and now all of a sudden they’re champion gold medal winning athletes because they decided to adapt and find another way to participate. And that’s what I love about what you guys just said. That’s still able to meet the needs of that identity, but in a slightly different way. What about you, Steve? Like when Deb goes through a difficult time and she has a stroke and then you guys come home from hospital, you’re dealing with, ⁓ well, all the changes in your life as well because you become a care, while you guys describe it as a care partner, we’ll talk about that in a moment. But as a care partner, ⁓ how do you go about doing that without, and also at the same time, protecting a little bit of your needs and making sure that your needs are met? Because a lot of caregivers, care partners, put all their needs aside and then they make it about the person who is ⁓ recovering from stroke. And then it leads to two people becoming unwell in different ways. One potentially emotionally, mentally, and the other person physically and all the other things that stroke does. Debra and Steve (18:36)Yeah, I mean, I think, um, Kyle was lucky in a couple of ways. One, a very close friend very early on who had been through similar situations said, you know, don’t forget, you’ve got to take care of yourself. If you don’t, you’re of no use to Deb. And so from the very beginning, I had people reminding me. I also had a ton of support in supporting Deb. Deb’s mom, you know, came up and lived with us for six months. ⁓ So I could go back to work a lot sooner than I otherwise would have been able to go back to work. And I was fortunate that my job was fairly flexible. ⁓ But, you know, I loved my work and it meant I wasn’t focused on the caregiving or care partnering aspects of my role 24 seven. I got to go do something else independently. ⁓ We also had a lot of friends lend support as well. So, you know, I think I basically said, I’ve got to organize around supporting Deb, no question about it. But with guidance from friends, I sort of said, okay, my three priorities are going to be exercising, eating well, and sleeping well. And I really just set those out as my goals and I created ways to do that. wall and that was sort of my physical health but also my mental health. And so, you know, sort of a problem solver and compartmentalizer by nature. So I guess maybe I was lucky that dividing up those roles was a little more natural to me than maybe it is for others. But it also took, you know, took deliberate choice to make sure not to let myself get sucked so far into the caring piece. that I got in healthy and was lucky enough to have support so that I was able to not let that happen. Bill Gasiamis (20:42)Yeah, a lot of people feel guilt like this unnecessary guilt that, I can’t leave that person alone or I can’t ⁓ look after myself or take some time to myself because the other person needs me more than I need me. And that’s an interesting thing to experience people talk about in the caregiver role where they become so overwhelmed with the need to help support the other person that they… ⁓ that they have guilt any time that they step away and allocate some care to themselves. They see caring as a role that they play, not as a thing that they also need to practice. Debra and Steve (21:29)Yeah, yeah. Well, I think I was also lucky because Deb is so fiercely independent that she wanted as little help as she could possibly get away with. So ⁓ she was not the kind of stroke survivor that was sort of getting mad when I walked out of the room. It was like she was trying to kick me out of the room at times that I shouldn’t leave the room. And so, you know, again, ⁓ Deb was not a demanding, again, she just wanted as little help as she could possibly survive with. And that probably made it easier for me to not feel guilty because it’s like, well, that’s what she wants. She wants me to get out of here as long as she was safe. Navigating Caregiving: Balancing Needs and Support Bill Gasiamis (22:16)That mindset is a really useful one. It makes it possible for people to activate neural plasticity in the most ⁓ positive way. Because some people don’t realize that when it’s hard to do something and then the easier thing is to say, Steve, can you go get me that or can you do this for me? That neural plasticity is also activated, but in a negative way. ⁓ How does your recovery or your definition of recovery evolve over time? How did it change over time? Debra and Steve (22:57)⁓ How did how you think about recovery change over time? The realizing I had to build realizing I had the of my identity and my life. The same past and writing a book. ⁓ Three, four years ago, four years after my stroke, really, well, ⁓ I am really, I am so committed to doing the best. No. I mean, you know, the first three or four years after Deb’s stroke, it