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Send us a textEver been told to “suck it up” after a call that split your world in two? We challenge that script with a grounded, respectful look at how first responders can access care that actually helps. Steve sits down with licensed clinician and podcaster Susan Roggendorf for a candid, unfiltered conversation about culture, stigma, and practical support for police, fire, EMS, dispatch, ER, ICU, NICU, and corrections.We unpack why the tired question “What's the worst thing you've seen?” is not only unhelpful but harmful—and what clinicians should ask instead. Susan shares her background serving LGBTQ clients and first responders, detailing how role-specific stressors shape symptoms: from dispatchers carrying incomplete stories and auditory flashbacks, to EMS haunted by pediatric calls, to ER staff absorbing wave after wave of crisis without pause. Together, we outline a trauma-informed approach that centers consent, pacing, and control, building skills that fit real shifts: brief grounding, tactical breathing, movement that discharges stress, and cognitive resets you can use between calls.This episode also draws a clear map of the first responder circle without watering it down. We talk moral injury, hypervigilance, sleep disruption, and why peer support must be more than a checkbox. You'll hear podcasting war stories, yes, but also a deeper point: humility and repair are part of resilience, whether in a studio or on a scene. If you've ever sat through a therapy session that felt like a TV script, this is your reset. Expect real language, straight answers, and tools you can put to work immediately.To reach Susan, please go to https://psychhub.com/us/provider/susan-roggendorf/1316326036Support the showYouTube Channel For The Podcast
Canada's healthcare system is already failing — and it's about to get worse.In this short, I explain what a potential paramedic strike in British Columbia really means for public safety, 911 response times, and patient care. Based on my lived experience as a former army medic, ex-paramedic, and first responder, I break down why paramedics in BC are not considered an essential service, why negotiations with the province broke down, and why a province-wide strike would cost lives.This isn't a political rant. It's a grounded, lived-experience perspective on Canada's healthcare crisis, paramedic burnout, first responder mental health, and how government policy failures are putting both paramedics and the public at risk.I also connect this to the fallout from British Columbia's drug decriminalization program, the rising overdose crisis, and the impossible conditions paramedics are working under on the front lines.Topics covered:• BC paramedic strike• Canada healthcare crisis• Paramedic burnout• First responder mental health• 911 response times• Public safety• Drug decriminalization in BC• Overdose crisis• Health policy failure• Veteran and paramedic perspectiveIf you're looking for honest conversations about trauma, recovery, modern culture, and the quiet parts nobody says out loud, subscribe for more from Unwritten Chapters.Unwritten Chapters with Matthew Heneghan is a raw, solo channel about life after trauma, modern culture, and the quiet parts nobody says out loud.Hosted by a veteran, former army medic, ex-paramedic, and nonfiction author, the channel explores PTSD, addiction recovery, sobriety, grief, burnout, and identity — not as inspirational slogans, but as lived reality.Alongside the recovery lens, Unwritten Chapters dissects modern culture, politics, media narratives, nostalgia, and social decay through a grounded, lived-experience perspective.There are also behind-the-scenes conversations about writing, creativity, addiction and art, discipline, publishing, and what it's actually like to build a life and career after rock bottom.This isn't a polished self-help channel. It's dark humour, blunt honesty, cultural commentary, and real mental health talk for people who are empathetic but exhausted — veterans, first responders, nurses, partners of medics, folks in or around recovery, and anyone trauma-literate and allergic to bullshit.If you're searching for PTSD stories, addiction recovery, veteran mental health, first responder burnout, cultural commentary, reaction videos with lived experience, or honest conversations about writing and creativity — you're in the right place.New videos weekly.Subscribe if you want company in the chaos, not clichés about positive vibes only.
A motorcycle rider goes down in a serious, almost puzzling crash—and from the moment EMS arrives, the signs of internal bleeding are there. The problem? What happens next (and what doesn't) sparks a deep dive worth having.In this episode, we break down how bleeding is identified in trauma patients, where providers sometimes hesitate or miss opportunities, and how those decisions impact outcomes. We dig into hemorrhage control fundamentals like direct pressure and hemostatic agents, then go deep on TXA—when it helps, when it doesn't, and what the future of blood products could look like in ground EMS.If trauma care, bleeding control, and honest call review discussions are your thing, this episode is one you don't want to miss. Get CE credit here: https://medicmaterialscmeacademy.thinkific.com/Podcast Links: LISTEN on your FAVORITE platform, just choose your LINK...https://linktr.ee/MedicMaterialsPodcast Do you have a great call you want us to review on a future episode? Email it to us: info.medicmaterials@gmail.com Grab some SWAG: https://medic-materials-llc.square.site/Send the show an email: info.medicmaterials@gmail.com Visit our Website: https://www.Medic-Materials.com/ See ALL our Links on our LINKTREE: https://linktr.ee/MedicMaterials Want your own custom wooden American Flag? Contact US Military Veteran Jared for more information. Instagram @Ledslinger85 DISCLAIMER: This audio is for Demonstration purposes only. The information provided in this audio is no replacement for proper EMT/Paramedic training, education and or practice. The skills, techniques, ideas and theories offered in this audio represent the individual participants featured in this audio and are not intended to showcase the only method of performing these skills. Please continue to consult with your local EMS system, Agency Standard Operating Procedures/Medical Director, Your Local and State Protocols and your EMS educator for clarification and further proper EMT/Paramedic training.
