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A round-up of the main headlines in Sweden on November 18th 2025. You can hear more reports on our homepage www.radiosweden.se, or in the app Sveriges Radio. Producer/presenter: Sujay Dutt
Tom Arkins, Chief of IT and Informatics and Steven Norman a Paramedic with Indianapolis EMS discuss what it took to bring the show to the "Crossroads of America" for EMS World Expo 2025.
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Hey folks, here's a quick episode for your ears this weekend!First off, in the pod, I HAVE to share a quick story about a call I got. All we were told was that it was a guy "who ripped out his trachea." I finally watched Code 3, the new Paramedic movie with Rainn Wilson, and I found it to be incredibly relatable. Listen for my full thoughts there.Of course, I chat more about the calls I've been on, including the fun stuff and the tougher stuff, such as working with pediatric patients and dealing with the emotions that follow those calls. How do you deal with traumatic calls?As always, sit back, let's have fun and let me know your thoughts in the comments!Produced by Master Your MedicsSend us a text
Send us a textChange that lasts doesn't come from a one-time high or another sleepless night patched by a pill. It comes from disciplined, daily work that your brain can actually keep—paired with leadership that people trust when it matters most. Steve sits down with Marine veteran and CEO Tony Crescenzo to unpack how audio-driven brain signals can turn short-term “state” shifts into month-later “trait” changes, especially for first responders who need real restorative sleep, calmer stress responses, and sharp, on-demand focus.Tony explains why many sleep aids trade consciousness for quality, and how targeted signals—played on speakers, no headphones required—help nudge your brain into restorative rhythms you can retain. We talk timing and caution with upregulation tools, creative research that mimics ketamine-like EEG states without the drug, and why a practical 28 to 31 day window is fast when you're aiming for durable change. Therapy isn't sidelined; it's strengthened. Cultural competence, honest fit, and doing the work between sessions matter as much as any technology.Then we move from personal resilience to organizational resilience. Tony draws from the Marine Corps to break down four levels of leadership, from positional authority to field effect, where mission, vision, values, and culture guide action even when you're not in the room. He favors bad news because it's actionable, builds systems that surface hard questions, and sets expectations so clearly that people don't have to guess. Management keeps metrics on track; leadership gives the plan meaning and keeps teams aligned under pressure.If you're a first responder, veteran, or leader trying to build a healthier, higher-performing team, this conversation offers tools you can use today and habits you can keep for the long haul. Subscribe, share this episode with a teammate who needs better sleep or better leadership, and leave a review to help others find the show.How to reach Jonathan:1) https://www.IntelligentWaves.com2) https://www.PeakNeuro.com3) https://www.linkedin.com/in/tonycrescenzo/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
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Justin"Danger"Carroll has an incredible pedigree! Marsoc Marine with Combat Deployments, Contractor, Instructor, Digital Security guy, Paramedic, SAR team member, LEO, Author, and gentlemen about town. In this episode we talk about his latest book, Competent and Dangerous, Master The Skills To Be A Man Among Men. It's the book every young man should read! Available now on Amazon. You can find Justin both here https://www.justindangercarroll.com and here https://swiftsilentdeadly.com You can find this shows sponsor RallyPointISRSolutions here https://www.rallypointisrsolutions.com You can find this shows sponsor Absolute Security and Lock here http://absolutesecurityandlock.com You can find this shows website here https://www.thedistinguishedsavage.com The views, information, and opinions expressed in this podcast are solely those of the host and guest speakers and do not necessarily represent those of any associated organizations, employers, or sponsors. The opinions and views shared do not reflect the positions of our sponsors or their affiliated companies. This podcast is for entertainment and informational purposes only and should not be considered professional advice in any field including but not limited to legal, medical, financial, or technical matters. All content is provided "as is" without warranties of any kind. We make reasonable efforts to ensure accuracy but cannot guarantee that all information presented is correct, complete, or up-to-date. Listeners should verify any critical information independently. Guest opinions belong to them alone. Our interviews with various individuals do not constitute endorsement of their views, products, or services. By listening to this podcast, you agree that we are not responsible for any decisions you make based on the information provided. Please consult with qualified professionals before making important decisions related to your health, finances, or legal matters. This podcast may contain explicit language or mature themes. Listener discretion is advised. © 2025 The Distinguished Savage, Savage Concepts LLC
A Nash Holos Feature Interview with Nick Buderatsky, a patriotic Ukrainian volunteer who was mentored by legendary combat medic Taira and went on to become a civilian paramedic working on Ukraine's front lines, including Avdiivka and Irpin. Despite being injured himself, he helped save countless lives — including in Bucha and Irpin, where he set up a mobile field hospital modeled after a M.A.S.H. unit (Mobile Army Surgical Hospital) following the 2022 massacre.He also is an IT specialist and helped Ukrainian soldiers innovate and improvise when western support lagged. I met Nick back in 2015 when he took me to visit a Donetsk airport Cyborg in a military hospital in Kyiv. (Story here) Originally aired in February, 2024.Disclaimer: References to “M.A.S.H.” are used in a descriptive, non-branded context to denote mobile surgical field hospitals. This podcast is not affiliated with or endorsed by the MAS*H television series or its rights holders. Hosted on Acast. See acast.com/privacy for more information.