really was all about trying to get back to who she used to be. Therapy, therapy, therapy, therapy, therapy, work hard, we’ll get back to life as we do it. And when Deb said, when she lost tenure and said she wanted to write a book, I thought she was nuts. was like, you know, her speech wasn’t as good then as it is now. you I was at her side when she wrote her first academic book and that was brutal and she didn’t have aphasia. So I was like, I really thought she was nuts. But in hindsight, it really was that process of writing a book that got her to turn her knowledge about identity onto herself. that really changed her view of what recovery meant. She sort of started to let go of recovery means getting back to everything I used to be doing and recovery means how do I rebuild an identity that I can feel good about? May not be the one I’d ideally want, but in the face of my disabilities, how do I rebuild that identity so that I can rebuild a good and purposeful and meaningful life? that really was an evolution for both of us. over the five-year book writing period. I sometimes say it was the longest, cheapest therapy session we could have gotten because it really was that kind of therapeutic journey for us. And really a lot of the 25 people are in the book and the friends and colleagues are in the book, really a lot of the colleagues. Deb was a social scientist and a researcher and she didn’t want to write a memoir. She wanted to write a research book. It has elements of a memoir because her story and our story is threaded throughout. But, you know, we learned so much from the interviews Deb did and and I was not involved in the interviewing process, but having that diversity of stories and understanding some of the things that were very common for stroke survivors and other things that were so different from survivor to survivor helped her, helped us on our journey. So that book writing process had so many benefits. Bill Gasiamis (26:49)Very therapeutic, isn’t it? I went on a similar journey with my book when I wrote it and it was about, again, sharing other people’s stories, a little bit about mine, but sharing what we had in common, know, how did we all kind of work down this path of being able to say later on that stroke was the best thing that happened. Clearly not from a health perspective or from a ⁓ life, ⁓ you know. the risk of life perspective, from a growth perspective, from this ability to be able to ⁓ look at the situation and try and work out like, is there any silver linings? What are the silver linings? And I get a sense that you guys are, your idea of the book was in a similar nature. Do you guys happen to have a copy of the book there? Debra and Steve (27:39)Yes. Of course. Don’t we have it everywhere? Bill Gasiamis (27:42)Yeah, I hope so. Identity theft, yep. I’ve got my copy here somewhere as well. Now, how come I didn’t bring it to the desk? One second, let me bring mine. Yes. There you go, there’s mine as well. I’ve got it here as well. So it’s a really lovely book. ⁓ Hard copy. ⁓ Debra and Steve (27:52)Yeah. You must have the first edition not the second edition. Because we didn’t print the second edition in hard copy so it’s not a white cover can’t tell in the photo. Bill Gasiamis (28:07)okay, that’s why. That is a blue cover. Debra and Steve (28:17)⁓ No, the paper cover on the front. Bill Gasiamis (28:20)The paper cover is a white cover. Debra and Steve (28:22)Yeah. So that’s actually the first edition of the book that came out in 2019. And then the second edition just came out about two months ago. ⁓ And they are largely the same. But the second edition has a new preface that sort of, because we wrote that in 2019 and then had five years of working on Stroke Onward and learning more, we kind of brought our story up to 2020. 2024 and then two chapters at the end, one with some of the insights we’ve learned ⁓ kind of since writing the first book and a final chapter about what we think might need to change in the US healthcare system to better support stroke survivors. So we’ll have to get you a copy of the new one. Yeah. Bill Gasiamis (29:13)Yeah, why not? Signed copy, thank you very much. ⁓ Debra and Steve (29:15)Yeah, and the Julia Wieland. ⁓ It’s available on audiobook as well via, we were fortunate to be able to work with a great narrator named Julia Wieland, who’s an award winning audiobook narrator and actually has a business called Audio Brary that she started to really honor narrators and help promote the narrating of audio. the narrators of audio books. ⁓ well, make sure you send us an email with the right mailing address and we’ll get you new copy. Bill Gasiamis (29:55)Yeah, that’d be lovely. So what I’ll do also is on the show notes, there’ll be all the links for where people can buy the book, right? We won’t need to talk about that. We’ll just