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

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

By Ross Orpet, Paramedic turned EMS PhysicianEducation
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Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers episodes

  • BONUS: Wise Guys from FAST24- Allen Wolfe and Michael Frakes On Where We Were, Where We're Going, and How We Get There.
    Get 10% off FAST25 with promo code- loud&clear. In this special episode of Loud & Clear: EMS Guiding Principles, we learn from the wisdom of 2 industry leaders with nearly 70 years worth of combined experience, Allen Wolfe and Michael Frakes. This episode explores the evolution of EMS education, effective training strategies, and the importance of lifelong learning. Whether you're an educator, a learner, or just passionate about EMS, you'll find valuable insights on how to improve your skills and knowledge. Enjoy this bonus episode filled with expert advice, engaging discussions, and practical tips to level up your EMS game! 
     
    00:00 Episode Quotes
    00:38 Welcome to Loud and Clear EMS
    01:19 Upcoming Fast 25 Conference
    02:10 Meet the Guests: Allen Wolfe and Michael Frakes
    04:20 Allen's Background and Experience
    05:41 Changes in Clinical Education
    07:51 Future of Education: VR and Edutainment
    09:09 Advice for Education Directors
    11:34 Field Training Officer Tips
    15:08 Choosing the Right Workplace for Critical Care Experience
    16:31 Real-Life Trauma Cases and Lessons Learned
    19:36 The Importance of Self-Education and Lifelong Learning
    21:48 Michael Frakes Introduction- Insights from a Career in Critical Care Transport
    22:44 Advancements and Challenges in Medical Education
    27:59 Final Thoughts and Key Takeaways


    Resources

    • The Resus Tailor - https://www.theresustailor.com/
    • Get 10% off FAST25 with promo code- loud&clear
    • Survey- Help us learn what content you want
    • 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
      • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
      • 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
            • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
            • Guest/Cast/Crew information-

              Guest- Allen Wolfe, Michael Frakes
              Host- Ross Orpet, Will Berry 

              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 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

                  32 min
                • Unlocking Practice Changing Insights: A Paramedics Guide to Reviewing the Medical Literature
                  Let's discuss the intricacies of evidence-based medicine (EBM) with Dr. Ben Li. The conversation dives deep into understanding different types of medical studies, their hierarchies, and how EMS providers can apply them to their practice. The episode covers evaluating research, the importance of study design, confounders, sample size, and how to discern the relevance and applicability of research findings. Dr. Li provides practical advice for critically appraising literature and emphasizes doing so in a way that is personally relevant to the listener's practice. This episode is essential for anyone in EMS or emergency medicine looking to deepen their understanding of medical research and how it impacts patient care. Enter to win Airpods, Cric-a-lot, and a belt buckle!
                  Resources that can help

                  Critical appraisal guides:

                  https://casp-uk.net/casp-tools-checklists/ (my personal favorite)

                  https://jbi.global/critical-appraisal-tools

                  Reporting guidelines (similar to appraisal guides, but more are standards for the investigators to use and follow):

                  https://www.equator-network.org/reporting-guidelines

                   
                  00:00 Introduction and Priorities
                  00:34 Show Restructure Announcement
                  01:42 The Evolution of EMS Practices
                  03:57 Understanding Evidence-Based Medicine
                  05:23 Interview with Dr. Ben Lee
                  07:20 Approaching and Appraising Medical Studies
                  08:14 Challenges in EMS Research
                  13:47 Study Design and Hierarchy
                  31:33 Applying Research to Practice
                  39:26 Final Thoughts and Takeaways
                   
                  Resources
                  • The Resus Tailor
                  • Enter to win Airpods, Cric-a-lot, and a belt buckle!
                  • Website show notes link
                  • Other episodes you might like:
                  • Podcast announcements
                  • Survey- Help us learn what content you want
                  • 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
                    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                    • 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
                            • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                            • Guest/Cast/Crew information-
                              Guest- 
                              Host- Ross Orpet, Will Berry 

                              Catch up with us after the show
                              • Instagram- @emscast
                              • Twitter- @ems_cast
                              • 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 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

                                  42 min
                                • How Equipment Design Can Save Lives: Why Your Bag Organization Matters More Than You Think
                                  We discuss the importance of equipment design in EMS with Adam LaChapelle, founder of The Resus Tailor. Together we delve into the impact that effective design has on performance and patient outcomes, exploring principles such as reducing friction and visual checklists. Adam shares compelling stories and practical tips on organizing your equipment to enhance efficiency and care. The episode also includes a special giveaway announcement for listeners. SPECIAL GIVEAWAY- AirPods, Cric-a-lot, Belt Buckle
                                   