Send us a textEver wish you could quiet the story in your head without having to relive it? We sit down with Marine veteran and defense-tech CEO Tony Crescenzo to explore a practical, science-backed way to downshift the nervous system using neuroacoustic entrainment. Tony opens up about the years he spent running hot—rage, hypervigilance, and fractured sleep—and how a targeted audio protocol shifted his sleep from barely restorative to deeply replenishing. The conversation gets real about why so many first responders and veterans avoid talk therapy, and how culturally aware approaches can make all the difference.We break down the sleep architecture behind feeling human again. Slow wave sleep restores the body; REM sleep stabilizes emotion and consolidates memory. Tony shares research showing meaningful gains in both, along with a 9% boost in threat recognition—vital for police, fire, EMS, dispatchers, and military communities where seconds matter. You'll hear how suppressing the prefrontal “rumination engine” while opening the anterior cingulate, parietal, and occipital regions enables somatic processing: the body digests stress so the mind can stand down.Then we zoom out to cognitive resilience—the brain's ability to adapt quickly under pressure. Using EEG-guided and AI-personalized protocols, entrainment builds coherence front-to-back and left-to-right, easing brain fog and improving metabolic efficiency. The result is a steadier baseline, faster recovery after spikes, and sleep that actually repairs. If you've been stuck between white-knuckle coping and sterile clinical answers, this is a credible path you can start at home, including free app tracks for power naps, rumination relief, and sleep support.How to reach Jonathan: 1) https://www.IntelligentWaves.com 2) https://www.PeakNeuro.com3) https://www.linkedin.com/in/tonycrescenzo/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
As a Paramedic, Scott Douglas has seen some sh*t. Been in the middle of mayhem he'll never forget. Seen things that he can't unsee. And while those events, experiences and situations are in the past, the consequences still live in the now. As they do for many people. Maybe you? This instalment of TYP is not a solution or prescription but it is a conversation that's relevant for many and hopefully helpful for some. Enjoy.See omnystudio.com/listener for privacy information.
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The Northumberland County ambulance service celebrated its 10th Survivor's Night recently. It is a chance for patients to The post Paramedic response times affected by delays dropping off patients at hospital, says Ambulance Chief appeared first on Consider This. Related posts: New 911 ambulance dispatch system launching March 26 to provide improved service, says chief New pilot program at Campbellford hospital bridges patient care at home while waiting to meet ongoing needs County responding to American tariffs as a local strategic plan is developed by municipalities, says officials
Welcome back to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we look at three new pieces of research and have a special interview in conjunction with Prostate Cancer UK. First, do antidepressants have physiological side effects? How do they compare to each other, and how does this influence what we prescribe to whom?Second, exercise is a key treatment for knee osteoarthritis, but which type is best? What should we recommend to our patients?Third, how has PSA testing changed over the past two decades? Is there variation in testing in high-risk groups? Discussing this further, we are joined by Dr Bunmi Olajide, a GP with a special interest in cancer, and Kevin Howell, Black Health Equity Engagement manager for Prostate Cancer UK.ResourcesLancet Anti-depressants and physiological side effectsBMJ Knee OA and Best ExercisesNEJM Knee pain and home exercisesBMJ PSA testing trends in EnglandPCUK PSA Consensus statement 2024PCUK Guide for Counselling Patients on the PSA Blood TestPCUK Online Educationwww.nbmedical.com/podcast
Vince speaks with Charbel Daniel, CEO of Northwood, about how leadership, culture and design thinking can reshape continuing care. Charbel shares his unconventional journey from studying physics and working as a paramedic to leading Atlantic Canada's largest not-for-profit in senior care, emphasizing first-principle thinking, empathy and organizational culture as tools for transformation. Together they explore how thoughtful design of buildings, systems, and values can help seniors “add life to their years,” redefine aging in community, and create workplaces where compassion drives performance. Chapters (00:00:00) - CEO of Northwood Homecare(00:01:55) - Inspiring leaders: Paramedic's journey(00:06:46) - Meticulous: The Mental Model(00:08:28) - What's a CEO's Responsibility?(00:14:01) - Northwood Health System's Commitment to the Team(00:16:22) - Does the Continuing Care and Seniors Culture Resonate?(00:21:19) - Northwood Seniors' Care(00:23:26) - Ontario's aging population challenge(00:28:32) - What Do Seniors Want You to Know(00:31:57) - What can we do to support seniors with dementia in the UK?(00:37:06) - Northwood Halifax's dementia care facility(00:43:17) - The Netherlands' dementia-friendly building(00:46:19) - Northwood Care Home's built environment for seniors with dementia(00:49:14) - Blue Dot vs Purple Dot(00:58:11) - The transition from home to long term care(01:03:43) - A Paramedic on the Care of the Resident(01:05:07) - Northwood Health System's Vision for the Future(01:11:19) - Northwood Seniors Care: An Alignment(01:12:45) - A CEO's Talk
Listener discretion is advised. Thank you to Mike Damkot for coming onto the podcast. Check him out on his podcast "EMS On the Mountain."