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Send us a textIf you're the one everyone turns to, you might be carrying more than you realize. We sit down with psychotherapist and mental wellness consultant Leah Marone to unpack the “serial fixer” habit—why it thrives in first responder culture and how it quietly fuels burnout, resentment, and frayed relationships. Leah works extensively with police, fire, EMS, and dispatch, and she brings sharp, compassionate insights you can use today without adding hours to your schedule.We break down the real difference between therapy and consulting, then rebuild the foundation of wellness with small, sustainable practices: bookending your mornings and nights, using micro resets during daily transitions, and reclaiming self-care as single-task presence instead of numbing or multitasking. Leah introduces a practical rule that changes conversations fast—support, don't solve—along with validation skills that help teammates, partners, and kids think more clearly and take ownership. You'll hear how the fixer impulse can become “compassion as control,” why quick advice often backfires, and how to replace that urge with grounded presence.Expect concrete tools and memorable metaphors. The internal “balloon” lets you notice pressure before it pops, and that shaken “soda bottle” reminds you to release slowly, not explode. We also cover sleep hygiene as the no‑nonsense cornerstone of recovery, data collection to challenge “dark cloud” thinking, and first responder-ready ways to downshift from high gear without losing your edge. If you want stronger boundaries, steadier energy, and deeper connection, this conversation will help you change your default settings.To reach Leah, here is the link to her work: https://linktr.ee/leahmaronelcswIf this resonates, tap follow, share it with a teammate who needs lighter armor, and leave a quick review so more first responders can find these tools. Your support helps this community stay sharp, safe, and human.Support the showYouTube Channel For The Podcast
Chris is given a scenario with a stubborn patient and… a stubborn ambulance Paramedic? Spencer puts Chris on the fire engine this time around, let's see if he burns! Vote!
In this episode of the PFC Podcast, Dennis and John Dominguez discuss the complexities of combat medicine, the challenges faced by military medics, and the importance of professionalizing the medical force. They explore the balance between training and operational readiness, the role of paramedic certification, and the lessons learned from historical conflicts. The conversation emphasizes the need for effective mentorship, resource management, and the integration of lessons from global conflicts to enhance the capabilities of military medics in future engagements.TakeawaysThe professionalization of military medics is crucial for future conflicts.Training for medics must balance time constraints with skill requirements.Paramedic certification may not fully prepare medics for combat situations.Tactical medicine requires a unique skill set that differs from civilian practices.Mentorship plays a vital role in developing competent medics.Resource management is essential for effective medical care in combat.Lessons learned from past conflicts can inform current medical training.The importance of mastering the basics cannot be overstated.Combat medicine is a problem within the tactical mission framework.Future conflicts will require innovative approaches to medical care. Chapters01:04 Professionalizing the Medical Force05:16 Challenges in Combat Medicine Training10:51 The Role of Medics in Future Conflicts15:34 Paramedic Certification in Military Medicine19:05 The Importance of Tactical Medicine23:34 Lessons from Historical Conflicts27:56 Mentorship and Leadership in Medical Training32:59 The Balance of Skills and Time in Training39:39 The Future of Combat Medicine45:55 Integrating Lessons Learned from Global Conflicts51:14 The Importance of Resource Management in Medicine55:53 Final Thoughts on Medical Training and ReadinessFor more content, go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
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In this episode of EMS One-Stop, Sophie Fuller — better known across social media as Paramedic Sophie — joins host Rob Lawrence for a candid, energizing conversation about what it really feels like to work in EMS right now: pride, the pressure, the burnout, and the culture issues that too many providers have been taught to silently absorb. Sophie is a critical care ground paramedic, flight paramedic, educator and president of the Tennessee Association of EMS Providers (TAEMSP), and she brings a provider-first lens to everything from leadership visibility, to mental health and pay equity. Together, Rob and Sophie dig into why Sophie started creating content in the first place (hint: burnout and the need to connect), how social media can be used as a force for good, and what “healthy” EMS culture should look like in practice. Sophie shares practical advice for crews and leaders alike: Be human Say the uncomfortable thing Stop normalizing harm Build systems that “care back” for the people doing the work Memorable quotes “We're just working in systems that haven't yet learned how to care back for the provider.” — Sophie Fuller “Management by walking about. Don't be stuck in the office. Don't say my door is always open because that relies on people coming in to see you. Get out and go and see them.” — Rob Lawrence “We love this job and that distracts us from the fact that it's also hurting us.” — Sophie Fuller “Just because it's normal doesn't mean it's healthy.” — Sophie Fuller “We confuse trauma with tradition.” — Sophie Fuller Additional resources: Follow Paramedic Sophie on: YouTube Tik Tok “The Next Shift : A mentorship workbook for EMTs and Paramedics” | E-Book, by Sophie Fuller “To Err is Human: Building a Safer Health System” - PubMed Episode timeline 01:00 – Rob introduces Sophie Fuller (“Paramedic Sophie”) and frames the influencer vs. “effluencer” concept 02:14 – Sophie's origin story: graphic design → hospital tech → EMT → volunteer fire → paramedic → critical care → flight 06:16 – TAEMSP: why Tennessee needed a provider-level association and the shift toward legislative advocacy 08:05 – Why she started with social media: two full-time 911 jobs, low pay, burnout and the need for an outlet/connection 09:32 – Defining EMS burnout: the “jar on the shelf” and cumulative strain that becomes chronic fatigue 13:26 – Sophie's guidance to providers: vulnerability, telling the truth and not letting naysayers silence needed conversations 16:00 – Sophie's message to leadership: don't be the “Wizard of Oz” — show up, communicate and stay connected to crews 20:26 – EMS culture: self-sacrifice, silence, “earning your place through suffering,” and confusing trauma with tradition 23:10 – Sophie's book “The Next Shift”: a field guide to “learn, lead and last” in EMS 26:03 – Mistakes and “just culture”: reporting, mentoring, anonymous reporting systems, and learning vs. blame 32:08 – Closing challenge: stop normalizing harm; speak up for culture and patient care 33:14 – Where to find Sophie online and how large her platform has become Enjoying the show? Email editor@ems1.com to share feedback or suggest guests for a future episode.
