Episode Description:
In this episode, we dive into one of the most critical yet often overlooked skills in austere and wilderness medicine—patient packaging. Whether it’s a multi-system trauma on a scree slope, a hypothermic hiker deep in the backcountry, a caver with unstable chest trauma, or a mountain biker with a TBI, how you secure, protect, and move your patient can make or break their outcome.

We’ll explore the goals, concepts, and challenges of patient packaging, including:

• Stabilizing injuries without sacrificing access for ongoing care
• Protecting patients from environmental extremes during prolonged evacuations
• Balancing speed versus precision when every second counts
• Real-world case scenarios that test creativity and adaptability

Join us as we unpack the principles of stabilize, protect, and move, and discuss how mastering patient packaging isn’t just about transport—it’s about survival.

Hosts: Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

In this episode, we dive into the power of mentorship in EMS and why it matters now more than ever. Every provider remembers what it felt like starting out—unsure, overwhelmed, and hoping for someone to show them the ropes. This conversation challenges you to step into that role for the next generation: to be the mentor you once wished for. We’ll explore what makes an effective mentor, how to balance guidance with accountability, and why mentorship shapes not only careers but the culture of EMS itself. 

Hosts: Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

 Boots, Brains, and Backbone: The Weight of the FTO

In this episode, we get real about one of the most critical — and often underappreciated — roles in EMS: the Field Training Officer. Whether you're training fresh recruits or shaping seasoned providers, being an FTO isn’t just about checking boxes. It’s about leadership, mentorship, accountability, and setting the tone for a provider’s entire career.

We break down:

• The mindset shift from clinician to educator
• Why FTOs must model professionalism under pressure
• The dangers of complacency and “passing the problem along”
• How great FTOs build confident, competent, and safe providers
• Strategies for providing feedback that actually sticks

If you're an FTO, want to become one, or just want to understand the responsibility that comes with shaping the next generation of EMS providers — this one's for you. It’s not a title. It’s a duty.

Hosts: Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

Venom and Voices: A Conversation with Dr. Ben Abo

In this thrilling and insightful episode, we’re joined by the legendary Dr. Ben Abo — emergency physician, medical toxinologist, and venomous animal expert. We dive deep into the world of envenomation's, snakebite medicine, and the vital role of medical voice and advocacy in wilderness and austere environments.

From his frontline experiences with venomous creatures to his work shaping national protocols and wilderness medicine education, Dr. Abo brings a unique blend of science, stories, and soul. Whether you're an EMS provider, SAR medic, or simply a curious mind, this episode is packed with real-world takeaways and unforgettable moments.

🩺 Topics include:

• Common myths and truths about snakebites
• Best practices in prehospital envenomation management
• The reality of venomous species in the U.S.
• Building better communication between field responders and toxicologists
• Why advocacy and education are critical to saving lives

Strap in — it’s an episode that bites back (in the best way).

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:  Dr. Ben Abo  - Venom 1 & 2 Florida

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com

Episode Title: “The Principles of Search: Art, Urgency, and Strategy in SAR”

When a person goes missing, time is critical—and so is the strategy. In this episode, we break down seven foundational truths that every Search and Rescue professional, volunteer, or agency must understand to be effective in the field. From treating search as a true emergency to knowing when (and when not) to deploy a grid search, we explore the mindset, tactics, and priorities that drive successful outcomes.

We'll cover:

• Why search is always an emergency
• How every mission is a classic mystery in need of critical thinking
• The importance of searching for clues and the subject simultaneously
• What to prioritize for the best chance of success
• How to recognize if the subject has left the area
• The correct order of search priorities
• Why a grid search should be your last resort

Whether you're a seasoned SAR operator or just getting involved, this episode lays out the core principles that separate a chaotic effort from a calculated, life-saving mission.

Hosts: Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

In this episode, we delve into the Wilderness Medical Society’s Clinical Practice Guidelines for the Medical Direction of Search and Rescue (SAR) Teams. Join us as we explore the critical role of medical direction in SAR operations, uncover the development process behind these essential guidelines, and discuss their impact on the safety and effectiveness of SAR missions.

In Part 1 we spoke with experts about the key recommendations outlined in the guidelines, the vital responsibilities of SAR medical directors, and the unique challenges faced in remote and austere environments. From legal and ethical considerations to the integration with local EMS systems.

In Part 2 we are joined again by some great experts and discuss the challenges of providing medical direction to austere response teams, highlight more parts of the WMS's Clinical Practice Guideline for SAR Medical Direction, discuss the role of telemedicine and remote consultation, and then get some thoughts on what the future may look like!  

