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The interview of a lifetime (Secondary Assessments)
This week, the crew dives into one of the most conversation-driven parts of EMT work — the secondary assessment. After handling life threats in the primary survey, now it’s all about communication, connection, and collecting details that actually tell a patient’s story.
Jonathan returns from night shift to rejoin Mike and Max as they break down OPQRST + SAMPLE, share their first field experiences doing secondary assessments, and reflect on the art of interviewing patients in real time. From reading subtle stroke signs to learning through small mistakes (like oxygen-hose mix-ups), this episode highlights how much of EMS happens through listening, observing, and talking.
Episode Breakdown
00:37 – Jonathan returns and the crew catches up on night shifts and ride-alongs
06:20 – Mike’s first stroke-call experience and spotting subtle red flags
10:00 – Learning from mistakes: the oxygen-hose incident
20:15 – Medical Term of the Week: OPQRST + SAMPLE mnemonics explained
36:30 – Focused vs. full secondary assessments – and knowing what’s “important now”
48:20 – Physical exams, DECAP-BTLS, and patient communication tips
1:03:10 – Tools of the Trade: Pulse Oximeter 🩸 (history, use, and limitations)
1:14:00 – Student Tip of the Week: Know your community, speak their language
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.ridealong.bulletn.net
RideAlong Update (EMS World Expo)
In this special bonus episode, Mike goes solo to bring you an inside look at EMS World Expo 2025 in Indianapolis — the largest gathering of EMS professionals, innovators, and educators in the world.
From the classroom to the show floor, Mike shares what it’s like to step into the deep end of the EMS industry before even finishing EMT school — the lessons, the surprises, and the incredible people behind the scenes.
Hear about the training scenarios with Indianapolis EMS, the keynote with Indy 500’s medical director, and the new gear and trends shaping the future of prehospital care — from StatPacks and xShear to cutting-edge tech like the Butterfly BVM and Compression Works AAJT-S.
It’s part travel diary, part after-action report, and all passion for learning. Whether you’re a student, a seasoned medic, or just EMS-curious, this one’s packed with insight, gratitude, and a few laughs along the way.
🎧 Topics include:
What it’s really like to attend EMS World Expo as a student
Behind the scenes of a multi-agency terror attack simulation
Key lessons from national EMS leaders and educators
Emerging tech and trends from the expo floor
Why mentorship and curiosity matter in every stage of EMS
🕐 Timestamps
00:00 – Intro: Mike opens the bonus episode and sets the stage
02:00 – Shoutouts to the people and companies who made the week amazing
09:30 – What is EMS World Expo? What can you learn and why go?
13:00 – Expectations vs. reality heading into the week
20:00 – Overview of how the event is structured (Pre-Con + Exhibit Hall)
38:00 – Day 1 – “Commanding Chaos” with Chief Ken Bouvier (Leadership in large-scale incidents)
46:00 – Day 1 – FlightBridgeEd Critical Care Ventilator Workshop with Eric Bauer
52:00 – Day 2 – “Complex Coordinated Terror Attack” full-day training with Indianapolis EMS
1:01:00 – Day 3 – Keynote “EMS in the Fast Lane” with Dr. Julia Vaizer (Medical Director, Indy 500)
1:07:00 – Day 4 – “BLS is BS” with Dr. David Wampler & Dr. CJ Winckler (UT Health San Antonio)
1:12:00 – Day 4 – “Airplane! It’s Not a Movie, It’s a Real Life Situation” with Dr. Jeff Goodloe & Dr. Patrick Cody (Oklahoma City EMS)
1:19:00 – Exhibit Hall walkthrough and product highlights (StatPacks, xShear, Butterfly BVM, Compression Works AAJT-S)
1:32:00 – Key Takeaways & Trends (Whole Blood, Smart BVMs, mentorship in EMS)
1:35:00 – Personal Highlights & Final Thoughts
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.ridealong.bulletn.net
First Impressions Matter (Scene Size-Up, Primary Assessment)
In EMS, your first impression can literally save a life. This week, the crew breaks down the scene size-up and primary assessment—the first steps every EMT takes when arriving at an emergency. From assessing safety and forming that “doorway impression” to managing life threats with the ABCs (airway, breathing, circulation), Mike and Max unpack what it means to stay calm, think fast, and see the big picture.
With Jonathan out on contract, the guys navigate class solo—sharing real ride-along stories, lessons from their first volunteer shifts, and what it’s like to start applying classroom knowledge in the field. They also introduce the AVPU scale (alert, verbal, pain, unresponsive) for gauging patient responsiveness, and cover PPE in this week’s Tools of the Trade.
