Inside EMS

Whole blood, dual shocks and why the AHA still doesn’t get us


Listen Later

This week on the Inside EMS podcast, Dr. Peter Antevy returns for another round in the hot seat, and he’s not holding back. In this jam-packed episode, he and host Chris Cebollero tackle trending topics in prehospital care — from the expanding role of whole blood and plasma, to the frustrating gaps in the AHA’s 2025 guidelines.

You’ll hear real-world success stories (like the cardiac arrest survivor who’s back on the tennis court), why dual sequential defibrillation (DSD) should already be your go-to, and the cost-benefit realities of starting a whole blood program. Dr. Antevy also dives into the science behind glycocalyx damage and how plasma could change how we treat sepsis, TBI and burns in the field.

Whether you’re a medic, medical director or just passionate about pushing EMS forward, this episode delivers practical insight, bold opinions and a whole lot of inspiration.

Quotable takeaways from Dr. Antevy
  • “The medical establishment does not understand the value of what EMS brings to the table. They don't understand the complexity.”

  • “When we said, ‘We'll do the whole blood,’ what did the surgeons do? They went up in arms: ‘What do you mean you're giving whole blood? Bring them to us. We'll give the whole blood.’ No, no, no. We are part of the chain of survival, too.”

  • “EMS is a subspecialty in the house of medicine. We all need to rise up to make the hospital folks and the academics aware that EMS is important for trauma, for stroke, for pediatrics, for cardiac. We are the ones who can help bring up those outcomes and that's why I love this field.”

    Additional resources: 

    • AHA 2025 updates are here: Cue the overreactions and the protocol rewrites
    • On-demand: Bringing whole blood to the front lines of EMS
    • Stop the bleed, fill the tank – The New Orleans EMS blood program
    • Whole blood in EMS promises a revolution in resuscitation
    • Enjoying Inside EMS? Email [email protected] to share feedback or suggest a guest for a future episode. 

      ...more
      View all episodesView all episodes
      Download on the App Store

      Inside EMSBy EMS1 Podcasts

      • 4.4
      • 4.4
      • 4.4
      • 4.4
      • 4.4

      4.4

      122 ratings


      More shows like Inside EMS

      View all
      EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

      EMCrit FOAM Feed

      1,868 Listeners

      Emergency Medicine Cases by Dr. Anton Helman

      Emergency Medicine Cases

      557 Listeners

      Core EM - Emergency Medicine Podcast by Core EM

      Core EM - Emergency Medicine Podcast

      253 Listeners

      The Resus Room by Simon Laing, Rob Fenwick & James Yates

      The Resus Room

      99 Listeners

      EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

      EM Clerkship

      808 Listeners

      Emergency Medical Minute by Emergency Medical Minute

      Emergency Medical Minute

      259 Listeners

      The EMS Lighthouse Project by Long Pause Media | FlightBridgeED

      The EMS Lighthouse Project

      130 Listeners

      Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

      Critical Care Scenarios

      251 Listeners

      EMS Today by JEMS

      EMS Today

      19 Listeners

      EMS 20/20 by Long Pause Media | FlightBridgeED

      EMS 20/20

      879 Listeners

      Rapid Response RN by Sarah Lorenzini

      Rapid Response RN

      436 Listeners

      Cameron Hanes - Keep Hammering Collective by Cameron Hanes

      Cameron Hanes - Keep Hammering Collective

      1,209 Listeners

      EMS One-Stop by emsonestop

      EMS One-Stop

      6 Listeners

      Critical Care Time by Critical Care Time Podcast

      Critical Care Time

      234 Listeners

      The World’s Okayest Medic Podcast by Mike Carunchio

      The World’s Okayest Medic Podcast

      204 Listeners