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An off-duty paramedic saves a girl from an extremely dangerous house fire on Thanksgiving Day in LA. AND This December, the Gary Sinise Foundation brought more than 1,600 Gold Star family members to Walt Disney World in Florida for their annual Snowball Express event. To see videos and photos referenced in this episode, visit GodUpdates! https://www.godtube.com/blog/off-duty-paramedic-saves-girl.html https://www.godtube.com/blog/snowball-express-for-gold-star-families.html Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.
In this candid conversation, Ashlynn O'Dell reflects on the realities of EMS—from first calls amid rural landscapes to navigating complex patient care in unpredictable environments. She shares how EMS became her calling over nursing or firefighting and highlights the often unseen sides of the job: delivering care in difficult living conditions, managing mental health, and staying resilient against workplace judgment. Social media became a powerful outlet, helping her connect with peers and inspire young women entering this male-dominated field. With humor, vulnerability, and insight, she reveals the delicate balance between being serious professionals and embracing levity on the job. The discussion also tackles burnout, workplace culture, and the importance of finding your voice in high-pressure scenes.
In this episode, we step inside the ambulance to explore a question rarely discussed: how safe is the air paramedics breathe when administering methoxyflurane, marketed as Penthrox. While not used in the United States, Penthrox is widely used in Australia and other parts of the world as an inhaled analgesic for prehospital pain management. In this month's journal club, we unpack a controlled laboratory study that measured occupational exposure inside ambulance environments, examine how ventilation changes the equation, and discuss what the findings mean for paramedic safety, system design, and the evolving balance between patient comfort and clinician health. A thoughtful ride through science, safety, and real-world EMS practice.
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In Episode 318 of the Medic2Medic Podcast, Steve sits down with longtime EMS clinician, educator, and storyteller Mike Verkest to discuss clinical practice, quality improvement, Mobile Integrated Healthcare, and the role of storytelling in EMS.Mike is a career EMS clinician and educator with nearly 30 years of experience in prehospital medicine. He has been podcasting since 2015 and has hosted and produced The Second Shift, The EMS Show, and The EMS Lighthouse Project, using conversation and storytelling to explore the people, challenges, and future of EMS.With nearly 30 years in prehospital medicine, Mike shares lessons learned from the street, the classroom, and system-level leadership, along with why honest conversation and reflection matter in a task-driven profession.If you value thoughtful leadership and real conversations in EMS, Episode 318 is worth your time. Subscribe to Medic2Medic wherever you get your podcasts and share with a colleague.https://www.spreaker.com/episode/episdoe-318-mike-verkest--69490740Greg's path through EMS, flight medicine, leadership, and technologyThe experience of surviving sudden cardiac arrest as an EMS clinicianSeeing cardiac arrest care from the patient's perspective
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Joe Linares has served more than 17 years as a Firefighter and Paramedic with the Los Angeles City Fire Department, the busiest fire department in the nation. A United States Marine Corps veteran, Joe continues to live a life of service, discipline, and high performance both on and off duty.He is the owner and founder of two wellness companies, Longevity Farms and Rejuvenate Peptides. Both brands were created from Joe's personal mission to optimize human performance, recovery, and longevity. Through clinical-grade supplementation and education, Joe and his team are helping people look, feel, and perform at their highest level.Joining him is his brother and co-founder, Mike Linares.After failing at six different business ideas in the fitness space, Mike went back to school and became a nurse. In 2012 he launched Simplenursing.com his 7th idea, a study platform that simplifies nursing education, like a video version of spark notes. Often described as the Netflix for nursing students, Simplenursing now features over 5,000 videos, employs over 30+ team members, and has more than 1.5 million subscribers on YouTube. In 2023, Mike exited the company for $115 million.Together, Joe and Mike are combining frontline experience, medical training, and entrepreneurial drive to shape the future of longevity and personal optimization. Joe and Mike founded their longevity brands after spending years experimenting, researching, and biohacking to improve their own performance and support their aging parents. They never set out to create a supplement business, but the demand for what they built grew organically. Today, that family experiment has become a mission-driven company helping others do the same. As a thank you to the Mike Glover audience, Longevity Farms and Rejuvenate Peptides are offering an exclusive discount and a free custom peptide protocol.Use code MG10 or Wolf21 for ten percent off your order at checkout.Longevity Farms: https://getlongevityfarms.shopRejuvenate Peptides: https://rejuvenatepeptides.comEvery listener can request a free custom-designed peptide protocol tailored to their personal goals.For peptide protocols, emailinfo@rejuvenatepeptides.comFor Longevity Farms support, emailsupport@getlongevityfarms.shopCarnivault - The best freeze dried meat for prep or dinner. Use “MG10” to save!https://carnivault.comWastach Wagyu Beef Premium Meat Snacks "MG20" saves 20% off!https://wasatchwagyu.com Follow the underground / mikeglover
