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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. Lots going on in this new episode! Three new pieces of research and an interview with Dr Anna Martinez, consultant paediatric dermatologist at GOSH, talking about a skin fragility condition many of us may not have heard of before - epidermolysis bullosa - in conjunction with DEBRA, the leading charity for EB awareness and research. In research, we look at two papers published this week in finerenone. Does it have a role in CKD management in patients without diabetes, and if so, how good is it?Second, retatruide - the latest injectable weight loss medication making a splash across the headlines - could it be used as monotherapy for recent onset type 2 diabetes?ResourcesNB Medical Epidermolysis bullosa free online educational moduleDEBRANEJM Finerenone for CKDLancet Finerenone MALancet Retatrutide for early T2DMwww.nbmedical.com/podcast
Send us Fan MailYou can build the best peer support team on paper, fund the best wellness initiatives, and still miss the people who are hurting the most. That's where this conversation with Dr. Stacey Raymond goes, and we don't stay polite about it. We talk about why first responder mental health needs to start at the academy level, with a clear warning: the job will expose you to traumatic events, and it will change your sleep, your relationships, and how you see the world. We also get specific about a topic that frustrates a lot of officers and clinicians alike: what “vetted therapist” should actually mean. If you're a clinician who wants to work with police, fire, EMS, or dispatch, cultural competence isn't a buzzword. It's ride-alongs, learning how calls really flow, understanding why police often don't get to process between calls, and recognizing how trust is earned minute by minute. Along the way we highlight the hidden load carried by 911 dispatchers, including relentless exposure to crisis audio, limited movement, and little closure due to HIPAA. Then we zoom out to leadership and risk. Chiefs and supervisors often want certainty about who is “safe,” but human behavior is dynamic and can shift fast with substances, gambling addiction, and life stress. Dr. Raymond shares research using the ACEs questionnaire and adult attachment patterns, showing how certain adverse childhood experiences correlate with avoidant, mistrustful coping, meaning some officers will bypass peer support and refuse therapy even when they know they're struggling. If you care about police wellness, first responder resilience, EMDR-informed trauma treatment, and building a culture where getting help doesn't feel dangerous, hit play. Subscribe, share this with someone in public safety, and leave a review so more people can find the conversation.To reach Stacy, please go to her website: https://www.drstacyraymond.com/Her Instagram is https://www.instagram.com/stacyshrink1414/You can buy her book hereDeemedFit: First Responder OwnedWe are a first responder owned company looking to get first responders in the best mental shape.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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Send us your questions and comments!SCAPE is one of those presentations where the difference between success and failure often comes down to the first few decisions. Patients arrive frightened, hypoxic, diaphoretic, and crashing, while the team must rapidly assess, prioritize, communicate, and intervene.In this episode, we focus on the assessment, clinical decision-making, prioritization, and communication strategies required during the highest-risk moments of care. Rather than simply reviewing the pathophysiology, we'll explore how experienced emergency and critical care nurses recognize patterns, anticipate deterioration, and coordinate care when time is limited and the stakes are high.In This EpisodeRapid assessment of the patient with severe respiratory distressIdentifying the clues that point toward SCAPEPrioritizing interventions when everything feels urgentNon-invasive ventilation: practical considerations for nursesClinical decision-making under pressurePractical clinical pearls from the bedsideCheck out our education programs - www.roschealthcare.comCheckout our education programs at ROSC Healthcare - www.roschealthcare.com
CREEPYPASTA STORIES-►00:00 "My Friends and I Found Something Buried in the Woods When We Were Kids" Creepypasta►01:17:27 "I Kept Finding My Things Moved in the Basement" Creepypasta►01:57:04 "My Dead Mother-in-Law Comes Back Every Night to “Take Care” of Us" Creepypasta►02:42:52 "I'm a New Priest. Every Confession I Heard Tonight Described the Same Presence." Creepypasta►03:12:24 "I'm a Paramedic in Chicago. Some Calls Don't Make It Into Our Reports" CreepypastaCreepypastas are the campfire tales of the internet. Horror stories spread through Reddit r/nosleep, forums and blogs, rather than word of mouth. Whether you believe these scary stories to be true or not is left to your own discretion and imagination. LISTEN TO CREEPYPASTAS ON THE GO-SPOTIFY► https://open.spotify.com/show/7l0iRPd...iTUNES► https://podcasts.apple.com/gb/podcast...SUGGESTED CREEPYPASTA PLAYLISTS-►"Good Places to Start"- • "I wasn't careful enough on the deep web" ... ►"Personal Favourites"- • "I sold my soul for a used dishwasher, and... ►"Written by me"- • "I've been Blind my Whole Life" Creepypasta ►"Long Stories"- • Long Stories FOLLOW ME ON-►Twitter: / creeps_mcpasta ►Instagram: / creepsmcpasta ►Twitch: / creepsmcpasta ►Facebook: / creepsmcpasta CREEPYPASTA MUSIC/ SFX- ►http://bit.ly/Audionic ♪►http://bit.ly/Myuusic ♪►http://bit.ly/incompt ♪►http://bit.ly/EpidemicM ♪This creepypasta is for entertainment purposes only
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(00:00:00) Ep. 16 Female Issues in the Fire Service Part 1 (00:05:40) Discussion on issues with Female bunker gear (PPE), wildland gear, and station uniform standards (00:34:39) Common Female reproductive health issues in the Fire Service. Pregnancy, light duty, return to work, lactation, etc. (00:53:45) Closing Comments Welcome to Episode 16 of the IAFF 7th Distirict Podcast. Thanks for sticking with us, as we continue to roll out our re-launch!Join us for Episdode 16 as Reece and Ricky are joined by several members of the International Association of Fire Fighters Female Health and Safety Committee for an in depth conversation surrounding common issues that Females face is the modern Fire Service.Are you an Executive Board member, Service Representative, or a Local member interested in being infomed? This is a great episode for you to get up to date on the issues our Sisters in this Union experience. We share our show links and agenda ahead of time via IAFF 7th District email. Join the conversation and log on for our next show. A HUGE THANK YOU to Dani Landholm, Skye Downes, Anna Melillo, Corey Condren, and Nicole Fazio from the Female Health and Safety Committee for spending some time with and providing a wealth of knowledge on these issues. Follow the IAFF 7th District today on all major social media outlets. Videocast available on our Meta platforms, and coming soon to Youtube.Find us atFacebook- @IAFF7thDVPInstagram- @iaffmag7Do you have issues you would like to bring to the podcast? Drop us a line on social media today
In this inspiring episode of Out of Zion, ICEJ USA President Dr. Susan Michael talks with Yasmeen Mazzawi, who shares her unique perspective as an Arab Christian living in Israel. Since the age of 15, Yasmeen has dedicated her life to Magen David Adom (MDA), Israel’s national emergency service, where she now serves as a full-time volunteer paramedic. Yasmeen highlights her experience on October 7 as well as how MDA acts as a bridge for peace and a testament to the true spirit of Israeli society.
