In this episode, Steve, Dan, and Holly discuss calls that are not "black and white", and have forced them to think outside the box. Steve provides Dan and Holly with a case he encountered and has them walk through their decision making. He then reflects on how he and his crew responded to the scenario. Holly reviews a call she had that presented a variety of challenges and forced her to work in the "gray zone" and defend clinical decisions she made. The team closes by reviewing the importance of critical thinking and its application in the world of emergency medicine.

Steve, Dan, and Holly are back in the studio after a 6-month hiatus. The team reviews disaster medicine, how to get in the door, and what to expect on deployments. Dan Livengood is interviewed and discussed his multiple deployments that started in 2001 in El Salvador up to his most recent deployment to Ukraine.

Steve is back in the studio to give you a quick update on our friend and guest, Debbie Bailey. Steve gives a timeline for when the trio will be back in the studio again to record the next episodes of the show.

Steve, Dan, and Holly bring special guest Debbie Bailey on the show to discuss the process of dying and death itself. The trio listen as Debbie describes her battle with a terminal illness and what her recommendations are for EMS providers who are called to treat those in their final days and moments.

Steve, Dan, and Holly bring in Dr. Ramsey Selbak to discuss Ketamine use from an ER Physician's perspective. In addition to some case reviews, key aspects of Ketamine dosing, indications, and side effects are discussed.

Steve, Dan, and Holly bring Nate and Andrea from the Guardian Group into the studio to discuss Sex Trafficking Awareness. As EMS providers, Nate and Andrea walk listeners through what to look for on scene, best practices when you find evidence of trafficking, and how to protect your loved ones at home.

Steve, Dan, and Holly discuss the background and use of Ketamine in EMS. The trio interviews their guest, Oregon Firefighter/Paramedic Isaiah Burkhart, an Army Ranger veteran, about his experience with Ketamine personally and professionally. Various calls are discussed outlining what went well and what could have gone better when it comes to chemical restraint. Various doses and indications for the drug are discussed along with what the future of Ketamine use could look like in depression and psychotherapy treatment modalities.

Steve, Dan, and Holly are joined by Dr. Ed Racht to discuss humor and its role in EMS. Gallows humor is discussed as well as the concept of looking at humor as a different language for EMS providers. Dr. Racht reviews when to know you've crossed the line and how to test your humor out with your co-workers, friends, and family if you're unsure if it will be received well.

Steve, Dan, and Holly are joined with their colleague Chad who works full time in human trafficking in the Portland area. Chad describes his work, defines trafficking for listeners, and outlines what EMS providers can do when their "spidey senses" are going off. 

Mental health awareness is discussed when it comes to first responders who are constantly faced with gut-wrenching calls and cases. Steve and Dan discuss calls where they felt something was off and took various actions which may have helped get their patients the resources they needed.

Steve, Dan, and Holly discuss the fundamental differences and pros and cons between private ambulance EMS and Fire-Based EMS. The trio is joined by two Firefighter Paramedics from Washington State - Eric Chamberlain and Jeff Wright, who have a unique outlook on EMS compared to the average of their peers.