Avsnitt
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The hardest part of a bad call is rarely the algorithm. In two different interviews I explore some human traps of running an EMS call. I talk with Danny and Rance from DNR Prehospital Education about a choking arrest, a difficult field intubation, and the trainer-trainee dynamic that made the call more complicated than the procedure itself. Then Bobby breaks down the CAFE pneumonic of heuristic traps: commitment, acceptance, familiarity, and expert halo. This episode moves from the protocol and algorithm to the human challenges of running.
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Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship
Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription (giveaway on July 1st, 2026).
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A postpartum patient does not need to look dramatic to be in real danger. In this episode from FAST 26, Ross talks with Amy Loucks about pregnancy-related deaths, maternal care deserts, postpartum warning signs, hypertension, cardiomyopathy, infection, and the calls EMS can easily miss. Then Elizabeth Garchar walks through amniotic fluid embolism, now often framed as an anaphylactoid reaction of pregnancy: sudden cardiovascular collapse, right heart failure, DIC, TXA, whole blood, AOK, and the principle that matters most when everything goes bad: treat mom first.
Interested in the Loud & Clear Fellowship? Sign up for a free coaching call to learn more.
Sign up for a weekly newsletter The Confidence Dispatch for EMS performance tips delivered straight to your inbox.
Episode Resources-
CDC: Preventing pregnancy-related deaths — https://www.cdc.gov/maternal-mortality/preventing-pregnancy-related-deaths/index.html
Amniotic fluid embolism overview — https://my.clevelandclinic.org/health/diseases/15463-amniotic-fluid-embolism
AOK regimen for amniotic fluid embolism — https://pmc.ncbi.nlm.nih.gov/articles/PMC9477128/
https://www.marchofdimes.org/peristats/
https://www.marchofdimes.org/research/maternity-care-deserts-report.aspx
https://saferbirth.org/
https://www.nmperinatalcollaborative.com/
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Saknas det avsnitt?
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Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest.
They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity.
Book a FREE Coaching Call with Us Here
Learn More About the Loud & Clear Fellowship
American Burn Association ABLS Now giveaway and 10% listener discount
PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation
PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults
EMS World Live + FAST 26 conference coverage
Guest: Scott Weingart / EMCrit — https://emcrit.org/
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A checklist should reduce cognitive load. So why does yours make things worse? Airline pilot and safety officer Glenn Fisher breaks down how aviation refined checklists over decades of crash data and human factors research — from verification-only flows to abnormal read-and-do procedures to defining the criteria for what should actually earn a spot on the card.
Want more?
Book a Free Coaching Call at emspodcast.com/free-coaching-call
Sign up for the weekly newsletter at empodcast.com/newsletterNASA papers on checklist design-Human Factors of Flight-Deck Checklists: The Normal Checklist
COCKPIT CHECKLISTS: CONCEPTS, DESIGN, AND USE
Design Guidance for Emergency and Abnormal Checklists in Aviation
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Pediatric sepsis is easy to miss because the first hour often looks ordinary. Kids compensate, until they don't. In this episode, Will Berry talks with Dr. Peter Antevy about the case that still bothers him and why fluids, vasopressors, antibiotics, and hospital feedback all have to be treated as one resuscitation system.
Book a Free Coaching Call with us at emspodcast.com/free-coaching-call
Sign up for our weekly newsletter The Confidence Dispatch at emspodcast.com/newsletter
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Most EMS skills training creates an illusion of competence. You drill a procedure, check a box, and move on. But what does the research actually show about competency and retention?
Dr. Jason Hine (EM physician, SimKit founder) breaks down the actual science of procedural skill acquisition: S-curves, encoding and consolidation, retrieval practice, and why expensive simulation labs often underperform cheap, high-rep lo-fi tools.
Plus: a big announcement about SimKit and The Loud & Clear Fellowship.
Book a Free Coaching Call at emspodcast.com/free-coaching-call
Sign up for the weekly newsletter at emspodcast.com/newsletter
SimKit - https://simkit.co
Made to Stick - https://amzn.to/4d5B5qA
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Stephanie Suzadail's favorite word is "fail." She'll tell you why and how we should embrace it.