                                  00:00 Introduction to Bag Design Challenges
                                  00:44 Real-Life Emergency Scenario
                                  02:33 The Importance of Equipment Layout
                                  03:15 Exciting Announcements and Rebranding
                                  04:00 Meet the Hosts and Today's Guest
                                  05:27 Adam LaChapelle's Journey and Passion
                                  11:32 The SCRAM Bag and Its Impact
                                  16:20 Principles of Effective Design
                                  21:42 Innovative Bag Design for Quality Care
                                  22:19 The Importance of Iteration in EMS Gear
                                  23:49 Key Considerations for Bag Design
                                  28:05 Reducing Friction in Emergency Response
                                  30:46 Challenges and Solutions in EMS Bag Design
                                  35:33 Customizing Bags for Specific Needs
                                  36:54 Practical Tips for EMS Providers
                                  39:40 Partnering with Recess Tailor for Custom Solutions
                                  42:45 Exciting Giveaway Announcement
                                  44:03 Summary and Key Takeaways

                                   


                                  Resources

                                  • SPECIAL GIVEAWAY- AirPods, Cric-a-lot, Belt Buckle
                                  • The Resus Tailor
                                  • Website show notes link
                                  • Podcast announcements- NEW NAME, Loud & Clear: EMS Guiding Principles
                                  • Survey- Help us learn what content you want
                                  • 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
                                    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                    • 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
                                          • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                          • Guest/Cast/Crew information-

                                            Guest- Adam LaChapelle, Founder and CEO of The Resus Tailor
                                            Host- Ross Orpet, Will Berry 

                                            Catch up with us after the show

                                            • Instagram- @emsloudandclear
                                            • YouTube- @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 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

                                                 

                                                Creative Commons - Attribution 3.0 Unported - CC BY 3.0
                                                Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo
                                                Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic

                                                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

                                                46 min
                                              • NEW NAME! The podcast gets a new name, find out what and why...

                                                Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey.

                                                Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing you valuable continuing education through our podcast, originally named EMS Cast. Each year we have become more and more dedicated to our mission. However, as time passed, it became clear that our name didn't quite capture the essence of what we stand for—our mission or our identity as educators in the EMS field.

                                                Will and I devoted significant effort into clarifying our mission this last year. Determining how we could create a framework to help you navigate the inevitable uncertainties in EMS, to put an emphasis on what truly and what principles will guide you through the uncertainty. This framework is going to allow us  to bring you even better content with clearer messaging. We wanted a name that resonates with our commitment to provide in-depth discussions that extend beyond paramedic school learning but yet never loses sight of the fundamentals and guiding principles that actually matter. After months of brainstorming and reflection, Loud & Clear: EMS Guiding Principles felt like the perfect match—an embodiment of our dedication to make every lesson resonate strongly and clearly with you, the listener.

                                                In the world of EMS, ‘loud and clear’ is a phrase many of us know very well, whether you’re checking in with dispatch over the radio at the start of your shift or confirming the receiving hospital can clearly understand you. It signifies that there is clarity and understanding in the message that is received. We aim to bring this clarity  to every topic we discuss. Reinforcing our commitment to delivering information that is easy to comprehend and apply in real-life EMS situations, even when uncertainty abounds.

                                                While our name may have changed and our episode framework has evolved, our mission has not. We will continue to provide high level education, seeking to teach you principles that enrich your knowledge beyond the textbooks you read in paramedic school, preparing you for the unexpected scenarios you’ll face in the field. You won’t find cookie-cutter approaches here—we’re dedicated to helping you understand and fall back on an understanding of fundamental principles that allow you to navigate the uncertainty and chaos with confidence.

                                                Each episode of Loud & Clear will present high-level discussions about pathophysiology and treatment options. But more than that, every episode will guide you back to those time-tested EMS principles crucial for effective decision-making. This year promises ever more engaging content rich episodes, with an updated name, cover art, social media presence, and more as we embrace this exciting transition.

                                                We can't wait to embark on this new journey with you, our dedicated listeners. Thank you for your support and enthusiasm. Remember—we’re here to ensure your learning experience is loud and clear.