Episode Breakdown
00:37 – Pop culture warm-up: SNL, The Pit, and EMS on screen
08:30 – Real-world ride-along stories and first volunteer calls
15:10 – Scene Size-Up: safety, awareness, and “from the door” impressions
18:15 – Medical Term of the Week: AVPU responsiveness scale
25:40 – Primary Assessment: airway, breathing, circulation, and life threats
33:10 – Scene safety, violent scenes, and when to call for help
38:40 – Tools of the Trade: PPE (gloves, glasses, and gowns)
1:14:20 – Student Tip of the Week: Always carry a pen & pad
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.ridealong.bulletn.net
Proof of Life (Vital Signs)
Vital signs are the foundation of every patient assessment—and this week, the crew gets hands-on with the “proof of life.” Mike and Max break down the five core vitals (pulse, respirations, skin, pupils, and blood pressure), plus the “bonus” indicators like oxygen saturation and blood glucose.
With Jonathan out this week, the guys tackle class solo—sharing lessons from the field, stories of testing on family members, and why getting an accurate manual blood pressure is harder than it looks. They also spotlight the American Heart Association in this episode’s community feature and close out with a Tools of the Trade segment on the blood pressure cuff (sphygmomanometer)—the deceptively simple tool every EMT has to master.
Episode Breakdown
00:37 – Celebrating 10 episodes (and one secret pilot)
02:20 – Vital signs: the “proof of life” and what they tell us
05:00 – Spotlight: The American Heart Association ❤️
09:00 – Medical Term of the Week: Baseline
13:20 – Tracking patient trends and reassessments
15:10 – The five core vital signs (and the two bonus ones)
19:00 – Pulse: where to find it and what it tells you
40:00 – Respirations: counting breaths and recognizing effort
43:30 – Skin: “pink, warm, and dry” vs. pale, cool, and clammy
47:00 – Pupils: PERRL, penlights, and what dilation reveals
51:00 – Blood pressure: manual technique and practice stories
1:15:00 – Manual vs. automatic cuffs + pro tips from class
1:21:00 – Tools of the Trade: Blood Pressure Cuff (Sphygmomanometer)
1:22:00 – Student Tip of the Week: Build your own vitals kit
1:29:00 – Closing thoughts & Jonathan appreciation
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.ridealong.bulletn.net
And She’s buying an Airway to Heaven (Airway Management & Ventilation)
Airway is everything in EMS, and this week the crew gets hands-on with one of the most critical skills an EMT can learn. Mike, Max, and Jonathan dive into airway anatomy, manual airway maneuvers, suction, BVM ventilation, oxygen delivery devices, and airway adjuncts. From recognizing stridor to mastering the head-tilt chin-lift, this episode connects classroom lessons to real-world lifesaving skills.
The guys also have some fun with Lord of the Rings pop culture references, highlight the i-gel supraglottic airway in Tools of the Trade, and share a student tip on practicing lung sounds early and often.
Episode Breakdown
00:59 – Medical Term of the Week: Stridor
12:00 – Airway management: why it comes first in ABCs
17:45 – Recognizing airway obstruction sounds (stridor, gurgling, wheezing, rales/crackles)
29:30 – Manual maneuvers: head-tilt chin-lift & jaw thrust
33:15 – Suction devices: Yankauer vs. Ducanto
41:20 – OPA vs. NPA and when to use them
48:05 – Supraglottic airways & ALS vs. BLS scope
55:00 – Bag valve mask ventilation techniques
1:02:00 – Oxygen delivery: nasal cannula vs. NRB mask
1:10:42 – Tools of the Trade: i-gel Supraglottic Airway
1:20:15 – Student Tip of the Week: Listen to lung sounds on everyone
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.ridealong.bulletn.net
Prove It or Lose It (Competency Verification & Skills Check)
After eight classes, the crew hits a mid-season “prove it” moment. Mike, Max, and Jonathan recap Section One of EMT school and what it’s like to switch from book work to demonstrating real skills under pressure. It’s a lighter, story-driven debrief that still digs into hands-on takeaways—like practicing backboards with head blocks for c-spine control—and why actually touching the equipment beats watching someone else do it.
They also run through the big themes from the first eight chapters: EMS system overview, EMT well-being, legal/ethical scenarios, patient movement, med terms, anatomy, pathophysiology, and lifespan development—plus how the “skills check” vibe changes the way you study and perform.
Episode Breakdown
00:00 – Intro & welcome back to RideAlong (Ep. 8 kickoff)
02:22 – Sponsor Spotlight: xShear Trauma Shears + Giveaway reminder
38:57 – Section One recap: from EMT wellness to patient movement, ethics, terminology, anatomy, pathophysiology, and lifespan development
45:02 – Hands-on highlights: backboards, head blocks, and why c-spine practice matters
45:44 – “Doing it beats watching it”: why practical reps change everything
46:41 – How we’ll treat review episodes + where to connect with us on socials
47:24 – Closing & disclaimer
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
www.RideAlong.Bulletn.net
Stayin’ Alive (CPR Training and Certification)
Mike and Max earn their CPR certification — the first major credential on the road to becoming EMTs. With Jonathan adding real-world perspective, the crew covers what high-quality CPR really means, how AEDs actually work, and why chest recoil is just as important as compression depth.