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Bernie Meehan spent over 40 years on the front lines as both a paramedic and firefighter — responding to emergencies most people never have to witness. In this episode of Locked In with Ian Bick, Bernie opens up about the realities of a career spent in the chaos of life and death situations, the calls that stuck with him long after the sirens stopped, and what four decades in emergency services really does to a person. He breaks down what first responders actually deal with behind the scenes — the adrenaline, the trauma, the toughest moments — and the perspective on life that only comes from spending 40 years running toward danger when everyone else runs away. _____________________________________________ #Paramedic #Firefighter #FirstResponder _____________________________________________ Connect with Bernie Meehan: https://www.facebook.com/bernie.meehan/ _____________________________________________ Hosted, Executive Produced & Edited By Ian Bick: https://www.instagram.com/ian_bick/?hl=en https://ianbick.com/ _____________________________________________ Shop Locked In Merch: http://www.ianbick.com/shop _____________________________________________ Timestamps: 00:00 40 Years as a Paramedic and Firefighter — Bernie's Story 00:20 Growing Up in the Country and How It Shaped Everything 01:08 The Family Influence and the Moment He Knew Fire Service Was His Calling 02:11 His First Steps Into EMS and the Fire Service 02:52 Why He Chose Fire Service Over Everything Else 04:08 The Real Relationship Between Fire Service and Law Enforcement 05:06 What a Career as a Paramedic Actually Looks Like 06:12 Early Paramedic Training and the Manhattan Stories Nobody Forgets 07:18 How EMS Has Changed and Why It's Harder Than Ever 08:21 Paramedic vs Nurse — The Differences Nobody Talks About 09:44 How the Drug Crisis Changed Paramedic Work Forever 11:02 EMS Then vs Now — How the Opioid Epidemic Changed Everything 12:54 The Career Defining Moments That Changed How He Sees the Job 13:57 Why Paramedics and Firefighters Don't Get the Recognition They Deserve 15:07 Urban vs Rural EMS — The Quality Gap Nobody Discusses 17:17 Fire Service in Rural Areas and the Ambulance Access Problem 18:52 What It Takes to Become a Firefighter Today vs Then 20:16 The Training Education and Ongoing Learning Nobody Warns You About 22:23 The Biggest Challenges Facing New Firefighters Today 23:28 The Non Emergency Calls That Take Up More Time Than You Think 25:06 Holiday Hazards and the Thanksgiving Stories He'll Never Forget 27:29 How They Prioritize Calls and the Unusual Emergencies Nobody Expects 29:23 The Moments of Real Danger and What Command Leadership Really Looks Like 31:03 How Experienced Responders Predict Emergency Outcomes 32:13 The Most Common Calls and the Hidden Problem of Hoarding 34:34 Hoarding Obesity and the Unique Rescue Challenges Nobody Talks About 38:33 The Real Causes of House Fires and the Safety Culture That Could Prevent Them 40:31 How Modern Technology Is Changing Firefighting and Response Times 43:33 On the Scene — Incident Priorities and the Animal Rescues Nobody Expects 46:09 Coping With Tragedy — How First Responders Handle the Emotional Toll 51:10 How Mental Health Support for First Responders Has Finally Started to Change 54:28 Why There Is Never a Quiet Day in EMS — The Workload Reality 57:24 How Public Perception of First Responders Has Shifted 59:07 The Teamwork Between First Responders That Saves Lives 01:00:50 The Most Difficult Calls — Crashes and How Auto Technology Is Changing Everything 01:06:37 The Practical Safety Tips That Could Save Your Life in a Car Emergency 01:10:58 Holiday Emergencies — Fireworks Nightclubs and the Calls Nobody Plans For 01:14:50 The Unique Calls From Nightlife and What They Taught Him 01:20:26 How First Responders Are Adjusting to New and Changing Risks 01:26:39 Supporting Mental Health After Tragedy — What Actually Works 01:33:31 What It's Really Like Responding Inside Prisons and Institutions 01:37:37 Fire Safety in Prisons and Large Events — What Nobody Talks About 01:41:11 Mental Health Advocacy and the Long Road to Trauma Recovery 01:49:19 His Advice for New First Responders and How the System Needs to Change 01:51:31 Career Reflections — What 40 Years on the Front Lines Taught Him 01:54:10 Why He Embraced the Chaos and What It Gave Him 01:56:00 Final Thoughts — The Power of Change and What Comes Next _____________________________________________ To advertise on the show, contact sales@advertisecast.com or visit https://advertising.libsyn.com/LockedInWithIanBicka Learn more about your ad choices. Visit podcastchoices.com/adchoices