Paramedic Sam has questioned the reasoning from Ambulance Victoria boss Jordan Emery about the second code orange alert last night.See omnystudio.com/listener for privacy information.
In this episode, we're diving into the journey of Zoe Boswell, a dedicated paramedic, mother, and community volunteer with the Great Western Air Ambulance Charity (GWAAC). Zoe brings over a decade of experience as a road paramedic, all while balancing the demands of family life and volunteering with the GWAAC Heartstarters program.Zoe's story is a powerful example of resilience, progression, and passion within the pre-hospital care world. Her ability to manage complex clinical challenges on scene, train at an advanced level, and still give back to the community through CPR education speaks volumes about her commitment to the profession.In our conversation, we explore her motivations, her aspirations from road to critical care paramedic, the emotional impact of high-acuity cases, and the unique perspective she brings as a parent working on the front line. Whether you're a student paramedic, a seasoned clinician, or just curious about the realities of life on the HEMS pathway, Zoe's insights are both inspiring and deeply grounded in the realities of modern pre-hospital care. Let's dive into this episode with Zoe Boswell.This episode is brought to you by IndieBase.IndieBase is the smart, simple, and budget-friendly Electronic Patient Record (EPR) system designed specifically for the demands of HEMS and pre-hospital care. Whether you're responding solo, working within a flexible team, or managing care across a larger organisation, IndieBase is built to support you. It runs seamlessly on laptops, tablets, or smartphones, and crucially, it operates offline, ensuring you can document care wherever you are, even in the most remote environments. Developed from the proven platform of HEMSbase by Medic One Systems, IndieBase offers a familiar, intuitive interface with the rock-solid reliability clinicians need. It's ready for everything from festival medical cover to high-acuity critical care transfers.Key features include full integration with all major pre-hospital monitors, case review, and clinical governance modules, making it an ideal solution for teams preparing for CQC registration. A patient feedback module also helps drive service improvement and meaningful engagement. For clinicians working across multiple organisations, IndieBase provides a personal logbook that combines your data and links directly with your existing HEMSbase logbook.IndieBase EPR made simple, wherever you are.Find out more at https://indiebase.net/This episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at https://www.pax-bags.com/en/
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Happy Halloween!I thought I would leave y'all a quick episode for the spooky season. I love this holiday, so I figured, why not chat about some spooky calls I have had.Kick back, relax, eat some candy and let me know your Halloween tale-worthy experiences in the comments!Send us a text
While Halloween brings joy in the form of costumes and tricking or treating, it also carries risks like fireworks and bonfires. Sean speaks to Brendan Flynn, Paramedic for 30 years and Chairperson of the National Ambulance Service Representative Association about the risks and advice on Halloween night.
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Former paramedic and has been an ER physician for 7-8 yearsHe pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality We talk about how emergency medicine checks a lot of exciting boxes that we enjoyAdam talks about his burnout symptoms as well as how he course-correctsHe talks about symptoms like lacking as much compassion/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough sleep etcHe has let go, to some degree, of all the “techniques” we learn to combat burnout and refocused on his “why” – he knows his purpose. He was called by God to do this job“Without question, I was called to be in this position by God – it changes everything”Part of the difficulty of the ER is the sheer volume of people we see on a given day, in a lot of ways, we are managing a lot of mental health conditions in that volume – it can be an opportunity and a gift rather than just viewing it as something to get through. Seeing people as human beingsThis perspective can help us avoid cynicism – I've found that assuming good intentions on the part of everyone I encounter during the day goes a long way towards avoiding cynicism and taking better care of patientsWe must intentionally hold on to the victories, the grateful patient, the lifesaving situation When you look for the good, you tend to find itWe talk about setting tone for the rest of the staff in the EDWe talk faith in emergency medicine as Christians, it has everything to do with everything that we do in life and in the job“I would have chosen an easier job with an easier route to get to it if it wasn't for God”“The hope I have in Jesus sustains me”Why do awful things happen to good peopleFree will leads to the world we see and proves that we are not God, yet we are called to His standardThe potential of every human to do self-seeking, evil is why we see some of the horrible things we see, the answer is where do we take these burdensI discuss my view of free will and its ramifications and our mission on earth as Christians“Should only bring patience and kindness and hope to an interaction with another human who is suffering” Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition
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Bienvenido al ECC Podcast, el espacio donde transformamos la ciencia en práctica para salvar más vidas. Hoy hablaremos de un tema que genera debate en la comunidad médica: el uso de dispositivos de compresión torácica mecánica (Mechanical CPR). ¿Son realmente mejores que las compresiones manuales? ¿Cuándo usarlos? Lee el artículo completo en nuestro blog:
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Grieving Out Loud: A Mother Coping with Loss in the Opioid Epidemic
On any given day, paramedics are called into chaos—heart attacks, car crashes, overdoses, and everything in between. For Aaron Westfall, those emergencies too often involve the painful grip of addiction. But instead of only seeing tragedy, he chooses to see the person behind the struggle.That's because Aaron has been there himself. He not only battled his own addiction, but also survived brain cancer—twice—endured abuse, and mourned the devastating loss of the person he loved most as a child. His life has been shaped by pain most of us can hardly imagine.Yet through it all, Aaron has found resilience, purpose, and a way to help others. On this episode of Grieving Out Loud, he shares how he turned unimaginable hardships into hope—and what he wants you to understand about addiction from his perspective as both a paramedic and a survivor.If you enjoyed this episode, you may like the following:Stopping The Sigma: A look at Medications For Opioid Use Disorder (MOUD) or Medication-Assisted Treatment (MAT)A paramedic's harrowing shift from lifesaver to bereaved mother in the fentanyl crisisA Childhood Shaped by Loss, a Life Reclaimed in SobrietySend us a textBehind every number is a story of a life cut short, a family shattered, and a community devastated.They were...daughterssonsmothersfathersfriendswiveshusbandscousinsboyfriendsgirlfriends.They were More Than Just A Number. Support the showConnect with Angela Follow Grieving Out Loud Follow Emily's Hope Read Angela's Blog Subscribe to Grieving Out Loud/Emily's Hope Updates Suggest a Guest For more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Kayli Fitz
A round-up of the main headlines in Sweden on October 22nd 2025. You can hear more reports on our homepage www.radiosweden.se, or in the app Sveriges Radio. Presenter/producer: Kris Boswell
We're revisiting one of the most heartfelt episodes in Medic2Medic history. Originally Episode 70, this “Special Pink Edition” features then Cary Area EMS Division Chief Tammy Patton, who joined me a year after her breast cancer diagnosis. Tammy shares her courageous journey, unwavering optimism, and how the EMS community rallied around her. A moving reminder of resilience, hope, and the bonds that unite us in EMS.https://www.spreaker.com/episode/episode-306-in-honor-of-breast-cancer-awareness--68233242Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.
When a paramedic in Kentucky faced a dying patient and a vial of antivenom, he had to make a split-second decision that could save a life… or end his career.In this episode of The Standard of Care Podcast, hosts Samantha Johnson and Nick Adams unpack one of the most talked-about EMS legal stories of the year: a paramedic who administered a rare antivenom under physician direction, only to find himself facing potential loss of his license.They break down the legal and ethical dilemmas behind the scope of practice, the real-world limits of medical direction, and what administrative law really means for providers in the field. Whether you're an advanced clinician, a medic early in your career, or just starting in EMS, this episode offers insights that can protect your license — and your patients.Listen now wherever you get your podcasts!KEY TAKEAWAYSScope vs. survival: Following the book may not always match the field reality — but understanding the limits of your practice can be the difference between being cleared and being called before the board.Medical direction matters: Acting under direct physician orders may protect you legally, but not always administratively — and that nuance can decide the fate of your license.Administrative law 101: The state board doesn't have discretion to ignore complaints; every case gets investigated. Knowing this process is essential to defending your practice.Culture check: Heroic instincts can lead to dangerous freelancing. True professionalism lies in humility, documentation, and system adherence.Protect your license: When facing an investigation, don't go it alone. Hire an attorney familiar with administrative law. You wouldn't run a resuscitation solo — don't handle your legal defense solo either.SHOWNOTESGivot, D. (2025, October 7). When Doing the Right Thing Breaks the Rules. EMS1. https://www.ems1.com/ems-protocols/when-doing-the-right-thing-breaks-the-rules Hawkins, T. (2025, September 28). Facebook Comment. October 10, 2025, https://www.facebook.com/tiffany.heilmann/posts/this-is-the-best-breakdown-i-have-seen-/10108839286161953/ Abo, B. (2025). Venom / Toxinology. Venom / Toxinology & Wildlife. https://www.abo911.org/venom-toxinology Williams, A. (2025, September 28). Expert Weighs in as Ky.. EMS Team Under Fire for Administering Antivenom. https://www.wkyt.com. https://www.wkyt.com/2025/09/28/expert-weighs-ky-ems-team-under-fire-administrating-anti-venom/
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Send us a textIn this continued collaboration with Milford TV, we explore how burnout rarely makes a scene—it slips in as irritability, isolation, and the quiet urge to shut out the world. This episode is the conclusion of episode 225 and we open the door on how those whispers grow louder inside the fire service and EMS, why “just call this number” isn't care, and what it really takes to protect crews before a bad day becomes a disaster. Our guest, Renea Mansfield, shares honest, lived experience—from losing interest in the kitchen table banter to wrestling with passive suicidal thoughts in the height of COVID—and we walk through the small, specific signals leaders and peers need to catch early.From there, we shift into solutions that actually fit the job. We break down the Frontline Resilience Protocol, a three-pillar framework designed for police and fire: tactical performance tailored to real-world demands, culturally competent mental health support with warm handoffs and follow-up, and leadership