Send us a textStrength without silence. That's the thread running through our conversation with Jeff Dill, a former battalion chief turned licensed counselor and the founder of the Firefighter Behavioral Health Alliance. Jeff has spent years validating firefighter and EMS suicide data, building workshops from real-world stories, and leading behavioral health efforts for Las Vegas Fire and Rescue. He brings hard-won clarity on what actually helps: simple language, daily habits, and policies that protect people when the job wears them thin.We break down the internal size up, a practical check-in that asks, “Why am I acting this way? Why am I feeling this way?” It helps catch irritability, isolation, and sleep loss before they morph into bigger risks. Jeff draws a vital line between PTSD and moral injury—showing how betrayal, guilt, and shame often sit beneath the surface while treatment chases fear and trauma. Forgiveness becomes a survival skill, not a pass for bad behavior, and we talk about how to practice it without forgetting or restoring unsafe trust.From there, we get tactical. Sleep debt, high call volumes, and 24-hour shifts push good people into impulsive decisions. Cultural brainwashing tells responders to be brave, strong, and self-reliant—until that story keeps them from getting help. We dig into the data, including surprising patterns among women in fire and EMS, and outline what a proactive program looks like: family education, annual mental health checkups, vetted clinicians outside insurance for privacy, real-time aftercare after tough calls, and telehealth to reach rural members. Leaders will hear budget-smart ways to protect training from the chopping block, and crews will gain language for checking on a partner without making it awkward.You can reach Jeff at the following websites:For the Firefighter Behavioral Alliance (FFBA), please go to: https://www.ffbha.org For the moral injury white paper, download it by clicking: https://www.ffbha.org/wp-content/uploads/2023/02/Moral-Injury-White-Paper-2-9-23.pdf For the Firefighter Behavioral Alliance (FFBA) Facebook page, please go to https://www.facebook.com/FirefighterBehavioralHealthAllianceIf you're a firefighter, EMT, dispatcher, or cop—or you love someone who is—you'll walk away with tools you can use today and a clearer picture of how to build a healthier culture tomorrow. Subscribe, share this with your crew, and leave a review so others can find it. You're not alone.Support the showYouTube Channel For The Podcast
In this episode of the Calling All Detailers podcast, we sit down with Vanessa from Full Throttle Detailing. Based in Rosharon, Texas, Vanessa shares her unique journey from being a full-time paramedic to launching her own mobile detailing business. Discover how a disappointing experience with a professional detailer inspired her to take matters into her own hands—and how she turned her lifelong passion for bikes into a thriving side hustle. What you'll learn in this episode: The Power of Perfection: Why detailing is a peaceful, artistic escape for Vanessa. Creative Tool Hacks: Using baby bottle brushes and pipe cleaners for those hard-to-reach motorcycle parts. Marketing on a Budget: How Vanessa uses Facebook Ads and organic word-of-mouth to keep her schedule packed. Business Growth: Tips on "10X-ing" your business and the importance of before-and-after content. Mobile Detailing Setup: Vanessa's must-have gear for working on-site in client garages. Whether you're a seasoned pro or just thinking about starting your own detailing business, Vanessa's story is packed with inspiration and practical advice on balancing a high-stress career with a creative passion. Hashtags General Detailing: #Detailing #CarDetailing #MotorcycleDetailing #MobileDetailing #AutoDetailing #DetailerLife #CeramicCoating #PaintCorrection #FullThrottleDetailing Business & Growth: #SmallBusiness #Entrepreneur #DetailingBusiness #MarketingTips #WomenInBusiness #SideHustle #CallingAllDetailers #10X #Podcast Niche & Location: #HarleyDavidson #BikeLife #TexasDetailing #RosharonTX #HoustonDetailers #ParamedicLife BEST DETAILING PRODUCT-RELATED RESOURCES: Your 13-Product Sample Pack is Here: https://pearlnano.com/products/pearl-nano-standard-sample-pack Buy Pearl Nano Detail Products - For Retail/ DIY Detailers: https://pearlnano.com/ Buy Pearl Nano Detail Products - For Wholesale/ Detailing Professionals: http://CallingAllDetailers.com To order directly, please contact: Sales@PearlNano.com Sign up for your Free Wholesale Account: https://callingalldetailers.com/pages/wholesale Launch Your Own Brand of Amazing Car Care Products: https://www.privatelabelcarcare.com/ or https://callingalldetailers.com/pages/private-labeling The 18 Pearl Nano Products and Their Uses: https://youtu.be/Sev7EpsZDG0 Unboxing the Pearl Nano Sample Pack: https://youtu.be/oE5XYxTHmqM Selling Car Care Products? Which ones to begin with and why: https://youtu.be/oikt-NbtFL0 Watch my free, 16 chapter, online course all about how to 10X your detailing business: https://www.youtube.com/playlist?list=PLbQrc3JEe48FEqkR1hTNzhAMwDBS_6Y9Y Check out the Calling All Detailers Podcast (Business + Products + Community): https://open.spotify.com/show/2spT8MrFQPrl0rwpjo6cbN Join our Private Facebook group - a community of experienced detailers who use Pearl Nano products: https://www.facebook.com/groups/1071820092849444/ ---------- Follow me: • Instagram: https://www.instagram.com/callingalldetailers/ • Tiktok: https://www.tiktok.com/@pearlnano • YouTube: https://www.youtube.com/@callingalldetailers • Facebook: https://www.facebook.com/CallingAllDetailers My name is David Elliott, owner of Pearl Nano, LLC. I've been a car care product producer, marketer, and sales professional for over 28 years. I've sold car care products in over 100 countries and have worked with thousands of detailing professionals along the way. I'm a sales and marketing expert, designer, podcaster, retired military veteran with over 20 years of active duty in the US Air Force, father of three, longtime surfer and paddleboarder, and an avid sailing enthusiast and catamaran owner. Dave@PearlNano.com #AutoDetailing #carcareproducts #privatelabelcarcare #MakeMoreMoney #Detailing #10XDETAIL #PEARLNANO #callingalldetailers #autodetail #ceramiccoating #detailingprofessionals #detailingpodcast #PRIVATELABEL
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Episode 317 of the Medic2Medic Podcast, Steve sits down with longtime EMS leader, educator, and U.S. Army veteran T. J. Bishop for a grounded conversation on rural EMS, leadership, education, and service. T.J. serves as the Assistant Chief of Operations and Training for San Juan Island EMS, overseeing response and education. With more than 30 years spanning civilian EMS, military medicine, and healthcare education, TJ shares hard-earned lessons on training an entire system, leading in resource-limited environments, and building programs that last.A Powerful Family StoryToward the end of the episode, TJ shares a deeply personal story about his family, specifically his son Andrew, who has special needs, and his incredible Make-A-Wish journey to become a U.S. Coast Guard Rescue Swimmer. It's a moment that captures the heart of this episode: service, resilience, and what truly matters.
Send us a textIn part 2 with Alexa Silva, we discuss how love doesn't clock out when the tones drop. We sat down to unpack what really happens when a first responder's world of shift work, hypervigilance, and on-call stress collides with the everyday demands of family life—and why even strong couples can drift into silence, scorekeeping, and resentment without clear structure and care.Across a candid, fast-moving conversation, we dig into how intimacy has to evolve over time, especially when schedules are brutal and sleep is scarce. We talk about the danger of tallying sex and affection, the quiet slide into emotional affairs powered by loneliness and praise, and the small, steady actions that rebuild safety: consistent compliments, micro-moments of touch, and explicit “ask for what you need” scripts. You'll hear practical frameworks for decompression after shifts, deciding whether you want listening or solutions, and using shared calendars to lower friction when overtime or call-outs derail plans.We also get honest about money, overtime, and the resentment loop that forms when one partner feels like both parents while the other chases a bigger paycheck. There's a path out: monthly “state of us” check-ins, clear rules for spending, and tradeoffs made in daylight instead of assumptions made in anger. We cover role clarity—your spouse can be your partner, not your therapist—plus the kind of self-care that actually restores a nervous system hammered by trauma exposure. Whether you're a cop, firefighter, medic, dispatcher, or the person holding down the fort at home, these tools meet the reality of your life.If you're ready to replace mind reading with honest asks and turn resentment into repair, hit play. Then tell us what changed after you tried one tool. Subscribe, share with your crew, and leave a review to help more first responder families find the support they deserve.To reach Alexa, here is the link: https://www.psychologytoday.com/us/therapists/alexa-silva-chelmsford-ma/1140390Freed.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
EMS Research Podcast Host Bram Duffee dives into a recent study examining ChatGPT's ability to predict prehospital patient diagnoses based on paramedic care reports. ChatGPT accurately identified conditions 75% of the time and often erred on the side of caution, potentially reducing dangerous under-triage. Duffee is joined by lead researcher Erik Miller, a nurse practitioner and paramedic turned researcher, who sheds light on the study's design, limitations, and real-world implications. They discuss how AI can support—but not replace—the critical thinking skills of EMS providers, the challenges of legal liability, and the risks of overreliance on technology. The conversation also explores future possibilities for AI integration in dispatch and patient care reporting, while emphasizing the irreplaceable human touch in emergency medicine.