ensure that they’re included on the show notes. I love the opening page in the book. ⁓ It’s written, I imagine, I believe that’s Deborah’s writing. Debra and Steve (30:14)⁓ yeah, yeah. yes, we have a signed copy of the first edition. Yeah. Bill Gasiamis (30:20)So it says true recovery is creating a life of meaning. Deborah Meyerson. Yeah, you guys sent me that quite a while ago. By the time we actually connected, so much time had passed. There was a lot of people involved in getting us together. And you know, I’m a stroke survivor too. So things slipped my mind and we began this conversation to try and get together literally, I think about a year earlier. So I love that I have this. this copy and I’m looking forward to the updated one. ⁓ And it’s just great that one of the first things that Deb decided to do was write a book after all the troubles. Now your particular aphasia Deb, I’m wondering is that also, does that make it difficult for you to get words out of your head in your writing as well and typing? Debra and Steve (31:13)Yes, dictation is my dictation. It’s so hard. Speaking and writing isn’t the same. Bill Gasiamis (31:31)Speaking and writing is the same kind of level of difficulty. Understanding Aphasia: A Spectrum of Experiences Debra and Steve (31:35)Yeah, and the ⁓ other survivors in aphasia didn’t, Michael is. Want me to help? Yeah. Yeah, just that, and I think you know that there are so many different ways aphasia manifests itself and word finding is Deb’s challenge and it’s true whether she’s speaking or writing. other people and a guy who rode cross country with us, Michael Obellomiya, he has fluent aphasia. So he speaks very fluently, but sometimes the words that come out aren’t what he means them to be. So the meaning of what he says, even though he says it very fluently, and he also has, I think, some degree of receptive aphasia so that he hears what people are saying, but sometimes the instruction or the detail doesn’t. register for him and so aphasia can be very very different for different people. Bill Gasiamis (32:37)Yeah, there’s definitely a spectrum of aphasia. then sometimes I get to interview people really early on in their journey with aphasia and, ⁓ and speech is extremely difficult. And then later on, if I meet them again, a few years down the track, they have ⁓ an improvement somewhat. ⁓ perhaps there’s still some difficulty there, but they can often improve. ⁓ how much different was the Debra and Steve (33:08)15 years ago? I don’t know speech at all. Bill Gasiamis (33:23)No speech at all. Debra and Steve (33:24)Yeah. So Deb, it took several weeks for her to even be able to create sounds, maybe a month or two before she was sort of repeating words. ⁓ We have a great story of the first time Deb actually produced a word out of her brain. So it wasn’t an answer to a question or a therapy exercise. but we were sitting around a table and a bunch of people who hadn’t had strokes were saying, what’s that? No, my family. Yeah, with your brother. No, our family. Yeah. Danny and… Okay, anyway. We were talking about, what was that movie where the guy trained a pig to… do a dog show and what was the pig’s name and none of us could remember it and Deb just blurted out, babe. And it was like we started screaming and shouting because it was the first time that something that started as an original thought in her head actually got out. And that was like four months after her stroke. ⁓ A year after her stroke, it was really just isolated words. ⁓ She then did a clinical trial with something called melodic intonation, a kind of speech therapy that tries to tap into the other side of the brain, the singing side of the brain. And then I would say, you know, it’s been, mean, Deb’s speech is still getting better. So it’s just marginal improvement ⁓ over time. Bill Gasiamis (35:10)Yeah, Deb, what parts of Professor Deborah Meyerson remain and what’s entirely new now? Debra and Steve (35:19)⁓ The sharing knowledge and trading knowledge is the same. The new is how I do it. More constraints, I need help. really help and I am so bad at asking. Really bad at asking. I have really a lot of phases of classes and Ballroom classes, you know ballroom dancing. Yeah, no In the work we do Deb’s favorite thing to do is to teach so we’ve been invited, you know ⁓ Quite a few speech therapists in the United States are using identity theft as part of the curriculum in their aphasia course in the speech language pathology programs Bill Gasiamis (36:28)So speaker-2 (36:28)I’ll be. Debra and Steve (36:48)⁓ and we’ve been invited to visit and talk in classes. And Deb just loves that because it’s back to sharing knowledge. It’s a different kind of knowledge. It’s not about the work she did before her stroke, but it’s about the work and the life experience since. that is still, Professor Deb is