development that turns communication into a daily practice. Think job-specific strength and mobility, nervous system regulation you can use in the rig or the hallway, and nutrition choices that work at 2 a.m. Equally important, we get into the human factors—dark humor, stigma, and how trust is built or broken when a captain shrugs off a plea for help.The throughline is simple: follow-up saves lives. When someone finally says “I'm not okay,” the next step must be personal, fast, and predictable. Leaders need scripts and skills, peers need permission to check back in, and departments benefit from trained outsiders who know the culture and aren't tangled in station politics. If you're a chief, union rep, or frontline responder, you'll walk away with practical steps to spot burnout early, respond with care, and build a system that doesn't quit when the shift ends.Her website is waywardwellnesscoaching.org LinkedIn: https://www.linkedin.com/in/waywardwellnesscoaching/ Facebook: https://www.facebook.com/people/Wayward-Wellness-Coaching/61566792351111/ Instagram: https://www.instagram.com/wayward_wellness_coaching/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
Spencer brings a call riddled with stumbles from both the patient and a seasoned Paramedic. Does this field training need some training of their own? Listen and find out!
In this episode, I'm joined by my friend Cody from Louisiana. He's been in EMS since 2016, previously working in tech-related jobs in hospital settings.Cody has done every flavour of job in our business. Hear about his transition into EMS and the valuable tips he gained from his MANY experiences in our field and crazy calls.As usual, get some handy advice and stay for the funny stories from this week's guest and me. Produced by Master Your MedicsSend us a text
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CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric talks with Andrew Azelton, a CoROM MSc student, discussing his journey through the EMS field and the challenges faced in pursuing advanced practice as a paramedic. He highlights the lack of master's programs in the U.S. that focus on clinical experience, contrasting it with the more developed systems in Europe. The discussion explores state regulations, the variability of care across different regions, and potential pathways for paramedics to advance their roles within the healthcare system.They explore the concept of an advanced practice paramedic, comparing EMS systems in the U.S. and Europe, discussing funding challenges, and the potential for creating new pathways for paramedics. It emphasises the need for advanced education and training, as well as the importance of funding in implementing changes in the EMS system. The discussion also touches on the future of paramedic education and offers advice for new medics entering austere medicine.TakeawaysAndrew Aselton is pursuing a master's program in EMS.The U.S. lacks master's programs focused on clinical experience for paramedics.The EMS system in the U.S. is fractured and varies by state.In Europe, paramedics have their own licenses and greater autonomy.State regulations have a significant impact on the practice of paramedics in the U.S.Advanced practice paramedics are emerging in some states, like Kentucky.There is a need for a structured pathway for advanced practice paramedics in the U.S.The conversation highlights the differences in EMS practices between the U.S. and Europe.Waving a magic wand could lead to significant changes in paramedic education.The discussion raises questions about the future of paramedics in advanced roles.An advanced practice paramedic should have field experience and a graduate degree.Hands-on learning and clinical attachments are crucial for paramedic education.The EMS system in the U.S. varies significantly by state and funding.Funding challenges hinder the implementation of advanced practice paramedics in the U.S.EMS is often not considered an essential service, which can impact funding and resources.Data shows that treatment release can save money and reduce hospital admissions.A national support system is needed for advanced practice paramedics.Creating a nurse practitioner pathway for paramedics could be beneficial.Funding disparities exist between tax-based and for-profit EMS systems.New medical professionals should seek appropriate training and be prepared for the challenges of working in austere environments.Chapters00:00 Introduction to Andrew Aselton and His Journey02:37 Challenges and Growth in the Master's Program05:10 The State of EMS Education in the U.S.07:47 Advanced Practice Paramedics: A Path Forward10:41 The Future of EMS and Advanced Practice Opportunities12:00 Designing the Advanced Practice Paramedic14:52 Comparing EMS Systems: U.S. vs Europe18:00 Funding Challenges in EMS21:50 The Role of Advanced Practice Providers24:08 Creating a New Pathway for Paramedics29:59 The Future of Paramedic Education32:59 Advice for New Medics in Austere Medicine
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Send us a textBurnout doesn't just come from the calls—it grows in the silence after, inside a culture that either catches you or drops you. We sit down with Renae, a former firefighter-paramedic who now coaches first responders on burnout recovery and nervous system regulation, to unpack how leadership betrayal, union politics, and the loss of seasoned mentors quietly shape morale, retention, and the quality of care on scene.Renae walks us through two starkly different departments: one with strong traditions, shared meals, and senior firefighters who taught without needing stripes; another that pushed out elders, fast-tracked promotions, and sold “progress” through spoken promises that never made it to paper. The result? Rapid rank with thin experience, confused standards, and burnout that looks like apathy but feels like betrayal. Along the way, we explore why it's easier to part ways in anger than on good terms, how that