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Send us a textThe badge asks for everything, then hands you a shift change and a smile. We sat down with returning guest, licensed clinical social worker Alexis Silva, to dig into the quiet realities behind the uniform: why trust is scarce, why stigma is sticky, and how substance use becomes a steady companion long before it becomes a crisis. Alexis works almost exclusively with first responders, military, and veterans, and brings her own sobriety and family experience to the table. That honesty opens a door many are afraid to touch—because careers are on the line, documentation feels risky, and walking into a room where you don't have to translate the language of the job can be the difference between shutting down and speaking up.We break apart common myths: not every struggle is trauma from the job; for many, it starts with childhood adversity, genetics, and family patterns. Alcohol, THC, and benzos promise relief and steal sleep, fueling irritability, poor decisions, and conflict at home. We unpack the tipping point where use shifts from choice to maintenance—when your body drives the next drink—and why matching care to risk matters. Sometimes inpatient comes first, then outpatient therapy and groups, so progress isn't crushed by daily stress. We also go beyond substances to behavioral addictions like gambling, tracing how the chase hooks into the same adrenaline circuits that make first responders so good under pressure.Across the hour, we map practical steps you can use today: how to assess risk without shame, how to reset routines every few career years, what honest partner check-ins sound like, and how peer support and culturally competent clinicians reduce fear of being “the problem” at the station. If you've wondered whether your coping is helping or hiding, this conversation offers a clear path forward—grounded, direct, and built for people who don't have time for fluff.If this resonates, follow the show, share it with a teammate, and leave a quick review to help other first responders find it. Your story isn't a liability—it's a starting point.If you want to reach Alexa, please go to https://www.psychologytoday.com/us/therapists/alexa-silva-chelmsford-ma/1140390Freed.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
Stop a panic attack in 60 seconds with this elite "pocket" tool.If you're experiencing a racing heart, rising heat, or that overwhelming feeling of losing control, this episode is your emergency lifeline. Host Martin Hewlett, a former paramedic and clinical hypnotherapist, shares the exact tactical breathing technique he used in the back of ambulances to stabilize patients in high-stress moments.In this 3-minute guided session, you'll learn Box Breathing (also known as Square Breathing)—a science-backed physiological hack used by Navy SEALs to instantly recalibrate the nervous system.What you'll gain in this 3-minute episode:Instant Calm: Activate your parasympathetic nervous system (the "rest and digest" response) to lower your heart rate.Vagus Nerve Reset: Signal to your brain that the "emergency" is over and you are safe.Clinical Authority: No fluff—just the physiological science of how your body handles adrenaline.Whether you're at your desk, in your car, or at home, keep this episode in your pocket for the next time you feel a wave of anxiety coming.Help others find calm: If this helped you, please Follow the show and leave a review. Your support helps this "mental health first aid" reach those who need it most.
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Happy New Year, FolksTo start the new year, I reflect on the past 5 years of my EMS career and on what I plan to do in the future in this field and in medical education.Of course, I delve into some stories on the road and look back on moments with my previous partners and how my community very much helped shape who I am today and how I am approaching my future.Start off your year strong with a quick new episode from me!Send us a text
To kick off the new year, Medic2Medic presents a Special Edition episode centered on survival, perspective, and purpose.In this powerful conversation, Steve sits down with career EMS professional and public safety technology leader Greg Howard, a sudden cardiac arrest survivor whose story reframes how we think about EMS, provider health, and what truly matters. With more than 25 years of experience across EMS, emergency medicine, fire service operations, and healthcare technology, Greg has helped EMS agencies nationwide improve care delivery, documentation, and data-driven decision-making. That professional journey took a deeply personal turn when Greg suffered and survived sudden cardiac arrest.This episode sets the tone for the year ahead by focusing on awareness, survivorship, and the responsibility EMS has not only to patients, but to its own people. In true Medic2Medic fashion, the conversation also takes a turn toward shared roots and relationships. Steve and Greg reflect on their Pittsburgh area EMS connections, swapping stories and names familiar to anyone shaped by that region's EMS culture. This Special New Year's Edition of Medic2Medic is a reminder that sudden cardiac arrest does not discriminate, even within EMS. It challenges listeners to start the year with intention, awareness, and renewed commitment to caring for both patients and providers.https://bit.ly/4skYJozGreg's path through EMS, flight medicine, leadership, and technologyThe experience of surviving sudden cardiac arrest as an EMS clinicianSeeing cardiac arrest care from the patient's perspective
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Send us a textThe most downloaded conversation of the year returns for a reason: it's the raw, practical guide first responders and their families keep asking for. We sit with Sgt. Michael Sugrue—Air Force security forces veteran, Walnut Creek Police sergeant, and author of Relentless Courage—to talk about the weight of hundreds of traumatic calls, how a 2012 shooting upended his life, and the exact steps that pulled him back from the edge.Michael breaks down why suicide remains the top threat for police, fire, EMS, and dispatch: a culture that prizes invincibility, training that skips mental readiness, and an identity so fused to the job that retirement can feel like free fall. He explains how “silent” suicides hide in line‑of‑duty risks, why official counts underreport the crisis, and what leadership must do to turn the tide. We go deep on solutions: culturally competent therapy, confidential peer lines, retreats like West Coast Post‑Trauma Retreat and Save A Warrior, and daily practices—meditation, gratitude, strength work, honest conversations—that sustain real resilience.We also challenge common myths. Therapy doesn't take your gun; it gives you your life back. EMDR helps many but not all; the real power is a personalized toolkit. Early intervention keeps stress acute and treatable; waiting turns injuries into entrenched patterns that cost careers and families. Michael's book, co‑authored with Dr. Shauna Springer, bridges the gap between gut‑level storytelling and clear psychology, giving responders and loved ones a shared language to start hard conversations and map a path forward.If you serve—or love someone who does—this is a roadmap to stay in the fight without losing yourself. Hit play, share it with a partner or teammate, and let's normalize help as a standard of care. If the episode resonates, subscribe, leave a quick review, and pass it to one person who needs to hear it today.You can reach Michael on LinkedIn at: https://www.linkedin.com/in/sgtmichaelsugrue?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_appSupport the showYouTube Channel For The Podcast