still very much with us. Bill Gasiamis (37:14)Yeah, Professor Deb, fiercely independent, ⁓ doesn’t like to ask for help, ⁓ still prefers to kind of battle on and get things done as much as possible and suffer through the difficulty of that and then eventually ask for help. Do you kind of eventually? Debra and Steve (37:32)Yeah, yeah, you skipped the part about correcting everything her husband says. That’s not quite exactly right. Bill Gasiamis (37:40)Well, that’s part of the course there, Steve. That’s exactly how it’s meant to be. And you should be better at being more accurate with what you have to say. Debra and Steve (37:49)I thought we’d be on the same side on this one. Bill Gasiamis (37:53)Sometimes, sometimes as a host, you know, I have to pick my hero and as a husband, I truly and totally get you. Deb, you describe experiencing cycles of grief. ⁓ What does that actually look like in a day-to-day life now? And I kind of get a sense of what cycles of grief would mean, but I’d love to hear your thoughts, your version of what that means. Debra and Steve (38:22)Every day, hour every day, small ways and big ways. Like one year ago, Well, grandmothers. Can I correct you? It was 16 months ago. I’m going to get her back. Yeah. That’s what she does to me all the time. I am really happy. Make sure you explain. don’t know if they would have caught what it was that made you so happy. Grandmother. Sarah, Danny and Vivian. I know, you don’t have to tell me. Just that we became grandparents for the first time. And Deb was ecstatic. I am so happy and also really frustrated. And I don’t… crawling… no. You want me to help? I mean, you know, it’s sort of the day we got there, the day after the baby was born in New York and Deb was over the moon and the next morning… We were walking back to the hospital and Deb was just spring-loaded to the pissed off position. She was getting mad at me for everything and anything and she was clearly in an unbelievably bad mood. And when I could finally get her to say what was wrong, it was that she had been playing all night and all morning all the ways in which she couldn’t be the grandmother she wanted to be. She couldn’t hold the baby. She couldn’t change a diaper. She couldn’t, you know, spell the kids later on to give them a break by herself because she wouldn’t be able to chase no one is our grandson around. And so she had had really kind of gone into grieving about what she had lost just in the moment when she was experiencing the greatest joy in her life. And that’s an extreme example of a cycle of grief. And but it happens, as Deb was saying, it happens. every hour, maybe three times an hour where you’re doing something that’s good, but then it reminds you of how you used to do that same thing. so, you know, when we talk about and write about cycles of grief, it’s the importance of giving yourself that space to grieve because it’s human. You lost something important and it’s human to let yourself acknowledge that. But then how do you get through that and get back to the good part and not let that grief trap you? And that story from 16 months ago in New York is sort of the, that’s the poster child, but it happens in big ways and small ways every day, 10 times a day. Bill Gasiamis (42:00)Sadness is a thing that happens to people all the time and it’s about knowing how to navigate it. And I think people generally lack the tools to navigate sadness. They lack the tools to ⁓ deal with it, to know what to do with it. But I think there needs to be some kind of information put out there. Like you’re sad. Okay. So what does it mean? What can it mean? What can you do with it? How can you transform it? Is it okay to sit in it? ⁓ What have you guys learned about the need for sadness in healing? Debra and Steve (42:35)grief and sadness is so important and through the really once it’s an hour. The Importance of Sadness in Healing From my perspective, I have learned a ton about sadness because I don’t have a good relationship with sadness. In most cases, it’s a great thing. just, you know, I’m a cup is nine tenths full person all the time and I tend to see the positive and that’s often very good. But it makes it really hard for me to live with other people’s sadness without trying to solve the problem. Bill Gasiamis (43:12)Hmm. Debra and Steve (43:35)And we actually came up with a phrase because sometimes if I get positive when Deb is sad, it just pisses her off. She doesn’t want to be talked out of it. And so we now talk about that dynamic as toxic positivity because, you know, most people think of positivity as such a positive thing. And yet If someone needs to just live in sadness for a little while, positivity can be really toxic. And I think that’s been my greatest learning, maybe growth is sort of understanding that better. I still fall into the trap all the