In this episode she walks through the difference between failure that builds you and failure that breaks you. Why Sisyphus is a warning, not a role model. Why the best clinicians you'll ever work with have made bigger mistakes than you have. Why high-functioning organizations report mistakes ten times more often than average ones. Why self-identified perfectionists only ever climb to "moderately successful."
Book Your Free Coaching Call at emspodcast.com/free-coaching-call
Sign up for the weekly newsletter - emspodcast.com/newsletter
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Most medics walk onto a domestic violence scene armed with instinct and not much else. Jim Schmidt thought 20 years in the fire service had prepared him for anything — until he had to identify his stepdaughter Gabby Petito's body in 2021. In the months and years after he realized how little EMS is prepared to recognize and treat domestic violence victims. What he's learned since has rewritten what first responders should be doing on these calls. Jim walks us through the red flags, why strangulation may leave no external marks but signals a 750% jump in homicide risk, how to document, how to treat and talk to the patient, and what patterns we can recognize.
Resources
DomesticShelters.org — find local DV/SA orgs by addressNational DV Hotline — 1-800-799-SAFE · text START to 88788JEMS article by Jim Schmidt on educating first responders to recognize domestic violence: https://www.jems.com/ems-training/domestic-violence-educating-first-responders/ Jim Hopper, PHD on the neurobiology of trauma and sexual assault: https://www.youtube.com/@JimHopperPhDWant to go deeper?
Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter: emspodcast.com/newsletter
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Don't Be A Field Training Officer Be A Field Training Mentor.
Field training is about more than teaching skills, it shapes culture, standards, and the kind of clinician someone becomes. In this episode, Ross sits down with Ben Tacy onsite at FASTCAN to talk about the origins of field training and why Ben prefers the language of mentorship over “field training officer”.
If you care about leadership, education, workplace culture, or building better medics, this conversation is worth your time.
If you want deeper discussions on topics just like this subscribe to our weekly newsletter - emspodcast.com/newsletter
Want some individualized mentorship? Book a free coaching call with us - emspodcast.com/free-coaching-call
Interested in The Loud & Clear Fellowship? Book a free coaching call with us: emspodcast.com/free-coaching-call
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Frostbite is more dangerous than it looks and easier to make worse than you think. In this episode, Ross and Will sit down with Dr. Greg Doctor, a wilderness medicine specialist and emergency physician practicing in the Colorado Rockies, to break down frostbite from the prehospital perspective.
Greg walks through field assessment, when to rewarm vs. when to leave it alone, pain management, and when to bypass your local ED for a tertiary care center.
Whether you’re running urban calls or wilderness rescues, you may see this and this episode will help inform how you approach cold injury.
Want more?
Subscribe to The Confidence Dispatch, our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae
Want to go even further?
The Loud & Clear Fellowship is a year-long course and coaching community for new medics who want to close the gap between what school taught them and what the job actually demands.
Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance. The stuff nobody teaches you in school.
If that sounds like what you've been looking for, book a free 30-minute coaching call and we'll talk about whether it's the right fit. Even if it’s not we’ll give you actionable advice on the call so that you still walk away with something valuable: → emspodcast.com/free-coaching-call
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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The contaminated airway is one of the most unforgiving calls in prehospital medicine. Blood, vomit, debris — your laryngoscope goes in and you're blind. For decades, paramedics managed this with tools designed for a clean OR and training that never got close to the real thing.
Dr. Jim DuCanto decided that was unacceptable. He's the anesthesiologist who invented the DuCanto catheter and SALAD (Suction Assisted Laryngoscopy and Airway Decontamination). Will Berry sat down with Dr. DuCanto at the FASTCAN conference for a conversation.
In this episode we cover:
- The SALAD technique, step by step
- Why paramedic OR training should default to video laryngoscopy
- The downsides of SALAD that Dr. DuCanto himself will tell you about
- What a new portable suction device does differently
Guest: Dr. Jim DuCanto anesthesiologist, inventor of the DuCanto catheter and the SALAD technique
Want more?
Also subscribe to The Confidence Dispatch — Our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae
Want to go even further?
The Loud & Clear Fellowship is a year-long course and coaching community for medics who want to close the gap between what school taught them and what the job actually demands.
Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance — the stuff nobody teaches you in school.