Whether you’re a member of a SAR team, a medical professional, or simply fascinated by the intersection of wilderness medicine and rescue missions, this episode offers invaluable insights into the evolving landscape of medical direction in search and rescue. Tune in to learn how these guidelines are not just saving lives but also setting new standards in wilderness medical care.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:

Dr. Jeff Thurman
https://redstarmedical.org/
[email protected] 

Dr. Seth C. Hawkins 
https://hawkventures.com/ 

WMS CPG: https://wms.org/WMS/WMS/Research/WEM/CPG.aspx?hkey=9d313906-4f7f-4b79-bc5a-007516f2c61c 


If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com

In this episode, we explore the use of "Kobayashi Maru" style no-win scenarios in medical training—situations designed to be unwinnable to teach providers about death, dying, and the emotional challenges of patient loss. Just like in Star Trek’s infamous test, these scenarios push medical professionals to confront the reality that sometimes, despite their best efforts, they cannot save every patient.

We discuss how these simulations help providers develop emotional resilience, improve decision-making under pressure, and foster compassionate care for both patients and their families. Tune in as we dive into the ethical dilemmas, personal experiences, and training philosophies that shape how we prepare medical professionals for the hardest moments they’ll ever face.

Host(s): Jason "Big J" Tartalone & Jeff Kwiecien

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

SAR Legalities: Navigating the Legal Landscape of Search and Rescue

Search and Rescue (SAR) isn’t just about skill, courage, and determination—it’s also about understanding the legalities that can impact every mission. In this episode, we’re pulling back the curtain on the often-overlooked legal complexities of SAR operations.

From liability and jurisdictional authority to the challenges of Good Samaritan protections, we’ll explore the legal frameworks that SAR teams need to know. How do you balance mission urgency with legal compliance? How can teams protect themselves and their agencies from potential lawsuits?

Our expert guests will share real-world scenarios, actionable tips, and essential resources to help SAR professionals navigate the murky waters of legal responsibility. Whether you're a SAR team leader, an operational member, or just curious about the behind-the-scenes aspects of rescue work, this episode is packed with critical insights to keep your team both effective and protected.

🎧 Don’t miss this essential conversation—your team’s next mission could depend on it.

Host(s): Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com.

Are you ready to elevate your paramedic skills to thrive in the most challenging environments? In this episode, we dive into the Wilderness Paramedic Upgrade Course—a dynamic hybrid program that blends hours of online learning with 30 hours of immersive, scenario-based training in the field.

Join us as we unpack what makes this course a game-changer for paramedics looking to master wilderness rescue, austere medicine, and patient care in remote settings. From advanced splinting techniques to hypothermia management and resource improvisation, we’ll walk through the hands-on curriculum designed to push your skills to the next level.

Plus, we’ll discuss how this course prepares you for real-world scenarios and why it’s becoming a must-attend for forward-thinking EMS professionals. Whether you're a seasoned paramedic or just starting your wilderness medicine journey, this episode is packed with insights, stories, and tips to inspire your next career move.

🎧 Tune in, and let’s take your paramedic practice beyond the beaten path.

Don’t forget to subscribe and share with your EMS colleagues who are ready for the ultimate upgrade!

Host(s): Jason "Big J" Tartalone

If you have comments you would like to share or a topic for a discussion, hit us up at [email protected] or click the contact link on our webpage at www.SergeantRescue.com

Part 3: "More Than Just Tools: Advanced Equipment for Rapid Extrication Teams – Part 2"

In the second half of our equipment discussion, we explore the specialized and often overlooked gear that can make or break a wilderness rescue mission. From advanced communication systems to technical rope rescue tools, we examine how the right equipment can enhance the performance and safety of REM teams. Join us as we complete the list of essentials and highlight what’s missing from the current NWCG guidelines.

Hosts: Jason "Big J" Tartalone & Jeff Kwiecien

Guests:
Felipe Valle

Jeff's Substack Link: https://jeffreykwiecien.substack.com/p/nwcg-standards-for-rapid-extraction

https://www.nwcg.gov/ad-positions/technical-rescue-technician - NWCG Technical Rescue Technician

https://www.nwcg.gov/ad-positions/technical-rescue-squad-leader - NWCG Technical-Rescue Squad Leader

https://www.nwcg.gov/ad-positions/technical-team-leader - NWCG Technical Team Leader

NWCG Standards PMS-552 REMS - https://www.nwcg.gov/publications/pms552