                                                 

                                                Resources:

                                                • 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

                                                  4 min
                                                • Unlocking Syncope: A Harbinger of Hidden Perils, Differentiating Benign from Life-Threatening Causes
                                                  Syncope is a symptom, not a diagnosis. Often it's a symptom of a benign etiology but it can indicate a life-threatening condition. So how do we distinguish between the two? We dive into the complex topic of syncope with guest Matt Mendes. We discuss the importance of recognizing syncope, differentiating it from seizures, and identifying who are the high-risk patients and why. The episode covers the guiding principles syncope- a good history, physical exam findings, and the ECG. It also delves into common presentations, risk stratifying strategies, and real-world cases to equip EMS providers with the knowledge needed to manage syncope calls effectively. 
                                                   
                                                  00:00 Intro
                                                  01:07 Welcome to EMS Cast, host and guest introductions
                                                  04:51 Guiding Principles for Syncope Assessment
                                                  07:22 High-Risk Syncope Patients
                                                  09:14 Initial Approach to Syncope Patients
                                                  15:15 Syncope vs. Seizure
                                                  20:08 Physical Exam and EKG Importance
                                                  25:14 Identifying Arrhythmias in Syncope Patients
                                                  26:37 Understanding Wolf Parkinson White Disease
                                                  27:46 QT Prolongation and Its Implications
                                                  29:49 Left Ventricular Hypertrophy and Its Risks
                                                  31:28 Recognizing Brugada Pattern
                                                  32:02 Arrhythmogenic Right Ventricular Dysplasia
                                                  33:04 Bifascicular Block and Its Dangers
                                                  35:00 EKG Interpretation and Syncope Risk Stratification
                                                  39:53 Emergency Department Workups for Syncope
                                                  55:49 Case Studies and Memorable Syncope Calls
                                                   

                                                  Resources
                                                  • The Resus Tailor
                                                  • EMS Cast Syncope Blog Post
                                                  • Other episodes you might like: Wide Complex Tachycardia
                                                  • Podcast announcements- WE'RE RENAMING THE SHOW TO, LOUD & CLEAR: EMS GUIDING PRINCIPLES
                                                  • Survey- Help us learn what content you want
                                                  • 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
                                                    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                                    • 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
                                                            • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                                            • Guest/Cast/Crew information-
                                                              Guest- Matt Mendes, EM doc, Resident didactics coordinator, former EMS Cast Co-Host
                                                              Hosts- Ross Orpet, Will Berry 

                                                              Catch up with us after the show
                                                              • Instagram- @emscast
                                                              • Twitter- @ems_cast
                                                              • 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 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
                                                              •  
                                                              • Creative Commons - Attribution 3.0 Unported - CC BY 3.0
                                                                Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo
                                                                Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic

                                                                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

                                                                1 hr
                                                              • Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS
                                                                Let's discuss the pressing issue of mental health among first responders, particularly within the EMS community. Will gets vulnerable and shares a personal story of trauma on the job to highlight the urgent need for mental health resources and support. Unfortunately, his story is not unique, we will all experience some level of emotional trauma while on the job. This episode features Jessica Nelson, the coordinator of the groundbreaking program and first of its kind state legislation, PATH4EMS. PATH4EMS provides free and confidential mental health care for EMS professionals. We delve into strategies for normalizing mental health conversations, the importance of trauma-informed care, and the benefits of proactive mental health practices. The discussion also covers the need for tailored, evidence-based resources and the unique challenges faced by rural first responders. Tune in to learn about the vital steps being taken to ensure the well-being of those who brave the front lines.
                                                                 
                                                                00:00 The Struggles of First Responders
                                                                00:53 A Personal Story of Trauma
                                                                04:57 The Turning Point: Seeking Therapy
                                                                05:42 Introduction to EMScast
                                                                06:34 Meet Jessica Nelson: A Pioneer in EMS Mental Health
                                                                09:54 The Importance of Confidentiality and Specialized Care
                                                                12:17 Effective Mental Health Practices for EMS Providers
                                                                19:54 Path for EMS: A Groundbreaking Initiative
                                                                30:37 Future Directions and Final Thoughts
                                                                 


                                                                Resources

                                                                • PATH4EMS website
                                                                • Today's Sponsor- The Resus Tailor
                                                                • Today's episode blog post
                                                                • Podcast announcements- We're rebranding! New name will be- Loud & Clear: EMS Guideline Principles. Look out for the changes coming soon.
                                                                • Survey- Help us learn what content you want
                                                                • 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
                                                                  • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                                                  • 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
                                                                          • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                                                          • Guest/Cast/Crew information-

                                                                            Guest- Jessica Nelson, PATH4EMS coordinator
                                                                            Host- Ross Orpet, Will Berry 

                                                                            Catch up with us after the show

                                                                            • Instagram- @emscast
                                                                            • Twitter- @ems_cast
                                                                            • 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 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