If that sounds like what you've been looking for, book a free 30-minute call and we'll talk about whether it's the right fit: → emspodcast.com/free-coaching-call
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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What if the mistake wasn't your fault... but it's still your responsibility?
That's the tension Shay Montgomery sits with every time she talks about the day she flew to a scene without the drug bag. Shay is a flight nurse and educator. At FAST 25, she gave one of the sharpest talks of the conference — not on a procedure or a drug, but on the science of why humans make mistakes and what we can actually do about it.
WHAT YOU'LL LEARN:
Task Brackets — Your brain bundles repetitive actions into smooth automated sequences.
The First Habit Rule — The first habit is permanently ingrained. Old habits lurk underneath new ones and surface under stress. Get it right the first time.
Goal-Oriented Stimulus — Don't ask "Do I have everything?" Ask "Where are the things I need?" and physically point to them.
The Preceptor Problem — Most preceptors feel unprepared. The goal isn't to make "mini me", it's to create independent critical thinkers.
Shift Fatigue — Cognitive function degrades meaningfully at 16 hours.
Just Culture — Human error is inevitable. Punishment doesn't fix the system. The guilty already feel terrible. They need peer support and system redesign.
RESOURCES:
Join The Loud & Clear Fellowship
CONNECT WITH US:
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com
CONNECT WITH SHEA:
- TikTok: @flightnurseshay
- Instagram: @flightnurseshay
Interested in The Loud & Clear Fellowship? Book a free coaching call with us: emspodcast.com/free-coaching-call
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Miss your first intubation attempt and your patient's risk of adverse events jumps sevenfold. By the third attempt? Nearly guaranteed complications. This isn't about your anatomical knowledge or practice hours—expert clinicians fail too. David Olvera, who led national research on intubation checklists, reveals why your brain predictably fails under pressure and what systems actually prevent it. You'll learn the challenge-response checklist protocol that speeds up your intubation time (not slows it down), the HEAVEN criteria's six specific warning signs that predict difficult airways before you attempt, and why dump kits create muscle memory that works in the dark. David shares the story that started his human factors obsession and proves that expertise doesn't protect you from error—systems do. This is operational excellence: building checklists that think for you when tunnel vision sets in.
Want more? Also subscribe to The Confidence Dispatch — Our free weekly newsletter for paramedics who want to get 1% better every shift: → https://loudandclear.kit.com/d45b012fae
Want to go even further?
The Loud & Clear Fellowship is a year-long course and coaching community for new medics who want to close the gap between what school taught them and what the job actually demands. Built by an ER doc who runs medical direction for 5 rural Colorado agencies and has talked with hundreds of paramedics about exactly where that gap shows up.
Not a lecture series. Not another CE you'll forget by your next shift. Real frameworks for clinical reasoning and mental performance — the stuff nobody teaches you in school.
If that sounds like what you've been looking for, book a free 30-minute call and we'll talk about whether it's the right fit: → emspodcast.com/free-coaching-call
Resources
The Loud & Clear Fellowship - emspodcast.com/program
To see the actual checklist - https://www.airmedandrescue.com/latest/long-read/medical-insight-latest-tools-ensure-successful-first-pass-intubation
Guest/Cast/Crew information-
Guest- David Olvera
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com
Books we recommend
- The Dichotomy of Leadership - https://amzn.to/4fiCAjN
- Extreme Ownership - https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
- Thinking Fast and Slow - https://amzn.to/4fiJG85
Gear We Like
- Good Stethoscope - https://amzn.to/3YJJrf2
- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls - https://amzn.to/3Z1X21J
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Behind the curve. We've all heard it. Most of us have lived it. That sinking feeling when you're mentally three steps behind where the call actually is. The concept of the Power Curve comes from aviation—pilots need to understand the phases of flight and how the plane will react differently and require different inputs during each of these phases. The same principle applies to your 911 calls. This episode breaks down the exact framework to chunk calls into five critical phases. When you understand phases you understand what is needed during each point of the call and how to stay ahead. How to build if-then statements that eliminate decision fatigue. The psychological safety that lets you reset after screwing up in the apartment. And why 80% of medical errors tie back to the one phase—the hospital handoff. Stop reverting to chaos. Build the system that keeps you ahead.