psychology plays out in unions and leadership, and what happens when EMS integration shifts priorities without protecting mentorship.This conversation is practical at its core. We outline how to rebuild a real firehouse: formalize mentorship roles for elders, protect shared rituals that transmit norms, and require written commitments instead of handshakes. We dig into nervous system skills—breathing, grounding, pacing, boundaries—and explain why they only stick inside supportive systems. If you care about first responder wellness, leadership development, and building resilient teams that last, these lessons are for you.If this resonates, follow the show, share it with your crew, and leave a review so more first responders can find it. And make sure to be back for part 2 in the next episode.You can reach Renae on several platforms to discuss this episode and her program. Her website is waywardwellnesscoaching.org LinkedIn: https://www.linkedin.com/in/waywardwellnesscoaching/ Facebook: https://www.facebook.com/people/Wayward-Wellness-Coaching/61566792351111/ Instagram: https://www.instagram.com/wayward_wellness_coaching/And if you're struggling right now, reach out for professional support—and remember, 988 is available for crisis help in the U.S. and Canada.Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
Everyday we take a breath from the busy work day to hang out get a break and hang out with friends to talk about the world of Sports, Entertainment and Specifically CrossFit. Today we hang out with EMS, Medical and Safety Lead for many of the biggest events in the CrossFit Space.
We're lucky to have a special guest on this podcast episode to discuss a topic that, unfortunately, all of us in emergency care encounter all too frequently: the opiate epidemic. Peter Canning is a paramedic who has lived through the epidemic while working on the ambulance in the New England epicenter. This discussion navigates Peter's progression through newer terminology like stigma and harm reduction in an effort to provide compassionate and best-practice care for our OUD patients. REFERENCES 1. https://www.press.jhu.edu/books/title/12438/killing-season?srsltid=AfmBOopOX3Wpf9blJDuiJbwOCKyNCACoxU2IixIMtLg1N1a-wYTGeEmr 2. https://www.press.jhu.edu/books/title/53796/friends-and-family-guide-opioid-overdose-epidemic
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This is a Grave Talks CLASSIC EPISODE! For Chris Belassone, the line between the living and the dead blurred at an early age. His first paranormal experience came in childhood when he had an unexpected and life-changing encounter with his deceased grandfather — a moment that ignited a lifelong fascination with the supernatural. As the years passed, Chris's curiosity about the paranormal world never faded, but it lacked direction. That changed in the early 2000s, when he returned to his passion for ghost hunting and investigating the unknown. What makes Chris's story extraordinary is how he combined his medical knowledge as a paramedic with his investigations into hauntings. Studying how the human body reacts in the presence of paranormal activity, Chris has uncovered compelling insights into the physical effects of supernatural encounters — discoveries that bridge the gap between science and the unexplained. This is the true ghost story of a boy inspired by a spirit encounter, who grew into a paramedic determined to understand what happens when the living cross paths with the dead. This is Part Two of our conversation. #TrueGhostStory #ParamedicMedium #ParanormalInvestigator #GhostEncounters #RealHaunting #SupernaturalScience #ParanormalResearch #HauntedExperiences #MessagesFromTheDead #LifeAfterDeath #ParanormalStories Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:
This is a Grave Talks CLASSIC EPISODE! For Chris Belassone, the line between the living and the dead blurred at an early age. His first paranormal experience came in childhood when he had an unexpected and life-changing encounter with his deceased grandfather — a moment that ignited a lifelong fascination with the supernatural. As the years passed, Chris's curiosity about the paranormal world never faded, but it lacked direction. That changed in the early 2000s, when he returned to his passion for ghost hunting and investigating the unknown. What makes Chris's story extraordinary is how he combined his medical knowledge as a paramedic with his investigations into hauntings. Studying how the human body reacts in the presence of paranormal activity, Chris has uncovered compelling insights into the physical effects of supernatural encounters — discoveries that bridge the gap between science and the unexplained. This is the true ghost story of a boy inspired by a spirit encounter, who grew into a paramedic determined to understand what happens when the living cross paths with the dead. #TrueGhostStory #ParamedicMedium #ParanormalInvestigator #GhostEncounters #RealHaunting #SupernaturalScience #ParanormalResearch #HauntedExperiences #MessagesFromTheDead #LifeAfterDeath #ParanormalStories Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:
FREEDOM - HEALTH - HAPPINESSThis podcast is highly addictive and seriously good for your health.SUPPORT DOC MALIK To make sure you don't miss any episodes, have access to bonus content, back catalogue, and monthly Live Streams, please subscribe to either:The paid Spotify subscription here: https://creators.spotify.com/pod/show/docmalik/subscribe The paid Substack subscription here: https://docmalik.substack.com/subscribeThank you to all the new subscribers for your lovely messages and reviews! And a big thanks to my existing subscribers for sticking with me and supporting the show! ABOUT THIS CONVERSATION: Harry Fisher is a seasoned paramedic and military veteran whose career spans both Army and Air Force service, beginning in 1997. His firsthand experience on the front lines of emergency care brought him face to face with the challenges of the COVID plandemic, from burnout and mental strain among first responders to the troubling cases of happy hypoxia and the severe consequences of rigid medical protocols.In his book Safe and Effective, For Profit: A Paramedic's Story Exposing American Genocide, Harry pulls back the curtain on what he saw during 2020–2024 lockdowns, hospital policies, mandates, and the roll-out of mRNA “vaccines.” He details chilling accounts of injury, censorship, and institutional pressure, and issues a bold call for transparency, accountability, and grassroots resistance.In both his public work and his writing, Harry emphasises the role of faith, community, resistance, and love in confronting what he perceives as threats to humanity's future.For alot more info see my substack post.Much love, as always.Doc MalikLinksBook https://fishersbook.com/IMPORTANT INFORMATIONCONSULTATION SERVICEIn a world of rushed 7-minute consultations and endless referrals, I offer you something rare: time, context, and clear guidance.As your health advocate, I can help you:Understand your diagnosis and decode medical jargonDecide who to see: GP, specialist, osteopath, physio, accupuntcurist, homeopath etc?Break down treatment plans in plain, easy to understand non jargon EnglishPrepare for surgery, understand your risks, obtain true informed consent, and optimise yourself pre-op Recover from surgery, advise you how to heal faster and quicker and minimise post-op complicationsManage chronic illness with lifestyle, mindset, and dietary changesExplore holistic options that complement conventional careImplement lifestyle changes like fasting, stress reduction, or movementAsk better questions, and get real answersGet an unbiased second opinionReady to Take Control?If you're navigating a health concern, preparing for a big decision, or simply want to feel more confident in your path forward, I'd love to support you.Book here https://docmalik.com/consultations/ Because it's your body, your life, and your future. Let's make sure you're informed and heard.WaterpureI distill all my water for drinking, washing fruit and vegetables, and cooking. If you knew what was in tap water, so would you!https://waterpure.co.uk/docmalik BUY HERE TODAYHunter & Gather FoodsSeed oils are inflammatory, toxic and nasty; eliminate them from your diet immediately. Check out the products from this great companyhttps://hunterandgatherfoods.com/?ref=DOCHG BUY HERE TODAYUse DOCHG to get 10% OFF your purchase with Hunter & Gather Foods.IMPORTANT NOTICEIf you value my podcasts, please support the show so that I can continue to speak up by choosing one or both of the following options - Buy me a coffee If you want to make a one-off donation.Doc Malik Merch Store Check out my amazing freedom merch
Send us a textThe weight of trauma doesn't stay at work—it comes home. For first responders, this reality shapes not just their professional lives but transforms family dynamics, relationships, and personal wellbeing in profound ways that most people never see.In this revealing conversation, therapist Erin Sheridan shares her unique perspective as both a mental health professional specializing in first responder care and someone who understands the lifestyle intimately through personal connection. With candor and occasional profanity that mirrors the authentic language of the emergency services world, Erin and host Steve Bisson cut through the stigma surrounding mental health in these communities.The discussion tackles critical issues that rarely make headlines: the devastating impact of mandated 48-72 hour shifts on family life, the subtle progression from social drinking to problematic coping, and the cultural barriers that keep many first responders from seeking help until crisis points emerge. Erin shares powerful insights about building trust with a population trained to handle everyone else's emergencies while ignoring their own.What makes this episode particularly valuable is the practical framework it offers for both first responders and departments. Rather than simply identifying problems, Erin outlines specific approaches that work: proactive mental health training, peer support systems that normalize help-seeking, and therapeutic approaches like EMDR that can help process trauma when properly applied. She explains how small shifts in departmental culture could prevent the cascading personal crises that lead to the troubling statistics on first responder suicide rates.Whether you're a first responder yourself, love someone who is, or simply want to understand the human cost behind emergency services, this conversation offers rare insight into both the challenges and pathways to resilience for those who run toward danger when others run away.Visit www.beautifullyunbrokencounseling.com to learn more about Erin's work or to connect for support services specifically tailored to first responders and their families.Support the showYouTube Channel For The Podcast
Send us a textWhen a fellow firefighter confessed suicidal thoughts to Adam Neff one night at the firehouse, it changed everything. Despite his decades of experience handling emergencies, Adam found himself unprepared for this particular crisis. That moment became the catalyst for his remarkable transition from assistant chief of operations to licensed professional counselor specializing in first responder mental health.During our conversation, Adam reveals the profound disconnect between traditional therapeutic approaches and the needs of emergency responders. Drawing from his 38 years in the fire service and his clinical training, he illuminates why cultural competency isn't just helpful – it's essential for effective mental health care in this population. His colorful anecdotes highlight how clinicians who can't navigate firehouse humor, understand departmental hierarchies, or recognize the language of the profession will struggle to build trust with these clients.Adam's approach bridges these worlds perfectly. He describes teaching