time. devil tell you there are way too many times when, you know, my attempts to cheer her up are not welcomed. but at least I’m aware of it now. ⁓ And a little less likely to go there quite as quickly. Bill Gasiamis (44:38)Hmm. What I, what I noticed when people were coming to see me is that it was about them. They would come to see me about them. It wasn’t about me and what they made them do. What made what their instinct was, was to, if I felt better, they felt better and all they wanted to do was feel better and not be uncomfortable and not be struggling in their own ⁓ mind about what it’s like. to visit Bill who’s unwell. And that was the interesting part. It’s like, no, no, I am feeling unwell. I am going to remain feeling unwell. And your problem with it is your problem with it. You need to deal with how you feel about me feeling unwell. And I appreciate the empathy, the sympathy, the care I do. But actually, when you visit me, it shouldn’t be about you. It shouldn’t be, I’m gonna go and visit Bill. and I hope he’s well because I don’t want to experience him being unwell. It should be about you’re just gonna go visit Bill however you find him, whatever state he’s in, whatever condition he’s in, and therefore ⁓ that I think creates an opportunity for growth and that person needs to consider how they need to grow to adapt to this new relationship that they have with Bill. ⁓ which is based now around Bill’s challenges, Bill’s problems, Bill’s surgery, Bill’s pos- the possibility that Bill won’t be around in a few months or whatever. Do you know what I mean? So it’s like, ⁓ all, all the, ⁓ the well-meaning part of it is well received, but then it’s about everyone has a, has to step up and experience growth in this new relationship that we have. And some people are not willing to do it and then they don’t come at all. They’re the people who I find other most interesting and maybe ⁓ the most follow their instincts better than everybody where they might go, well, I’m going to go and say, Bill, he’s all messed up. ⁓ I don’t know how I’m going to deal with that. can’t cope with that. And rather than going there and being a party pooper or not knowing what to say or saying the wrong thing, maybe I won’t go at all. And they kind of create space. Debra and Steve (46:58)So. Bill Gasiamis (47:01)for your recovery to happen without you having to experience their version of it. Debra and Steve (47:09)Yeah, that’s it. That’s really interesting to hear you talk about it that way. And I would say very generous to hear you talk about it that way, because most of the time when we’ve heard people talk about it’s that because people talk about the fact that because other people don’t know what to say, they don’t say anything or they don’t come. But that then creates an isolation that’s unwanted. You’re talking about it as a, maybe that’s a good thing. They’re giving me space, given their skill or willingness to deal with it. Whereas I think a lot of people feel that when people just disappear because they don’t know what to say, that’s a lack of caring and a lack of engagement. ⁓ interesting to hear your take on it. think there’s a close cousin to this that Deb felt very intensely is that some people in the attempt to be understanding and supportive really took on an air of pity. And that there were some people that that we had to ask not to come if they couldn’t change how they were relating to Deb because it was such a like, ⁓ you poor thing that was incredibly disempowering. Whereas there were other people who had the skill to be empathetic in a supportive way. And so, I mean, in some ways, I think we’ve learned a lot, not that we necessarily do it right all the time, but we’ve learned a lot about how to try to support other people by what has and hasn’t worked in supporting us. Bill Gasiamis (49:20)Yeah, it’s a deeply interesting conversation because people get offended when they need people the most that don’t turn up. And I, and I understand that part of it as well. And then in, in time, ⁓ I was, I was like that at the beginning, but then in time, I kind of realized that, okay, this is actually not about me. It’s about them. They’re the ones struggling with my condition. They don’t know how to be. And maybe it’s okay for them. not to be around me because I wouldn’t be able to deal with their energy anyway. ⁓ yeah. So Deb, what made you turn to advocacy? What made you decide that you’re gonna be an advocate in this space? Finding Purpose Through Advocacy Debra and Steve (50:08)⁓ Feeling purpose and meaning. Survivors? Yes. And caregivers? Yes. Really a lot of risky is really… ⁓ medical, medical. Yeah. I mean, I I, I know what Deb is trying to say, which is, you know, once she got past the life threatening part and kind of on her way and was relatively independent, she was drawn back to saying, I