Guest/Cast/Crew information-
Guest- Moose and Josh from Alert Medic 1 podcast
Host- Ross Orpet, Will Berry
Catch up with us after the show -
Instagram- @emsloudandclear
YouTube- https://www.youtube.com/@EMSLoudandClear
Website- www.emspodcast.com
Books we recommend
- The Dichotomy of Leadership - https://amzn.to/4fiCAjN
- Extreme Ownership - https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
- Thinking Fast and Slow - https://amzn.to/4fiJG85
Gear We Like
- Good Stethoscope - https://amzn.to/3YJJrf2
- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls - https://amzn.to/3Z1X21J
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our bi-weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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You're not making mistakes because you're dumb. You're making mistakes because of seven predictable factors—and once you know them, you can control them.
Kris Kaull delivered a masterclass at FASTCAN on the hidden forces that cause even experienced paramedics to miss critical information when it matters most. This isn't about memorizing more protocols—it's about understanding the cognitive science behind high-stakes decision-making in emergency medicine.
Guest/Cast/Crew information-
Guest- Kris Kaull, FP-C
Host- Ross Orpet
Catch up with us after the show -
Instagram- @emsloudandclear
YouTube- https://www.youtube.com/@EMSLoudandClear
Website- www.emspodcast.com
Books we recommend
- The Dichotomy of Leadership - https://amzn.to/4fiCAjN
- Extreme Ownership - https://amzn.to/3O1FWfa
- Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
- Thinking Fast and Slow - https://amzn.to/4fiJG85
Gear We Like
- Good Stethoscope - https://amzn.to/3YJJrf2
- Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
- Notepad for taking notes on calls - https://amzn.to/3Z1X21J
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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This episode tells the tragic story of Max McKenzie, a teenager with asthma who died from anaphylaxis despite receiving "standard care." His death led his father, Dr. Ben McKenzie, to develop the AMAX4 algorithm. Educator and critical care transport nurse/paramedic Bruce Hoffman breaks down the algorithm and explains why the combination of anaphylaxis and asthma can be lethal, why IM epinephrine may not be enough, and why this is the time to be aggressive.
But this isn't simply about memorizing another algorithm. It's about developing the operational confidence to recognize when standard approaches may fail and override your impulse to "try the book answer one more time." You'll learn to identify time-critical scenarios, build red-flag combination awareness, and make high-stakes decisions without second-guessing yourself.
Want to systematically build this decision-making confidence? Discover The Loud & Clear Fellowship at emspodcast.com/program —where we teach the operational skills your school didn't.
Guest/Cast/Crew information-Guest- Bruce Hoffman, Associate Professor, Critical Care RN and ParamedicHost- Ross Orpet, Will Berry Catch up with us after the show
Instagram- @emsloudandclearYouTube- https://www.youtube.com/@EMSLoudandClearWebsite- www.emspodcast.comBooks we recommend
The Dichotomy of Leadership - https://amzn.to/4fiCAjNExtreme Ownership - https://amzn.to/3O1FWfa Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYfThinking Fast and Slow - https://amzn.to/4fiJG85A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2Gear We Like
Good Stethoscope - https://amzn.to/3YJJrf2Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn Notepad for taking notes on calls - https://amzn.to/3Z1X21JWant to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Struggling to remember every protocol in high-pressure medical situations? You're not alone—and memorizing everything isn't the answer.
Join us for this game-changing conversation with Jean Francois Couture, co-founder of Parys Medical, as we unpack the science of habit formation for EMS and healthcare providers. Recorded live at FAST 25, Jean breaks down the "habit loop" (cue, routine, reward) and introduces the concept of the "meta-habit"—a habit of habits that transforms how you access critical information during emergencies.
Learn why the best clinicians don't memorize everything but know exactly where to find what they need when seconds count. Discover practical strategies for mental simulation, protocol familiarization, and building muscle memory with your cheat sheets. Jean shares actionable steps including planning your clinical scenarios, scheduling regular practice sessions, and developing unconscious competence through repetition.
Whether you're new to EMS or a seasoned veteran, this episode provides a roadmap for achieving clinical excellence through deliberate practice and smart information management.