From adult compressions to infant rescue breathing, this episode dives into the skills every EMT (and civilian) needs to know. Plus, a closer look at the scoop stretcher in Tools of the Trade, and a student tip on being ready for your very first clinical shift.
Episode Breakdown
00:58 – Medical Term of the Week: High-Quality CPR
08:17 – Recognition and early intervention
13:45 – Chest recoil, depth, and compression rate
22:15 – AEDs: What they actually do (and don’t do)
34:03 – Rescue breathing and avoiding barotrauma
42:49 – Adult vs. pediatric CPR
46:42 – Choking emergencies & “abdominal thrusts”
52:58 – Tools of the Trade: Scoop Stretcher
1:08:12 – Student Tip of the Week: Be prepared for CPR on your first clinical shift
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
https://linktr.ee/RideAlongEMTSchool
From Cradle to Grave (Life Span Development)
Mike and Max (with Jonathan bringing the paramedic perspective) tackle life span development — how EMTs assess and interact with patients differently from infancy through late adulthood. From dehydration in infants, to psychosocial factors in adolescents, to polypharmacy in the elderly, the crew walks through the major age groups and what makes each unique in the field.
This week also features a musically Medical Term of the Week, a spotlight on the Reeves stretcher as our Tool of the Trade, and a student tip on the importance of doing truck checks. Plus, we highlight the Code Green Campaign, an organization dedicated to mental health and suicide prevention for first responders.
Episode Breakdown
08:08 – Medical Term of the Week: Psychosocial
17:12 – Life span development across age groups
20:30 – Vital sign ranges: infants vs. adults
25:04 – Psychosocial factors in kids and adolescents
34:51 – Sensitivity and communication with teens
39:45 – Early and middle adulthood: trauma and bad habits
43:04 – Late adulthood: fragility, pill burden, and polypharmacy
52:58 – Tools of the Trade: Reeves Stretcher
1:00:48 – Student Tip of the Week: Participate in truck checks
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
https://linktr.ee/RideAlongEMTSchool
Malfunction Junction (Pathophysiology)
Mike and Jonathan (flying the “missing man formation” without Max) dive into the toughest class yet: pathophysiology. They tackle the foundational concepts of how the body’s systems work together, what happens when they fail, and why understanding compensation and perfusion is critical for EMTs.
From heart and lungs working in tandem, to the different types of shock, to how children compensate differently than adults, this episode connects classroom theory to real-world EMS. Jonathan also brings in practical field experience and an EMT instructor’s tip on how students can succeed in class.
Episode Breakdown
09:43 – Medical Term of the Week: Compensation
13:17 – Cardiovascular & respiratory systems in balance
22:53 – Compensation vs. decompensation in patients
33:02 – System-by-system breakdown: cardiovascular, respiratory, digestive, renal, skin
37:08 – Shock explained: hypovolemic, cardiogenic, distributive, neurogenic, obstructive
45:53 – Perfusion and the ABCs of airway, breathing, circulation
55:00 – Adult vs. pediatric compensation (gradual decline vs. sudden crash)
1:03:22 – Tools of the Trade: (skipped this week – EMT shears coming in Ep 6)
1:04:25 – Student Tip of the Week: Don’t be afraid to ask questions (feat. EMT Instructor Ashley)
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
https://linktr.ee/RideAlongEMTSchool
Talk Nerdy to Me (Medical Terminology & Anatomy Basics)
Mike and Jonathan dive into the challenging world of EMT vocabulary, tackling medical terminology and the basics of human anatomy. From anatomical position to directional terms like anterior, dorsal, and proximal, they explore how EMTs learn to speak a common language.
The conversation also digs into when to use precise medical jargon versus plain language in the field, why mnemonics and analogies can make studying easier, and how anatomy leads directly into next week’s topic of pathophysiology. Plus, Jonathan spotlights the importance of modern tourniquet kits in this week’s Tools of the Trade.
Episode Breakdown
07:30 – Medical Term of the Week: Anatomical Position
10:00 – Learning directional terms: anterior, posterior, dorsal, proximal, distal
18:30 – Plain speak vs. professional jargon in EMS
33:00 – Mnemonics, word roots, and anatomy study tips
45:00 – Anatomy vs. physiology explained with car analogies
58:00 – Tools of the Trade: Tourniquet Kits
1:09:00 – Student Tip of the Week: Take care of personal needs when you can
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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.
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🚑 RideAlong: EMT School Links
https://linktr.ee/RideAlongEMTSchool
From the publisher's feed
RideAlong: EMT School follows Mike and Max, two friends diving into EMT training, alongside their co-host Jonathon, a working paramedic. Each week they share lessons, challenges,…
From the classroom to the ambulance, RideAlong offers an honest, entertaining look at the journey into emergency medicine.
Go to www.RideAlong.Bulletn.net for links!
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