Anxiety Relief - Guided Meditation for Gratitude, Calm & Appreciating the Small Miracles in Life Somewhere between the noise and the rushing, life is still leaving small miracles in your path. A shaft of morning light. The warmth of a cup in your hands. The simple fact that you are breathing right now. In today's 10-minute guided meditation and clinical hypnotherapy session, we slow down long enough to notice them — and in doing so, we gently loosen anxiety's grip and return to the quiet wonder that was always here. This session uses vagus nerve breathwork, deep guided visualisation and clinical hypnotherapy affirmations to shift your nervous system from anxious striving to open, grateful calm. Because gratitude isn't about pretending everything is fine. It's about finding the one small thing that still is. Hosted by Martin Hewlett — clinical hypnotherapist and former frontline paramedic. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━
In this special roundtable, host Doria Fleisher is joined by three local experts — Janay Tyler, Crisis Response Coordinator for the Charles County Local Behavioral Health Authority; Captain Baker, Commander of Community Services for the Charles County Sheriff's Office; and Caitland Kelshaw, Paramedic and Pediatric Champion with the Department of Emergency Services — to discuss mental health resources and crisis response in Charles County. They cover everything from 911 and 988 services, to crisis intervention training, mobile crisis teams, and community support programs. Whether you're facing a challenge yourself or want to support someone who is, this conversation reminds us that help is available — and none of us has to face it alone.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 CommissionersAnd Stay Connected for all County news, information, and programs by visiting www.CharlesCountyMD.gov/StayConnected
Resident paramedic Sam joined Jacqui Felgate.See omnystudio.com/listener for privacy information.
In pre-hospital care, few diagnoses carry the same urgency as stroke. But not all strokes present the way we expect, and that's where the risk lies. In this episode, we explore the challenge of recognising posterior circulation strokes, using both clinical insight and lived experience. I'm joined by Shane Devlin, a registered paramedic and newly appointed PhD researcher focusing on posterior stroke recognition. His work builds on frontline experience and a growing body of evidence that highlights just how easily these patients can be missed.Alongside Shane, this conversation is grounded in a personal story: my brother, Ronan Walker, who suffered a posterior stroke 4 years ago in his late 30's. His presentation didn't fit the traditional mould. There was no clear FAST-positive picture, just subtle, evolving symptoms that required a different kind of clinical suspicion.This episode sits at the intersection of science and story. We unpack the limitations of current assessment tools, the cognitive challenges clinicians face in the field, and what needs to change to improve recognition. Because in a posterior stroke, the issue often isn't treatment, it's getting patients to treatment in time.Shane has published both case studies and qualitative research on PCS. Both can be found here: Paramedic recognition of posterior circulation stroke: a vignette and focus group studyhttps://pubmed.ncbi.nlm.nih.gov/37674916/Not so FAST: pre-hospital posterior circulation stroke:https://pdfs.semanticscholar.org/06a1/f16d9062708b6f4ff8bb29efb7d9a61b43db.pdfThis 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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Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. More new research to discuss for the world of general practice.First, which antibiotic is actually best for managing uncomplicated UTI - is UK guidance offering the best choice to women?Second, are you using the Kidney Failure Risk Equation in your patients with CKD? New research on how your risk of death may be much more important than your risk of end-stage renal disease.Finally, does empathy work in telephone consultations, and can it improve important hard outcomes such as symptom control?ReferencesLancet Abx for UTIBJGP Kidney Failure Risk Equation, Death and ESRDKidneyfailurerisk.co.ukBJGP Empathy and the telephoneCARE measurewww.nbmedical.com/podcast
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What is cultural distress? It is a negative response rooted in a cultural conflict where the patient lacks control over their situation. It results in more physiologic effects on the body resulting in allostatic overload. To prevent this, healthcare practitioners must use strategies such as cultural humility to help patients navigate healthcare. Come find the best ways to deliver culturally sensitive care in any setting.
The Shop Steward of Ennis Ambulance Base claims morale within the service is at an "all-time low". National Ambulance Service staff are on strike nationwide today, with pickets in place at stations across the country until 8am tomorrow. The industrial action centres on the claim by trade unions that the HSE has failed to implement the recommendations of a 2020 report on updating salary scales to reflect changes in responsibilities and workload within the last 15 years. Paramedic and Shop Steward at Ennis Ambulance Base Finola Croke has been telling Clare FM's Seán Lyons recruitment into the service will become more difficult if conditions aren't improved.