                                                                              38 min
                                                                            • Wide Complex Tachycardia: Get Comfortable With Uncertainty
                                                                              Learn a systematic approach to management of wide complex tachycardia that doesn't rely on exact rhythm identification or scoring systems with guest Dr. Kevin Butler. By understanding the physiology rather than memorizing a score or algorithm you can use Kevin's approach and ABCD mnemonic to help differentiate between ventricular tachycardia, SVT with aberrancy, and other arrhythmias. Learn how not to miss the vital mimics with his SPAM filter. And finally by understanding which treatments are safe and which treatments potentially dangerous you can understand how to move forward even when you're not exactly sure what the arrhythmia is. Whether you're an EMT, paramedic, or emergency physician, this episode provides the essential principles and stepwise strategies to ensure effective and safe patient management.
                                                                              00:00 Introduction to Arrhythmia Management
                                                                              00:29 Personal Anecdote: Lessons from Paramedic School
                                                                              02:04 Introducing Dr. Kevin Butler
                                                                              02:16 Sponsor Message: The Recess Tailor
                                                                              03:35 Welcome to EMS Cast
                                                                              04:04 Understanding Wide Complex Tachycardia
                                                                              05:37 Approach to Arrhythmia Management
                                                                              07:02 Principles of Managing Wide Complex Tachycardia
                                                                              08:39 Pathophysiology of Wide Complex Tachycardia
                                                                              18:30 Identifying and Treating Mimics
                                                                              26:55 Regular vs. Irregular Wide Complex Tachycardia
                                                                              29:59 Understanding Torsades and Its Management
                                                                              30:25 Identifying Atrial Fibrillation with Pre-Excitation
                                                                              32:14 Treatment Considerations for AFib with WPW
                                                                              35:02 Distinguishing Between VT and SVT with Aberrancy
                                                                              37:09 Physiological Approach to ECG Interpretation
                                                                              40:24 ABCD Mnemonic for VT Diagnosis
                                                                              47:49 EMS Treatment Protocols for Wide Complex Tachycardia
                                                                              51:54 Pre-Hospital Cardioversion Tips
                                                                              55:22 Emergency Department Approach to Wide Complex Tachycardia
                                                                              58:00 Final Thoughts and Key Takeaways


                                                                              Resources

                                                                              • The Resus Tailor
                                                                              • Episode Blog Post with EKG examples
                                                                              • Survey- Help us learn what content you want
                                                                              • 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
                                                                                • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                                                                • 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
                                                                                      • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                                                                      • Guest/Cast/Crew information-

                                                                                        Guest- Dr. Kevin Butler, Emergency Physician, Lead Instructor for DHREM's EKG didactic curriculum
                                                                                        Host- Ross Orpet, Will Berry 

                                                                                        Catch up with us after the show

                                                                                        • Instagram- @emscast
                                                                                        • Twitter- @ems_cast
                                                                                        • 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 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

                                                                                          1 hr 1 min
                                                                                        • Trailer - Loud & Clear: EMS Guiding Principles

                                                                                          You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life. To change an outcome that would have otherwise been catastrophic if you weren’t there.

                                                                                          There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “A” then “do B” but what do you do when "A” wasn’t in the book. We need to get away from the algorithmic thinking and instead shift to understanding the principles behind WHY if A then B.

                                                                                          The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you.

                                                                                          If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends.

                                                                                          We are your hosts, Ross Orpet & Will Berry and this is EMS Cast.

                                                                                          Come on this journey with us to mastering emergency medicine. We will cover topics in more depth than you learned in paramedic school, we will teach one step further and talk about what will happen to that patient in the Emergency Department after you drop them off. And we will connect all of this back to the principles that will guide you not just on this call but on all the calls. These principles will allow you to answer the question, at the end of the day, what’s really important to me, the paramedic, in the field, in that moment.
                                                                                          You may not feel ready, you may not feel like you know enough, but you can understand the principles and that will make all the difference. Because what you do matters.
                                                                                           
                                                                                          Resources:
                                                                                          • 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

                                                                                            3 min
                                                                                          • From Novice to Navigator: Mastering the Art of EMS Field Training
                                                                                            Joined by Josh, Cody, and Moose from the AlertMedicOne podcast, we explore key principles of good training, leadership, and the importance of making mistakes in a safe learning environment. We discuss strategies to foster critical thinking, introspection, and continuous improvement among trainees in the EMS field. A big part of EMS is learning to be a leader and a teacher no matter what level you are at so whether you are a trainee, a field trainer, teach students during their rides, or merely work with a partner there's something for everyone to learn in this one. Tune in for an insightful discussion on how to develop and become excellent EMS professionals through solid training and leadership.
                                                                                             