somatic awareness – helping responders recognize when their "check engine light" is signaling emotional distress – in a way that resonates with tactical professionals. His strict confidentiality boundaries protect the vulnerability of clients who may work alongside referral sources, while his fourth-floor perspective training (offered free to departments nationwide) makes mental health concepts accessible to those who've traditionally avoided seeking help.Perhaps most powerfully, Adam challenges the myth that because firefighters work in teams and talk around the kitchen table, they're naturally more connected to their emotions. The reality is more complex – these heroes need therapists who understand when to push, when to use humor, and when to simply sit in the discomfort together. His insight that "unexpressed expectations is premeditated resentment" captures the importance of directness in this work.Whether you're a first responder struggling with your mental health, a clinician wanting to better serve this population, or someone who cares about the wellbeing of our emergency services personnel, this episode provides invaluable perspective on what healing looks like when the rescuer becomes the one in need of rescue.Adam can be reached on his website at www.agoodspacetherapy.comAdam also founded and continues to coordinate the Springfield Area Memorial Stair Climb- http://springfieldmemorialstairclimb.org/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
Send us a textThe weight of caring for others can become unbearable when we forget to care for ourselves. This powerful conversation with Deidre Gestrin, a licensed clinical professional counselor and certified health coach, takes us deep into the reality of burnout among first responders and helping professionals.Deidre shares her profound personal journey through burnout - a harrowing experience that led her doctor to deliver the stark warning: "Your job is killing you." With remarkable candor, she reveals how her dedication to helping others in crisis led to working literally 24/7, developing physical health problems including arthritis in her mid-30s, and ultimately experiencing secondary traumatic stress so severe she couldn't tolerate family members standing behind her.The discussion illuminates the science behind burnout - how chronic stress essentially shuts down our frontal cortex, impairing judgment and decision-making abilities critical for first responders. Steve and Deidre explore why those drawn to helping professions are particularly vulnerable to burnout, and why changing jobs often fails to solve the underlying issues.What makes this episode uniquely valuable is the practical, realistic approach to recovery. Rather than offering platitudes, Deidre provides tangible strategies that work within the constraints of demanding professions. From establishing sleep hygiene routines that function even with irregular schedules to creating small, intentional habits that regulate the nervous system, listeners gain actionable tools for resilience.Perhaps most compelling is Deidre's revelation about recovery timelines - the small shifts at three months, the ability to work again at six months, but the full two years before feeling completely restored. This honest assessment serves as both warning and hope for those navigating their own burnout journeys.Connect with Deidre at abundantwellnessessentials.com to explore personalized strategies for overcoming burnout and reclaiming your purpose and wellbeing. Her Social media presence: https://www.youtube.com/@deidregestrinhttps://www.linkedin.com/in/deidregestrin/https://www.facebook.com/dgestrin/https://www.instagram.com/dgestrin/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
Send us a textSteve Bisson welcomes Bill Dwinnells, a licensed mental health counselor with over 30 years of experience and a background as an EMT, to discuss their joint venture, Gambit Counseling, and its innovative approach to first responder mental health.The conversation explores why traditional mental health services often fall short for first responders. As Dwinnells eloquently explains, "First responders see a very unique slice of American life that the vast majority of people know absolutely nothing about," creating a profound disconnection that many carry with them. This disconnect frequently leads to challenges when seeking support – from therapists who visibly react with shock to their stories, to discomfort speaking openly in peer support settings.Bisson and Dwinnells share their vision for the Fortress program, designed to complement existing crisis intervention systems with preventative wellness visits, resilience training, and a confidential support line. Unlike departmental resources, Gambit operates independently, allowing for truly confidential conversations about workplace challenges. As Dwinnells notes, "We can have very free, frank conversations about stuff and it all remains confidential."The pair challenge common misconceptions about first responder mental health, revealing that trauma comprises less than half of what their clients typically discuss. More common are chronic stress, administrative conflicts, and what Bisson describes as "transference" – when a call triggers personal connections or memories. Throughout the episode, they emphasize that resilience isn't acquired through a single workshop but is "a daily practice" requiring ongoing attention.For departments or individuals seeking support that truly understands first responder culture, Gambit Counseling offers a fresh approach focusing on prevention rather than just reaction. Visit gambitcounseling.com to learn how their services can help build sustainable resilience for those who protect our communities.To reach Bill, go to www.billdwinnells.com/For Gambit Counseling, go to gambitcounseling.com/For more information on FRTRESS, email stevebissonlmhc@gmail.com or bdwinnells@gmail.com. Support the showYouTube Channel For The Podcast