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This is Steve's first episode recorded from Denver. Steve sits down with Pediatric Critical Care Paramedic Jimmy Apple, better known online as EMS Avenger.With more than 22 years in EMS, Jimmy has built a large online following through thoughtful discussions on evidence-based medicine, provider wellness, resuscitation science, EMS culture, and challenging long-standing dogma within the profession. What began on TikTok has grown into a multi-platform community focused on learning, positivity, gratitude, and kindness.Steve and Jimmy discuss pediatric critical care, the role of social media in EMS education, provider health advocacy, and why EMS professionals must continue questioning outdated practices while staying grounded in critical thinking and compassion.Also in this episode, we find out what Jimmy's favorite Marvel movie is and how the EMS Avenger name came about. Our insightful conversation is not to be missed. Subscribe to Medic2Medic wherever you get your podcasts and share this episode with someone passionate about learning, leadership, and pushing EMS forward.https://www.spreaker.com/episode/episode-328-jimmy-apple--71948202
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Are you stuck in a mental loop? If your mind is playing the same worries on repeat, it can feel like a physical emergency. Today, we aren't just trying to "think" our way out of it—we are using science-backed stillness to physically reset your nervous system. In this episode of Calming Anxiety, your host Martin (Clinical Hypnotherapist & former Paramedic) leads you through a powerful vagus nerve reset designed to lower your cognitive load and interrupt the stress response. Through a specialized 4-2-6 breathing rhythm and NSDR (Non-Sleep Deep Rest) techniques, we signal to your brain that the mental loop is no longer a threat. Step out of the noise and back into the present with this 10-minute intervention. Inside This Meditation:The 4-2-6 Breathing Rhythm: A paramedic-tested technique to physically vent the pressure of looping thoughts. Somatic Tension Scan: Identifying and softening muscle bracing in the jaw and forehead to signal safety to the brain. The Blue Sky Visualization: Learning to see looping thoughts as drifting clouds rather than your reality. Cognitive Load Reduction: Shifting from "high alert" into active vagus nerve regulation. Episode Chapters:[00:00] – Immediate Grounding: Breaking the cycle of overthinking. [00:30] – Welcome to Calming Anxiety with Martin. [01:06] – Preparation: Finding your sanctuary and closing your eyes. [01:38] – The Vagus Nerve Reset: 4-2-6 Breathing for a busy mind. [02:37] – Somatic Scan: Releasing physical tension in the jaw and forehead. [04:49] – Visualization: The vast blue sky and drifting clouds. [05:28] – 5 Affirmations for Grounding Mental Fitness. [08:50] – 3 Daily Tips to Keep Overthinking at Bay. [09:56] – Outro and the Anxiety Breaker Course. Today's Affirmations for Mental Fitness:Peace over Panic: I am activating my body's natural off-switch and choosing peace over the mental loop. Releasing Weight: I am releasing the chemical weight of overthinking and returning to my center. Internal Silence: I am disconnecting from the external noise to reconnect with my internal silence. The Steady Anchor: I am observing my thoughts without becoming them; I am the steady anchor in the storm. Control of Focus: My nervous system is safe, my mind is quiet, and I am in control of my focus. 3 Daily Tips for Immediate Calm:The 5-Minute Brain Dump: If a thought is looping, write it down. Physically moving it to paper signals to your brain that the information is safe and doesn't need to be replayed. The Temperature Shift: If the loop feels overwhelming, splash cold water on your face to trigger the mammalian dive reflex and drop your heart rate instantly. The Compassionate Pause: When you catch yourself looping, take three long "paramedic sighs" to reset your logic center before moving on. A Heartfelt RequestIf this session helped you find your center today, please share it with one person who is struggling with a busy mind; your share could be the reset they need. Your reviews on Apple Podcasts and Spotify help this sanctuary reach those around the world who need it most. For more support and my full Anxiety Breaker Course, visit calminganxiety.fm. Smile often, think positively, and to your beautiful soul... be kind.
Are you spiraling right now? If your mind is racing and your heart is pounding, this 10-minute session is your emergency exit from overwhelm.In this episode of Calming Anxiety, your guide Martin—a Clinical Hypnotherapist and former Paramedic—leads you through a high-impact nervous system reset. We move beyond just "thinking" about calm and instead use proven Vagus Nerve regulation and NSDR (Non-Sleep Deep Rest) techniques to physically signal to your brain's amygdala that the emergency is over.Stop reacting to the chaos and start reclaiming your center with practical, science-backed stillness.Inside This Emergency Reset:The Paramedic's 4-2-6 Breath: A specific rhythm to trigger an immediate shift from "fight or flight" to "rest and digest".Somatic Release: Identifying and dropping physical bracing in the jaw and shoulders to lower your cognitive load.Subconscious Anchoring: Five unique affirmations designed to extinguish the fire of overwhelm using cooling visualization.The Mammalian Dive Reflex: A biological hack to drop your heart rate instantly during a panic spiral.Episode Chapters:[00:00] – The "Stop" Technique: Immediate grounding.[01:03] – Emergency Reset: Signaling the Amygdala.[01:35] – The 4-2-6 Breathing Practice: Physically lowering your heart rate.[02:40] – Scanning for Bracing: Releasing the muscle fibers.[04:41] – The Shoreline Visualization: Becoming the solid ground.[05:30] – 5 Somatic Affirmations for Mental Fitness.[08:48] – 3 Daily Caring Tips for Immediate Calm.[09:56] – Reawakening and Outro.Today's 5 Somatic Affirmations:Peace Over Panic: I am activating my body's natural off-switch and choosing peace over panic.Chemical Balance: I am releasing the chemical weight of the day and returning to a state of balance.Internal Connection: I am disconnecting from external noise to reconnect with my internal calm.Steady Observation: I am observing my thoughts without becoming them; I am the steady anchor in the storm.Nervous System Safety: My nervous system is safe, my mind is quiet, and I am exactly where I need to be.3 Daily Caring Tips for a Calmer Life:The Temperature Shock: Splash ice-cold water on your face to trigger the mammalian dive reflex and drop your heart rate instantly.5-4-3-2-1 Grounding: Name 5 things you see, 4 you can touch, 3 you hear, 2 you smell, and 1 you can taste to bring your brain back to the "now".The Compassionate Pause: Before responding to any stressor, take three "paramedic sighs"—long, audible exhales—to reset your logic center.A Heartfelt RequestIf this session helped you find your center today, please share it with one person who might be struggling; you never know who needs an emergency reset. Your reviews on Apple Podcasts and Spotify are the lifeblood of this sanctuary, helping us reach even more beautiful souls in need of peace.For a deeper dive into reclaiming your focus and life, visit calminganxiety.fm for the full Anxiety Breaker Course.Smile often, think positively, and to your beautiful soul... be kind.