want to live a life that has meaning and purpose. And so how in this new state, can I do that? And Deb, as I’m sure you know by now, doesn’t think small, she thinks big. And so what she’s saying is, yes, I want to help other people, other survivors, other care partners, but really we need a better system. Like I can only help so many people by myself, but if we can actually advocate for a better healthcare system in the United States that treats stroke differently. then maybe we can make a difference for a lot of people. that’s kind of the journey we’re on now. the survivors and caregivers, advocacy is so important to California or even the state. Building the Stroke Onward Foundation Bill Gasiamis (52:05)Yeah, advocacy is very important ⁓ and I love that I Love that you become an advocate and then you find your purpose and your meaning you don’t set out to Find your purpose and your meaning and then think what should I do to find my purpose of my meaning it tends to catch Catch go around the other way. I’m gonna go and help other people and then all of a sudden it’s like, ⁓ this is really meaningful I’m enjoying doing this and raising awareness about that condition that we’ve experienced and the challenges that we are facing. And wow, why don’t we make a change on a as big a scale as possible? Why don’t we try to influence the system to take a different approach because it’s maybe missing something that we see because we’re in a different, we have a different perspective than the people who are providing the healthcare, even though they’ve got a very big kind of, you know, their purpose is to help people as well. their perspective comes from a different angle and lived experience, I think is tremendously important and ⁓ missed and it’s a big missed opportunity if ⁓ lived experience is not part of that defining of how to offer services to people experiencing or recovering a stroke or how to support people after they’ve experienced or recovering from a stroke. ⁓ I love that. So that led you guys to develop the foundation, stroke onward. it a foundation? it a, tell us a little bit about stroke onward. Debra and Steve (53:42)In US jargon, we’d call it a nonprofit. Generally, foundations are entities that have a big endowment and give money away. We wish we had a big endowment, but we don’t. We need to find people who want to support our work and make donations to our nonprofit. And yeah, we now have a small team. ⁓ Deb and I given our age, given that we’re grandparents, we were hoping not to be 24 sevens. So needed people who were good at building nonprofits who were a little earlier in their careers. And we’ve got a small team, a CEO, a program manager and a couple of part-time people ⁓ who are running a bunch of programs. We’re trying to stay focused. We’re trying to build community with stroke survivors, care partners, medical professionals. We’ve got an online community called the Stroke Onward Community Circle that we just launched earlier this year. We’re hosting events, ⁓ some in medical settings that we call Stroke Care Onward to really talk with both ⁓ a diverse group of medical professionals, as well as survivors and care partners about what’s missing in the system and how it can be improved. ⁓ And then a program that we call the Stroke Monologues, which is sort of a a TEDx for stroke survivors where survivors, care partners, medical professionals can really tell their story of the emotional journey in recovery. And we want to use all of that to sort of build a platform to drive system change. That’s kind of what we’re trying to build with Stroke Onward. Bill Gasiamis (55:32)I love that. I love that TEDx component of it. ⁓ People actually get to talk about it and put out stories and content in that way as well. Debra and Steve (55:35)Yeah. ⁓ Yeah. Denver, Pittsburgh, ⁓ Boston, and Oakland and San Francisco. We’ve now done six shows of the stroke monologues and a big part about our work in the coming year. is really trying to think about how that might scale. can we, you know, it’s a very time consuming and therefore expensive to host events all the time. So how we can work with other organizations and leverage the idea ⁓ so that more people can get on stage and tell their story. ⁓ Also how we capture those stories on video and how we can do it virtually. So that’s a big part of what the team is thinking about is, you know, how do we Cause you know, at the end of the day, we can only do as much as we can raise the money to hire the people to do. So, that, that developing a strategy that hopefully can scale and track the resources that it takes to make more impact. That’s kind of job one for 2026. Bill Gasiamis (57:05)Yeah, I love it. Lucky you haven’t got enough jobs. That’s a good job to have though, right? ⁓ So if you were sitting, if you guys were both sitting with a