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Episode 315: This episode goes beyond trends and buzzwords. It's a candid discussion about leadership, accountability, education, and execution grounded in decades of experience across multiple EMS systems and cultures. Steve reconnects with longtime EMS leader, strategist, and global EMS advocate Rob Lawrence for a wide-ranging conversation on leadership, education, system design, and the future of EMS. Rob is the Director of Strategic Implementation for PRO EMS and its educational arm, Prodigy EMS. Rob brings a rare international perspective, shaped by leadership roles in the United States, the United Kingdom, and the development of EMS systems worldwide. Rob is a prolific writer and broadcaster for EMS1 and Police1.https://www.spreaker.com/episode/episode-315-rob-lawrence--69220043I
Send us a textFrom crime and trauma scene cleanup to midnight dispatch and station kitchens, we gathered the most powerful lessons from a year of conversations with first responders, clinicians.Here are the links for all the episodes: Krista Gregg (E.188): https://podcasts.apple.com/us/podcast/e-188Jessica Jamieson (E.192): https://podcasts.apple.com/us/podcast/e-192Beth Salmo (E.204): https://podcasts.apple.com/us/podcast/e-204Elizabeth Ecklund (E.207): https://podcasts.apple.com/us/podcast/e-207Gordon Brewer (E.211): https://podcasts.apple.com/us/podcast/e-211Bill Dwinnells (E.220): https://podcasts.apple.com/us/podcast/e-220Deidre Gestrin (E.221): https://podcasts.apple.com/us/podcast/e-221Adam Neff (E.222): https://podcasts.apple.com/us/podcast/e-222Renae Mansfield (E.225): https://podcasts.apple.com/us/podcast/e-225Amanda Rizoli (E.227): https://podcasts.apple.com/us/podcast/e-227Blythe Landry (E.228): https://podcasts.apple.com/us/podcast/e-228Stephanie Simpson (E.229): https://podcasts.apple.com/us/podcast/e-229Lisa Trusas (E.231): https://podcasts.apple.com/us/podcast/e-231Joe Rizzuti (E.233): https://podcasts.apple.com/us/podcast/e-233Justin Jacobs (E.235): https://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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Send us a textWhen the lights are flashing and the clock is ticking, we train for everything—except the weight we carry home. We sit down with Coast Guard veteran and grief coach Justin Jacobs to unpack the invisible load of moral injury, the shock of losing the uniform, and the quiet ways unprocessed grief leaks into performance, relationships, and health. From the chaos of capsized boats to the stillness after a tough outcome, Justin names what many feel and few say out loud.We explore how grief hides inside anxiety, depression, and burnout, and why so many transitions—retirement, reassignment, even a “first civilian job”—feel harder than expected. Justin explains decision fatigue after service, when structure vanishes and every choice suddenly feels permanent. He offers a simple reframe: plan early, expect detours, and treat course corrections as progress, not failure. Along the way, we draw clear parallels between the Coast Guard and first responders—rapid action, limited bench strength, and constant pressure to move on to the next call.Most importantly, we get practical. Think “mental PPE”: a shared vocabulary for moral injury, short decompressions after hard calls, peer check-ins that don't try to fix but do make space to feel. We talk about what genuinely helps the bereaved—curiosity, presence, honest permission to tell the whole truth about the person who's gone—and what to retire forever, including hollow platitudes that minimize real pain. Justin's own story of loss and growth brings empathy and precision to every tool he shares.If you serve, lead, or love someone who does, this conversation is a field guide for staying human under pressure and building a culture that protects people as fiercely as it protects the mission. Listen, share with your crew, and tell us what “mental PPE” looks like in your world. If this resonates, follow, rate, and review so more first responders can find it—and subscribe for more candid, actionable conversations.His Instagram is @manlygrief His Website is: http://www.manlygrief.com Support the showYouTube Channel For The Podcast
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What is a call? How does a person know if God is calling them to mission service? Join in a discussion as these and other questions are addressed.
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Send us a textThe silence after the last shift can be deafening. We dive into what really happens when the badge comes off and the calls stop, tracing the steep drop from team identity and adrenaline to isolation, substance use, and rising suicide risk. With honesty and urgency, we unpack why retirement hits first responders so hard and outline a practical safety net that works in the real world.We talk through the addictive rhythm of police, fire, EMS, and corrections work—why the culture bonds like family, and why role loss feels like grief, not change management. From the “greatest show in town” to the long, quiet afternoons, we map the transition pitfalls: relationship strain, gambling, financial pressure, heavy drinking, and access to means. Then we move to solutions that stick: QPR training for everyone, union-led outreach to members on injury or IA, and a retiree association built on peer mentors, quarterly meetups, and easy referral to culture-competent clinicians and recovery coaches.Therapy only helps when it respects the culture. We make the case for long-term, stigma-free care that starts at the kitchen table, not a clipboard wall. Leaders play a decisive role, too: fund peer teams, protect privacy, standardize evaluations, and create fair return-to-duty paths that treat mental health injuries like broken bones. Fire service models show how trust grows when unions hold the keys and chiefs clear the way. Our aim is simple—keep people connected, valued, and alive long after the radio goes quiet.If this conversation resonates, share it with your crew, subscribe for more candid tools and stories, and leave a review to help other first responders find us. Your voice can pull someone back from the edge.If you are interested, please visit the Onsite academy at https://onsiteacademy.org/ Visit the NEPBA at https://www.nepba.org/Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