Dr. Brandon Morshedi, a paramedic turned emergency physician and EMS medical director, joins Eric Chase to map a practical path toward EMS 3.0. He explains his driving “why”: improving the systems of care he and his family rely on. The conversation ranges from training paramedics as clinicians and the realistic role of degrees, to on call decision making—when to contact your medical director versus a receiving hospital. Dr. Morshedi outlines priority research areas (resuscitation science, prehospital transfusion, and low acuity treatment in place), federal traction for alternative reimbursement models, and a ten-year horizon for the paramedic practitioner credential. Quick favor: take our 3-minute (anonymous) listener survey to help shape what we cover next: https://sprw.io/stt-lfjMN
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Send us Fan MailOne call can change the way you breathe, drive, sleep, and even trust your own judgment. I sit down with paramedic Emma Irwin to talk through a suicide scene that hit hard, the moment she cried on scene, and the quiet belief that too many first responders carry: “I should be able to handle this.” We name what that pressure does to police, fire, EMS, dispatchers, and paramedics when trauma exposure finally breaks through the professional mask. Emma walks me through what happened after the call, including delayed PTSD symptoms that showed up weeks later: rising anxiety at work, a medication error that signaled something was seriously off, panic attacks leaving the house, and relentless intrusive images. We get specific about the difference between suicidal intent and intrusive trauma thoughts, and why honesty is the fastest path to real help. We also talk about debriefing, why going straight from a traumatic job to the next call can make things worse, and how workplace culture can either protect people or push them into silence. We spend time on practical coping mechanisms that don't cause more damage, especially peer support, self awareness, and the power of someone simply asking, “Are you OK?” Emma shares how EMDR therapy helped her process the scene, regain a sense of control, and ultimately rethink her career in a way that protects her mental health. We also address an uncomfortable but real part of EMS life: sexual harassment in the service, why “everyone knew” is not an excuse, and how reporting can change a station for the better. If you care about first responder mental health, paramedic PTSD, suicide prevention, and building teams where people can speak up early, this conversation is for you. Subscribe, share this with a teammate, and leave a review so more responders can find it when they need it most.Support the showYouTube Channel For The Podcast
Paramedic students don't just practice clinical skills during their clinical rotations—they are often present for emotionally intense, high-stakes moments in patient care. This journal club explores a qualitative study examining how students experience and make sense of these events, their emotional responses, and the ways they cope. Join us to reflect on what this means for EMS education and student support. Article: Student post-traumatic stress after clinical placement
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In this special birthday edition, Martin Hewlett—Clinical Hypnotherapist and former Paramedic—reflects on the "Mental First Aid" stories that have made Calming Anxiety the #1 trending indie podcast for anxiety relief.Whether you are navigating a panic attack at 2:00 AM or seeking a long-term nervous system reset, this session provides the clinical authority and empathetic grounding you need to reclaim your peace. Join Martin as he celebrates another year of life by sharing a powerful meditation designed to turn your inner light into a beacon of hope for others.Episode Timestamps & Chapters:[0:00] Cold Intro: Immediate grounding and safety signaling.[1:00] Clinical Mission: Martin's background as a Paramedic and Hypnotherapist.[2:00] A Birthday Reflection: Celebrating the community and our #1 Goodpods Ranking.[4:00] The 4-4-8 Breathing Technique: A physiological reset for your nervous system.[5:30] Gratitude Affirmations: Reprogramming your mind for love and resilience.[8:15] 3 Daily Caring Tips: Practical steps for a happier, more connected life.[9:15] Heartfelt Thanks & Closing: A personal message on self-worth and service.Today's Affirmations for Inner Peace:I am a source of light and calm for myself and others.My peace is a gift that I share freely with the world.I am a beacon of hope, standing strong in the wind.I radiate love, and in doing so, I lift those around me.3 Daily Caring Tips for May 1st:Reflect on a Win: Acknowledge your own value by remembering a time you helped someone.Be the Light: Offer a genuine compliment today; watch how it lifts the collective energy.Celebrate Your Journey: Whether it's your birthday or just a Tuesday, acknowledge how far you've come.Join the Community & Support the Mission:Share the Peace: The best birthday gift you can give is to share this episode with one person who is struggling today. Let's grow this "Mental First Aid Kit" together.Deepen Your Practice: Access the Anxiety Breaker Course and exclusive clinical resources at calminganxiety.fm.Stay Connected: Thank you for being the "Psychological Air" that keeps this show alive.