couple just beginning this journey, what would you want them to know? What’s the first thing that you would want them to know? Debra Meyerson – Advice for New Stroke Survivors Debra and Steve (57:12)Yeah. Don’t have a stroke. Bill Gasiamis (57:28)Profound. Debra and Steve (57:29)Yeah. Yeah. I mean, I think, you know, it’s a journey and think of it as a journey and try to get as much as much of your capabilities back as you can. But don’t think of recovery as just that. It’s a much broader journey than that. It’s rebuilding identity. It’s finding ways to adapt. to do the things you love to do, to do the things that bring you meaning and purpose and create that journey for yourself. Nobody else’s journey is gonna be the right model for yours. So give yourself the time, space, learn from others, but learn from what’s in your heart as to the life you wanna build with the cards you’ve been dealt. Bill Gasiamis (58:25)Yeah. What are some of the practices or habits that have helped you guys as a couple, as partners stay connected? Debra and Steve (58:34)⁓ It’s, it’s hard. mean, and we’ve gone through phases, ⁓ where I think, you know, in some ways early on after the stroke, we may have been as close or closer than we’ve ever been. as Deb got better ironically and wanted to do more. Bill Gasiamis (58:39)You Debra and Steve (59:01)that created a different kind of stress for us. ⁓ stress is the key. No, stress is not the beauty. I had so much stress. Yeah. And sometimes I say stress is a function of the gap between aspiration and capability and while Deb’s capabilities keep growing, I think maybe her aspirations grow faster. And the question then says, how do you fill that gap? And so I think Deb struggles with that. And then for me, a big struggle is, so how much do I change my life to support Deb in filling that gap versus the things I might want to do that I still can do? So. You know, when Deb decided to write a book, I really wasn’t willing to give up my other nonprofit career, which was very meaningful to me. And I felt like I was midstream, but we had to find other ways in addition to my help nights and weekends to get Deb help so she could write the book she wanted to write. Whereas when the book came out and we decided to create Stroke Onward, that was a different point in time. And I was sort of willing to. cut back from that career to come build something with Deb. So I think again, we hate to give advice because everybody’s journey is different, but things change and go with that change. Don’t get locked into a view of what the balance in relationship should be. Recognize that that’s gonna be a never ending process of creating and recreating and recreating a balance that works for both of us. Bill Gasiamis (1:01:04)Hmm. What’s interesting. Some of the things that I’ve gone through with my wife is that I’ve kind of understood that she can’t be all things that I needed to be for me. And I can’t be all things that she needs me to be for her. And we need to seek that things where we lack the ability to deal to provide those things for the other person. The other person needs to find a way to accomplish those tasks needs, have those needs met, whatever with in some other way. for example, my whole thing was feeling sad and I needed someone to talk me through it and my wife wasn’t skilled enough to talk me through it, well, it would be necessary for me to seek that support from somebody else, a counselor, a coach, whomever, rather than trying to get blood out of a stone, somebody who doesn’t have the capability to support me in that way. Why would I expect that person to… all of a sudden step up while they’re doing all these other things to get through the difficult time that we were going on to that we’re dealing with. So that was kind of my learning. was like, I can’t expect my wife to be everything I need from her. There’ll be other people who can do that. Who are they? And that’s why the podcast happened because I’ve been talking about this since 2012 and since 2012 and ⁓ well, yeah, that’s 2012 as well. 2012 anyhow. ⁓ I’ve been talking about it since. Debra and Steve (1:02:41)You’re both our roles. You’re saying it and then correcting yourself. Bill Gasiamis (1:02:45)Yeah. Yeah. Yeah. I have a part of me that corrects me as I go along in life. Yeah. Sometimes I don’t listen to it. ⁓ but today was a good one. The thing about it is I have a need, a deep need to talk about it all the time. That’s why I’ve done nearly 400 episodes and those 400 episodes are therapy sessions. Every time I sit down and have a conversation with somebody and I, and even though my wife has a I, ⁓ masters in psychology. I wouldn’t put her through 400 conversations about my stroke every single day or every second day. You know, it’s not fair because it’s not her role. I, ⁓ I talked to her about the things that