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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What happens when a 24-year-old woman is found frozen in a tree well after last being seen 8 hours prior, with a core temperature of 62°F (17°C)? In this extraordinary case, paramedic Miles Randell and his team performed 4 hours of CPR in knee-deep snow on April Fool's Day 2014—and she walked away with zero neurological deficits.
This wasn't luck. Miles breaks down the critical decision to defy transport protocols and how they managed a failed field intubation when her torso sank into the snow during compressions. The case became a catalyst for building Teaam Aeromedical, a progressive nonprofit wilderness air ambulance saves time, lives, and healthcare dollars. Learn the physiology of hypothermic cardiac arrest, why less intervention is sometimes more, and how to package patients in snow to prevent further heat loss. Whether you work in wilderness medicine or urban EMS, the principles here apply: know the science, challenge protocols when they don't serve your patient, and get them to the right place at the right time.
Interested in The Loud & Clear Fellowship course? Check us out at - emspodcast.com
Guest/Cast/Crew information-
Guest- Miles Randell, Paramedic, Founder of TEAAM Aeromedical, for more go to teaam.ca
Host- Ross Orpet
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our bi-weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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What do you do when the anatomy you've memorized simply doesn't exist anymore? When a patient's entire face is gone, and your standard airway management tools won't work? This is where training meets reality.
Critical care transport legend Allen Wolfe joins us to dissect a real case, a conscious patient with a self-inflicted shotgun wound—no mandible, no nose, no midface—just open tissue and blood spraying everywhere.
This conversation covers the Lefort facial injury classification, why the cervical collar is often more harmful than helpful in penetrating trauma, delayed sequence intubation techniques, and intubating in atypical positions. Allen also explains cerebral perfusion pressure through the Monroe-Kelley hypothesis, and why hypotension can be devastating in traumatic brain injury.
But beyond the technical skills, this episode is about leadership under pressure, verbalizing your thought process to your team, and having backup plans A through Z before you need them. It's about deliberate practice and mental simulation so you don't freeze when chaos hits.
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
Guest/Cast/Crew information-
Guest- Allen Wolfe, CFRN
Host- Ross Orpet, MD
Catch up with us after the show
Instagram- @emsloudandclearYouTube- https://www.youtube.com/@EMSLoudandClearWebsite- www.emspodcast.comAmerican Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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Discover the difference between resistance (your daily shield built through sleep, nutrition, relationships, and spiritual wellness) and resilience (the anaerobic sprint you can't maintain forever).
Recorded on-site at Fast25, James Boomhower, founder of StayFit4Duty, breaks down why the EMS culture of "pushing through" is fundamentally flawed. Using the metaphor of muscle training, he explains that continuing to stress a system without recovery doesn't build strength—it causes injury. The recovery time from a torn mental health muscle is exponentially longer than if you'd simply rested appropriately.
With over 20 years in New England EMS including training to become a licensed mental health counselor, James brings a perspective that's desperately needed in emergency medicine. He provides the missing manual for sustainable careers in emergency medicine. In this episode he discusses why the 5 pillars of resilience should really be the 5 pillars of resistance. He shares vulnerable stories from his own journey, including the colleague who grabbed him by the collar to stop him from burning out while helping others, and even some relationship strategies to prevent your worst shift from destroying your home life.
Want to stay ahead of the top 1% in EMS and build real confidence in the field?👉 Book a call to get personalized guidance, improve decision-making under pressure, and grow your skills as a paramedic: emspodcast.com/free-coaching-call📰 Join our weekly newsletter for exclusive EMS insights, leadership strategies, real-life scenarios, and tools designed to help you stay sharp, confident, and ahead of the curve: https://loudandclear.kit.com/d45b012fae
Resources
Learn more about StayFit4Duty and connect with James on instagram at @stay_fit4duty on InstagramGet The Relationship Action Plan Document Supplemental Blog post for this episodeGuest/Cast/Crew information-
Guest- James Boomhower, LMHC-A, MS, FP-C, NR-P, C- NPT, CCISM
Host- Ross Orpet, Will Berry
Catch up with us after the show
Instagram- @emsloudandclearYouTube- https://www.youtube.com/@EMSLoudandClearWebsite- www.emspodcast.comAmerican Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
- Visa fler