Brian Collins is a Paramedic with nearly 30 experience in EMS, an EMS Training Coordinator, Rescue and Tactical Medic, and memeber of the South Carolina Human Trafficking Task Force. In this episode we get in to some heavy facts about Human Trafficking and some things First Responders and regular people can look for and how they can help. Though it's a heavy subject this is a fascinating conversation! Below are some of the links Brian mentions. National Human Trafficking Hotline 888-373-7888 Primum Non Nocere Foundation https://www.pnnf.net The Pierce Foundation https://www.pierceprovisions.com/piercefoundation Brian Collins https://www.facebook.com/search/top/?q=Brian%20Collins You can find our sponsor RallyPointISRSolutions here https://www.rallypointisrsolutions.com You can find our sponsor Absolute Security and Lock here http://absolutesecurityandlock.com You can Greenville Combatives Acad here https://greenvillecombatives.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
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Send us Fan MailA lot of people assume first responder stress is mostly about what you see on calls. Emma Irwin, a UK paramedic who worked both London and Kent, helps us name the other half of the story: the system you work inside. We compare how ambulance “trusts” operate, what shifts when call volume spikes, how response targets change the feel of a day, and why a 30-minute transport can be a big deal when it reshapes decisions about hospitals versus community care. If you care about EMS leadership, paramedic wellness, or first responder mental health, these details are the difference between surviving a career and being quietly worn down by it. We also get honest about mental health services and the messy middle between “help exists” and “help works.” We talk NHS talking therapies, long waiting lists, and why people sometimes miss appointments or struggle to engage even when support is offered. From there we move into therapy fit, trust, and what happens when your options are limited, whether you live in a rural area in the US or a crowded city with overwhelmed providers. The conversation turns deeply personal as Emma explains how cumulative exposure builds over time, especially for clinicians who began during COVID, and how one unexpected call can flip the switch into PTSD. We don't treat trauma like a headline. We treat it like a real nervous-system response that deserves real follow-up care, not just emergency crisis intervention and a quick return to duty. Subscribe, share this with a first responder who needs it, and leave a review so more police, fire, EMS, and dispatch listeners can find these conversations.DeemedFit: First Responder OwnedWe are a first responder owned company looking to get first responders in the best mental shape.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
Are you searching for anxiety relief that actually works? In this episode of Calming Anxiety, former Paramedic and Clinical Hypnotherapist Martin Hewlett helps you navigate the noise and find your center through guided meditation, affirmations, and the science-backed physiological sigh. When you are mid-crisis, you don't need a grand rescue—you need to recognize the small miracles already surrounding you. This session is specifically designed to help you manage panic attacks, lower cortisol levels, and improve sleep quality by retraining your brain to focus on "glimmers"—those tiny moments of pure quiet and joy. Whether you're dealing with generalized anxiety, work stress, or insomnia, Martin's clinical approach provides the somatic tools needed to settle your nervous system and reclaim your peace. Inside This Episode:00:00 - 01:25: Cold Intro: Why we seek small miracles for lasting peace. 01:25 - 02:00: Channel Intro: Meet Martin Hewlett, Clinical Hypnotherapist and former Paramedic. 02:00 - 05:00: The Physiological Sigh: The most effective way to offload carbon dioxide and signal safety to the brain. 05:00 - 09:00: Visualization & Affirmations: Deep relaxation and positive internal repetition for anxiety relief. 09:00 - 10:00: 3 Daily Caring Tips: Actionable steps for a happier, more mindful life. 10:00: Outro & Listener Call to Action. Today's Affirmations for Internal Repetition:"I appreciate the small miracles that anchor me to the present." "I am a magnet for glimmers—those tiny moments of pure quiet and joy." "My happiness is not a destination; it is found in the simple beauty of being." "I release the need for big wins and embrace the peace of small wonders." "Every breath I take is a step towards profound anxiety relief and inner light." 3 Daily Caring Tips for a Happier Life:The Glimmer Hunt: Challenge yourself to find three "glimmers" today—a bird's song, the texture of your cup, or a stranger's smile. The Slow Down Check: Twice today, physically slow your walking or speaking by 10% to let happiness catch up with you. The Morning Intention: Before checking your phone, say: "I am open to the small miracles of today." Take the Next Step in Your RecoveryReady to truly rewire your response to stress? Join the Anxiety Circuit Breaker Course. You'll receive five exclusive guided hypnotherapy tracks designed to break the cycle of panic for only $67. Start today at: Be kind to yourself.
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In this episode of the Medic2Medic Podcast, Steve sits down with Dr. Melody Glenn, a practicing physician who is triple board-certified in EMS, Addiction Medicine, and Emergency Medicine. Dr. Glenn serves as an Associate Professor at the University of Arizona, medical director for several rural fire departments along the U.S.–Mexico border, and Associate Program Director of an addiction medicine fellowship. Dr. Glenn is the author of Mother of Methadone, which highlights the groundbreaking work of Dr. Marie Nyswander and the history of methadone treatment.The conversation explores the intersection of EMS, emergency medicine, and substance use treatment, with a candid discussion about provider burnout, bias in healthcare, and the stigma that continues to surround addiction and those seeking treatment.Steve and Dr. Glenn also discuss her book. They examine how misinformation, fear, and policy failures have shaped the opioid crisis and what healthcare professionals can do differently moving forward. This episode is an honest and thoughtful look at compassion, accountability, and the role EMS can play in treating addiction as a medical condition.Subscribe to Medic2Medic wherever you get your podcasts and share this episode with someone who values honest conversations and better patient care.https://www.spreaker.com/episode/episode-326-dr-melody-glenn--71634995
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TODAY IS AWESOME! For the first time ever, neither of us are in the hotseat! Instead, the crew from The RideAlong EMT School Podcast join us in an epic collab event! How does a pair of newly minted EMT's and an experienced Paramedic do against the madness that besets them? And no, we don't go easy on them...
