Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full article here. https://link.springer.com/article/10.1007/s00134-022-06832-9?mc_cid=93f14f4c87&mc_eid=65c52bf2df

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Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency Physicians, and Paramedics to help clearly delineate our priorities in trauma. 

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To view the whole document visit our website:

The Ideal Trauma Call

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Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life. 

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Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to take us through how novel drugs escape our legal system and what the dangers are. And a new update on good ol' meth too!

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Full show notes at: EMSpodcast.com

Papers mentioned in the show:

2019 Review Article of papers looking at antipsychotics in the treatment of sympathomimetics

Chemical restraint for the agitated patient in the emergency department: lorazepam versus droperidol

Midazolam-Droperidol compared to droperidol alone

Benzodiazepines and antipsychotic medications for treatment of acute cocaine toxicity in animal models--a systematic review and meta-analysis

Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams?

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Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Join us for part four of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to RV failure why these patients are so dangerous to intubate.

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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

Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way. 

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Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Dr. Lesley Pepin joins us to talk about the nuances of cocaine overdose and it's various managements. There's more than you think. And the more you know could make a difference and save a life. 

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and why these patients are so dangerous to intubate.

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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

Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate. 

Enter to Win a FREE Pair of Frontline Optics Sunglasses

EMScast15 for 15% Off Frontline Optics Sunglasses

Resources:

Want to stay ahead of the top 1% in EMS and build real confidence in the field?

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