LISTENER DISCRETION IS ADVISED!
References:
Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50. 
Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine.
Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency Medicine.
Kotnarin R, Sirinawee P, Supasaovapak J. Impact of Prehospital Antibiotics on in-Hospital Mortality in Emergency Medical Service Patients with Sepsis. Open Access Emerg Med. 2023 May 26;15:199-206.
Poynter, M. J., Farrugia, A., Kelly, E., & Simpson, P. M. (2023). Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – A systematic review. Paramedicine, 21, 52–65.
Scales DC, et. al. Prehospital antibiotics and intravenous fluids for patients with sepsis: protocol for a 2×2 factorial randomised controlled trial. BMJ Open. 2025 May 27;15(5):e104257.

LISTENER DISCRETION IS ADVISED! References: Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50. Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine. Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency Medicine. Kotnarin R, Sirinawee P, Supasaovapak J. Impact of Prehospital Antibiotics on in-Hospital Mortality in Emergency Medical Service Patients with Sepsis. Open Access Emerg Med. 2023 May 26;15:199-206. Poynter, M. J., Farrugia, A., Kelly, E., & Simpson, P. M. (2023). Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – A systematic review. Paramedicine, 21, 52–65. Scales DC, et. al. Prehospital antibiotics and intravenous fluids for patients with sepsis: protocol for a 2×2 factorial randomised controlled trial. BMJ Open. 2025 May 27;15(5):e104257.

LISTENER DISCRETION IS ADVISED!
References:
Alam N, Oskam E, et. al. PHANTASi Trial Investigators and the ORCA (Onderzoeks Consortium Acute Geneeskunde) Research Consortium the Netherlands. Prehospital antibiotics in the ambulance for sepsis: a multicentre, open label, randomised trial. Lancet Respir Med. 2018 Jan;6(1):40-50. 
Jouffroy, R., Annane, D., et. al. (2026). A 1-hour resuscitation bundle for prehospital management of septic shock. Critical Care Medicine.
Knack, S. K. S., Scott, N., Driver, B. E., et al. (2024). Early physician gestalt versus usual screening tools for the prediction of sepsis in critically ill emergency patients. Annals of Emergency Medicine.
Kotnarin R, Sirinawee P, Supasaovapak J. Impact of Prehospital Antibiotics on in-Hospital Mortality in Emergency Medical Service Patients with Sepsis. Open Access Emerg Med. 2023 May 26;15:199-206.
Poynter, M. J., Farrugia, A., Kelly, E., &amp; Simpson, P. M. (2023). Prehospital administration of antibiotics in addition to usual care versus usual care alone for patients with suspected sepsis – A systematic review. Paramedicine, 21, 52–65.
Scales DC, et. al. Prehospital antibiotics and intravenous fluids for patients with sepsis: protocol for a 2×2 factorial randomised controlled trial. BMJ Open. 2025 May 27;15(5):e104257.

Friday Coffee Talk (8/21/26)

Zaf Qasim MD: Crashing Peds, Asthma, Anaphylaxis

LISTENER DISCRETION IS ADVISED!!!
References:
Paterson BF, Grammer LC, Greenberger PA. The management of coexisting asthma and cardiac disease. N Engl Reg Allergy Proc. 1987;8(5):309-315. 
Pauw EK, Stubblefield WB, Wrenn JO, Brown SK, Cosse MS, Curry ZS, Darcy TP, James TE, Koetter PE, Nicholson CE, Parisi FN, Shepherd LG, Soppet SL, Stocker MD, Walston BM, Self WH, Han JH, Ward MJ. Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients with anaphylaxis. J Am Coll Emerg Physicians Open. 2024;5(1)
Putland M, Kerr D, Kelly AM. Adverse events associated with the use of intravenous epinephrine in emergency department patients presenting with severe asthma. Ann Emerg Med. 2006;47(6):559-563. 
Smith D, Riel J, Tilles I, Kino R, Lis J, Hoffman JR. Intravenous epinephrine in life-threatening asthma. Ann Emerg Med. 2003;41(5):706-711. 
Spigner MF, Gussick M, Shah MN. The Estimated Benefit of Lights and Sirens During Ambulance Transport. Prehosp Emerg Care.

LISTENER DISCRETION IS ADVISED!!! References: Paterson BF, Grammer LC, Greenberger PA. The management of coexisting asthma and cardiac disease. N Engl Reg Allergy Proc. 1987;8(5):309-315. Pauw EK, Stubblefield WB, Wrenn JO, Brown SK, Cosse MS, Curry ZS, Darcy TP, James TE, Koetter PE, Nicholson CE, Parisi FN, Shepherd LG, Soppet SL, Stocker MD, Walston BM, Self WH, Han JH, Ward MJ. Frequency of cardiotoxicity following intramuscular administration of epinephrine in emergency department patients with anaphylaxis. J Am Coll Emerg Physicians Open. 2024;5(1) Putland M, Kerr D, Kelly AM. Adverse events associated with the use of intravenous epinephrine in emergency department patients presenting with severe asthma. Ann Emerg Med. 2006;47(6):559-563. Smith D, Riel J, Tilles I, Kino R, Lis J, Hoffman JR. Intravenous epinephrine in life-threatening asthma. Ann Emerg Med. 2003;41(5):706-711. Spigner MF, Gussick M, Shah MN. The Estimated Benefit of Lights and Sirens During Ambulance Transport. Prehosp Emerg Care.

Friday Coffee Talk (9/18/26)

Friday Rapid Fire Questions

Saturday Coffee Talk (8/29/26)

Prehospital Sepsis with Haney Mallemat & Nick Ghionni

Rapid Fire Listener Questions - Part Two

Amyl Nitrate Overdose Case Study with Justin Rodriguez RN

Timber Vignogna/Response Ready Fitness

Saturday Coffee Talk (9/5/26)

Conversation with a Paramedic/Med Student

The World’s Okayest Medic Podcast is a podcast for all EMS providers.  Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

Medicine

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

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