Alert Medic 1

Josh and Cody unpack this clinical practice theory of Audacity.

Cody posted a few months, this topic and here is what he said in the post.

Audacity is having the balls to make a decision, when you know you need to make it, with only your thought processes and clinical judgement to defend you.
Why, because blindly following a protocol that was not written for the exact situation you are in… is stupid. That is reckless and careless. Why? Because if you merely find the title of a protocol that “matches” the complaint you are dealing with, you are not collecting dots. You are forcing the patient into a box they may not belong in. In so doing, you doom them to suffer treatments from a recipe that does not even fit their problem.
You are a clinician. You have to develop the situation and develop a gestalt or an impression.
When you have to defend yourself. This is how you do it.
“Here is the picture I made with the dots I collected. That is what drove the decision.” —> this avoids outcome bias. When people understand HOW you made the decision they tend to focus a lot less on the RESULT of the decision.
You highlight and defend the thought process, NOT the result. You don’t control the result, you only control your responses to the information you gathered.
You also cannot judge YOURSELF by the outcome. You hold the mirror up to the integrity of your process, how well you crafted a solution, and how well it was executed.

There is more to airway burns than thermal injury. Cody and Josh are going to unpack that idea.

Cody and Josh discuss a recent blog post about COPD patients and the care that we provide them. They talk about concepts that are not commonly talked about in initial paramedic education and how we should change our approach to these patients.

https://emsairway.com/2026/04/30/copd-upgrade-what-i-wish-they-taught-me-in-paramedic-school/#gref

https://www.ncbi.nlm.nih.gov/books/NBK580644/table/ch1.tab1/

Summary generated by Riverside AI

This episode explores the integration of critical care into 911 EMS, featuring insights from Wes Rogers and Don Rose from Austin Travis County EMS. Topics include the development of the PL6 program, benefits of critical care in prehospital settings, and strategies for training and implementation.

This episode explores non-traumatic thoracic and abdominal aortic dissections, emphasizing anatomy, risk factors, physical assessment, and treatment strategies. Hosted by experts in emergency medicine and critical care, it provides vital insights for pre-hospital providers and clinicians.

Summary

Hannah Herbst joins the Alert Medic 1 team to discuss the Auto TQ automatic tourniquet, which designed to improve hemorrhage control for both the lay public, and trained emergency clinicians. The conversation covers the device's design, efficacy, regulatory pathway, and potential impact on emergency response systems.

Dr. Zaffer Qasim returns to the Alert Medic 1 podcast to discuss various topics. The show covers topics such as the integration of blood in tactical EMS, comparing military and civilian approaches, and discusses the logistics, training, and tactical considerations for improving trauma care in high-stakes environments.

Summary

This episode features Dr. Tim Chizmar discussing recent updates to Maryland EMS protocols, including new treatments for seizures, stroke, hypertensive emergencies, and trauma. Learn about protocol changes, innovative treatments like ketamine for refractory seizures, and the expanding role of EMS in leading medical advancements.

Chapters

00:00 Introduction to Protocol Updates

02:19 Child and Vulnerable Adult Abuse Reporting Changes

05:31 Pediatric Critical Care Protocol Enhancements

08:22 Patient Refusal of Care Protocol Improvements

10:31 Expanding Buprenorphine Access in EMS

14:33 Seizure Management Protocol Changes

27:55 Introduction of Labatolol for Stroke and Aortic Syndromes

33:13 Identifying Aortic Dissection and Acute Coronary Syndrome

35:51 Beta Blockers in Emergency Medicine

38:51 Crush Syndrome and Hyperkalemia Treatment Changes

44:13 Trauma Management and Hemorrhage Control

47:52 Expanding Protocols for Emergency Care

54:20 Tourniquet Conversion Protocols

Summary generated by Riverside AI

This episode features Dr. Jennifer Andrews discussing recent updates in Maryland EMS protocols, including pediatric care, seizure management, airway procedures, and the integration of ketamine. Gain insights into protocol changes, best practices, and future directions in pediatric emergency care.

Summary

This episode features trauma experts Dr. Efron and Dr. Richards discussing penetrating trauma management, injury patterns, physical exam techniques, imaging, and critical decision-making in emergency situations.

Key Topics

Injury patterns in penetrating trauma

Initial physical exam and exposure techniques

Imaging modalities and their roles in trauma assessment

Keywords

trauma, penetrating injuries, emergency medicine, trauma management, injury patterns, physical exam, imaging, hemorrhage control, airway management, resuscitation

Chapters

00:00 Introduction to Penetrating Trauma

01:36 Understanding Penetrating Trauma

07:31 Approach to Trauma Patients

14:48 Importance of Physical Examination

19:06 Imaging and Diagnostics in Trauma

27:16 Ventilation Management in Trauma Patients

32:09 Understanding Tamponade and Its Management

34:47 Pre-Hospital Management of Trauma

38:31 Advanced Airway Management in Facial Trauma

47:37 Managing Personal Reactions in Trauma Situations

57:38 Key Takeaways on Penetrating Trauma Management