we can discuss that are important, for the relationship and for how we go about our business as a couple. But then there’s those other things that. she can’t offer her perspective because only stroke survivors know how to do that. And I would never want her to know how to ⁓ relate to me having had a stroke and having the deficits that I have and how it feels to be in my body. I would never want her to be able to relate to me. So ⁓ it’s, that’s kind of how I see, you know, the couple dynamic has to play out. have to just honor the things that each of us can bring to the table and then go elsewhere to ⁓ have our needs met if there’s needs that are left unmet. Debra and Steve (1:04:23)Yeah. Really. Well, it’s good to know that if this is a ⁓ helpful therapy session for you, you won’t mind if we send you a bill. Yeah. Bill Gasiamis (1:04:32)Yeah. Yeah. Send it along with the book. Just put it in the front cover and then, and then I’ll make a payment. ⁓ Well guys, it’s really lovely to meet you in person and have a conversation with you. Have the opportunity to share your mission as well. Raise awareness about the book, raise awareness about stroke onward. I love your work. ⁓ And I wish you all the best with all of your endeavors, personal, professional, not for profit. And yeah, I just love the way that this is another example of how you can respond to stroke as individuals and then also as a couple. Debra and Steve (1:05:18)Yeah, thank you. Well, and we hope you’ll join our online community and that includes the opportunity to do live events. yes. And maybe there are some additional therapy sessions. Yes. On our platform and chat with people and well, all over the place. So yeah, please join us. Bill Gasiamis (1:05:43)That sounds like a plan. Well, that’s a wrap on my conversation with Deborah and Steve. If Deborah’s slow fall off a cliff description resonated with you, leave a comment and tell me what part of your recovery has been the hardest to explain to other people. And if you’re a care partner, I’d love to hear what you needed most early on. You’ll find the links to Deborah and Steve’s work, their book, identity theft and their nonprofit stroke onward in the show notes. And if you’d like to go deeper with me, grab my book, The Unexpected Way That a Stroke Became the Best Thing That Happened via recoveryafterstroke.com/book. Also, you can support the podcast on Patreon by going to patreon.com/recoveryafterstroke. Thank you for being here. And remember, you’re not alone in this journey. Importantly, we present many podcasts designed to give you an insight and understanding into the experiences of other individuals. Opinions and treatment protocols discussed during any podcast are the individual’s own experience, and we do not necessarily share the same opinion, nor do we recommend any treatment protocol discussed. All content on this website and any linked blog, podcast or video material controlled this website or content is created and produced for informational purposes only and is largely based on the personal experience of Bill Gassiamus. Content is intended to complement your medical treatment and support healing. It is not intended to be a substitute for professional medical advice and should not be relied on as health advice. The information is general and may not be suitable for your personal injuries, circumstances or health objectives. Do not use our content as a standalone resource to diagnose, treat, cure or prevent any disease for therapeutic purposes or as a substitute for the advice of a health professional. Never delay seeking advice or disregard the advice of a medical professional, your doctor or your rehabilitator. program based on our content. you have any questions or concerns about your health or medical condition, please seek guidance from a doctor or other medical professional. If you are experiencing a health emergency or think you might be, call 000 if in Australia or your local emergency number immediately for emergency assistance or go to the nearest hospital emergency department. Medical information changes constantly. While we aim to provide current quality information in our content, we do not provide any guarantees and assume no legal liability or responsibility for the accuracy, currency or completeness of the content. If you choose to rely on any information within our content, you do so solely at your own risk. We are careful with links we provide. However, third party links from our website are followed at your own risk and we are not responsible for any information you find there.   The post Debra Meyerson and the “Slow Fall Off a Cliff”: Aphasia After Stroke, Identity, and What Recovery Really Means appeared first on Recovery After Stroke.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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