Send us a textWhat does it take to build mental health care that first responders actually trust? We sit down with former Revere police officer Joe Rizzuti, whose journey from stacked line-of-duty trauma and alcohol use to peer support leadership strips away the clichés and gets to what works. Joe's story starts with a tough childhood, a military turnaround, and a policing career shaped by high-stakes cases and a deep love for community. It also includes administrative betrayals, devastating calls, and the moment he walked into On-Site Academy expecting a firearms range and found a lifeline instead.From there, Joe breaks down how cultural competence changes outcomes. If a clinician doesn't understand roll call, shift work, gallows humor, and the weight of cumulative stress, trust collapses. He explains how he vets treatment programs—On-Site for acute resets, First Responder Wellness in California for intensive trauma work, and union-aligned options like IAFF Centers of Excellence—while calling out profit-first models that fail responders. We talk insurance constraints, travel realities, and why credibility is earned one referral at a time.We also tackle the retiree cliff and why too many officers and firefighters struggle within five years of leaving the job. Joe's answer: a coaching model adapted from recovery support that restores purpose, routine, and community long before the badge comes off. The takeaway is clear—care must be team-driven, ego-free, and relentlessly practical. If you lead, remove barriers. If you treat, learn the culture. If you're a peer, keep checking in long after the headlines fade. If you are interested, please visit the Onsite academy at https://onsiteacademy.org/ Visit the NEPBA at https://www.nepba.org/Subscribe, share with a teammate who needs it, and leave a review to help more first responders find this conversation.Freed.ai: We'll Do Your SOAP Notes!Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month!Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showYouTube Channel For The Podcast
A round-up of the main headlines in Sweden on December 9th 2025. You can hear more reports on our homepage www.radiosweden.se, or in the app Sveriges Radio. Presenter/producer: Michael Walsh
The rare Friday podcast starts with looking at South Korea's camera hacking problem, with personal videos being sold to porn sites. Plus Putin meets Modi, Macron meets Xi, France escargot heist, Tunisia authoritarianism, and a Baltimore County Paramedic made ejaculation/penetration videos at the Fire station for his OnlyFans. Music: People Under the Stairs/"Acid Raindrops"
Send us a textA culture that actually protects first responders doesn't happen by accident—it's built on day-one expectations, family inclusion, and leaders who tell the truth even when the news is hard. We sit down with Doug Wyman to map what real organizational wellness looks like and why “Inside the Box” has become a powerful framework for shifting identity, policy, and practice in policing.We start where most programs fail: leaving wellness to HR or EAP and forgetting families. Doug explains how to onboard spouses and partners with the same care we give new hires, and why a 10–15 minute decompression ritual at the door can prevent years of resentment at home. From there, we dig into the mentorship pipeline—how great FTOs set career goals, normalize therapy, and keep officers engaged long after field training. As rank rises, the view widens; without peer networks and rank-specific training, command staff unintentionally import narrow worldviews into complex events like suicide, deepening stigma and pain.The episode unpacks procedural justice for the inside of the house—dignity, voice, clear motives, and follow-through—to counter “administration betrayal.” We name the Man Box and the Cop Box, exploring how rigid ideals make therapy, medication, or simple human tenderness feel like violations. Doug shows how emotional intelligence, conflict resolution, and the Four Agreements become everyday tools that change culture one conversation at a time. And we get practical: field officers should carry the Columbia Suicide Severity Rating Scale, because at 3 a.m. on a bridge you need the right questions, not another search tab.If you lead, supervise, dispatch, or love a first responder, this conversation offers a blueprint you can use tomorrow—family education, mentorship, internal fairness, and tools that save lives. Listen, share with your team, and tell us what belongs outside the box. If this resonated, subscribe, leave a review, and pass it to a colleague who needs a better way forward.Go to Doug's LinkedIn website at: https://www.linkedin.com/in/douglas-wyman-6b80852a/details/featured/The Class Inside the Box - Focuses on Organizational Wellness and Post Traumatic growth and is for first line supervisors and command staff. Support the showYouTube Channel For The Podcast
Send us a textThe story begins where many first responder lives converge: relentless calls, court dates, and a small department that never truly sleeps. Then the personal hits. Former New Hampshire police chief Doug Wyman opens up about parenting through a son's addiction at the height of the opioid crisis, supporting a younger child through identity shifts, and the morning that changed everything—when his wife died by suicide with his duty weapon. What follows is a rare, unguarded look at procedure meeting grief, and how systems can protect evidence while still protecting people.We walk through what real support looks like after the casseroles stop—peer teams that actually call, clergy who listen more than they preach, and a therapist with true cultural competency. Doug explains why a mind body spirit triangle isn't fluff; it's the backbone of resilience for first responders and families. Spirituality here is practical, not preachy—whether you find it in church, Stoicism, or a clear atheist ethic. Acceptance becomes the turning point. It's not agreement. It's the doorway to choose constructive over destructive, to convert pain into purpose, and to build post-traumatic growth one small habit at a time.We also dig into the cognitive traps that keep people stuck on if and the simple language checks that interrupt self-blame. From there, the focus widens to culture. Strong wellness programs don't live in binders; they live in people. Informal leaders—the ones who can get fifteen colleagues to show up on a Saturday—are the engine. When departments design with those influencers, recruitment and retention rise, and the holdouts become a minority. If you want a team to thrive, build a house you're proud to invite others into.If this conversation resonates, follow the show, share it with a teammate who needs it, and leave a review so more first responders and families can find these tools. And if you or someone you love is in crisis, call 988 right now. You're not alone.Go to Doug's LinkedIn website at: https://www.linkedin.com/in/douglas-wyman-6b80852a/details/featured/The Class Inside the Box - Focuses on Organizational Wellness and Post Traumatic growth and is for first line supervisors and command staff. 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 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