On today's Zero Limits Podcast host Matty Morris chats with Australian Army, Private Security Contractor, South Australian Ambulance Service and author Joining the Army at 17 years of age, Daniel later serves as a Forward Scout on Australia's first military deployment to East Timor. Returning, restless, he undertakes officer training and serves again in East Timor as an Infantry Platoon Commander. However, his service in the Army leaves hidden scars and he leaves in search of life's great meaning. He serves in federal law enforcement but the adrenaline spiking allure of war leads him to Afghanistan. Here he works as a Security Contractor dodging death and tempting fate alongside American and Australian forces in Australia's longest war. Seeking redemption and healing from his past experiences, Daniel studies to be a Paramedic. He joins the Ambulance Service where he gains and shares a unique insight into life, death, grief and loss.Send us a text however note we cannot reply through these means. Please message the instagram or email if you are wanting a response. Support the showWebsite - www.zerolimitspodcast.comInstagram - https://www.instagram.com/zero.limits.podcast/?hl=enHost - Matty Morris www.instagram.com/matty.m.morrisSponsorsInstagram - @gatorzaustraliawww.gatorzaustralia.com15% Discount Code - ZERO15(former/current military & first responders 20% discount to order please email orders@gatorzaustralia.com.auInstagram - @3zeroscoffee3 Zeros Coffee - www.3zeroscoffee.com.au10% Discount Code - 3ZLimitsInstagram - @getsome_auGetSome Jocko Fuel - www.getsome.com.au10% Discount Code - ZEROLIMITS
f your heart is racing, your chest feels tight, or you feel like you're losing control—stop. You are safe. This episode is your "emergency stop" button, designed and led by a former paramedic with 25 years of experience on the front lines of medical emergencies.In this session, we don't just "relax"; we use biological "manual overrides" to signal to your brain that the fire is out. You'll learn the medical reality behind your symptoms—like why your fingers tingle—to move your mind from a state of emotional panic back into logical control.Episode Chapters0:00 – The Paramedic's Reassurance: A direct message of safety from Martin.1:00 – The Emergency Stop: Guided breathing to offload $CO_2$ and reset your blood pH.4:30 – The Science of the "Tingles": Understanding Respiratory Alkalosis and why your body isn't broken.5:45 – Mindful Release: Dropping the physical weight of anxiety from your jaw and shoulders.6:20 – Affirmations for Power: Reprogramming the inner narrative.8:30 – 3 Tips to Quench the Knot: Immediate actions for future moments of rising heat.9:40 – Mastering the Mind: How to go beyond the "quick fix".The AffirmationsRepeat these internally to reclaim your ownership of this moment:"My body is a masterpiece of survival, and right now, it's returning to peace." "I am the observer of these sensations, not a victim of them." "I have survived every panic attack before this, and I am already through this one." 3 Pro-Active Tips to Stop Panic EarlyWhen you first feel that knot in your stomach, use these paramedic-approved techniques:The Cold Water Shock: Splash your face with ice-cold water or hold an ice cube to trigger the mammalian dive reflex and instantly slow your heart rate.Name the Beast: Say out loud, "This is an adrenaline spike, not a heart attack." Labeling it moves brain activity from the emotional center to the logical one.The 5-Second Out-Breath: Blow all your air out for five seconds. This forces your body to take a deep, corrective inhale, triggering an automatic reset.A Note from MartinI've been where you are—I've had horrendous panic attacks in my past. It was through my work as a paramedic that I discovered how to coach the body back to calm. You are doing better than you think.If this session helped you breathe again, please share it with one person who needs to hear a reassuring voice today. For more daily support, subscribe to Calming Anxiety and explore our archive of over 2,300 sessions.Ready to break the cycle for good? Come and find me at calminganxiety.fm to enroll in the Anxiety Circuit Breaker Course and let's master your mind together.Smile often, spread positivity, and above all else—be kind.
CREEPYPASTA STORY►by Pieryl: / pieryl Creepypastas are the campfire tales of the internet. Horror stories spread through Reddit r/nosleep, forums and blogs, rather than word of mouth. Whether you believe these scary stories to be true or not is left to your own discretion and imagination. LISTEN TO CREEPYPASTAS ON THE GO-SPOTIFY► https://open.spotify.com/show/7l0iRPd...iTUNES► https://podcasts.apple.com/gb/podcast...SUGGESTED CREEPYPASTA PLAYLISTS-►"Good Places to Start"- • "I wasn't careful enough on the deep web" ... ►"Personal Favourites"- • "I sold my soul for a used dishwasher, and... ►"Written by me"- • "I've been Blind my Whole Life" Creepypasta ►"Long Stories"- • Long Stories FOLLOW ME ON-►Twitter: / creeps_mcpasta ►Instagram: / creepsmcpasta ►Twitch: / creepsmcpasta ►Facebook: / creepsmcpasta CREEPYPASTA MUSIC/ SFX- ►http://bit.ly/Audionic ♪►http://bit.ly/Myuusic ♪►http://bit.ly/incompt ♪►http://bit.ly/EpidemicM ♪This creepypasta is for entertainment purposes only
Damaged: A First Responder’s Experiences Handling Post-Traumatic Stress Disorder by James Meuer https://www.amazon.com/Damaged-Responders-Experiences-Handling-Post-Traumatic/dp/1449799558 One man’s journey as a first responder suffering from post traumatic stress disorder. He takes you through real emergency calls; some are graphic and have scarred his heart forever and so has PTSD. He was a hero in the eyes of most, and yet PTSD tried to take that away from him. He’s haunted by what he has seen and by the dreams that follow. The dreams are wicked and prevent him from sleep. Daytime does not ward off the attacks; even small things like a door slam send him into hyper-vigilance. He will lose everything before he will find his way. About the author James Meuer was born at Travis AFB California into a military family. He spent his early years in Texas before returning to California. He initially pursued an education to be a doctor becoming a paramedic and firefighter instead. After his sixteen-year career in California he moved to Texas and continued working as a Paramedic. He also served as a Paramedic in Riyadh, Saudi Arabia. He returned to continue his career in Texas. Shortly after his return, the spinal fractures he suffered years earlier took its toll and being diagnosed with PTSD, he reluctantly retired. His story titled DAMAGED-a first responder’s experiences handling post traumatic stress disorder, is now available. James can be contacted at damagedthebook@outlook.com “My faith simply wraps itself around everything I write and I consider it my mission to encourage First Responders’ with PTSD.”
