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

Dr. Eric Campion is an attending trauma surgeon at Denver Health Medical Center in Denver, Colorado. He has several studies published on the utilization of End Tidal CO2 (ETCO2) in critically injured hemorrhagic shock patients.  As a former paramedic, Dr. Campion has also been studying this data's application to the prehospital setting.  In this episode we discuss the results of two specific studi...

Dr. Spencer Tomberg, a physician in the Department of Emergency Medicine and Orthopedics at Denver Health, discusses pain management and the complex nature of pain perception, highlighting the physical and emotional components. He describes how individuals may have different perceptions of pain due to variations in the action potential and synaptic regions. He dives into the etiology and routes of...

In the high-stakes world of emergency medicine, innovations continually push the boundaries of what's possible. One such groundbreaking procedure is Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA). Dr. Ernest E Moore, who has literally written the book on trauma surgery, teaches us what REBOA is and how it is being used to save lives in critical situations. Another episode from t...

Dr. Stacy Trent, an Associate Professor of Emergency Medicine at the Denver Health Emergency Department, discusses the importance of proper airway management in the emergency setting and introduces the mnemonic SOAPME (suction, oxygen, airway assessment, pharmacy and plan, monitor and equipment) for intubations. Dr. Trent brings with her the most up to date literature about optimizing success and...

Is your EMS agency prepared for a pediatric disaster? In this episode of EMS CAST, Dr. Jeffrey Upperman joins the hosts live at the Rocky Mountain Trauma and Emergency Medicine Conference. Dr. Upperman gave an entertaining and engaging lecture on what you need to start thinking about to be prepared for a pediatric disaster in your area. After his lecture he joined our podcast to discuss his passio...

Stop blowing off back pain patients! There may be a true emergency lurking underneath. Dr. Bo Burns teaches us why we should take atraumatic back pain so seriously. We're back with another episode from the RMTEMC. We dive deep into the topic of epidural abscesses and cauda equina. These are true spinal emergencies, so we should understand them. Our expert guest, Dr. Bo Burns shares valuable insigh...

In this episode of EMSCast, hosts Ross Orpet and Will Berry discuss a lecture given by Dr. David Bliss on taking care of pediatric trauma patients. Dr. Bliss emphasizes the importance of supporting the psychosocial needs of pediatric patients, as they may not have the same coping skills as adults. He also discusses the unique challenges of treating pediatric trauma patients, including the need for...

Earlier this month Ross and Will visited the Rocky Mountain Trauma and Emergency Medicine Conference. In addition to trauma games and sim wars, there were so many great lectures and EMS Cast was lucky enough to get to interview some of the speakers about their talks. We are excited to get to bring some of this great content to our listeners. Dr. Maria Moreira tells us about the conference and then...

American College of Surgeons just updated their prehospital trauma triage recommendations. Learn about what the updates mean for paramedics and EMTs and how you can practice this on everyday EMS calls. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Link to Blog Post- https://emspodcast.com/trauma-triage-guidelines-update/ Link to ACS Traum...

Pharmacist, Kevin Kaucher, joins us to discuss the ins and outs of nitro in acute coronary syndrome. Does it work? Is sublingual better than paste? Can it be dangerous? Come learn the latest on nitroglycerin.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses For more info and to see the EKGs from the case: https://emspodcast.com/the-truth-ab...

Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might find them and most importantly how to keep yourself safe. We'll also discuss nerve agents and how to recognize and treat these as well. Enter to Win a...

Toxicology fellow Dr. Nik Matsler teaches us about the pathophysiology of cyanide toxicity and it's various antidotes. Learn how to recognize, learn when to treat, and learn some historical trivia while we're at it. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Resources: Want to stay ahead of the top 1% in EMS and build real confidence...

Dr. Whitney Barrett shares why the Glasgow Coma Score is a useless number and what we should use instead.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   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...

This is a Q&A follow up to last weeks episode on serotonin syndrome. This week paramedic Will Barry asks toxicology fellow Dr. Nik Matsler the questions that came up for him after listening to last weeks case. And at the end we kept in an impromptu conversation on end tidal CO2 in the pre-hospital setting. Enjoy.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Fr...

Toxicology fellow Dr. Nik Matsler helps us dissect a case that Matt saw working an EDM concert. As I interview Matt about the case, Nik gives us the dos and don'ts when it comes to serotonin syndrome.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Resources: Want to stay ahead of the top 1% in EMS and build real confidence in the field?...

This is a tough job and we all have scars from it. It's time to quit sweeping them under the rug and start openly discussing them. This episode was inspired by an upcoming documentary- "Into the Unknown, the Paramedics Journey". You can check out the trailer and more about the movie here - https://intotheunknowndoc.com/watchtrailer/ Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15...

Emergency pharmacist Lance Ray helps us breakdown the latest literature with regards to steroids in cardiac arrest.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Andersen LW, Isbye D, et al. Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Random...

Dangers of lights and sirens. Who is EMS? Dispatcher assisted CPR. Intubation video review. And more! Last week was the annual conference for the National Association of EMS Physicians. For 2 1/2 days experts in the field of EMS medical direction gave insights to a whole range of topics. I had the pleasure of getting to see some of them. Check out this recap to learn more.  Enter to Win a FREE Pai...

Emergency Pharmacist Lance Ray joins us to educate us on all the various new classes of diabetic medications. Learn which ones cause hypoglycemia, which ones don't, and a couple which cause some rare life threatening conditions.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Resources: Want to stay ahead of the top 1% in EMS and build r...

Which blade do you prefer when you intubate? Mac 3 or Mac 4? Is there any data to guide our choice? Matt and I review a recent study from Intensive Care Medicine Journal that attempted to answer the question of which is better. You can find the full article here. https://link.springer.com/article/10.1007/s00134-022-06832-9?mc_cid=93f14f4c87&mc_eid=65c52bf2df Enter to Win a FREE Pair of Frontli...

Are you running your traumas as efficiently as you should? Dave Edwards shares with us the ideal approach/philosophy/teaching tool to how theses calls should ideally go. This document is years in the making with input from Trauma Surgeons, Emergency Physicians, and Paramedics to help clearly delineate our priorities in trauma.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for...

The sick asthmatic is one of the scariest calls you may run. You need to understand this is different from other respiratory distress. Your treatments can have a profoundly negative impact on the patient if you don't understand the physiology. But if you do understand what is going on, you can make a real difference and save a life.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast1...

It seems like there are new drugs hitting the streets every month. That's because there are and there's a reason for that! Come learn why and what we need to look out for and be aware of on the streets. Welcome back Dr. Nik Matsler who's going to take us through how novel drugs escape our legal system and what the dangers are. And a new update on good ol' meth too! Enter to Win a FREE Pair of Fron...

Will Berry's back on the show to chat with us about a commonly overlooked part of our care. He can't stress enough how important a good detailed physical exam can be. Are you dedicating enough attention to your physical exams? Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Resources: Want to stay ahead of the top 1% in EMS and build real...

Join us for part four of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to RV failure why these patients are so dangerous to intubate. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Interested in The Loud & Clear Fellowship? Book a free coaching call with us: emspodcast.com/free...