                                                                                            00:00 Whitewater Rafting Adventure
                                                                                            00:25 The Importance of Training
                                                                                            01:02 Creating a Safe Learning Environment
                                                                                            01:43 Introducing the AlertMedicOne Podcast
                                                                                            02:06 Meet the Hosts
                                                                                            04:37 Whitewater Rafting Lessons for EMS
                                                                                            05:48 Encouraging Autonomy in Training
                                                                                            08:01 Balancing Guidance and Independence
                                                                                            10:25 The Role of Field Training Officers
                                                                                            15:03 Ownership and Leadership in EMS Training
                                                                                            24:50 Handling Mistakes and Failures
                                                                                            31:33 Striving for Continuous Improvement
                                                                                            34:11 Embracing Continuous Improvement
                                                                                            34:34 Learning from Experienced Paramedics
                                                                                            35:35 The Importance of Preparation
                                                                                            36:47 Humility and Self-Awareness
                                                                                            38:23 Handling Mistakes and Growth
                                                                                            40:12 Training and Mental Health
                                                                                            41:54 Effective Preceptorship
                                                                                            43:13 Teaching Techniques in Action
                                                                                            45:12 Building Confidence in Trainees
                                                                                            47:21 The Role of a Trainer
                                                                                            01:03:06 Final Thoughts and Reflections
                                                                                             

                                                                                            Resources
                                                                                            • Contact The Resus Tailor
                                                                                            • Watch this episode on YouTube
                                                                                            • Read the blog post for this episode
                                                                                            • Other episodes you might like:
                                                                                              • Values Driven Leadership with Chris Pfingsten from EMS 20/20 podcast
                                                                                              • 10 lessons from a real austere rescue
                                                                                              • How to Master the Resuscitation - EMCRITs Scott Weingart
                                                                                              • Podcast announcements- Big news coming in 2025! Stay Tuned!
                                                                                              • Survey- Help us learn what content you want
                                                                                              • 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
                                                                                                • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                                                                                • 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
                                                                                                        • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                                                                                        • Guest/Cast/Crew information-
                                                                                                          Guest- Josh, Cody, Moose
                                                                                                          Host- Ross Orpet, Will Berry 

                                                                                                          Catch up with us after the show
                                                                                                          • Instagram- @emscast
                                                                                                          • Twitter- @ems_cast
                                                                                                          • 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 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

                                                                                                              1 hr 7 min
                                                                                                            • The Difference Between Equal and Equitable Care
                                                                                                              Explore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani from The EMS Show podcast, highlighting the importance of focusing on outcome-driven quality improvement projects and addressing disparities in care. Learn how different demographics face unique barriers to healthcare, and why recognizing these differences is essential to improving outcomes across various communities. Watch as real-life examples illustrate the need for equitable interventions and the systemic factors that contribute to inequities in EMS.
                                                                                                               
                                                                                                              00:00 Introduction: Equal vs. Equitable Care
                                                                                                              00:23 Case Study: CPR Training Disparities
                                                                                                              01:09 Understanding Barriers to Equitable Care
                                                                                                              03:31 Guest Introduction: Ritu Sani from EMS Show Podcast
                                                                                                              04:33 Interactive Exercise: Demonstrating Inequity
                                                                                                              06:36 Quality Improvement: Focusing on Outcomes
                                                                                                              08:09 Challenges in Achieving Equitable Care
                                                                                                              09:25 Diversifying EMS Workforce
                                                                                                              10:11 Systemic Factors and Data-Driven Solutions
                                                                                                              11:03 Starting with Equitable Care
                                                                                                              11:17 Key Areas to Focus On
                                                                                                              11:26 Analyzing Data for Disparities
                                                                                                              12:12 Addressing Provider Reactions
                                                                                                              13:00 Implementing Quality Improvement
                                                                                                              13:35 Implicit Bias and Introspection
                                                                                                              14:17 Patient Outcome Driven Approach
                                                                                                              14:33 Challenges and Structural Abnormalities
                                                                                                              15:16 Conclusion and Final Thoughts
                                                                                                               
                                                                                                              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
                                                                                                              • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
                                                                                                              • 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
                                                                                                                    • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2
                                                                                                                    • Guest/Cast/Crew information-
                                                                                                                      Guest- Ritu Sani, MD and Co-host of The EMS Show podcast
                                                                                                                      Host- Ross Orpet, Chris Pfingsten from EMS 20/20

                                                                                                                      Catch up with us after the show
                                                                                                                      • Instagram- @emscast
                                                                                                                      • Twitter- @ems_cast
                                                                                                                      • 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 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

                                                                                                                        17 min

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

                                                                                                                      From the publisher's feed

                                                                                                                      Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if…

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