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – A veteran paramedic recounts alarming patterns seen on emergency calls since 2021, describing sudden cardiac events in younger patients and raising concerns about medical protocols, censorship, and institutional trust while continuing to serve on the front lines and speak openly about his experiences...
The Nurses Report on America Out Loud with Gail Macrae, BSN, RN – A veteran paramedic recounts alarming patterns seen on emergency calls since 2021, describing sudden cardiac events in younger patients and raising concerns about medical protocols, censorship, and institutional trust while continuing to serve on the front lines and speak openly about his experiences...
If you're searching for panic attack help, wondering what to do in a panic attack, or you've typed "I'm having a panic attack" into your phone — you're in exactly the right place. This episode was made for this moment. Your body has fired an alarm. A loud, convincing alarm. And as a clinical hypnotherapist and former frontline paramedic, I can tell you with complete certainty: the alarm is wrong. You are safe. In the next 10 minutes, we're going to prove that to your nervous system — together. This is your panic attack meditation for overwhelming anxiety relief. Whether you're dealing with a racing heart anxiety response, can't catch your breath, or feel the familiar wave of an anxiety peak rising — this session will walk you through it, step by step, using clinical breathwork, guided visualisation, and hypnotherapy-based affirmations grounded in real emergency medicine. Can't breathe anxiety is one of the most frightening sensations there is. But what you feel is adrenaline — and adrenaline has a half-life of two to three minutes. You don't need to fight it. You just need to outlast it. And you already are. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━⏱️ CHAPTER MARKERS00:00 — The alarm is wrong — you are safe 00:27 — Welcome from Martin | Clinical Hypnotherapist & Former Paramedic 00:56 — Finding your quiet space 01:10 — Vagus nerve breathwork — 4-2-6 method to stop the spiral 02:17 — Why the longer exhale works | The clinical truth about adrenaline 02:47 — Paramedic perspective — what panic attack really is 04:02 — Safe place visualisation — grounding your nervous system 05:20 — Affirmations — first pass 06:27 — Bridge — deepening the calm 06:42 — Affirmations — second pass 07:52 — Returning to your centre 08:11 — Your 3 Daily Caring Tips for when anxiety peaks 09:43 — Waking up gently | Closing ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━✨ TODAY'S AFFIRMATIONSRepeat these quietly in your mind — twice through, deeper each time:
Is it only 1:00 PM and your brain already feels like a browser with thirty-seven tabs open? You aren't lazy; you are experiencing decision fatigue—a physical state of nervous system exhaustion.In Part 2 of our Three-Part Resilience Series, Martin (Clinical Hypnotherapist and former Paramedic) guides you through a rapid midday intervention to halt functional freeze and restore your executive function. This episode utilizes the "Gold Standard" of breathwork and somatic tracking to help you stay within your window of tolerance during the most demanding part of your day.
Do you wake up with an immediate weight in your chest or a sense of dread before your feet even hit the floor?. You are experiencing anticipatory anxiety—your mind's attempt to live in a future that hasn't happened yet.In Part 1 of our Three-Part Resilience Series, Martin (Clinical Hypnotherapist and former Paramedic) guides you through a rapid nervous system reset to reclaim your morning from cortisol spikes and morning dread. Using evidence-based somatic breathwork and neuro-linguistic affirmations, this episode is designed to move you from a state of high-alert panic to grounded, resilient peace.
Send a textYou can do everything “right” on the job and still end up quietly falling apart at home. Part two with Nikki Mason gets real about what first responder mental health support actually needs to look like when the stakes are high and the window for help is small.We start with the hard conversation many departments avoid: how to get chiefs and administrators to back real treatment instead of rushing someone back after a few required days off. Nikki explains why a first responder agreeing to care is a rare moment worth protecting, and we talk about how the leadership case can be framed in human terms and in dollars and cents, including the true cost of losing a trained police officer, firefighter, paramedic, dispatcher, or correctional professional.Then we break down what a voluntary first responder treatment program can look like at Granite Recovery Centers' Rally Point program in New Hampshire: no locked doors, a supportive environment, daily groups, individual therapy, case management, medical support when needed, and recovery options that respect personal choice. We also dig into Granite's Enjoy Life campaign and why rebuilding connection, fun, and community is not fluff but a relapse prevention tool. If you have ever wondered whether “connection” is the missing piece for PTSD, depression, anxiety, or substance use recovery, this conversation gives you language and a path forward.To find Nikki Mason, please visit Granite Recovery Centers - Rally Point Program: Detox, residential, PHP/IOP with lodging up in scenic New Hampshire, all in network with insuranceAlso visit Open Sky - Crisis Intervention Training: 40 hour certificate training for law enforcement & first respondersIf this helped, subscribe, share it with someone on your shift, and leave a review so more first responders can find the support they deserve.DeemedFit: First Responder OwnedWe are a first responder owned company looking to get first responders in the best mental shape.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